Therapists in Columbus, NC

Photo of Colleen Welty - Polk County Treatment Services, MA , CSAC, Drug & Alcohol Counselor
Polk County Treatment Services
Drug & Alcohol Counselor, MA , CSAC
Verified Verified
Columbus, NC 28722
Being charged with a DWI can be an overwhelming event. I am here as an educated and supportive professional to help during this difficult time. As a certified substance abuse counselor with the state of N.C. and owner of Polk County Treatment Services, a N.C. State Authorized DWI Facility, I fully understand many of the challenges that can arise during this emotional time. Most assessments can be scheduled within 24 hours of first contact, with afternoon, evening or weekend appointments made available. Treatment groups are tailored to be compatible with my client's work and personal obligations.
Being charged with a DWI can be an overwhelming event. I am here as an educated and supportive professional to help during this difficult time. As a certified substance abuse counselor with the state of N.C. and owner of Polk County Treatment Services, a N.C. State Authorized DWI Facility, I fully understand many of the challenges that can arise during this emotional time. Most assessments can be scheduled within 24 hours of first contact, with afternoon, evening or weekend appointments made available. Treatment groups are tailored to be compatible with my client's work and personal obligations.
(828) 358-1918 View (828) 358-1918
Photo of Sara R Whitley - Complete Peace, PLLC, LCSW, Clinical Social Work/Therapist
Complete Peace, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Columbus, NC 28722
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
(828) 520-0169 View (828) 520-0169
Photo of Andrea Elizabeth Hill, LCMHC-A, MA, EdS, Counselor
Andrea Elizabeth Hill
Counselor, LCMHC-A, MA, EdS
Verified Verified
Columbus, NC 28722
Stress and struggle are universal in nature; we all face obstacles and barriers that sometimes feel insurmountable. My goal, as a therapist, is to help my clients find more effective ways to cope with the issues they face in their daily lives. Whether that issue is related to your family, spouse, school, career, or past trauma, there are ways to move through adversity and find a way to exist peacefully within your world. Areas of focus include mood disorders, anxiety, PTSD, grief, emotion regulation, anger management parenting skills, couples and family therapy.
Stress and struggle are universal in nature; we all face obstacles and barriers that sometimes feel insurmountable. My goal, as a therapist, is to help my clients find more effective ways to cope with the issues they face in their daily lives. Whether that issue is related to your family, spouse, school, career, or past trauma, there are ways to move through adversity and find a way to exist peacefully within your world. Areas of focus include mood disorders, anxiety, PTSD, grief, emotion regulation, anger management parenting skills, couples and family therapy.
(828) 826-1977 View (828) 826-1977
Photo of Geoff Graham, LCSW, Clinical Social Work/Therapist
Geoff Graham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Columbus, NC 28722
Are you looking for a listening ear? Someone who is genuine, willing to join you in your journey to reach your goals? Geoff is here for you.
Are you looking for a listening ear? Someone who is genuine, willing to join you in your journey to reach your goals? Geoff is here for you.
(828) 360-9617 View (828) 360-9617
Photo of Laura Deterville, MA, NCC, LCMHC
Laura Deterville
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC
Verified Verified
Columbus, NC 28722
Welcome. I'm here to help and support you in your journey to feeling better. Life can be difficult at times and counseling can give you the tools to meet life’s challenges. I offer a safe space to explore life transitions, feelings of depression or anxiety, low self-esteem, grief/loss issues, relationship struggles, midlife issues, caregiver stress and other life challenges. I can help you develop the skills and strategies to gain insight and awareness, cope with life stressors, increase feelings of self-worth, and enhance meaning in your life.
Welcome. I'm here to help and support you in your journey to feeling better. Life can be difficult at times and counseling can give you the tools to meet life’s challenges. I offer a safe space to explore life transitions, feelings of depression or anxiety, low self-esteem, grief/loss issues, relationship struggles, midlife issues, caregiver stress and other life challenges. I can help you develop the skills and strategies to gain insight and awareness, cope with life stressors, increase feelings of self-worth, and enhance meaning in your life.
(828) 373-3989 View (828) 373-3989

