Therapists in Southlake, TX

Photo of Dana M Lewin, Marriage & Family Therapist in Southlake, TX
Dana M Lewin
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
2 Endorsed
Southlake, TX 76092
Waitlist for new clients
Asking for help can be the hardest thing that some us will ever do. Life is messy. Choosing to grow is intentional and requires work. It's courageous to say, "I don't want to do this alone." Everyone needs support at some point whether you are battling depression or anxiety, working your way through grief, navigating through a life transition or marriage and family problems. I want to help you find your strengths and explore the patterns that are keeping you stuck. My passion is helping people have the healthy relationships that strengthen and validate the people they are.
Asking for help can be the hardest thing that some us will ever do. Life is messy. Choosing to grow is intentional and requires work. It's courageous to say, "I don't want to do this alone." Everyone needs support at some point whether you are battling depression or anxiety, working your way through grief, navigating through a life transition or marriage and family problems. I want to help you find your strengths and explore the patterns that are keeping you stuck. My passion is helping people have the healthy relationships that strengthen and validate the people they are.
(817) 591-4531 View (817) 591-4531
Photo of Jeff Napier, Psychologist in Southlake, TX
Jeff Napier
Psychologist, PsyD, APIT
Verified Verified
3 Endorsed
Southlake, TX 76092
I am a licensed psychologist with over 20 years of experience providing consultation with individual clients and other mental health professionals. My professional experience includes service in the United States Navy as a Staff Psychologist and private practice in the Dallas area since 2004. My specialty areas include individual psychotherapy with adults and psychological evaluations utilizing a variety of personality assessment instruments. I also specialize in psychotherapy with adults to support recovery from sexual addiction.
I am a licensed psychologist with over 20 years of experience providing consultation with individual clients and other mental health professionals. My professional experience includes service in the United States Navy as a Staff Psychologist and private practice in the Dallas area since 2004. My specialty areas include individual psychotherapy with adults and psychological evaluations utilizing a variety of personality assessment instruments. I also specialize in psychotherapy with adults to support recovery from sexual addiction.
(214) 390-9558 View (214) 390-9558
Photo of Norma McCarthy, Licensed Professional Counselor in Southlake, TX
Norma McCarthy
Licensed Professional Counselor, LPC
Verified Verified
Southlake, TX 76092
Are you exhausted, frustrated, and just plain overwhelmed? Do you feel like you're just going through the motions and have lost your spark? Are you tired of feeling controlled by your past, feeling stuck in trauma or grief? I get it and I'm here to help. I want you to live your best life with energy and enthusiasm! My expertise lies in helping people manage anxiety, depression, and ADHD (all ages) and build healthy relationships with themselves and others. If you're healing from trauma, or family-of-origin issues, recovering from religious abuse, or lost in the myriad of grief, I'm here for you.
Are you exhausted, frustrated, and just plain overwhelmed? Do you feel like you're just going through the motions and have lost your spark? Are you tired of feeling controlled by your past, feeling stuck in trauma or grief? I get it and I'm here to help. I want you to live your best life with energy and enthusiasm! My expertise lies in helping people manage anxiety, depression, and ADHD (all ages) and build healthy relationships with themselves and others. If you're healing from trauma, or family-of-origin issues, recovering from religious abuse, or lost in the myriad of grief, I'm here for you.
(972) 489-3132 View (972) 489-3132
Photo of Dr. Mechell Guy, Licensed Professional Counselor in Southlake, TX
Dr. Mechell Guy
Licensed Professional Counselor, EdD, LPC-S, NCC
Verified Verified
Southlake, TX 76092
Got problems? Call Dr. Guy, I specialize in treating individual, marriage, and family problems, conflictual relationships, anxiety, depression, stress and anger management, trauma, women's issues, and ADHD/ADD-related struggles. My goal is to help adults, couples, and teens to find answers to those problems. It's time to discover healthy living, and personal wholeness: emotionally, mentally, and physically. I understand the challenges of life and believe healing is a process that involves your thoughts, emotions, and behaviors. I would love to use my extensive knowledge of therapeutic techniques and strategies to improve your life.
