Therapists in Salem, MA
![Photo of Mark A Pooler, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c4e5f8b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Thank you for taking the time today to review my profile. Beginning the process of psychotherapy can feel like a daunting one. Your ability to feel comfortable and at ease with a therapist can only help you to address difficult or painful parts of your life. My patients tell me that they often feel safe and "at home" when they are working with me. I enjoy working with folks who have been suffering from depression, trauma, loss, and substance abuse. Please feel free to call me to talk about scheduling an appointment.
Thank you for taking the time today to review my profile. Beginning the process of psychotherapy can feel like a daunting one. Your ability to feel comfortable and at ease with a therapist can only help you to address difficult or painful parts of your life. My patients tell me that they often feel safe and "at home" when they are working with me. I enjoy working with folks who have been suffering from depression, trauma, loss, and substance abuse. Please feel free to call me to talk about scheduling an appointment.
![Photo of Brenda Kissane, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3174ce98-bb2a-4a5d-b665-0e808f980d73/2/320x400.jpeg)
Brenda Kissane
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970 (Online Only)
Brenda Kissane is a Clinical Social Worker who believes that the mind, body, and spirit are naturally inclined to healing if given the right space and support. Brenda studied social work at the University of Chicago and believes that social justice is a fundamental part of being a social worker. Brenda is trained in and incorporates DBT, somatic counseling, mindfulness, emotionally focused therapy, and narrative therapy into her work with individuals and couples.
Brenda Kissane is a Clinical Social Worker who believes that the mind, body, and spirit are naturally inclined to healing if given the right space and support. Brenda studied social work at the University of Chicago and believes that social justice is a fundamental part of being a social worker. Brenda is trained in and incorporates DBT, somatic counseling, mindfulness, emotionally focused therapy, and narrative therapy into her work with individuals and couples.
![Photo of Miranda Hughes, LMFT, CST, Marriage & Family Therapist](https://photos.psychologytoday.com/73d495ba-1ca4-4b36-96fa-355be2afabba/2/320x400.jpeg)
Are you and your partner struggling to find your way back to each other? Do you find it easier to talk to friends about sex and intimacy than to the person you’re having sex with? Do you feel there’s a part of yourself that you haven’t yet been able to tap into that holds information about how you can be your most authentic sexual self? I work with couples and individuals to ask and answer these questions and use that information as puzzle pieces to put together the big picture of what your most loving, most intimate, most connected relationship can look like, whether to a partner or to yourself.
Are you and your partner struggling to find your way back to each other? Do you find it easier to talk to friends about sex and intimacy than to the person you’re having sex with? Do you feel there’s a part of yourself that you haven’t yet been able to tap into that holds information about how you can be your most authentic sexual self? I work with couples and individuals to ask and answer these questions and use that information as puzzle pieces to put together the big picture of what your most loving, most intimate, most connected relationship can look like, whether to a partner or to yourself.
![Photo of Jacklyn Powers, LMHC, Counselor](https://photos.psychologytoday.com/e602e5dd-d0f9-4082-824a-c2a497422558/1/320x400.jpeg)
My goal is to assist clients in feeling empowered to take charge of their life and feel confident working toward their goals. I believe every step toward your goals is an accomplishment, regardless of what life throws at you along the way. I believe all people are different, therefore we need to understand the individual to treat the diagnosis. I believe each individual has the capacity for personal growth and/or change.
My goal is to assist clients in feeling empowered to take charge of their life and feel confident working toward their goals. I believe every step toward your goals is an accomplishment, regardless of what life throws at you along the way. I believe all people are different, therefore we need to understand the individual to treat the diagnosis. I believe each individual has the capacity for personal growth and/or change.
