Therapists in Wake Forest, NC

Photo of Abbey M Friedman in Wake Forest, NC
Abbey M Friedman
MA, CPRP , QMHP
Verified Verified
1 Endorsed
Wake Forest, NC 27587  (Online Only)
I specialize in providing and therapeutic life coaching services to meet the unique needs of adults and their families living with severe and persistent mental health challenges. My goal is to provide comprehensive case management services to empower each individual to reach their highest potential and live a meaningful and fulfilling life. I understand how overwhelming it can be to live with or care for someone with a mental illness and recognize the difficulty of navigating the multiple systems involved in the care and management of one's mental health. I am here for you and will advocate for you. I recently relocated to NC.
I specialize in providing and therapeutic life coaching services to meet the unique needs of adults and their families living with severe and persistent mental health challenges. My goal is to provide comprehensive case management services to empower each individual to reach their highest potential and live a meaningful and fulfilling life. I understand how overwhelming it can be to live with or care for someone with a mental illness and recognize the difficulty of navigating the multiple systems involved in the care and management of one's mental health. I am here for you and will advocate for you. I recently relocated to NC.
(919) 705-0699 View (919) 705-0699
Photo of Crystal Pope, Lic Clinical Mental Health Counselor Associate in Wake Forest, NC
Crystal Pope
Lic Clinical Mental Health Counselor Associate, LCMHC-A
Verified Verified
Wake Forest, NC 27587
Life can be hard; these moments sometimes leave us feeling lost, confused, or hopeless. I am here for you. Let's form a team where you and I work together to figure it out. Let's find solutions, gain understanding, and create some peace in your life. Whether you're looking for someone trustworthy to make you feel heard, seeking a safe space to be your authentic self, or needing to overcome current stressors and challenges, I can help. I consider myself an action-oriented counselor, meaning we talk things through but work together to find the resolution that you need to get you where you want to be.
Life can be hard; these moments sometimes leave us feeling lost, confused, or hopeless. I am here for you. Let's form a team where you and I work together to figure it out. Let's find solutions, gain understanding, and create some peace in your life. Whether you're looking for someone trustworthy to make you feel heard, seeking a safe space to be your authentic self, or needing to overcome current stressors and challenges, I can help. I consider myself an action-oriented counselor, meaning we talk things through but work together to find the resolution that you need to get you where you want to be.
(919) 504-5483 View (919) 504-5483
Photo of Devon Nowicki, Clinical Social Work/Therapist in Wake Forest, NC
Devon Nowicki
Clinical Social Work/Therapist, LCSW-A
Verified Verified
Wake Forest, NC 27587
Each individual experiences difficulties in their lifetime; however, everyone responds to their challenges depending upon their own sense of self, as well as, the basic units of support in which the individual does or does not have in their life. As someone who practices what I preach, I can say therapy works! - but only if you are able to accept the mindset that we grow together, not apart. I find mental health to be just as, if not more important as physical health. Having support in our lives is ultimately what keeps us stable and connected. While it will not erase difficulties we face, therapy can be used as a significant tool
Each individual experiences difficulties in their lifetime; however, everyone responds to their challenges depending upon their own sense of self, as well as, the basic units of support in which the individual does or does not have in their life. As someone who practices what I preach, I can say therapy works! - but only if you are able to accept the mindset that we grow together, not apart. I find mental health to be just as, if not more important as physical health. Having support in our lives is ultimately what keeps us stable and connected. While it will not erase difficulties we face, therapy can be used as a significant tool
(919) 750-0791 View (919) 750-0791
Photo of Catherine Grant Peoples, Clinical Social Work/Therapist in Wake Forest, NC
Catherine Grant Peoples
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Wake Forest, NC 27587  (Online Only)
At Grounded Mental Health Care, you will often hear me say YOU are your own best expert! I offer a warm, nonjudgmental, safe space, partnering with you to address anxiety, depression, and grief; bolster self-esteem and confidence; support being stronger emotionally; navigate life transitions and relationship challenges; strengthen decision-making skills; dismantle self-limiting beliefs and behaviors; and create healthy boundaries. I can also help with focus, schedule and routine, improving time-management and engaging in essential self-care strategies to promote an overall sense of wellness.