Got problems? Call Dr. Guy, I specialize in treating individual, marriage, and family problems, conflictual relationships, anxiety, depression, stress and anger management, trauma, women's issues, and ADHD/ADD-related struggles. My goal is to help adults, couples, and teens to find answers to those problems. It's time to discover healthy living, and personal wholeness: emotionally, mentally, and physically. I understand the challenges of life and believe healing is a process that involves your thoughts, emotions, and behaviors. I would love to use my extensive knowledge of therapeutic techniques and strategies to improve your life.
(972) 382-6883 View (972) 382-6883
Photo of SkyLife Wellness, Licensed Professional Counselor in Southlake, TX
SkyLife Wellness
Licensed Professional Counselor, PhD, LPC-S, RPT-S, EMDR-Ce
Verified Verified
4 Endorsed
Southlake, TX 76092
We believe that counseling provides an avenue in which individuals and families can grow through self-discovery, self-awareness, gaining confidence, development of skills and creating meaningful and authentic relationships. Asking for help takes courage and by just calling you are one step closer to self-improvement. We have many years of experience counseling children, adolescents, adults and families. We specialize in neurodivergent individuals and their families. We use a variety of treatment methods that are flexible to your needs. Parent coaching for parents of neurodivergent children is offered. We work with all ages!
We believe that counseling provides an avenue in which individuals and families can grow through self-discovery, self-awareness, gaining confidence, development of skills and creating meaningful and authentic relationships. Asking for help takes courage and by just calling you are one step closer to self-improvement. We have many years of experience counseling children, adolescents, adults and families. We specialize in neurodivergent individuals and their families. We use a variety of treatment methods that are flexible to your needs. Parent coaching for parents of neurodivergent children is offered. We work with all ages!
(469) 715-4069 View (469) 715-4069
Photo of Keeping It Together Counseling, PLLC, Clinical Social Work/Therapist in Southlake, TX
Keeping It Together Counseling, PLLC
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Southlake, TX 76092
Modern life can be very stressful and it can be hard to "keep it together" sometimes. Many people find themselves struggling to cope with daily demands. At Keeping It Together Counseling we specialize in working with individuals and families to help people cope with problems during various life stages. We are committed to helping people improve their emotional well-being. In addition to listening to patients' concerns, we educate them on techniques they can utilize to solve problems, manage stress, change unhealthy coping patterns, adjust to life changes, and improve relationships.
Modern life can be very stressful and it can be hard to "keep it together" sometimes. Many people find themselves struggling to cope with daily demands. At Keeping It Together Counseling we specialize in working with individuals and families to help people cope with problems during various life stages. We are committed to helping people improve their emotional well-being. In addition to listening to patients' concerns, we educate them on techniques they can utilize to solve problems, manage stress, change unhealthy coping patterns, adjust to life changes, and improve relationships.
(817) 242-9510 View (817) 242-9510
Photo of Nicole Marshall, Licensed Professional Counselor in Southlake, TX
Nicole Marshall
Licensed Professional Counselor, MS, LPC
Verified Verified
Southlake, TX 76092  (Online Only)
I specialize in treating eating disorders, women's issues, anxiety, trauma and depression. I have 6+ years working within the eating disorder community. I have 8 years working as a therapist. My goal is to help achieve a healthy and loving relationship one's mind and body. I am here to help through your journey and through the process of healing. My passion is to help you enhance you life by learning health coping skills and realizing one's strength and resiliency.
I specialize in treating eating disorders, women's issues, anxiety, trauma and depression. I have 6+ years working within the eating disorder community. I have 8 years working as a therapist. My goal is to help achieve a healthy and loving relationship one's mind and body. I am here to help through your journey and through the process of healing. My passion is to help you enhance you life by learning health coping skills and realizing one's strength and resiliency.
(817) 993-5356 View (817) 993-5356
Photo of Karin Hunt, Clinical Social Work/Therapist in Southlake, TX
Karin Hunt
Clinical Social Work/Therapist, LCSW
Verified Verified
Southlake, TX 76092
Karin Hunt is a Licensed Clinical Social Worker in Texas who has been practicing since 1999. She has a Masters in Social Work has consistently sought out opportunities to grow herself and her skills throughout her years of practice. She believes in continuing her education and learning how to stay current with new ideas to be able to best provide for her clients. Karin is a relationship-based therapist. She views the relationship as the practice ground for new skills and a safe place from which the client can draw new experiences. She believes that it is so fundamental to the outcome of therapy, that she connect with her clients.
