Therapists in Cheyenne, WY

Photo of Caleb Abrams in Cheyenne, WY
Caleb Abrams
CSAT, CCTP, CLC, MA
Verified Verified
Cheyenne, WY 82001
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(614) 660-5482 View (614) 660-5482
Photo of Foundations Counseling & Consulting WY, LLC, Licensed Professional Counselor in Cheyenne, WY
Foundations Counseling & Consulting WY, LLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Cheyenne, WY 82009
I truly enjoy working with those that want and need to make a change for the better in their lives. Problems can be hard to isolate. Often, the solutions are elusive. Changes can be challenging sometimes. I'm here to help!
I truly enjoy working with those that want and need to make a change for the better in their lives. Problems can be hard to isolate. Often, the solutions are elusive. Changes can be challenging sometimes. I'm here to help!
(307) 363-5098 View (307) 363-5098
Photo of Maria Velasco, Clinical Social Work/Therapist in Cheyenne, WY
Maria Velasco
Clinical Social Work/Therapist, MSW, PCSW
Verified Verified
Cheyenne, WY 82001
Hi! My name is Maria, my pronouns are she/her. I am licensed as a Provisional Clinical Social Worker. I prioritize my work around the LGBTQ+ community and/or BIPOC. I provide a warm and affirming space for you to explore yourself and build resiliency. I seek to understand the connection between your mental health and personal journey with structural oppression/social injustices. I value human diversity and want you to feel safe in your work with me. I also love my community and want it to thrive.
Hi! My name is Maria, my pronouns are she/her. I am licensed as a Provisional Clinical Social Worker. I prioritize my work around the LGBTQ+ community and/or BIPOC. I provide a warm and affirming space for you to explore yourself and build resiliency. I seek to understand the connection between your mental health and personal journey with structural oppression/social injustices. I value human diversity and want you to feel safe in your work with me. I also love my community and want it to thrive.
(307) 227-2056 View (307) 227-2056
Photo of Jessica Jaycox, Clinical Social Work/Therapist in Cheyenne, WY
Jessica Jaycox
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82001
Hello! My name is Jessica Jaycox, and I am a Licensed Clinical Social Worker in the state of Wyoming. I truly believe that you are the expert in your life and that my role is to walk alongside you in your healing journey. I have experience working with a variety of areas including addiction, trauma, anxiety, depression, grief and body image and self-esteem. I work with a wide variety of clients including children through adults. I enjoy working with littles as well as with teenagers.
Hello! My name is Jessica Jaycox, and I am a Licensed Clinical Social Worker in the state of Wyoming. I truly believe that you are the expert in your life and that my role is to walk alongside you in your healing journey. I have experience working with a variety of areas including addiction, trauma, anxiety, depression, grief and body image and self-esteem. I work with a wide variety of clients including children through adults. I enjoy working with littles as well as with teenagers.
(307) 219-5634 View (307) 219-5634
Photo of Kaycee K Cook, Clinical Social Work/Therapist in Cheyenne, WY
Kaycee K Cook
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001
Waitlist for new clients
There is a transformative power in embracing inner beauty and the world around us, guiding clients toward a purposeful and mindful existence in their daily lives is a priority in my practice. My focus on healthy boundaries serves as a cornerstone, offering the tools for lasting balance and stability. I aim to facilitate emotional liberation from feelings of guilt, low self-esteem, and obstacles hindering self-efficacy, enabling clients to navigate their journeys toward emotional freedom.
There is a transformative power in embracing inner beauty and the world around us, guiding clients toward a purposeful and mindful existence in their daily lives is a priority in my practice. My focus on healthy boundaries serves as a cornerstone, offering the tools for lasting balance and stability. I aim to facilitate emotional liberation from feelings of guilt, low self-esteem, and obstacles hindering self-efficacy, enabling clients to navigate their journeys toward emotional freedom.
(307) 224-9434 View (307) 224-9434
Photo of Kerry Anne Collins, Clinical Social Work/Therapist in Cheyenne, WY
Kerry Anne Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82007