At Grounded Mental Health Care, you will often hear me say YOU are your own best expert! I offer a warm, nonjudgmental, safe space, partnering with you to address anxiety, depression, and grief; bolster self-esteem and confidence; support being stronger emotionally; navigate life transitions and relationship challenges; strengthen decision-making skills; dismantle self-limiting beliefs and behaviors; and create healthy boundaries. I can also help with focus, schedule and routine, improving time-management and engaging in essential self-care strategies to promote an overall sense of wellness.
(919) 646-8458 View (919) 646-8458
Photo of Jalyn Ramseur, Clinical Social Work/Therapist in Wake Forest, NC
Jalyn Ramseur
Clinical Social Work/Therapist, LCSWA
Verified Verified
Wake Forest, NC 27587
Hi! I know you have been contemplating whether you want to be on the bench or in the game. Be in the game with me. Let's start this journey to become winners. We work together to find knowledge and skills to implement into daily living. My favorite quote: "How you gon' win if you ain't right within'?" - Lauryn Hill. I want to help you understand and overcome the many obstacles in your path. I am all about team work!
Hi! I know you have been contemplating whether you want to be on the bench or in the game. Be in the game with me. Let's start this journey to become winners. We work together to find knowledge and skills to implement into daily living. My favorite quote: "How you gon' win if you ain't right within'?" - Lauryn Hill. I want to help you understand and overcome the many obstacles in your path. I am all about team work!
(919) 336-1025 View (919) 336-1025
Photo of Costello Solutions PLLC, Clinical Social Work/Therapist in Wake Forest, NC
Costello Solutions PLLC
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Wake Forest, NC 27587
Therapy is more than conversation; it's about change. Fast forward to a life where you feel relaxed, focused, happy and more or less free of anxiety and depression. How will you get there? I have twenty five years of training and experience working with many different people across a wide spectrum of issues. I will give you the space to be yourself and collaborate with you to reach your goals in life.
Therapy is more than conversation; it's about change. Fast forward to a life where you feel relaxed, focused, happy and more or less free of anxiety and depression. How will you get there? I have twenty five years of training and experience working with many different people across a wide spectrum of issues. I will give you the space to be yourself and collaborate with you to reach your goals in life.
(919) 229-8410 View (919) 229-8410
Photo of Nicole Wojcik, Counselor in Wake Forest, NC
Nicole Wojcik
Counselor, LCMHC
Verified Verified
Wake Forest, NC 27587  (Online Only)
Waitlist for new clients
I love working with women struggling with major life transitions, low self- esteem, depression or anxiety. I have a particular interest in working with women experiencing high functioning anxiety. You know, those people who appear to have it all together on the outside but feel they are just one small misstep away from their whole world crashing down around them. Sound familiar? If so, you're in the right place. Not sure exactly how to qualify what it is you're struggling with? You're still in the right place. Give me a call and we can discuss what it is that you need, and if I could be the right fit for you.
I love working with women struggling with major life transitions, low self- esteem, depression or anxiety. I have a particular interest in working with women experiencing high functioning anxiety. You know, those people who appear to have it all together on the outside but feel they are just one small misstep away from their whole world crashing down around them. Sound familiar? If so, you're in the right place. Not sure exactly how to qualify what it is you're struggling with? You're still in the right place. Give me a call and we can discuss what it is that you need, and if I could be the right fit for you.
(910) 507-7211 View (910) 507-7211
Photo of Elizabeth Marie Detweiler, Clinical Social Work/Therapist in Wake Forest, NC
Elizabeth Marie Detweiler
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Wake Forest, NC 27587
I accept most major health insurance. Are you experiencing Anxiety, Depression, Grief, any emotional issues, addiction? My goal as a therapist is to provide a safe, compassionate & nonjudgmental place where counseling clients from all over The Triangle area and beyond can get encouragement and support as they navigate through the challenges of life. No matter what you're going through, depression, stress, anxiety, loss, grief, single parenting, dealing with narcissistic abuse and/or a addiction there is hope. Please contact me to set up a session today!"
