Therapists in Cary, NC

Photo of Tammie Ducre Moore, Psychologist in Cary, NC
Tammie Ducre Moore
Psychologist, PhD, HSP-P
Verified Verified
Cary, NC 27518
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
(919) 375-3556 View (919) 375-3556
Photo of Kathleen Moore, Counselor in Cary, NC
Kathleen Moore
Counselor, LCMHC
Verified Verified
Cary, NC 27518
Kathleen Moore is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 1984. She holds a Bachelor's Degree from The Pennsylvania State University in Rehabilitation Counseling and a Master's Degree in Counseling Psychology from Old Dominion University. If it's important to you, it is important! Kathleen delivers evidence-based interventions with compassion, genuineness, humor, and empathy. She will draw on your strengths to decrease distress, improve resilience, and work through barriers to experience wholeness.
Kathleen Moore is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 1984. She holds a Bachelor's Degree from The Pennsylvania State University in Rehabilitation Counseling and a Master's Degree in Counseling Psychology from Old Dominion University. If it's important to you, it is important! Kathleen delivers evidence-based interventions with compassion, genuineness, humor, and empathy. She will draw on your strengths to decrease distress, improve resilience, and work through barriers to experience wholeness.
(919) 328-3895 View (919) 328-3895
Photo of Jeffrey Levy, Marriage & Family Therapist in Cary, NC
Jeffrey Levy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cary, NC 27511
www.CouplesCounseling.com: As Licensed Marriage and Family Therapists devoted to helping people, we offer psychotherapy to individual adults, and couples through Carolina Counseling & Wellness Center, PC. Our specialty is couples counseling - helping couples discover solutions to problems that lead to more fulfilling relationships. Our practitioners are: Jeff Levy, LMFT and Dr. Toni Rabinowitz, Ph.D, LMFT. Each with over 25 experience, we share expertise and similar perspectives on couples counseling. Please visit our website at www.CouplesCounseling.com to learn more about us.
www.CouplesCounseling.com: As Licensed Marriage and Family Therapists devoted to helping people, we offer psychotherapy to individual adults, and couples through Carolina Counseling & Wellness Center, PC. Our specialty is couples counseling - helping couples discover solutions to problems that lead to more fulfilling relationships. Our practitioners are: Jeff Levy, LMFT and Dr. Toni Rabinowitz, Ph.D, LMFT. Each with over 25 experience, we share expertise and similar perspectives on couples counseling. Please visit our website at www.CouplesCounseling.com to learn more about us.
(919) 666-3151 View (919) 666-3151
Photo of Ta Jhaneya Hines, Clinical Social Work/Therapist in Cary, NC
Ta Jhaneya Hines
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
Ta’Jhaneya Hines is a Licensed Clinical Social Worker (LCSW) in the state of North Carolina. She has over 4 years of experience working in diverse settings within community mental health. She has experience with all age populations and specializes in treating and addressing the symptoms of anxiety, depression, behavioral issues, poor coping skills, family conflict, life transitional issues, and mood-related disorders. Ta’Jhaneya obtained her Bachelor's degree in Social Work from the University of North Carolina at Greensboro. She went on to earn her Master's degree in Social Work from North Carolina State University.
Ta’Jhaneya Hines is a Licensed Clinical Social Worker (LCSW) in the state of North Carolina. She has over 4 years of experience working in diverse settings within community mental health. She has experience with all age populations and specializes in treating and addressing the symptoms of anxiety, depression, behavioral issues, poor coping skills, family conflict, life transitional issues, and mood-related disorders. Ta’Jhaneya obtained her Bachelor's degree in Social Work from the University of North Carolina at Greensboro. She went on to earn her Master's degree in Social Work from North Carolina State University.
(984) 400-8406 View (984) 400-8406
Photo of Nahiris Aranzamendi, Pre-Licensed Professional in Cary, NC
Nahiris Aranzamendi
Pre-Licensed Professional
Verified Verified
Cary, NC 27511
Nahiris Aranzamendi is a Licensed Clinical Mental Health Counselor Associate (LMHC-A) and a nationally-certified Counselor (NCC). Nahiris enjoys working with adults, teens, children, and families who are coping with anxiety, anger, depression, OCD, bipolar disorder I and II, panic disorder, sexual dysfunction and trauma, PTSD, and much more.
Nahiris Aranzamendi is a Licensed Clinical Mental Health Counselor Associate (LMHC-A) and a nationally-certified Counselor (NCC). Nahiris enjoys working with adults, teens, children, and families who are coping with anxiety, anger, depression, OCD, bipolar disorder I and II, panic disorder, sexual dysfunction and trauma, PTSD, and much more.
