Therapists in Santa Fe, NM
Carla Kleefeld
Clinical Mental Health Counselor, PhD, LPCC
Verified Verified
Santa Fe, NM 87505 (Online Only)
The therapeutic relationship is a unique and healing one and has the potential to transform our earliest relational patterns and unconscious attempts at repair. I bring my presence, deep, active listening, attentiveness, curiosity and positive regard to individuals and couples seeking therapy. Applying my extensive knowledge, training, and practice in attachment based research and depth-oriented approaches, I enjoy working with the imaginal, dreams as well as our relationship in the here and now as it may reflect the past.
The therapeutic relationship is a unique and healing one and has the potential to transform our earliest relational patterns and unconscious attempts at repair. I bring my presence, deep, active listening, attentiveness, curiosity and positive regard to individuals and couples seeking therapy. Applying my extensive knowledge, training, and practice in attachment based research and depth-oriented approaches, I enjoy working with the imaginal, dreams as well as our relationship in the here and now as it may reflect the past.
Kevin Kluck
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Santa Fe, NM 87505
I am happy to offer in-person and HIPAA compliant Telehealth for clients. I am a family, couple, individual, and youth therapist who provides a safe environment for helping people. I help those who are seeking a more resilient life and stronger connection in relationships. Sometimes we struggle and need a helping hand to move through Anxiety, Depression, Grief, Family Conflict, Relationship Dynamics, Education, Career or a Life Change. I provide therapy using a strength-based approach with the belief that everyone has the ability to find change.
I am happy to offer in-person and HIPAA compliant Telehealth for clients. I am a family, couple, individual, and youth therapist who provides a safe environment for helping people. I help those who are seeking a more resilient life and stronger connection in relationships. Sometimes we struggle and need a helping hand to move through Anxiety, Depression, Grief, Family Conflict, Relationship Dynamics, Education, Career or a Life Change. I provide therapy using a strength-based approach with the belief that everyone has the ability to find change.
Jane Acevedo
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501 (Online Only)
Not accepting new clients
Ultimately, my purpose as your therapist is to help you find joy in life. I use a Feminist, Attachment-based, Trauma-informed approach to empower you to trust yourself, and tap into your inner resilience. I believe that you are the expert in your own life. Together we can work to process and heal past traumas, gain insight, and replace harmful behaviors with more positive ones. I work with women and non-binary folks who have experienced relational trauma, PTSD, Anxiety, Depression, and Disordered Eating. Many of my clients identify as Neurodivergent/Highly Sensitive.
Ultimately, my purpose as your therapist is to help you find joy in life. I use a Feminist, Attachment-based, Trauma-informed approach to empower you to trust yourself, and tap into your inner resilience. I believe that you are the expert in your own life. Together we can work to process and heal past traumas, gain insight, and replace harmful behaviors with more positive ones. I work with women and non-binary folks who have experienced relational trauma, PTSD, Anxiety, Depression, and Disordered Eating. Many of my clients identify as Neurodivergent/Highly Sensitive.
Natascha Holmes Blissfully Sacred LLC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Santa Fe, NM 87505 (Online Only)
The time is now. Today is the day to remember that it's just one moment at a time, one breath at a time. Taking a moment to reconnect with the feeling centers inside in a safe and calm way. Through talk therapy and non-judgmental creative exploration with color, texture, earth based materials, 2-D/3-D elements,etc., we can work on processing, communication and strengthening your personal tools for everyday living. I also have over 20 years of experience with women’s counseling, prenatal/postnatal counseling, birth coaching, nutritional counseling, and multicultural & diversity counseling.
The time is now. Today is the day to remember that it's just one moment at a time, one breath at a time. Taking a moment to reconnect with the feeling centers inside in a safe and calm way. Through talk therapy and non-judgmental creative exploration with color, texture, earth based materials, 2-D/3-D elements,etc., we can work on processing, communication and strengthening your personal tools for everyday living. I also have over 20 years of experience with women’s counseling, prenatal/postnatal counseling, birth coaching, nutritional counseling, and multicultural & diversity counseling.