More Therapists Nearby

Photo of Terri L Morgan, MS, MEd, LPC, LCMHC, LCAS
Terri L Morgan
Licensed Clinical Mental Health Counselor, MS, MEd, LPC, LCMHC, LCAS
Verified Verified
Tryon, NC 28782
Not accepting new clients
I offer in-depth, insight oriented and compassionate psychotherapy to individuals, couples, and groups and have been involved in the counseling and mental health field since 1990. My goal is to provide treatment designed to help individuals to identify negative or self-sabotaging thinking patterns and behavior, and to develop healthier, more fulfilling relationships and an enhanced quality of life.
I offer in-depth, insight oriented and compassionate psychotherapy to individuals, couples, and groups and have been involved in the counseling and mental health field since 1990. My goal is to provide treatment designed to help individuals to identify negative or self-sabotaging thinking patterns and behavior, and to develop healthier, more fulfilling relationships and an enhanced quality of life.
(828) 333-7931 View (828) 333-7931
Photo of Angela Gupta-Thomas, PhD, LCSW, Clinical Social Work/Therapist
Angela Gupta-Thomas
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Tryon, NC 28782
I strive to provide professional competent clinical counseling that offers encouragement and hope while upholding the time honored value of a genuine commitment to Christ and appreciation for the work God is capable of doing in people's lives. Through gentle appreciation and mutual respect, we collaborate to uncover obstacles to growth and healing. As we journey together, we find healing for the past, wholeness for the present, and a vision for what may be possible for the future. A multi-dimensional non-invasive approach to healing encourages and empowers you and your loved ones to live a beautiful life.
I strive to provide professional competent clinical counseling that offers encouragement and hope while upholding the time honored value of a genuine commitment to Christ and appreciation for the work God is capable of doing in people's lives. Through gentle appreciation and mutual respect, we collaborate to uncover obstacles to growth and healing. As we journey together, we find healing for the past, wholeness for the present, and a vision for what may be possible for the future. A multi-dimensional non-invasive approach to healing encourages and empowers you and your loved ones to live a beautiful life.
(828) 705-3868 View (828) 705-3868
Photo of Frank Hill, LCMHC-A, NCPSS, Counselor
Frank Hill
Counselor, LCMHC-A, NCPSS
Verified Verified
Mill Spring, NC 28756
We all struggle. It is universal. But we can all also learn practices, tools, and insights to help us struggle well. Whether you are feeling hopeless, lost, confused, or down, I believe we can work together to find a way through the tough times and develop the skills you need to keep moving forward in positivity. Areas of focus include mood disorders, post-traumatic stress, ADHD, substance abuse issues, veterans' concerns, and parenting skills.
We all struggle. It is universal. But we can all also learn practices, tools, and insights to help us struggle well. Whether you are feeling hopeless, lost, confused, or down, I believe we can work together to find a way through the tough times and develop the skills you need to keep moving forward in positivity. Areas of focus include mood disorders, post-traumatic stress, ADHD, substance abuse issues, veterans' concerns, and parenting skills.
(828) 492-2766 View (828) 492-2766
Photo of Lynn Crothers, MA, LCMHCA, LMHCA
Lynn Crothers
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, LMHCA
Verified Verified
Tryon, NC 28782
Not accepting new clients
I support adults navigating a variety of issues, including chronic pain and chronic illness, dissociative conditions, depression and grief, complex trauma, relationship challenges, searches for meaning, and family of origin concerns. If you have ever felt like an "outsider"—someone misunderstood or struggling to fit in—you'll find a home here. Trained in depth psychology, I am an ideal fit for anyone who is engaged in the process of self-understanding, curious about life, and seeking to be known. I believe the potential for deep healing, connection, and revitalization exists within this work.
I support adults navigating a variety of issues, including chronic pain and chronic illness, dissociative conditions, depression and grief, complex trauma, relationship challenges, searches for meaning, and family of origin concerns. If you have ever felt like an "outsider"—someone misunderstood or struggling to fit in—you'll find a home here. Trained in depth psychology, I am an ideal fit for anyone who is engaged in the process of self-understanding, curious about life, and seeking to be known. I believe the potential for deep healing, connection, and revitalization exists within this work.
(828) 547-4679 View (828) 547-4679
Photo of Margaret Swift Thompson, MS, LADC, CTA, Coach, Drug & Alcohol Counselor
Margaret Swift Thompson
Drug & Alcohol Counselor, MS, LADC, CTA, Coach
Verified Verified
2 Endorsed
Mill Spring, NC 28756  (Online Only)
Do you love someone who is struggling with the disease of addiction? Do you feel alone, terrified, angry, or worried? Are you riding a roller coaster daily? Does the idea of setting boundaries baffle you? Is your mental energy depleted as you are preoccupied with your person 24/7? Do you feel lost on how to help your family heal? Does the term 'Detach With Love' strike terror in you? When I worked in the Family Program at the Hazelden Betty Ford Foundation, loved ones constantly shared a desire for someone to come alongside them on their journey. I do precisely this with my company, Embrace Family Recovery LLC.
Do you love someone who is struggling with the disease of addiction? Do you feel alone, terrified, angry, or worried? Are you riding a roller coaster daily? Does the idea of setting boundaries baffle you? Is your mental energy depleted as you are preoccupied with your person 24/7? Do you feel lost on how to help your family heal? Does the term 'Detach With Love' strike terror in you? When I worked in the Family Program at the Hazelden Betty Ford Foundation, loved ones constantly shared a desire for someone to come alongside them on their journey. I do precisely this with my company, Embrace Family Recovery LLC.
(828) 293-4509 View (828) 293-4509

