Therapists in Lyme, NH

Photo of Amy Beston, LCMHC, Counselor
Amy Beston
Counselor, LCMHC
Verified Verified
Lyme, NH 03768
Not accepting new clients
Our world is increasingly stressful and demanding and many people are experiencing more worry, sadness, and anger than ever before. If you are experiencing change or loss in your life, it can be even more difficult to feel present and effective. Increasing awareness and understanding of what contributes to challenging situations, as well as a willingness to let go of old ways of coping that may no longer be beneficial, can help build confidence and stability in your life.
Our world is increasingly stressful and demanding and many people are experiencing more worry, sadness, and anger than ever before. If you are experiencing change or loss in your life, it can be even more difficult to feel present and effective. Increasing awareness and understanding of what contributes to challenging situations, as well as a willingness to let go of old ways of coping that may no longer be beneficial, can help build confidence and stability in your life.
(603) 952-3366 View (603) 952-3366
Photo of Keith A Welsh, LCSW, EMDR, Clinical Social Work/Therapist
Keith A Welsh
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Lyme, NH 03768  (Online Only)
Welcome! If you're reading this, it means you're taking a critical step towards enhancing your mental health, self-understanding, and overall well-being. I salute your bravery, and I'm here to offer the guidance you need on this journey. I am Keith Welsh, a Licensed Clinical Social Worker with over two decades of experience in helping individuals navigate their unique life paths. I am honored to be in the helping profession and look forward to the opportunity to help you get free of the issues which have been complicating your life.
Welcome! If you're reading this, it means you're taking a critical step towards enhancing your mental health, self-understanding, and overall well-being. I salute your bravery, and I'm here to offer the guidance you need on this journey. I am Keith Welsh, a Licensed Clinical Social Worker with over two decades of experience in helping individuals navigate their unique life paths. I am honored to be in the helping profession and look forward to the opportunity to help you get free of the issues which have been complicating your life.
(855) 625-8289 View (855) 625-8289
Photo of Christy S Durgin, LCMHC, Counselor
Christy S Durgin
Counselor, LCMHC
Verified Verified
1 Endorsed
Lyme, NH 03768
I am a licensed clinical mental health counselor with over 20 years of experience working with adults, children and families. My practice is currently focused on providing counseling support to adolescents (age 14 +) and adults who may have concerns with anxiety/depression, stress management and life changes. I strive to create a safe and supportive space to foster growth and collaborative problem solving. I take an individualized treatment approach and build on your strengths as we work together to achieve personal and life goals.
I am a licensed clinical mental health counselor with over 20 years of experience working with adults, children and families. My practice is currently focused on providing counseling support to adolescents (age 14 +) and adults who may have concerns with anxiety/depression, stress management and life changes. I strive to create a safe and supportive space to foster growth and collaborative problem solving. I take an individualized treatment approach and build on your strengths as we work together to achieve personal and life goals.
(603) 810-8637 View (603) 810-8637
Photo of Rebekah Carter, LICSW, Clinical Social Work/Therapist
Rebekah Carter
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Lyme, NH 03768
There are many reasons to come to therapy. I specialize in issues with mood and trauma. Issues with mood can result in feelings of anxiety, depression, low mood or mood swings. There are different ways that this can play out in life. You may be trying to manage deep painful emotions, outbursts of anger, feelings of emptiness, low motivation, lethargy or restless energy. Mood issues may result in difficulty making decisions, issues relating to others, feeling dependent on others, having difficulty saying no or asking for help, perfectionism, rigidity or black and white thinking. I work with issues relating to high intellect as well.
There are many reasons to come to therapy. I specialize in issues with mood and trauma. Issues with mood can result in feelings of anxiety, depression, low mood or mood swings. There are different ways that this can play out in life. You may be trying to manage deep painful emotions, outbursts of anger, feelings of emptiness, low motivation, lethargy or restless energy. Mood issues may result in difficulty making decisions, issues relating to others, feeling dependent on others, having difficulty saying no or asking for help, perfectionism, rigidity or black and white thinking. I work with issues relating to high intellect as well.
(603) 874-1405 View (603) 874-1405
Photo of Sarah Ackerman, PhD, Psychologist
Sarah Ackerman
Psychologist, PhD
Verified Verified
Lyme, NH 03768
Although I have experience treating a broad array of diagnostic categories, my approach is centered on treating the whole person. I look toward an understanding of the behaviors, thoughts, feelings, and ways of interacting that individuals repeat in spite of a wish to behave differently. My focus is on helping patients hear beyond what they know themselves to be saying, which, in my experience, allows individuals to feel more freedom and less angst in being in the world. I find that I am most helpful with people who want to know themselves better, or feel differently on a deep level.
Although I have experience treating a broad array of diagnostic categories, my approach is centered on treating the whole person. I look toward an understanding of the behaviors, thoughts, feelings, and ways of interacting that individuals repeat in spite of a wish to behave differently. My focus is on helping patients hear beyond what they know themselves to be saying, which, in my experience, allows individuals to feel more freedom and less angst in being in the world. I find that I am most helpful with people who want to know themselves better, or feel differently on a deep level.