Brii Sebastian
Counselor, MA, LPCC, CPC, ABMPP, ABDA
Verified Verified
6 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
Integrative Psychotherapy & Holistic Coaching, LLC provides you with a quality, research-based model of therapy and life coaching for healing and transformation.
Integrative Psychotherapy & Holistic Coaching, LLC provides you with a quality, research-based model of therapy and life coaching for healing and transformation.
Susan Carswell
Psychologist, PsyD, PhD
Verified Verified
Santa Fe, NM 87501
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
Natalie Miller
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505
Whatever you think you can do or believe you can do, begin it now. Action has magic, grace, and power in it.(Goethe) I am passionate about psychotherapy because it frequently reminds me that magic, grace, and powerful change are possible. We all feel confused, stuck, or hopeless during the course of our lives. Personally and professionally my work confirms that we are designed to grow towards healing and authentic happiness. As the sources of suffering often originate from impairments or losses in our primary relationships,so the greatest potential in psychotherapy lies in the relationship between client and therapist.
Whatever you think you can do or believe you can do, begin it now. Action has magic, grace, and power in it.(Goethe) I am passionate about psychotherapy because it frequently reminds me that magic, grace, and powerful change are possible. We all feel confused, stuck, or hopeless during the course of our lives. Personally and professionally my work confirms that we are designed to grow towards healing and authentic happiness. As the sources of suffering often originate from impairments or losses in our primary relationships,so the greatest potential in psychotherapy lies in the relationship between client and therapist.
Sky Hitt
MA, LPCC
Verified Verified
Santa Fe, NM 87505
I specialize in life transitions, anxiety, depression, and the exploration of purpose and meaning (using techniques of mindful awareness and somatic listening). Everything about us is okay, and it is through our most difficult challenges and deepest suffering that growth, healing and transformation ultimately occur. With this in mind, I try and help clients explore the messages in themselves and their life processes that will enable them to bear their difficulties and move forward.
I specialize in life transitions, anxiety, depression, and the exploration of purpose and meaning (using techniques of mindful awareness and somatic listening). Everything about us is okay, and it is through our most difficult challenges and deepest suffering that growth, healing and transformation ultimately occur. With this in mind, I try and help clients explore the messages in themselves and their life processes that will enable them to bear their difficulties and move forward.
Tierra Nueva Counseling Center
Counselor
Verified Verified
Santa Fe, NM 87507
Waitlist for new clients
At Tierra Nueva Counseling Center we value your unique life journey and understand the importance of feeling welcomed, safe, and accepted when reaching out for help or support. We offer inclusive, affordable, and culturally aware mental health counseling for individuals, couples, families, and groups. Our therapists use an array of approaches, including art therapy, sand tray therapy, play therapy, cognitive behavioral therapy, and other evidence-based and creative approaches. Our mission is to honor your emotional, cultural, and spiritual complexities while helping you meet your goals for mental health and wellness.
At Tierra Nueva Counseling Center we value your unique life journey and understand the importance of feeling welcomed, safe, and accepted when reaching out for help or support. We offer inclusive, affordable, and culturally aware mental health counseling for individuals, couples, families, and groups. Our therapists use an array of approaches, including art therapy, sand tray therapy, play therapy, cognitive behavioral therapy, and other evidence-based and creative approaches. Our mission is to honor your emotional, cultural, and spiritual complexities while helping you meet your goals for mental health and wellness.
Cultivate Counseling
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Santa Fe, NM 87505 (Online Only)
Stacey McMullen, LMSW graduated from New Mexico Highlands University. She believes that what happened to you does not define you. Her approach guides clients to consider understanding their thought patterns, values, and assumptions. Stacey has experience working with aging populations, young adults, groups, and individuals. Her background is in music, expressive arts, social, well-being, and mindfulness. She uses trauma informed therapy, narrative therapy, and unconventional tools to support clients in their discovery process. Stacey seeks to create a non-judgmental environment in support of healing and awareness.
