Therapists in Washington, DC

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Photo of Brittany Bascombe, LICSW, Clinical Social Work/Therapist
Brittany Bascombe
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20045
Brittany Bascombe is a dedicated Licensed Independent Clinical Social Worker (LICSW) in the District of Columbia, as well as a Licensed Master Social Worker in Maryland. Her goal is to enhance lives through the many facets of mental health. Brittany believes that social support, perseverance, preparation and being informed are vital components for the achievement of one’s goals. She embraces each person she comes in contact with, helping to cultivate a greater understanding of themselves. She believes educating, providing cultural sensitivity, and imparting hope are a few key components to achieving awareness and fostering growth.
Brittany Bascombe is a dedicated Licensed Independent Clinical Social Worker (LICSW) in the District of Columbia, as well as a Licensed Master Social Worker in Maryland. Her goal is to enhance lives through the many facets of mental health. Brittany believes that social support, perseverance, preparation and being informed are vital components for the achievement of one’s goals. She embraces each person she comes in contact with, helping to cultivate a greater understanding of themselves. She believes educating, providing cultural sensitivity, and imparting hope are a few key components to achieving awareness and fostering growth.
(301) 349-1063 View (301) 349-1063
Photo of Amira Yanni, LGPC, MA, Counselor
Amira Yanni
Counselor, LGPC, MA
Verified Verified
1 Endorsed
Washington, DC 20004
Behavioral and cognitive patterns can have a significant impact on our lives, relationships, and sense of self-worth. If you are taking a closer, deeper look at your own patterns, you may find it helpful to do so in a safe, collaborative environment. I would love to come alongside you to help you identify and disrupt negative patterns and develop improved skills to grow and handle challenges. My specialities include: anxiety, trauma, grief, self esteem issues, life transitions, communication, and setting boundaries.
Behavioral and cognitive patterns can have a significant impact on our lives, relationships, and sense of self-worth. If you are taking a closer, deeper look at your own patterns, you may find it helpful to do so in a safe, collaborative environment. I would love to come alongside you to help you identify and disrupt negative patterns and develop improved skills to grow and handle challenges. My specialities include: anxiety, trauma, grief, self esteem issues, life transitions, communication, and setting boundaries.
(301) 215-2765 View (301) 215-2765
Photo of Kara O'Leary, PhD, Psychologist
Kara O'Leary
Psychologist, PhD
Verified Verified
3 Endorsed
Washington, DC 20015
Waitlist for new clients
When life becomes hard, painful, stressful, or traumatic, as it sometimes will, a person needs both new tools and new support. I specialize in helping people heal from the past and thrive in the present. I have 15 years of experience working with individuals and couples to reduce their suffering and find their resilience when they have been experiencing PTSD, anxiety, depression, relationship difficulties, and health struggles.
When life becomes hard, painful, stressful, or traumatic, as it sometimes will, a person needs both new tools and new support. I specialize in helping people heal from the past and thrive in the present. I have 15 years of experience working with individuals and couples to reduce their suffering and find their resilience when they have been experiencing PTSD, anxiety, depression, relationship difficulties, and health struggles.
(202) 915-8990 View (202) 915-8990
Photo of Victoria Campbell, LPCC, Licensed Professional Counselor
Victoria Campbell
Licensed Professional Counselor, LPCC
Verified Verified
Washington, DC 20036  (Online Only)
Do you have so much on your mind all at once that it is difficult to understand it all and communicate your thoughts and feelings? Do you feel overwhelmed with life changes and need someone to process them with? Do you just need a non-judgmental space to explore your inner thoughts and emotions?
Do you have so much on your mind all at once that it is difficult to understand it all and communicate your thoughts and feelings? Do you feel overwhelmed with life changes and need someone to process them with? Do you just need a non-judgmental space to explore your inner thoughts and emotions?
(202) 517-0843 View (202) 517-0843
Photo of Audra Lee - Alloy Wellness, LMFT, Marriage & Family Therapist
Alloy Wellness
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
At Alloy Wellness, we are dedicated to providing you with a transformative and holistic approach to your well-being for your personal growth and the betterment of your relationships. Our mission is to empower you to achieve optimal health and wellness by combining evidence-based practices with personalized care. We understand that each individual is unique, and we tailor our services to meet your specific needs and goals. With a team of highly skilled and compassionate practitioners, we offer a wide range of services that encompass the mind/body connection, mental, and emotional well-being, and building relational EQ.
