Therapists in Helotes, TX

Photo of Erika Chavez Pena, Licensed Professional Counselor in Helotes, TX
Erika Chavez Pena
Licensed Professional Counselor
Verified Verified
Helotes, TX 78023  (Online Only)
Are you experiencing any challenges that are preventing you from enjoying your day-to-day life? Taking a step in understanding your own story is one of the best things you can do for yourself. I believe in building a collaborative and trusting relationship with my clients as I help to improve their overall well-being. I provide a nonjudgmental and nurturing environment where you can feel safe to talk about your struggles. I am passionate about bringing awareness to the benefits of mindfulness-based therapeutic techniques and assist my clients with healing strategies that work best for each individual.
Are you experiencing any challenges that are preventing you from enjoying your day-to-day life? Taking a step in understanding your own story is one of the best things you can do for yourself. I believe in building a collaborative and trusting relationship with my clients as I help to improve their overall well-being. I provide a nonjudgmental and nurturing environment where you can feel safe to talk about your struggles. I am passionate about bringing awareness to the benefits of mindfulness-based therapeutic techniques and assist my clients with healing strategies that work best for each individual.
(210) 934-9993 View (210) 934-9993
Photo of Dr. Lori Griffin, Clinical Social Work/Therapist in Helotes, TX
Dr. Lori Griffin
Clinical Social Work/Therapist, DSW, LCSW-S
Verified Verified
5 Endorsed
Helotes, TX 78023
You are NOT broken. You are hurting and you are tired of being so tired. I think sometimes we believe that we have to FEEL confident before we can show action. My very favorite saying is " show up, even when you are scared. Show up. " Do you feel like you or your partner are wondering how you ever fell in love to begin with? Does it feel like you are silently screaming and no one hears you while you walk around with a fake smile? Does it feel like you are white knuckling it through your day and hoping no one ever discovers "the real you?" Do you remember who are you with without anxiety snapping at your heels? You are not alone.
You are NOT broken. You are hurting and you are tired of being so tired. I think sometimes we believe that we have to FEEL confident before we can show action. My very favorite saying is " show up, even when you are scared. Show up. " Do you feel like you or your partner are wondering how you ever fell in love to begin with? Does it feel like you are silently screaming and no one hears you while you walk around with a fake smile? Does it feel like you are white knuckling it through your day and hoping no one ever discovers "the real you?" Do you remember who are you with without anxiety snapping at your heels? You are not alone.
(210) 580-6227 View (210) 580-6227
Photo of Erin Fly, Licensed Professional Counselor in Helotes, TX
Erin Fly
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023  (Online Only)
Erin Fly is a Licensed Professional Counselor (LPC) with over 3 years of experience in the field of mental health. She often works with teens, adults, and seniors who have dual diagnoses such as addiction and mental illness and specializes in depression, anxiety, grief, and other diagnoses such as trauma and PTSD. Erin graduated from The Chicago School of Professional Psychology with a Master's Degree in Clinical Mental Health Counseling.
Erin Fly is a Licensed Professional Counselor (LPC) with over 3 years of experience in the field of mental health. She often works with teens, adults, and seniors who have dual diagnoses such as addiction and mental illness and specializes in depression, anxiety, grief, and other diagnoses such as trauma and PTSD. Erin graduated from The Chicago School of Professional Psychology with a Master's Degree in Clinical Mental Health Counseling.
(210) 864-9398 View (210) 864-9398
Photo of Mikela Rae Bowers, Licensed Professional Counselor in Helotes, TX
Mikela Rae Bowers
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023  (Online Only)
Mikela Rae Bowers is a Licensed Professional Counselor-Associate (LPC-A) who has over 10 years of experience in mindfulness-based practices and therapies. Mikela works with those experiencing deep suffering due to life's ever-changing nature. From parenting teenagers to divorce or grief over the death of a loved one, Mikela offers therapies to facilitate healing the anxieties, depression, and traumas often accompanying these life events. Working together with her clients, Mikela finds the roots of suffering particular to each one and cultivates an environment and framework for healing.