Online Therapists

Photo of Lori Torres, LMFT, Marriage & Family Therapist
Lori Torres
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Charlotte, NC 28211
Waitlist for new clients
In our lives we juggle multiple relationships/ roles every day; our relationship to friends, family, our significant others, & co-workers/ teachers. Let's not forget the relationship to ourselves, one of the most important relationships we can have! Sometimes it is overwhelming trying to be the best that we can be. Sometimes we settle for just getting by. That is okay, to a point. However, when we do not feel like ourselves, or our relationships start changing, feeling stressed, or off track, to a point that it is influencing other parts of our lives that is where I can help.
In our lives we juggle multiple relationships/ roles every day; our relationship to friends, family, our significant others, & co-workers/ teachers. Let's not forget the relationship to ourselves, one of the most important relationships we can have! Sometimes it is overwhelming trying to be the best that we can be. Sometimes we settle for just getting by. That is okay, to a point. However, when we do not feel like ourselves, or our relationships start changing, feeling stressed, or off track, to a point that it is influencing other parts of our lives that is where I can help.
(980) 321-0315 View (980) 321-0315
Photo of Luz Cruz, LMHC, Counselor
Luz Cruz
Counselor, LMHC
Verified Verified
Charlotte, NC 28273  (Online Only)
Hi, my name is Luz, my pronouns are she/her/hers, and I am a Licensed Mental Health Counselor (LMHC). I worked as a teacher for over 15 years before making the journey into a community mental health career. I have experience in mobile crisis response, trauma, forensic mental health, and LGBTQ+ issues. To explain who I am as a therapist, I reflect back to my role as an educator. In the classroom, there was a movement for the teacher to be less of a “sage on the stage” (teacher-centered approach) and more of a “guide on the side” (student-centered). For me, therapy is a lesson plan for a learning experience.
Hi, my name is Luz, my pronouns are she/her/hers, and I am a Licensed Mental Health Counselor (LMHC). I worked as a teacher for over 15 years before making the journey into a community mental health career. I have experience in mobile crisis response, trauma, forensic mental health, and LGBTQ+ issues. To explain who I am as a therapist, I reflect back to my role as an educator. In the classroom, there was a movement for the teacher to be less of a “sage on the stage” (teacher-centered approach) and more of a “guide on the side” (student-centered). For me, therapy is a lesson plan for a learning experience.
(980) 372-7300 View (980) 372-7300
Photo of Lisa Kay Paden, MA, LCMHCS
Lisa Kay Paden
Licensed Clinical Mental Health Counselor, MA, LCMHCS
Verified Verified
1 Endorsed
Charlotte, NC 28277
Helping people lead more productive and healthy lives is the joy of my job as a therapist. I love working with people who are wanting something different than they now have, that may be issues around their relationships, their children, friends, jobs or maybe that they want something different from their lives. The first step is to ask for help. I have been a therapist for over 30 years and given many seminars, both tv and radio programs and feel that what I have learned can help people accomplish life goals with the right support.
Helping people lead more productive and healthy lives is the joy of my job as a therapist. I love working with people who are wanting something different than they now have, that may be issues around their relationships, their children, friends, jobs or maybe that they want something different from their lives. The first step is to ask for help. I have been a therapist for over 30 years and given many seminars, both tv and radio programs and feel that what I have learned can help people accomplish life goals with the right support.
(980) 246-3763 View (980) 246-3763
Photo of Kathryn Hagler, MA, LCMHC, NCC
Kathryn Hagler
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28226