At Alloy Wellness, we are dedicated to providing you with a transformative and holistic approach to your well-being for your personal growth and the betterment of your relationships. Our mission is to empower you to achieve optimal health and wellness by combining evidence-based practices with personalized care. We understand that each individual is unique, and we tailor our services to meet your specific needs and goals. With a team of highly skilled and compassionate practitioners, we offer a wide range of services that encompass the mind/body connection, mental, and emotional well-being, and building relational EQ.
(202) 915-3746 View (202) 915-3746
Photo of Nakea Jeffers, LGSW, CYT, Pre-Licensed Professional
Nakea Jeffers
Pre-Licensed Professional, LGSW, CYT
Verified Verified
Washington, DC 20002
Moving through the ups and downs of life can be challenging. You might feel uncertain about who you are or where you are going. You might feel lonely or misunderstood. Maybe you feel stuck trying to move past painful experiences. Let’s work together to create a path toward healing, growth, and self-acceptance. I recognize how difficult it can be to find a therapist who gets it. I warmly welcome people from the queer community, black people, and people of color to contact me for services. Whether you are exploring your identity, navigating relationships, or feeling isolated.
Moving through the ups and downs of life can be challenging. You might feel uncertain about who you are or where you are going. You might feel lonely or misunderstood. Maybe you feel stuck trying to move past painful experiences. Let’s work together to create a path toward healing, growth, and self-acceptance. I recognize how difficult it can be to find a therapist who gets it. I warmly welcome people from the queer community, black people, and people of color to contact me for services. Whether you are exploring your identity, navigating relationships, or feeling isolated.
(202) 845-7629 View (202) 845-7629
Photo of Phillip J Lewis, JD, BCD, LICSW, Clinical Social Work/Therapist
Phillip J Lewis
Clinical Social Work/Therapist, JD, BCD, LICSW
Verified Verified
1 Endorsed
Washington, DC 20002
Waitlist for new clients
I am solution-focused, and believe that a solid therapeutic relationship is a key to successfully meeting identified goals. Utilizing humor, passion, and dedication to the service of others I aim to create a safe environment while challenging behaviors and thoughts to aid in motivation for change. I also use integrative psychotherapy, combining different therapeutic tools and approaches that fit the needs of each individual or situation.
I am solution-focused, and believe that a solid therapeutic relationship is a key to successfully meeting identified goals. Utilizing humor, passion, and dedication to the service of others I aim to create a safe environment while challenging behaviors and thoughts to aid in motivation for change. I also use integrative psychotherapy, combining different therapeutic tools and approaches that fit the needs of each individual or situation.
(202) 852-9486 View (202) 852-9486
Photo of Devyn Mitchell, MA, LPC, Licensed Professional Counselor
Devyn Mitchell
Licensed Professional Counselor, MA, LPC
Verified Verified
Washington, DC 20032  (Online Only)
Are you finding it overwhelming to manage the complexities of a chronic illness along with feelings of depression, anxiety, or grief? Let me help you navigate these challenges. Together, we can develop strategies to improve both your physical and mental well-being, empowering you to achieve a better quality of life.
Are you finding it overwhelming to manage the complexities of a chronic illness along with feelings of depression, anxiety, or grief? Let me help you navigate these challenges. Together, we can develop strategies to improve both your physical and mental well-being, empowering you to achieve a better quality of life.
(202) 804-0022 View (202) 804-0022
Photo of Stephen Holland, PsyD, Psychologist
Stephen Holland
Psychologist, PsyD
Verified Verified
Washington, DC 20009
I am Founder and Director of the Capital Institute for Cognitive Behavioral Therapy. Since 2003, the Institute has been a leading provider of research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
I am Founder and Director of the Capital Institute for Cognitive Behavioral Therapy. Since 2003, the Institute has been a leading provider of research-proven treatments and compassionate care. Cognitive-behavioral therapy (CBT) has been shown to be effective for a number of problems, including: depression, bipolar disorder, generalized anxiety, obsessive-compulsive disorder (OCD), hoarding, phobias, social anxiety, post-traumatic stress disorder (PTSD), eating disorders, insomnia, chronic pain, personality disorders, and relationship problems. Studies find most patients in CBT have significant reduction in symptoms and distress.