Mikela Rae Bowers is a Licensed Professional Counselor-Associate (LPC-A) who has over 10 years of experience in mindfulness-based practices and therapies. Mikela works with those experiencing deep suffering due to life's ever-changing nature. From parenting teenagers to divorce or grief over the death of a loved one, Mikela offers therapies to facilitate healing the anxieties, depression, and traumas often accompanying these life events. Working together with her clients, Mikela finds the roots of suffering particular to each one and cultivates an environment and framework for healing.
(210) 940-2988 View (210) 940-2988
Photo of Melanie Lawson, Clinical Social Work/Therapist in Helotes, TX
Melanie Lawson
Clinical Social Work/Therapist
Verified Verified
Helotes, TX 78023
Not accepting new clients
Have you or your child ever been in a difficult situation and you find yourself looking for help? There are many reasons why individuals seek out counseling for help. Your mental health is important to you and the world around you. Addressing your mental health needs, whether it be from anxiety or depression, will help the rest of your world fall into place. It's never too late to address your concerns, whether it is trauma from the past or anger that has done damage to relationships. Through a collaborative relationship with a counselor you can set your mental health goals and meet them.
Have you or your child ever been in a difficult situation and you find yourself looking for help? There are many reasons why individuals seek out counseling for help. Your mental health is important to you and the world around you. Addressing your mental health needs, whether it be from anxiety or depression, will help the rest of your world fall into place. It's never too late to address your concerns, whether it is trauma from the past or anger that has done damage to relationships. Through a collaborative relationship with a counselor you can set your mental health goals and meet them.
(210) 942-9839 View (210) 942-9839
Photo of Alli Stjuste Kiper, Licensed Professional Counselor in Helotes, TX
Alli Stjuste Kiper
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Helotes, TX 78023
As a certified Licensed Professional Counselor, I believe that everyone enters counseling with unique strengths and abilities. As your counselor, I will help you recognize these strengths and encourage you to use them to tackle any and all of life’s challenges. By bringing unconditional positive regard, empathy, and understanding to each of my counseling sessions, I strive to create an environment that promotes change through honest communication and trust. My goal is to provide you with the support, guidance, and tools you need to utilize your strengths and take back control of your life.
As a certified Licensed Professional Counselor, I believe that everyone enters counseling with unique strengths and abilities. As your counselor, I will help you recognize these strengths and encourage you to use them to tackle any and all of life’s challenges. By bringing unconditional positive regard, empathy, and understanding to each of my counseling sessions, I strive to create an environment that promotes change through honest communication and trust. My goal is to provide you with the support, guidance, and tools you need to utilize your strengths and take back control of your life.
(210) 791-6611 View (210) 791-6611
Photo of Dr Hernandez & Associates, PLLC, Licensed Professional Counselor in Helotes, TX
Dr Hernandez & Associates, PLLC
Licensed Professional Counselor
Verified Verified
Helotes, TX 78023
Our Practice It is our belief and experience that you will get more out of your life if you are willing to change. Change is spurred by a feeling that something just isn't quite right, that something could be better, that there's an issue you want to resolve. Therapy is an important step in discovering the world around you and finding your place in it. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan.
Our Practice It is our belief and experience that you will get more out of your life if you are willing to change. Change is spurred by a feeling that something just isn't quite right, that something could be better, that there's an issue you want to resolve. Therapy is an important step in discovering the world around you and finding your place in it. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan.
(210) 796-9317 View (210) 796-9317
Photo of Lindsay Manfull Supervised By Jeanette Lira, LPC Associate in Helotes, TX
Lindsay Manfull Supervised By Jeanette Lira
LPC Associate, MA, LPC-A, CSC
Verified Verified
1 Endorsed
Helotes, TX 78023
Reaching out for help can be one of the most difficult things an individual can do, especially when feeling a loss of clarity while being unregulated. Life's many challenges can grab a hold of you, toss you around, and make you feel like you've lost yourself. I am a Licensed Professional Counselor Associate and my goal is to partner alongside you to help you be the best version of yourself. I approach each client holistically, taking into account all of life’s aspects and how they can impact your situation and emotions. My desire is for you to have the tools that enable you to take control of your health, wellness, and hope.
