Therapists in West Chester, PA

Photo of Kathleen Martinez, Licensed Professional Counselor in West Chester, PA
Kathleen Martinez
Licensed Professional Counselor, MA, LPC
Verified Verified
West Chester, PA 19380
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
(484) 573-6644 View (484) 573-6644
Photo of Welsley Brutto, Licensed Professional Counselor in West Chester, PA
Welsley Brutto
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
West Chester, PA 19382
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
(610) 365-7994 View (610) 365-7994
Photo of Jessica Gilpert, Clinical Social Work/Therapist in West Chester, PA
Jessica Gilpert
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
West Chester, PA 19380  (Online Only)
I understand that talking to someone you don't know about personal issues is difficult, so I do my best to create a safe and relaxed environment. I primarily work with individuals coping with anxiety issues, depression, borderline personality disorder, bipolar d/o, those on the autism spectrum, self-worth and relationship issues. I have a personal interest in working with veterans, college students and individuals struggling with LGBT+ issues. I'm a pretty authentic, honest person, and I like to find and highlight your strengths, especially when you struggle with that.
I understand that talking to someone you don't know about personal issues is difficult, so I do my best to create a safe and relaxed environment. I primarily work with individuals coping with anxiety issues, depression, borderline personality disorder, bipolar d/o, those on the autism spectrum, self-worth and relationship issues. I have a personal interest in working with veterans, college students and individuals struggling with LGBT+ issues. I'm a pretty authentic, honest person, and I like to find and highlight your strengths, especially when you struggle with that.
(610) 839-8112 View (610) 839-8112
Photo of Melissa Avery, Licensed Professional Counselor in West Chester, PA
Melissa Avery
Licensed Professional Counselor, MSEd
Verified Verified
West Chester, PA 19382  (Online Only)
I believe the most important element of effective psychotherapy is the genuine connection between the patient and therapist. My approach to therapy is interactive, supportive, and empathetic. I see psychotherapy as a creative process and my patients as co-partners in this process of exploration and discovery. It is my goal to provide a safe and comfortable environment for you to present your challenges, needs, and goals, and for these topics to be met with empathy and without judgement. You have all the strength you need inside you; it is my goal to assist you in accessing that strength and utilizing it on your journey.
I believe the most important element of effective psychotherapy is the genuine connection between the patient and therapist. My approach to therapy is interactive, supportive, and empathetic. I see psychotherapy as a creative process and my patients as co-partners in this process of exploration and discovery. It is my goal to provide a safe and comfortable environment for you to present your challenges, needs, and goals, and for these topics to be met with empathy and without judgement. You have all the strength you need inside you; it is my goal to assist you in accessing that strength and utilizing it on your journey.
(267) 263-7590 View (267) 263-7590
Photo of Lifebulb Counseling & Therapy, Licensed Professional Counselor in West Chester, PA
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
West Chester, PA 19380
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
(484) 613-3865 View (484) 613-3865
Photo of Michelle Schweitzer, Clinical Social Work/Therapist in West Chester, PA
Michelle Schweitzer
Clinical Social Work/Therapist, LCSW
Verified Verified
West Chester, PA 19380  (Online Only)
Are you concerned about how stress and anxiety affect you or your child’s health? Are you ready to feel more connected to what is important to you and live a life of more vitality ? I believe in taking a whole health approach and work with a range of issues impacting children, teens, and families. For some, it may be feeling overwhelmed with change or transition, for others it may be suffering a trauma. Whatever it is that led you to seek therapy, we will approach it together in a safe and collaborative way.
Are you concerned about how stress and anxiety affect you or your child’s health? Are you ready to feel more connected to what is important to you and live a life of more vitality ? I believe in taking a whole health approach and work with a range of issues impacting children, teens, and families. For some, it may be feeling overwhelmed with change or transition, for others it may be suffering a trauma. Whatever it is that led you to seek therapy, we will approach it together in a safe and collaborative way.
(484) 992-8437 View (484) 992-8437
Photo of Child And Young Adult Therapist Andi Peters, Clinical Social Work/Therapist in West Chester, PA
Child And Young Adult Therapist Andi Peters
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
West Chester, PA 19380
I enjoy empowering young people to pursue peace and healing within themselves, become aware of patterns that have been holding them back, & become confident in their own abilities. I believe we all experience our own unique set of circumstances that subconsciously affect our emotional well-being, our relationships, how we see ourselves, and our interactions in the world. I use a holistic approach in therapy, which means, I look at all aspects of your internal and external environment to help you gain understanding, and discover your best self to begin healing.
I enjoy empowering young people to pursue peace and healing within themselves, become aware of patterns that have been holding them back, & become confident in their own abilities. I believe we all experience our own unique set of circumstances that subconsciously affect our emotional well-being, our relationships, how we see ourselves, and our interactions in the world. I use a holistic approach in therapy, which means, I look at all aspects of your internal and external environment to help you gain understanding, and discover your best self to begin healing.