Stacey McMullen, LMSW graduated from New Mexico Highlands University. She believes that what happened to you does not define you. Her approach guides clients to consider understanding their thought patterns, values, and assumptions. Stacey has experience working with aging populations, young adults, groups, and individuals. Her background is in music, expressive arts, social, well-being, and mindfulness. She uses trauma informed therapy, narrative therapy, and unconventional tools to support clients in their discovery process. Stacey seeks to create a non-judgmental environment in support of healing and awareness.
Tiannon Schmitt
Counselor, MA, LPCC, LPAT
Verified Verified
Santa Fe, NM 87508 (Online Only)
Life has a way of bringing us into the curriculum of our soul. Often this can happen through a crisis, challenge, or disorienting dilemma of some kind. We find ourselves questioning, or attempting to solve with the mind a problem that has been designed for us to grow and deepen into a true self. We need a sacred place to process and dialogue in order to relate to our experiences from a place of cooperation and empowerment. Love is the way through to freedom from anxiety, depression, anger, judging and confusions.
Life has a way of bringing us into the curriculum of our soul. Often this can happen through a crisis, challenge, or disorienting dilemma of some kind. We find ourselves questioning, or attempting to solve with the mind a problem that has been designed for us to grow and deepen into a true self. We need a sacred place to process and dialogue in order to relate to our experiences from a place of cooperation and empowerment. Love is the way through to freedom from anxiety, depression, anger, judging and confusions.
15 Second Videos
Anika Kelso
Black Canvas Wholistic Therapy
Lisa Danner
Samari Rodriguez Rios
Iris Toledo
Richard E Nasef
Cerros Mentorship and Coaching
JCallaway Therapy EMDR For Trauma Recovery
Tor Travis
Melissa M. Smith
Elizabeth Morris
Andrea Campbell
Ya'el Chaikind
Barbara Berry
Cyd Davis-Hubler
Victoria Hemphill
Jill C Griffin
Craig Thomas McAdams
Kelly Quintia
Leland Guthrie
Scott Chapman
Micky DeSilva
Melody Van Hoose
Micah Birdshire
Thomas Darrell Spencer
Emily Miles
Thomas McCaffrey
The Family Connection, LLC
Alanna Sherstad
Nicholas David Brown
Anna Rider
Joseph Wolf
Kirsten Nelson
Lolly Be
Aimée Dale-Lucius
Annette Gates
Audra Genduso
Mark Robert Voss
Adalina East
Happy Whole Human Holistic Wellness Coaching
Warren M Steinman, PhD
NOCD- Therapists for OCD
Cat (Adhd) Findley
Juliet Kinkade-Black
Ione Hepburn
Joshua Greep
Randel Porter
Ivy Anna Rizzo
Robert Glanz
Dusty L Humes, Ph.D., Clinical & Forensic Svcs
Awbrey Willett
Counselor, MA, LMHC, DSIII
Verified Verified
2 Endorsed
Santa Fe, NM 87505
Are you ready for change? I welcome your call to see if my collaborative therapy approach is right for you. Research and experience suggest that it is our therapeutic relationship that matters most to the counseling process, not technique. I have a highly personalized, warm responsive style and offer a range of holistic approaches from solution-focused strategies and interventions to mindfully exploring the depths of interpersonal relationships and existential dilemmas. My goal as a therapist is to support you in finding and answering the questions inside you while feeling held and free.
Are you ready for change? I welcome your call to see if my collaborative therapy approach is right for you. Research and experience suggest that it is our therapeutic relationship that matters most to the counseling process, not technique. I have a highly personalized, warm responsive style and offer a range of holistic approaches from solution-focused strategies and interventions to mindfully exploring the depths of interpersonal relationships and existential dilemmas. My goal as a therapist is to support you in finding and answering the questions inside you while feeling held and free.