Are you feeling stressed, anxious, depressed, or traumatized? Are your feeling confused or misunderstood? Are you struggling with your thoughts and emotions and finding it hard to make decisions? Sometimes life becomes so difficult and overwhelming, we need someone who will listen and help us work through our thoughts, our emotions, and our struggles. I provide a non-judgmental, empathetic, and collaborative approach to counseling so you can discover yourself more deeply and learn to thrive, not just survive.
Are you feeling stressed, anxious, depressed, or traumatized? Are your feeling confused or misunderstood? Are you struggling with your thoughts and emotions and finding it hard to make decisions? Sometimes life becomes so difficult and overwhelming, we need someone who will listen and help us work through our thoughts, our emotions, and our struggles. I provide a non-judgmental, empathetic, and collaborative approach to counseling so you can discover yourself more deeply and learn to thrive, not just survive.
(980) 446-3432 View (980) 446-3432
Photo of Melody Ann Mattingly - Relaxed Therapy PLLC, NCC, LCMHC, LCAS, Licensed Professional Counselor
Relaxed Therapy PLLC
Licensed Professional Counselor, NCC, LCMHC, LCAS
Verified Verified
Mooresville, NC 28115
If you are struggling with anxiety, depression, symptoms related to trauma, adjustment issues, drug and/or alcohol addictions; you deserve to receive the help you need. Anyone can benefit from therapeutic support to reach their goals for their mental health.
If you are struggling with anxiety, depression, symptoms related to trauma, adjustment issues, drug and/or alcohol addictions; you deserve to receive the help you need. Anyone can benefit from therapeutic support to reach their goals for their mental health.
(704) 324-3719 View (704) 324-3719
Photo of Jason Levine, LCSWA, LCAS-A, Clinical Social Work/Therapist
Jason Levine
Clinical Social Work/Therapist, LCSWA, LCAS-A
Verified Verified
2 Endorsed
Charlotte, NC 28206
I work with clients going through a wide range of emotional and relationship difficulties including addiction, grief, trauma, anxiety, relationship problems, marital difficulty, divorce, infidelity, life transitions, substance abuse, and the pain of growing up in a difficult parent/child relationship.
I work with clients going through a wide range of emotional and relationship difficulties including addiction, grief, trauma, anxiety, relationship problems, marital difficulty, divorce, infidelity, life transitions, substance abuse, and the pain of growing up in a difficult parent/child relationship.
(704) 272-2667 View (704) 272-2667
Photo of Tiffany Henry, MA, LCMHC, NCC
Tiffany Henry
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28211
Waitlist for new clients
I am a licensed counselor that provides therapy for children, adolescents, adults and their families. My goal is to provide a safe and welcoming atmosphere for every person that allows me the opportunity to help them navigate through some of life's toughest challenges. I use a variety of approaches and techniques that fit clients based on their personality and area of comfort. My experience includes but is not limited to issues such as anxiety, depression, oppositional defiance, ADD/ADHD, parenting challenges, and bipolar disorder.
I am a licensed counselor that provides therapy for children, adolescents, adults and their families. My goal is to provide a safe and welcoming atmosphere for every person that allows me the opportunity to help them navigate through some of life's toughest challenges. I use a variety of approaches and techniques that fit clients based on their personality and area of comfort. My experience includes but is not limited to issues such as anxiety, depression, oppositional defiance, ADD/ADHD, parenting challenges, and bipolar disorder.
(704) 440-4229 View (704) 440-4229
Photo of Shasta Minton, MA, LCHMC, Counselor
Shasta Minton
Counselor, MA, LCHMC
Verified Verified
1 Endorsed
Mooresville, NC 28117