![Photo of Tyleeshia Hamer, Pre-Licensed Professional](https://photos.psychologytoday.com/ccd56598-827c-4d75-9e09-034c157a15ed/1/320x400.jpeg)
Hello! Tyleeshia is overjoyed to accompany you on your journey to healing and growth. She’s here to offer her unwavering support every step of the way. Tyleeshia is passionate about guiding clients into becoming their desired selves and working through problems they experience. Tyleeshia welcomes all persons regardless of race, gender identity, sexual orientation, relationship status, etc. Tyleeshia advocates for the growth of persons within marginalized communities, including African Americans, women, and members of the LGBTQIA+ community.
Hello! Tyleeshia is overjoyed to accompany you on your journey to healing and growth. She’s here to offer her unwavering support every step of the way. Tyleeshia is passionate about guiding clients into becoming their desired selves and working through problems they experience. Tyleeshia welcomes all persons regardless of race, gender identity, sexual orientation, relationship status, etc. Tyleeshia advocates for the growth of persons within marginalized communities, including African Americans, women, and members of the LGBTQIA+ community.
![Photo of Sarah E. Keenan, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ece47580-1f74-4c08-be00-5ce8ba837e6e/2/320x400.jpeg)
Beneficial therapy is founded upon a strong relationship between the therapist and the client. There is something healing about connecting with another person, about being seen, about feeling understood. With each of my clients, I work to create a warm relationship where they know they will be met with respect and empathy. I also recognize that for some people, especially people with non-dominant cultural identities, mental health care has not always felt welcoming. With that in mind, I work to provide a space where everyone can experience a sense of belonging and feel safe being their full selves. I am LGBTQIA+ affirming.
Beneficial therapy is founded upon a strong relationship between the therapist and the client. There is something healing about connecting with another person, about being seen, about feeling understood. With each of my clients, I work to create a warm relationship where they know they will be met with respect and empathy. I also recognize that for some people, especially people with non-dominant cultural identities, mental health care has not always felt welcoming. With that in mind, I work to provide a space where everyone can experience a sense of belonging and feel safe being their full selves. I am LGBTQIA+ affirming.
![Photo of Alfonso Perillo, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/75777040-eb02-4007-a3dd-809cd416a5cc/3/320x400.jpeg)
Alfonso Perillo is a Licensed Independent Clinical Social Worker (LICSW) whose clinical focus is helping individuals cope with depression, anxiety, career/job transitions, and chronic illness. In addition, Alfonso specializes in group work for individuals dealing with these issues. He has 10 years of experience in the mental health field.
Alfonso Perillo is a Licensed Independent Clinical Social Worker (LICSW) whose clinical focus is helping individuals cope with depression, anxiety, career/job transitions, and chronic illness. In addition, Alfonso specializes in group work for individuals dealing with these issues. He has 10 years of experience in the mental health field.
![Photo of Paul Falconer, PhD, LMHC, LADC1, MCCS, Counselor](https://photos.psychologytoday.com/4fdc17ae-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Thank you for your interest in my Teleheath Counseling Services. I do have a few openings for adults who are not court involved. I offer a welcoming and supportive environment where I use my 20 years of mental health and substance abuse counseling experience to help Individuals attain their personal, relationship, and health-based goals. I take a person-centered, strengths-based approach to help with the identification of issues, concerns, and other barriers to self-understanding and well-being. This leads to improved insight and goal clarity, with problem-solving and coping skills tailored to this need.
Thank you for your interest in my Teleheath Counseling Services. I do have a few openings for adults who are not court involved. I offer a welcoming and supportive environment where I use my 20 years of mental health and substance abuse counseling experience to help Individuals attain their personal, relationship, and health-based goals. I take a person-centered, strengths-based approach to help with the identification of issues, concerns, and other barriers to self-understanding and well-being. This leads to improved insight and goal clarity, with problem-solving and coping skills tailored to this need.
![Photo of Mary Doherty, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ec2a4888-4a54-4012-ad35-dd42e04b24cc/1/320x400.jpeg)
I am licensed independent clinical social worker with over 20 years experience working with adults, youth and families. I currently work with adults and young adults helping to navigate transitions, relationships and life stressors. My approach is collaborative, strength based tailoring treatment to the individual 's needs. I bring expertise and real lived experience to working with issues of divorce, child custody, parenting support, and anxiety and depression. I use both behavioral and interpersonal approaches to therapy. Please feel free to reach out to me for a 15 consultation.
