Therapists in North Richland Hills, TX

Photo of Lea Purczinsky, LPC Intern in North Richland Hills, TX
Lea Purczinsky
LPC Intern, MA, LPC-A
Verified Verified
3 Endorsed
North Richland Hills, TX 76180
Lea is a Licensed Professional Counselor- Associate in the DFW area. She has her undergraduate degree from Texas Christian University and her Masters in Counseling from Dallas Theological Seminary. She is trained in EMDR and is a certified PrepareEnrich and RelateStrong premarital and marriage enrichment facilitator, and has training in postpartum mental health. If you find that you have past expereinces that you want to move past but feel stuck in, Lea would love to help you move forward and find freedom and relief from them, and to even experience the growth that's possible on the other side of traumatic expereinces.
Lea is a Licensed Professional Counselor- Associate in the DFW area. She has her undergraduate degree from Texas Christian University and her Masters in Counseling from Dallas Theological Seminary. She is trained in EMDR and is a certified PrepareEnrich and RelateStrong premarital and marriage enrichment facilitator, and has training in postpartum mental health. If you find that you have past expereinces that you want to move past but feel stuck in, Lea would love to help you move forward and find freedom and relief from them, and to even experience the growth that's possible on the other side of traumatic expereinces.
(817) 904-4670 View (817) 904-4670
Photo of Cristina Campbell, Licensed Professional Counselor in North Richland Hills, TX
Cristina Campbell
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
My experience as a wife, bonus mom to two young children, my own journey of faith, and time spent with the animals I adore, affords me the ability to utilize these relationships to help communicate the many ways in which clients interact with the world around them can be beneficial and become a catalyst for growth and healing. My approach to therapy utilizes a foundation that life experiences, even as early as childhood, shape our view of the world around us, how we relate to others, and how we view ourselves. These experiences, in turn, shape our beliefs, thoughts, perceptions and interactions throughout every aspect of our lives.
My experience as a wife, bonus mom to two young children, my own journey of faith, and time spent with the animals I adore, affords me the ability to utilize these relationships to help communicate the many ways in which clients interact with the world around them can be beneficial and become a catalyst for growth and healing. My approach to therapy utilizes a foundation that life experiences, even as early as childhood, shape our view of the world around us, how we relate to others, and how we view ourselves. These experiences, in turn, shape our beliefs, thoughts, perceptions and interactions throughout every aspect of our lives.
(817) 663-2138 View (817) 663-2138
Photo of Mindy Mauldin, Licensed Professional Counselor in North Richland Hills, TX
Mindy Mauldin
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
I have experience working with a wide array of clients. I commonly treat clients with depression, anxiety, and ADHD. I also have quite a bit of experience with clients who have lost someone dear to them, and are trying to find a way though that grief. In addition to those areas, I also treat a number of other issues not yet mentioned, such as bipolar disorder, OCD, problems in interpersonal relationships, stress management, career-related concerns, trauma, and more.
I have experience working with a wide array of clients. I commonly treat clients with depression, anxiety, and ADHD. I also have quite a bit of experience with clients who have lost someone dear to them, and are trying to find a way though that grief. In addition to those areas, I also treat a number of other issues not yet mentioned, such as bipolar disorder, OCD, problems in interpersonal relationships, stress management, career-related concerns, trauma, and more.
(817) 383-8726 View (817) 383-8726
Photo of Maudlyn Howell-Nwaogwugwu, Licensed Professional Counselor in North Richland Hills, TX
Maudlyn Howell-Nwaogwugwu
Licensed Professional Counselor, LPC-S, NCC, EMDR, Trained
Verified Verified
North Richland Hills, TX 76180
A portion of Jeremiah 8:22 says, "Is there no balm in Gilead? Is there no physician there? Why then is there no healing for the wound of my people...". I am not a physician but I considers myself a scientist of the soul. Most often on our journey home, we have experience moral, soul, financial, spiritual, physical, biological, psychological, emotional and mental injuries to name a few. But, how do we navigate to find Shalom, aka "peace" to live the life we were created for? We often feels trap in life's puzzle. Take a moment and let's talk!
A portion of Jeremiah 8:22 says, "Is there no balm in Gilead? Is there no physician there? Why then is there no healing for the wound of my people...". I am not a physician but I considers myself a scientist of the soul. Most often on our journey home, we have experience moral, soul, financial, spiritual, physical, biological, psychological, emotional and mental injuries to name a few. But, how do we navigate to find Shalom, aka "peace" to live the life we were created for? We often feels trap in life's puzzle. Take a moment and let's talk!