Gregory Weeks
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
I work extremely well with clients who are motivated to change their lives. Often, our greatest challenges come during times of major life transitions. Through active listening and genuine empathy, I help my clients focus upon the inherent solutions to their most pressing problems. Motivation to change comes with the willingness to look closely and investigate the stories we tell ourselves. Often, I discover with my clients that their oldest and most damaging internal stories are simply not true. By having a fellow human who is open and fully present witness our lives, we can discover the very real possibility for greater health and happiness.
I work extremely well with clients who are motivated to change their lives. Often, our greatest challenges come during times of major life transitions. Through active listening and genuine empathy, I help my clients focus upon the inherent solutions to their most pressing problems. Motivation to change comes with the willingness to look closely and investigate the stories we tell ourselves. Often, I discover with my clients that their oldest and most damaging internal stories are simply not true. By having a fellow human who is open and fully present witness our lives, we can discover the very real possibility for greater health and happiness.
Patricia A. Velazquez
Psychologist, PhD
Verified Verified
Santa Fe, NM 87505
Sooner or later life brings us challenges that feel overwhelming. And yet, many of us find it difficult to seek support. If this is you, I can help. My clinical approach is grounded in a commitment to help you to reduce the suffering you are experiencing.
Adult life can be very stressful and finding a way to balance work, money, children, relationships, and past trauma without a loss of physical and emotional well-being is not easy. I work holistically to help you to restore the mind, body, and spirit connection.
Sooner or later life brings us challenges that feel overwhelming. And yet, many of us find it difficult to seek support. If this is you, I can help. My clinical approach is grounded in a commitment to help you to reduce the suffering you are experiencing.
Adult life can be very stressful and finding a way to balance work, money, children, relationships, and past trauma without a loss of physical and emotional well-being is not easy. I work holistically to help you to restore the mind, body, and spirit connection.
Adam Eigner-Herrera, PhD
Psychologist, PhD
Verified Verified
1 Endorsed
Santa Fe, NM 87505
If you want a more satisfying relationship or an improved sex life, consult with a California and New Mexico licensed psychologist with over 25 years experience working successfully with individuals and couples from many cultures, with specialized training in effective treatment of couples and sexual issues. Having shifted my practice to a couples specialty over the last decade, I now work 95% with couples, plus a few individuals focusing on relationship issues. I provide tele/video-therapy to clients anywhere in California or New Mexico and in person in Santa Fe. Call me for a free telephone consultation.
If you want a more satisfying relationship or an improved sex life, consult with a California and New Mexico licensed psychologist with over 25 years experience working successfully with individuals and couples from many cultures, with specialized training in effective treatment of couples and sexual issues. Having shifted my practice to a couples specialty over the last decade, I now work 95% with couples, plus a few individuals focusing on relationship issues. I provide tele/video-therapy to clients anywhere in California or New Mexico and in person in Santa Fe. Call me for a free telephone consultation.
Amina Re
Counselor, LPCC, LMT
Verified Verified
3 Endorsed
Santa Fe, NM 87505
Not accepting new clients
I am currently not accepting new clients. A moment of deeply connecting with oneself through an embodied experience can allow for spontaneous change, and eliminate the need for constant seeking of new insight or retelling of the story. I listen to both your words and body with deep respect and sensitivity. I accept you as you are. I will help you gather your resources and embody self-compassion and strength, which will enable you to slowly and gently process pain, stress, and trauma. Through our work together, you will experience being able to lovingly soothe the pain, instead of going towards addictive processes or substances.
I am currently not accepting new clients. A moment of deeply connecting with oneself through an embodied experience can allow for spontaneous change, and eliminate the need for constant seeking of new insight or retelling of the story. I listen to both your words and body with deep respect and sensitivity. I accept you as you are. I will help you gather your resources and embody self-compassion and strength, which will enable you to slowly and gently process pain, stress, and trauma. Through our work together, you will experience being able to lovingly soothe the pain, instead of going towards addictive processes or substances.
