Therapists in Cape Charles, VA
![Photo of Barbara M Brown - Barbara M. Brown, Psychotherapist, LPC, LMFT, Psychot, Marriage & Family Therapist](https://photos.psychologytoday.com/1aeda012-23f0-4875-a67d-06a5aefbd0b3/3/320x400.jpeg)
Barbara M. Brown, Psychotherapist
Marriage & Family Therapist, LPC, LMFT, Psychot
Verified Verified
Cape Charles, VA 23310 (Online Only)
As a psychotherapist in full-time practice for over 30 years, I take an integrated approach to therapy. I’m trained in Cognitive Behavioral Therapy, Emotional Focused Therapy, Family Therapy, and mindfulness practices. Therapy can help you get unstuck. Whether you are dealing with difficult relationship issues, individual worries, fears, lack of confidence, or unresolved issues, it is possible to move forward and change your life.
As a psychotherapist in full-time practice for over 30 years, I take an integrated approach to therapy. I’m trained in Cognitive Behavioral Therapy, Emotional Focused Therapy, Family Therapy, and mindfulness practices. Therapy can help you get unstuck. Whether you are dealing with difficult relationship issues, individual worries, fears, lack of confidence, or unresolved issues, it is possible to move forward and change your life.
![Photo of Rebecca Ellen Creed, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/392f8250-5492-4f5b-bc67-838cc815aae3/1/320x400.jpeg)
Rebecca Ellen Creed
Clinical Social Work/Therapist, LCSW
Verified Verified
Cape Charles, VA 23310 (Online Only)
It can be very difficult to take the first steps and enter into a therapy session with a virtual stranger. Congratulations to you on taking the first steps and beginning the journey to living your best life and being the best version of yourself! I am honored to be a partner in your journey, and hope that we can work together to achieve your goals. I have over 30 years of experience helping adults and adolescents who struggle with depression, anxiety, relationship conflicts, and low self esteem.
It can be very difficult to take the first steps and enter into a therapy session with a virtual stranger. Congratulations to you on taking the first steps and beginning the journey to living your best life and being the best version of yourself! I am honored to be a partner in your journey, and hope that we can work together to achieve your goals. I have over 30 years of experience helping adults and adolescents who struggle with depression, anxiety, relationship conflicts, and low self esteem.
![Photo of Nicole Wynder - Life Domains and Eudaimonia Tessellation Center, EdD, LPC, LMFT, LSATP, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/18a6ff45-17c8-4834-a73d-36e37ca63e44/1/320x400.jpeg)
Life Domains and Eudaimonia Tessellation Center
Licensed Professional Counselor, EdD, LPC, LMFT, LSATP, NCC
Verified Verified
1 Endorsed
Cape Charles, VA 23310 (Online Only)
The first step towards figuring out what is wrong is getting in touch with your life domains—exploring different aspects of life we experience through living well and covering all the surfaces. As an innovative therapist, I can help you work through these tough times in the comfort of your personal space. I have experience working with adults and couples. As a professional mental health care provider, I am familiar with animal-assisted therapies. I can help you get a certification for your pet or locate a program or animal that is right for you.
The first step towards figuring out what is wrong is getting in touch with your life domains—exploring different aspects of life we experience through living well and covering all the surfaces. As an innovative therapist, I can help you work through these tough times in the comfort of your personal space. I have experience working with adults and couples. As a professional mental health care provider, I am familiar with animal-assisted therapies. I can help you get a certification for your pet or locate a program or animal that is right for you.
![Photo of Katie Wendell, MEd, NCC](https://photos.psychologytoday.com/8143a826-6d03-47a8-8d21-1067ec96983b/1/320x400.jpeg)
I believe that you are the author of your own story, perhaps a story you're still searching for. My role is to assist you in bringing this story into awareness and support you as you write the next chapter, allowing you to step into your full potential as your most authentic self. This, of course, looks different for each person. Perhaps you are ready to process past experiences, strengthen coping mechanisms, develop healthier thinking patterns, or break negative relationship cycles. Whatever your needs may look like, I can be your guide towards such healing.
I believe that you are the author of your own story, perhaps a story you're still searching for. My role is to assist you in bringing this story into awareness and support you as you write the next chapter, allowing you to step into your full potential as your most authentic self. This, of course, looks different for each person. Perhaps you are ready to process past experiences, strengthen coping mechanisms, develop healthier thinking patterns, or break negative relationship cycles. Whatever your needs may look like, I can be your guide towards such healing.
