Therapists in Silver Spring, MD

Photo of Dr. Randi Wortman, Psychologist in Silver Spring, MD
Dr. Randi Wortman
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
I have a passion for walking people through the therapeutic process, for healing old wounds, solving problems and seeing profound changes in my clients' lives. All of my clients are my ideal clients. I love the psychotherapy process, both personally and professionally. In my opinion psychotherapy is both a necessity and a luxury in staying sane. Taking the time to care about yourself and/or your family, children or loved ones, focusing on what is hurting and not working well and trusting me to offer perspectives, insights, connections, ideas, advice, and understanding can turn most challenging situations around.
I have a passion for walking people through the therapeutic process, for healing old wounds, solving problems and seeing profound changes in my clients' lives. All of my clients are my ideal clients. I love the psychotherapy process, both personally and professionally. In my opinion psychotherapy is both a necessity and a luxury in staying sane. Taking the time to care about yourself and/or your family, children or loved ones, focusing on what is hurting and not working well and trusting me to offer perspectives, insights, connections, ideas, advice, and understanding can turn most challenging situations around.
(301) 684-5184 View (301) 684-5184
Photo of Ryan Schwindt, Counselor in Silver Spring, MD
Ryan Schwindt
Counselor, LCPC
Verified Verified
Silver Spring, MD 20910
Waitlist for new clients
Are you feeling frustrated, lonely, overwhelmed, or depressed? Does it seem like there must be more to life than what you are getting? Sometimes we just feel stuck in our lives. Old emotional wounds or patterns keep nagging at us, keeping us from feeling free to live authentically. Relationships can be one the most rewarding or distressing parts of our lives. Changing the way we relate to ourselves and to others is key. Therapy is a transformative process that can help us address our concerns about ourselves and others.
Are you feeling frustrated, lonely, overwhelmed, or depressed? Does it seem like there must be more to life than what you are getting? Sometimes we just feel stuck in our lives. Old emotional wounds or patterns keep nagging at us, keeping us from feeling free to live authentically. Relationships can be one the most rewarding or distressing parts of our lives. Changing the way we relate to ourselves and to others is key. Therapy is a transformative process that can help us address our concerns about ourselves and others.
(240) 384-5219 View (240) 384-5219
Photo of Petrina E Yemane, Licensed Clinical Professional Counselor in Silver Spring, MD
Petrina E Yemane
Licensed Clinical Professional Counselor, LPC
Verified Verified
Silver Spring, MD 20910
As a Licensed Professional Counselor, I strive to use a positive psychology to bring insights and empowerment to my clients. Over the past 20 years, I have used Cognitive Behavioral techniques, a Person Centered approach and a warm style of coaching, to support individuals who struggle with mental and emotional difficulties. As a seasoned therapist and trained in EMDR for Trauma, I work with those who have Depression, Anxiety, PTSD, Stress & Anger Management issues and a host of other life struggles. The focus in therapy is to move towards a more stable, healthy and progressive way of living.
As a Licensed Professional Counselor, I strive to use a positive psychology to bring insights and empowerment to my clients. Over the past 20 years, I have used Cognitive Behavioral techniques, a Person Centered approach and a warm style of coaching, to support individuals who struggle with mental and emotional difficulties. As a seasoned therapist and trained in EMDR for Trauma, I work with those who have Depression, Anxiety, PTSD, Stress & Anger Management issues and a host of other life struggles. The focus in therapy is to move towards a more stable, healthy and progressive way of living.
(703) 215-1938 View (703) 215-1938
Photo of Patrick DiSalvo, Clinical Social Work/Therapist in Silver Spring, MD
Patrick DiSalvo
Clinical Social Work/Therapist, LCSW, MSW, MST
Verified Verified
Silver Spring, MD 20910
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood or lessen your anxiety when talk therapy hasn't always worked for you? I am here to work with you in exploring, accepting and traversing such obstacles. I specialize in working with pre-teens, adolescents, and young adults, and have done so for over 14 years as a teacher (MST) and mental health practitioner (MSW) in Harlem, NY and Washington, DC. This experience has given me a tremendous amount of insight into the challenges that young people face in today's world and today's academic settings.
