Therapists in Dillsboro, NC

Photo of Mountain Wellness Therapy, PLLC, Clinical Social Work/Therapist in Dillsboro, NC
Mountain Wellness Therapy, PLLC
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Dillsboro, NC 28725
Waitlist for new clients
Everyone goes through hard times. Whether this is your first time, or it feels like it has been a lifetime, I specialize in helping adults who have found various challenges like anxiety and depression, substance use, or trauma (often a combination) to be sources of distress and suffering. I come from a place of understanding, not judgment. Being able to feel safe, heard, and understood are important parts of creating positive change and healing. I partner with you to create the goals you want to see come from our work together, and I use evidenced based methods to help you move forward in those directions.
Everyone goes through hard times. Whether this is your first time, or it feels like it has been a lifetime, I specialize in helping adults who have found various challenges like anxiety and depression, substance use, or trauma (often a combination) to be sources of distress and suffering. I come from a place of understanding, not judgment. Being able to feel safe, heard, and understood are important parts of creating positive change and healing. I partner with you to create the goals you want to see come from our work together, and I use evidenced based methods to help you move forward in those directions.
(828) 268-3768 View (828) 268-3768

More Therapists Nearby

Photo of Nicholas Edwin Seay Emmanuel, Marriage & Family Therapist in Dillsboro, NC
Nicholas Edwin Seay Emmanuel
Marriage & Family Therapist, MA, LMFT, LCMHC
Verified Verified
Sylva, NC 28779  (Online Only)
Every client is an "ideal" client. My job is to be present with you in a way that, together, we facilitate your discovering the life that fits you where you are at the times of our meetings. Our work will involve your discovering how you block creating that life and what results and experiences you create with those blocks and then experimenting with new ways of your living. I continue to work with people with "minor" every day issues and "major" mental health issues.
Every client is an "ideal" client. My job is to be present with you in a way that, together, we facilitate your discovering the life that fits you where you are at the times of our meetings. Our work will involve your discovering how you block creating that life and what results and experiences you create with those blocks and then experimenting with new ways of your living. I continue to work with people with "minor" every day issues and "major" mental health issues.
(828) 756-3205 View (828) 756-3205
Photo of Kimberly Pearce, Counselor in Dillsboro, NC
Kimberly Pearce
Counselor, MA, LCMHC, NCC, CI
Verified Verified
Sylva, NC 28779  (Online Only)
I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC) in North Carolina with certification in Grief and Loss and Trauma and Crisis. I am also a fully-trained EMDR clinician. I have over 20 years of professional clinical experience providing direct behavioral health services and educational/career counseling and parenting skills in private practice, educational institutions, and in the community. My approach to therapy is grounded in Adlerian theory with an emphasis on encouragement and improving relationships in our lives and with ourselves.
I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC) in North Carolina with certification in Grief and Loss and Trauma and Crisis. I am also a fully-trained EMDR clinician. I have over 20 years of professional clinical experience providing direct behavioral health services and educational/career counseling and parenting skills in private practice, educational institutions, and in the community. My approach to therapy is grounded in Adlerian theory with an emphasis on encouragement and improving relationships in our lives and with ourselves.
(828) 672-3526 View (828) 672-3526
Photo of Emily Epps, Counselor in Dillsboro, NC
Emily Epps
Counselor, LCMHCA
Verified Verified
Sylva, NC 28779
I am a licensed clinical mental health counselor associate with experience helping individuals and couples. I offer both in person and virtual counseling to residents of North Carolina. I aim to provide a safe and nonjudgmental space for my clients to explore their thoughts, feelings, and behaviors in an open and caring way. I work to encourage clients to develop skills and strategies to overcome challenges and live more fulfilling lives. My goal is to empower individuals and families with the resources they need to heal.
I am a licensed clinical mental health counselor associate with experience helping individuals and couples. I offer both in person and virtual counseling to residents of North Carolina. I aim to provide a safe and nonjudgmental space for my clients to explore their thoughts, feelings, and behaviors in an open and caring way. I work to encourage clients to develop skills and strategies to overcome challenges and live more fulfilling lives. My goal is to empower individuals and families with the resources they need to heal.
(828) 360-9705 View (828) 360-9705
Photo of Lucinda Ramsey, Licensed Professional Counselor in Dillsboro, NC
Lucinda Ramsey
Licensed Professional Counselor, LCMHC, MA
Verified Verified
1 Endorsed
Sylva, NC 28779
Not accepting new clients
Do you feel that life is working on you in ways you feel ill prepared for? Do you experience emotions and reactions you are ready to shed? Can you imagine a version of yourself that can handle the challenges you face with equanimity and skill? Let's investigate the patterns unfolding in your life with safety. Together, we can unravel unhelpful patterns and learn the skills of wellbeing and happiness.