(817) 904-4647 View (817) 904-4647
Photo of Valerie Colorado, Licensed Professional Counselor in North Richland Hills, TX
Valerie Colorado
Licensed Professional Counselor, MA, LPC
Verified Verified
North Richland Hills, TX 76182  (Online Only)
Have you noticed that your way of thinking, feeling, or doing things isn't quite the same as others in your life? Perhaps your body language, social skills, interests, behaviors, or general preferences don't seem to match those around you? Or maybe you have a child who was recently diagnosed with autism, and you recognize some of the same characteristics in yourself? You might even suspect that you have autism spectrum disorder (ASD), even though you never received a diagnosis as a child.
Have you noticed that your way of thinking, feeling, or doing things isn't quite the same as others in your life? Perhaps your body language, social skills, interests, behaviors, or general preferences don't seem to match those around you? Or maybe you have a child who was recently diagnosed with autism, and you recognize some of the same characteristics in yourself? You might even suspect that you have autism spectrum disorder (ASD), even though you never received a diagnosis as a child.
(817) 241-5924 View (817) 241-5924
Photo of Angela Marie Moon, Licensed Professional Counselor Associate in North Richland Hills, TX
Angela Marie Moon
Licensed Professional Counselor Associate, LPC-A
Verified Verified
North Richland Hills, TX 76182
My ideal client, is a person whom is needing a place to feel heard, find their worth, and make goals that help them achieve things that help them find their meaning and purpose. Someone whom is willing to not only be transparent and trusting to me with who they are, but willing to put their own work to achieve their full potential.
My ideal client, is a person whom is needing a place to feel heard, find their worth, and make goals that help them achieve things that help them find their meaning and purpose. Someone whom is willing to not only be transparent and trusting to me with who they are, but willing to put their own work to achieve their full potential.
(817) 904-2277 View (817) 904-2277
Photo of Marianne DuMond, Counselor in North Richland Hills, TX
Marianne DuMond
Counselor, EdD, LPC-S, EMDR, CFRC, CCTP
Verified Verified
3 Endorsed
North Richland Hills, TX 76182
I work with EMDR, SFBT, Mindfulness Meditation, and Existential Therapy to address the needs of the people I work with. PTS is naturally occurring whether from childhood experiences or as an adult. It has been my privilege and honor to work with Veterans, First Responders and their family members through difficulties related to anxiety, depression, anger management, communication problems, self-medication, agoraphobia, social anxiety, and more. My job is to be fully present acting as a container for the release of issues as we uncover strengths and assets that are overlooked, forgotten or undiscovered.
I work with EMDR, SFBT, Mindfulness Meditation, and Existential Therapy to address the needs of the people I work with. PTS is naturally occurring whether from childhood experiences or as an adult. It has been my privilege and honor to work with Veterans, First Responders and their family members through difficulties related to anxiety, depression, anger management, communication problems, self-medication, agoraphobia, social anxiety, and more. My job is to be fully present acting as a container for the release of issues as we uncover strengths and assets that are overlooked, forgotten or undiscovered.
(817) 969-3085 View (817) 969-3085
Photo of Kimberly Frye, Licensed Professional Counselor Associate in North Richland Hills, TX
Kimberly Frye
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
To me, the therapeutic relationship is the connection of one human to another in a safe and confidential space, and I believe this safety is what is needed before any change can occur. I want to attract clients of all ages that are ready and willing to find a counselor that will assist them on their healing journey. My ideal clients are adults, adolescents, and children who are open to learning about how their thought patterns affect their overall wellbeing. While working together, you can expect to identify negative or unhelpful thoughts and behaviors and ways to alter them and cope healthily.
To me, the therapeutic relationship is the connection of one human to another in a safe and confidential space, and I believe this safety is what is needed before any change can occur. I want to attract clients of all ages that are ready and willing to find a counselor that will assist them on their healing journey. My ideal clients are adults, adolescents, and children who are open to learning about how their thought patterns affect their overall wellbeing. While working together, you can expect to identify negative or unhelpful thoughts and behaviors and ways to alter them and cope healthily.