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood or lessen your anxiety when talk therapy hasn't always worked for you? I am here to work with you in exploring, accepting and traversing such obstacles. I specialize in working with pre-teens, adolescents, and young adults, and have done so for over 14 years as a teacher (MST) and mental health practitioner (MSW) in Harlem, NY and Washington, DC. This experience has given me a tremendous amount of insight into the challenges that young people face in today's world and today's academic settings.
(240) 266-0599 View (240) 266-0599
Photo of Dr. Halima Dargan, Licensed Professional Counselor in Silver Spring, MD
Dr. Halima Dargan
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Silver Spring, MD 20906  (Online Only)
In addition to being a clinical supervisor in La and MD, I work specifically with student-athletes and high performing women, as there is a unique set of pressures for both populations. It is important to have a special skill set to thrive in their lives. Too often though, there is either a lack of balance or decreased performance, and both are needed for sustained wellness and success. Through a combination of psychotherapies and performance psychology, I aim to help clients achieve their goals. I believe that the therapeutic process is a partnership that the client is in control of, as they know their lives the best.
In addition to being a clinical supervisor in La and MD, I work specifically with student-athletes and high performing women, as there is a unique set of pressures for both populations. It is important to have a special skill set to thrive in their lives. Too often though, there is either a lack of balance or decreased performance, and both are needed for sustained wellness and success. Through a combination of psychotherapies and performance psychology, I aim to help clients achieve their goals. I believe that the therapeutic process is a partnership that the client is in control of, as they know their lives the best.
(301) 479-6876 View (301) 479-6876
Photo of Joan Weill, Clinical Social Work/Therapist in Silver Spring, MD
Joan Weill
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
If you are struggling with depression, anxiety, weight loss, eating issues and other addictions, I can help. With years of experience and many successful outcomes helping clients work through depression & anxiety, achieve weight loss and recovery from eating disorders, addictions, trauma, grief & loss, I welcome you and the opportunity to help you achieve results! With a caring approach & many effective interventions for adults & adolescents coping with personal stresses in work, school, relationships, divorce, custody & family issues, sexuality, I provide a safe environment to work through issues. I believe in you & your potential!
If you are struggling with depression, anxiety, weight loss, eating issues and other addictions, I can help. With years of experience and many successful outcomes helping clients work through depression & anxiety, achieve weight loss and recovery from eating disorders, addictions, trauma, grief & loss, I welcome you and the opportunity to help you achieve results! With a caring approach & many effective interventions for adults & adolescents coping with personal stresses in work, school, relationships, divorce, custody & family issues, sexuality, I provide a safe environment to work through issues. I believe in you & your potential!
(240) 650-8240 View (240) 650-8240
Photo of Evelyn Goldstein, Clinical Social Work/Therapist in Silver Spring, MD
Evelyn Goldstein
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910
I offer short term, brief therapy to support individuals, couples and families in moving forward in some way. Brief therapy typically focuses on solutions rather than problems. The aim is to emphasize strengths and to work collaboratively to figure out alternatives for what the future might look like. I strive to offer a warm, compassionate and non-judgmental environment that allows clients to feel safe to genuinely express themselves and consider new possibilities.
I offer short term, brief therapy to support individuals, couples and families in moving forward in some way. Brief therapy typically focuses on solutions rather than problems. The aim is to emphasize strengths and to work collaboratively to figure out alternatives for what the future might look like. I strive to offer a warm, compassionate and non-judgmental environment that allows clients to feel safe to genuinely express themselves and consider new possibilities.
(301) 637-7583 View (301) 637-7583
Photo of Pamela Atueyi, Counselor in Silver Spring, MD
Pamela Atueyi
Counselor, LCPC, LCADC
Verified Verified
Silver Spring, MD 20910  (Online Only)
Life can be challenging, and you don’t have to figure it out alone. If you are feeling hopeless, depressed, or anxious, perhaps I can help you with this. If you feel you have no support from friends and family, I can be a support to you. Maybe it is childhood trauma you need to unpack. I can help you through it. I am skilled in CBT, DBT, and mindfulness to help clients reach their best selves. My goal as a clinician is to feel empowered to take control of their lives and be in optimal health.
