Therapists in Pittsburgh, PA

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Photo of Daniel Gruner, Psychologist in Pittsburgh, PA
Daniel Gruner
Psychologist, PhD
Verified Verified
1 Endorsed
Pittsburgh, PA 15222
Many come to therapy to change patterns of relating to others and themselves that they feel no longer serve them. I believe that these patterns, hard as they may be now, likely played some important role for you in the past. Perhaps addictions, habits, or defenses met otherwise unmet needs in your life, but now have become limiting and compulsive. I see myself as your partner in a process of deep listening, a process which facilitates growth, healing, and new possibilities for relating to your self and others. Specialties and modalities include: Clinical Hypnosis, gender therapy, trauma, addictions. Also see my group therapy option.
Many come to therapy to change patterns of relating to others and themselves that they feel no longer serve them. I believe that these patterns, hard as they may be now, likely played some important role for you in the past. Perhaps addictions, habits, or defenses met otherwise unmet needs in your life, but now have become limiting and compulsive. I see myself as your partner in a process of deep listening, a process which facilitates growth, healing, and new possibilities for relating to your self and others. Specialties and modalities include: Clinical Hypnosis, gender therapy, trauma, addictions. Also see my group therapy option.
(412) 207-3740 View (412) 207-3740
Photo of Christine Nichols, Clinical Social Work/Therapist in Pittsburgh, PA
Christine Nichols
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15232  (Online Only)
Christine Nichols is a Licensed Clinical Social Worker with 30+ years in child welfare and counseling settings. Christine is passionate about supporting children, adolescents, adults, and couples. Christine's specialties include anxiety, depression, self-esteem/confidence development, life transitions, career planning and transition, parenting/co-parenting, family conflicts, grief and loss, and end-of-life/hospice care.
Christine Nichols is a Licensed Clinical Social Worker with 30+ years in child welfare and counseling settings. Christine is passionate about supporting children, adolescents, adults, and couples. Christine's specialties include anxiety, depression, self-esteem/confidence development, life transitions, career planning and transition, parenting/co-parenting, family conflicts, grief and loss, and end-of-life/hospice care.
(412) 534-5848 View (412) 534-5848
Photo of Kimberly Kiesling, Pre-Licensed Professional in Pittsburgh, PA
Kimberly Kiesling
Pre-Licensed Professional, LSW, CCTP
Verified Verified
Pittsburgh, PA 15219
It is not easy to take the first step to ask for help! My approach begins by listening and learning about you, because I believe that you are the expert on your own journey. I believe all people have the inherent strength to make positive life changes. Sometimes you just need to be empowered through compassionate support. I strive to create a safe, supportive, and respectful space for your therapeutic process.
It is not easy to take the first step to ask for help! My approach begins by listening and learning about you, because I believe that you are the expert on your own journey. I believe all people have the inherent strength to make positive life changes. Sometimes you just need to be empowered through compassionate support. I strive to create a safe, supportive, and respectful space for your therapeutic process.
(412) 693-6423 View (412) 693-6423
Photo of Heather York, Licensed Professional Counselor in Pittsburgh, PA
Heather York
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Pittsburgh, PA 15228
Young adults who may need extra support and guidance as they transition into their education and careers: I would like to help you navigate independence and responsibility while making sure you're making smart and healthy choices. Adults who are working a program of addiction recovery: I would like to help support you in your recovery and in processing and integrating difficult or traumatic life experiences. Individuals who are taking the first and courageous step toward therapy: I would like to help you develop awareness, improve your relationships, change your behavior, and make successful life transitions.
Young adults who may need extra support and guidance as they transition into their education and careers: I would like to help you navigate independence and responsibility while making sure you're making smart and healthy choices. Adults who are working a program of addiction recovery: I would like to help support you in your recovery and in processing and integrating difficult or traumatic life experiences. Individuals who are taking the first and courageous step toward therapy: I would like to help you develop awareness, improve your relationships, change your behavior, and make successful life transitions.