Karin Hunt is a Licensed Clinical Social Worker in Texas who has been practicing since 1999. She has a Masters in Social Work has consistently sought out opportunities to grow herself and her skills throughout her years of practice. She believes in continuing her education and learning how to stay current with new ideas to be able to best provide for her clients. Karin is a relationship-based therapist. She views the relationship as the practice ground for new skills and a safe place from which the client can draw new experiences. She believes that it is so fundamental to the outcome of therapy, that she connect with her clients.
(817) 241-5760 View (817) 241-5760
Photo of Chris Jackson, Licensed Professional Counselor in Southlake, TX
Chris Jackson
Licensed Professional Counselor, LPC, MS
Verified Verified
Southlake, TX 76092
My journey to becoming a counselor started from a young age when I realized I felt things on a deep level... or at least cried more than the other guys! For a long time I struggled with my sensitivity, thinking less of myself for lacking the control to ignore or suppress my feelings. However, over time I found that my sensitivity allowed me to empathize with others on a unique level, and that in owning and sharing my feelings, others felt more comfortable to do the same. As a result, it is my aim to provide individuals a safe space to share their struggles and develop tools to feel confident in their ability to cope with life.
My journey to becoming a counselor started from a young age when I realized I felt things on a deep level... or at least cried more than the other guys! For a long time I struggled with my sensitivity, thinking less of myself for lacking the control to ignore or suppress my feelings. However, over time I found that my sensitivity allowed me to empathize with others on a unique level, and that in owning and sharing my feelings, others felt more comfortable to do the same. As a result, it is my aim to provide individuals a safe space to share their struggles and develop tools to feel confident in their ability to cope with life.
(940) 312-6733 View (940) 312-6733
Photo of Karen Christensen, Licensed Professional Counselor in Southlake, TX
Karen Christensen
Licensed Professional Counselor, LPC-S, LSOTP, CSAT
Verified Verified
Southlake, TX 76092
Karen Christensen, LPC-S, LSOTP, CSAT Candidate is a Licensed Professional Counselor Supervisor, Licensed Sex Offender Treatment Provider, and Certified Sex Addiction Therapist who specializes in the treatment of sexual trauma, betrayal trauma, and sexual addiction. Additional areas of interest include assisting adults who struggle with low self-esteem, anxiety, depression, and grief. She holds a Bachelor of Arts and Sciences with a major in Psychology and a Master of Arts in Counseling. Karen is the founder and owner of Rinnovare Counseling Center.
Karen Christensen, LPC-S, LSOTP, CSAT Candidate is a Licensed Professional Counselor Supervisor, Licensed Sex Offender Treatment Provider, and Certified Sex Addiction Therapist who specializes in the treatment of sexual trauma, betrayal trauma, and sexual addiction. Additional areas of interest include assisting adults who struggle with low self-esteem, anxiety, depression, and grief. She holds a Bachelor of Arts and Sciences with a major in Psychology and a Master of Arts in Counseling. Karen is the founder and owner of Rinnovare Counseling Center.
(817) 618-7375 View (817) 618-7375
Photo of Kristen Diou, Licensed Professional Counselor in Southlake, TX
Kristen Diou
Licensed Professional Counselor, MS, LPC, RPT
Verified Verified
4 Endorsed
Southlake, TX 76092
I love helping kids and teens find confidence within themselves to navigate the anxiety and pressure of school. Often times, my clients struggle with expressing themselves in healthy ways. Counseling is a great outlet for discovering new coping skills and healthy communication.
I love helping kids and teens find confidence within themselves to navigate the anxiety and pressure of school. Often times, my clients struggle with expressing themselves in healthy ways. Counseling is a great outlet for discovering new coping skills and healthy communication.
(940) 242-3184 View (940) 242-3184
Photo of April Grimes, Clinical Social Work/Therapist in Southlake, TX
April Grimes
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Southlake, TX 76092
Daytime appointments available. April Grimes, LCSW-S utilizes an eclectic and effective treatment modality pulling from DBT, CBT, Narrative Therapy, and Solution Focused Therapy, based on the unique needs of the client(s).
Daytime appointments available. April Grimes, LCSW-S utilizes an eclectic and effective treatment modality pulling from DBT, CBT, Narrative Therapy, and Solution Focused Therapy, based on the unique needs of the client(s).
(469) 716-5828 View (469) 716-5828
Photo of Child And Adolescent Therapy At The Cultivate Community in Southlake, TX
Child And Adolescent Therapy At The Cultivate Community
MA, MT-BC
Verified Verified