(603) 546-7648 View (603) 546-7648
Photo of Holly Pierce, MEd, LCMHC, RPT-S, SEP, Counselor
Holly Pierce
Counselor, MEd, LCMHC, RPT-S, SEP
Verified Verified
Lyme, NH 03768
Not accepting new clients
When I meet you, I will be curious how life really is for you. We will explore—at a pace that feels safe and manageable to you—who you are as a whole person including what you would like support and healing around. My priority will be for you to feel seen and heard. And to have agency at each step of the way, as we choose techniques and approaches that fit your needs best. I have many years of training and experience under my belt, and letters after my name (which translate to: licensed clinical mental health counselor, registered play therapist, and somatic experiencing practitioner), but I am first and foremost a fellow human
When I meet you, I will be curious how life really is for you. We will explore—at a pace that feels safe and manageable to you—who you are as a whole person including what you would like support and healing around. My priority will be for you to feel seen and heard. And to have agency at each step of the way, as we choose techniques and approaches that fit your needs best. I have many years of training and experience under my belt, and letters after my name (which translate to: licensed clinical mental health counselor, registered play therapist, and somatic experiencing practitioner), but I am first and foremost a fellow human
(603) 513-2154 View (603) 513-2154
Photo of Kimberly Lawrence Kol, PsyD, Psychologist
Kimberly Lawrence Kol
Psychologist, PsyD
Verified Verified
Lyme, NH 03768
I am an active therapist, sensitive and authentic, with a deep respect for diversity and the individual's own path. Together we'll examine your life, alert to possible contradictions, exploring the wisdom or effectiveness of certain behaviors or beliefs. Through supportive listening, education, empowerment and expert guidance, you can become more aware of unhealthy patterns and hidden strengths, leading you to make positive changes to improve your life experience, strengthening your sense of what you want and what makes you feel good, moment to moment and long term. I do therapy with people struggling with a range of problems:
I am an active therapist, sensitive and authentic, with a deep respect for diversity and the individual's own path. Together we'll examine your life, alert to possible contradictions, exploring the wisdom or effectiveness of certain behaviors or beliefs. Through supportive listening, education, empowerment and expert guidance, you can become more aware of unhealthy patterns and hidden strengths, leading you to make positive changes to improve your life experience, strengthening your sense of what you want and what makes you feel good, moment to moment and long term. I do therapy with people struggling with a range of problems:
(802) 858-4993 View (802) 858-4993
Photo of Eleanor Lowenthal, MA, LMFT, Marriage & Family Therapist
Eleanor Lowenthal
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lyme, NH 03768
Not accepting new clients
I work with couples and individuals to identify patterns of behavior that negatively impact their ability to function as the best versions of themselves. I use an existential focus to help clients navigate life changes, beginning with entering adolescence and progressing to moving away from home, marriage and relationship, birth of a child and loss or death of a loved one. I engage with my clients compassionately and collaboratively.
I work with couples and individuals to identify patterns of behavior that negatively impact their ability to function as the best versions of themselves. I use an existential focus to help clients navigate life changes, beginning with entering adolescence and progressing to moving away from home, marriage and relationship, birth of a child and loss or death of a loved one. I engage with my clients compassionately and collaboratively.
(802) 490-1535 View (802) 490-1535
Photo of Lynn C Hayward, MA, LCMHC, MLADC, Counselor
Lynn C Hayward
Counselor, MA, LCMHC, MLADC
Verified Verified
1 Endorsed
Lyme, NH 03768
I enjoy working with adolescents, adults and groups. I believe therapy is about developing a supportive, collaborative relationship, as the therapeutic relationship guides everything. I help people identify patterns of thinking and acting that are getting in their way. We explore how these patterns emerged and work towards healthy solutions and positive life changes. I have training working with individuals who have experienced trauma and suffer from post-traumatic stress disorder. I also assist people in identifying thinking patterns and behaviors that have led to the use of drugs and alcohol to self medicate difficult feelings and emotions.
I enjoy working with adolescents, adults and groups. I believe therapy is about developing a supportive, collaborative relationship, as the therapeutic relationship guides everything. I help people identify patterns of thinking and acting that are getting in their way. We explore how these patterns emerged and work towards healthy solutions and positive life changes. I have training working with individuals who have experienced trauma and suffer from post-traumatic stress disorder. I also assist people in identifying thinking patterns and behaviors that have led to the use of drugs and alcohol to self medicate difficult feelings and emotions.
(413) 367-5149 View (413) 367-5149
Photo of Michelle Harkins, LCMHC, MLADC, RYT-200, Counselor
Michelle Harkins
Counselor, LCMHC, MLADC, RYT-200
Verified Verified
Lyme, NH 03768
I am accepting new clients. My practice centers on a commitment to people being heard and respected regardless of the challenges that they may be experiencing. I will help you to understand how your thoughts, feelings and core beliefs influence choices in your world.
I am accepting new clients. My practice centers on a commitment to people being heard and respected regardless of the challenges that they may be experiencing. I will help you to understand how your thoughts, feelings and core beliefs influence choices in your world.
(603) 836-9400 View (603) 836-9400

