Therapists in East Greenwich, RI

Photo of Justine Framularo, LPC, LMHC, Counselor
Justine Framularo
Counselor, LPC, LMHC
Verified Verified
East Greenwich, RI 02818
Justine Framularo is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2014. You are on a courageous journey of self-exploration, healing, and empowerment. Justine's commitment to you is to foster a space where you feel witnessed and heard. Your work together will be tailored to meet you where you are in your healing process and together you and Justine will formulate the best therapeutic approach to meet your needs. Justine specializes in working with clients that feel "lost" and "disconnected" to the world around them due to trauma.
Justine Framularo is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2014. You are on a courageous journey of self-exploration, healing, and empowerment. Justine's commitment to you is to foster a space where you feel witnessed and heard. Your work together will be tailored to meet you where you are in your healing process and together you and Justine will formulate the best therapeutic approach to meet your needs. Justine specializes in working with clients that feel "lost" and "disconnected" to the world around them due to trauma.
(401) 496-8684 View (401) 496-8684
Photo of Joshua Bell - Joshua Bell, LMHC, Anchor Counseling Center Inc., MA, CAGS, LMHC, Counselor
Joshua Bell, LMHC, Anchor Counseling Center Inc.
Counselor, MA, CAGS, LMHC
Verified Verified
East Greenwich, RI 02818
I am the Assistant Clinical Director for the Anchor Counseling Center Inc. office in East Greenwich, RI. I am currently seeing clients of all ages focusing on an array of different mental health issues including but not limited to: depression, anxiety, ADHD, behavioral issues and relationship problems. I am a licensed mental health counselor who received a Master's degree and a Certificate in advanced graduate studies in mental health counseling from Rhode Island College.
I am the Assistant Clinical Director for the Anchor Counseling Center Inc. office in East Greenwich, RI. I am currently seeing clients of all ages focusing on an array of different mental health issues including but not limited to: depression, anxiety, ADHD, behavioral issues and relationship problems. I am a licensed mental health counselor who received a Master's degree and a Certificate in advanced graduate studies in mental health counseling from Rhode Island College.
(401) 239-1426 View (401) 239-1426
Photo of Jessica Britto, LMFT, Marriage & Family Therapist Associate
Jessica Britto
Marriage & Family Therapist Associate, LMFT
Verified Verified
4 Endorsed
East Greenwich, RI 02818
My passion is in helping individual's reach their highest potential through living a healthy lifestyle. I believe that therapy is not only beneficial for self health but it also creates this foundation that brings healing to the mind, body and soul. My past experience as a behavioral specialist at an elementary school for several years prior to pursuing a degree as a marriage and family therapist all taught me how to utilize the best evidence based practices in real life settings. As a mom and wife I understand the challenges that families endure and I can help with couples counseling, families, individual and group sessions.
My passion is in helping individual's reach their highest potential through living a healthy lifestyle. I believe that therapy is not only beneficial for self health but it also creates this foundation that brings healing to the mind, body and soul. My past experience as a behavioral specialist at an elementary school for several years prior to pursuing a degree as a marriage and family therapist all taught me how to utilize the best evidence based practices in real life settings. As a mom and wife I understand the challenges that families endure and I can help with couples counseling, families, individual and group sessions.
(401) 812-3243 View (401) 812-3243
Photo of Peter Gray, LICSW, Clinical Social Work/Therapist
Peter Gray
Clinical Social Work/Therapist, LICSW
Verified Verified
East Greenwich, RI 02818  (Online Only)
Now accepting adult, young adult, and adolescent clients for online therapy, I provide compassionate and personalized guidance for those dealing with anxiety, depression, relationship and family challenges, and substance use. I believe in creating a collaborative and trusting partnership where you can openly explore your thoughts and feelings. Together, you’ll engage in honest, focused conversations that cut through the noise, helping you to understand what truly matters and develop practical strategies for moving forward. In evening sessions, I offers a supportive space where you can tackle difficult emotions head-on,
Now accepting adult, young adult, and adolescent clients for online therapy, I provide compassionate and personalized guidance for those dealing with anxiety, depression, relationship and family challenges, and substance use. I believe in creating a collaborative and trusting partnership where you can openly explore your thoughts and feelings. Together, you’ll engage in honest, focused conversations that cut through the noise, helping you to understand what truly matters and develop practical strategies for moving forward. In evening sessions, I offers a supportive space where you can tackle difficult emotions head-on,
(401) 307-5314 View (401) 307-5314
Photo of Grace Dulude, MA, LMHC, Counselor
Grace Dulude
