Therapists in Java, VA

Photo of Shannon Fowler, LCP, Psychologist
Shannon Fowler
Psychologist, LCP
Verified Verified
Java, VA 24565
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
(804) 676-6480 View (804) 676-6480
Photo of Carol Leiva, LPC, Licensed Professional Counselor
Carol Leiva
Licensed Professional Counselor, LPC
Verified Verified
Java, VA 24565
I am a Licensed Professional Counselor in Maryland, DC and Virginia with over 10 years of experience working in community mental health. I have a lifelong commitment to learning and have pursued further specialized training in trauma therapy, health coaching, as well as mind-body applications in counseling. I have worked with adult individuals in community mental health to help them overcome depression, anxiety, and trauma. I am passionate about helping others reach their potential and live their best life. I believe true healing is based on a whole-person approach and will work to empower and meet my clients where they are.
I am a Licensed Professional Counselor in Maryland, DC and Virginia with over 10 years of experience working in community mental health. I have a lifelong commitment to learning and have pursued further specialized training in trauma therapy, health coaching, as well as mind-body applications in counseling. I have worked with adult individuals in community mental health to help them overcome depression, anxiety, and trauma. I am passionate about helping others reach their potential and live their best life. I believe true healing is based on a whole-person approach and will work to empower and meet my clients where they are.
(757) 792-5764 View (757) 792-5764

More Therapists Nearby

Photo of Marie R Paddock, LPC, NCC, EMDR, BC-TMH, Licensed Professional Counselor
Marie R Paddock
Licensed Professional Counselor, LPC, NCC, EMDR, BC-TMH
Verified Verified
Chatham, VA 24531
The counseling process is an opportunity for people to explore who they are, where they have been, where they want to go, and who they want to become. We often start a counseling journey because we are experiencing emotional pain. My hope is that I can join with you on your healing journey, and that you come to see the journey as a gift. A gift of becoming authentically and transparently you. A gift of healthier, stronger relationships. A gift for living your best life.
The counseling process is an opportunity for people to explore who they are, where they have been, where they want to go, and who they want to become. We often start a counseling journey because we are experiencing emotional pain. My hope is that I can join with you on your healing journey, and that you come to see the journey as a gift. A gift of becoming authentically and transparently you. A gift of healthier, stronger relationships. A gift for living your best life.
(434) 201-8839 View (434) 201-8839
Photo of Mayah Taylor, LPC, Licensed Professional Counselor
Mayah Taylor
Licensed Professional Counselor, LPC
Verified Verified
Gretna, VA 24557
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
I believe that anyone seeking help can find peace, wellness, and strength in a warm, supportive therapeutic environment. I have worked in mental health since 2017. My professional experience includes providing individual and group therapy in a private practice setting and working in the hospital setting to provide crisis intervention, discharge planning, and conducting behavioral health assessments as part of treatment planning. I serve clients experiencing various mental health issues and problems surrounding anger management, anxiety, coping skills, depression, grief/loss, stress, and self-esteem.
(540) 930-4365 View (540) 930-4365
Photo of Kenneth Kronheim, LPC, Licensed Professional Counselor
Kenneth Kronheim
Licensed Professional Counselor, LPC
Verified Verified
Gretna, VA 24557
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.
(571) 520-4178 View (571) 520-4178
Photo of James 'scott' Law, LCSW, Clinical Social Work/Therapist
James 'scott' Law
Clinical Social Work/Therapist, LCSW
Verified Verified
Chatham, VA 24531  (Online Only)
I am a LCSW in Virginia. I enjoy helping others find balance through therapy. The therapy I provide is individualized to meet your needs. I am a veteran, father and husband with many life experiences that have helped develop my therapeutic approach. I have experience navigating and treating mental health concerns across the emotional, cognitive and behavioral health spectrum. I believe in meeting everyone where they are and developing a plan to get where they want to be while meeting their unique needs.
I am a LCSW in Virginia. I enjoy helping others find balance through therapy. The therapy I provide is individualized to meet your needs. I am a veteran, father and husband with many life experiences that have helped develop my therapeutic approach. I have experience navigating and treating mental health concerns across the emotional, cognitive and behavioral health spectrum. I believe in meeting everyone where they are and developing a plan to get where they want to be while meeting their unique needs.
(540) 405-8846 View (540) 405-8846
Photo of Ian Rivera, LCSW, Clinical Social Work/Therapist
Ian Rivera
Clinical Social Work/Therapist, LCSW
Verified Verified
Ingram, VA 24597
Welcome, my name is Ian Rivera and I am a Licensed Clinical Social Worker with over 5 years of experience in the field. I work with individuals with all types of issues including depression, anxiety, addiction, men's issues, and mood disorders. My approach combines cognitive-behavioral, solution-focused brief, and motivational interviewing to help elicit change from within to become the best you. I have a warm and interactive counseling style and believe in treating everyone with respect, sensitivity, and compassion.
Welcome, my name is Ian Rivera and I am a Licensed Clinical Social Worker with over 5 years of experience in the field. I work with individuals with all types of issues including depression, anxiety, addiction, men's issues, and mood disorders. My approach combines cognitive-behavioral, solution-focused brief, and motivational interviewing to help elicit change from within to become the best you. I have a warm and interactive counseling style and believe in treating everyone with respect, sensitivity, and compassion.
(703) 810-7912 View (703) 810-7912
Photo of Cameron Dupree, LCSW, Clinical Social Work/Therapist
Cameron Dupree
Clinical Social Work/Therapist, LCSW
Verified Verified
Ingram, VA 24597
I am a Licensed Clinical Social Worker, working with clients within the states of Virginia and Texas, and I would love to connect with you! With over 10 years of experience in serving adult individuals dealing with anxiety, depression, life transitions, and more, one of my beliefs is the importance of maintaining an authentic environment. With the use of various tools and therapeutic approaches, I seek to help each client understand their abilities and create a path toward confronting challenges.
I am a Licensed Clinical Social Worker, working with clients within the states of Virginia and Texas, and I would love to connect with you! With over 10 years of experience in serving adult individuals dealing with anxiety, depression, life transitions, and more, one of my beliefs is the importance of maintaining an authentic environment. With the use of various tools and therapeutic approaches, I seek to help each client understand their abilities and create a path toward confronting challenges.
(540) 616-2724 View (540) 616-2724