I accept most major health insurance. Are you experiencing Anxiety, Depression, Grief, any emotional issues, addiction? My goal as a therapist is to provide a safe, compassionate & nonjudgmental place where counseling clients from all over The Triangle area and beyond can get encouragement and support as they navigate through the challenges of life. No matter what you're going through, depression, stress, anxiety, loss, grief, single parenting, dealing with narcissistic abuse and/or a addiction there is hope. Please contact me to set up a session today!"
(919) 885-0123 View (919) 885-0123
Photo of Susannah Scearce, Psychologist in Wake Forest, NC
Susannah Scearce
Psychologist, PhD
Verified Verified
Wake Forest, NC 27587
If you suspect that an aspect of your child’s development or learning isn’t quite typical; if you’ve had professionals, friends, or family members encourage you to seek testing for your child, but you’re scared; if you’re learning more about neurodiversity and tempted to self-diagnose, and you want a professional consultation; if you’re just curious about aspects of your personality or cognitive abilities; if you are courageous enough to dig deeper and to face that nagging intuition, I am here to help.
If you suspect that an aspect of your child’s development or learning isn’t quite typical; if you’ve had professionals, friends, or family members encourage you to seek testing for your child, but you’re scared; if you’re learning more about neurodiversity and tempted to self-diagnose, and you want a professional consultation; if you’re just curious about aspects of your personality or cognitive abilities; if you are courageous enough to dig deeper and to face that nagging intuition, I am here to help.
(919) 439-6063 View (919) 439-6063
Photo of Laura Oates Pryor, LCSW Associate in Wake Forest, NC
Laura Oates Pryor
LCSW Associate, MSW, LCSWA
Verified Verified
Wake Forest, NC 27587
Now Taking New Clients! " Welcome to a unique journey in therapy! I'm your dedicated therapist here to help you navigate life's twists and turns. I take a holistic approach to you getting to a better tomorrow. Whether it's battling depression, taming anxiety, or wrestling with stress, I've got your back. I will help you navigate your life stressors and issues, work on reaching your goals, and work through your trauma. My approach is a vibrant blend of CBT, CFT, DBT, and forgiveness therapy, Motivational interviewing and Interpersonal dynamics enrich and deepen our sessions.
Now Taking New Clients! " Welcome to a unique journey in therapy! I'm your dedicated therapist here to help you navigate life's twists and turns. I take a holistic approach to you getting to a better tomorrow. Whether it's battling depression, taming anxiety, or wrestling with stress, I've got your back. I will help you navigate your life stressors and issues, work on reaching your goals, and work through your trauma. My approach is a vibrant blend of CBT, CFT, DBT, and forgiveness therapy, Motivational interviewing and Interpersonal dynamics enrich and deepen our sessions.
(919) 635-9460 View (919) 635-9460
Photo of Kateryna Chorna, Clinical Social Work/Therapist in Wake Forest, NC
Kateryna Chorna
Clinical Social Work/Therapist, MSW, LCSW, CTRP, DBT, EMDR
Verified Verified
1 Endorsed
Wake Forest, NC 27587  (Online Only)
Hi, my name is Kateryna Chorna, and I am a Mental Health Therapist. I specialize in helping adults who struggle with anxiety, depression, and trauma to manage their negative emotions so they feel safer, calmer, and more in control of themselves and their lives. I understand how overwhelming and debilitating these conditions can be, and I am here to support, guide, and empower you on your journey towards healing and recovery.
Hi, my name is Kateryna Chorna, and I am a Mental Health Therapist. I specialize in helping adults who struggle with anxiety, depression, and trauma to manage their negative emotions so they feel safer, calmer, and more in control of themselves and their lives. I understand how overwhelming and debilitating these conditions can be, and I am here to support, guide, and empower you on your journey towards healing and recovery.
(919) 343-9026 View (919) 343-9026
Photo of Dana Wilkins, Counselor in Wake Forest, NC
Dana Wilkins
Counselor
Verified Verified
1 Endorsed
Wake Forest, NC 27587
I am a Licensed Clinical Mental Health Associate in North Carolina. I received my Master's in Marriage & Family Therapy from Adler University in 2010. I have over 15 years of experience working with adults, adolescents, and families in various roles, including clinical mental health, case management, and crisis intervention. I have worked with various diagnoses and specialties such as anxiety, depression, grief/loss, women's issues, life transitions, family counseling, Attention Deficit Hyperactivity, anger management, and Mood Dysregulation Disorder.