![Photo of Amy E Couch - Shore Therapy, LLC, LPC, CSOTP, LSAT, Licensed Professional Counselor](https://photos.psychologytoday.com/dd2e3d3f-fa40-45cc-a0b0-20d26ca223dc/3/320x400.jpeg)
Shore Therapy, LLC
Licensed Professional Counselor, LPC, CSOTP, LSAT
Verified Verified
Cape Charles, VA 23310
I am a Culturally competent Psychotherapist with over 15 years of experience working with diverse populations providing treatment using various evidence-based, person-centered treatment modalities. I do not believe in stigmatizing or judging people, nor do I believe that people "are" their diagnosis. I believe that the relationship between client and therapist is one of the most important tools of change, so I strive to create a safe space where the client feels free to be their authentic self. I have experience working with individuals, groups, couples, polyamorous, unions, and justice involved clients.
I am a Culturally competent Psychotherapist with over 15 years of experience working with diverse populations providing treatment using various evidence-based, person-centered treatment modalities. I do not believe in stigmatizing or judging people, nor do I believe that people "are" their diagnosis. I believe that the relationship between client and therapist is one of the most important tools of change, so I strive to create a safe space where the client feels free to be their authentic self. I have experience working with individuals, groups, couples, polyamorous, unions, and justice involved clients.
![Photo of James Willie Jenkins, LPC, ACS, LMHP, Licensed Professional Counselor](https://photos.psychologytoday.com/c72b51a1-15dd-4ecb-afb7-ecec9fe62a28/2/320x400.jpeg)
James Willie Jenkins
Licensed Professional Counselor, LPC, ACS, LMHP
Verified Verified
1 Endorsed
Cape Charles, VA 23310 (Online Only)
I am a solution focused Licensed Professional Counselor with over 10 years of experience working in both rural and metropolitan locations. It is my hopes to provide a supportive safe space to assist you in making progress towards your goals. I have extensive experience working with children, adolescents, and adults. I also have 5 years of experience working closely with active duty military and their dependents.
I am a solution focused Licensed Professional Counselor with over 10 years of experience working in both rural and metropolitan locations. It is my hopes to provide a supportive safe space to assist you in making progress towards your goals. I have extensive experience working with children, adolescents, and adults. I also have 5 years of experience working closely with active duty military and their dependents.
![Photo of Yvonne-da Copeland, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/137db391-1a03-4d90-b00d-47fa63f85857/1/320x400.png)
Hello! I have been a licensed clinical social worker and psychotherapist for 15 years. I specialize in working with issues like anger management, anxiety, depression, coping skills, and stress. I’ve worked with the general population, as well as specific groups such as veterans and those with severe mental illnesses. I use evidence-based techniques and incorporate Christian Counseling, Cognitive Behavioral Therapy, Narrative, Motivational Interviewing, Psychodynamic, and more. Whether you’re grappling with the consequences of the pandemic, ever-present psychosocial stressors, or unresolved issues of the past, therapy can help.
Hello! I have been a licensed clinical social worker and psychotherapist for 15 years. I specialize in working with issues like anger management, anxiety, depression, coping skills, and stress. I’ve worked with the general population, as well as specific groups such as veterans and those with severe mental illnesses. I use evidence-based techniques and incorporate Christian Counseling, Cognitive Behavioral Therapy, Narrative, Motivational Interviewing, Psychodynamic, and more. Whether you’re grappling with the consequences of the pandemic, ever-present psychosocial stressors, or unresolved issues of the past, therapy can help.
![Photo of Marlene Juron - Solutions Psychotherapy](https://photos.psychologytoday.com/0cd559b4-551a-4d21-8376-e4dba7e410e5/2/320x400.jpeg)
Accepting new patients (ages 6 yrs-65 yrs) for Medication Management and limited therapy with online, virtual, or in person appointments available. So if you are a new patient or need a change from your current provider, we're here for you. Our staff will provide a safe space to explore your needs, questions and beliefs in a nonjudgmental environment, while working toward positive solutions for the future. As a small group of experienced mental health professionals, we offer a variety of research-based, therapeutic approaches and medication management, in a comfortable setting without the "big office" feel.
Accepting new patients (ages 6 yrs-65 yrs) for Medication Management and limited therapy with online, virtual, or in person appointments available. So if you are a new patient or need a change from your current provider, we're here for you. Our staff will provide a safe space to explore your needs, questions and beliefs in a nonjudgmental environment, while working toward positive solutions for the future. As a small group of experienced mental health professionals, we offer a variety of research-based, therapeutic approaches and medication management, in a comfortable setting without the "big office" feel.
More Therapists Nearby
![Photo of Christina Ford-Shannon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e3d538ae-0ac1-4211-b90c-5e370eaeb136/1/320x400.jpeg)
I am a Licensed Clinical Social Worker based in Virginia with 16 years of experience working with people navigating a variety of life circumstances. I enjoy 1:1 therapy using various therapeutic techniques such as cognitive-behavioral therapy, narrative therapy, and interpersonal therapy techniques to equip clients with better problem-solving, stress management, and coping skills. I have a passion for working with teenage clients experiencing depression, anxiety, and anger management issues.