(202) 759-2884 View (202) 759-2884
Photo of Sarah Farnaby - Over the Rainbow, LLC, PsyD, LPC, LCPC, Licensed Professional Counselor
Over the Rainbow, LLC
Licensed Professional Counselor, PsyD, LPC, LCPC
Verified Verified
1 Endorsed
Washington, DC 20009
Not accepting new clients
The mission of OTR is to provide ethical and professional clinical services to those overcoming trauma and those struggling within their self and relationships. OTR's commitment to our patients is to empower, support, and guide them on a journey of healing and growth. Our clinicians are integrative in their treatment approaches in order to effectively meet our patients' needs. Licensed to practice in VA, DC, and MD. We do at times have a wait for new clients due to most cases being long term. Please let us know if you are public safety/first responder, or deploying or leaving for assignment soon for further intake information.
The mission of OTR is to provide ethical and professional clinical services to those overcoming trauma and those struggling within their self and relationships. OTR's commitment to our patients is to empower, support, and guide them on a journey of healing and growth. Our clinicians are integrative in their treatment approaches in order to effectively meet our patients' needs. Licensed to practice in VA, DC, and MD. We do at times have a wait for new clients due to most cases being long term. Please let us know if you are public safety/first responder, or deploying or leaving for assignment soon for further intake information.
(202) 410-3998 View (202) 410-3998
Photo of David Pellegrini, PhD, Psychologist
David Pellegrini
Psychologist, PhD
Verified Verified
Washington, DC 20007
I draw on 40+ years of experience in the practice of individual, group, and couples therapy. I work with a diversity of adult clients from varied circumstances and backgrounds. Nevertheless, they generally share a common aspiration to discover a more vital, passionate, and creative approach to meeting life's challenges. My intention is to establish a safe and authentic collaboration in pursuit of your aspirations and goals. I bring compassion, humor, insight and engagement to the therapeutic work. My approach integrates elements of the best, well-established therapeutic approaches, tailored to your unique needs and challenges.
I draw on 40+ years of experience in the practice of individual, group, and couples therapy. I work with a diversity of adult clients from varied circumstances and backgrounds. Nevertheless, they generally share a common aspiration to discover a more vital, passionate, and creative approach to meeting life's challenges. My intention is to establish a safe and authentic collaboration in pursuit of your aspirations and goals. I bring compassion, humor, insight and engagement to the therapeutic work. My approach integrates elements of the best, well-established therapeutic approaches, tailored to your unique needs and challenges.
(202) 559-4841 View (202) 559-4841
Photo of Heather L. Gary, MSW, LICSW, Clinical Social Work/Therapist
Heather L. Gary
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
Unexpected challenges, loss, or the simple momentum of life can sometimes make it hard to feel solid or know how to respond. Inner distress or outward behaviors can make it difficult to feel good about oneself or get along with others. At these times, one can benefit greatly from the support of a trained therapist to explore experiences, feelings, and concerns. I create a confidential supportive space where clients have the opportunity to draw upon their inner strengths and capacity to grow, discover new perspectives, tools, and options for behavior, and develop as individuals to improve their quality of life.
Unexpected challenges, loss, or the simple momentum of life can sometimes make it hard to feel solid or know how to respond. Inner distress or outward behaviors can make it difficult to feel good about oneself or get along with others. At these times, one can benefit greatly from the support of a trained therapist to explore experiences, feelings, and concerns. I create a confidential supportive space where clients have the opportunity to draw upon their inner strengths and capacity to grow, discover new perspectives, tools, and options for behavior, and develop as individuals to improve their quality of life.