I am a Licensed Clinical Mental Health Associate in North Carolina. I received my Master's in Marriage & Family Therapy from Adler University in 2010. I have over 15 years of experience working with adults, adolescents, and families in various roles, including clinical mental health, case management, and crisis intervention. I have worked with various diagnoses and specialties such as anxiety, depression, grief/loss, women's issues, life transitions, family counseling, Attention Deficit Hyperactivity, anger management, and Mood Dysregulation Disorder.
(919) 769-6050 View (919) 769-6050
Photo of Carol E Williams, Psychological Associate in Wake Forest, NC
Carol E Williams
Psychological Associate, PhD, MA, BCBA-D
Verified Verified
1 Endorsed
Wake Forest, NC 27587
Dr. Williams offers psychological testing and evaluations, and behavioral consultations. She has a Doctorate Degree in Applied Behavior Analysis, a Master's Degree in Clinical Psychology, and Board Certification in Behavior Analysis - Doctoral Level. She is committed to providing thorough clinical evaluations based in science and within a behavioral context. Her primary training involved working with adults, adolescents, and children facing severe mental health and behavioral challenges. Dr. Williams has experience working in both inpatient and outpatient / home settings,
Dr. Williams offers psychological testing and evaluations, and behavioral consultations. She has a Doctorate Degree in Applied Behavior Analysis, a Master's Degree in Clinical Psychology, and Board Certification in Behavior Analysis - Doctoral Level. She is committed to providing thorough clinical evaluations based in science and within a behavioral context. Her primary training involved working with adults, adolescents, and children facing severe mental health and behavioral challenges. Dr. Williams has experience working in both inpatient and outpatient / home settings,
(984) 305-2804 View (984) 305-2804
Photo of Jennifer McDougal, Licensed Professional Counselor in Wake Forest, NC
Jennifer McDougal
Licensed Professional Counselor, PhD, LCMHC, LCAS, PMH-C, CRC
Verified Verified
Wake Forest, NC 27587
We specialize in perinatal, infertility, rehabilitation and addiction counseling. Medical interventions and treatments alone often do not help us resolve the emotional challenges that come with the prenatal, pregnancy and postpartum challenges we face. If you find you are experiencing anxiety, depression, relationship issues, complicated grief or other feelings that are interfering with your ability to live the life you want, call us today. If you are struggling with finding new meaning after a chronic illness or disability, give us a call. If your substance use had become unmanageable, please reach out.
We specialize in perinatal, infertility, rehabilitation and addiction counseling. Medical interventions and treatments alone often do not help us resolve the emotional challenges that come with the prenatal, pregnancy and postpartum challenges we face. If you find you are experiencing anxiety, depression, relationship issues, complicated grief or other feelings that are interfering with your ability to live the life you want, call us today. If you are struggling with finding new meaning after a chronic illness or disability, give us a call. If your substance use had become unmanageable, please reach out.
(919) 887-7984 View (919) 887-7984
Photo of Sandy Sala, Licensed Professional Counselor in Wake Forest, NC
Sandy Sala
Licensed Professional Counselor, LCMHC, NCC
Verified Verified
2 Endorsed
Wake Forest, NC 27587
My work with clients uses a collaborative, person-centered approach that is uniquely adapted to address presenting concerns and symptom presentation. I utilize strategies grounded in evidence-based theoretical approaches from cognitive, behavioral, dialectical, and solution-focused orientations. Treatment goals and objectives are developed together with the client and periodically reviewed for progress in a safe, supportive environment.
My work with clients uses a collaborative, person-centered approach that is uniquely adapted to address presenting concerns and symptom presentation. I utilize strategies grounded in evidence-based theoretical approaches from cognitive, behavioral, dialectical, and solution-focused orientations. Treatment goals and objectives are developed together with the client and periodically reviewed for progress in a safe, supportive environment.