Reaching out for help can be one of the most difficult things an individual can do, especially when feeling a loss of clarity while being unregulated. Life's many challenges can grab a hold of you, toss you around, and make you feel like you've lost yourself. I am a Licensed Professional Counselor Associate and my goal is to partner alongside you to help you be the best version of yourself. I approach each client holistically, taking into account all of life’s aspects and how they can impact your situation and emotions. My desire is for you to have the tools that enable you to take control of your health, wellness, and hope.
(210) 361-3256 View (210) 361-3256
Photo of Katrina Flores, Licensed Professional Counselor in Helotes, TX
Katrina Flores
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Helotes, TX 78023  (Online Only)
I am most passionate about helping Individuals who find themselves feeling disempowered. My goal is to help you reconnect with yourself, regain balance in your day to day life and feel empowered to start a new chapter. The modalities I invite into sessions include Chakra Balancing, Ayurvedic Wellness, work with the Elements, Nervous System Regulation, ritual and rhythm and the traditional platica (heart to heart talk therapy).
I am most passionate about helping Individuals who find themselves feeling disempowered. My goal is to help you reconnect with yourself, regain balance in your day to day life and feel empowered to start a new chapter. The modalities I invite into sessions include Chakra Balancing, Ayurvedic Wellness, work with the Elements, Nervous System Regulation, ritual and rhythm and the traditional platica (heart to heart talk therapy).
(210) 981-6646 View (210) 981-6646
Photo of Bravo Zulu Coaching & Counseling Services, Drug & Alcohol Counselor in Helotes, TX
Bravo Zulu Coaching & Counseling Services
Drug & Alcohol Counselor, LCDC, MEd,Psy
Verified Verified
Helotes, TX 78023  (Online Only)
A chemical dependency counselor, also known as a substance abuse counselor or addiction counselor, provides support, guidance, and treatment to individuals who are struggling with substance abuse and addiction. My main role is to help clients overcome their dependency on drugs or alcohol and achieve and maintain sobriety.
A chemical dependency counselor, also known as a substance abuse counselor or addiction counselor, provides support, guidance, and treatment to individuals who are struggling with substance abuse and addiction. My main role is to help clients overcome their dependency on drugs or alcohol and achieve and maintain sobriety.
(210) 940-3901 View (210) 940-3901
Photo of Catherine Clegg, Clinical Social Work/Therapist in Helotes, TX
Catherine Clegg
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Helotes, TX 78023
Not accepting new clients
Life Happens! La Vida Ocurre! Are you feeling tired, overwhelmed, stressed, worried, anxious, sad or alone? You are taking a crucial step in regaining control by searching for help. You deserve and have the ability to feel better and together we can find that inner strength you had forgotten you have while experiencing Life! As a social worker in the healthcare system, I have worked with individuals from a diverse cultural background who were struggling with an array of issues: depression, anxiety, chronic illness, grief/ loss, crisis, and life stressors.
Life Happens! La Vida Ocurre! Are you feeling tired, overwhelmed, stressed, worried, anxious, sad or alone? You are taking a crucial step in regaining control by searching for help. You deserve and have the ability to feel better and together we can find that inner strength you had forgotten you have while experiencing Life! As a social worker in the healthcare system, I have worked with individuals from a diverse cultural background who were struggling with an array of issues: depression, anxiety, chronic illness, grief/ loss, crisis, and life stressors.
(210) 806-7718 View (210) 806-7718
Photo of Courtney J Taylor Supervised By Veronica Ball, Licensed Professional Counselor Associate in Helotes, TX
Courtney J Taylor Supervised By Veronica Ball
Licensed Professional Counselor Associate, MEd, PSC, LPC-A
Verified Verified
2 Endorsed
Helotes, TX 78023
Hello and thank you for visiting my profile! Currently I am a full-time Professional School Counselor who is working on my LPC-A. I have 17 years of school counseling experience with children ages 4-18 years. My experience includes working with anxiety, with families experiencing loss such as a death in the family or a divorce/ separation, with trauma, as well as working with children in military families.
Hello and thank you for visiting my profile! Currently I am a full-time Professional School Counselor who is working on my LPC-A. I have 17 years of school counseling experience with children ages 4-18 years. My experience includes working with anxiety, with families experiencing loss such as a death in the family or a divorce/ separation, with trauma, as well as working with children in military families.
