Therapists in Cary, NC

Photo of Heather M. McKenzie, Counselor in Cary, NC
Heather M. McKenzie
Counselor, MS, LCMHCS, BC-TMH
Verified Verified
10 Endorsed
Cary, NC 27518  (Online Only)
Waitlist for new clients
You have this one life; it should feel the way you want it to! But maybe instead it feels overwhelming. Maybe you wonder "What's wrong with me?" "Why do I feel like this?" "Why can't I stop over-thinking?" "Why do I get overpowered by my feelings?" You've tried to change and you still end up feeling awful about yourself or disconnected & frustrated in your relationships. Are you ready to feel differently? To have more confidence in dealing with whatever comes each day? Do you want to have more control even when your emotions are strong? Let's change things! Life CAN feel the way you want it to. I'd love to help you learn how.
You have this one life; it should feel the way you want it to! But maybe instead it feels overwhelming. Maybe you wonder "What's wrong with me?" "Why do I feel like this?" "Why can't I stop over-thinking?" "Why do I get overpowered by my feelings?" You've tried to change and you still end up feeling awful about yourself or disconnected & frustrated in your relationships. Are you ready to feel differently? To have more confidence in dealing with whatever comes each day? Do you want to have more control even when your emotions are strong? Let's change things! Life CAN feel the way you want it to. I'd love to help you learn how.
(919) 926-0275 View (919) 926-0275
Photo of Tammie Ducre Moore, Psychologist in Cary, NC
Tammie Ducre Moore
Psychologist, PhD, HSP-P
Verified Verified
Cary, NC 27518
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
Dr. Tammie Ducre' Moore is a licensed clinical psychologist & North Carolina Board Certified Health Services Provider. She is the Founder and CEO of Western Wake Counseling & Psychological Services, PLLC in Cary, NC. In her private practice, she treats individuals, couples, and families, helping them to clarify their feelings, develop goals, and to create a plan of action to achieve those goals.
(919) 375-3556 View (919) 375-3556
Photo of Eliza Burgess, Counselor in Cary, NC
Eliza Burgess
Counselor, MEd, LCMHCA, NCC
Verified Verified
1 Endorsed
Cary, NC 27511
Waitlist for new clients
My style is personal, creative, relaxed (shoes in session are optional!), compassionate, and good-humored. I work with children and adults without discrimination based on race, gender/gender-orientation, sexual identity/orientation, culture, or religious beliefs. I'm here to help you delve deeper into where you are, where you've been, and where you want to go; in your relationships, in your life, and in your future! We will explore what being well really means to you and how to achieve your goals. Expect to try new things, be challenged, encouraged, and supported as we journey together in this sacred work.
My style is personal, creative, relaxed (shoes in session are optional!), compassionate, and good-humored. I work with children and adults without discrimination based on race, gender/gender-orientation, sexual identity/orientation, culture, or religious beliefs. I'm here to help you delve deeper into where you are, where you've been, and where you want to go; in your relationships, in your life, and in your future! We will explore what being well really means to you and how to achieve your goals. Expect to try new things, be challenged, encouraged, and supported as we journey together in this sacred work.
(919) 551-3640 View (919) 551-3640
Photo of Felix Morton IV, Counselor in Cary, NC
Felix Morton IV
Counselor, PhD, LCMHC, NCC, CHWC
Verified Verified
6 Endorsed
Cary, NC 27519  (Online Only)
Is Accepting Clients - Society teaches us that anxiety is weak, but this couldn't be further from the truth. If you struggle with expectations, difficult emotions, or a general feeling that you're not good enough, I can help. I work with individuals from a variety of backgrounds on issues including anxiety, trauma, depression, grief and loss, racial and ethnic identity concerns, adjustment and transition difficulties, men's health and wellness, college student development, and issues impacting people of color, primarily Black men and women. I offer a comfortable space to be yourself and to focus on getting the most from your life.
Is Accepting Clients - Society teaches us that anxiety is weak, but this couldn't be further from the truth. If you struggle with expectations, difficult emotions, or a general feeling that you're not good enough, I can help. I work with individuals from a variety of backgrounds on issues including anxiety, trauma, depression, grief and loss, racial and ethnic identity concerns, adjustment and transition difficulties, men's health and wellness, college student development, and issues impacting people of color, primarily Black men and women. I offer a comfortable space to be yourself and to focus on getting the most from your life.
(919) 739-3662 View (919) 739-3662
Photo of Stephanie J Lucas, Clinical Social Work/Therapist in Cary, NC
Stephanie J Lucas
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
I enjoy working with individuals and families to overcome barriers in communication, solve problems, and become more self-aware; with the overall goal of improving mental and physical well-being. I use a compassionate, accepting, and mindful approach to create a safe place where self-discovery and healing are possible. Working together will include goal setting and an exploration of the resources and tools available to help in meeting short and long term goals.