Online Therapists

Photo of Stephanie D Hewitt - Clarity Counseling and Assessment, LCSW, CSOTP, Clinical Social Work/Therapist
Clarity Counseling and Assessment
Clinical Social Work/Therapist, LCSW, CSOTP
Verified Verified
Roanoke, VA 24016
Whether you are a college student forging your own path while evaluating your childhood, a young adult striving to create meaningful relationships, a spouse with marital conflict, a parent trying to break intergenerational cycles, someone struggling with panic, anxiety, depression, or are looking to overcome a specific trauma, you don't have to do it alone. When therapy is honored as a collaborative relationship and is guided by effective practice, it has the power to change individual experiences and relationships.
Whether you are a college student forging your own path while evaluating your childhood, a young adult striving to create meaningful relationships, a spouse with marital conflict, a parent trying to break intergenerational cycles, someone struggling with panic, anxiety, depression, or are looking to overcome a specific trauma, you don't have to do it alone. When therapy is honored as a collaborative relationship and is guided by effective practice, it has the power to change individual experiences and relationships.
(540) 401-8863 View (540) 401-8863
Photo of Cinnamon Langley, LCSW, Clinical Social Work/Therapist
Cinnamon Langley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bon Air, VA 23235
Are you struggling with feeling overwhelmed at work, in your relationship, or with life in general? Are you searching to understand why you just don't feel like yourself recently? I specialize in working with individuals that have experienced traumatic events throughout their lives and works from an understanding that everyone is an expert of their own experiences. I will work in collaboration with you to take the next steps toward healing.
Are you struggling with feeling overwhelmed at work, in your relationship, or with life in general? Are you searching to understand why you just don't feel like yourself recently? I specialize in working with individuals that have experienced traumatic events throughout their lives and works from an understanding that everyone is an expert of their own experiences. I will work in collaboration with you to take the next steps toward healing.
(804) 252-4525 View (804) 252-4525
Photo of Emma Blevins, Pre-Licensed Professional
Emma Blevins
Pre-Licensed Professional
Verified Verified
Midlothian, VA 23114
Emma Blevins is a Resident in Counseling and Registered Art Therapist (Provisional) with 2 years of experience providing art therapy and counseling services to children, adolescents, adults, and families. Emma is now also offering services to couples for relationship counseling. Emma completed her Bachelor of Science (BS) in Psychology at Old Dominion University and her Master of Science (MS) in Art Therapy and Counseling at Eastern Virginia Medical School.
Emma Blevins is a Resident in Counseling and Registered Art Therapist (Provisional) with 2 years of experience providing art therapy and counseling services to children, adolescents, adults, and families. Emma is now also offering services to couples for relationship counseling. Emma completed her Bachelor of Science (BS) in Psychology at Old Dominion University and her Master of Science (MS) in Art Therapy and Counseling at Eastern Virginia Medical School.
(804) 465-9773 View (804) 465-9773
Photo of Angel W. Whitehead - The Therapy Hub, LPC, Licensed Professional Counselor
The Therapy Hub
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
August 2024: Accepting new clients. Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. The Therapy Hub specializes in providing compassionate support for millennials struggling with body image concerns and relationship worries! (Gen X and Gen Z folks are also welcome). Together we will help you crush body image hang-ups, call a truce with food, deepen connections with your loved ones, learn to set bigger boundaries, and feel empowered to take up space! My hope is that through our work together, you can begin to feel more at home within yourself and within your relationships.
August 2024: Accepting new clients. Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. The Therapy Hub specializes in providing compassionate support for millennials struggling with body image concerns and relationship worries! (Gen X and Gen Z folks are also welcome). Together we will help you crush body image hang-ups, call a truce with food, deepen connections with your loved ones, learn to set bigger boundaries, and feel empowered to take up space! My hope is that through our work together, you can begin to feel more at home within yourself and within your relationships.
(540) 750-5593 View (540) 750-5593
Photo of Sara Marley, LCSW, Clinical Social Work/Therapist
Sara Marley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Blacksburg, VA 24060  (Online Only)