I am licensed independent clinical social worker with over 20 years experience working with adults, youth and families. I currently work with adults and young adults helping to navigate transitions, relationships and life stressors. My approach is collaborative, strength based tailoring treatment to the individual 's needs. I bring expertise and real lived experience to working with issues of divorce, child custody, parenting support, and anxiety and depression. I use both behavioral and interpersonal approaches to therapy. Please feel free to reach out to me for a 15 consultation.
![Photo of David Rupert, PsyD, Psychologist](https://photos.psychologytoday.com/3c4a094b-46cd-11ea-a6ad-06142c356176/7/320x400.jpeg)
**** Alert: I am currently full and not accepting new clients. **** I work primarily with adults who are struggling with emotional or relational issues. Intellectual understanding of a problem may not be enough to produce change. I try to listen deeply and help people integrate their strengths, values, and emotions in new ways. Many of my clients feel stuck or defeated in certain areas despite doing well in other domains of life.
**** Alert: I am currently full and not accepting new clients. **** I work primarily with adults who are struggling with emotional or relational issues. Intellectual understanding of a problem may not be enough to produce change. I try to listen deeply and help people integrate their strengths, values, and emotions in new ways. Many of my clients feel stuck or defeated in certain areas despite doing well in other domains of life.
![Photo of Carolanne Hale, MA, MS, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4810f924-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
May I begin by writing that I recognize your courage for seeking help. You or a family member must be struggling right now. If life looks bleak, please know that there can be hope. I am a licensed Marriage and Family Therapist in both California and Massachusetts who works with individuals, couples and families struggling with depression, anxiety, substance abuse, stressful life changes, trauma, acculturation challenges and illness. I honor a collaborative relationship with my clients and strive toward finding solutions that are authentic to you. You have a story and I listen, building on the strengths you already possess.
May I begin by writing that I recognize your courage for seeking help. You or a family member must be struggling right now. If life looks bleak, please know that there can be hope. I am a licensed Marriage and Family Therapist in both California and Massachusetts who works with individuals, couples and families struggling with depression, anxiety, substance abuse, stressful life changes, trauma, acculturation challenges and illness. I honor a collaborative relationship with my clients and strive toward finding solutions that are authentic to you. You have a story and I listen, building on the strengths you already possess.
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![Photo of Brenna E House, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7a278b1d-092f-477f-98ab-c7068aa8a418/1/320x400.png)
Brenna E House
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970 (Online Only)
Not accepting new clients
Hi there! My name is Brenna and I have been a licensed independent clinical social worker for over 9 years. As a therapist, I understand that seeking help can be a difficult and vulnerable experience. My goal is to create a safe and supportive space for my clients to explore their emotions and work towards their goals. I welcome clients of all ages and backgrounds.
Hi there! My name is Brenna and I have been a licensed independent clinical social worker for over 9 years. As a therapist, I understand that seeking help can be a difficult and vulnerable experience. My goal is to create a safe and supportive space for my clients to explore their emotions and work towards their goals. I welcome clients of all ages and backgrounds.
![Photo of Amanda Weintraub, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e3e75343-0d7b-4501-9ffc-1303d39f7c4b/2/320x400.jpeg)
Amanda Weintraub
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Salem, MA 01970 (Online Only)
Limited availability at this time. I am a Licensed Clinical Social Worker who has provided psychotherapy to children, adolescents, adults, and families across the life spectrum for over 10 years. I have been told my style is warm, engaging, and dynamic. I believe that overcoming anxiety, depression, PTSD, complex trauma, and other forms of chronic and acute symptoms can happen within a collaborative and attachment-based therapeutic approach. Transformative healing is possible for all of us! It is an honor to be with my clients on each of their unique journeys.