Waitlist for new clients
Hey there! I know that at times life feels overwhelming. The thought of reaching out for help often feels unsafe. However, I have been a counselor in Cheyenne, Wyoming for 22 years. I believe that you are the expert of your life, and it is my job to assist you in exploring your thoughts, feelings, beliefs, and emotions to grow your life and experiences into what you would love to see it become. I am here for you all the way through that journey. My job is to assist you through that journey in all ways possible until you have grown beyond needing counseling.
Hey there! I know that at times life feels overwhelming. The thought of reaching out for help often feels unsafe. However, I have been a counselor in Cheyenne, Wyoming for 22 years. I believe that you are the expert of your life, and it is my job to assist you in exploring your thoughts, feelings, beliefs, and emotions to grow your life and experiences into what you would love to see it become. I am here for you all the way through that journey. My job is to assist you through that journey in all ways possible until you have grown beyond needing counseling.
(307) 522-1210 View (307) 522-1210
Photo of Mary Ellen Sternitzke, Psychologist in Cheyenne, WY
Mary Ellen Sternitzke
Psychologist, PhD
Verified Verified
Cheyenne, WY 82001
Mary Ellen Sternitzke is a licensed psychologist in Wyoming and Colorado; she earned her doctorate from the University of Nebraska in Lincoln. She served as Associate and Clinical Director at Catholic Charities of Wyoming for their outpatient mental health program. Her current work with adults emphasizes solution-focused interventions, targeted EMDR for trauma and anxiety, managing ADD/ADHD, post partum anxiety and depression and negotiating transitions like bereavement and divorce.
Mary Ellen Sternitzke is a licensed psychologist in Wyoming and Colorado; she earned her doctorate from the University of Nebraska in Lincoln. She served as Associate and Clinical Director at Catholic Charities of Wyoming for their outpatient mental health program. Her current work with adults emphasizes solution-focused interventions, targeted EMDR for trauma and anxiety, managing ADD/ADHD, post partum anxiety and depression and negotiating transitions like bereavement and divorce.
(307) 206-0615 View (307) 206-0615
Photo of Lacey Petersen, Clinical Social Work/Therapist in Cheyenne, WY
Lacey Petersen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001  (Online Only)
Not accepting new clients
Do you have times when you struggle with feelings of guilt, fear, hopelessness or shame? These times can make you feel out of control and unbalanced. Extra support can be helpful even though seeking it can be scary.
Do you have times when you struggle with feelings of guilt, fear, hopelessness or shame? These times can make you feel out of control and unbalanced. Extra support can be helpful even though seeking it can be scary.
(307) 414-9730 View (307) 414-9730
Photo of Jeremy Bay, Pre-Licensed Professional in Cheyenne, WY
Jeremy Bay
Pre-Licensed Professional, MS, USN, Ret
Verified Verified
Cheyenne, WY 82001
Jeremy is a provisional professional counselor with a graduate degree in Military and Emergency Responder Psychology from the Colorado State University System. He is a native of Cheyenne, WY, returning home after completing more than two decades of service in the United States Navy. He has experience working with individuals, couples, and families and has additional cultural competency surrounding military and veteran communities, emergency responders and geek culture.
Jeremy is a provisional professional counselor with a graduate degree in Military and Emergency Responder Psychology from the Colorado State University System. He is a native of Cheyenne, WY, returning home after completing more than two decades of service in the United States Navy. He has experience working with individuals, couples, and families and has additional cultural competency surrounding military and veteran communities, emergency responders and geek culture.
(307) 632-7771 View (307) 632-7771
Photo of Caitilin M Barrett, Psychologist in Cheyenne, WY
Caitilin M Barrett
Psychologist, PhD
Verified Verified
Cheyenne, WY 82009  (Online Only)
Balance is the key to well-being. Imbalance creates distress and discomfort. When problems like stress, sadness, and worry start overshadowing the most valuable parts of life, we need a little help. As a licensed clinical psychologist, I aim to help enhance what’s already working and provide tools to address things that aren’t. Exploring how past experiences shape the mind’s unique way of experiencing and interacting enables new ways of behaving and relating to thoughts and feelings to restore balance in life.For therapy to be successful, clients need to be seen and valued while learning concrete strategies for change. Through my