Life can be challenging, and you don’t have to figure it out alone. If you are feeling hopeless, depressed, or anxious, perhaps I can help you with this. If you feel you have no support from friends and family, I can be a support to you. Maybe it is childhood trauma you need to unpack. I can help you through it. I am skilled in CBT, DBT, and mindfulness to help clients reach their best selves. My goal as a clinician is to feel empowered to take control of their lives and be in optimal health.
(240) 202-1018 View (240) 202-1018
Photo of Gloria Yaa Mensah, Licensed Clinical Professional Counselor in Silver Spring, MD
Gloria Yaa Mensah
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Life can be challenging. Stress, interpersonal relationships, self-esteem, depression, anxiety, and identity issues can impact your functioning and ability to move forward in your life. During these times, it is important to feel empowered and confident to tackle the challenges you face and prepare for the victories ahead. Through self-exploration and an understanding of your needs in therapy, you can tap into your most authentic self to navigate your world.
Life can be challenging. Stress, interpersonal relationships, self-esteem, depression, anxiety, and identity issues can impact your functioning and ability to move forward in your life. During these times, it is important to feel empowered and confident to tackle the challenges you face and prepare for the victories ahead. Through self-exploration and an understanding of your needs in therapy, you can tap into your most authentic self to navigate your world.
(301) 960-3372 View (301) 960-3372
Amina Avion
Psychological Associate
Verified Verified
Silver Spring, MD 20910
I am a psychology associate at Kingsbury Wellness & Learning Group, a nonprofit serving the DMV area. I help teens and young adults overcome challenges related to identity development and interpersonal relationships, so that they can build their confidence and forge fulfilling relationships. I work with adults to help them recognize and overcome unhelpful patterns, so that they can address mental and emotional stuck points.
I am a psychology associate at Kingsbury Wellness & Learning Group, a nonprofit serving the DMV area. I help teens and young adults overcome challenges related to identity development and interpersonal relationships, so that they can build their confidence and forge fulfilling relationships. I work with adults to help them recognize and overcome unhelpful patterns, so that they can address mental and emotional stuck points.
(240) 816-4018 x111 View (240) 816-4018 x111
Photo of Nancy K Montagna, Psychologist in Silver Spring, MD
Nancy K Montagna
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
Maybe you want a sense of security, to be calmer, to have more energy and creativity or more loving relationships. Maybe you want freedom from the after-effects of trauma. We begin with an attitude of loving self acceptance. You can change an unhealthy habit, heal from trauma or shed an addiction relatively quickly with a brand new (evidence-based) method called Accelerated Resolution Therapy (A.R.T.). I bring wide experience and a large professional toolbox to help you toward your goals.
Maybe you want a sense of security, to be calmer, to have more energy and creativity or more loving relationships. Maybe you want freedom from the after-effects of trauma. We begin with an attitude of loving self acceptance. You can change an unhealthy habit, heal from trauma or shed an addiction relatively quickly with a brand new (evidence-based) method called Accelerated Resolution Therapy (A.R.T.). I bring wide experience and a large professional toolbox to help you toward your goals.
(301) 691-4317 x2 View (301) 691-4317 x2
Photo of Edward Rodrigues, Clinical Social Work/Therapist in Silver Spring, MD
Edward Rodrigues
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
Mental health is like any muscle or vital organ in your body. It requires check ups and routine maintenance in order to stay strong. Life is full of peaks and valleys that we are often not prepared for and it is helpful to have someone to help guide you out of uncertainty. As a licensed professional therapist, I can help guide you. I offer a unique treatment perspective for individuals of all ages - specializing in the African American experience. My goal is to remind you of your greatness and help you tap into your boundless potential.
Mental health is like any muscle or vital organ in your body. It requires check ups and routine maintenance in order to stay strong. Life is full of peaks and valleys that we are often not prepared for and it is helpful to have someone to help guide you out of uncertainty. As a licensed professional therapist, I can help guide you. I offer a unique treatment perspective for individuals of all ages - specializing in the African American experience. My goal is to remind you of your greatness and help you tap into your boundless potential.
