Therapists in Cary, NC

Photo of Mariyah Robbins, Marriage & Family Therapist Associate in Cary, NC
Mariyah Robbins
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Cary, NC 27519  (Online Only)
Do you feel like you are carrying the weight of the world on your shoulders? Do you worry about parenting your kids or connecting with your partner? I want to help you reopen the lines of communication and create harmony and organization in your home life.
Do you feel like you are carrying the weight of the world on your shoulders? Do you worry about parenting your kids or connecting with your partner? I want to help you reopen the lines of communication and create harmony and organization in your home life.
(984) 223-8792 View (984) 223-8792
Photo of Laura Haynes, Clinical Social Work/Therapist in Cary, NC
Laura Haynes
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27518
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
Laura Haynes is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. Laura is a trauma-focused and strengths-based clinician who is committed to meeting people where they are. CBT, DBT, mindfulness, and motivational interviewing are also utilized often. When not at work, Laura enjoys being outside, being with people she loves, being near animals, reading, cooking, and learning new things.
(919) 276-8377 View (919) 276-8377
Photo of Wendy Dawn Hill, Licensed Clinical Mental Health Counselor in Cary, NC
Wendy Dawn Hill
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
Cary, NC 27511
Each of us plays a role in helping to make the world a happier and better place, and as a counselor I have the opportunity to do so through my work. Helping clients to feel empowered, reach their full potential, and see the beauty in themselves is how I help clients become their best selves. As a North Carolina Board Certified Licensed Mental Health Counselor with over 20 years of experience working with children, adolescents, and adults I have had the pleasure of meeting many people of varying backgrounds. I provide individual, couples, and family-integrated counseling.
Each of us plays a role in helping to make the world a happier and better place, and as a counselor I have the opportunity to do so through my work. Helping clients to feel empowered, reach their full potential, and see the beauty in themselves is how I help clients become their best selves. As a North Carolina Board Certified Licensed Mental Health Counselor with over 20 years of experience working with children, adolescents, and adults I have had the pleasure of meeting many people of varying backgrounds. I provide individual, couples, and family-integrated counseling.
(919) 324-3063 View (919) 324-3063
Photo of Stefanie Jonsdotter, License Clinical Mental Health Counselor in Cary, NC
Stefanie Jonsdotter
License Clinical Mental Health Counselor, MS, LCMHC, LCAS-A, NCC, CRC
Verified Verified
4 Endorsed
Cary, NC 27511
No two people are alike and therefore everyone deserves treatment that is tailored to their individual circumstances and needs. After having had the opportunity to work with many different individuals in a variety of settings, my experience has shaped my approach to be person-centered and individualized. I enjoy working with adolescents and adults from various backgrounds, regardless of their gender, sexuality, or beliefs. I strive to provide you with a non-judgmental and supportive environment, to allow you to grow and take steps towards reaching your goals.
No two people are alike and therefore everyone deserves treatment that is tailored to their individual circumstances and needs. After having had the opportunity to work with many different individuals in a variety of settings, my experience has shaped my approach to be person-centered and individualized. I enjoy working with adolescents and adults from various backgrounds, regardless of their gender, sexuality, or beliefs. I strive to provide you with a non-judgmental and supportive environment, to allow you to grow and take steps towards reaching your goals.
(919) 244-2975 View (919) 244-2975
Photo of Natalie Fewell, Licensed Professional Counselor in Cary, NC
Natalie Fewell
Licensed Professional Counselor, LCMHCS, ACS, NCC
Verified Verified
Cary, NC 27511  (Online Only)
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
I had a dream to own a private practice & make money doing it after graduation. I thought I had to pay my dues, become fully licensed & have lots of clinical experience before I could think about starting a practice. I also thought & was told making money in this field wasn’t the goal but only serving the community & low income clients. I couldn’t understand how I could take care of my bills & provide therapy at a low rate. It didn’t make sense. If you don’t want to have a traditional supervision experience & are ready to start your practice sooner than later, let’s get started today. Your career is waiting on you! CONTACT me
(984) 205-3922 View (984) 205-3922
Photo of Lynne Daack, Counselor in Cary, NC
Lynne Daack
Counselor, LCMHCA
Verified Verified
1 Endorsed
Cary, NC 27519
I believe that each person’s narrative is uniquely diverse and deserves to be heard. As part of being human, we learn that life is complex, painful and joyful, and intrapersonal growth (i.e., change) is difficult. I listen to and honor the uniqueness of each person, pace, and process. I strive to create an empowering space that honors each person's journey.
I believe that each person’s narrative is uniquely diverse and deserves to be heard. As part of being human, we learn that life is complex, painful and joyful, and intrapersonal growth (i.e., change) is difficult. I listen to and honor the uniqueness of each person, pace, and process. I strive to create an empowering space that honors each person's journey.