(202) 760-2746 View (202) 760-2746
Photo of Jillian M Diesner, EdS, LPC, Licensed Professional Counselor
Jillian M Diesner
Licensed Professional Counselor, EdS, LPC
Verified Verified
Washington, DC 20016
My area of expertise is in working with children, adolescents, young adults and families who are experiencing a variety of difficulties, including anxieties and emotional regulation, or who may be dealing with suspected or confirmed learning disabilities. I have recently become certified to provide CBIT for Tourette’s and tic disorders. My background and training are in family systems therapy and cognitive-behavioral therapy, and my approach to individual therapy is generally geared toward the family as a whole. Sessions may include a mixture of both individual and family members as participants.
My area of expertise is in working with children, adolescents, young adults and families who are experiencing a variety of difficulties, including anxieties and emotional regulation, or who may be dealing with suspected or confirmed learning disabilities. I have recently become certified to provide CBIT for Tourette’s and tic disorders. My background and training are in family systems therapy and cognitive-behavioral therapy, and my approach to individual therapy is generally geared toward the family as a whole. Sessions may include a mixture of both individual and family members as participants.
(833) 657-6082 View (833) 657-6082
Photo of Jo Pittman, MT-BC, Pre-Licensed Professional
Jo Pittman
Pre-Licensed Professional, MT-BC
Verified Verified
Washington, DC 20009
Hi! I’m Jo, a Graduate Counseling Intern at Urban Playology, a mental health private practice based in DC. I work under the direct clinical supervision of Xanthia Johnson, LPC, LCPC-S. I am a graduate counseling student at the University of Pennsylvania. I believe that healing, albeit challenging at times, is a beautiful and attainable experience. My compass for social justice holds my belief that everyone deserves to have a high-quality therapy experience with a compassionate and skilled psychotherapist. It is an honor to partner with human beings who come from diverse backgrounds on their journey toward mental health wellness.
Hi! I’m Jo, a Graduate Counseling Intern at Urban Playology, a mental health private practice based in DC. I work under the direct clinical supervision of Xanthia Johnson, LPC, LCPC-S. I am a graduate counseling student at the University of Pennsylvania. I believe that healing, albeit challenging at times, is a beautiful and attainable experience. My compass for social justice holds my belief that everyone deserves to have a high-quality therapy experience with a compassionate and skilled psychotherapist. It is an honor to partner with human beings who come from diverse backgrounds on their journey toward mental health wellness.
(888) 689-4339 x100 View (888) 689-4339 x100
Photo of Lara Kassoff, PhD, Psychologist
Lara Kassoff
Psychologist, PhD
Verified Verified
11 Endorsed
Washington, DC 20006
I believe that psychotherapy is a place where you can access your most authentic self. I seek to create a safe, trusting environment where you feel free to share honestly and receive genuine feedback. My approach to therapy is supportive and collaborative. We will explore patterns of thoughts, feelings and behaviors in order to establish improved ways of being and relating to others. Through our work together, you will achieve a better understanding of yourself, helping you to alleviate distress and develop more satisfying relationships.
I believe that psychotherapy is a place where you can access your most authentic self. I seek to create a safe, trusting environment where you feel free to share honestly and receive genuine feedback. My approach to therapy is supportive and collaborative. We will explore patterns of thoughts, feelings and behaviors in order to establish improved ways of being and relating to others. Through our work together, you will achieve a better understanding of yourself, helping you to alleviate distress and develop more satisfying relationships.
(855) 651-3641 View (855) 651-3641
Photo of Michelle Toussaint - Dr. Michelle Toussaint, PhD, MS, MA, Psychologist
Dr. Michelle Toussaint
Psychologist, PhD, MS, MA
Verified Verified
Washington, DC 20012
Do you find yourself often thinking, I know what I need to do, I just have a hard time doing it? I hope I can help you understand that and consider what you want, why you want it, and how best to approach it. My practice is a warm, safe space to help you bring your deepest wants and worries to the surface in order to live the life you have wanted. I aim to walk through the therapeutic process with you, by your side - through old wounds and/or difficult current dilemmas - in order to experience positive change.
Do you find yourself often thinking, I know what I need to do, I just have a hard time doing it? I hope I can help you understand that and consider what you want, why you want it, and how best to approach it. My practice is a warm, safe space to help you bring your deepest wants and worries to the surface in order to live the life you have wanted. I aim to walk through the therapeutic process with you, by your side - through old wounds and/or difficult current dilemmas - in order to experience positive change.
