Therapists in Cold Spring Harbor, NY

Photo of Julia Purcaro, LMFT, CASAC-M, Marriage & Family Therapist
Julia Purcaro
Marriage & Family Therapist, LMFT, CASAC-M
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
Throughout my years of experience, I have worked with adults, adolescents, couple's and families to support them in their healing journey. It is my mission to assist client's in improving family and couple dynamics, support individual's and their loved ones struggling with addiction, and help individuals heal from past trauma.
Throughout my years of experience, I have worked with adults, adolescents, couple's and families to support them in their healing journey. It is my mission to assist client's in improving family and couple dynamics, support individual's and their loved ones struggling with addiction, and help individuals heal from past trauma.
(516) 990-6280 View (516) 990-6280
Photo of Gordon Gooding, LCSW-R, ACSW, Clinical Social Work/Therapist
Gordon Gooding
Clinical Social Work/Therapist, LCSW-R, ACSW
Verified Verified
5 Endorsed
Cold Spring Harbor, NY 11724
Taking those first steps towards seeking help is no easy task, so take a brief moment to congratulate yourself on your initial efforts! Throughout my years of experience, it has been my mission to assist individuals to improve their emotional lives and to help them find the peace they are seeking. I have extensive experience working with adults, teens and children. I have successfully helped individuals struggling with relationship issues, addictions, anxiety, depression, parenting issues and various family/life conflicts.
Taking those first steps towards seeking help is no easy task, so take a brief moment to congratulate yourself on your initial efforts! Throughout my years of experience, it has been my mission to assist individuals to improve their emotional lives and to help them find the peace they are seeking. I have extensive experience working with adults, teens and children. I have successfully helped individuals struggling with relationship issues, addictions, anxiety, depression, parenting issues and various family/life conflicts.
(516) 362-3202 View (516) 362-3202
Photo of Meredith Silversmith: Relationship Coach, MA, LMFT, Marriage & Family Therapist
Meredith Silversmith: Relationship Coach
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
I provide relationship coaching to support, empower, and teach couples how to be happy together again. So many couples are simply missing the tools needed to create the healthy relationship they want. Partners need to know the "rules" of healthy communication, fighting constructively, and repairing the breaks that occur between them. When you understand why couples fight and how unresolved conflicts snowball into deep resentment and unhappiness, you're able to help reverse it. I believe teaching the underlying principles allows each partner to trust the process and invest in making changes.
I provide relationship coaching to support, empower, and teach couples how to be happy together again. So many couples are simply missing the tools needed to create the healthy relationship they want. Partners need to know the "rules" of healthy communication, fighting constructively, and repairing the breaks that occur between them. When you understand why couples fight and how unresolved conflicts snowball into deep resentment and unhappiness, you're able to help reverse it. I believe teaching the underlying principles allows each partner to trust the process and invest in making changes.
(516) 806-6791 View (516) 806-6791
Photo of Greg Schult, MHC-LP
Greg Schult
MHC-LP
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
Greg utilizes a person-centered approach to develop a treatment plan that is personalized to the individual and focuses on their strengths. Greg emphasizes motivational interviewing, CBT interventions, mindfulness, and the importance of a supportive therapeutic relationship. He also provides relapse prevention strategies and 12-step recovery techniques to aid clients in maintaining and sustaining their recovery. Greg believes that all individuals have the power to make profound changes in their lives and offers support by lending a compassionate and empathetic ear to his clients.
Greg utilizes a person-centered approach to develop a treatment plan that is personalized to the individual and focuses on their strengths. Greg emphasizes motivational interviewing, CBT interventions, mindfulness, and the importance of a supportive therapeutic relationship. He also provides relapse prevention strategies and 12-step recovery techniques to aid clients in maintaining and sustaining their recovery. Greg believes that all individuals have the power to make profound changes in their lives and offers support by lending a compassionate and empathetic ear to his clients.
(516) 518-9478 View (516) 518-9478
Photo of Michelle Gegwich, LCSW, Clinical Social Work/Therapist
Michelle Gegwich
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cold Spring Harbor, NY 11724