(215) 608-5374 View (215) 608-5374
Photo of Mandi Resnick, Clinical Social Work/Therapist in West Chester, PA
Mandi Resnick
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
West Chester, PA 19382
Hello, my name is Mandi and I am a Licensed Clinical Social Worker. I want to applaud you for taking this first step in seeking help. Sometimes the initial outreach is the hardest for us to overcome as many of us feel we should be able to navigate life on our own. However, sometimes an outside perspective is what is needed to help shed some light on all your amazing qualities that you already possess. I am passionate about meeting each individual where they are and I aim to create a strong therapeutic connection with my clients, built on trust, safety and understanding
Hello, my name is Mandi and I am a Licensed Clinical Social Worker. I want to applaud you for taking this first step in seeking help. Sometimes the initial outreach is the hardest for us to overcome as many of us feel we should be able to navigate life on our own. However, sometimes an outside perspective is what is needed to help shed some light on all your amazing qualities that you already possess. I am passionate about meeting each individual where they are and I aim to create a strong therapeutic connection with my clients, built on trust, safety and understanding
(484) 673-6115 View (484) 673-6115
Leah Yarmus
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
West Chester, PA 19382
There are so many reasons to seek out therapy. Maybe you have been in therapy for years, maybe this is your first time. Whatever the reason or your experience, I am glad that you are here. Therapy can be a brave space that we build to reflect on what is happening for you, to process the road that led you here and to set in place obtainable, sustainable response strategies. To do so, we will incorporate a blend of somatic and psychodynamic therapies to unpack current, historical and intergenerational traumas.
There are so many reasons to seek out therapy. Maybe you have been in therapy for years, maybe this is your first time. Whatever the reason or your experience, I am glad that you are here. Therapy can be a brave space that we build to reflect on what is happening for you, to process the road that led you here and to set in place obtainable, sustainable response strategies. To do so, we will incorporate a blend of somatic and psychodynamic therapies to unpack current, historical and intergenerational traumas.
(484) 772-2994 View (484) 772-2994
Photo of Sharif Green, Clinical Social Work/Therapist in West Chester, PA
Sharif Green
Clinical Social Work/Therapist, LMSW, MS
Verified Verified
1 Endorsed
West Chester, PA 19382
I believe in multiple therapeutic approaches, understanding each person is an individual. I have a particular interest in working with children and fathers. I am a genuine lover and believer in humanity and feel this is felt by my clients. I use humor and non-traditional forms of therapy to build rapport and help each client feel they can overcome whatever barriers, struggles, or hardships life faces them with. If talk therapy hasn't worked for you before, we will work together to figure out what is best, using creative forms (art, music, poetry) or perhaps going for a walk while talking.
I believe in multiple therapeutic approaches, understanding each person is an individual. I have a particular interest in working with children and fathers. I am a genuine lover and believer in humanity and feel this is felt by my clients. I use humor and non-traditional forms of therapy to build rapport and help each client feel they can overcome whatever barriers, struggles, or hardships life faces them with. If talk therapy hasn't worked for you before, we will work together to figure out what is best, using creative forms (art, music, poetry) or perhaps going for a walk while talking.
(484) 900-8074 View (484) 900-8074
Photo of Carla Jean DeMarco, Clinical Social Work/Therapist in West Chester, PA
Carla Jean DeMarco
Clinical Social Work/Therapist, MSS, LCSW, BCD
Verified Verified
2 Endorsed
West Chester, PA 19382
I have been in the field of emotional health for over 30 years. My experience has been diverse, working with the entire age spectrum. I am comfortable utilizing several psycho therapeutic approaches. I will also integrate the Christian perspective into the counseling process, if requested. I believe that each client is a unique individual. I want to assist them in accomplishing their goals in counseling with the approach that fit their needs. My goal is to "work myself out of a job" by equipping my clients with the emotional tools that they need, so that they may enjoy their lives.
I have been in the field of emotional health for over 30 years. My experience has been diverse, working with the entire age spectrum. I am comfortable utilizing several psycho therapeutic approaches. I will also integrate the Christian perspective into the counseling process, if requested. I believe that each client is a unique individual. I want to assist them in accomplishing their goals in counseling with the approach that fit their needs. My goal is to "work myself out of a job" by equipping my clients with the emotional tools that they need, so that they may enjoy their lives.
(484) 241-4329 View (484) 241-4329
Photo of Hillary Elizabeth Hess, Clinical Social Work/Therapist in West Chester, PA
Hillary Elizabeth Hess
Clinical Social Work/Therapist, MS, LPC, RYT
Verified Verified
West Chester, PA 19380