Balance is the key to well-being. Imbalance creates distress and discomfort. When problems like stress, sadness, and worry start overshadowing the most valuable parts of life, we need a little help. As a licensed clinical psychologist, I aim to help enhance what’s already working and provide tools to address things that aren’t. Exploring how past experiences shape the mind’s unique way of experiencing and interacting enables new ways of behaving and relating to thoughts and feelings to restore balance in life.For therapy to be successful, clients need to be seen and valued while learning concrete strategies for change. Through my
(307) 284-5278 View (307) 284-5278
Photo of Emily Pyska, Counselor in Cheyenne, WY
Emily Pyska
Counselor, MS, PPC
Verified Verified
Cheyenne, WY 82001
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
The choice to seek therapy services can be a difficult one. However, the challenges that motivate us towards change can become opportunities to create a deeper awareness of who we are, and who we wish to become. I believe we grow in connection to others, it’s in these relationships we learn the most about ourselves and what we want from our lives. I aim to co-create an attuned, safe, and collaborative relationship that supports your unique goals and individuality. I hope to accompany you through the discovery of your inherent resilience to pursue growth that enables you to live authentically and explore new possibilities.
(307) 284-5355 View (307) 284-5355
Photo of Lauren Smith, Clinical Social Work/Therapist in Cheyenne, WY
Lauren Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cheyenne, WY 82001
Waitlist for new clients
As Maya Angelou said- "There is no greater agony than bearing an untold story inside you." You no longer have to bear the weight alone. I am here to offer you a safe place, to share, explore, grow, and heal. I offer several modalities to assist you along the way, based on your individual needs and goals. Some of these include; Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) skills, Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy, Thought Field Therapy (TFT), and Crisis/Suicide intervention.
As Maya Angelou said- "There is no greater agony than bearing an untold story inside you." You no longer have to bear the weight alone. I am here to offer you a safe place, to share, explore, grow, and heal. I offer several modalities to assist you along the way, based on your individual needs and goals. Some of these include; Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT) skills, Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy, Thought Field Therapy (TFT), and Crisis/Suicide intervention.
(307) 207-3924 View (307) 207-3924
Photo of Jennifer Ann Barth, Psychologist in Cheyenne, WY
Jennifer Ann Barth
Psychologist, PhD
Verified Verified
Cheyenne, WY 82001
I love helping people find the answers they need through psychological and neuropsychological evaluations. I am passionate about assisting people who have struggled in school, at work, or interpersonally without knowing the reasons why. A comprehensive evaluation identifies an individual's unique strengths and weaknesses, clarifies diagnosis, and provides insight into the treatments that are likely to be most effective. I customize each evaluation to the individual needs of the client. Clients and families leave the evaluation process with individualized and detailed recommendations that guide them toward success.
I love helping people find the answers they need through psychological and neuropsychological evaluations. I am passionate about assisting people who have struggled in school, at work, or interpersonally without knowing the reasons why. A comprehensive evaluation identifies an individual's unique strengths and weaknesses, clarifies diagnosis, and provides insight into the treatments that are likely to be most effective. I customize each evaluation to the individual needs of the client. Clients and families leave the evaluation process with individualized and detailed recommendations that guide them toward success.
(307) 414-8256 View (307) 414-8256
Photo of Michelle Gonyo, Clinical Social Work/Therapist in Cheyenne, WY
Michelle Gonyo
Clinical Social Work/Therapist, LCSW
Verified Verified
Cheyenne, WY 82001  (Online Only)