(301) 895-7851 View (301) 895-7851
Photo of Dr. JoAnna Ubiwa, Licensed Clinical Professional Counselor in Silver Spring, MD
Dr. JoAnna Ubiwa
Licensed Clinical Professional Counselor, PsyD, LCPC
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Ready to Transform Your Life? Explore “The Catalyst to Thrive.” I’m Dr. JoAnna Ubiwa, and I’m here to be your catalyst for positive change. When you start your therapeutic journey with me, one goal is for you to see a transformative shift within yourself—where you can truly flourish, thrive, and prosper in every aspect of your life.
Ready to Transform Your Life? Explore “The Catalyst to Thrive.” I’m Dr. JoAnna Ubiwa, and I’m here to be your catalyst for positive change. When you start your therapeutic journey with me, one goal is for you to see a transformative shift within yourself—where you can truly flourish, thrive, and prosper in every aspect of your life.
(240) 802-7322 View (240) 802-7322
Photo of Shelley Driskell, Licensed Clinical Professional Counselor in Silver Spring, MD
Shelley Driskell
Licensed Clinical Professional Counselor, LPC
Verified Verified
Silver Spring, MD 20904  (Online Only)
Hello, I’m Shelley. Life is a beautiful journey. However, at times we all face challenges that seem insurmountable, which can cause us to feel isolated, alone, and powerless. “Feelings are messages from our soul – negative ones are a sign that something needs addressing. Not out there – but inside of us.” Unknown. We all have the resources within us to heal ourselves. Sometimes we just need assistance identifying them and a safe place to find the courage to utilize them.
Hello, I’m Shelley. Life is a beautiful journey. However, at times we all face challenges that seem insurmountable, which can cause us to feel isolated, alone, and powerless. “Feelings are messages from our soul – negative ones are a sign that something needs addressing. Not out there – but inside of us.” Unknown. We all have the resources within us to heal ourselves. Sometimes we just need assistance identifying them and a safe place to find the courage to utilize them.
(301) 381-3928 View (301) 381-3928
Photo of Annyck Hamez, Licensed Clinical Professional Counselor in Silver Spring, MD
Annyck Hamez
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Silver Spring, MD 20906
Life is full of transitions, twists and turns, and "things coming at us". We sometimes wake up with a desire to free ourselves from mental - social/emotional hurt, when in front of life experiences. Whether the pain is new, or coming from the past, talking and having an outlet, is the beginning before releasing the negative WE hang on to... When you are ready and motivated to make changes to reach a new level of living, I am here to help you face the obstacles that are in the way of your objectives...
Life is full of transitions, twists and turns, and "things coming at us". We sometimes wake up with a desire to free ourselves from mental - social/emotional hurt, when in front of life experiences. Whether the pain is new, or coming from the past, talking and having an outlet, is the beginning before releasing the negative WE hang on to... When you are ready and motivated to make changes to reach a new level of living, I am here to help you face the obstacles that are in the way of your objectives...
(301) 321-8447 View (301) 321-8447
Photo of Tali Elitzur, Counselor in Silver Spring, MD
Tali Elitzur
Counselor, MA, LPC, LCPC
Verified Verified
16 Endorsed
Silver Spring, MD 20910  (Online Only)
Available for in-person and telehealth appointments. Relationships with ourselves and others can be tough, and they often affect our daily lives. Recent or past traumas may intensify challenging feelings, and can lead to feeling stuck, confused, or overwhelmed. You are not alone! Collaborative therapy can help establish a sense of clarity, balance, joy, and hope. Our work together is meant to carry over into your daily life, and help you feel more secure, connected, and assertive. We will process and practice applying new skills into your life. I provide a safe space and support as you navigate your life journey.
Available for in-person and telehealth appointments. Relationships with ourselves and others can be tough, and they often affect our daily lives. Recent or past traumas may intensify challenging feelings, and can lead to feeling stuck, confused, or overwhelmed. You are not alone! Collaborative therapy can help establish a sense of clarity, balance, joy, and hope. Our work together is meant to carry over into your daily life, and help you feel more secure, connected, and assertive. We will process and practice applying new skills into your life. I provide a safe space and support as you navigate your life journey.