Southlake, TX 76092
At The Cultivate Community, we are dedicated to nurturing the growth and well-being of children ages 0-18 through a holistic approach that offers music therapy, clinical therapy, and child life services. Our mission is to provide a haven where children can flourish, families can unite, and individuals with diverse needs can access a range of specialized services all under one roof.
At The Cultivate Community, we are dedicated to nurturing the growth and well-being of children ages 0-18 through a holistic approach that offers music therapy, clinical therapy, and child life services. Our mission is to provide a haven where children can flourish, families can unite, and individuals with diverse needs can access a range of specialized services all under one roof.
(817) 934-7439 View (817) 934-7439
Photo of AR Psychological Services, Licensed Professional Counselor in Southlake, TX
AR Psychological Services
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Southlake, TX 76092
I am a Licensed Professional Counselor with over 7 yrs of experience working with children, adolescents, and adults. I have worked in children's residential treatment, addiction, in-patient acute mental health, and adult and juvenile correctional settings. I believe that each client has their own unique story. I enjoy helping indivuals to process through their issues and make positive steps forward in achieving their therapeutic goals. Together we will work to find a therapy approach that works best for you.
I am a Licensed Professional Counselor with over 7 yrs of experience working with children, adolescents, and adults. I have worked in children's residential treatment, addiction, in-patient acute mental health, and adult and juvenile correctional settings. I believe that each client has their own unique story. I enjoy helping indivuals to process through their issues and make positive steps forward in achieving their therapeutic goals. Together we will work to find a therapy approach that works best for you.
(817) 477-6591 View (817) 477-6591
Photo of Daniela Bermea, Clinical Social Work/Therapist in Southlake, TX
Daniela Bermea
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Southlake, TX 76092
Not accepting new clients
I’m so glad you’re exploring the idea of therapy! It can feel kind of scary, but it is a really brave step! Whether you’re overwhelmed with your emotions, struggling to navigate relationships or life transitions, experiencing challenges after a difficult life event, or hoping to understand more about who you are, I will work to create a safe, judgement-free space where you will feel heard, understood, and are free to be yourself. With a warm and collaborative approach, I value building trust, being open-minded, and getting to know the many parts of you.
I’m so glad you’re exploring the idea of therapy! It can feel kind of scary, but it is a really brave step! Whether you’re overwhelmed with your emotions, struggling to navigate relationships or life transitions, experiencing challenges after a difficult life event, or hoping to understand more about who you are, I will work to create a safe, judgement-free space where you will feel heard, understood, and are free to be yourself. With a warm and collaborative approach, I value building trust, being open-minded, and getting to know the many parts of you.
(817) 442-7489 View (817) 442-7489
Photo of Marylyn C Sines, Psychologist in Southlake, TX
Marylyn C Sines
Psychologist, PhD
Verified Verified
1 Endorsed
Southlake, TX 76092
All individuals experience struggles or crisis at some point in their lives. As an experienced licensed psychologist, I am committed to helping my clients overcome obstacles and meet goals that will lead to lasting and meaningful changes in their lives. I provide individual, group, and family therapy to clients with a wide range of concerns including depression, anxiety, trauma, grief/loss, life stressors, parenting challenges, attention-deficit disorder, and related behavioral disorders. I also conduct comprehensive psychological evaluations of children, adolescents, and adults. Special interests include: child and adolescent therapy, treatment of abused children, anxiety, depression, ADHD, and gifted testing.
All individuals experience struggles or crisis at some point in their lives. As an experienced licensed psychologist, I am committed to helping my clients overcome obstacles and meet goals that will lead to lasting and meaningful changes in their lives. I provide individual, group, and family therapy to clients with a wide range of concerns including depression, anxiety, trauma, grief/loss, life stressors, parenting challenges, attention-deficit disorder, and related behavioral disorders. I also conduct comprehensive psychological evaluations of children, adolescents, and adults. Special interests include: child and adolescent therapy, treatment of abused children, anxiety, depression, ADHD, and gifted testing.
(972) 325-0938 View (972) 325-0938
Photo of Dr. Messina & Associates, Psychologist in Southlake, TX
Dr. Messina & Associates
Psychologist, PsyD
Verified Verified