(878) 216-7157 View (878) 216-7157
Photo of Danielle Hammitt, Licensed Professional Counselor in Pittsburgh, PA
Danielle Hammitt
Licensed Professional Counselor, MS , NCC, LPC
Verified Verified
Pittsburgh, PA 15234
Hi, I am a Licensed Professional Counselor that believes everyone is unique and needs to develop skills that work for you. I use a solution focused approach to assess underlying causes and help relieve symptoms of trauma, maladaptive thinking patterns and increase healthy coping skills.
Hi, I am a Licensed Professional Counselor that believes everyone is unique and needs to develop skills that work for you. I use a solution focused approach to assess underlying causes and help relieve symptoms of trauma, maladaptive thinking patterns and increase healthy coping skills.
(412) 900-8102 View (412) 900-8102
Photo of Karen Rivera-Seda, Licensed Professional Counselor in Pittsburgh, PA
Karen Rivera-Seda
Licensed Professional Counselor, LPC , MFT , NCC
Verified Verified
Pittsburgh, PA 15203
I provide support to college students & adults in the areas of anxiety, grief, life transitions, postpartum anxiety, betrayal trauma, teen trauma, and being the adult child of immigrants. I also provide support to couples in the areas of communication, premarital, pre-engagement, and pre-cohabitation. I've worked with various populations & present issues/concerns, thus garnering my areas of specialty. Being a 1.5-generation immigrant has afforded me firsthand experience/knowledge of the difficulties and challenges that children of immigrants may face. My specialty areas in no way limits my ability to work with a variety of clients.
I provide support to college students & adults in the areas of anxiety, grief, life transitions, postpartum anxiety, betrayal trauma, teen trauma, and being the adult child of immigrants. I also provide support to couples in the areas of communication, premarital, pre-engagement, and pre-cohabitation. I've worked with various populations & present issues/concerns, thus garnering my areas of specialty. Being a 1.5-generation immigrant has afforded me firsthand experience/knowledge of the difficulties and challenges that children of immigrants may face. My specialty areas in no way limits my ability to work with a variety of clients.
(412) 618-0450 View (412) 618-0450
Photo of Lisa Renee Fleissner, Licensed Professional Counselor in Pittsburgh, PA
Lisa Renee Fleissner
Licensed Professional Counselor, NBCC, LPC
Verified Verified
Pittsburgh, PA 15237
Would you like a therapist who is enthusiastic about helping and has 15 years of experience understanding life struggles such as job stress, relationships and self-esteem issues?Do think you would fit well in a smaller setting where you are known personally? I have a independent practice that allows me the freedom to devote more time and attention to each case and would like to help you manage your personal struggles that throw your life off balance. I am a Licensed Professional Counselor and work well with people wanting to gain confidence in themselves. Call 412-977-2036.
Would you like a therapist who is enthusiastic about helping and has 15 years of experience understanding life struggles such as job stress, relationships and self-esteem issues?Do think you would fit well in a smaller setting where you are known personally? I have a independent practice that allows me the freedom to devote more time and attention to each case and would like to help you manage your personal struggles that throw your life off balance. I am a Licensed Professional Counselor and work well with people wanting to gain confidence in themselves. Call 412-977-2036.
(724) 602-9720 View (724) 602-9720
Photo of Rebecca Sheppard, Clinical Social Work/Therapist in Pittsburgh, PA
Rebecca Sheppard
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15203
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
(412) 516-3848 View (412) 516-3848
Photo of Christy A Duffer, Licensed Professional Counselor in Pittsburgh, PA
Christy A Duffer
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15236
Christy ​graduated from Allegheny College with a Bachelor’s degree in Psychology. She then went on to complete her Master’s degree in Clinical Mental Health Counseling at Gannon University. Before moving to Pittsburgh, Christy previously worked in the highest level of care in the state for adolescents through the Enhanced Residential Units at Perseus House, in Erie, PA. While here, she has previously worked in school-based outpatient services in Pittsburgh Public School District and West Mifflin Area School District​, through Wesley Family Services and Family Behavioral Resources, respectively.