(817) 646-9789 View (817) 646-9789
Photo of Gary L Maddux Jr, LPC-Associate in North Richland Hills, TX
Gary L Maddux Jr
LPC-Associate, MA, LPC-A
Verified Verified
North Richland Hills, TX 76182
I approach the therapeutic relationship from an integrative perspective viewing each person as uniquely created with individual experiences, goals, challenges, hopes, and dreams. My foundation is person-centered, and I place primary emphasis on creating and developing a therapeutic alliance. I believe it is of utmost importance to create a safe, open, and honest environment to foster a professional relationship built on trust. Each person’s individual life experience influences who they are today and with this perspective we gain insight into where we came from and can focus on where we want to go.
I approach the therapeutic relationship from an integrative perspective viewing each person as uniquely created with individual experiences, goals, challenges, hopes, and dreams. My foundation is person-centered, and I place primary emphasis on creating and developing a therapeutic alliance. I believe it is of utmost importance to create a safe, open, and honest environment to foster a professional relationship built on trust. Each person’s individual life experience influences who they are today and with this perspective we gain insight into where we came from and can focus on where we want to go.
(817) 646-9558 View (817) 646-9558
Photo of Chelsi Najera, Licensed Professional Counselor in North Richland Hills, TX
Chelsi Najera
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
North Richland Hills, TX 76182
Let's be honest life isn’t always easy. I am here to help you and/or your family work through some of life’s more challenging problems. I am here to focus on your needs first and your goals! I am focused on helping individuals, couples, or families who struggle with anxiety, depression, self-esteem, trauma, couple's issues, family issues, and overall issues, you should know that there is hope for a better tomorrow. I can help create a better communication and a deeper connection. I am focused and have plenty of experience on various issues with, Veterans and their families. You don't have to feel alone, I am ready to assist you.
Let's be honest life isn’t always easy. I am here to help you and/or your family work through some of life’s more challenging problems. I am here to focus on your needs first and your goals! I am focused on helping individuals, couples, or families who struggle with anxiety, depression, self-esteem, trauma, couple's issues, family issues, and overall issues, you should know that there is hope for a better tomorrow. I can help create a better communication and a deeper connection. I am focused and have plenty of experience on various issues with, Veterans and their families. You don't have to feel alone, I am ready to assist you.
(817) 662-4535 View (817) 662-4535
Photo of Sharon Waigand Norwood, Clinical Social Work/Therapist in North Richland Hills, TX
Sharon Waigand Norwood
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
Are there some days when accomplishing even the smallest tasks in life seem insurmountable? Do negative thoughts and feelings seem to spiral out of control? Do you know where to start to climb out of the abyss?
Are there some days when accomplishing even the smallest tasks in life seem insurmountable? Do negative thoughts and feelings seem to spiral out of control? Do you know where to start to climb out of the abyss?
(817) 697-7434 View (817) 697-7434
Photo of Susana Muñoz, Counselor in North Richland Hills, TX
Susana Muñoz
Counselor, MEd, LPC, RYT200
Verified Verified
3 Endorsed
North Richland Hills, TX 76182
Hi there! I’m Susana. My passion for mental health work comes from my own experiences trying to reclaim my identity while navigating life’s obstacles. Our life experiences, culture, background, and relationship with ourselves and our mental health are incredibly unique and personal. This is why I enjoy getting to know my clients and finding an approach that works best for their needs rather than sticking to a “one size fits all” approach.
Hi there! I’m Susana. My passion for mental health work comes from my own experiences trying to reclaim my identity while navigating life’s obstacles. Our life experiences, culture, background, and relationship with ourselves and our mental health are incredibly unique and personal. This is why I enjoy getting to know my clients and finding an approach that works best for their needs rather than sticking to a “one size fits all” approach.
(817) 904-5493 View (817) 904-5493
Photo of Valette Liedtke-Hendrickson Phd, Psychologist in North Richland Hills, TX
Valette Liedtke-Hendrickson Phd
Psychologist, PhD, MA, CSM, EIFT
Verified Verified
North Richland Hills, TX 76182