Southlake, TX 76092
Dr. Messina & Associates provides cognitive behavioral therapy (CBT), psychiatry and telepsychiatry services, and psychological testing to children, adolescents, and adults in Flower Mound and Southlake, TX.
Dr. Messina & Associates provides cognitive behavioral therapy (CBT), psychiatry and telepsychiatry services, and psychological testing to children, adolescents, and adults in Flower Mound and Southlake, TX.
(817) 677-0449 View (817) 677-0449
Photo of Amber K. Bezney, Licensed Professional Counselor in Southlake, TX
Amber K. Bezney
Licensed Professional Counselor, LPC
Verified Verified
Southlake, TX 76092
Are you struggling in a relationship? Tired of fighting about the same things? Do you feel like you can’t get your point across or do you just give up and tune out? And is what you fight about really the issue? Probably not. What is getting in the way of having that relationship you want? I can tell you that as a counselor who practices Emotionally Focused Therapy, you are not to blame, nor is your partner! You are caught in a repeated pattern of behavior, sort of like a negative cycle, which over time erodes the connection in the relationship, leaving us feeling tired and alone.
Are you struggling in a relationship? Tired of fighting about the same things? Do you feel like you can’t get your point across or do you just give up and tune out? And is what you fight about really the issue? Probably not. What is getting in the way of having that relationship you want? I can tell you that as a counselor who practices Emotionally Focused Therapy, you are not to blame, nor is your partner! You are caught in a repeated pattern of behavior, sort of like a negative cycle, which over time erodes the connection in the relationship, leaving us feeling tired and alone.
(972) 433-9982 View (972) 433-9982
Photo of Catherine Sanderson, LPC Associate in Southlake, TX
Catherine Sanderson
LPC Associate, LPC-A, MS
Verified Verified
Southlake, TX 76092
Catherine is passionate about helping clients of all ages, as well as families, establish more meaningful and emotionally healthy lives. She brings experience as a former teacher and school counselor, and working with a wide variety of complex mental health issues issues. Catherine can help with anxiety and depressive disorders, self-harm, suicidal ideation, anger, grief, life transitions, trauma, relationship or parenting concerns, behavioral concerns, divorce, ADHD, and more. Catherine is skilled at helping children, teens and adult individuals navigate difficult life transitions.
Catherine is passionate about helping clients of all ages, as well as families, establish more meaningful and emotionally healthy lives. She brings experience as a former teacher and school counselor, and working with a wide variety of complex mental health issues issues. Catherine can help with anxiety and depressive disorders, self-harm, suicidal ideation, anger, grief, life transitions, trauma, relationship or parenting concerns, behavioral concerns, divorce, ADHD, and more. Catherine is skilled at helping children, teens and adult individuals navigate difficult life transitions.
(817) 873-6116 View (817) 873-6116
Photo of Michelle Hobby Psychological Services, Psychologist in Southlake, TX
Michelle Hobby Psychological Services
Psychologist, PhD, PMH-C
Verified Verified
Southlake, TX 76092  (Online Only)
You deserve a competent and caring professional who will work collaboratively with you to overcome any difficulties you are facing. I am a licensed Clinical Psychologist in private practice. I specialize in women's mental health, women's issues, perinatal mental health, and perinatal loss. I treat adult women and college age women in my practice (ages 17 & up). I have been licensed in California since 2006, licensed in Pennsylvania in 2018, and licensed in Texas in 2022. With over 25 years of experience, I work with clients to create lasting, positive, and meaningful changes in their lives.
You deserve a competent and caring professional who will work collaboratively with you to overcome any difficulties you are facing. I am a licensed Clinical Psychologist in private practice. I specialize in women's mental health, women's issues, perinatal mental health, and perinatal loss. I treat adult women and college age women in my practice (ages 17 & up). I have been licensed in California since 2006, licensed in Pennsylvania in 2018, and licensed in Texas in 2022. With over 25 years of experience, I work with clients to create lasting, positive, and meaningful changes in their lives.
(214) 225-1663 View (214) 225-1663

How does your Therapist compare?

Number of Therapists in Southlake, TX

400+

Average cost per session

$150

Therapists in Southlake, TX who prioritize treating:

92% Anxiety
88% Depression
82% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
71% Coping Skills
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
72% UnitedHealthcare UHC | UBH
70% BlueCross and BlueShield

How Therapists in Southlake, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Southlake?

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.