Do you feel that life is working on you in ways you feel ill prepared for? Do you experience emotions and reactions you are ready to shed? Can you imagine a version of yourself that can handle the challenges you face with equanimity and skill? Let's investigate the patterns unfolding in your life with safety. Together, we can unravel unhelpful patterns and learn the skills of wellbeing and happiness.
(828) 537-4647 View (828) 537-4647
Photo of Margie Allison, Clinical Social Work/Therapist in Dillsboro, NC
Margie Allison
Clinical Social Work/Therapist, MSW, LCSW, LCAS, LISW-CP
Verified Verified
3 Endorsed
Sylva, NC 28779  (Online Only)
Note: I am now taking new clients. I have spent most of the first half of my life in therapy myself and now, as I move into my sixties, I find it an honor and privilege to use my experience, education and skills to guide my clients. My passion is working with those who are ready to heal and transform what no longer serves them on their way to creating lives of meaning, purpose and joy. I've accumulated a "toolkit" of effective modalities and those, combined with your own desire to grow and evolve is a powerful combination.
Note: I am now taking new clients. I have spent most of the first half of my life in therapy myself and now, as I move into my sixties, I find it an honor and privilege to use my experience, education and skills to guide my clients. My passion is working with those who are ready to heal and transform what no longer serves them on their way to creating lives of meaning, purpose and joy. I've accumulated a "toolkit" of effective modalities and those, combined with your own desire to grow and evolve is a powerful combination.
(828) 476-4343 View (828) 476-4343
Photo of Tom Wilmot, Counselor in Dillsboro, NC
Tom Wilmot
Counselor, MS, LPC
Verified Verified
Sylva, NC 28779
ACCEPTING NEW CLIENTS (Telehealth - available) Discussing personal challenges can often be difficult. The fact is that "life can be difficult", and there are times we all requre help "aligning our compass". Finding a therapist can be an important step in one's search for a "life worth living". For 10 years I have worked to develop compassion and empathy in assisting individuals and the families that have solicited my support in meeting the challenges and stressful situations that seems to be an unavoidable part of life.
ACCEPTING NEW CLIENTS (Telehealth - available) Discussing personal challenges can often be difficult. The fact is that "life can be difficult", and there are times we all requre help "aligning our compass". Finding a therapist can be an important step in one's search for a "life worth living". For 10 years I have worked to develop compassion and empathy in assisting individuals and the families that have solicited my support in meeting the challenges and stressful situations that seems to be an unavoidable part of life.
(678) 984-7676 View (678) 984-7676
Photo of Melissa Groh, Clinical Social Work/Therapist in Dillsboro, NC
Melissa Groh
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
Sylva, NC 28779  (Online Only)
Hello! Let's start with two important questions, what brought you here today? And how can I help? My style as a therapist is warm and inviting, with a healthy amount of empowerment to accomplish the goals you have set for yourself. I draw from a variety of theories and techniques centering around talk therapy and include a solution focused, mindfulness, strengths based, and nonjudgemental approach. I believe that in working together we can make progress and improvements in the areas you are seeking help with, at a pace that feels good to you. I treat each client as an individual and tailor my approach in ways that benefit you most!
Hello! Let's start with two important questions, what brought you here today? And how can I help? My style as a therapist is warm and inviting, with a healthy amount of empowerment to accomplish the goals you have set for yourself. I draw from a variety of theories and techniques centering around talk therapy and include a solution focused, mindfulness, strengths based, and nonjudgemental approach. I believe that in working together we can make progress and improvements in the areas you are seeking help with, at a pace that feels good to you. I treat each client as an individual and tailor my approach in ways that benefit you most!
(828) 392-6339 View (828) 392-6339
Photo of Lesa Cook Bridges, Clinical Social Work/Therapist in Dillsboro, NC
Lesa Cook Bridges
Clinical Social Work/Therapist, LCSW
Verified Verified
Sylva, NC 28779  (Online Only)
Dr. Cook specializes in Cognitive Behavioral Therapy (CBT) and trauma-focused care for individuals, couples, and families. She is an experienced child and family therapist with over 20 years in the field.
Dr. Cook specializes in Cognitive Behavioral Therapy (CBT) and trauma-focused care for individuals, couples, and families. She is an experienced child and family therapist with over 20 years in the field.
(704) 313-1218 View (704) 313-1218
Photo of Karen A Smith LMFT, LCAS, Marriage & Family Therapist in Dillsboro, NC
Karen A Smith LMFT, LCAS
Marriage & Family Therapist, LMFT, LCAS, MAC, EAP, SAE
Verified Verified
Sylva, NC 28779  (Online Only)
I enjoy working with clients who actively participate in their therapy. It is important to be ready to enter into therapy. The focus of therapy is on you not the others in your life - for after all you cannot change other people but rather the only person you can change is yourself. I can help you make the changes you want to make. Want to survive a trauma, stay sober, lose weight, interact better with others, recover from a loss, examine a troubled intimacy? This is what I do.