(919) 343-0894 x1 View (919) 343-0894 x1
Photo of Katelyn Jakobsen, Counselor in Cary, NC
Katelyn Jakobsen
Counselor, MA, LCMHC, CIMHP
Verified Verified
2 Endorsed
Cary, NC 27518
I am passionate about working with individuals who struggle with self-criticism, perfectionism, and anxiety. Does your inner critic loudly providing negative feedback? Do you often find yourself ruminating on events that have already occurred? Do you feel like your life could be better? Let's work together to unravel self-limiting beliefs to optimize growth and self-awareness. As your counselor, my goal is to provide a warm space, showing up for you every time, and place YOU first. We will work together to identify your strengths and goals, and to overcome life’s adversities.
I am passionate about working with individuals who struggle with self-criticism, perfectionism, and anxiety. Does your inner critic loudly providing negative feedback? Do you often find yourself ruminating on events that have already occurred? Do you feel like your life could be better? Let's work together to unravel self-limiting beliefs to optimize growth and self-awareness. As your counselor, my goal is to provide a warm space, showing up for you every time, and place YOU first. We will work together to identify your strengths and goals, and to overcome life’s adversities.
(984) 204-6142 View (984) 204-6142
Photo of Patrisha A Campbell, Clinical Social Work/Therapist in Cary, NC
Patrisha A Campbell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
My name is Patrisha Campbell, a Licensed Clinical Social Worker (LCSW #C010533). I have a total of 8 years of clinical experience providing treatment for children/adolescents, adults and families for the following clinical areas: early childhood trauma, anxiety, mood disorder, ADHD, PTSD, conduct disorders, death and bereavement, and sexual offending.
My name is Patrisha Campbell, a Licensed Clinical Social Worker (LCSW #C010533). I have a total of 8 years of clinical experience providing treatment for children/adolescents, adults and families for the following clinical areas: early childhood trauma, anxiety, mood disorder, ADHD, PTSD, conduct disorders, death and bereavement, and sexual offending.
(919) 694-6259 View (919) 694-6259
Photo of Teia Marie Poulin, Lic Clinical Mental Health Counselor Associate in Cary, NC
Teia Marie Poulin
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
Cary, NC 27518
As a veteran and retired state trooper, I have experienced the impact of the accumulation of stress from multiple critical incidents in addition to the need for confidentiality. You may feel like no one in your organization values or respects your dedication and that hurts the core of who you are. You loved your job, but now it feels like you don't recognize who you used to be and hide your suffering from those who know you best. You are afraid that a therapist can not relate to what you have been through, and fear your teammates will think you're weak.
As a veteran and retired state trooper, I have experienced the impact of the accumulation of stress from multiple critical incidents in addition to the need for confidentiality. You may feel like no one in your organization values or respects your dedication and that hurts the core of who you are. You loved your job, but now it feels like you don't recognize who you used to be and hide your suffering from those who know you best. You are afraid that a therapist can not relate to what you have been through, and fear your teammates will think you're weak.
(919) 752-3769 View (919) 752-3769
Photo of Ashley Lee, Counselor in Cary, NC
Ashley Lee
Counselor, MS, LCMHCA
Verified Verified
Cary, NC 27518
We are not meant to hurt alone. Starting therapy can be the best decision that you can make for yourself. Ashley is passionate about guiding her clients through their unique journey of self-discovery, building self-esteem, and healing. Ashley enjoys pulling strength and resiliency out of her clients. Ashley believes counseling is a collaborative venture, walking alongside, embracing, encouraging, and inspiring all to become the best version of themselves, and when appropriate, to dig into life’s complexities. Ashley’s specializations extend to helping women, teens, LGBTQ+ community, life transitions, anxiety, depression, trauma.
We are not meant to hurt alone. Starting therapy can be the best decision that you can make for yourself. Ashley is passionate about guiding her clients through their unique journey of self-discovery, building self-esteem, and healing. Ashley enjoys pulling strength and resiliency out of her clients. Ashley believes counseling is a collaborative venture, walking alongside, embracing, encouraging, and inspiring all to become the best version of themselves, and when appropriate, to dig into life’s complexities. Ashley’s specializations extend to helping women, teens, LGBTQ+ community, life transitions, anxiety, depression, trauma.