I am a Licensed Clinical Social Worker based in Virginia with 16 years of experience working with people navigating a variety of life circumstances. I enjoy 1:1 therapy using various therapeutic techniques such as cognitive-behavioral therapy, narrative therapy, and interpersonal therapy techniques to equip clients with better problem-solving, stress management, and coping skills. I have a passion for working with teenage clients experiencing depression, anxiety, and anger management issues.
![Photo of Kenneth Kronheim, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/1e395c37-d0e0-44c9-b3e2-8deed649bcd4/1/320x400.png)
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
Ken Kronheim has been a licensed therapist since 2007. As a retired fire rescue chief, Ken possesses the experience and insight not only to ease physical suffering but help mental health as well. Ken's goal is to not only make you "feel" better but also help you "get" better. My focus Ken has a vast amount of experience with front-line/professional personnel such as first responders, medical field, military, law, educators and their families as well as college aged students. Ken utilizes an eclectic approach to therapy while primarily utilizing CBT, REBT, and solution-focused techniques.
Online Therapists
![Photo of Dr. Samantha Lindsey Zbur, PhD, Psychologist](https://photos.psychologytoday.com/9b1a02ef-9082-49f8-a8a6-18079b1fcaa9/2/320x400.jpeg)
Dr. Samantha Lindsey Zbur
Psychologist, PhD
Verified Verified
3 Endorsed
Virginia Beach, VA 23462 (Online Only)
I am a licensed clinical psychologist providing psychotherapy services to children, adolescents, and adults. Finding value in a variety of therapeutic approaches, I blend evidence-based treatments such as Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Interpersonal Therapy to address the treatment goals of clients. I also have experience in providing Motivational Interviewing, Behavior Modification, Trauma-Focused CBT, Eye Movement Desensitization and Reprocessing, Exposure Response Prevention for OCD, and psychological testing for ADHD and learning problems.
I am a licensed clinical psychologist providing psychotherapy services to children, adolescents, and adults. Finding value in a variety of therapeutic approaches, I blend evidence-based treatments such as Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Interpersonal Therapy to address the treatment goals of clients. I also have experience in providing Motivational Interviewing, Behavior Modification, Trauma-Focused CBT, Eye Movement Desensitization and Reprocessing, Exposure Response Prevention for OCD, and psychological testing for ADHD and learning problems.
![Photo of Philip Burke, LPC, CCTP, Licensed Professional Counselor](https://photos.psychologytoday.com/b1fc922b-359b-4fa5-ae70-7c1281021f63/2/320x400.png)
Do you find yourself in a rut, having difficulties adjusting to a new circumstance, or feel your situation is hopeless? Do you frequently worry about where your life is headed? Do you find yourself afraid to face situations that others do not? Are you afraid to discuss these things for fear of being judged or misunderstood? If so, consider speaking with me to discuss your concerns in a confidential, safe setting. We can work together to lessen or eliminate the impact of whatever problems, worries or concerns you may have.
Do you find yourself in a rut, having difficulties adjusting to a new circumstance, or feel your situation is hopeless? Do you frequently worry about where your life is headed? Do you find yourself afraid to face situations that others do not? Are you afraid to discuss these things for fear of being judged or misunderstood? If so, consider speaking with me to discuss your concerns in a confidential, safe setting. We can work together to lessen or eliminate the impact of whatever problems, worries or concerns you may have.
![Photo of Tess Delano, MS, LMHP-R, CSAC-S](https://photos.psychologytoday.com/cd9e2a3c-96c7-4aa8-a06a-1a193d8b1db9/2/320x400.jpeg)
I work with clients on broad-ranging topics including addiction, trauma, anxiety and mood disorders, family/relationship conflict, and sexuality. My goal is to help clients address the impact of their experiences and emotions on daily living within a safe, supportive, and individualized setting. I encourage clients to accept themselves at every point in their mental health journey, while developing coping skills and support networks that will enrich their lives. My clients range in age from pre-K through adulthood, and come from a variety of different backgrounds.
I work with clients on broad-ranging topics including addiction, trauma, anxiety and mood disorders, family/relationship conflict, and sexuality. My goal is to help clients address the impact of their experiences and emotions on daily living within a safe, supportive, and individualized setting. I encourage clients to accept themselves at every point in their mental health journey, while developing coping skills and support networks that will enrich their lives. My clients range in age from pre-K through adulthood, and come from a variety of different backgrounds.
![Photo of Hyisheem Calier, JD, MSW](https://photos.psychologytoday.com/71d9cddb-22d7-4798-8898-cb5e9fb39dd0/2/320x400.jpeg)
Hyisheem Calier
Supervisee in Clinical Social Work, JD, MSW
Verified Verified
North Chesterfield, VA 23235
As a seasoned social worker with 10+ years of experience, my ideal client is someone ready to embark on a journey of self-discovery and healing. They may grapple with issues such as anxiety, depression, trauma, or navigating life transitions. Their needs include a safe space to explore their emotions, build resilience, and cultivate coping skills. Our shared goal is to foster empowerment, promote personal growth, and unlock their inherent strength to thrive.
