Therapists in Winston Salem, NC

Photo of Christopher J. Koniarczyk, Licensed Professional Counselor in Winston Salem, NC
Christopher J. Koniarczyk
Licensed Professional Counselor, LCMHC, LAC, LPC
Verified Verified
1 Endorsed
Winston Salem, NC 27101
It is my belief that finding the right therapist for YOU is the most important thing you can do. Working with young adults and their families is my specialty but my practice is open to anyone looking to grow, heal, and change. Is your child struggling to complete school or find employment? Has your marriage/relationship become challenging? Are you dealing with depression or anxiety that has become unmanageable? Are you a parent looking for support? Whatever life is throwing at you, I can help.
It is my belief that finding the right therapist for YOU is the most important thing you can do. Working with young adults and their families is my specialty but my practice is open to anyone looking to grow, heal, and change. Is your child struggling to complete school or find employment? Has your marriage/relationship become challenging? Are you dealing with depression or anxiety that has become unmanageable? Are you a parent looking for support? Whatever life is throwing at you, I can help.
(336) 619-2073 View (336) 619-2073
Photo of Crossnore Communities for Children in Winston Salem, NC
Crossnore Communities for Children
Verified Verified
Winston Salem, NC 27104
Crossnore Communities for Children offers services to outpatient clients utilizing a trauma-informed model of care. We provide each client with a complete clinical assessment to ensure they receive personalized services and the best care for their needs. Our clients work with a therapist in a consistent, structured, and collaborative environment that promotes growth and healing.
Crossnore Communities for Children offers services to outpatient clients utilizing a trauma-informed model of care. We provide each client with a complete clinical assessment to ensure they receive personalized services and the best care for their needs. Our clients work with a therapist in a consistent, structured, and collaborative environment that promotes growth and healing.
(336) 276-0429 View (336) 276-0429
Photo of Brittney Carter, Licensed Professional Counselor in Winston Salem, NC
Brittney Carter
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
Winston Salem, NC 27103
Hi, my name is Brittney Carter, LCMHC, LCAS. I earned my master’s degree in Clinical Mental Health Counseling from Appalachian State University. I am a licensed Clinical Mental Health Counselor and Licensed Clinical Addiction Specialist. I also have a specialty in Expressive Art Therapy and school counseling. My work experience has been in both the hospital and community mental health settings.
Hi, my name is Brittney Carter, LCMHC, LCAS. I earned my master’s degree in Clinical Mental Health Counseling from Appalachian State University. I am a licensed Clinical Mental Health Counselor and Licensed Clinical Addiction Specialist. I also have a specialty in Expressive Art Therapy and school counseling. My work experience has been in both the hospital and community mental health settings.
(336) 815-5891 View (336) 815-5891
Photo of Marlee Prather, Clinical Social Work/Therapist in Winston Salem, NC
Marlee Prather
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
Winston Salem, NC 27103
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
(704) 457-7624 View (704) 457-7624
Photo of Larry LaMont Joe Jr, Counselor in Winston Salem, NC
Larry LaMont Joe Jr
Counselor, MA, LCMHC-A, LCAS, CCS, NCC
Verified Verified
1 Endorsed
Winston Salem, NC 27101
To provide services in the Mental Health and Substance Use field that will assist diverse populations with obtaining goals they have set for themselves in life. I’d like to do this while interacting with them in a group and/or individual setting. I feel that based on my educational experience, work experience and personal background, I could help individuals in the mental health and substances use concerns and want to achieve the success they desire for their lives.
To provide services in the Mental Health and Substance Use field that will assist diverse populations with obtaining goals they have set for themselves in life. I’d like to do this while interacting with them in a group and/or individual setting. I feel that based on my educational experience, work experience and personal background, I could help individuals in the mental health and substances use concerns and want to achieve the success they desire for their lives.
(336) 697-6240 View (336) 697-6240
Photo of Marsha Rand, Marriage & Family Therapist in Winston Salem, NC
Marsha Rand
Marriage & Family Therapist, MS, LMFT, CST/S
Verified Verified
Winston Salem, NC 27106  (Online Only)
Do you feel disconnected from your partner or spouse? Is sex a “problem” for you or in your relationship? Good sexual connection and a strong emotional bond are important keys for lasting fulfilling relationships. Sometimes, couples realize that they have become distant from one another and their relationship is not as satisfying as it used to be. Communication has become dull and ineffective. Sex is not satisfying or is non-existent. (See website) If this is happening with you and your partner, I can help you co-create a revitalized relationship through effective communication and heartfelt intimate connection and touch.