There comes a point in time where we all could use a listening ear or a guidebook for how to overcome life's challenges. From depression to substance use, relationship issues or overcoming past trauma, life can throw you some curve balls that without intervention, could derail your future success. If you are feeling overwhelmed, stressed out, at a loss for what to do next, reaching out for help is the perfect first step! Whether your troubles are overtaking your life or you just feel like you aren't quite yourself, we can move through this stage of life together, and come out stronger on the other side.
There comes a point in time where we all could use a listening ear or a guidebook for how to overcome life's challenges. From depression to substance use, relationship issues or overcoming past trauma, life can throw you some curve balls that without intervention, could derail your future success. If you are feeling overwhelmed, stressed out, at a loss for what to do next, reaching out for help is the perfect first step! Whether your troubles are overtaking your life or you just feel like you aren't quite yourself, we can move through this stage of life together, and come out stronger on the other side.
(980) 243-1968 View (980) 243-1968
Photo of Taylor Maxson, MS, LCMHC
Taylor Maxson
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28803
You are an adult who wants to better understand and manage your relationship to neurodevelopmental challenges like ADHD and ASD. You likely know that these come with immense strengths and often many burdens, seen and unseen. You need a collaborator in making sense of where to begin (if looking for a diagnosis or recently diagnosed), what to expect, and to help you persist toward your desired and valued life. You may be a parent/s who wants to better support a struggling child/teen. or you may be experiencing other developmental and/or executive function challenges.
You are an adult who wants to better understand and manage your relationship to neurodevelopmental challenges like ADHD and ASD. You likely know that these come with immense strengths and often many burdens, seen and unseen. You need a collaborator in making sense of where to begin (if looking for a diagnosis or recently diagnosed), what to expect, and to help you persist toward your desired and valued life. You may be a parent/s who wants to better support a struggling child/teen. or you may be experiencing other developmental and/or executive function challenges.
(828) 373-3768 View (828) 373-3768
Photo of Caitlin Rattigan, MSW, LCSW, PCRP, Clinical Social Work/Therapist
Caitlin Rattigan
Clinical Social Work/Therapist, MSW, LCSW, PCRP
Verified Verified
4 Endorsed
Charlotte, NC 28203  (Online Only)
Are you new to Charlotte and looking for a therapist? Are you dealing with anxious thoughts, a stressful job, or a difficult life transition? You don't have to face challenging life circumstances alone. My approach is to create an open space where you can discuss your worries, work to discover your inherent self-worth, and develop coping skills that you can use when you feel overwhelmed. Whether you're dealing with anxiety, indecision, or just having difficulty coping with everything on your plate, I am here to help you find the means to thrive!
Are you new to Charlotte and looking for a therapist? Are you dealing with anxious thoughts, a stressful job, or a difficult life transition? You don't have to face challenging life circumstances alone. My approach is to create an open space where you can discuss your worries, work to discover your inherent self-worth, and develop coping skills that you can use when you feel overwhelmed. Whether you're dealing with anxiety, indecision, or just having difficulty coping with everything on your plate, I am here to help you find the means to thrive!
(980) 449-2406 View (980) 449-2406

How does your Therapist compare?

Number of Therapists in Columbus, NC

< 10

Therapists in Columbus, NC who prioritize treating:

100% Anxiety
100% Coping Skills
80% Grief
80% Life Transitions
60% Relationship Issues
60% Depression
60% Life Coaching

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Columbus, NC see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus?

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

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.

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.

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.