(240) 698-2546 View (240) 698-2546
Photo of Jasmine Gambino, Clinical Social Work/Therapist in Silver Spring, MD
Jasmine Gambino
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20914  (Online Only)
My goal as a therapist is to inspire hope and change by providing a safe, supportive and nonjudgmental environment to build a therapeutic relationship that allows for courageous “self-study”. With understanding self comes clarity, and relief, which in turn creates the opportunity to cultivate new healthy ways to think, feel, and react. By working collaboratively, you will uncover, understand, and overcome challenges including loneliness, guilt, shame, fear, grief, and self-doubt.
My goal as a therapist is to inspire hope and change by providing a safe, supportive and nonjudgmental environment to build a therapeutic relationship that allows for courageous “self-study”. With understanding self comes clarity, and relief, which in turn creates the opportunity to cultivate new healthy ways to think, feel, and react. By working collaboratively, you will uncover, understand, and overcome challenges including loneliness, guilt, shame, fear, grief, and self-doubt.
(240) 647-5146 View (240) 647-5146
Lesley K Sanders
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I am passionate about working with young children and their families who are experiencing challenges with academics, parenting, separation and divorce, as well as regulatory and behavioral issues. I provide psychological, developmental, and admissions testing. I also conduct play therapy, family therapy, parent guidance, divorce mediation, as well as school consultations. Early intervention and prevention as well as parental involvement is essential and paramount for optimal and favorable treatment outcomes.
I am passionate about working with young children and their families who are experiencing challenges with academics, parenting, separation and divorce, as well as regulatory and behavioral issues. I provide psychological, developmental, and admissions testing. I also conduct play therapy, family therapy, parent guidance, divorce mediation, as well as school consultations. Early intervention and prevention as well as parental involvement is essential and paramount for optimal and favorable treatment outcomes.
(301) 684-8146 View (301) 684-8146
Photo of Adrienne Londeree, Clinical Social Work/Therapist in Silver Spring, MD
Adrienne Londeree
Clinical Social Work/Therapist, LCSW-C, PMH-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
Women face many difficulties on their journey to motherhood. The most common difficulties are difficulties conceiving, stress preparing for the arrival of the baby, a birth experience that did not go the way they expected, and overwhelmed once the baby is here. My clients have a variety of perinatal experiences; struggles with emotions during pregnancy, postpartum as well miscarriage and infant loss. If you have lost your baby, it is a very difficult time; a loss of hopes and dreams and grieving in a world that does not have rituals or ways to respond to you.
Women face many difficulties on their journey to motherhood. The most common difficulties are difficulties conceiving, stress preparing for the arrival of the baby, a birth experience that did not go the way they expected, and overwhelmed once the baby is here. My clients have a variety of perinatal experiences; struggles with emotions during pregnancy, postpartum as well miscarriage and infant loss. If you have lost your baby, it is a very difficult time; a loss of hopes and dreams and grieving in a world that does not have rituals or ways to respond to you.
(301) 381-3809 View (301) 381-3809
Photo of O.R.E And Associates, LLC , Clinical Social Work/Therapist in Silver Spring, MD
O.R.E And Associates, LLC
Clinical Social Work/Therapist, MBA, MHA, LCSW-C
Verified Verified
Silver Spring, MD 20903
O.R.E.A, LLC is a Maryland State Licensed and ACHC Accredited Early Intervention Education, Counseling and Treatment program. We offer both individual and group therapy sessions. Our counselors are fully licensed and professional therapists that work to support and provide you with the best therapeutic experience.
O.R.E.A, LLC is a Maryland State Licensed and ACHC Accredited Early Intervention Education, Counseling and Treatment program. We offer both individual and group therapy sessions. Our counselors are fully licensed and professional therapists that work to support and provide you with the best therapeutic experience.
(301) 284-3310 View (301) 284-3310

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
75% Self Esteem
70% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
64% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.