I have an accepting, affirming and non-judgmental approach that makes clients feel comfortable and safe. Together we will integrate the grounding concepts of mindfulness into our counseling sessions. My goal is to create a safe and supportive space to help each client identify barriers and take the steps to achieve desired goals. We will develop skills and strategies to manage anxious feelings. I am committed to helping those who are experiencing grief at any point in your life. I believe that grief has no timeline and that we have the potential for growth following the loss of a loved one.
I have an accepting, affirming and non-judgmental approach that makes clients feel comfortable and safe. Together we will integrate the grounding concepts of mindfulness into our counseling sessions. My goal is to create a safe and supportive space to help each client identify barriers and take the steps to achieve desired goals. We will develop skills and strategies to manage anxious feelings. I am committed to helping those who are experiencing grief at any point in your life. I believe that grief has no timeline and that we have the potential for growth following the loss of a loved one.
(516) 217-9119 View (516) 217-9119
Photo of Liana Ross, LMHC, CASAC, Counselor
Liana Ross
Counselor, LMHC, CASAC
Verified Verified
3 Endorsed
Cold Spring Harbor, NY 11724
As a Licensed Mental Health Counselor (LMHC), my goal is to be a supportive and empathetic guide, helping you use your strengths to work through the barriers that hold you back and develop the tools you need to set healthy boundaries. With experience treating anxiety, depression, trauma, relationship issues, life transitions, body image and disordered eating, and addiction, I recognize that no two people are alike, so finding the right combination of techniques and tools for each person is essential to healing.
As a Licensed Mental Health Counselor (LMHC), my goal is to be a supportive and empathetic guide, helping you use your strengths to work through the barriers that hold you back and develop the tools you need to set healthy boundaries. With experience treating anxiety, depression, trauma, relationship issues, life transitions, body image and disordered eating, and addiction, I recognize that no two people are alike, so finding the right combination of techniques and tools for each person is essential to healing.
(516) 619-1236 View (516) 619-1236
Photo of Steven Pinto, LMHC, NCC, CCMHC, CAMS-, Counselor
Steven Pinto
Counselor, LMHC, NCC, CCMHC, CAMS-
Verified Verified
Cold Spring Harbor, NY 11724
I’m an executive coach, speaker and psychotherapist. I help hard working, ambitious people trade feeling overstressed and overworked for fulfilment and purpose. I’ll show you how to dig deep into your own strengths, bust through internal limits, and grab the steering wheel of your own life. My practical no-nonsense approach gives you the tools you need to become truly self reliant in life. Because when you become self-reliant you get to call the shots. You decide how to spend your time, and who to spend it with. Your life is truly in your hands.
I’m an executive coach, speaker and psychotherapist. I help hard working, ambitious people trade feeling overstressed and overworked for fulfilment and purpose. I’ll show you how to dig deep into your own strengths, bust through internal limits, and grab the steering wheel of your own life. My practical no-nonsense approach gives you the tools you need to become truly self reliant in life. Because when you become self-reliant you get to call the shots. You decide how to spend your time, and who to spend it with. Your life is truly in your hands.
(631) 259-4606 View (631) 259-4606
Photo of Mario DeLisi, LMSW, Clinical Social Work/Therapist
Mario DeLisi
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
Ever wonder how you got to this point? We all have expectations on what we thought life would be like. Sometimes the decisions we make and must face can be overwhelming and life changing. For many, the decision to enter therapy is one of the hardest. However, you are not alone. Trusting a professional to help you through this difficult time may be scary and intimidating. I have had the pleasure of supporting children, teens and adults. That being said, working together to help get you through whatever challenges you are going through is my top priority.
Ever wonder how you got to this point? We all have expectations on what we thought life would be like. Sometimes the decisions we make and must face can be overwhelming and life changing. For many, the decision to enter therapy is one of the hardest. However, you are not alone. Trusting a professional to help you through this difficult time may be scary and intimidating. I have had the pleasure of supporting children, teens and adults. That being said, working together to help get you through whatever challenges you are going through is my top priority.
(516) 217-4319 View (516) 217-4319
Photo of Chris Danzi, LCSW-R, Clinical Social Work/Therapist
Chris Danzi
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cold Spring Harbor, NY 11724