Christy ​graduated from Allegheny College with a Bachelor’s degree in Psychology. She then went on to complete her Master’s degree in Clinical Mental Health Counseling at Gannon University. Before moving to Pittsburgh, Christy previously worked in the highest level of care in the state for adolescents through the Enhanced Residential Units at Perseus House, in Erie, PA. While here, she has previously worked in school-based outpatient services in Pittsburgh Public School District and West Mifflin Area School District​, through Wesley Family Services and Family Behavioral Resources, respectively.
(412) 267-7211 View (412) 267-7211
Photo of Graciela Yue Yang Gimpel, Pre-Licensed Professional in Pittsburgh, PA
Graciela Yue Yang Gimpel
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
Collaborative and flexible is what I would describe my therapeutic approach. Therapy work with me isn't just talking about your feelings. Our work will include various options for you to choose from such as creating art, writing, watching a video, playing games, etc. Your options are limitless in my therapy sessions. My goal is to be training wheels on your bike and support and guide you until you are able to "ride" by yourself. I hope to provide a safe and authentic space for my clients to explore and process their emotions and thoughts, express themselves, and heal from past experiences.
Collaborative and flexible is what I would describe my therapeutic approach. Therapy work with me isn't just talking about your feelings. Our work will include various options for you to choose from such as creating art, writing, watching a video, playing games, etc. Your options are limitless in my therapy sessions. My goal is to be training wheels on your bike and support and guide you until you are able to "ride" by yourself. I hope to provide a safe and authentic space for my clients to explore and process their emotions and thoughts, express themselves, and heal from past experiences.
(412) 990-2091 View (412) 990-2091
Photo of Maya Nicole in Pittsburgh, PA
Maya Nicole
MSW
Verified Verified
Pittsburgh, PA 15224  (Online Only)
Do you keep finding yourself in the same painful loops in your life, emotions, & relationships? It’s my goal to help you understand where the patterns & behaviors that cause you pain and suffering originate from. I will guide you to acceptance & non judgement for the parts of yourself that seem unlovable. Together, we will explore how your early life experiences shaped the way you see yourself & the world now. Compassionately, through somatic work, shadow work & inner child work, we will heal & rewire thought & behavioral patterns from the root of where they stem so that you can find empowerment, authenticity, fulfillment, and joy.
Do you keep finding yourself in the same painful loops in your life, emotions, & relationships? It’s my goal to help you understand where the patterns & behaviors that cause you pain and suffering originate from. I will guide you to acceptance & non judgement for the parts of yourself that seem unlovable. Together, we will explore how your early life experiences shaped the way you see yourself & the world now. Compassionately, through somatic work, shadow work & inner child work, we will heal & rewire thought & behavioral patterns from the root of where they stem so that you can find empowerment, authenticity, fulfillment, and joy.
(412) 837-0509 View (412) 837-0509
Photo of Stanton Marlan, Licensed Psychoanalyst in Pittsburgh, PA
Stanton Marlan
Licensed Psychoanalyst, PhD, ABPP, FABP, LP
Verified Verified
Pittsburgh, PA 15217
I am a clinical psychologist and Jungian analyst. I work with a range of individuals whose lives have become problematic due to hurt, wounding, disappointment, loss, grief and general life suffering that has resulted in symptoms of impasse, anxiety, depression, dysfunction and/or a loss of potential. My view of the therapeutic relationship is of a mutual effort to work together to discover a way to continue psychological development, to seek a way to heal and find a deeper sense of vitality, renewal and meaning, In addition, I work well with university students, artists, and with those who are struggling with spiritual issues.