I enjoy working with clients who actively participate in their therapy. It is important to be ready to enter into therapy. The focus of therapy is on you not the others in your life - for after all you cannot change other people but rather the only person you can change is yourself. I can help you make the changes you want to make. Want to survive a trauma, stay sober, lose weight, interact better with others, recover from a loss, examine a troubled intimacy? This is what I do.
(828) 468-8275 View (828) 468-8275
Photo of Brooklynn Ledford, LCSW Associate in Dillsboro, NC
Brooklynn Ledford
LCSW Associate, MSW, LCSWA
Verified Verified
Sylva, NC 28779
I specialize in working with youth of all ages, from elementary age to teenagers. I take a casual, fun and relatable approach to therapy that allows youth to feel more comfortable in the space. I enjoy helping youth find their voice, improving communication and the quality of their relationships, becoming more mindful in daily practices, etc. I'm passionate about collaborating with kids and their families to manage anxiety, depression, trauma, or any other challenging life phases.
I specialize in working with youth of all ages, from elementary age to teenagers. I take a casual, fun and relatable approach to therapy that allows youth to feel more comfortable in the space. I enjoy helping youth find their voice, improving communication and the quality of their relationships, becoming more mindful in daily practices, etc. I'm passionate about collaborating with kids and their families to manage anxiety, depression, trauma, or any other challenging life phases.
(828) 761-7516 View (828) 761-7516
Photo of Dana E Mills, Licensed Professional Counselor in Dillsboro, NC
Dana E Mills
Licensed Professional Counselor, LCMHC, LCAS, CCS
Verified Verified
1 Endorsed
Sylva, NC 28779
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
(828) 634-4378 View (828) 634-4378
Photo of Melanie Norman, Licensed Professional Counselor in Dillsboro, NC
Melanie Norman
Licensed Professional Counselor, MS, LPC, LCAS, CCS
Verified Verified
Sylva, NC 28779  (Online Only)
You are doing life--going to work, to school--but it's not easy! And it's exhausting presenting as if all's OK all the time: to put on the smile, to muster the energy. But that little voice still whispers negativity in the back of your head: All. The. Damn. Time. You don't know how to take appreciation, much less see it in yourself. You don't know how to say no. And you just want some peace and the sense that you exist outside the needs of others.
You are doing life--going to work, to school--but it's not easy! And it's exhausting presenting as if all's OK all the time: to put on the smile, to muster the energy. But that little voice still whispers negativity in the back of your head: All. The. Damn. Time. You don't know how to take appreciation, much less see it in yourself. You don't know how to say no. And you just want some peace and the sense that you exist outside the needs of others.
(828) 705-3498 View (828) 705-3498
Photo of Compass Counseling Services, PLLC, Clinical Social Work/Therapist in Dillsboro, NC
Compass Counseling Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Sylva, NC 28779  (Online Only)
Over the years, I have worked with individuals who experience challenges with symptoms related to anxiety, who have been experienced challenges in relationships, and those who are wanting to increase stress management skills. Some folks seeking support during times of transition and some folks are interested in focusing on a specific area of their relationship with their partner or their coworkers. Together, we can determine which goals to focus on and how to best achieve the desired outcomes.
Over the years, I have worked with individuals who experience challenges with symptoms related to anxiety, who have been experienced challenges in relationships, and those who are wanting to increase stress management skills. Some folks seeking support during times of transition and some folks are interested in focusing on a specific area of their relationship with their partner or their coworkers. Together, we can determine which goals to focus on and how to best achieve the desired outcomes.
(919) 822-8318 View (919) 822-8318
Photo of Sarah Mehta, Licensed Clinical Mental Health Counselor in Dillsboro, NC
Sarah Mehta
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS, NCC
Verified Verified
2 Endorsed
Sylva, NC 28779
“You need to get your shit together!” Your inner critic sternly informs you as you prop yourself up on your work desk and sigh wearily. Your chest tightens as your phone reveals part of another lengthy, panicked text from your mom about your brother’s latest relapse. Seconds later, you remember that you got a tad defensive with your partner yesterday, forgot to answer an email, and have 20 more things to add to your to-do list- all before you’ve finished your coffee. Your brow furrows as you hastily wrack your brain for a solution to stifle the lingering dread you can’t shake, while also trying to remember if you left the stove on.
“You need to get your shit together!” Your inner critic sternly informs you as you prop yourself up on your work desk and sigh wearily. Your chest tightens as your phone reveals part of another lengthy, panicked text from your mom about your brother’s latest relapse. Seconds later, you remember that you got a tad defensive with your partner yesterday, forgot to answer an email, and have 20 more things to add to your to-do list- all before you’ve finished your coffee. Your brow furrows as you hastily wrack your brain for a solution to stifle the lingering dread you can’t shake, while also trying to remember if you left the stove on.