As a seasoned social worker with 10+ years of experience, my ideal client is someone ready to embark on a journey of self-discovery and healing. They may grapple with issues such as anxiety, depression, trauma, or navigating life transitions. Their needs include a safe space to explore their emotions, build resilience, and cultivate coping skills. Our shared goal is to foster empowerment, promote personal growth, and unlock their inherent strength to thrive.
![Photo of Adrien Steele, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/517ca089-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Adrien Steele
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225
Waitlist for new clients
I'm ready to work if you are! I am willing to commit to your therapeutic process and be a supportive sounding board. I believe in providing a safe and compassionate environment where you can be free to explore your thoughts, feelings, and behaviors to combat ongoing suffering. The goal is for you to become confident in yourself and your decision making skills, while developing balance and the ability to manage life stressors.
I'm ready to work if you are! I am willing to commit to your therapeutic process and be a supportive sounding board. I believe in providing a safe and compassionate environment where you can be free to explore your thoughts, feelings, and behaviors to combat ongoing suffering. The goal is for you to become confident in yourself and your decision making skills, while developing balance and the ability to manage life stressors.
![Photo of Joseph Pugach, Licensed Professional Counselor](https://photos.psychologytoday.com/4c996a82-fb0a-4571-a462-9293e3a778cf/1/320x400.png)
Joseph Pugach is a Licensed Professional Counselor with several years of inpatient and outpatient experience in the field of mental health, working with older adolescents, college-aged individuals, and adults with anxiety, depression, attention-deficit/hyperactivity disorder, and other stressors and areas of concern in individual and group therapy settings.
Joseph Pugach is a Licensed Professional Counselor with several years of inpatient and outpatient experience in the field of mental health, working with older adolescents, college-aged individuals, and adults with anxiety, depression, attention-deficit/hyperactivity disorder, and other stressors and areas of concern in individual and group therapy settings.
![Photo of Robert Phillips, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/cc73c4f6-0463-455d-a7f8-d43fa802abea/1/320x400.png)
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
![Photo of Ashanti Conner, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/4443afb0-1464-40f9-829f-1d8617d71748/3/320x400.jpeg)
I am passionate about equipping each client with the tools and strategies needed to thrive in life. I meet my clients on their worst day to remind them they have a reason to live every day. I believe the therapeutic process is a collaborative effort with the client and therapist. I have always had a heart for people, a helping spirit and being passionate about helping individuals find their purpose. I believe people have the ability to overcome every issue of life as long as they have an ounce of hope.
I am passionate about equipping each client with the tools and strategies needed to thrive in life. I meet my clients on their worst day to remind them they have a reason to live every day. I believe the therapeutic process is a collaborative effort with the client and therapist. I have always had a heart for people, a helping spirit and being passionate about helping individuals find their purpose. I believe people have the ability to overcome every issue of life as long as they have an ounce of hope.
![Photo of Karen Williams, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3345e1d5-b4a4-424b-b9cc-49334c8cf9c1/1/320x400.jpeg)
Karen Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Chesapeake, VA 23321 (Online Only)
Great Day to You, I'm Karen! I'm a veteran of the United States Navy & have over 10 years in the behavioral health field. I have a question for you, are memories of past & as well as current experiences causing you to become depressed or anxious? Do you want to learn how to deal with intrusive thoughts that can ruin your self esteem or & your outlook on life?
Great Day to You, I'm Karen! I'm a veteran of the United States Navy & have over 10 years in the behavioral health field. I have a question for you, are memories of past & as well as current experiences causing you to become depressed or anxious? Do you want to learn how to deal with intrusive thoughts that can ruin your self esteem or & your outlook on life?
See more therapy options for Cape Charles
Nearby Searches for Cape Charles
- Achilles
- Belle Haven
- Cobbs Creek
- Hampton
- Hayes
- Keller
- Locustville
- Mathews
- Onancock
- Poquoson
- Virginia Beach
- Yorktown
How does your Therapist compare?
Number of Therapists in Cape Charles, VA
< 10
Therapists in Cape Charles, VA who prioritize treating:
100% | Depression |
88% | Relationship Issues |
88% | Anxiety |
88% | Codependency |
88% | Stress |
75% | Coping Skills |
75% | Self Esteem |
Average years in practice
17 Years
Top 3 insurances accepted
100% | BlueCross and BlueShield |
86% | UnitedHealthcare UHC | UBH |
86% | Elevance |
How Therapists in Cape Charles, VA see their clients
50% | In Person and Online | |
50% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Cape Charles?
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
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.
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.
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.