Therapists in Commerce, TX

Photo of Nick P Patras, PhD, LPC-S, NCC, CCTP, Licensed Professional Counselor
Nick P Patras
Licensed Professional Counselor, PhD, LPC-S, NCC, CCTP
Verified Verified
Commerce, TX 75428
My ideal clients are adults 18 to 80+ who are ready for change and growth. I work collaboratively with clients who are experiencing symptoms of depression, anxiety, past trauma, current or unresolved grief and loss, or feelings of being less than your "best self". As a former first responder, I have extensive experience and training in working with first responders and their families, veterans and returning warriors, and couples and partners. If you want your life or relationship to change, act now. I also work with business owners and entrepreneurs who want to take their business to the next level. I am here to support you!
My ideal clients are adults 18 to 80+ who are ready for change and growth. I work collaboratively with clients who are experiencing symptoms of depression, anxiety, past trauma, current or unresolved grief and loss, or feelings of being less than your "best self". As a former first responder, I have extensive experience and training in working with first responders and their families, veterans and returning warriors, and couples and partners. If you want your life or relationship to change, act now. I also work with business owners and entrepreneurs who want to take their business to the next level. I am here to support you!
(430) 233-4945 View (430) 233-4945
Photo of Dr. Steven Edward Ball, PhD, LP, LSSP, Psychologist
Dr. Steven Edward Ball
Psychologist, PhD, LP, LSSP
Verified Verified
Commerce, TX 75428
I have two "ideal clients," based on my somewhat distinct skill sets. Right now, I am adding new assessment clients, people who, for a multitude of reasons, require a current psychological assessment. These folks include adults and children who may need assessment of their emotional/personality functioning, educational strengths and weaknesses, or neuropsychological functioning. I can also take a very few individual psychotherapy clients, especially adults who struggle with anxiety, depression, and perhaps uncertainty about the key factors in their lives that interfere with their capacity for joy and personal fulfillment.
I have two "ideal clients," based on my somewhat distinct skill sets. Right now, I am adding new assessment clients, people who, for a multitude of reasons, require a current psychological assessment. These folks include adults and children who may need assessment of their emotional/personality functioning, educational strengths and weaknesses, or neuropsychological functioning. I can also take a very few individual psychotherapy clients, especially adults who struggle with anxiety, depression, and perhaps uncertainty about the key factors in their lives that interfere with their capacity for joy and personal fulfillment.
(430) 625-4417 View (430) 625-4417
Photo of Kimberly Ann Gregory, MS, LPC-A
Kimberly Ann Gregory
LPC Associate, MS, LPC-A
Verified Verified
1 Endorsed
Commerce, TX 75428  (Online Only)
Hello! I'm a Licensed Professional Therapist Associate with a passion for developing solutions and providing support to my clients as they navigate their mental health journey towards wellness.
Hello! I'm a Licensed Professional Therapist Associate with a passion for developing solutions and providing support to my clients as they navigate their mental health journey towards wellness.
(430) 444-5229 View (430) 444-5229
Photo of Misty Elle Lauren, LCSW, Clinical Social Work/Therapist
Misty Elle Lauren
Clinical Social Work/Therapist, LCSW
Verified Verified
Commerce, TX 75428
Human beings navigate through life utilizing all the skills, logic, and emotions known to them. There are times where it gets difficult and a desire to seek further insight comes from within or encouragement from others. I want to assist in guiding you by seeking to understand, collecting information from the expert "you", and developing a plan to get you where you want to be.
Human beings navigate through life utilizing all the skills, logic, and emotions known to them. There are times where it gets difficult and a desire to seek further insight comes from within or encouragement from others. I want to assist in guiding you by seeking to understand, collecting information from the expert "you", and developing a plan to get you where you want to be.
(903) 354-3834 View (903) 354-3834
Photo of Lauren Ashlock Lane - Bright Star Counseling, LPC, Licensed Professional Counselor
Bright Star Counseling
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Commerce, TX 75428
I grew up in Sulphur Springs, and I trained at Indiana Wesleyan University before moving back to my home city! I know that sometimes we all encounter grief and hardships, we feel lost and alone, unable to navigate the next step. You may try multiple avenues to find relief, talking to friends or family, seeking help in books, and often none of it seems to provide any lasting results. Your plans don't come to fruition and you may find yourself empty, anxious, depressed and overwhelmed. I work with stressed and depressed individuals and confused couples.