Hello, the work that I do with individuals, couples and families is based in a mindfulness and cognitive behavior therapy approach. I work with clients to integrate mindfulness skills and cognitive behavior strategies into their daily lives. These strategies help to access a more centered and deliberate way of being. The skills and strategies used are tailored for each individual based on concerns, goals and interests. This approach is great for those who experience anxiety, high levels of stress, trauma, depression, or have anger related concerns.
Hello, the work that I do with individuals, couples and families is based in a mindfulness and cognitive behavior therapy approach. I work with clients to integrate mindfulness skills and cognitive behavior strategies into their daily lives. These strategies help to access a more centered and deliberate way of being. The skills and strategies used are tailored for each individual based on concerns, goals and interests. This approach is great for those who experience anxiety, high levels of stress, trauma, depression, or have anger related concerns.
(484) 282-3313 View (484) 282-3313
Photo of Mak Donovan, Pre-Licensed Professional in West Chester, PA
Mak Donovan
Pre-Licensed Professional, MFT
Verified Verified
1 Endorsed
West Chester, PA 19380
Accepting new clients! - Hi, I'm Mak! I have a special interest in adults (18+) who have been negatively impacted by the systems and environments that surround them. I believe that our early life experiences, especially those learned during childhood, often shape our patterns and behaviors more than we realize. This can look like anxiety, depression, self esteem issues, attachment issues, difficulties within relationships, etc. By recognizing and understanding our recurring themes, we can improve our relationships with ourselves and those close to us.
Accepting new clients! - Hi, I'm Mak! I have a special interest in adults (18+) who have been negatively impacted by the systems and environments that surround them. I believe that our early life experiences, especially those learned during childhood, often shape our patterns and behaviors more than we realize. This can look like anxiety, depression, self esteem issues, attachment issues, difficulties within relationships, etc. By recognizing and understanding our recurring themes, we can improve our relationships with ourselves and those close to us.
(484) 616-2010 View (484) 616-2010
Photo of Dr. Francis J Sizer, Inc., Psychologist in West Chester, PA
Dr. Francis J Sizer, Inc.
Psychologist, PhD
Verified Verified
West Chester, PA 19382
My goal is to help you improve your quality of life, substantially. I will help you make the positive changes you need by reducing anxiety, easing your stress, and gaining more control in your life. You will achieve and experience these goals in a secure and caring environment, discover your own inner strengths and develop effective coping skills. For more information on treatment modalities and specific problem areas I target please read on in this website page. I specialize in cognitive behavioral therapy, crisis intervention therapy and interpersonal therapy focusing on anxiety, depression and relationship issues.
My goal is to help you improve your quality of life, substantially. I will help you make the positive changes you need by reducing anxiety, easing your stress, and gaining more control in your life. You will achieve and experience these goals in a secure and caring environment, discover your own inner strengths and develop effective coping skills. For more information on treatment modalities and specific problem areas I target please read on in this website page. I specialize in cognitive behavioral therapy, crisis intervention therapy and interpersonal therapy focusing on anxiety, depression and relationship issues.
(610) 915-8983 View (610) 915-8983
Photo of Angela Sanson, Pre-Licensed Professional in West Chester, PA
Angela Sanson
Pre-Licensed Professional, MFT
Verified Verified
1 Endorsed
West Chester, PA 19380
Now Accepting New Clients! Hi, I'm Angela and I am a Marriage and Family therapist who works with couples and individuals struggling with self esteem, relationship issues, and understanding themselves and their emotions. You are more than what your struggles are, so I want to emphasize the importance of knowing you as an individual and how all of your relationships, responsibilities, and life experiences impact and shape who you are and how you interact with the world around you. I believe that building and creating meaningful and healthy relationships with ourselves and others has the power to help us live fulfilling lives.
Now Accepting New Clients! Hi, I'm Angela and I am a Marriage and Family therapist who works with couples and individuals struggling with self esteem, relationship issues, and understanding themselves and their emotions. You are more than what your struggles are, so I want to emphasize the importance of knowing you as an individual and how all of your relationships, responsibilities, and life experiences impact and shape who you are and how you interact with the world around you. I believe that building and creating meaningful and healthy relationships with ourselves and others has the power to help us live fulfilling lives.
(484) 729-9405 View (484) 729-9405
Photo of Tina Dwyer, Licensed Professional Counselor in West Chester, PA
Tina Dwyer
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
West Chester, PA 19380
Making that first phone call is a difficult step. I assure you that I will provide you with warm, supportive professional help. It has been my goal for over 25 years to help people through a learning/healing process that can lead to lasting change and a happier life. I work hard to provide each person with a comfortable and safe environment, which enables trust and communication to flourish.
Making that first phone call is a difficult step. I assure you that I will provide you with warm, supportive professional help. It has been my goal for over 25 years to help people through a learning/healing process that can lead to lasting change and a happier life. I work hard to provide each person with a comfortable and safe environment, which enables trust and communication to flourish.