Are you looking to improve your overall well-being? If you're feeling stuck, stressed out, depressed, or anxious, there is likely an underlying reason for it. We will work together to gain insight into the contributing factors that are creating these every day challenges and develop an action plan that can lead to positive change and greater life satisfaction. We will identify strategies and skills to improve your spiritual, physical, intellectual, relational, and emotional health. Life can be hard, with difficulties along the way, but we are capable of healing, and growing even stronger.
Are you looking to improve your overall well-being? If you're feeling stuck, stressed out, depressed, or anxious, there is likely an underlying reason for it. We will work together to gain insight into the contributing factors that are creating these every day challenges and develop an action plan that can lead to positive change and greater life satisfaction. We will identify strategies and skills to improve your spiritual, physical, intellectual, relational, and emotional health. Life can be hard, with difficulties along the way, but we are capable of healing, and growing even stronger.
(307) 243-4232 View (307) 243-4232
Photo of Jessica Schnell, Licensed Professional Counselor in Cheyenne, WY
Jessica Schnell
Licensed Professional Counselor, EdS, NCSP, LPC
Verified Verified
Cheyenne, WY 82001
Your brain is a treasure trove of gifts just waiting to be unleashed. Previous life events may be blinding you to these gifts and to your own potential. If you are ready, I can help you acknowledge and release your past experiences as you uncover these gifts and release the chains of your limiting beliefs. Powerful mind-body techniques, including EMDR, Brainspotting, and mindfulness, will allow you to change your life by tuning into your natural healing capacities. Once you do the work and learn the skills, you will no longer be defined by these events and will chart your new path…without unending years of therapy.
Your brain is a treasure trove of gifts just waiting to be unleashed. Previous life events may be blinding you to these gifts and to your own potential. If you are ready, I can help you acknowledge and release your past experiences as you uncover these gifts and release the chains of your limiting beliefs. Powerful mind-body techniques, including EMDR, Brainspotting, and mindfulness, will allow you to change your life by tuning into your natural healing capacities. Once you do the work and learn the skills, you will no longer be defined by these events and will chart your new path…without unending years of therapy.
(307) 312-2654 View (307) 312-2654
Photo of Kevin Larry Grunig, Licensed Professional Counselor in Cheyenne, WY
Kevin Larry Grunig
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Cheyenne, WY 82007
My passion is help people heal from complex trauma, PTSD, developmental trauma, personality disorders, anxiety, depression, and generate overall wellbeing for my clients. Anyone is welcome. This is your world and I just want to teach you to heal yourself, so that you find your center, and have the tools you need to heal yourself for the rest of your life. I want to work with anyone that wants to get better. Even if you can't get out of bed in the morning and your exhausted, come and see me and I'll work to help you find your energy. If your expectations are fighting your thoughts and you feel pulled in 10 directions, come see me.
My passion is help people heal from complex trauma, PTSD, developmental trauma, personality disorders, anxiety, depression, and generate overall wellbeing for my clients. Anyone is welcome. This is your world and I just want to teach you to heal yourself, so that you find your center, and have the tools you need to heal yourself for the rest of your life. I want to work with anyone that wants to get better. Even if you can't get out of bed in the morning and your exhausted, come and see me and I'll work to help you find your energy. If your expectations are fighting your thoughts and you feel pulled in 10 directions, come see me.
(307) 370-8100 View (307) 370-8100
Photo of Kellie Bouldin, Licensed Professional Counselor in Cheyenne, WY
Kellie Bouldin
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Cheyenne, WY 82001
As Earl Nightingale said “All you need is the plan, the road map, and the courage to press on to your destination.” I am here to guide you to create that plan and road map to get to those ‘Ah-Ha!’ moments of growth and understanding. You deserve to grow and be happy & healthy, with compassion, help and support. It is my passion to assist on your journey. Now that you know that you are not alone, here is a little about me.