Licensed Psychologist with a PhD in Clinical Psychology and Behavioral Medicine/Health Psychology. 30 years experience. Certified Stress Management Specialist, Eating Disorders Specialist, and Disaster Traumatologist. My approach is cognitive-behavioraI, and I believe therapy should be an enjoyable interactive learning experience where concrete skill sets are learned and goals set and achieved. In addition, I try to make it a fun process, where we use humor and a positive approach to life problems. I enjoy working with women experiencing depression, stress, anxiety, medical disorders, eating disorders and obesity.
Licensed Psychologist with a PhD in Clinical Psychology and Behavioral Medicine/Health Psychology. 30 years experience. Certified Stress Management Specialist, Eating Disorders Specialist, and Disaster Traumatologist. My approach is cognitive-behavioraI, and I believe therapy should be an enjoyable interactive learning experience where concrete skill sets are learned and goals set and achieved. In addition, I try to make it a fun process, where we use humor and a positive approach to life problems. I enjoy working with women experiencing depression, stress, anxiety, medical disorders, eating disorders and obesity.
(817) 533-8657 View (817) 533-8657
Photo of Hunter Wellness Counseling and Teletherapy, Clinical Social Work/Therapist in North Richland Hills, TX
Hunter Wellness Counseling and Teletherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
North Richland Hills, TX 76180
I provide Christian-based counseling with a holistic approach to wellness. I am committed to your spiritual and emotional healing and growth.
I provide Christian-based counseling with a holistic approach to wellness. I am committed to your spiritual and emotional healing and growth.
(817) 477-6511 View (817) 477-6511
Photo of Elizabeth O Oriola-Otenaike, Psychologist in North Richland Hills, TX
Elizabeth O Oriola-Otenaike
Psychologist, PsyD
Verified Verified
1 Endorsed
North Richland Hills, TX 76180  (Online Only)
Are you looking for an experienced and compassionate psychologist to support your wellness efforts? Do you want to Flourish and Be Well? Do you seek resources in your growth efforts and goals? Do you need psychological assessment, diagnosis and/or treatment of Autism Spectrum Disorder, ADD/ADHD and other Pervasive Developmental Disorders? Together, we take a holistic approach as we explore physical, psychological, emotional, intellectual, environmental, spiritual, cultural and relational influences, develop creative solutions and identify resources that will strengthen and help you reach your therapeutic and/or wellness goals.
Are you looking for an experienced and compassionate psychologist to support your wellness efforts? Do you want to Flourish and Be Well? Do you seek resources in your growth efforts and goals? Do you need psychological assessment, diagnosis and/or treatment of Autism Spectrum Disorder, ADD/ADHD and other Pervasive Developmental Disorders? Together, we take a holistic approach as we explore physical, psychological, emotional, intellectual, environmental, spiritual, cultural and relational influences, develop creative solutions and identify resources that will strengthen and help you reach your therapeutic and/or wellness goals.
(817) 756-7943 View (817) 756-7943
Photo of Lauren C Brown, Licensed Professional Counselor in North Richland Hills, TX
Lauren C Brown
Licensed Professional Counselor, MEd, LPC, CSC
Verified Verified
North Richland Hills, TX 76180
Reaching out for professional help is the first and often most difficult step of the change process. Change can be scary at times. With change and asking for help, a person opens the door to HOPE. Hope is the belief that tomorrow can be better than today, and that it will not always feel this way. Hope can come in many forms and from many different parts of your life.
Reaching out for professional help is the first and often most difficult step of the change process. Change can be scary at times. With change and asking for help, a person opens the door to HOPE. Hope is the belief that tomorrow can be better than today, and that it will not always feel this way. Hope can come in many forms and from many different parts of your life.
(817) 242-6736 View (817) 242-6736
Photo of Tequila Johnson, Clinical Social Work/Therapist in North Richland Hills, TX
Tequila Johnson
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
Hello! The world is changing and change can be difficult. There's hope. Search no further! As an eclectic therapist, I take pride in being able to accommodate people that are dealing with issues from any spectrum of life. Over the past few years I have assisted clients that are learning to live with a mental illness (i.e. depression, anxiety, bi-polar, personality disorders and etc.) If you are interested in a therapist that will partner with you in navigating through this difficult time in your life. Call or email me so that we can set up a time to discuss. (Now Accepting New Supervisees for Clinical Supervision!)