Counselor, MA, LMHC
Verified Verified
East Greenwich, RI 02818
If you find yourself asking the questions, Why am I still doing this stuff when I know it doesn't work, When will I feel better and when will things be different, then I feel that I can help you on your journey to healing. I am a holistic therapist and yoga teacher incorporating a mind, body and spirit approach to therapy. I believe in providing a safe and supportive space to allow for my clients to access their inner wisdom and intuition to guide them in their process.
If you find yourself asking the questions, Why am I still doing this stuff when I know it doesn't work, When will I feel better and when will things be different, then I feel that I can help you on your journey to healing. I am a holistic therapist and yoga teacher incorporating a mind, body and spirit approach to therapy. I believe in providing a safe and supportive space to allow for my clients to access their inner wisdom and intuition to guide them in their process.
(401) 218-0958 View (401) 218-0958
Photo of Nathan Capalbo, PsyD, Pre-Licensed Professional
Nathan Capalbo
Pre-Licensed Professional, PsyD
Verified Verified
East Greenwich, RI 02818
Dr. Capalbo's first goal upon meeting new clients is to build a strong therapeutic relationship by creating a safe, non-judgmental environment. He has experience working with school-age children, young adults and adults. His area of specialty is focused around topics related to anxiety, depression, adjustment, identity development and a wide variety of challenges faced by college students. Additionally, he has experience working with children experiencing bullying, parental separation and abuse.
Dr. Capalbo's first goal upon meeting new clients is to build a strong therapeutic relationship by creating a safe, non-judgmental environment. He has experience working with school-age children, young adults and adults. His area of specialty is focused around topics related to anxiety, depression, adjustment, identity development and a wide variety of challenges faced by college students. Additionally, he has experience working with children experiencing bullying, parental separation and abuse.
(401) 373-3951 View (401) 373-3951
Photo of Gina Geremia, PhD, Psychologist
Gina Geremia
Psychologist, PhD
Verified Verified
East Greenwich, RI 02818
NOW OFFERING CONVENIENT “TELEHEALTH” INTERACTIVE VIDEO SESSIONS FROM THE SAFETY OF YOUR HOME OR OFFICE. Can you imagine what it would it feel like to be heard, valued, and understood? To feel a greater degree of peace and happiness? To know that you are reaching your goals? I can teach you skills that will significantly improve the way you think, feel, act, and re-act to the world around you.
NOW OFFERING CONVENIENT “TELEHEALTH” INTERACTIVE VIDEO SESSIONS FROM THE SAFETY OF YOUR HOME OR OFFICE. Can you imagine what it would it feel like to be heard, valued, and understood? To feel a greater degree of peace and happiness? To know that you are reaching your goals? I can teach you skills that will significantly improve the way you think, feel, act, and re-act to the world around you.
(401) 305-2702 View (401) 305-2702
Photo of Josh Czerepica, LMHC, Counselor
Josh Czerepica
Counselor, LMHC
Verified Verified
East Greenwich, RI 02818
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
(401) 535-6109 View (401) 535-6109
Photo of Diane S Hill, LICSW, LCSW-C, Clinical Social Work/Therapist
Diane S Hill
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
East Greenwich, RI 02818
With twenty-five plus years of experience, I strive to create a therapeutic environment in which my clients can understand the causes of the problems they are experiencing and explore options for dealing with them. I believe each person has the right to determine their own journey in life and that people can make the decisions that are best for them when they are conscious of all the dynamics involved. Together, we will work to understand and consider the influences of family, social, and cultural contexts.
With twenty-five plus years of experience, I strive to create a therapeutic environment in which my clients can understand the causes of the problems they are experiencing and explore options for dealing with them. I believe each person has the right to determine their own journey in life and that people can make the decisions that are best for them when they are conscious of all the dynamics involved. Together, we will work to understand and consider the influences of family, social, and cultural contexts.
(410) 690-8397 View (410) 690-8397
Photo of Samantha Barker, LMHC, Counselor
Samantha Barker
Counselor, LMHC
Verified Verified
East Greenwich, RI 02818
Are you struggling with saying no? Do you find it difficult to set and maintain boundaries with people in your life? You may be experiencing increased anxiety around these situations, you may feel like you can't assert yourself because you worry how others will react. Maybe you are having a tough time navigating life changes or are finding that you are struggling in your day to day life.
Are you struggling with saying no? Do you find it difficult to set and maintain boundaries with people in your life? You may be experiencing increased anxiety around these situations, you may feel like you can't assert yourself because you worry how others will react. Maybe you are having a tough time navigating life changes or are finding that you are struggling in your day to day life.