(210) 942-7461 View (210) 942-7461
Photo of Auravia Holistic Therapy, PLLC, Licensed Professional Counselor in Helotes, TX
Auravia Holistic Therapy, PLLC
Licensed Professional Counselor
Verified Verified
1 Endorsed
Helotes, TX 78023
Challenges are a common occurrence in our day-to-day lives, more times than not, they seem overwhelming and discouraging but, navigating through them is possible and attainable. At Auravia Holistic Therapy, we believe when each person is viewed, treated, and nurtured as an entire entity they are able to heal, thrive, and live a more fulfilling life. We aim to provide a guiding light on your path to healing, change and wellness. Our hope is that positive energy, thoughts and actions combined with our holistic and therapeutic techniques will promote mental wellness and wholeness.
Challenges are a common occurrence in our day-to-day lives, more times than not, they seem overwhelming and discouraging but, navigating through them is possible and attainable. At Auravia Holistic Therapy, we believe when each person is viewed, treated, and nurtured as an entire entity they are able to heal, thrive, and live a more fulfilling life. We aim to provide a guiding light on your path to healing, change and wellness. Our hope is that positive energy, thoughts and actions combined with our holistic and therapeutic techniques will promote mental wellness and wholeness.
(210) 361-2784 View (210) 361-2784
Photo of Mark Manfull Supervised By Jeanette Lira, LPC Associate in Helotes, TX
Mark Manfull Supervised By Jeanette Lira
LPC Associate, MA, LPC-A, CSC
Verified Verified
1 Endorsed
Helotes, TX 78023  (Online Only)
I am a dedicated and compassionate Licensed Professional Counselor - Associate with extensive experience in Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). My approach to therapy is rooted in building strong and collaborative relationships with my clients, fostering a safe and supportive environment where healing and growth can occur.
I am a dedicated and compassionate Licensed Professional Counselor - Associate with extensive experience in Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). My approach to therapy is rooted in building strong and collaborative relationships with my clients, fostering a safe and supportive environment where healing and growth can occur.
(830) 271-5938 View (830) 271-5938
Photo of Kay Comstock-May Supervised By Amy Hutchinson LPC-S,RPT-S, LPC-Associate in Helotes, TX
Kay Comstock-May Supervised By Amy Hutchinson LPC-S,RPT-S
LPC-Associate, NCC
Verified Verified
1 Endorsed
Helotes, TX 78023  (Online Only)
Not accepting new clients
Hello, thank you for taking the time to click on my name and find out about me. My name is Kay Comstock-May. I am a former educator, leaving education to continue my higher education. While I hold many degrees, the most important are my Master of Science in Psychology, earned in 2012, from the University of Phoenix and my Master of Science in Clinical Mental Health Counseling with a concentration in marriage, couples, and family from Walden University, earned in May 2023.
Hello, thank you for taking the time to click on my name and find out about me. My name is Kay Comstock-May. I am a former educator, leaving education to continue my higher education. While I hold many degrees, the most important are my Master of Science in Psychology, earned in 2012, from the University of Phoenix and my Master of Science in Clinical Mental Health Counseling with a concentration in marriage, couples, and family from Walden University, earned in May 2023.
(210) 396-7609 View (210) 396-7609
Photo of Kimberly Thomas, Licensed Professional Counselor in Helotes, TX
Kimberly Thomas
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023  (Online Only)
I recognize that you are the expert on you. My desire is to work collaboratively with you to enable you to reach your identified goals. If you are worried you can't afford counseling, please discuss your concerns with me. I will work with you as much as possible!
I recognize that you are the expert on you. My desire is to work collaboratively with you to enable you to reach your identified goals. If you are worried you can't afford counseling, please discuss your concerns with me. I will work with you as much as possible!
(325) 240-5605 View (325) 240-5605
Photo of Daniella Lozano, Licensed Professional Counselor in Helotes, TX
Daniella Lozano
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023  (Online Only)
Daniella Lozano is a Licensed Professional Counselor with 3 years of experience in the mental health field. Her primary focus is working with adults facing various challenges and seeking support in their lives. Daniella specializes in a range of issues such as anxiety, depression, trauma, grief, relationship problems, stress, and major life transitions. She helps clients develop coping strategies, explore patterns of thinking and behavior, and identify and modify unhelpful beliefs. Daniella holds a Bachelor of Arts in Psychology and a Master of Arts in Counseling Psychology, both from Texas A&M University-Kingsville.