(919) 980-9406 View (919) 980-9406
Photo of Rachel Turner, Clinical Social Work/Therapist in Cary, NC
Rachel Turner
Clinical Social Work/Therapist, Owner , LCSW
Verified Verified
Cary, NC 27511
Hi, I am Rachel and I am looking forward to connecting! Humans have a wide range of emotions and it’s okay to need some support navigating them. People come to therapy for lots of different reasons and sometimes they don’t even know the reason until several sessions later. It’s brave just to start! My goal is to meet clients where they are at and help them develop mindsets that allow them to evolve mentally, physically, emotionally, spiritually, or in their own way. I firmly believe our mental health matters and it has an affect on every aspect of our lives!
Hi, I am Rachel and I am looking forward to connecting! Humans have a wide range of emotions and it’s okay to need some support navigating them. People come to therapy for lots of different reasons and sometimes they don’t even know the reason until several sessions later. It’s brave just to start! My goal is to meet clients where they are at and help them develop mindsets that allow them to evolve mentally, physically, emotionally, spiritually, or in their own way. I firmly believe our mental health matters and it has an affect on every aspect of our lives!
(919) 328-2324 View (919) 328-2324
Photo of Cara C Holmes, Counselor in Cary, NC
Cara C Holmes
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Cary, NC 27513
Not accepting new clients
October 2023 - I Am Not Currently Accepting New Clients. Everyone needs a therapist! My ideal client is someone who is seeking another perspective. Life is full of changes, some planned, and others, unplanned, and those transitions can be difficult. My role is to walk alongside of you, to be support through those changes.
October 2023 - I Am Not Currently Accepting New Clients. Everyone needs a therapist! My ideal client is someone who is seeking another perspective. Life is full of changes, some planned, and others, unplanned, and those transitions can be difficult. My role is to walk alongside of you, to be support through those changes.
(919) 249-8395 View (919) 249-8395
Photo of Brandon Clowers, Clinical Social Work/Therapist in Cary, NC
Brandon Clowers
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27513  (Online Only)
Life can bring many challenges from different parts of your life, including college, career, relationships, or family and life changes. Therapy can help you navigate stressors like depression, anxiety, grief and loss. I believe that you play the most important role in therapy, and I would love to help you through your journey, enhance your self-care, and conquer your goals.
Life can bring many challenges from different parts of your life, including college, career, relationships, or family and life changes. Therapy can help you navigate stressors like depression, anxiety, grief and loss. I believe that you play the most important role in therapy, and I would love to help you through your journey, enhance your self-care, and conquer your goals.
(919) 364-0706 View (919) 364-0706
Photo of Ruth Echols Amos, Counselor in Cary, NC
Ruth Echols Amos
Counselor, MAEd, LCMHCS, PMH-C
Verified Verified
1 Endorsed
Cary, NC 27511
I am a Licensed Clinical Mental Health Counselor Supervisor and have been in private practice since 2006. I have a strong interest in working with mothers through their journey from pregnancy to motherhood. I hope to help clients with navigating the transitions that occur with becoming a parent, the impact it has on relationships, and the importance of self care along the way. I am a Certified Perinatal Mental Health Professional (PMH-C) through Postpartum Support International. In addition, I have a background in grief and loss therapy.
I am a Licensed Clinical Mental Health Counselor Supervisor and have been in private practice since 2006. I have a strong interest in working with mothers through their journey from pregnancy to motherhood. I hope to help clients with navigating the transitions that occur with becoming a parent, the impact it has on relationships, and the importance of self care along the way. I am a Certified Perinatal Mental Health Professional (PMH-C) through Postpartum Support International. In addition, I have a background in grief and loss therapy.
(919) 267-2490 View (919) 267-2490
Photo of Danelle Kubisiak-Louder, Licensed Clinical Mental Health Counselor in Cary, NC
Danelle Kubisiak-Louder
Licensed Clinical Mental Health Counselor, LMHMC
Verified Verified
Cary, NC 27518
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin with better self-worth, mood and relationships. I’m not a nod-and-smile, vanilla sort of therapist. You’ll find that I curse, will call you out, hold you accountable, and hopefully leave you laughing and inspired. If I am not REAL, how I can expect my clients to show up in their authentic self? And when you feel safe to be real with me, we can work on how that carries over into the rest of your life.
Overwhelm has become a way of life lending to feelings of anxiety, depression and disconnect. This leads to disruptions relationally with others and ourselves. Understanding how we think, feel, and behave can begin with better self-worth, mood and relationships. I’m not a nod-and-smile, vanilla sort of therapist. You’ll find that I curse, will call you out, hold you accountable, and hopefully leave you laughing and inspired. If I am not REAL, how I can expect my clients to show up in their authentic self? And when you feel safe to be real with me, we can work on how that carries over into the rest of your life.