(984) 217-4854 View (984) 217-4854
Photo of Yolanda Ducey, Licensed Clinical Mental Health Counselor in Cary, NC
Yolanda Ducey
Licensed Clinical Mental Health Counselor, LCMHC, BCBA, LPA , LBA
Verified Verified
1 Endorsed
Cary, NC 27513
Welcome to a space where your unique story is celebrated, and your journey to self-discovery is honored. I'm Dr. Yolanda Ducey, a licensed clinical mental health counselor and licensed psychological associate dedicated to helping individuals like you dance to the rhythm of their own aspirations and embrace the freedom of their authentic selves. I believe in the power of individuality and the courage it takes to forge your own path. Inspired by the words of Monika Ajay Kaul, I encourage my clients not to fear failure but to see it as a stepping stone toward growth and evolution.
Welcome to a space where your unique story is celebrated, and your journey to self-discovery is honored. I'm Dr. Yolanda Ducey, a licensed clinical mental health counselor and licensed psychological associate dedicated to helping individuals like you dance to the rhythm of their own aspirations and embrace the freedom of their authentic selves. I believe in the power of individuality and the courage it takes to forge your own path. Inspired by the words of Monika Ajay Kaul, I encourage my clients not to fear failure but to see it as a stepping stone toward growth and evolution.
(984) 867-2156 View (984) 867-2156
Photo of Haylee Allen, Clinical Social Work/Therapist in Cary, NC
Haylee Allen
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS, CPS-R
Verified Verified
Cary, NC 27511
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
With experience in various roles from therapist, prevention specialist, and program director I enjoy helping young children, teenagers, and adults achieve balance in everyday living. My expertise include mental health therapy, chemical dependency counseling, curriculum development and instruction, care management, and substance misuse prevention and education. I have experience working with youth and adults in various settings from the foster care environment, outpatient and inpatient treatment centers, to private practice.
(910) 541-9948 View (910) 541-9948
Photo of Sara Salter, Psychologist in Cary, NC
Sara Salter
Psychologist, PhD
Verified Verified
Cary, NC 27513
Believing that children are born with great potential, I have a passion for working with children, adolescents, and their families. When approaching therapy, I understand the importance of fostering a trusting and collaborative relationship in which clients can feel safe to explore their thoughts, feelings, and life challenges. In order to help you achieve your goals, I adhere to a positive, strength-based, and solution-focused approach that is highly collaborative and individualized. My services are provided in a professional and respectful manner, while maintaining the utmost confidentiality.
Believing that children are born with great potential, I have a passion for working with children, adolescents, and their families. When approaching therapy, I understand the importance of fostering a trusting and collaborative relationship in which clients can feel safe to explore their thoughts, feelings, and life challenges. In order to help you achieve your goals, I adhere to a positive, strength-based, and solution-focused approach that is highly collaborative and individualized. My services are provided in a professional and respectful manner, while maintaining the utmost confidentiality.
(754) 333-5179 View (754) 333-5179
Photo of Bryce William Kaye, Psychologist in Cary, NC
Bryce William Kaye
Psychologist, PhD
Verified Verified
1 Endorsed
Cary, NC 27511
If you're seeking an active therapist who does more than just listen then we're probably a good match. I practice strategic goal-focused therapy. You can verify this by watching my videos, reading my book chapters online and reading about my PTSD work at: www.carycounseling.net. My two specialities are EMDR for PTSD and marriage counseling. I have published in both areas. The EMDR International Association has certified my competence and my theory on the psychophysiological basis for EMDR was published in the Journal of EMDR Practice & Research. My book "The Marriage First Aid Kit" has helped thousands of troubled marriages.
If you're seeking an active therapist who does more than just listen then we're probably a good match. I practice strategic goal-focused therapy. You can verify this by watching my videos, reading my book chapters online and reading about my PTSD work at: www.carycounseling.net. My two specialities are EMDR for PTSD and marriage counseling. I have published in both areas. The EMDR International Association has certified my competence and my theory on the psychophysiological basis for EMDR was published in the Journal of EMDR Practice & Research. My book "The Marriage First Aid Kit" has helped thousands of troubled marriages.
(919) 351-1566 View (919) 351-1566
Photo of Megan Giroux, Clinical Social Work/Therapist in Cary, NC
Megan Giroux
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Cary, NC 27513
Do you identify as an anxious person? Does anxiety cast a shadow over your relationships, professional pursuits, confidence, and overall enjoyment of life? Do you often find yourself drained not just by the challenges of your day, but also by the persistent voice in your head or that unsettling feeling in your gut? In today's busyness, many women navigate daily life without the necessary tools to confront both the external chaos and the internal anxiety that accompanies it. I am deeply committed to the belief that, even in the face of life's trials, anxiety should not be the dominant force dictating your path.