I provide unconditional positive regard, genuineness, empathy, support, and strength perspective based care for my clients. I believe we all have the potential to meet our goals and to thrive personally and professionally. My treatment is aimed at helping my clients explore and confront life's issues, process related feelings, identify options and resources, and learn new skills to manage and cope with their lives. During this process, I provide my clients with needed support and hope to create change.
I provide unconditional positive regard, genuineness, empathy, support, and strength perspective based care for my clients. I believe we all have the potential to meet our goals and to thrive personally and professionally. My treatment is aimed at helping my clients explore and confront life's issues, process related feelings, identify options and resources, and learn new skills to manage and cope with their lives. During this process, I provide my clients with needed support and hope to create change.
(516) 321-4719 View (516) 321-4719
Photo of Peter Juliano, LCSW, CASAC, Clinical Social Work/Therapist
Peter Juliano
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
Peter Juliano is a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor. Peter has been helping adolescents, adults, and families struggling with addiction and mental health disorders for more than 10 years. He has worked as a counselor, family therapist, and administrator in inpatient substance use disorder treatment and hospital settings. Peter is currently an adjunct professor at Adelphi University School of Social Work and teaches graduate level courses in individual counseling, group counseling, motivational interviewing, and family therapy.
Peter Juliano is a Licensed Clinical Social Worker and a Credentialed Alcoholism and Substance Abuse Counselor. Peter has been helping adolescents, adults, and families struggling with addiction and mental health disorders for more than 10 years. He has worked as a counselor, family therapist, and administrator in inpatient substance use disorder treatment and hospital settings. Peter is currently an adjunct professor at Adelphi University School of Social Work and teaches graduate level courses in individual counseling, group counseling, motivational interviewing, and family therapy.
(516) 604-5163 View (516) 604-5163
Photo of Lisa Langer, PhD, Psychologist
Lisa Langer
Psychologist, PhD
Verified Verified
3 Endorsed
Cold Spring Harbor, NY 11724
We seek psychological guidance when life doesn't go the way we think it should or want. Sadness, fear, anxiety, anger and confusion, often cloud our hearts and minds. We tell ourselves what should be, not how it is. This build-up of unsaid feelings, pressures and negative thoughts, commonly experienced as self-judgment, keeps us from living a joyful, balanced life. The Individual and Group therapies I've designed are dedicated toward mindful awareness of, and ease with life's daily challenges. I seek to create safety and freedom for exploration of your unique truth in body, mind and soul.
We seek psychological guidance when life doesn't go the way we think it should or want. Sadness, fear, anxiety, anger and confusion, often cloud our hearts and minds. We tell ourselves what should be, not how it is. This build-up of unsaid feelings, pressures and negative thoughts, commonly experienced as self-judgment, keeps us from living a joyful, balanced life. The Individual and Group therapies I've designed are dedicated toward mindful awareness of, and ease with life's daily challenges. I seek to create safety and freedom for exploration of your unique truth in body, mind and soul.
(516) 714-4562 View (516) 714-4562
Photo of Lisa Current, MS, LMFT, Marriage & Family Therapist
Lisa Current
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
As a Licensed Marriage and Family Therapist (LMFT), couples and families usually come to me because they are already aware that something needs to change. Understanding that relationship dynamics create the need for treatment, I work collaboratively with everyone involved to transform those dynamics. When working with clients to solve the problems they face, I use an inclusive approach, keeping in mind that everyone brings their own unique knowledge, perspective, strengths, and resources to their situation. I’m committed to using my understanding and expertise in mental health and relationships to help clients achieve their goals
As a Licensed Marriage and Family Therapist (LMFT), couples and families usually come to me because they are already aware that something needs to change. Understanding that relationship dynamics create the need for treatment, I work collaboratively with everyone involved to transform those dynamics. When working with clients to solve the problems they face, I use an inclusive approach, keeping in mind that everyone brings their own unique knowledge, perspective, strengths, and resources to their situation. I’m committed to using my understanding and expertise in mental health and relationships to help clients achieve their goals
(516) 604-3489 View (516) 604-3489
Photo of Carrie Bilitzki, LCSW, Clinical Social Work/Therapist
Carrie Bilitzki
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