Brian Milliken
Counselor, LPCC, LMFT
Verified Verified
Santa Fe, NM 87505 (Online Only)
Not accepting new clients
In session, we will look at what you are hoping to get from the counseling experience and collaboratively discover what will work for your situation toward getting unstuck from emotional, behavioral and relationship issues. I commonly see people with concerns such as depression, anxiety, relationship issues, financial difficulties, anger management, addictions, and grief. I also specialize in couples counseling issues such as communication, trust, and infidelity, and guide you through turbulent times. I have been in practice for over 25 years.
In session, we will look at what you are hoping to get from the counseling experience and collaboratively discover what will work for your situation toward getting unstuck from emotional, behavioral and relationship issues. I commonly see people with concerns such as depression, anxiety, relationship issues, financial difficulties, anger management, addictions, and grief. I also specialize in couples counseling issues such as communication, trust, and infidelity, and guide you through turbulent times. I have been in practice for over 25 years.
Isabel Ribe
Licensed Professional Counselor, MA, LPCC, CCTP, ATR
Verified Verified
4 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
Visit www.isabelribe.com to join my new client waitlist. I have worked extensively with pregnancy and postpartum, narcissistic abuse, trauma, depression and anxiety. I work from a liberation psychology lens, acknowledging the impacts of oppression and historical trauma on mental health. I also offer sessions in Spanish, immigration evaluations and clinical supervision for therapists in training.
Visit www.isabelribe.com to join my new client waitlist. I have worked extensively with pregnancy and postpartum, narcissistic abuse, trauma, depression and anxiety. I work from a liberation psychology lens, acknowledging the impacts of oppression and historical trauma on mental health. I also offer sessions in Spanish, immigration evaluations and clinical supervision for therapists in training.
Heather Dawn Hines
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Santa Fe, NM 87505
Waitlist for new clients
I work well with people who believe there is a hidden meaning or message in their struggles that can eventually serve as a path to a more soulful life. I see myself as a guide to help companion people through the underworld of depression, anxiety, and PTSD as well as a partner in transforming psychological suffering and intergenerational patterns into the medicine which can ultimately allow individuals and families to become more fully themselves. On the community level, I offer grief groups as well as climate support groups. Please see my website for more details.
I work well with people who believe there is a hidden meaning or message in their struggles that can eventually serve as a path to a more soulful life. I see myself as a guide to help companion people through the underworld of depression, anxiety, and PTSD as well as a partner in transforming psychological suffering and intergenerational patterns into the medicine which can ultimately allow individuals and families to become more fully themselves. On the community level, I offer grief groups as well as climate support groups. Please see my website for more details.
Susan King
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505
Not accepting new clients
Each of us is unique, and all of us have the potential to grow in ways that improve our lives. I intend to help my clients to find their special strengths and balance mind, body and spirit. I work to create a plan to facilitate growth and change through helping you to become more self-aware, identifying your strengths and vulnerabilities, develop the ability to resolve your issues on your own, and setting goals for the future. If you are worried about the cost of counseling, I will work with you to accommodate what you can afford.
Each of us is unique, and all of us have the potential to grow in ways that improve our lives. I intend to help my clients to find their special strengths and balance mind, body and spirit. I work to create a plan to facilitate growth and change through helping you to become more self-aware, identifying your strengths and vulnerabilities, develop the ability to resolve your issues on your own, and setting goals for the future. If you are worried about the cost of counseling, I will work with you to accommodate what you can afford.
See more therapy options for Santa Fe
Nearby Searches for Santa Fe
See More TherapistsHow does your Therapist compare?
Number of Therapists in Santa Fe, NM
500+
Average cost per session
$135
Therapists in Santa Fe, NM who prioritize treating:
90% | Anxiety |
85% | Depression |
79% | Relationship Issues |
76% | Trauma and PTSD |
76% | Self Esteem |
71% | Grief |
64% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
74% | Presbyterian |
72% | BlueCross and BlueShield |
65% | Medicaid |
How Therapists in Santa Fe, NM see their clients
61% | In Person and Online | |
39% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Santa Fe?
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
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.
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.
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.