I am a clinical psychologist and Jungian analyst. I work with a range of individuals whose lives have become problematic due to hurt, wounding, disappointment, loss, grief and general life suffering that has resulted in symptoms of impasse, anxiety, depression, dysfunction and/or a loss of potential. My view of the therapeutic relationship is of a mutual effort to work together to discover a way to continue psychological development, to seek a way to heal and find a deeper sense of vitality, renewal and meaning, In addition, I work well with university students, artists, and with those who are struggling with spiritual issues.
(412) 329-6710 View (412) 329-6710
Photo of Rachael Dittmar, Pre-Licensed Professional in Pittsburgh, PA
Rachael Dittmar
Pre-Licensed Professional
Verified Verified
Pittsburgh, PA 15222  (Online Only)
You might be someone grappling with the heavy weight of grief, drowning in stress, or struggling with a negative self-image. Your needs are specific, and you deserve a therapist who empathizes and supports you on your path to healing. Your goal is to discover effective coping strategies and build a positive self-image. Let’s collaborate to navigate these challenges and foster the positive transformations you seek.
You might be someone grappling with the heavy weight of grief, drowning in stress, or struggling with a negative self-image. Your needs are specific, and you deserve a therapist who empathizes and supports you on your path to healing. Your goal is to discover effective coping strategies and build a positive self-image. Let’s collaborate to navigate these challenges and foster the positive transformations you seek.
(412) 566-8759 View (412) 566-8759
Photo of John Kalisz-Tonsor, Licensed Professional Counselor in Pittsburgh, PA
John Kalisz-Tonsor
Licensed Professional Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15218
Hello! I'm John (they/them), and I look forward to meeting you. I believe that every human being is able to live a life of joy and connection. We all encounter obstacles to this along the way— in our families and relationships, in our physical health, and in our lived experiences with the larger social and ecological systems around us. The heart of my work is in supporting each person to explore these experiences and use them to develop their own authentic, courageous relationships with self, others, and the wider world.
Hello! I'm John (they/them), and I look forward to meeting you. I believe that every human being is able to live a life of joy and connection. We all encounter obstacles to this along the way— in our families and relationships, in our physical health, and in our lived experiences with the larger social and ecological systems around us. The heart of my work is in supporting each person to explore these experiences and use them to develop their own authentic, courageous relationships with self, others, and the wider world.
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Photo of Ashley McCombs, Licensed Professional Counselor in Pittsburgh, PA
Ashley McCombs
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15228
Have you felt distracted lately or an overwhelming sense of dissatisfaction? Do you find yourself constantly thinking about all the things you want to change? Whether you are struggling with a particular issue, or just can not shake the feeling that there should be more to life--you have the power to say: This is not how the story is going to end.
Have you felt distracted lately or an overwhelming sense of dissatisfaction? Do you find yourself constantly thinking about all the things you want to change? Whether you are struggling with a particular issue, or just can not shake the feeling that there should be more to life--you have the power to say: This is not how the story is going to end.
(412) 307-3459 View (412) 307-3459
Photo of Noah Mickey, Licensed Professional Counselor in Pittsburgh, PA
Noah Mickey
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15232
Noah Mickey is a Pre-Licensed Professional Counselor with three years of experience in the mental health field. He is passionate and eager to help children, adolescents, adults, and couples build a deeper understanding of their unique challenges and work toward a brighter future. Noah specializes in depression, anxiety, trauma, addictions, coping skills, and men's issues.
Noah Mickey is a Pre-Licensed Professional Counselor with three years of experience in the mental health field. He is passionate and eager to help children, adolescents, adults, and couples build a deeper understanding of their unique challenges and work toward a brighter future. Noah specializes in depression, anxiety, trauma, addictions, coping skills, and men's issues.
(412) 990-1983 View (412) 990-1983
Photo of Scott Windham, Clinical Social Work/Therapist in Pittsburgh, PA
Scott Windham
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15220
I specialize in helping adults who are dealing with issues of Depression and Anxiety. This includes those who engage in cutting themselves and other self destructive behaviors. If you are struggling with feelings of sadness, hopelessness, excessive worry, having panic attacks, or just can't seem to deal with the stress in your life I can help you.
