Therapists in Augusta, ME

Photo of Laurie A Spataro, Counselor in Augusta, ME
Laurie A Spataro
Counselor, LMHC, LCPC, LADC, CCS
Verified Verified
Augusta, ME 04330  (Online Only)
Not accepting new clients
Invest in yourself today by setting up a time to take care of you. I am sincere in my goal of empowering clients to help themselves. Please feel free to schedule through my private practice for all private/cash pay services. Newly accepting MaineCare! Please contact me through ESM to set up services at 207-622-5946.
Invest in yourself today by setting up a time to take care of you. I am sincere in my goal of empowering clients to help themselves. Please feel free to schedule through my private practice for all private/cash pay services. Newly accepting MaineCare! Please contact me through ESM to set up services at 207-622-5946.
(207) 855-0256 View (207) 855-0256
Photo of Carolyn A. Stiman, LCSW, Clinical Social Work/Therapist in Augusta, ME
Carolyn A. Stiman, LCSW
Clinical Social Work/Therapist, LCSW-R, ACHT
Verified Verified
Augusta, ME 04330  (Online Only)
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
(845) 379-0060 View (845) 379-0060
Photo of Colin Routh, LCSW, Clinical Social Work/Therapist in Augusta, ME
Colin Routh, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04330
Waitlist for new clients
Greetings, and thank you for looking into my practice. I know it is often hard to decide to seek therapy and find a good match between client and provider. I feel that the foundation of therapeutic work is relationship and rapport. Establishing this allows for trust, honesty and growth. I truly believe that, no matter the circumstance, we are in it together. I have worked with youth, adolescents, adults and families. I accept Aetna Anthem, Elevance BHS, Behavioral Health Systems Blue Cross Blue Shield BlueCross and BlueShield Cigna and Evernorth Harvard Pilgrim Optum UnitedHealthcare UHC, and UBH.
Greetings, and thank you for looking into my practice. I know it is often hard to decide to seek therapy and find a good match between client and provider. I feel that the foundation of therapeutic work is relationship and rapport. Establishing this allows for trust, honesty and growth. I truly believe that, no matter the circumstance, we are in it together. I have worked with youth, adolescents, adults and families. I accept Aetna Anthem, Elevance BHS, Behavioral Health Systems Blue Cross Blue Shield BlueCross and BlueShield Cigna and Evernorth Harvard Pilgrim Optum UnitedHealthcare UHC, and UBH.
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Photo of Colleen M Smith, Counselor in Augusta, ME
Colleen M Smith
Counselor, LMHC, NCC
Verified Verified
Augusta, ME 04330
I specialize in helping Christians integrate their faith into clinical practice and solutions. I am here to support and empower women who have lost their sense of self. There are many obstacles we encounter in life and sometimes it takes someone sitting with us and exploring what is making the mountain seem immovable. I specialize in helping women set up goals and develop a path to achieve them. I enjoy working with married couples, to help them develop healthy ways to handle conflict, and also those trying to blend a family. I also do premarital counseling for engaged couples. I offer evening sessions as well.
I specialize in helping Christians integrate their faith into clinical practice and solutions. I am here to support and empower women who have lost their sense of self. There are many obstacles we encounter in life and sometimes it takes someone sitting with us and exploring what is making the mountain seem immovable. I specialize in helping women set up goals and develop a path to achieve them. I enjoy working with married couples, to help them develop healthy ways to handle conflict, and also those trying to blend a family. I also do premarital counseling for engaged couples. I offer evening sessions as well.
(207) 672-1079 View (207) 672-1079
Photo of Jordan G Shaw, Licensed Clinical Professional Counselor in Augusta, ME
Jordan G Shaw
Licensed Clinical Professional Counselor
Verified Verified
Augusta, ME 04330
Waitlist for new clients
I specialize in working with couples and families navigating ruptures and conflict in their relationships and seeking to build deeper, more meaningful connections with one another.
I specialize in working with couples and families navigating ruptures and conflict in their relationships and seeking to build deeper, more meaningful connections with one another.
(207) 521-9648 View (207) 521-9648
Photo of Michael Mitchell, Clinical Social Work/Therapist in Augusta, ME
Michael Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04330
Life is full of challenges that sometimes can be overwhelming. I bring over 3 decades of experience in helping people find the solutions to those challenges. My role as a therapist is to bring understanding and perspective to help individuals, couples and families improve their quality of life. I bring extensive experience in a wide range of mental health and substance use concerns across all ages.
Life is full of challenges that sometimes can be overwhelming. I bring over 3 decades of experience in helping people find the solutions to those challenges. My role as a therapist is to bring understanding and perspective to help individuals, couples and families improve their quality of life. I bring extensive experience in a wide range of mental health and substance use concerns across all ages.
(207) 407-9513 View (207) 407-9513