I have been working with families and children for the past 20 years. My goal is to establish a safe, comfortable, and secure environment for my clients. I believe that we all have the ability and strength to overcome obstacles in our lives and create the change that we seek. I help clients to focus on what they can do as opposed to what they can't.
I have been working with families and children for the past 20 years. My goal is to establish a safe, comfortable, and secure environment for my clients. I believe that we all have the ability and strength to overcome obstacles in our lives and create the change that we seek. I help clients to focus on what they can do as opposed to what they can't.
(516) 595-0093 View (516) 595-0093
Photo of Jamie Lyn Damiani, LMSW, Clinical Social Work/Therapist
Jamie Lyn Damiani
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Cold Spring Harbor, NY 11724
Jamie utilizes evidence-based practices to assist individuals in managing symptoms, improving confidence, developing healthier relationships, improving effective communication skills, addressing substance abuse and making progress towards personal goals. has experience working in mental health clinics, intensive outpatient mental health programs and residential settings. Her distinct experience has provided her the opportunity to work with diverse populations who are all at different stages of change.
Jamie utilizes evidence-based practices to assist individuals in managing symptoms, improving confidence, developing healthier relationships, improving effective communication skills, addressing substance abuse and making progress towards personal goals. has experience working in mental health clinics, intensive outpatient mental health programs and residential settings. Her distinct experience has provided her the opportunity to work with diverse populations who are all at different stages of change.
(516) 217-1673 View (516) 217-1673
Photo of Julie Keffer, LMHC, NCC, Counselor
Julie Keffer
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Cold Spring Harbor, NY 11724
I believe in a collaborative process of discovery in a space where clients feel safe and heard. We will work together to identify your strengths. As you gain insight into the causes behind whatever is keeping you from living your best life, we will work together to develop concrete problem-solving skills and to identify and cultivate appropriate coping skills. I am empathetic and direct. I place an emphasis on the importance of self-care and encourage clients of all ages to incorporate it into their daily lives.
I believe in a collaborative process of discovery in a space where clients feel safe and heard. We will work together to identify your strengths. As you gain insight into the causes behind whatever is keeping you from living your best life, we will work together to develop concrete problem-solving skills and to identify and cultivate appropriate coping skills. I am empathetic and direct. I place an emphasis on the importance of self-care and encourage clients of all ages to incorporate it into their daily lives.
(516) 540-5840 View (516) 540-5840
Photo of Lauren Torrisi, LMHC
Lauren Torrisi
LMHC
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
I specialize in working with teens and young adults who struggle with anxiety, depression, substance use, anger management, and life transitions. As a counselor, I feel privileged to be able to provide the support and guidance necessary to navigate the journey toward a better self. My approach to therapy is rooted in empathy and true authenticity. I strive to create a warm and supportive environment for my clients where they feel comfortable to express their thoughts and emotions. I believe that the best way to achieve personal change is by identifying specific goals and developing tools that promote overall well-being.
I specialize in working with teens and young adults who struggle with anxiety, depression, substance use, anger management, and life transitions. As a counselor, I feel privileged to be able to provide the support and guidance necessary to navigate the journey toward a better self. My approach to therapy is rooted in empathy and true authenticity. I strive to create a warm and supportive environment for my clients where they feel comfortable to express their thoughts and emotions. I believe that the best way to achieve personal change is by identifying specific goals and developing tools that promote overall well-being.
(516) 550-3714 View (516) 550-3714
Photo of Mellisa Jewels, LMFT, Marriage & Family Therapist
Mellisa Jewels
Marriage & Family Therapist, LMFT
Verified Verified
Cold Spring Harbor, NY 11724
My practice exclusively deals with Marriage Counseling. I have 3 areas of expertise (1) couples and infidelity, (2) couples and addiction, and (3) bringing home your first baby. As a couples counselor I focus on communication style and conflict resolution. I will teach you practical, positive actions to achieve or regain a great relationship. You will learn how to make commitments to yourself and to the relationship and in doing that you will be able to heal old wounds and create a true partnership. The ultimate goal being to heal, grow, and deepen your commitment.