I specialize in helping adults who are dealing with issues of Depression and Anxiety. This includes those who engage in cutting themselves and other self destructive behaviors. If you are struggling with feelings of sadness, hopelessness, excessive worry, having panic attacks, or just can't seem to deal with the stress in your life I can help you.
(412) 293-0097 View (412) 293-0097
Photo of Nicole Grabowski, Clinical Social Work/Therapist in Pittsburgh, PA
Nicole Grabowski
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Pittsburgh, PA 15232
I am a Social Worker (licensed in both Massachusetts, LICSW and Pennsylvania, LCSW) who earned my Master’s Degree from the University of Chicago. I work with adolescents and adults who are impacted by trauma, anxiety, depression, stress, life transitions, grief, and conflict. I have experience working in a variety of settings, including residential programs, sexual assault crisis centers, and community health centers. My practice is rooted in trauma-informed and anti-oppressive frameworks and I utilize a person-centered approach that is welcoming of intersecting identities and experiences.
I am a Social Worker (licensed in both Massachusetts, LICSW and Pennsylvania, LCSW) who earned my Master’s Degree from the University of Chicago. I work with adolescents and adults who are impacted by trauma, anxiety, depression, stress, life transitions, grief, and conflict. I have experience working in a variety of settings, including residential programs, sexual assault crisis centers, and community health centers. My practice is rooted in trauma-informed and anti-oppressive frameworks and I utilize a person-centered approach that is welcoming of intersecting identities and experiences.
(412) 455-8012 View (412) 455-8012
Photo of Jim Fulton, Clinical Social Work/Therapist in Pittsburgh, PA
Jim Fulton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15211
Not accepting new clients
The most important element in healing is finding a space where you can explore, share, and analyze the past and present. Creating that safe space with you is my number one goal! I practice from a person-centered, strengths-based orientation, meaning that the quality of our therapeutic relationship is paramount in my work. We will focus not only on your challenges but on the personal strengths that contribute to your natural resiliency. I am empathic, non-judgmental, calming, and have a deep interest in your life and worldview.
The most important element in healing is finding a space where you can explore, share, and analyze the past and present. Creating that safe space with you is my number one goal! I practice from a person-centered, strengths-based orientation, meaning that the quality of our therapeutic relationship is paramount in my work. We will focus not only on your challenges but on the personal strengths that contribute to your natural resiliency. I am empathic, non-judgmental, calming, and have a deep interest in your life and worldview.
(412) 775-2478 View (412) 775-2478
Photo of Anneke Shuster, Licensed Professional Counselor in Pittsburgh, PA
Anneke Shuster
Licensed Professional Counselor, LPC, CTTS, CAADC
Verified Verified
Pittsburgh, PA 15201
Waitlist for new clients
I know scrolling through Psychology Today profiles can be frustrating, and challenging. Making sense of all of the therapy terms and acronyms, (oh so many of those!) can be exhausting. Assessing and finding your therapist 'fit' shouldn't be impossible. All of us have strengths, and the ability to feel joy. The path to change is often marked with unknown barriers and systemic trauma. My aim is to help others identify interpersonal and systemic barriers standing in the way of growth. I am trauma informed, and an ACES DV survivor and advocate. I work hard to provide a safe space to grow the therapist client alliance.
I know scrolling through Psychology Today profiles can be frustrating, and challenging. Making sense of all of the therapy terms and acronyms, (oh so many of those!) can be exhausting. Assessing and finding your therapist 'fit' shouldn't be impossible. All of us have strengths, and the ability to feel joy. The path to change is often marked with unknown barriers and systemic trauma. My aim is to help others identify interpersonal and systemic barriers standing in the way of growth. I am trauma informed, and an ACES DV survivor and advocate. I work hard to provide a safe space to grow the therapist client alliance.
(412) 274-8366 View (412) 274-8366

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.