(919) 642-4780 View (919) 642-4780
Photo of Elena Johnson, Licensed Professional Counselor in Cary, NC
Elena Johnson
Licensed Professional Counselor, MA, LCMHC, LCAS
Verified Verified
4 Endorsed
Cary, NC 27511
Not accepting new clients
There are times in our lives when we feel overwhelmed, unmotivated, and disconnected. We lose sight of who we are and what we want. It is my belief that all humans are capable of growth and contentment. That, through practicing self-awareness and self-acceptance, we are able to re-examine beliefs, behaviors, and patterns of protection that keep us from connection and creating joy. I utilize an integrated and relational approach to work with clients on becoming "unstuck" from anxiety, depression, trauma, body image issues, relationship concerns, challenging life transitions, impacts of oppressive systems, and limiting beliefs.
There are times in our lives when we feel overwhelmed, unmotivated, and disconnected. We lose sight of who we are and what we want. It is my belief that all humans are capable of growth and contentment. That, through practicing self-awareness and self-acceptance, we are able to re-examine beliefs, behaviors, and patterns of protection that keep us from connection and creating joy. I utilize an integrated and relational approach to work with clients on becoming "unstuck" from anxiety, depression, trauma, body image issues, relationship concerns, challenging life transitions, impacts of oppressive systems, and limiting beliefs.
(919) 214-5842 View (919) 214-5842
Photo of Duncan Bordeaux, Clinical Social Work/Therapist in Cary, NC
Duncan Bordeaux
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511
I work with young people, adolescents, adults, and families of all configurations, with a special focus on the LGBTQIA+ community. I have experience working with clients from a wide range of cultural and socio-economic backgrounds as well a passion for creating safe and healthy spaces for people to explore themselves and their relationships.
I work with young people, adolescents, adults, and families of all configurations, with a special focus on the LGBTQIA+ community. I have experience working with clients from a wide range of cultural and socio-economic backgrounds as well a passion for creating safe and healthy spaces for people to explore themselves and their relationships.
(984) 223-5194 View (984) 223-5194
Photo of Natalie Strzok, Licensed Professional Counselor in Cary, NC
Natalie Strzok
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Cary, NC 27513
No one seems to understand you. Emotionally, physically, and sexually you feel exhausted and hopeless. It's a constant struggle to forget the things that have happened, and the people that have hurt you. You want to change how you are in your relationships but don't know how despite trying everything you could. Rest assured, there is hope! Together, we can work to help you rebuild the pieces that have felt missing for so long. You can have safe, fulfilling relationships with friends, family, and partners, and find joy and meaning again. You can also start enjoying things you may have stopped doing or have avoided out of fear.
No one seems to understand you. Emotionally, physically, and sexually you feel exhausted and hopeless. It's a constant struggle to forget the things that have happened, and the people that have hurt you. You want to change how you are in your relationships but don't know how despite trying everything you could. Rest assured, there is hope! Together, we can work to help you rebuild the pieces that have felt missing for so long. You can have safe, fulfilling relationships with friends, family, and partners, and find joy and meaning again. You can also start enjoying things you may have stopped doing or have avoided out of fear.
(919) 551-6907 View (919) 551-6907
Photo of Cindy Saleeby Goulding, Licensed Professional Counselor in Cary, NC
Cindy Saleeby Goulding
Licensed Professional Counselor, MS, LCMHC, NCC, CPT , CHWC
Verified Verified
Cary, NC 27513  (Online Only)
If you are struggling with a relationship, personal or work stress, health challenges, grief and loss, trauma, negative experiences, emotional eating, anxiety or depression, I can help you on your journey. I am committed to helping you take steps to reach your fullest potential and will honor where you are on your journey. I take a holistic approach to health and wellness and specialize in cognitive behavioral therapy, person-centered, motivational interviewing, and mindfulness. I value the mind/body connection so you can feel better physically and emotionally. I am here to help you gain understanding and insights in your journey.
If you are struggling with a relationship, personal or work stress, health challenges, grief and loss, trauma, negative experiences, emotional eating, anxiety or depression, I can help you on your journey. I am committed to helping you take steps to reach your fullest potential and will honor where you are on your journey. I take a holistic approach to health and wellness and specialize in cognitive behavioral therapy, person-centered, motivational interviewing, and mindfulness. I value the mind/body connection so you can feel better physically and emotionally. I am here to help you gain understanding and insights in your journey.
(984) 213-4724 View (984) 213-4724
Photo of Stacia Crick-Brommel, Clinical Social Work/Therapist in Cary, NC
Stacia Crick-Brommel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27513  (Online Only)
I am a Licensed Clinical Social Worker with over 15 years of experience providing evidence-based therapy to adolescents, children, and adults. In my work, I explore ways to find the best therapy for each individual that will help him/her return to an emotional balance enabling more enjoyment in life and improving all interpersonal relationships. I do my best to practice the tenets of empathy and unconditional positive regard while using an eclectic approach that informs my therapy including Humanistic, Family Systems, CBT, DBT, Solutions Focused, schematic therapy, reality, and relational therapy.