More Therapists Nearby

Photo of Chad O'Brien, LICSW, Clinical Social Work/Therapist
Chad O'Brien
Clinical Social Work/Therapist, LICSW
Verified Verified
Lebanon, NH 03756  (Online Only)
Life can often be challenging. I am here to help those who are at a point in their life where something has to change and the willingness to make that change, whatever that might look like, is now present. Whether the problem is life status, relationship or family conflict, oppositional behaviors or substance abuse/addiction, change is possible. Please email me for fastest response.
Life can often be challenging. I am here to help those who are at a point in their life where something has to change and the willingness to make that change, whatever that might look like, is now present. Whether the problem is life status, relationship or family conflict, oppositional behaviors or substance abuse/addiction, change is possible. Please email me for fastest response.
(844) 548-7584 View (844) 548-7584
Photo of Suzanne Chabot - Heart in Hand: Couples and Individual Therapy, LMFT, RN, Marriage & Family Therapist
Heart in Hand: Couples and Individual Therapy
Marriage & Family Therapist, LMFT, RN
Verified Verified
3 Endorsed
Hanover, NH 03755
FAQs: Only telehealth sessions offered in New Hampshire. In person AND virtual in New York. I do not accept insurance. / Holistic health emphasizes the connection of mind, body, and spirit. This is the essence from which I work. In doing so, my goal is to provide a safe environment while assisting you (or you and your partner) to evolve and create sustainable change.
FAQs: Only telehealth sessions offered in New Hampshire. In person AND virtual in New York. I do not accept insurance. / Holistic health emphasizes the connection of mind, body, and spirit. This is the essence from which I work. In doing so, my goal is to provide a safe environment while assisting you (or you and your partner) to evolve and create sustainable change.
(315) 509-8790 View (315) 509-8790
Photo of Liz Macaulay, MA, LCMHC, Counselor
Liz Macaulay
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Lebanon, NH 03766
My experience is in treating depressive and anxiety disorders including generalized anxiety, social anxiety, OCD, and PTSD. I also particularly enjoy working with young adults and adults experiencing more complex and severe forms of mental illness (including bipolar disorder, schizophrenia, and other forms of psychosis ). Cognitive behavioral therapy (CBT) is a collaborative process in which we’ll work together to identify what you hope to address and create a strategy to achieve your goals. Often it can be helpful to better understand the complex pattern of interactions between your thoughts, emotions and behaviors.
My experience is in treating depressive and anxiety disorders including generalized anxiety, social anxiety, OCD, and PTSD. I also particularly enjoy working with young adults and adults experiencing more complex and severe forms of mental illness (including bipolar disorder, schizophrenia, and other forms of psychosis ). Cognitive behavioral therapy (CBT) is a collaborative process in which we’ll work together to identify what you hope to address and create a strategy to achieve your goals. Often it can be helpful to better understand the complex pattern of interactions between your thoughts, emotions and behaviors.
(844) 417-7203 View (844) 417-7203
Photo of Gloria Whaley, PhD, LP, LSP, NCSP, Psychologist
Gloria Whaley
Psychologist, PhD, LP, LSP, NCSP
Verified Verified
Hanover, NH 03755
Dr. Whaley has over 10 years of experience providing psychotherapy and psychological assessment services to children, adolescents, and adults within schools, mental health clinics, and hospitals. She specializes in addressing issues related to attachment, trauma, emotional and behavioral problems, and academic achievement. Some of the therapeutic approaches that inform her clinical work include cognitive behavioral therapy, dialectical behavioral therapy, mindfulness-based practices, strengths-based, solution-focused, and relational approaches.
Dr. Whaley has over 10 years of experience providing psychotherapy and psychological assessment services to children, adolescents, and adults within schools, mental health clinics, and hospitals. She specializes in addressing issues related to attachment, trauma, emotional and behavioral problems, and academic achievement. Some of the therapeutic approaches that inform her clinical work include cognitive behavioral therapy, dialectical behavioral therapy, mindfulness-based practices, strengths-based, solution-focused, and relational approaches.