I believe that life is a process of becoming. With the passing of time, we all change and so our needs and wants within ourselves and within our relationships also change. Are you eager for positive change that improves your relationships with others and allows for new understanding and compassion for yourself? Increased awareness and clarity of unconscious patterns can provide opportunities to heal old wounds and create new paths and shifts towards fulfillment. I encourage prospective clients to give me a call or email to ask questions that might help you determine if my approach is a good fit for your current needs.
I believe that life is a process of becoming. With the passing of time, we all change and so our needs and wants within ourselves and within our relationships also change. Are you eager for positive change that improves your relationships with others and allows for new understanding and compassion for yourself? Increased awareness and clarity of unconscious patterns can provide opportunities to heal old wounds and create new paths and shifts towards fulfillment. I encourage prospective clients to give me a call or email to ask questions that might help you determine if my approach is a good fit for your current needs.
(540) 329-2202 View (540) 329-2202
Photo of Trish Haak - Trish Haak, LCSW, VSW, LLC, MSW, LCSW, VSW-CP, RYT-200, Clinical Social Work/Therapist
Trish Haak, LCSW, VSW, LLC
Clinical Social Work/Therapist, MSW, LCSW, VSW-CP, RYT-200
Verified Verified
1 Endorsed
Blacksburg, VA 24060  (Online Only)
At times we find ourselves overwhelmed, searching for answers, distraught, stuck, or even struggling. Wherever you are, I'm here to meet you with authenticity and without judgment. My recent focus includes college faculty and students, veterinary/medical students/professionals, and those experiencing grief and loss, including companion animal; although, I've served preschool through elderly across many settings. As a yoga teacher, I embrace the mind-body connection for healing and growth from cumulative stress and trauma. My style is collaborative and strengths-based to assist you in honoring your true north.
At times we find ourselves overwhelmed, searching for answers, distraught, stuck, or even struggling. Wherever you are, I'm here to meet you with authenticity and without judgment. My recent focus includes college faculty and students, veterinary/medical students/professionals, and those experiencing grief and loss, including companion animal; although, I've served preschool through elderly across many settings. As a yoga teacher, I embrace the mind-body connection for healing and growth from cumulative stress and trauma. My style is collaborative and strengths-based to assist you in honoring your true north.
(540) 210-0895 View (540) 210-0895
Photo of Teri Bistarkey, LCSW, Clinical Social Work/Therapist
Teri Bistarkey
Clinical Social Work/Therapist, LCSW
Verified Verified
South Hill, VA 23970
Feeling like you can't quite keep it together? Sometimes we get overwhelmed with the stresses in life and need help sorting them out. Maybe you've just hit a low point or feeling overly worried and anxious. Talking to a therapist has helped many people who are feeling the same way. The last two years have been more than difficult, and people are struggling. I help people figure out what's working well for them and what's not. Then we explore together the many strengths and skills you already have and can use to overcome the problems life throws at us.
Feeling like you can't quite keep it together? Sometimes we get overwhelmed with the stresses in life and need help sorting them out. Maybe you've just hit a low point or feeling overly worried and anxious. Talking to a therapist has helped many people who are feeling the same way. The last two years have been more than difficult, and people are struggling. I help people figure out what's working well for them and what's not. Then we explore together the many strengths and skills you already have and can use to overcome the problems life throws at us.
(434) 813-6641 View (434) 813-6641
Photo of Sarah Gunther, LCP, LAC, LCMHC, CPCC, Licensed Professional Counselor
Sarah Gunther
Licensed Professional Counselor, LCP, LAC, LCMHC, CPCC
Verified Verified
3 Endorsed
North Chesterfield, VA 23236  (Online Only)
I support people through a variety of life’s challenges as they learn, heal, grow, and level up! Through our work together, my clients experience more clarity, more connection, more acceptance, and more peace. I am passionate about deconstructing the impact of our experiences, culture, and upbringing, and then moving forward in life with conscious choice. If you want to create a fulfilling life aligned with the most authentic you, then you’re in the right place.
I support people through a variety of life’s challenges as they learn, heal, grow, and level up! Through our work together, my clients experience more clarity, more connection, more acceptance, and more peace. I am passionate about deconstructing the impact of our experiences, culture, and upbringing, and then moving forward in life with conscious choice. If you want to create a fulfilling life aligned with the most authentic you, then you’re in the right place.
(804) 207-7487 View (804) 207-7487