Daniella Lozano is a Licensed Professional Counselor with 3 years of experience in the mental health field. Her primary focus is working with adults facing various challenges and seeking support in their lives. Daniella specializes in a range of issues such as anxiety, depression, trauma, grief, relationship problems, stress, and major life transitions. She helps clients develop coping strategies, explore patterns of thinking and behavior, and identify and modify unhelpful beliefs. Daniella holds a Bachelor of Arts in Psychology and a Master of Arts in Counseling Psychology, both from Texas A&M University-Kingsville.
(210) 960-8517 View (210) 960-8517
Photo of Adam A Sauceda, Licensed Professional Counselor in Helotes, TX
Adam A Sauceda
Licensed Professional Counselor, MA, LPC-S, RPT
Verified Verified
5 Endorsed
Helotes, TX 78023
Are you looking for assistance with navigating your gender journey? I work with a variety of presenting concerns, however my specialization is working with trans or gender diverse individuals. I utilize a gender affirmative approach when working with children, adolescents, adults, and families. I am a GEI Certified Member of the World Professional Association for Transgender Health (WPATH) and routinely follow the WPATH Standards of Care in my clinical practice. I am able to provide local and national resources to assist you and your loved ones with support while exploring your gender expression and identity.
Are you looking for assistance with navigating your gender journey? I work with a variety of presenting concerns, however my specialization is working with trans or gender diverse individuals. I utilize a gender affirmative approach when working with children, adolescents, adults, and families. I am a GEI Certified Member of the World Professional Association for Transgender Health (WPATH) and routinely follow the WPATH Standards of Care in my clinical practice. I am able to provide local and national resources to assist you and your loved ones with support while exploring your gender expression and identity.
(210) 693-0827 View (210) 693-0827
Photo of Tracy Brady, Licensed Professional Counselor in Helotes, TX
Tracy Brady
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
Helotes, TX 78023  (Online Only)
I am a licensed professional counselor providing virtual, online sessions. I provide help navigating the challenges of life. My approach is mindful and collaborative; we work together toward your goals by honoring your mental, physical and spiritual self. My areas of expertise include mindfulness, meditation, self care, relationships, cognitive and emotional adaptation, addiction, codependency, anxiety, grief, and spirituality.
I am a licensed professional counselor providing virtual, online sessions. I provide help navigating the challenges of life. My approach is mindful and collaborative; we work together toward your goals by honoring your mental, physical and spiritual self. My areas of expertise include mindfulness, meditation, self care, relationships, cognitive and emotional adaptation, addiction, codependency, anxiety, grief, and spirituality.
(210) 405-6276 View (210) 405-6276
Photo of Shirin Rahimi, Clinical Social Work/Therapist in Helotes, TX
Shirin Rahimi
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Helotes, TX 78023  (Online Only)
Are you currently feeling overwhelmed? Do you feel like it’s getting harder to get through your days and can no longer function like you used to? If so, just know you’re not alone. If you’re struggling with anxiety, depression, stress, or other stressors affecting your daily functioning I would love to help you. If you just need someone to talk to I am also here to listen. My goal is to help you reach your goal and we will delve deep into that during your first session.
Are you currently feeling overwhelmed? Do you feel like it’s getting harder to get through your days and can no longer function like you used to? If so, just know you’re not alone. If you’re struggling with anxiety, depression, stress, or other stressors affecting your daily functioning I would love to help you. If you just need someone to talk to I am also here to listen. My goal is to help you reach your goal and we will delve deep into that during your first session.
(210) 899-5056 View (210) 899-5056

How does your Therapist compare?

Number of Therapists in Helotes, TX

70+

Average cost per session

$120

Therapists in Helotes, TX who prioritize treating:

89% Anxiety
84% Depression
76% Coping Skills
72% Self Esteem
69% Stress
68% Relationship Issues
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
78% BlueCross and BlueShield
78% UnitedHealthcare UHC | UBH

How Therapists in Helotes, TX see their clients

66% In Person and Online
34% Online Only

Gender breakdown

88% Female
11% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Helotes?

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.