(610) 915-8685 View (610) 915-8685
Photo of Chandler Ballbach, Clinical Social Work/Therapist in West Chester, PA
Chandler Ballbach
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Chester, PA 19382  (Online Only)
I love working with teens (15 years and older), young adults, and adults experiencing concerns related to abuse, anger, anxiety, bullying, depression, divorce, family stressors, grief, life transitions, living losses, loneliness, parental addiction, perfectionism, relationships, self-esteem, sexual abuse, and school stressors. My clients tell me I am compassionate, hopeful, committed, accepting, and very patient. I work extensively with clients from diverse cultures and identities and am committed to fostering an open and inclusive therapy practice. I have significant experience supporting clients with complex trauma histories.
I love working with teens (15 years and older), young adults, and adults experiencing concerns related to abuse, anger, anxiety, bullying, depression, divorce, family stressors, grief, life transitions, living losses, loneliness, parental addiction, perfectionism, relationships, self-esteem, sexual abuse, and school stressors. My clients tell me I am compassionate, hopeful, committed, accepting, and very patient. I work extensively with clients from diverse cultures and identities and am committed to fostering an open and inclusive therapy practice. I have significant experience supporting clients with complex trauma histories.
(484) 989-9773 View (484) 989-9773
Photo of Samantha Gambale in West Chester, PA
Samantha Gambale
LSW, MSW
Verified Verified
West Chester, PA 19382
Are you dealing with overwhelming anxiety? Is daily stress accumulating and impacting your wellbeing? Tired of a loud inner critic? If so, contact me for a free consult & we'll get started on your healing together. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind&body. Therapy helps us understand our life events, family dynamics and personal identity. It focuses on what is in our control and how to take the steps towards self-acceptance. Through integrative techniques, we identify the root of your symptoms&skills to thrive. I work with ages 13 + as a holistic ally to help you heal.
Are you dealing with overwhelming anxiety? Is daily stress accumulating and impacting your wellbeing? Tired of a loud inner critic? If so, contact me for a free consult & we'll get started on your healing together. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind&body. Therapy helps us understand our life events, family dynamics and personal identity. It focuses on what is in our control and how to take the steps towards self-acceptance. Through integrative techniques, we identify the root of your symptoms&skills to thrive. I work with ages 13 + as a holistic ally to help you heal.
(215) 607-8174 View (215) 607-8174
Photo of Nikita Mahon, Licensed Professional Counselor in West Chester, PA
Nikita Mahon
Licensed Professional Counselor, LPC
Verified Verified
West Chester, PA 19382
Figuring it out often feels like waiting for the world to pause so we can catch-up and the pieces finally fall together. As you well know, those pauses often are not long enough and can lack the kind of tools, insights, and support needed. We are then left asking, what else is there? I believe that these curiosities, feeling all that we do, is meant to connect us to our true self by learning to know ourselves in every way and love ourselves deeply. The journey of growth and healing involves the use of many different tools, a powerful one being the tool of therapy.
Figuring it out often feels like waiting for the world to pause so we can catch-up and the pieces finally fall together. As you well know, those pauses often are not long enough and can lack the kind of tools, insights, and support needed. We are then left asking, what else is there? I believe that these curiosities, feeling all that we do, is meant to connect us to our true self by learning to know ourselves in every way and love ourselves deeply. The journey of growth and healing involves the use of many different tools, a powerful one being the tool of therapy.
(267) 204-2768 View (267) 204-2768
Photo of Andrea J. Yost, Psychologist in West Chester, PA
Andrea J. Yost
Psychologist, PsyD
Verified Verified
1 Endorsed
West Chester, PA 19382
I have more than 20 years working as a licensed psychologist. I like to make the counseling process comfortable and relaxed for clients, so that the person seeking help can develop a trusting relationship with me. Feel free to call me for a free phone consultation. I am typically able to get back to people within a day or two so be sure to leave a number and a time during the day when you are available to talk. Please note that unfortunately, I am not available for appointments after 3pm.
I have more than 20 years working as a licensed psychologist. I like to make the counseling process comfortable and relaxed for clients, so that the person seeking help can develop a trusting relationship with me. Feel free to call me for a free phone consultation. I am typically able to get back to people within a day or two so be sure to leave a number and a time during the day when you are available to talk. Please note that unfortunately, I am not available for appointments after 3pm.
(484) 601-5270 View (484) 601-5270

See more therapy options for West Chester

How does your Therapist compare?

Number of Therapists in West Chester, PA

600+

Average cost per session

$140

Therapists in West Chester, PA who prioritize treating:

96% Anxiety
91% Depression
76% Self Esteem
70% Relationship Issues
69% Coping Skills
64% Trauma and PTSD
63% Grief

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
71% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in West Chester, PA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in West Chester?

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.