(603) 865-1321 View (603) 865-1321
Photo of Phoebe Manchester, MS, NCC, LCMHC, Counselor
Phoebe Manchester
Counselor, MS, NCC, LCMHC
Verified Verified
Hanover, NH 03755
I specialize in working with clients with OCD, perfectionism, anxiety, and phobias. I utilize CBT, ERP, ACT and I-CBT in my practice. I have attended the IOCDF's Behavioral Therapy Training Institute and have also been trained in CBT at the Beck Institute in Philadelphia. Prior to my work as a therapist, I coached NCAA ice hockey, so I utilize my experience as a coach and therapist in my work with improving athletes' mental performance. I have completed the coursework for a master's in exercise science and am currently pursuing my Certified Mental Performance Consultant (CMPC) through AASP.
I specialize in working with clients with OCD, perfectionism, anxiety, and phobias. I utilize CBT, ERP, ACT and I-CBT in my practice. I have attended the IOCDF's Behavioral Therapy Training Institute and have also been trained in CBT at the Beck Institute in Philadelphia. Prior to my work as a therapist, I coached NCAA ice hockey, so I utilize my experience as a coach and therapist in my work with improving athletes' mental performance. I have completed the coursework for a master's in exercise science and am currently pursuing my Certified Mental Performance Consultant (CMPC) through AASP.
(603) 259-1260 View (603) 259-1260
Photo of Julie Hogue - Julie Hogue Therapy, LPCC, LCMHC
Julie Hogue Therapy
Licensed Professional Clinical Counselor, LPCC, LCMHC
Verified Verified
Hanover, NH 03755  (Online Only)
Adolescence is a time of great change and growth. During that time there can also be a lot of worry. Worries about the future, grades, external pressures, social challenges, and the drive toward perfectionism. Without treatment, anxiety can become overwhelming which in turn can take control of your family structure. I teach adolescents, parents and young adults how worry works, and the skills to manage the intrusive, repetitive, and negative thoughts they are experiencing.
Adolescence is a time of great change and growth. During that time there can also be a lot of worry. Worries about the future, grades, external pressures, social challenges, and the drive toward perfectionism. Without treatment, anxiety can become overwhelming which in turn can take control of your family structure. I teach adolescents, parents and young adults how worry works, and the skills to manage the intrusive, repetitive, and negative thoughts they are experiencing.
(650) 547-8216 View (650) 547-8216
Photo of Brita S. Reed Lucey, PsyD, MD, MTS, Psychologist
Brita S. Reed Lucey
Psychologist, PsyD, MD, MTS
Verified Verified
Hanover, NH 03755
For over 35 years, as both a fertility psychologist and OB/GYN with a strong interest in infertility, I have loved helping people on their fertility journey. Are you on a fertility journey? Have you experienced obstacles along the way? Perhaps nothing is as disempowering as struggling with fertility. For many of us, issues with fertility mark the first time that we've wanted our bodies to do something that they seem not capable of doing. Challenges with fertility are traumatic experiences. Is it any wonder why we may be struggling?
For over 35 years, as both a fertility psychologist and OB/GYN with a strong interest in infertility, I have loved helping people on their fertility journey. Are you on a fertility journey? Have you experienced obstacles along the way? Perhaps nothing is as disempowering as struggling with fertility. For many of us, issues with fertility mark the first time that we've wanted our bodies to do something that they seem not capable of doing. Challenges with fertility are traumatic experiences. Is it any wonder why we may be struggling?
(802) 520-1034 View (802) 520-1034
Photo of Robin B Osborne, PhD, Psychologist
Robin B Osborne
Psychologist, PhD
Verified Verified
Hanover, NH 03755
Not accepting new clients