Do you feel disconnected from your partner or spouse? Is sex a “problem” for you or in your relationship? Good sexual connection and a strong emotional bond are important keys for lasting fulfilling relationships. Sometimes, couples realize that they have become distant from one another and their relationship is not as satisfying as it used to be. Communication has become dull and ineffective. Sex is not satisfying or is non-existent. (See website) If this is happening with you and your partner, I can help you co-create a revitalized relationship through effective communication and heartfelt intimate connection and touch.
(910) 338-4024 View (910) 338-4024
Open Hearts Healing Minds Corporation
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS, NCC
Verified Verified
Winston Salem, NC 27105
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
(336) 568-8101 View (336) 568-8101
Photo of Ellie Mental Health-Winston Salem, Counselor in Winston Salem, NC
Ellie Mental Health-Winston Salem
Counselor, LCMHCS, LCAS
Verified Verified
Winston Salem, NC 27103
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(336) 395-5316 View (336) 395-5316
Photo of Claudia Danielle Robeson, Clinical Social Work/Therapist in Winston Salem, NC
Claudia Danielle Robeson
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Are you feeling overwhelmed or do you know you have been in survival mode for a long time? Past life experiences such as childhood trauma, relationships (romantic/platonic) loss or abuse can create barriers. This leaves most people to deal with their feelings of guilt, shame, and disappointment alone. You deserve a safe space to share your thoughts and feelings and a great therapist to help you process your experiences and move towards your goals.
Are you feeling overwhelmed or do you know you have been in survival mode for a long time? Past life experiences such as childhood trauma, relationships (romantic/platonic) loss or abuse can create barriers. This leaves most people to deal with their feelings of guilt, shame, and disappointment alone. You deserve a safe space to share your thoughts and feelings and a great therapist to help you process your experiences and move towards your goals.
(336) 818-5546 View (336) 818-5546
Photo of Aimee Tolbert, Psychological Associate in Winston Salem, NC
Aimee Tolbert
Psychological Associate, MA, LPA, HSP-PA
Verified Verified
5 Endorsed
Winston Salem, NC 27104  (Online Only)
Weekday Evening Apt. Availability - In with Aetna, CBHA, BCBS, SHP, and Medcost- Do you feel pulled between the demands of your career and personal life? Perhaps, you’re struggling with balancing the demands of parenthood. Or, maybe you’re a student who is struggling to adjust to college or figure out your life path. You aren’t sure exactly what’s wrong, but you know that something isn’t right. You feel anxious or sad much of the time. You’re dissatisfied with the quality of your life. You know these feelings are impacting your relationships with others. You aren’t the person that you would like to be and you’re ready to change.
Weekday Evening Apt. Availability - In with Aetna, CBHA, BCBS, SHP, and Medcost- Do you feel pulled between the demands of your career and personal life? Perhaps, you’re struggling with balancing the demands of parenthood. Or, maybe you’re a student who is struggling to adjust to college or figure out your life path. You aren’t sure exactly what’s wrong, but you know that something isn’t right. You feel anxious or sad much of the time. You’re dissatisfied with the quality of your life. You know these feelings are impacting your relationships with others. You aren’t the person that you would like to be and you’re ready to change.
(336) 344-9282 View (336) 344-9282
Photo of Taylor Stotler, Clinical Social Work/Therapist in Winston Salem, NC
Taylor Stotler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27103  (Online Only)
You are the only expert of your own life, but sometimes we need a little help. My perspective is that I'm the GPS and you're the driver- you know where you are isn't where you want to be and I am there to guide you and re-route as needed. I have worked with a wide range of clients with a focus on military members and dependents, life stressors, trauma (combat and otherwise), marital distress, depression, anxiety, and domestic violence. I am LGBT+, kink, and sex work friendly. I believe that it takes courage to come to therapy and you deserve authenticity and a space where you can address your concerns without fear of being judged.
You are the only expert of your own life, but sometimes we need a little help. My perspective is that I'm the GPS and you're the driver- you know where you are isn't where you want to be and I am there to guide you and re-route as needed. I have worked with a wide range of clients with a focus on military members and dependents, life stressors, trauma (combat and otherwise), marital distress, depression, anxiety, and domestic violence. I am LGBT+, kink, and sex work friendly. I believe that it takes courage to come to therapy and you deserve authenticity and a space where you can address your concerns without fear of being judged.
(336) 203-9460 View (336) 203-9460
Photo of Courtney Deakle in Winston Salem, NC
Courtney Deakle
LCMHC
Verified Verified
Winston Salem, NC 27103
Welcome! If you are looking for a couples counselor to support you and your partner through a hard place in your relationship, I would love to help. I use a combination of Emotionally Focused couples counseling and Gottman Method couples counseling. Using well-researched and time-tested strategies, I will work with you and your partner to help you reconnect, and create a life together that is meaningful, joyful, and hopeful for both of you. I also work with families and individuals on a variety of mental health issues, specializing in Depression, Anxiety, and PTSD/trauma.