I grew up in Sulphur Springs, and I trained at Indiana Wesleyan University before moving back to my home city! I know that sometimes we all encounter grief and hardships, we feel lost and alone, unable to navigate the next step. You may try multiple avenues to find relief, talking to friends or family, seeking help in books, and often none of it seems to provide any lasting results. Your plans don't come to fruition and you may find yourself empty, anxious, depressed and overwhelmed. I work with stressed and depressed individuals and confused couples.
(972) 954-2523 View (972) 954-2523
Photo of Leila El-Bathy, LCSW, Clinical Social Work/Therapist
Leila El-Bathy
Clinical Social Work/Therapist, LCSW
Verified Verified
Commerce, TX 75428
My name is Leila El-Bathy and I am a Licensed Clinical Social Worker. I work with adults and specialize in depression, anxiety, and stress using Cognitive Behavioral Therapy and Supportive Therapy to help clients move forward and develop their well-being. The clients I work best with include those diagnosed with depression, anxiety, and bipolar. I also have experience with clients diagnosed with BPD, PTSD, and those experiencing psychosis. I work with clients experiencing difficult symptoms to change harmful thought patterns, shift perspectives, identify values, and adjust behaviors.
My name is Leila El-Bathy and I am a Licensed Clinical Social Worker. I work with adults and specialize in depression, anxiety, and stress using Cognitive Behavioral Therapy and Supportive Therapy to help clients move forward and develop their well-being. The clients I work best with include those diagnosed with depression, anxiety, and bipolar. I also have experience with clients diagnosed with BPD, PTSD, and those experiencing psychosis. I work with clients experiencing difficult symptoms to change harmful thought patterns, shift perspectives, identify values, and adjust behaviors.
(469) 224-5753 View (469) 224-5753
Photo of Dr. Christian A. Henry, PhD, LPC, NCC, Licensed Professional Counselor
Dr. Christian A. Henry
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
4 Endorsed
Commerce, TX 75428
Not accepting new clients
Hello and a warm virtual welcome! I will like to invite you to a transparent and empathetic safe place that is centered around YOU. A place where there is no right or wrong answer, but one expectation: just BE. Mental Health can be a topic that is very intimidating to discuss with others, but I like to think of mental health as a tune up on your car - you can drive your car for many miles, but eventually you will need adjustments. Like a car, our mind can run, overwork, and eventually break down. However, the good news is that you have an opportunity to get a mental health tune up and make sure your car is running smoothly.
Hello and a warm virtual welcome! I will like to invite you to a transparent and empathetic safe place that is centered around YOU. A place where there is no right or wrong answer, but one expectation: just BE. Mental Health can be a topic that is very intimidating to discuss with others, but I like to think of mental health as a tune up on your car - you can drive your car for many miles, but eventually you will need adjustments. Like a car, our mind can run, overwork, and eventually break down. However, the good news is that you have an opportunity to get a mental health tune up and make sure your car is running smoothly.
(903) 270-3784 View (903) 270-3784
Photo of Tiffanie Hampton, MSW, LCSW, Clinical Social Work/Therapist
Tiffanie Hampton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Commerce, TX 75428  (Online Only)
Hello! My name is Tiffanie Hampton and I am a Licensed Clinical Social Worker in the state of Texas with 15 years of experience. I have worked with a broad spectrum of people, including military veterans, LGBTQIA+, marriage, divorce, and everything from fertility issues to end-of-life issues, including grief. I enjoy helping couples find spontaneity in their relationships again, supporting folks who want to manage anxiety before it has a chance to take over and assisting families who may be coping with major life changes. I have a straightforward approach and use humor to make people feel comfortable and human in the space.
Hello! My name is Tiffanie Hampton and I am a Licensed Clinical Social Worker in the state of Texas with 15 years of experience. I have worked with a broad spectrum of people, including military veterans, LGBTQIA+, marriage, divorce, and everything from fertility issues to end-of-life issues, including grief. I enjoy helping couples find spontaneity in their relationships again, supporting folks who want to manage anxiety before it has a chance to take over and assisting families who may be coping with major life changes. I have a straightforward approach and use humor to make people feel comfortable and human in the space.