I am a Licensed Clinical Social Worker with over 15 years of experience providing evidence-based therapy to adolescents, children, and adults. In my work, I explore ways to find the best therapy for each individual that will help him/her return to an emotional balance enabling more enjoyment in life and improving all interpersonal relationships. I do my best to practice the tenets of empathy and unconditional positive regard while using an eclectic approach that informs my therapy including Humanistic, Family Systems, CBT, DBT, Solutions Focused, schematic therapy, reality, and relational therapy.
(828) 373-8607 View (828) 373-8607
Photo of Annie Ford, Marriage & Family Therapist in Cary, NC
Annie Ford
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Waitlist for new clients
As a licensed marriage and family therapist (LMFT), I work with those that are feeling stuck, unsatisfied, frustrated, or distressed and seeking a change. I specialize in relational work, whether those relationships are with your romantic partners, family members, friends, or yourself. I work collaboratively with you to identify those places of change so that you can live in a way that feels more authentic and meaningful. I fully believe in the inherent value and worthiness of all people and this value guides my practice.
As a licensed marriage and family therapist (LMFT), I work with those that are feeling stuck, unsatisfied, frustrated, or distressed and seeking a change. I specialize in relational work, whether those relationships are with your romantic partners, family members, friends, or yourself. I work collaboratively with you to identify those places of change so that you can live in a way that feels more authentic and meaningful. I fully believe in the inherent value and worthiness of all people and this value guides my practice.
(919) 897-7206 View (919) 897-7206
Photo of Hunter Blake, Lic Clinical Mental Health Counselor Associate in Cary, NC
Hunter Blake
Lic Clinical Mental Health Counselor Associate, NCC
Verified Verified
4 Endorsed
Cary, NC 27518
I do not have a current waiting list and am here in Cary, NC! We have an office over in Waverly Place where we could meet in person (with free refreshments and coffee), or you can meet with me online from anywhere in North Carolina. I see anyone 13 years old and up but typically work very well with college-aged and young adult males at any walk of life. Some key issues I have extensive experience with are depression, anxiety, identity/lack of purpose issues, topics related to spirituality, men's issues, and addiction.
I do not have a current waiting list and am here in Cary, NC! We have an office over in Waverly Place where we could meet in person (with free refreshments and coffee), or you can meet with me online from anywhere in North Carolina. I see anyone 13 years old and up but typically work very well with college-aged and young adult males at any walk of life. Some key issues I have extensive experience with are depression, anxiety, identity/lack of purpose issues, topics related to spirituality, men's issues, and addiction.
(919) 842-3391 View (919) 842-3391
Photo of Darron Anderson, LCSW Associate in Cary, NC
Darron Anderson
LCSW Associate, LCSWA, MSW
Verified Verified
Cary, NC 27519  (Online Only)
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
Do you need to talk about something but don’t know exactly what it is? Does your mind tend to move fast but your body stays in place? Is anger, frustration, or sadness taking over your thoughts and guiding your decisions? If you answered 'YES' to any of these questions, then guess what? You are not alone. Our mental health affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life from childhood to adolescence, through adulthood. As a mental health professional, Darron Anderson has helped individuals and families
(984) 254-3650 View (984) 254-3650
Photo of Jacklyn Michele Blake, Lic Clinical Mental Health Counselor Associate in Cary, NC
Jacklyn Michele Blake
Lic Clinical Mental Health Counselor Associate, LCMHCA, MBA
Verified Verified
2 Endorsed
Cary, NC 27518
CPP Provider for NC State Employees BCBS Plan. Life's journey is rich with surprises, some delightful and others daunting. Facing the rough patches that test our spirit and relationships isn't just brave, it's profoundly human. Embracing this journey can lead to transformative changes, and it's okay to seek clarity. It takes courage to reach for support, and doing so is a powerful affirmation of your resilience.
CPP Provider for NC State Employees BCBS Plan. Life's journey is rich with surprises, some delightful and others daunting. Facing the rough patches that test our spirit and relationships isn't just brave, it's profoundly human. Embracing this journey can lead to transformative changes, and it's okay to seek clarity. It takes courage to reach for support, and doing so is a powerful affirmation of your resilience.
(984) 230-4891 View (984) 230-4891
Photo of Family Solutions and Wellness Center, Marriage & Family Therapist in Cary, NC
Family Solutions and Wellness Center
Marriage & Family Therapist, LMFT, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
FSWC is a private practice serving Cary & Wilmington, NC, as well as state-wide telehealth services. We offer daytime, evening, and weekend appointments, and use an online scheduler to make booking appointments easy! If you don't see an available time online, please contact us and we will do our best to accommodate your needs. Please read more about each of our therapist on our website - www.FamilySolutionsAndWellness.com. Finding a good fit is important!