As Earl Nightingale said “All you need is the plan, the road map, and the courage to press on to your destination.” I am here to guide you to create that plan and road map to get to those ‘Ah-Ha!’ moments of growth and understanding. You deserve to grow and be happy & healthy, with compassion, help and support. It is my passion to assist on your journey. Now that you know that you are not alone, here is a little about me.
(307) 207-5108 View (307) 207-5108
Photo of Mary J Adams, Marriage & Family Therapist in Cheyenne, WY
Mary J Adams
Marriage & Family Therapist, LMFT, LAT
Verified Verified
Cheyenne, WY 82001
Welcome! I enjoy working with couples, families, men, women, teens, and children. My specialties include trauma, communication/conflict, EMDR, mediation, play therapy, and addictions. My office is safe and confidential, a place to work through difficult times and situations.
Welcome! I enjoy working with couples, families, men, women, teens, and children. My specialties include trauma, communication/conflict, EMDR, mediation, play therapy, and addictions. My office is safe and confidential, a place to work through difficult times and situations.
(307) 241-4619 View (307) 241-4619
Photo of Madison Harp, Clinical Social Work/Therapist in Cheyenne, WY
Madison Harp
Clinical Social Work/Therapist, MS, PCSW
Verified Verified
Cheyenne, WY 82001
I was born and raised in Evanston, WY. I attended the University of Wyoming and graduated in 2018 with a Bachelor's of Social Work and with a Minor in Disability Studies. I then went on to complete a Master's of Social Work degree and graduated in 2019. I am currently a Provisional Clinical Social Worker. While in school, I worked with adults with developmental and intellectual disabilities at Ark Regional Services and vocational services for youth with disabilities at Career Innovations. At a Master's level, I was an intern at a therapeutic preschool for early childhood mental health services in Cheyenne, WY.
I was born and raised in Evanston, WY. I attended the University of Wyoming and graduated in 2018 with a Bachelor's of Social Work and with a Minor in Disability Studies. I then went on to complete a Master's of Social Work degree and graduated in 2019. I am currently a Provisional Clinical Social Worker. While in school, I worked with adults with developmental and intellectual disabilities at Ark Regional Services and vocational services for youth with disabilities at Career Innovations. At a Master's level, I was an intern at a therapeutic preschool for early childhood mental health services in Cheyenne, WY.
(307) 316-1903 View (307) 316-1903
Photo of Calob Taylor, Pre-Licensed Professional in Cheyenne, WY
Calob Taylor
Pre-Licensed Professional, MSW, PCSW
Verified Verified
3 Endorsed
Cheyenne, WY 82007
As a parent considering my help for your child(Grade School through Middle School), you are seeking positive change and support. Whether your child is dealing with developmental delays or trauma, you recognize the importance of addressing their needs. Together, we will navigate challenges, develop effective strategies, and create a path towards their growth and well-being. You want your child to thrive, heal, and reach their full potential. Through our collaboration, I am dedicated to empowering your child on their journey of transformation and providing the guidance they need.
As a parent considering my help for your child(Grade School through Middle School), you are seeking positive change and support. Whether your child is dealing with developmental delays or trauma, you recognize the importance of addressing their needs. Together, we will navigate challenges, develop effective strategies, and create a path towards their growth and well-being. You want your child to thrive, heal, and reach their full potential. Through our collaboration, I am dedicated to empowering your child on their journey of transformation and providing the guidance they need.
(307) 463-7794 View (307) 463-7794

How does your Therapist compare?

Number of Therapists in Cheyenne, WY

100+

Average cost per session

$150

Therapists in Cheyenne, WY who prioritize treating:

92% Anxiety
86% Depression
75% Trauma and PTSD
75% Self Esteem
74% Relationship Issues
71% Coping Skills
68% Stress

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in Cheyenne, WY see their clients

77% In Person and Online
23% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cheyenne?

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.