Photo of Kathy Bryant, MS, CPNP-PC, FNP-BC
Kathy Bryant
MS, CPNP-PC, FNP-BC
Verified Verified
Midlothian, VA 23112
Kathy is a dual board-certified Nurse Practitioner, who is qualified to practice in pediatric and family healthcare. She received her Bachelors, Master’s and Post Master’s degrees from Virginia Commonwealth University. Her work experience includes: inpatient mental health, mother infant unit, pediatric primary care, nursing instructor, preceptor for nurse practitioner students and working in outpatient psychiatry treating adolescents and adults.
Kathy is a dual board-certified Nurse Practitioner, who is qualified to practice in pediatric and family healthcare. She received her Bachelors, Master’s and Post Master’s degrees from Virginia Commonwealth University. Her work experience includes: inpatient mental health, mother infant unit, pediatric primary care, nursing instructor, preceptor for nurse practitioner students and working in outpatient psychiatry treating adolescents and adults.
(804) 203-0543 View (804) 203-0543
Photo of Jennifer Schalow, Licensed Professional Counselor
Jennifer Schalow
Licensed Professional Counselor
Verified Verified
Petersburg, VA 23803  (Online Only)
Jennifer brings diverse personal experiences and cultural backgrounds into her role as a holistic clinician. With roots in Sioux Native American heritage and a family that spans from Hispanic to Black American culture with spiritual and cultural traditions, she understands the profound importance of connection through emotions in the human experience. Jennifer doesn't view her clients as mere cases to diagnose but as individuals, each carrying their unique stories and wounds in need of genuine human healing. Be assured of being heard and affirmed in what you feel, knowing that beneath the surface of our diverse identities
Jennifer brings diverse personal experiences and cultural backgrounds into her role as a holistic clinician. With roots in Sioux Native American heritage and a family that spans from Hispanic to Black American culture with spiritual and cultural traditions, she understands the profound importance of connection through emotions in the human experience. Jennifer doesn't view her clients as mere cases to diagnose but as individuals, each carrying their unique stories and wounds in need of genuine human healing. Be assured of being heard and affirmed in what you feel, knowing that beneath the surface of our diverse identities
(757) 384-1092 View (757) 384-1092
Photo of Jillian Pelzer, LPC, Licensed Professional Counselor
Jillian Pelzer
Licensed Professional Counselor, LPC
Verified Verified
Earlysville, VA 22936
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
Hi! My name is Jillian Pelzer. I am a Licensed Professional Counselor for the state of VA. I take a person-centered approach to therapy, meaning you are the expert of your own life. I am simply here to help you organize your thoughts and judgment so that you can make positive decisions for your life. I have expertise in counseling clients with depression, parenting problems, suicidal ideation, adjustment disorders, substance use problems, and more. I am super laid back! This will be a no-stress, no-pressure situation. The time is yours to use how you'd like. I am always flexible with my clients.
(757) 378-0997 View (757) 378-0997
Photo of Denise Hall, LCSW, Clinical Social Work/Therapist
Denise Hall
Clinical Social Work/Therapist, LCSW
Verified Verified
Ridgeway, VA 24148
Hello, my name is Denise and I am a Licensed Clinical Social Worker in the state of Virginia. I have been in the behavioral health field for over 28 years working with individuals and families. I have experience in many aspects of therapeutic interventions and work in a person-focused and centered approach. I utilize a relaxed, interactive communication style. My work experience spans in several areas including anxiety, depression, grief, relationship issues, and life transitions, and also have a subspecialty in working with individuals and their family members with Autism.
Hello, my name is Denise and I am a Licensed Clinical Social Worker in the state of Virginia. I have been in the behavioral health field for over 28 years working with individuals and families. I have experience in many aspects of therapeutic interventions and work in a person-focused and centered approach. I utilize a relaxed, interactive communication style. My work experience spans in several areas including anxiety, depression, grief, relationship issues, and life transitions, and also have a subspecialty in working with individuals and their family members with Autism.
(703) 890-5073 View (703) 890-5073

See more therapy options for Java

How does your Therapist compare?

Number of Therapists in Java, VA

< 10

Therapists in Java, VA who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Obsessive-Compulsive (OCD)
100% Trauma and PTSD
100% Coping Skills
100% Women's Issues

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Java, VA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Java?

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.