Welcome! If you are looking for a couples counselor to support you and your partner through a hard place in your relationship, I would love to help. I use a combination of Emotionally Focused couples counseling and Gottman Method couples counseling. Using well-researched and time-tested strategies, I will work with you and your partner to help you reconnect, and create a life together that is meaningful, joyful, and hopeful for both of you. I also work with families and individuals on a variety of mental health issues, specializing in Depression, Anxiety, and PTSD/trauma.
(336) 490-9103 View (336) 490-9103
Photo of Nicole Heller, Licensed Professional Counselor in Winston Salem, NC
Nicole Heller
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Winston Salem, NC 27106  (Online Only)
Seeking therapy is not a sign of weakness, it's a sign of strength. Making your mental health a priority is one of the strongest things you can do for yourself. My number one goal as a therapist is to help you learn healthy ways to navigate difficult emotions and situations. Everyone needs and deserves a safe space to vent, brainstorm and ask for help without judgment. My job is to offer a different perspective to your current struggles and challenge you to build more effective ways of dealing with tough emotions & life changes.
Seeking therapy is not a sign of weakness, it's a sign of strength. Making your mental health a priority is one of the strongest things you can do for yourself. My number one goal as a therapist is to help you learn healthy ways to navigate difficult emotions and situations. Everyone needs and deserves a safe space to vent, brainstorm and ask for help without judgment. My job is to offer a different perspective to your current struggles and challenge you to build more effective ways of dealing with tough emotions & life changes.
(336) 803-7983 View (336) 803-7983
Photo of Justin Williamson, Counselor in Winston Salem, NC
Justin Williamson
Counselor, MA, MDiv, LCMHCA
Verified Verified
Winston Salem, NC 27101
I am so glad that you stopped by and took the time to read about me and explore the possibility of working together.Getting started is always the hardest part of any road to change. Deciding who you are going to trust with your information is also an important part of your new beginnings. I want to be supportive of your goals and work together in discovering how you can reach and surpass them. In my time away from being a therapist, the most important thing to me is my family - my wife and three young children - and spending as much of my time with them that I can. I enjoy hiking, fishing, cooking and reading when I have the time.
I am so glad that you stopped by and took the time to read about me and explore the possibility of working together.Getting started is always the hardest part of any road to change. Deciding who you are going to trust with your information is also an important part of your new beginnings. I want to be supportive of your goals and work together in discovering how you can reach and surpass them. In my time away from being a therapist, the most important thing to me is my family - my wife and three young children - and spending as much of my time with them that I can. I enjoy hiking, fishing, cooking and reading when I have the time.
(336) 780-7580 x601590 View (336) 780-7580 x601590
Photo of Wayne R. Bills, Marriage & Family Therapist in Winston Salem, NC
Wayne R. Bills
Marriage & Family Therapist, MA, LMFT
Verified Verified
Winston Salem, NC 27106
Marriage need a tuneup? Feeling overwhelmed? Anxious? Depressed? .... I can help. If you are looking for someone who can guide you through a change process, and you are ready to do what it takes, let's talk. I serve the Piedmont Triad area, and can also meet with you via Tele-counseling from anywhere in NC. Why wait any longer? Just pick up the phone and call. Let's talk about your needs, challenges and goals. We can then determine if my skills and experience are right for you.
Marriage need a tuneup? Feeling overwhelmed? Anxious? Depressed? .... I can help. If you are looking for someone who can guide you through a change process, and you are ready to do what it takes, let's talk. I serve the Piedmont Triad area, and can also meet with you via Tele-counseling from anywhere in NC. Why wait any longer? Just pick up the phone and call. Let's talk about your needs, challenges and goals. We can then determine if my skills and experience are right for you.
(336) 652-3029 View (336) 652-3029
Photo of Kimberly Autrey, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Kimberly Autrey
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, ACC
Verified Verified
Winston Salem, NC 27106  (Online Only)
ACCEPTING NEW CLIENTS. As a therapist, I love seeing people grow and make the changes they want to restore balance to their lives. My goal is to help you navigate life's challenges by offering a safe space to share your feelings and to deepen your understanding of your emotional health. I frequently serve clients experiencing stress, anxiety, depression, anger, addiction, grief, relationship struggles, and school and work transitions. Whether you are struggling with anxiety, depression, relationship issues or just feeling stuck, today you are one step closer to feeling empowered to move forward in your life.
ACCEPTING NEW CLIENTS. As a therapist, I love seeing people grow and make the changes they want to restore balance to their lives. My goal is to help you navigate life's challenges by offering a safe space to share your feelings and to deepen your understanding of your emotional health. I frequently serve clients experiencing stress, anxiety, depression, anger, addiction, grief, relationship struggles, and school and work transitions. Whether you are struggling with anxiety, depression, relationship issues or just feeling stuck, today you are one step closer to feeling empowered to move forward in your life.