(401) 437-4069 View (401) 437-4069
Photo of Jessica Costigan, LMHC, Counselor
Jessica Costigan
Counselor, LMHC
Verified Verified
East Greenwich, RI 02818
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference! Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference! Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
(401) 496-9012 View (401) 496-9012
Photo of Paul M Hoffman, LICSW, Clinical Social Work/Therapist
Paul M Hoffman
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Greenwich, RI 02818
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
(401) 218-0998 View (401) 218-0998
Photo of Deborah Ashe, LMHC, CCTP-II, Licensed Professional Counselor
Deborah Ashe
Licensed Professional Counselor, LMHC, CCTP-II
Verified Verified
1 Endorsed
East Greenwich, RI 02818
l am a licensed mental health counselor and Certified Clinical Trauma Professional specializing in the treatment of trauma and related disorders such as anxiety and depression. I believe that trauma in its many forms--sexual abuse and assault, emotional neglect, bullying, infidelity, divorce, or loss of a loved one--can have a profound effect on how we move through the world, relate to others, and think about ourselves. I use evidence-based modalities such as CBT, DBT, ACT, and mindfulness to help clients address the needs of their body, mind and spirit.
l am a licensed mental health counselor and Certified Clinical Trauma Professional specializing in the treatment of trauma and related disorders such as anxiety and depression. I believe that trauma in its many forms--sexual abuse and assault, emotional neglect, bullying, infidelity, divorce, or loss of a loved one--can have a profound effect on how we move through the world, relate to others, and think about ourselves. I use evidence-based modalities such as CBT, DBT, ACT, and mindfulness to help clients address the needs of their body, mind and spirit.
(401) 234-0351 View (401) 234-0351
Photo of Chelsea Dufault, MS, LMHCA
Chelsea Dufault
MS, LMHCA
Verified Verified
East Greenwich, RI 02818
I have been passionate about being a mental health counselor for as long as I can remember and bring that passion into each session. I strongly believe that we each have the tools inside of us to move towards goals and overcome hardships - Through empathy, understanding, and full commitment to the positive change of each client, I will work alongside you to find those tools. Each client comes to therapy with a unique set of needs and expectations, and I place a lot of importance on making the counseling experience fit the comfort of each individual.
I have been passionate about being a mental health counselor for as long as I can remember and bring that passion into each session. I strongly believe that we each have the tools inside of us to move towards goals and overcome hardships - Through empathy, understanding, and full commitment to the positive change of each client, I will work alongside you to find those tools. Each client comes to therapy with a unique set of needs and expectations, and I place a lot of importance on making the counseling experience fit the comfort of each individual.
(401) 793-6118 View (401) 793-6118
Photo of Katherine J Kinsella, LMFT, LMHC, LPC, ACS, PMH-C, Marriage & Family Therapist
Katherine J Kinsella
Marriage & Family Therapist, LMFT, LMHC, LPC, ACS, PMH-C
Verified Verified
7 Endorsed
East Greenwich, RI 02818
Helping others realize their dreams, heal their lives, and create change are just some of the places where I find beauty in the counseling process. I have extensive experience working with individuals, couples, and families in the midst of their journeys towards marriage, family growth and dealing with issues including general life changes, premarital counseling, marriage concerns, relationship issues, infertility, postpartum depression, depression, anxiety and panic attacks, OCD, adjustment, trauma, child birth trauma, and parenting. My goals in practice are to be present, witness, facilitate, and provide guidance through these changes in an effort to create the relationships you desire.
Helping others realize their dreams, heal their lives, and create change are just some of the places where I find beauty in the counseling process. I have extensive experience working with individuals, couples, and families in the midst of their journeys towards marriage, family growth and dealing with issues including general life changes, premarital counseling, marriage concerns, relationship issues, infertility, postpartum depression, depression, anxiety and panic attacks, OCD, adjustment, trauma, child birth trauma, and parenting. My goals in practice are to be present, witness, facilitate, and provide guidance through these changes in an effort to create the relationships you desire.
(401) 406-2046 View (401) 406-2046
Photo of Dr. Prachi Kene, PhD, ABPP, Psychologist
Dr. Prachi Kene
Psychologist, PhD, ABPP
Verified Verified
East Greenwich, RI 02818  (Online Only)
I am a licensed clinical psychologist. I am deeply committed to helping you to navigate various challenges such as anxiety, worry, depression, stress, relationship issues, loss, grief, trauma, or life transitions. Therapy is most effective when it is collaborative, so I will work closely with you to set goals that are meaningful to you. With over 13 years of experience in the field, my approach is rooted in empathy, state of the art practices, a strong therapeutic alliance, and compassion. Clients say that my engagement, knowledge, authenticity, commitment, and openness to feedback help them feel comfortable.