(919) 648-1438 View (919) 648-1438
Photo of Elizabeth Enck, Clinical Social Work/Therapist in Cary, NC
Elizabeth Enck
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
Elizabeth "Liz" Enck is a Licensed Clinical Social Worker (LCSW) with over 3 years of clinical mental health experience. She is passionate about helping adolescents, adults, and families build on individual strengths, identify and strengthen natural attachments. Liz's areas of specialty include anxiety, depression, relationship issues, trauma, major life transitions, and much more.
Elizabeth "Liz" Enck is a Licensed Clinical Social Worker (LCSW) with over 3 years of clinical mental health experience. She is passionate about helping adolescents, adults, and families build on individual strengths, identify and strengthen natural attachments. Liz's areas of specialty include anxiety, depression, relationship issues, trauma, major life transitions, and much more.
(984) 223-5536 View (984) 223-5536
Photo of Spencer D Grinnell, Marriage & Family Therapist in Cary, NC
Spencer D Grinnell
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
1 Endorsed
Cary, NC 27513
Waitlist for new clients
Teenagers and even children are more and more dealing with environmental pressure that results in them feeling overwhelmed, stressed and anxious and can often lead to depression among a host of concerns. Parents can be their child's biggest strength through these tough years and is why I am dedicated to strengthening the parent and child relationship to enable children and teens to be successful in dealing with these common issues.
Teenagers and even children are more and more dealing with environmental pressure that results in them feeling overwhelmed, stressed and anxious and can often lead to depression among a host of concerns. Parents can be their child's biggest strength through these tough years and is why I am dedicated to strengthening the parent and child relationship to enable children and teens to be successful in dealing with these common issues.
(984) 205-6873 View (984) 205-6873
Photo of Jillian Lorek, Counselor in Cary, NC
Jillian Lorek
Counselor, LCMHCA
Verified Verified
Cary, NC 27511
I am a Licensed Clinical Mental Health Counseling Associate with Krippa Family Psychological & Wellness Services. While I do have a 24-year background working with families and children in the stages of early childhood, in this role, I hope to continue working with people of all ages, from a variety of backgrounds. I specialize in working with children (ages 2+), adolescents, and women, struggling with symptoms of anxiety, depression, low-self-esteem, ADHD, ASD, suicidal ideations, self-harming behaviors, emotional and mood dysregulation, as well as interpersonal relationship and social skill difficulties.
I am a Licensed Clinical Mental Health Counseling Associate with Krippa Family Psychological & Wellness Services. While I do have a 24-year background working with families and children in the stages of early childhood, in this role, I hope to continue working with people of all ages, from a variety of backgrounds. I specialize in working with children (ages 2+), adolescents, and women, struggling with symptoms of anxiety, depression, low-self-esteem, ADHD, ASD, suicidal ideations, self-harming behaviors, emotional and mood dysregulation, as well as interpersonal relationship and social skill difficulties.
(919) 343-9255 View (919) 343-9255
Photo of Alan Kent Cassell, Counselor in Cary, NC
Alan Kent Cassell
Counselor, PhD, NCC, LCMHC-A
Verified Verified
1 Endorsed
Cary, NC 27513  (Online Only)
I specialize in stress and grief counseling. When life "happens" it can be overwhelming and confusing, there are times you simply need a sounding board and sometimes you need much more. Stress can come from many different sources and may become complicated and difficult to deal with. Such debilitating stress can be based in everyday life or a sudden occurrence such as loss of a loved one. There is no specific way to grieve and no guideline that was ever taught. Grief can be such a heavy burden to carry that can affect every aspect of your life. It can be stressful, confusing, and debilitating.
I specialize in stress and grief counseling. When life "happens" it can be overwhelming and confusing, there are times you simply need a sounding board and sometimes you need much more. Stress can come from many different sources and may become complicated and difficult to deal with. Such debilitating stress can be based in everyday life or a sudden occurrence such as loss of a loved one. There is no specific way to grieve and no guideline that was ever taught. Grief can be such a heavy burden to carry that can affect every aspect of your life. It can be stressful, confusing, and debilitating.
(919) 804-8995 View (919) 804-8995
Photo of Compass Family Consultants PLLC in Cary, NC
Compass Family Consultants PLLC
MS, LCMHC, NCC
Verified Verified
Cary, NC 27511
We specialize in family and individual therapy and counseling. Whether you are struggling with addiction, depression, anxiety, or family issues, we have the staff and experience to help you.
We specialize in family and individual therapy and counseling. Whether you are struggling with addiction, depression, anxiety, or family issues, we have the staff and experience to help you.
(919) 568-5251 View (919) 568-5251

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
72% Coping Skills
69% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
54% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.