(346) 572-8020 View (346) 572-8020
Photo of Darlene Johnson, MA, LPC-S, CFC, Licensed Professional Counselor
Darlene Johnson
Licensed Professional Counselor, MA, LPC-S, CFC
Verified Verified
2 Endorsed
Commerce, TX 75428
Congratulations on reaching this major milestone in your career. Your education provided you with the skills necessary to work with clients, now I will teach you all the things you didn’t learn in school. You will learn how to be a clinician as well as how to run a practice. I accept students (can obtain hours for your practicum/internship), LCDC Interns & LPC Associates. Supervision fees: Students-FREE, LCDC Interns & LPC Associates-$300/month. Supervision is primarily virtual; however, in person supervision can be arranged. You can receive up to 6 hours of formal supervision per month plus unlimited support between sessions.
Congratulations on reaching this major milestone in your career. Your education provided you with the skills necessary to work with clients, now I will teach you all the things you didn’t learn in school. You will learn how to be a clinician as well as how to run a practice. I accept students (can obtain hours for your practicum/internship), LCDC Interns & LPC Associates. Supervision fees: Students-FREE, LCDC Interns & LPC Associates-$300/month. Supervision is primarily virtual; however, in person supervision can be arranged. You can receive up to 6 hours of formal supervision per month plus unlimited support between sessions.
(469) 523-1712 View (469) 523-1712
Photo of Lisa Loper, MEd, LPC, NCC, RPT, Licensed Professional Counselor
Lisa Loper
Licensed Professional Counselor, MEd, LPC, NCC, RPT
Verified Verified
Commerce, TX 75428
Are you a woman feeling anxious? depressed? unsure? disappointed? That is a hard place to be, and you're not alone. You’ve been hurting for long enough, and I’m proud of you for looking for help! I understand how you're feeling because I've been there before. As a counselor, I work with women of all ages who are stressed, sad, burdened, and disappointed in the way life has turned out. I walk alongside adolescents, teens and adult women to find hope, peace and confidence. We work together to find solutions that make life more manageable.
Are you a woman feeling anxious? depressed? unsure? disappointed? That is a hard place to be, and you're not alone. You’ve been hurting for long enough, and I’m proud of you for looking for help! I understand how you're feeling because I've been there before. As a counselor, I work with women of all ages who are stressed, sad, burdened, and disappointed in the way life has turned out. I walk alongside adolescents, teens and adult women to find hope, peace and confidence. We work together to find solutions that make life more manageable.
(817) 242-9236 View (817) 242-9236
Photo of Skye Broadus-Thomas, MSW, LCSW, Clinical Social Work/Therapist
Skye Broadus-Thomas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Commerce, TX 75428
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
I like working with a variety of people and helping guide them through life's stresses. I especially enjoy teaching others how to set boundaries, build their self esteem and work towards their goals. I strive to make my clients feel safe and comfortable while sharing their thoughts, feelings, traumas, hopes and dreams.
(430) 208-5715 View (430) 208-5715
Photo of Isabel Fink, MFT, Marriage & Family Therapist Associate
Isabel Fink
Marriage & Family Therapist Associate, MFT
Verified Verified
Commerce, TX 75428
Not accepting new clients at this time, waitlist available! Isabel is honored to come alongside individuals and couples of all ages on a journey to understand behaviors, explore systems that shape and influence, identify triggers and coping strategies, reframe problematic narratives and face challenges in life. She demonstrates compassion and non-judgement while holding space for difficult conversations and exploration. Her holistic, person centered approach will meet you where you are, so you can get to where you want to go. Join her today and start your journey! Isabel is supervised by Rachel Falbo, PhD, LPC-S, LMFT-S.
Not accepting new clients at this time, waitlist available! Isabel is honored to come alongside individuals and couples of all ages on a journey to understand behaviors, explore systems that shape and influence, identify triggers and coping strategies, reframe problematic narratives and face challenges in life. She demonstrates compassion and non-judgement while holding space for difficult conversations and exploration. Her holistic, person centered approach will meet you where you are, so you can get to where you want to go. Join her today and start your journey! Isabel is supervised by Rachel Falbo, PhD, LPC-S, LMFT-S.
(469) 314-8735 View (469) 314-8735