(984) 266-2236 View (984) 266-2236
Photo of Luka R Carbone, Licensed Clinical Mental Health Counselor in Cary, NC
Luka R Carbone
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Not accepting new clients
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
(919) 289-1256 View (919) 289-1256
Photo of Vito Guarnaccia, Psychologist in Cary, NC
Vito Guarnaccia
Psychologist, PhD
Verified Verified
Cary, NC 27513
My name is Dr. Vito Guarnaccia and I’m a North Carolina licensed psychologist, originally from NY. In the last 16 years, I have focused mainly on providing psychological evaluations, which in many ways, has become my life’s work. My reports are comprehensive, and offer clear diagnostic information with very specific recommendations. The test battery will address developmental and intellectual issues, academic deficits, personality, behavioral and emotional difficulties, trauma, ADHD and autism spectrum disorder. I can be reached at 919 210-3958.
My name is Dr. Vito Guarnaccia and I’m a North Carolina licensed psychologist, originally from NY. In the last 16 years, I have focused mainly on providing psychological evaluations, which in many ways, has become my life’s work. My reports are comprehensive, and offer clear diagnostic information with very specific recommendations. The test battery will address developmental and intellectual issues, academic deficits, personality, behavioral and emotional difficulties, trauma, ADHD and autism spectrum disorder. I can be reached at 919 210-3958.
(919) 769-6650 View (919) 769-6650
Photo of Amanda Bloom, Counselor in Cary, NC
Amanda Bloom
Counselor, MEd, NCC, LCMHC
Verified Verified
Cary, NC 27511
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 14 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
I believe that we have all experienced challenging situations or have felt lost at some point in our lives. Taking the leap to seek additional guidance and support takes courage and vulnerability and I believe it cultivates our growth and well-being. Together we collaborate to examine thoughts, emotions and behaviors and identify new tools and solutions that will move you toward a place of worthiness, purpose and authenticity to meet your personalized goals. With over 14 years of experience, I specialize in treating adults who have concerns regarding anxiety, depression, relationships, life transitions, trauma, and women's issues.
(919) 858-2692 View (919) 858-2692
Photo of Olatunde Howard, Marriage & Family Therapist in Cary, NC
Olatunde Howard
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Cary, NC 27513
I am Olatunde, which means "honor comes again." I love to think and connect deeply, creating life-changing bonds of mind and spirit. I like to explore the most intimate connections possible between people--particularly for individuals and couples. The deepest issue, need, and goal we have is to connect intimately and completely with at least one person. We want to fully know ourselves, and be mutually known by at least one person. Sometimes therapy is our first experience of this, but it shouldn't be our only or last experience. I will help you find your truest identity and intimacy--first in, then beyond therapy.
I am Olatunde, which means "honor comes again." I love to think and connect deeply, creating life-changing bonds of mind and spirit. I like to explore the most intimate connections possible between people--particularly for individuals and couples. The deepest issue, need, and goal we have is to connect intimately and completely with at least one person. We want to fully know ourselves, and be mutually known by at least one person. Sometimes therapy is our first experience of this, but it shouldn't be our only or last experience. I will help you find your truest identity and intimacy--first in, then beyond therapy.
(984) 208-2385 x253 View (984) 208-2385 x253
Photo of Peace By Piece Counseling Services PLLC, Counselor in Cary, NC
Peace By Piece Counseling Services PLLC
Counselor, MS, NCC, LCMHC
Verified Verified
Cary, NC 27518
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
Whether you are depressed, feeling stuck, anxious or struggling in a relationship, I bring an empathetic, positive and enthusiastic style towards personal change and growth. I offer a comfortable, supportive and trusting environment to work through the issues affecting your life.
(919) 261-3575 View (919) 261-3575
Photo of James S Miazga in Cary, NC
James S Miazga
LCMHC, MA, BS-Psy
Verified Verified
2 Endorsed
Cary, NC 27511
With all of the changes recently occurring in our daily lives, feeling lost and uncertain about life is becoming a very real part of your reality. Looking at yourself today, you realize that you are a shell of what you once used to be. The happiness, joy, and fulfillment of life that you once knew has become a distant memory. So much so that you no longer recognize the person staring back at you in the mirror. As each day passes, the feelings of being "stuck" have taken hold and it seems likely that there is no hope in sight. It's almost like being stuck in a bad dream that you can't wake up from.
With all of the changes recently occurring in our daily lives, feeling lost and uncertain about life is becoming a very real part of your reality. Looking at yourself today, you realize that you are a shell of what you once used to be. The happiness, joy, and fulfillment of life that you once knew has become a distant memory. So much so that you no longer recognize the person staring back at you in the mirror. As each day passes, the feelings of being "stuck" have taken hold and it seems likely that there is no hope in sight. It's almost like being stuck in a bad dream that you can't wake up from.
(919) 504-5323 View (919) 504-5323

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

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

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.