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Photo of Kaitlin Kirkland Ritchie, Counselor in Dillsboro, NC
Kaitlin Kirkland Ritchie
Counselor, MS, LCMHCA
Verified Verified
Sylva, NC 28779
Your decision to engage in counseling is to be appreciated and honored as it often involves courage, commitment, vulnerability, and a willingness to change. It is important that you feel heard, understood, and accepted for who you are and what you have already experienced. I view my role as giving you the support, safety, caring, and respect you deserve while facilitating you doing that for yourself. I will also provide cognitive, emotional, and behavioral models, "tools" and experiences to enhance your self-awareness, self-expression, and self-care; and help you learn to trust in your basic goodness and wisdom.
Your decision to engage in counseling is to be appreciated and honored as it often involves courage, commitment, vulnerability, and a willingness to change. It is important that you feel heard, understood, and accepted for who you are and what you have already experienced. I view my role as giving you the support, safety, caring, and respect you deserve while facilitating you doing that for yourself. I will also provide cognitive, emotional, and behavioral models, "tools" and experiences to enhance your self-awareness, self-expression, and self-care; and help you learn to trust in your basic goodness and wisdom.
(828) 759-5665 View (828) 759-5665
Photo of Nancy J Marts, Clinical Social Work/Therapist in Dillsboro, NC
Nancy J Marts
Clinical Social Work/Therapist, LCSW
Verified Verified
Sylva, NC 28779
Not accepting new clients
My approach to helping: I see life as a journey. Sometimes we get in a rut and have difficulty getting out, or sometimes we think we are on the right road and things turn out differently than expected, leaving us devastated and not knowing how or what to change. At times, we are unaware of our repeated patterns or how early life experiences have affected us. At the time, we usually do the best we can with what skills we have. Sometimes, we have to change our unhelpful coping skills and develop strategies and skills that will help us be happier and more functional people. Life is a journey, let's take it one step at a time.
My approach to helping: I see life as a journey. Sometimes we get in a rut and have difficulty getting out, or sometimes we think we are on the right road and things turn out differently than expected, leaving us devastated and not knowing how or what to change. At times, we are unaware of our repeated patterns or how early life experiences have affected us. At the time, we usually do the best we can with what skills we have. Sometimes, we have to change our unhelpful coping skills and develop strategies and skills that will help us be happier and more functional people. Life is a journey, let's take it one step at a time.
(828) 492-3207 View (828) 492-3207
Photo of Stephanie Cheryl Bowman, Lic Clinical Mental Health Counselor Associate in Dillsboro, NC
Stephanie Cheryl Bowman
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
1 Endorsed
Sylva, NC 28779
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
(828) 200-5332 View (828) 200-5332
Photo of Carol VanderWoude, Clinical Social Work/Therapist in Dillsboro, NC
Carol VanderWoude
Clinical Social Work/Therapist, LCSW
Verified Verified
Sylva, NC 28779
Waitlist for new clients
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
(828) 332-5651 View (828) 332-5651
Photo of Kayla Grzech, Clinical Social Work/Therapist in Dillsboro, NC
Kayla Grzech
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Sylva, NC 28779  (Online Only)
Not accepting new clients
My clients come to me feeling stuck, overwhelmed or lost. Often, they feel like something is wrong with them because they struggle so much to figure out who they are and how to function and feel like they belong in the world and within their relationships. They struggle with anxiety, people-pleasing, perfectionism, and low self-esteem. Many also suffer from relational wounds and religious trauma/spiritual wounds that complicate their sense of self and trust in the world. I'm a trauma-informed therapist that works with adults age 25+ in North Carolina and Michigan (telehealth only).
My clients come to me feeling stuck, overwhelmed or lost. Often, they feel like something is wrong with them because they struggle so much to figure out who they are and how to function and feel like they belong in the world and within their relationships. They struggle with anxiety, people-pleasing, perfectionism, and low self-esteem. Many also suffer from relational wounds and religious trauma/spiritual wounds that complicate their sense of self and trust in the world. I'm a trauma-informed therapist that works with adults age 25+ in North Carolina and Michigan (telehealth only).
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How does your Therapist compare?

Number of Therapists in Dillsboro, NC

< 10

Therapists in Dillsboro, NC who prioritize treating:

100% Depression
100% Anxiety
100% Addiction
100% Trauma and PTSD
100% Substance Use
100% Sleep or Insomnia
100% Alcohol Use

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Oxford

How Therapists in Dillsboro, NC see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Dillsboro?

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.