More Therapists Nearby

Photo of Sasha Douglas, LCSW, Clinical Social Work/Therapist
Sasha Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
Campbell, TX 75422
Greetings! I'm Sasha My name is Sasha Douglas, and I am a Licensed Clinical Social Worker (LCSW) working with clients statewide via telehealth. I work with adults specializing in anxiety, stress, depression, and eating disorders. I utilize Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help my clients make progress and start feeling better. I have found that my style and approach are a good fit for young adults to a geriatric population who may be dealing with the challenges of life transitions.
Greetings! I'm Sasha My name is Sasha Douglas, and I am a Licensed Clinical Social Worker (LCSW) working with clients statewide via telehealth. I work with adults specializing in anxiety, stress, depression, and eating disorders. I utilize Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help my clients make progress and start feeling better. I have found that my style and approach are a good fit for young adults to a geriatric population who may be dealing with the challenges of life transitions.
(469) 481-1397 View (469) 481-1397
Photo of Dr. Paul J Dousi, ThM, PhD, LMFT, Marriage & Family Therapist
Dr. Paul J Dousi
Marriage & Family Therapist, ThM, PhD, LMFT
Verified Verified
1 Endorsed
Cumby, TX 75433  (Online Only)
You ignored the problem for as long as possible before reaching out to those around you. You've always relied on your faith to navigate challenges, but it's not working this time. You realize that this has gone on too long. You are anxious, confused, and angry. You don't know what to do or who turn to. You've talked to friends, a therapist and and even a pastor. Nothing has changed! You need help and answers. As Christians you know that you should be doing better. You want to follow the Bible but don't know how. It's so embarrassing not knowing what to do. You know you need guidance, solid tools and scriptural wisdom.
You ignored the problem for as long as possible before reaching out to those around you. You've always relied on your faith to navigate challenges, but it's not working this time. You realize that this has gone on too long. You are anxious, confused, and angry. You don't know what to do or who turn to. You've talked to friends, a therapist and and even a pastor. Nothing has changed! You need help and answers. As Christians you know that you should be doing better. You want to follow the Bible but don't know how. It's so embarrassing not knowing what to do. You know you need guidance, solid tools and scriptural wisdom.
(763) 250-5485 View (763) 250-5485
Photo of Samantha Gordon, LMFT, Marriage & Family Therapist
Samantha Gordon
Marriage & Family Therapist, LMFT
Verified Verified
Campbell, TX 75422  (Online Only)
(346) 476-5642 View (346) 476-5642