Limited availability at this time. I am a Licensed Clinical Social Worker who has provided psychotherapy to children, adolescents, adults, and families across the life spectrum for over 10 years. I have been told my style is warm, engaging, and dynamic. I believe that overcoming anxiety, depression, PTSD, complex trauma, and other forms of chronic and acute symptoms can happen within a collaborative and attachment-based therapeutic approach. Transformative healing is possible for all of us! It is an honor to be with my clients on each of their unique journeys.
![Photo of Alexandra Bacigalupo, PsyD, Psychologist](https://photos.psychologytoday.com/dec092b7-d090-42ba-bdd6-af3a04d97ee8/1/320x400.jpeg)
Dr. Bacigalupo works with adults, providing treatment and support for those suffering from depression, trauma, anxiety, relationship and family issues, major life transitions, and substance and alcohol use. Her primary treatment approach is Cognitive Behavioral Therapy, with the additional use of psychodynamic, family systems, mindfulness, self-compassion, and existential perspectives in her work.
Dr. Bacigalupo works with adults, providing treatment and support for those suffering from depression, trauma, anxiety, relationship and family issues, major life transitions, and substance and alcohol use. Her primary treatment approach is Cognitive Behavioral Therapy, with the additional use of psychodynamic, family systems, mindfulness, self-compassion, and existential perspectives in her work.
![Photo of Josiah Daniel Colbert - Josiah Colbert - Northbound Counseling, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/fccec2a3-e4a9-4597-802b-10a96b286bdc/2/320x400.jpeg)
Josiah Colbert - Northbound Counseling
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Salem, MA 01970
Waitlist for new clients
Let’s be honest, life can often be difficult and unpredictable. Whether you’re attempting to navigate a complex relationship, quell generational family conflicts, or manage the daily stresses of life, sometimes knowing where to begin can be the hardest part. If you’re struggling with where to start in your personal journey, seeking help from a professional can be a great first step towards making positive changes. As a Licensed Marriage and Family Therapist, I work with individuals, couples, and families to improve their relationships and their lives.
Let’s be honest, life can often be difficult and unpredictable. Whether you’re attempting to navigate a complex relationship, quell generational family conflicts, or manage the daily stresses of life, sometimes knowing where to begin can be the hardest part. If you’re struggling with where to start in your personal journey, seeking help from a professional can be a great first step towards making positive changes. As a Licensed Marriage and Family Therapist, I work with individuals, couples, and families to improve their relationships and their lives.
![Photo of Angela L. Belleville, LMHC, LPCC, Counselor](https://photos.psychologytoday.com/2c81ff97-5149-46a1-b706-00e5216732f6/2/320x400.jpeg)
I specialize in trauma &PTSD in adults. I also offer supervision, training and consultation. PTSD is a hidden wound that can hijack the mind and body. People often express deep feelings of shame, guilt, fear, sadness, anger, intrusive thoughts, feeling on guard, feeling distant from the joys in life, struggling with esteem, relationships and trust, a sense of profound "stuckness" accompanied by a disbelief that things could change or get better. Some have tried therapy for years with minimal relief from PTSD. For others this is their first time addressing their trauma. A life without PTSD seems unreachable...but it's not.
I specialize in trauma &PTSD in adults. I also offer supervision, training and consultation. PTSD is a hidden wound that can hijack the mind and body. People often express deep feelings of shame, guilt, fear, sadness, anger, intrusive thoughts, feeling on guard, feeling distant from the joys in life, struggling with esteem, relationships and trust, a sense of profound "stuckness" accompanied by a disbelief that things could change or get better. Some have tried therapy for years with minimal relief from PTSD. For others this is their first time addressing their trauma. A life without PTSD seems unreachable...but it's not.
![Photo of Rebecca Chernek, MEd, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/76671125-3ec8-4bcd-bafb-2d461c861263/1/320x400.jpeg)
Rebecca Chernek
Clinical Social Work/Therapist, MEd, LICSW
Verified Verified
Salem, MA 01970
Waitlist for new clients
I enjoy working with individuals from various age groups, from early childhood to young adulthood. I believe that therapy is a journey that starts with building a genuine connection between therapist and client. Therapy is a collaborative process designed to meet the unique needs of each client.