Photo of Emily Rhodes, Pre-Licensed Professional in Augusta, ME
Emily Rhodes
Pre-Licensed Professional, LCPC-C
Verified Verified
Augusta, ME 04330  (Online Only)
Waitlist for new clients
I firmly believe in providing a safe place for all. I am a believer that you are the expert in all things you! Therefore, I aim to meet you where you are. To do this, I utilize an eclectic approach drawing on multiple counseling theories, such as Person-Centered and strengths-based approaches to help identify current issues you wish to address in therapy and the strengths you possess to overcome and work through life’s problems. Additionally, I have been formally trained in and utilize Acceptance and Commitment Therapy (ACT) and Mindfulness, Narrative Therapy, and Trauma-informed Cognitive Behavioral Therapy (Tf-CBT).
I firmly believe in providing a safe place for all. I am a believer that you are the expert in all things you! Therefore, I aim to meet you where you are. To do this, I utilize an eclectic approach drawing on multiple counseling theories, such as Person-Centered and strengths-based approaches to help identify current issues you wish to address in therapy and the strengths you possess to overcome and work through life’s problems. Additionally, I have been formally trained in and utilize Acceptance and Commitment Therapy (ACT) and Mindfulness, Narrative Therapy, and Trauma-informed Cognitive Behavioral Therapy (Tf-CBT).
(207) 962-2737 View (207) 962-2737
Photo of Nicole Mank, Clinical Social Work/Therapist in Augusta, ME
Nicole Mank
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
Not accepting new clients
FULL as of 12/11/23 My goal is to foster the creation of a trusting relationship and a safe space to explore thoughts, feelings, and concerns with support and encouragement. Begin to explore challenging concerns or patterns in life that may be hindering you from living your best life, fulfilling personal goals, or finding happiness.
FULL as of 12/11/23 My goal is to foster the creation of a trusting relationship and a safe space to explore thoughts, feelings, and concerns with support and encouragement. Begin to explore challenging concerns or patterns in life that may be hindering you from living your best life, fulfilling personal goals, or finding happiness.
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Photo of Heather Lynn Johnson, Counselor in Augusta, ME
Heather Lynn Johnson
Counselor, LCPC
Verified Verified
1 Endorsed
Augusta, ME 04330
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
(505) 393-6865 View (505) 393-6865
Photo of Derrick Hyatt Hypnotherapist in Augusta, ME
Derrick Hyatt Hypnotherapist
CHT
Verified Verified
Augusta, ME 04330
As a certified hypnotherapist, I use hypnosis to help clients eliminate unwanted habits and help them produce positive changes in their lives. Hypnosis can help clients overcome challenges with anxiety, weight management and smoking cessation. Hypnotherapy can help to achieve fitness goals, and much ,much more.
As a certified hypnotherapist, I use hypnosis to help clients eliminate unwanted habits and help them produce positive changes in their lives. Hypnosis can help clients overcome challenges with anxiety, weight management and smoking cessation. Hypnotherapy can help to achieve fitness goals, and much ,much more.
(207) 994-8862 View (207) 994-8862
Photo of Sara Beth Fenwick, Counselor in Augusta, ME
Sara Beth Fenwick
Counselor, LCPC
Verified Verified
Augusta, ME 04330
I have openings for Couples Therapy/ Family Therapy/Ind adults at this time. Life can be challenging these days. Are you feeling stressed or overwhelmed? Are you in what feels like an impossible situation, job, relationship, or having difficulties with your child/ren? Are you struggling with anxiety or depression? Any of these issues can leave you feeling alone, at a loss, and even stuck. Therapy can be a positive way to begin your journey of figuring out how you got to where you are, how to manage the symptoms that are making your life unbearable, and what choices you want to make to change your life’s trajectory.
I have openings for Couples Therapy/ Family Therapy/Ind adults at this time. Life can be challenging these days. Are you feeling stressed or overwhelmed? Are you in what feels like an impossible situation, job, relationship, or having difficulties with your child/ren? Are you struggling with anxiety or depression? Any of these issues can leave you feeling alone, at a loss, and even stuck. Therapy can be a positive way to begin your journey of figuring out how you got to where you are, how to manage the symptoms that are making your life unbearable, and what choices you want to make to change your life’s trajectory.
(207) 640-2549 View (207) 640-2549
Photo of Michael Scheib, Clinical Social Work/Therapist in Augusta, ME
Michael Scheib
Clinical Social Work/Therapist, LCSW, C-DBT, MS Ed
Verified Verified
Augusta, ME 04330  (Online Only)
Waitlist for new clients
Hello! I am glad you have taken a step to better your mental health! I am primarily working with Adults at this time, but will work with children 14+. I use goal-oriented therapy that involves the individual in every step of the process. The modalities of therapy I use, are evidence-based (CBT, ACT, DBT, etc.), which aim to decrease interfering thoughts, feelings, and behaviors, as well as increase happiness and success in life. We will also work together in a holistic manner to insure we are addressing all aspects of your life that could affect mental health!