View
Photo of Dr. Rachael Goodman, PhD, LPC, BC-TMH, Licensed Professional Counselor
Dr. Rachael Goodman
Licensed Professional Counselor, PhD, LPC, BC-TMH
Verified Verified
Washington, DC 20036  (Online Only)
We all go through stressful & sometimes traumatic experiences in our lives. Therapy is a space for dealing with hardship and also creating a meaningful life and relationships through an authentic, supportive partnership. In my practice, we work on healing the past, and also building toward the future you want.
We all go through stressful & sometimes traumatic experiences in our lives. Therapy is a space for dealing with hardship and also creating a meaningful life and relationships through an authentic, supportive partnership. In my practice, we work on healing the past, and also building toward the future you want.
(844) 936-0365 View (844) 936-0365
Photo of Garland Nichols, LICSW, Clinical Social Work/Therapist
Garland Nichols
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20003  (Online Only)
Hello! My name is Garland Nichols and I am a Clinical Social Worker licensed in Washington, DC and North Carolina. My journey began as a Foster Care Social Worker, where I used case management skills to rehabilitate and reunify families. My passion and belief in rehabilitation eventually led me to pursue Clinical Social Work, where I am now aim to empower my clients each session.
Hello! My name is Garland Nichols and I am a Clinical Social Worker licensed in Washington, DC and North Carolina. My journey began as a Foster Care Social Worker, where I used case management skills to rehabilitate and reunify families. My passion and belief in rehabilitation eventually led me to pursue Clinical Social Work, where I am now aim to empower my clients each session.
(877) 919-6084 View (877) 919-6084
Photo of Sean Penny, MA, LPC, Licensed Professional Counselor
Sean Penny
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Washington, DC 20036
Do you feel anxious, sad, lonely, or isolated? Do you struggle with pain connected to racism, ethnicity, sexual orientation, gender identity, or one of the many ways we can be made to feel less than or not ourselves? Whatever the reason, your decision to seek out therapy is courageous because it is filled with emotional risk. As we build a relationship together, your thoughts, feelings, experiences, fears, and fantasies will be heard and treated with respect, curiosity, and care. You’ll find a gentle, affirming, and nonjudgmental space where we can better understand what brought you here and how you might move forward.
Do you feel anxious, sad, lonely, or isolated? Do you struggle with pain connected to racism, ethnicity, sexual orientation, gender identity, or one of the many ways we can be made to feel less than or not ourselves? Whatever the reason, your decision to seek out therapy is courageous because it is filled with emotional risk. As we build a relationship together, your thoughts, feelings, experiences, fears, and fantasies will be heard and treated with respect, curiosity, and care. You’ll find a gentle, affirming, and nonjudgmental space where we can better understand what brought you here and how you might move forward.
(202) 759-4803 View (202) 759-4803
Photo of Cherian Verghese, PhD, Psychologist
Cherian Verghese
Psychologist, PhD
Verified Verified
Washington, DC 20003
My aim in individual and couple therapy is to help you better understand and address aspects of your life that are less than satisfactory. Those problems may include anxiety, depression, fluctuating self-esteem issues, and conflictual interpersonal, family and/or intimate/couple relationships. Understanding and overcoming the limiting, even crippling, effects of early life traumas on your life at present may also be important for us to consider. The privacy and safety of a confidential therapeutic environment is ideal for us to explore problems together and find ways for you to move forward to a more rewarding and satisfying life.
My aim in individual and couple therapy is to help you better understand and address aspects of your life that are less than satisfactory. Those problems may include anxiety, depression, fluctuating self-esteem issues, and conflictual interpersonal, family and/or intimate/couple relationships. Understanding and overcoming the limiting, even crippling, effects of early life traumas on your life at present may also be important for us to consider. The privacy and safety of a confidential therapeutic environment is ideal for us to explore problems together and find ways for you to move forward to a more rewarding and satisfying life.
(202) 670-3905 View (202) 670-3905
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How does your Therapist compare?

Number of Therapists in Washington, DC

3,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
88% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.