I enjoy working with individuals from various age groups, from early childhood to young adulthood. I believe that therapy is a journey that starts with building a genuine connection between therapist and client. Therapy is a collaborative process designed to meet the unique needs of each client.
![Photo of Keisha Kenny - Keisha Kenny, LICSW- True North Counseling, MA, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fc45fe81-5a3e-4430-b761-9f31401d66c2/1/320x400.jpeg)
Keisha Kenny, LICSW- True North Counseling, MA
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Salem, MA 01970 (Online Only)
Limited daytime Telehealth appointments currently available. If you are overwhelmed or under stress with various aspects of your life, or if you are thinking about making a change, but not sure how or where to start, you've come to the right place. Welcome! You are taking the first brave step towards intentional, positive change, and feeling more empowered in your life. I am here to help guide you in taking those first steps towards achieving your personal goals; to assist you in finding your true north; to help keep you on track; and to support you so that you are not alone on this journey.
Limited daytime Telehealth appointments currently available. If you are overwhelmed or under stress with various aspects of your life, or if you are thinking about making a change, but not sure how or where to start, you've come to the right place. Welcome! You are taking the first brave step towards intentional, positive change, and feeling more empowered in your life. I am here to help guide you in taking those first steps towards achieving your personal goals; to assist you in finding your true north; to help keep you on track; and to support you so that you are not alone on this journey.
![Photo of Donna Blume, MEd, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f891b42-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hello, my name is Donna Blume and I have been a practicing psychotherapist for over 40 years. I have an open heart and an open mind and I am told by my clients that I have a great sense of humor. Although psychotherapy is a serious business there are times when a sense of humor is very useful. My approach is gentle and direct. My clients also tell me that they feel comfortable with me almost immediately. I am a down to earth person with a down to earth approach.
Hello, my name is Donna Blume and I have been a practicing psychotherapist for over 40 years. I have an open heart and an open mind and I am told by my clients that I have a great sense of humor. Although psychotherapy is a serious business there are times when a sense of humor is very useful. My approach is gentle and direct. My clients also tell me that they feel comfortable with me almost immediately. I am a down to earth person with a down to earth approach.
![Photo of Christopher Damon, LMHC, Counselor](https://photos.psychologytoday.com/b079d212-57b8-4708-99c9-d9fe47515047/1/320x400.jpeg)
Christopher Damon
Counselor, LMHC
Verified Verified
4 Endorsed
Salem, MA 01970 (Online Only)
Not accepting new clients
Struggling with mental health challenges can be overwhelming, but you don't have to face them alone. I am a highly experienced mental health counselor with over 10 years of experience specializing in trauma, family and couples therapy, men's issues, anger and mood disorders, and anxiety. My early career involved treating trauma, as well as providing intensive family therapy and addiction counseling. With my expertise, I can help you overcome any obstacle.
Struggling with mental health challenges can be overwhelming, but you don't have to face them alone. I am a highly experienced mental health counselor with over 10 years of experience specializing in trauma, family and couples therapy, men's issues, anger and mood disorders, and anxiety. My early career involved treating trauma, as well as providing intensive family therapy and addiction counseling. With my expertise, I can help you overcome any obstacle.
See more therapy options for Salem
How does your Therapist compare?
Number of Therapists in Salem, MA
200+
Average cost per session
$150
Therapists in Salem, MA who prioritize treating:
92% | Anxiety |
85% | Depression |
80% | Relationship Issues |
72% | Trauma and PTSD |
72% | Self Esteem |
71% | Coping Skills |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
90% | BlueCross and BlueShield |
60% | Optum |
58% | UnitedHealthcare UHC | UBH |
How Therapists in Salem, MA see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
80% | Female | |
17% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Salem?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.