Hello! The world is changing and change can be difficult. There's hope. Search no further! As an eclectic therapist, I take pride in being able to accommodate people that are dealing with issues from any spectrum of life. Over the past few years I have assisted clients that are learning to live with a mental illness (i.e. depression, anxiety, bi-polar, personality disorders and etc.) If you are interested in a therapist that will partner with you in navigating through this difficult time in your life. Call or email me so that we can set up a time to discuss. (Now Accepting New Supervisees for Clinical Supervision!)
(214) 892-2983 View (214) 892-2983
Photo of Mia Nickerson, Licensed Professional Counselor Associate in North Richland Hills, TX
Mia Nickerson
Licensed Professional Counselor Associate, L, P, C, A
Verified Verified
1 Endorsed
North Richland Hills, TX 76180
My belief is that everyone is worthy of help, especially when they are struggling. That being said you must be willing to put in the work to accomplish the result and part of my role as a counselor is to assist you in that work process. During that time, we will identify your strengths, develop, and expand your coping skills, and continue to gain further psycho-educational knowledge that will guide you in your continued growth and development towards a deeper healthier mental head space, that will accompany you in future obstacles.
My belief is that everyone is worthy of help, especially when they are struggling. That being said you must be willing to put in the work to accomplish the result and part of my role as a counselor is to assist you in that work process. During that time, we will identify your strengths, develop, and expand your coping skills, and continue to gain further psycho-educational knowledge that will guide you in your continued growth and development towards a deeper healthier mental head space, that will accompany you in future obstacles.
(817) 803-1381 View (817) 803-1381
Photo of Jocelyn Cadiz, Licensed Professional Counselor in North Richland Hills, TX
Jocelyn Cadiz
Licensed Professional Counselor, NCC®
Verified Verified
4 Endorsed
North Richland Hills, TX 76180
Waitlist for new clients
Do you want to understand yourself better and grow to be the best version of yourself that you can be? You deserve to feel respected, heard, understood, and safe. You also deserve to laugh, have self compassion, and know that no matter what you're going through, you can be kind to yourself. Curiosity, creativity, and humor can also go a long way in your healing and growth! Each person brings their own unique situation and perspective. I will work with you to get to know the real you so that we find your own unique solutions and coping skills.
Do you want to understand yourself better and grow to be the best version of yourself that you can be? You deserve to feel respected, heard, understood, and safe. You also deserve to laugh, have self compassion, and know that no matter what you're going through, you can be kind to yourself. Curiosity, creativity, and humor can also go a long way in your healing and growth! Each person brings their own unique situation and perspective. I will work with you to get to know the real you so that we find your own unique solutions and coping skills.
(817) 241-5297 View (817) 241-5297
Photo of Mary F Bennett, Licensed Professional Counselor in North Richland Hills, TX
Mary F Bennett
Licensed Professional Counselor, MS , LPC, LCDC-I
Verified Verified
North Richland Hills, TX 76180
Mary Bennett is a Licensed Professional Counselor in the DFW area. Her practice serves a wide range of individuals, including adolescents, families, couples, and adults. In her work, Mary utilizes a variety of Cognitive Behavioral tools and Dialectical Behavioral skills, including mindfulness and radical acceptance, to help meet her clients’ individual needs and support them in their personal growth. Mary takes a person-centered approach with her clients; she meets them where they are presently to help them get where they are going without judgment or pressure.
Mary Bennett is a Licensed Professional Counselor in the DFW area. Her practice serves a wide range of individuals, including adolescents, families, couples, and adults. In her work, Mary utilizes a variety of Cognitive Behavioral tools and Dialectical Behavioral skills, including mindfulness and radical acceptance, to help meet her clients’ individual needs and support them in their personal growth. Mary takes a person-centered approach with her clients; she meets them where they are presently to help them get where they are going without judgment or pressure.
(682) 253-8898 View (682) 253-8898

See more therapy options for North Richland Hills

How does your Therapist compare?

Number of Therapists in North Richland Hills, TX

100+

Average cost per session

$125

Therapists in North Richland Hills, TX who prioritize treating:

96% Anxiety
90% Depression
80% Self Esteem
77% Coping Skills
75% Relationship Issues
67% Stress
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

83% Aetna
82% UnitedHealthcare UHC | UBH
81% BlueCross and BlueShield

How Therapists in North Richland Hills, TX see their clients

87% In Person and Online
13% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in North Richland Hills?

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.