(336) 791-0876 View (336) 791-0876
Photo of Choey Gilreath, Licensed Professional Counselor in Winston Salem, NC
Choey Gilreath
Licensed Professional Counselor, MS, LPC
Verified Verified
Winston Salem, NC 27101
Confronting & coping with challenges can be extremely difficult in this culture filled with pretension. You ever feel like you aren’t allowed to hurt, experience weakness or failure? Feeling trapped & stagnated by your fear? Worried & stressed out? Your confidence seems non-existent? Maybe, you're feeling defeated & overcome by what seems like unending pain. You’re not alone. I have been there too. One great thing about hurt, weakness & failure is that they are a part of the human experience & they can be limited. Instead of allowing challenges to paralyze your life, what if you could heal, grow & capitalize on them?
Confronting & coping with challenges can be extremely difficult in this culture filled with pretension. You ever feel like you aren’t allowed to hurt, experience weakness or failure? Feeling trapped & stagnated by your fear? Worried & stressed out? Your confidence seems non-existent? Maybe, you're feeling defeated & overcome by what seems like unending pain. You’re not alone. I have been there too. One great thing about hurt, weakness & failure is that they are a part of the human experience & they can be limited. Instead of allowing challenges to paralyze your life, what if you could heal, grow & capitalize on them?
(336) 396-7572 View (336) 396-7572
Photo of Tracy D'Andrea Charles, Clinical Social Work/Therapist in Winston Salem, NC
Tracy D'Andrea Charles
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
2 Endorsed
Winston Salem, NC 27103
Not accepting new clients
Often times we journey through life and due to experiences, circumstances and life's challenges, life can become overwhelming and begin to feel hopeless. Thoughts such as "I can't do this much longer", "this isn't the way it was supposed to be", can often plague our mind. My desire is to journey along with you to help you get in touch with your underlying needs, explore barriers to change, build on solutions, break negative patterns and develop coping skills to enable you to live in the fullness God would have for you.
Often times we journey through life and due to experiences, circumstances and life's challenges, life can become overwhelming and begin to feel hopeless. Thoughts such as "I can't do this much longer", "this isn't the way it was supposed to be", can often plague our mind. My desire is to journey along with you to help you get in touch with your underlying needs, explore barriers to change, build on solutions, break negative patterns and develop coping skills to enable you to live in the fullness God would have for you.
(336) 814-2842 View (336) 814-2842
Photo of Debbie Furr-Peters, Clinical Social Work/Therapist in Winston Salem, NC
Debbie Furr-Peters
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Winston Salem, NC 27101  (Online Only)
We all have times when we struggle with feelings of being sad, anxious or depressed, grieving over the loss of a loved one, going through a transition in life, having low self-esteem, experiencing relationship problems, or just feeling low or "off." These and other forms of conflict can be overwhelming.
We all have times when we struggle with feelings of being sad, anxious or depressed, grieving over the loss of a loved one, going through a transition in life, having low self-esteem, experiencing relationship problems, or just feeling low or "off." These and other forms of conflict can be overwhelming.
(336) 770-2172 View (336) 770-2172
Photo of Chelsea Rogers, Licensed Professional Counselor in Winston Salem, NC
Chelsea Rogers
Licensed Professional Counselor, LCMHC, QS, RPT-S
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Not accepting new clients
I work with all ages struggling with various issues but many common issues I see are anxiety, trauma, depression, mood fluctuations, self-harm, school and home behavioral issues, aggression, attachment problems, relationship issues, sexual identity, and eating disorders. I also work with families to improve communication patterns, enhance relationships, shift responsibilities in the household, prevent enabling of maladaptive behaviors, implement a behavioral system, improve harmony, and regain order in the home. I am a Qualified Clinical Supervisor and I am available to provide supervision for LCMHC-A and Master's Level interns.
I work with all ages struggling with various issues but many common issues I see are anxiety, trauma, depression, mood fluctuations, self-harm, school and home behavioral issues, aggression, attachment problems, relationship issues, sexual identity, and eating disorders. I also work with families to improve communication patterns, enhance relationships, shift responsibilities in the household, prevent enabling of maladaptive behaviors, implement a behavioral system, improve harmony, and regain order in the home. I am a Qualified Clinical Supervisor and I am available to provide supervision for LCMHC-A and Master's Level interns.
(336) 901-9380 View (336) 901-9380

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

500+

Average cost per session

$140

Therapists in Winston Salem, NC who prioritize treating:

92% Anxiety
89% Depression
77% Self Esteem
73% Relationship Issues
73% Coping Skills
73% Stress
72% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
65% Aetna
47% Cigna and Evernorth

How Therapists in Winston Salem, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.