Hello! I am glad you have taken a step to better your mental health! I am primarily working with Adults at this time, but will work with children 14+. I use goal-oriented therapy that involves the individual in every step of the process. The modalities of therapy I use, are evidence-based (CBT, ACT, DBT, etc.), which aim to decrease interfering thoughts, feelings, and behaviors, as well as increase happiness and success in life. We will also work together in a holistic manner to insure we are addressing all aspects of your life that could affect mental health!
(207) 501-3392 View (207) 501-3392
Photo of Sarah McCracken, Clinical Social Work/Therapist in Augusta, ME
Sarah McCracken
Clinical Social Work/Therapist, LMSW-CC
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
My work is about hearing and holding stories, guiding others towards a deeper connection with their unique experiences and the meaning attached to them. As we tell our stories, the meaning can change, and in turn, we may change our experience. Integrating intuition and evidence-based practices, I see my role as a mirror and guide, helping you to identify patterns and stories that might limit experiences of deep self-worth, authentic expression, healthy relating, and overall wellness. I understand that not all stories are easy to tell, and I take great care to create a therapeutic space of safety so that you can reach your goals.
My work is about hearing and holding stories, guiding others towards a deeper connection with their unique experiences and the meaning attached to them. As we tell our stories, the meaning can change, and in turn, we may change our experience. Integrating intuition and evidence-based practices, I see my role as a mirror and guide, helping you to identify patterns and stories that might limit experiences of deep self-worth, authentic expression, healthy relating, and overall wellness. I understand that not all stories are easy to tell, and I take great care to create a therapeutic space of safety so that you can reach your goals.
(207) 292-7352 View (207) 292-7352
Photo of Michelle R Beers, Clinical Social Work/Therapist in Augusta, ME
Michelle R Beers
Clinical Social Work/Therapist, LMSW-CC, CLC
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
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Photo of Suzanne Nanci Zanoni, Counselor in Augusta, ME
Suzanne Nanci Zanoni
Counselor, LMHC, LCPC, LSWA
Verified Verified
2 Endorsed
Augusta, ME 04330  (Online Only)
Are you experiencing feelings of stress, anxiety, depression or having conflicts in relationships? Are you a young adult trying to navigate your future? It can be overwhelming to know where to start when wanting to make positive changes in our lives. If you are ready to begin working through the challenges you are facing and improve your quality of life, you have already made the biggest step.I offer practical tools while working towards a deeper emotional healing to promote change. I let you take the lead and I am here to guide you in the process.I provide a safe space free of judgement where you can feel seen, heard and respected.
Are you experiencing feelings of stress, anxiety, depression or having conflicts in relationships? Are you a young adult trying to navigate your future? It can be overwhelming to know where to start when wanting to make positive changes in our lives. If you are ready to begin working through the challenges you are facing and improve your quality of life, you have already made the biggest step.I offer practical tools while working towards a deeper emotional healing to promote change. I let you take the lead and I am here to guide you in the process.I provide a safe space free of judgement where you can feel seen, heard and respected.
(207) 548-5897 View (207) 548-5897
Photo of John Paul Carroll, Licensed Clinical Professional Counselor in Augusta, ME
John Paul Carroll
Licensed Clinical Professional Counselor
Verified Verified
1 Endorsed
Augusta, ME 04330
Since 1982, I have enjoyed working with adults, children, and couples in private practice and community organizations. I am currently focused on working with adults who are building resilient and satisfying lives after experiencing trauma, anxiety, depression, or substance use. Most recently I have been privileged to work with adults who are on probation and who are re-entering the community after incarceration. I bring light-hearted humor into this serious and difficult work. I have experience working with adults with co-occurring disorders of substance use and mental illness.
Since 1982, I have enjoyed working with adults, children, and couples in private practice and community organizations. I am currently focused on working with adults who are building resilient and satisfying lives after experiencing trauma, anxiety, depression, or substance use. Most recently I have been privileged to work with adults who are on probation and who are re-entering the community after incarceration. I bring light-hearted humor into this serious and difficult work. I have experience working with adults with co-occurring disorders of substance use and mental illness.
(207) 679-0901 x410 View (207) 679-0901 x410
Photo of Gracelyn Maguire, Counselor in Augusta, ME
Gracelyn Maguire
Counselor, LCPC, LADC, CCS
Verified Verified
Augusta, ME 04330