My practice exclusively deals with Marriage Counseling. I have 3 areas of expertise (1) couples and infidelity, (2) couples and addiction, and (3) bringing home your first baby. As a couples counselor I focus on communication style and conflict resolution. I will teach you practical, positive actions to achieve or regain a great relationship. You will learn how to make commitments to yourself and to the relationship and in doing that you will be able to heal old wounds and create a true partnership. The ultimate goal being to heal, grow, and deepen your commitment.
(631) 693-6459 View (631) 693-6459
Photo of Ashley Gleeson, LCSW, Clinical Social Work/Therapist
Ashley Gleeson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
I know it is not easy to reach out for help during life's most difficult times. I offer clients a space free of judgement to explore their greatest challenges and stressors. Connecting with the right therapist, working together in a caring and supportive environment, will help guide you in the right direction. My ultimate goal for each and every person I work with is that they are reaching their full potential and feel their absolute best.
I know it is not easy to reach out for help during life's most difficult times. I offer clients a space free of judgement to explore their greatest challenges and stressors. Connecting with the right therapist, working together in a caring and supportive environment, will help guide you in the right direction. My ultimate goal for each and every person I work with is that they are reaching their full potential and feel their absolute best.
(516) 774-3302 View (516) 774-3302
Photo of Monica J Wells - The Social Mind Counseling, PC, MS, LMHC, CCATPCA, PEERS, Counselor
The Social Mind Counseling, PC
Counselor, MS, LMHC, CCATPCA, PEERS
Verified Verified
2 Endorsed
Cold Spring Harbor, NY 11724
Waitlist for new clients
You’re so tired of feeling anxious about everything all the time! You try to engage with others, but your anxiety stops you dead in your tracks. If you do get the courage to talk, you start ruminating about what you said. You wonder how others can just move into a conversation without hesitation. You feel the depression setting in. You have so few friends, and you don’t know how to make anymore. You’re wondering what will happen in college. Your parents worry about you. They thought this anxiety or shy stage would pass, but it seems to be getting worse! You’re out of options and then you bumped into my page on Psychology Today! Woo!
You’re so tired of feeling anxious about everything all the time! You try to engage with others, but your anxiety stops you dead in your tracks. If you do get the courage to talk, you start ruminating about what you said. You wonder how others can just move into a conversation without hesitation. You feel the depression setting in. You have so few friends, and you don’t know how to make anymore. You’re wondering what will happen in college. Your parents worry about you. They thought this anxiety or shy stage would pass, but it seems to be getting worse! You’re out of options and then you bumped into my page on Psychology Today! Woo!
(631) 503-0583 View (631) 503-0583
Photo of Emily Dolan, LMSW, Clinical Social Work/Therapist
Emily Dolan
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Cold Spring Harbor, NY 11724
Emily is a Licensed Master of Social Work who obtained her Master’s degree from Silberman School of Social Work at Hunter College. She has experience working with clients of all ages, however is drawn to working with children and adolescents. Emily has experience working in the school setting, hospital setting, and for non profit organizations. Emily strives to help her clients build healthy coping skills, improve self esteem and empower them to progress towards reaching their mental health goals. Emily’s passion for helping others shines through with authenticity and compassion.
Emily is a Licensed Master of Social Work who obtained her Master’s degree from Silberman School of Social Work at Hunter College. She has experience working with clients of all ages, however is drawn to working with children and adolescents. Emily has experience working in the school setting, hospital setting, and for non profit organizations. Emily strives to help her clients build healthy coping skills, improve self esteem and empower them to progress towards reaching their mental health goals. Emily’s passion for helping others shines through with authenticity and compassion.
(516) 540-2573 View (516) 540-2573
1

See more therapy options for Cold Spring Harbor

How does your Therapist compare?

Number of Therapists in Cold Spring Harbor, NY

80+

Average cost per session

$175

Therapists in Cold Spring Harbor, NY who prioritize treating:

94% Anxiety
90% Depression
83% Relationship Issues
79% Self Esteem
68% Coping Skills
63% Family Conflict
60% Parenting

Average years in practice

15 Years

Top 3 insurances accepted

55% Aetna
55% Cigna and Evernorth
52% Oxford

How Therapists in Cold Spring Harbor, NY see their clients

86% In Person and Online
14% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cold Spring Harbor?

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.