Thank you for your interest in my practice. At this time, I am no longer accepting new clients as I wind down my practice over time. I am maintaining this profile so that current/recent clients can contact me if they wish to schedule a session. If you are a current or recent client, or if you are seeking projective personality testing, you can reach me at 603-359-1339 - by text or voicemail. I will be moving my office on June 1, 2021 and will be located about a hundred yards away from my current office in the Bushway Insurance building on Rt. 5 in E. Thetford. The building is brown and sits just south of the Post Office.
Thank you for your interest in my practice. At this time, I am no longer accepting new clients as I wind down my practice over time. I am maintaining this profile so that current/recent clients can contact me if they wish to schedule a session. If you are a current or recent client, or if you are seeking projective personality testing, you can reach me at 603-359-1339 - by text or voicemail. I will be moving my office on June 1, 2021 and will be located about a hundred yards away from my current office in the Bushway Insurance building on Rt. 5 in E. Thetford. The building is brown and sits just south of the Post Office.
(802) 735-0681 View (802) 735-0681
Photo of Julie Glynn - Anti-Diet Coach, Intuitive Eating Counselor, MEd, MA
Anti-Diet Coach, Intuitive Eating Counselor
MEd, MA
Verified Verified
West Lebanon, NH 03784  (Online Only)
Everyone’s brain works differently. The one thing brains do similarly is create negative self talk. (The Mean Girl in your head). Negative messages from your Mean Girl can create beliefs that aren’t true, causing limitations that prevent you from living a full life. Her voice can be transformed to one that’s more supportive. One that encourages you to take risks and pursue opportunities you may have once thought were out of your reach. One of the most prevalent areas where Mean Girl creates havoc and is criticizing food choices and appearance. Resulting in self doubt and poor body image.
Everyone’s brain works differently. The one thing brains do similarly is create negative self talk. (The Mean Girl in your head). Negative messages from your Mean Girl can create beliefs that aren’t true, causing limitations that prevent you from living a full life. Her voice can be transformed to one that’s more supportive. One that encourages you to take risks and pursue opportunities you may have once thought were out of your reach. One of the most prevalent areas where Mean Girl creates havoc and is criticizing food choices and appearance. Resulting in self doubt and poor body image.
(603) 945-7541 View (603) 945-7541
Photo of Dallin Jackman, MA, LMFT, Marriage & Family Therapist
Dallin Jackman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lebanon, NH 03756  (Online Only)
I provide counseling for individuals, couples, and families who are struggling with relationship challenges, anxiety, stress, and life adjustments. I also work with clients on relationship enhancement, parenting, dating/preparation for marriage, interpersonal communication, stress management, conflict resolution, personal growth, emotional healing, and relational unity. I assist parents, children, and families with relationship struggles and behavioral/emotional issues. I am licensed and able to provide confidential online video therapy for clients in Idaho, New Hampshire, and Utah.
I provide counseling for individuals, couples, and families who are struggling with relationship challenges, anxiety, stress, and life adjustments. I also work with clients on relationship enhancement, parenting, dating/preparation for marriage, interpersonal communication, stress management, conflict resolution, personal growth, emotional healing, and relational unity. I assist parents, children, and families with relationship struggles and behavioral/emotional issues. I am licensed and able to provide confidential online video therapy for clients in Idaho, New Hampshire, and Utah.
(208) 606-3980 View (208) 606-3980

See more therapy options for Lyme

How does your Therapist compare?

Number of Therapists in Lyme, NH

10+

Average cost per session

$165

Therapists in Lyme, NH who prioritize treating:

100% Depression
100% Anxiety
90% Trauma and PTSD
90% Self Esteem
80% Grief
80% Family Conflict
80% Coping Skills

Average years in practice

19 Years

Top 3 insurances accepted

100% Harvard Pilgrim
100% Elevance
100% Optum

How Therapists in Lyme, NH see their clients

90% In Person and Online
10% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lyme?

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.