Online Therapists

Photo of Brave Health, MSW, LCSW, MD, PhD, FNP-C
Brave Health
MSW, LCSW, MD, PhD, FNP-C
Verified Verified
Garland, TX 75040  (Online Only)
Brave Health is a virtual mental health provider dedicated to helping people thrive by engaging them in high-quality, affordable, and easily accessible mental health care. Our diverse clinical staff includes licensed psychiatrists, nurse practitioners, and therapists with expertise in treating mental health and substance use disorders. One size doesn’t fit all when it comes to your health. We’ll work together to create a customized treatment plan for your needs. Our programs are evidence-based, drawing on approaches to treatment that are clinically proven to be effective.
Brave Health is a virtual mental health provider dedicated to helping people thrive by engaging them in high-quality, affordable, and easily accessible mental health care. Our diverse clinical staff includes licensed psychiatrists, nurse practitioners, and therapists with expertise in treating mental health and substance use disorders. One size doesn’t fit all when it comes to your health. We’ll work together to create a customized treatment plan for your needs. Our programs are evidence-based, drawing on approaches to treatment that are clinically proven to be effective.
(972) 833-0762 View (972) 833-0762
Photo of Dr. Shenan Spraberry, PhD, LPC, Licensed Professional Counselor
Dr. Shenan Spraberry
Licensed Professional Counselor, PhD, LPC
Verified Verified
Arlington, TX 76006
On the outside everything looks great, but inside you feel like you are falling apart. Anxious, depressed, unhappy, and unsatisfied. You have been slowly isolating yourself and you can't stand it anymore. Easily irritated by things that you used to have patience for, fighting with the people you love constantly, and you aren't spending enough time taking care of yourself. Your relationships are suffering. Please don't wait until things get even worse. Like a car, a therapy "tune up" will get you back on track before the engine blows! If you are tired of how things are going and committed to improvement, it's time to call.
On the outside everything looks great, but inside you feel like you are falling apart. Anxious, depressed, unhappy, and unsatisfied. You have been slowly isolating yourself and you can't stand it anymore. Easily irritated by things that you used to have patience for, fighting with the people you love constantly, and you aren't spending enough time taking care of yourself. Your relationships are suffering. Please don't wait until things get even worse. Like a car, a therapy "tune up" will get you back on track before the engine blows! If you are tired of how things are going and committed to improvement, it's time to call.
(817) 502-9378 View (817) 502-9378
Photo of Jessica Clough, LCSW, Clinical Social Work/Therapist
Jessica Clough
Clinical Social Work/Therapist, LCSW
Verified Verified
Mansfield, TX 76063
I'm a licensed clinical social worker. I began my career working with veterans, first responders, and their families. I still work closely with this population today, and I also work with civilians. I have experience working with complex trauma and many forms of addiction. I have experience addressing PTSD, anxiety, depression, OCD, addictive behaviors, adults that have experienced physical, emotional, and psychological abuse, and adults that have unresolved childhood trauma.
I'm a licensed clinical social worker. I began my career working with veterans, first responders, and their families. I still work closely with this population today, and I also work with civilians. I have experience working with complex trauma and many forms of addiction. I have experience addressing PTSD, anxiety, depression, OCD, addictive behaviors, adults that have experienced physical, emotional, and psychological abuse, and adults that have unresolved childhood trauma.
(682) 882-8231 View (682) 882-8231
Photo of Marcos Salinas, LPC, Licensed Professional Counselor
Marcos Salinas
Licensed Professional Counselor, LPC
Verified Verified
Fort Worth, TX 76116  (Online Only)
You can call me Sal. I am an authentic, enthusiastic, funny therapist that can help you feel more present in the moment and actually enjoy it. I provide care for those experiencing excessive amounts of worry, emotions that feel out of control, and feeling hopeless in life. What makes me different: I make almost anyone feel at ease. People tell me that they can let their guard down around me. I’m no different from the clients I see. Like everyone else, I'm human. I've been through both wonderful and difficult experiences that have shaped who I am and how I help.
You can call me Sal. I am an authentic, enthusiastic, funny therapist that can help you feel more present in the moment and actually enjoy it. I provide care for those experiencing excessive amounts of worry, emotions that feel out of control, and feeling hopeless in life. What makes me different: I make almost anyone feel at ease. People tell me that they can let their guard down around me. I’m no different from the clients I see. Like everyone else, I'm human. I've been through both wonderful and difficult experiences that have shaped who I am and how I help.
(512) 271-5449 View (512) 271-5449
Photo of Catherine Sanderson, LPC-A, MS
Catherine Sanderson
LPC Associate, LPC-A, MS
Verified Verified
Southlake, TX 76092
Catherine is passionate about helping clients of all ages, as well as families, establish more meaningful and emotionally healthy lives. She brings experience as a former teacher and school counselor, and working with a wide variety of complex mental health issues issues. Catherine can help with anxiety and depressive disorders, self-harm, suicidal ideation, anger, grief, life transitions, trauma, relationship or parenting concerns, behavioral concerns, divorce, ADHD, and more. Catherine is skilled at helping children, teens and adult individuals navigate difficult life transitions.
Catherine is passionate about helping clients of all ages, as well as families, establish more meaningful and emotionally healthy lives. She brings experience as a former teacher and school counselor, and working with a wide variety of complex mental health issues issues. Catherine can help with anxiety and depressive disorders, self-harm, suicidal ideation, anger, grief, life transitions, trauma, relationship or parenting concerns, behavioral concerns, divorce, ADHD, and more. Catherine is skilled at helping children, teens and adult individuals navigate difficult life transitions.
(817) 873-6116 View (817) 873-6116

See more therapy options for Commerce

How does your Therapist compare?

Number of Therapists in Commerce, TX

10+

Average cost per session

$110

Therapists in Commerce, TX who prioritize treating:

75% Anxiety
75% Coping Skills
67% Depression
67% Women's Issues
58% Relationship Issues
58% Trauma and PTSD
58% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

100% Cigna and Evernorth
86% Aetna
86% BlueCross and BlueShield

How Therapists in Commerce, TX see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Commerce?

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.