Do you identify as an anxious person? Does anxiety cast a shadow over your relationships, professional pursuits, confidence, and overall enjoyment of life? Do you often find yourself drained not just by the challenges of your day, but also by the persistent voice in your head or that unsettling feeling in your gut? In today's busyness, many women navigate daily life without the necessary tools to confront both the external chaos and the internal anxiety that accompanies it. I am deeply committed to the belief that, even in the face of life's trials, anxiety should not be the dominant force dictating your path.
(984) 249-3736 View (984) 249-3736
Photo of Grace L Finkle, Psychologist in Cary, NC
Grace L Finkle
Psychologist, PhD
Verified Verified
Cary, NC 27511  (Online Only)
I am accepting new clients. I welcome women who would like to grow in ways productive and satisfying for their emotional and personal wellness. I am a clinical psychologist with over 40 years of experience with helping people with a wide range of issues, including issues of depression, anxiety, self-esteem, relationships, work and life stress, and family of origin stresses, including ACOA (adult children of alcoholic) issues. I have experience with helping women to cope better with a chronic illness, such as of the autoimmune type. I counsel women on Saturdays, Sundays, and some Mondays and Fridays.
I am accepting new clients. I welcome women who would like to grow in ways productive and satisfying for their emotional and personal wellness. I am a clinical psychologist with over 40 years of experience with helping people with a wide range of issues, including issues of depression, anxiety, self-esteem, relationships, work and life stress, and family of origin stresses, including ACOA (adult children of alcoholic) issues. I have experience with helping women to cope better with a chronic illness, such as of the autoimmune type. I counsel women on Saturdays, Sundays, and some Mondays and Fridays.
(919) 324-3020 View (919) 324-3020
Photo of Jennifer Corinna, Licensed Clinical Mental Health Counselor in Cary, NC
Jennifer Corinna
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
Cary, NC 27511
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
Thank you for taking the time to read my profile. I am originally from Upstate NY but lived in the SF Bay/Los Angeles, CA areas before moving to Raleigh. I work with a wide variety of issues specializing in life transitions, grief, loss, and trauma as well as depression and anxiety. I have assisted people with issues surrounding divorce/relationships ending, death of a loved one, traumatic events, chronic illness, feelings of depression and/or anxiety, and a wide array of other difficult life situations. I would be happy to talk to you about your individual situation. It is important to me that you feel accepted and welcomed.
(984) 207-5844 View (984) 207-5844
Photo of Kerry S Thomas, Counselor in Cary, NC
Kerry S Thomas
Counselor, MEd, LCMHC
Verified Verified
Cary, NC 27518
When we are in the midst of some tough situations, we can be blind to what the options are for improving our lives. Sometimes just dealing with the emotional impact is hard enough. We can be so engaged by the emotional upset itself that it is often hard to see beyond it to solutions. In therapy, we have a partner whose sole function is promoting our well-being. Someone who has the experience and training to help us handle the emotional impact while providing insight as to how we can become better at managing challenging situations, improving our relationships, shifting our perspectives and ultimately living a more peaceful, happier
When we are in the midst of some tough situations, we can be blind to what the options are for improving our lives. Sometimes just dealing with the emotional impact is hard enough. We can be so engaged by the emotional upset itself that it is often hard to see beyond it to solutions. In therapy, we have a partner whose sole function is promoting our well-being. Someone who has the experience and training to help us handle the emotional impact while providing insight as to how we can become better at managing challenging situations, improving our relationships, shifting our perspectives and ultimately living a more peaceful, happier
(919) 415-0748 View (919) 415-0748
Photo of Emily Silver, Licensed Clinical Mental Health Counselor in Cary, NC
Emily Silver
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Cary, NC 27511  (Online Only)
Waitlist for new clients
My therapy style is eclectic and will tailor therapeutic interventions based on the individual needs, goals, and life experiences of each client. I utilize evidenced based practices including ACT, CBT, EFT, and somatic processing. No matter what the theory or intervention, my is focused on working through a trauma-informed lens and my approach is warm and person-centered. I have experience working with various mood disorders (such as depression and anxiety), trauma and PTSD, psychosis, adjustment disorders, and personality disorders.
My therapy style is eclectic and will tailor therapeutic interventions based on the individual needs, goals, and life experiences of each client. I utilize evidenced based practices including ACT, CBT, EFT, and somatic processing. No matter what the theory or intervention, my is focused on working through a trauma-informed lens and my approach is warm and person-centered. I have experience working with various mood disorders (such as depression and anxiety), trauma and PTSD, psychosis, adjustment disorders, and personality disorders.
View
Photo of Gray Lucas in Cary, NC
Gray Lucas
MA, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