Effective therapy begins with a solid, trusting relationship between you and your therapist. I create a warm, open environment where we can build trust and address your concerns. Through therapy, you will learn new ways of responding to obstacles (internal and external) that are currently contributing to your distress and preventing you from creating the life and relationships you desire. I have extensive experience working with clients with anxiety, depression, trauma, social and relational issues, as well as substance abuse, and have worked with clients in a variety of settings, including inpatient, outpatient, and residential.
Effective therapy begins with a solid, trusting relationship between you and your therapist. I create a warm, open environment where we can build trust and address your concerns. Through therapy, you will learn new ways of responding to obstacles (internal and external) that are currently contributing to your distress and preventing you from creating the life and relationships you desire. I have extensive experience working with clients with anxiety, depression, trauma, social and relational issues, as well as substance abuse, and have worked with clients in a variety of settings, including inpatient, outpatient, and residential.
(207) 808-7160 View (207) 808-7160
Photo of Dr. Emily Stultz - Kennebec Counseling Services, Clinical Social Work/Therapist in Augusta, ME
Dr. Emily Stultz - Kennebec Counseling Services
Clinical Social Work/Therapist, DSW, LCSW, CADC
Verified Verified
Augusta, ME 04330  (Online Only)
Whether you are new to therapy or returning, my goal is to provide a safe space and a balanced therapeutic alliance that will promote healing and personal growth. I believe you are the expert on you, and I will support you as you work towards your goals. I view the therapeutic process as a person-centered collaboration in which clients gain new insights, build inner strength, and create desired life changes.
Whether you are new to therapy or returning, my goal is to provide a safe space and a balanced therapeutic alliance that will promote healing and personal growth. I believe you are the expert on you, and I will support you as you work towards your goals. I view the therapeutic process as a person-centered collaboration in which clients gain new insights, build inner strength, and create desired life changes.
(207) 521-9488 View (207) 521-9488
Photo of Todd MacFarlane, LCPC, Counselor in Augusta, ME
Todd MacFarlane, LCPC
Counselor, MEd, LCPC
Verified Verified
Augusta, ME 04330
My clients should expect that the majority of their "work" will be outside of the office through homework, exposure and task completion. My clients will benefit from initial sessions that are focused on insight development and understanding the "why" of their current emotional dysregulation . Unmet needs, patterns of behavior and most importantly patterns of thought will be identified. Clients will then spend time utilizing Cognitive Behavioral Therapy (CBT) strategies and interventions. Clients will experience therapy that will prioritize and embrace behavioral activation as the vehicle of change. Expect feedback and support!
My clients should expect that the majority of their "work" will be outside of the office through homework, exposure and task completion. My clients will benefit from initial sessions that are focused on insight development and understanding the "why" of their current emotional dysregulation . Unmet needs, patterns of behavior and most importantly patterns of thought will be identified. Clients will then spend time utilizing Cognitive Behavioral Therapy (CBT) strategies and interventions. Clients will experience therapy that will prioritize and embrace behavioral activation as the vehicle of change. Expect feedback and support!
(207) 389-7091 View (207) 389-7091
Photo of Brittany Bellmore, Clinical Social Work/Therapist in Augusta, ME
Brittany Bellmore
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Augusta, ME 04332  (Online Only)
Not accepting new clients
Many of us feel as though we carry the weight of the world on our shoulders…and we do! Our bodies and minds are the sponges for our world and they tend to absorb the challenges we cross. Our stress affects our physical bodies as well as our minds, and it is important that we connect the two when we heal. Using traditional and holistic approaches, we work together to heal from past trauma, manage the stress or negativity that may be affecting life, and to help to rebuild the body and mind as safe places to be.
Many of us feel as though we carry the weight of the world on our shoulders…and we do! Our bodies and minds are the sponges for our world and they tend to absorb the challenges we cross. Our stress affects our physical bodies as well as our minds, and it is important that we connect the two when we heal. Using traditional and holistic approaches, we work together to heal from past trauma, manage the stress or negativity that may be affecting life, and to help to rebuild the body and mind as safe places to be.
(207) 209-2659 View (207) 209-2659

See more therapy options for Augusta

How does your Therapist compare?

Number of Therapists in Augusta, ME

90+

Average cost per session

$120

Therapists in Augusta, ME who prioritize treating:

91% Anxiety
85% Depression
75% Trauma and PTSD
69% Coping Skills
65% Self Esteem
61% Relationship Issues
55% Grief

Average years in practice

10 Years

Top 3 insurances accepted

59% BlueCross and BlueShield
57% Anthem | Elevance
53% Aetna

How Therapists in Augusta, ME see their clients

56% In Person and Online
44% Online Only

Gender breakdown

66% Female
32% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Augusta?

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.