I am a licensed clinical psychologist. I am deeply committed to helping you to navigate various challenges such as anxiety, worry, depression, stress, relationship issues, loss, grief, trauma, or life transitions. Therapy is most effective when it is collaborative, so I will work closely with you to set goals that are meaningful to you. With over 13 years of experience in the field, my approach is rooted in empathy, state of the art practices, a strong therapeutic alliance, and compassion. Clients say that my engagement, knowledge, authenticity, commitment, and openness to feedback help them feel comfortable.
(401) 388-6099 View (401) 388-6099
Photo of Tara Monteiro, LCSW, Clinical Social Work/Therapist
Tara Monteiro
Clinical Social Work/Therapist, LCSW
Verified Verified
East Greenwich, RI 02818
Tara Monteiro Is A Licensed Clinical Social Worker In Rhode Island Who Has Been Practicing Since 2023. Tara Offers Collaborative, Client-Centered, Empathetic, And Trauma-Recovery Focused Therapy With An Emphasis On Human Empowerment And Quality Of Life. She Aims To Help Clients Heal Inner Wounds And Uncover Their Purpose While Leading With Compassion And Genuine Positive Regard. The Hope Is For Clients To Unlock Self-Love And Feel Limitless In The Preferred Futures That They Can Create For Themselves. Outside Of Work, Tara Enjoys Martial Arts, Scuba Diving And Reading.
Tara Monteiro Is A Licensed Clinical Social Worker In Rhode Island Who Has Been Practicing Since 2023. Tara Offers Collaborative, Client-Centered, Empathetic, And Trauma-Recovery Focused Therapy With An Emphasis On Human Empowerment And Quality Of Life. She Aims To Help Clients Heal Inner Wounds And Uncover Their Purpose While Leading With Compassion And Genuine Positive Regard. The Hope Is For Clients To Unlock Self-Love And Feel Limitless In The Preferred Futures That They Can Create For Themselves. Outside Of Work, Tara Enjoys Martial Arts, Scuba Diving And Reading.
(401) 389-3951 View (401) 389-3951
Photo of Mary Onungwe, LMHC, Clinical Social Work/Therapist
Mary Onungwe
Clinical Social Work/Therapist, LMHC
Verified Verified
East Greenwich, RI 02818
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
(401) 812-2549 View (401) 812-2549
Photo of Joyce M Calderon, LCSW, Clinical Social Work/Therapist
Joyce M Calderon
Clinical Social Work/Therapist, LCSW
Verified Verified
East Greenwich, RI 02818
Hello! I am so glad you are here! I am a bilingual therapist fluent in both English and Spanish. If you are struggling with substance use, life changes, depression, unresolved trauma, or feeling stuck, I am here to help. I am a compassionate, understanding therapist who offers a safe, nurturing environment to discuss your experiences and feelings. I would love to assist you with your goals, whether they are looking for connection, peace, empowerment, increasing self-esteem, setting healthy boundaries, or navigating your Latinx cultural challenges.
Hello! I am so glad you are here! I am a bilingual therapist fluent in both English and Spanish. If you are struggling with substance use, life changes, depression, unresolved trauma, or feeling stuck, I am here to help. I am a compassionate, understanding therapist who offers a safe, nurturing environment to discuss your experiences and feelings. I would love to assist you with your goals, whether they are looking for connection, peace, empowerment, increasing self-esteem, setting healthy boundaries, or navigating your Latinx cultural challenges.
(401) 496-7749 View (401) 496-7749
Photo of Charlotte A Ringwood - heART & Soul Healing Art Studio LLC, LMHC, ATR, Counselor
heART & Soul Healing Art Studio LLC
Counselor, LMHC, ATR
Verified Verified
East Greenwich, RI 02818
At heART & Soul Healing Art Studio, we believe in helping individuals work toward their goals to increase happiness and feelings of wholeness and decrease undesirable feelings, thoughts and behaviors. We understand how difficult this journey may be. We take a holistic approach to assist people in their journey toward healing. In our Art Therapy based studio, individuals of all ability levels will engage in Art Therapy with their clinician to work toward optimal health and healing and growth.
At heART & Soul Healing Art Studio, we believe in helping individuals work toward their goals to increase happiness and feelings of wholeness and decrease undesirable feelings, thoughts and behaviors. We understand how difficult this journey may be. We take a holistic approach to assist people in their journey toward healing. In our Art Therapy based studio, individuals of all ability levels will engage in Art Therapy with their clinician to work toward optimal health and healing and growth.
(401) 320-4215 View (401) 320-4215

See more therapy options for East Greenwich

How does your Therapist compare?

Number of Therapists in East Greenwich, RI

100+

Average cost per session

$150

Therapists in East Greenwich, RI who prioritize treating:

97% Anxiety
90% Depression
80% Relationship Issues
77% Self Esteem
74% Coping Skills
65% Life Transitions
64% Grief

Average years in practice

12 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
79% UnitedHealthcare UHC | UBH
55% Optum

How Therapists in East Greenwich, RI see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in East Greenwich?

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.