I believe that a strong therapeutic relationship between client and clinician is key in order for growth to happen. Once mutual respect and trust are established, I work toward gaining a deeper understanding of the client, their needs, and what obstacles they’ve found themselves faced with. I offer a space of non-judgment, empathy, and support in which clients can feel safe to open up and share their authentic selves. Upon meeting, I'll work with the client to create a treatment plan and goals, knowing that there is no one-size-fits-all plan. I most commonly work with those struggling with depression, anxiety, and family issues.
I believe that a strong therapeutic relationship between client and clinician is key in order for growth to happen. Once mutual respect and trust are established, I work toward gaining a deeper understanding of the client, their needs, and what obstacles they’ve found themselves faced with. I offer a space of non-judgment, empathy, and support in which clients can feel safe to open up and share their authentic selves. Upon meeting, I'll work with the client to create a treatment plan and goals, knowing that there is no one-size-fits-all plan. I most commonly work with those struggling with depression, anxiety, and family issues.
(919) 849-8936 View (919) 849-8936
Photo of William Bixler, Psychologist in Cary, NC
William Bixler
Psychologist, PhD, CSAT
Verified Verified
Cary, NC 27511
Are you or a loved one struggling with internet porn, sex addiction, serial affairs, or compulsive masturbation? Tired of living a double life--lying to your partner, friends, family? Shame and guilt often prevent sex addicts from seeking the help they need. Partners, in turn, feel overwhelmed by shock, anger, grief, and a deep sense of betrayal upon discovering the addict's secret life.I specialize in working with sex addicts, their partners and families in a confidential treatment program free of judgment or condemnation. I firmly believe that recovery is possible for this problem.
Are you or a loved one struggling with internet porn, sex addiction, serial affairs, or compulsive masturbation? Tired of living a double life--lying to your partner, friends, family? Shame and guilt often prevent sex addicts from seeking the help they need. Partners, in turn, feel overwhelmed by shock, anger, grief, and a deep sense of betrayal upon discovering the addict's secret life.I specialize in working with sex addicts, their partners and families in a confidential treatment program free of judgment or condemnation. I firmly believe that recovery is possible for this problem.
(919) 344-0786 View (919) 344-0786
Photo of Stephanie Adams-Gilmer, Clinical Social Work/Therapist in Cary, NC
Stephanie Adams-Gilmer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
9 Endorsed
Cary, NC 27511
Here is your sign. It's time to deal with your trauma. Triggers happened and you're still recovering. Life feels hectic. You've been meaning to take time to care for yourself, but it just hasn't happened yet. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
Here is your sign. It's time to deal with your trauma. Triggers happened and you're still recovering. Life feels hectic. You've been meaning to take time to care for yourself, but it just hasn't happened yet. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
(919) 752-3056 View (919) 752-3056
Photo of Erica Dahms, Clinical Social Work/Therapist in Cary, NC
Erica Dahms
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Cary, NC 27511
I know looking for a therapist can feel a lot like a bad match making game show so I just want to say, hang in there! As for me, I am a dedicated therapist with a flair for shoes, a penchant for colorful language, and an unyielding passion for empowering others. I'm here to help you navigate life's challenges, uncover your strengths, and embrace your journey towards personal growth and fulfillment.
I know looking for a therapist can feel a lot like a bad match making game show so I just want to say, hang in there! As for me, I am a dedicated therapist with a flair for shoes, a penchant for colorful language, and an unyielding passion for empowering others. I'm here to help you navigate life's challenges, uncover your strengths, and embrace your journey towards personal growth and fulfillment.
(919) 351-6481 View (919) 351-6481
Photo of Shanna Tillman, Psychologist in Cary, NC
Shanna Tillman
Psychologist, PsyD
Verified Verified
Cary, NC 27511
Life can be painful and in our efforts to cope, it's easy to get caught in self defeating patterns of thought, emotion and behavior. Sometimes, our challenges will resolve on their own and other times we need to address them more directly. It's hard to reach out, to admit we don't have it all together, but seeking therapy is a wise choice that takes incredible courage. I commend you for taking this step and promise to do my best to offer you a safe space to share your unique story, to heal and to grow.
Life can be painful and in our efforts to cope, it's easy to get caught in self defeating patterns of thought, emotion and behavior. Sometimes, our challenges will resolve on their own and other times we need to address them more directly. It's hard to reach out, to admit we don't have it all together, but seeking therapy is a wise choice that takes incredible courage. I commend you for taking this step and promise to do my best to offer you a safe space to share your unique story, to heal and to grow.
(919) 336-0428 View (919) 336-0428

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

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

Average years in practice

11 Years

Top 3 insurances accepted

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

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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