(919) 813-7287 View (919) 813-7287
Photo of Alyssa Mills, Licensed Professional Counselor in Wake Forest, NC
Alyssa Mills
Licensed Professional Counselor, MEd, LCMHC
Verified Verified
1 Endorsed
Wake Forest, NC 27587  (Online Only)
Not accepting new clients
You want to be productive in an environment that works for you, learn to manage your life and emotions with love, acceptance and understanding? I am an experienced Licensed Clinical Mental Health Counselor who has a mission to help my clients dealing with anxiety, ADHD, and adjustment disorders focus on their strengths, learn about their passions and use their values to build confidence and empowerment to take on any challenge.
You want to be productive in an environment that works for you, learn to manage your life and emotions with love, acceptance and understanding? I am an experienced Licensed Clinical Mental Health Counselor who has a mission to help my clients dealing with anxiety, ADHD, and adjustment disorders focus on their strengths, learn about their passions and use their values to build confidence and empowerment to take on any challenge.
(919) 705-0371 View (919) 705-0371
Photo of Erin Elizabeth Terry, Licensed Clinical Mental Health Counselor in Wake Forest, NC
Erin Elizabeth Terry
Licensed Clinical Mental Health Counselor, MEd, LCMHC, QS
Verified Verified
Wake Forest, NC 27587
Waitlist for new clients
I have many years of counseling experience in the mental health field. I work with adults and adolescents (ages 13 and above) and provide individual, couples/marital, and family counseling services in a comfortable, safe environment. When working with clients, I use a combination of Cognitive Behavioral Therapy and Interpersonal Therapy. My therapeutic skills and interventions are more directly aimed at fixing maladaptive patterns, improving emotional regulation and creating positive and lasting change. I offer both in person appointments at the medical practice I work at and do virtual appointments.
I have many years of counseling experience in the mental health field. I work with adults and adolescents (ages 13 and above) and provide individual, couples/marital, and family counseling services in a comfortable, safe environment. When working with clients, I use a combination of Cognitive Behavioral Therapy and Interpersonal Therapy. My therapeutic skills and interventions are more directly aimed at fixing maladaptive patterns, improving emotional regulation and creating positive and lasting change. I offer both in person appointments at the medical practice I work at and do virtual appointments.
(984) 205-3707 x4 View (984) 205-3707 x4
Photo of Linzy Silberg in Wake Forest, NC
Linzy Silberg
MSN, RN, CPNP-PC
Verified Verified
Wake Forest, NC 27587
I’ve always had a strong interest and desire to help children and adolescents navigate their mental health issues, and I truly empathize with this patient population. The severity and worsening of the pediatric mental health crisis became very apparent to me as I completed my clinical hours during the worst of the COVID-19 pandemic, motivating me to specialize in pediatric and behavioral health to help better understand and address the unmet mental healthcare needs of our youth.
I’ve always had a strong interest and desire to help children and adolescents navigate their mental health issues, and I truly empathize with this patient population. The severity and worsening of the pediatric mental health crisis became very apparent to me as I completed my clinical hours during the worst of the COVID-19 pandemic, motivating me to specialize in pediatric and behavioral health to help better understand and address the unmet mental healthcare needs of our youth.
(919) 276-8598 View (919) 276-8598
Photo of Kristen Baez, Counselor in Wake Forest, NC
Kristen Baez
Counselor, LCMHC-A, MT-BC, MA
Verified Verified
1 Endorsed
Wake Forest, NC 27587
Waitlist for new clients
Life is full of beautiful moments, trying times, and everything in between. Maybe you are going through a big life transition, or you are simply wanting to try something new to better your mental health. I believe in an open, honest, and authentic therapeutic relationship. Together we can creatively navigate the challenges you face and work toward goals to enhance your life.
Life is full of beautiful moments, trying times, and everything in between. Maybe you are going through a big life transition, or you are simply wanting to try something new to better your mental health. I believe in an open, honest, and authentic therapeutic relationship. Together we can creatively navigate the challenges you face and work toward goals to enhance your life.
(984) 231-8094 View (984) 231-8094
Photo of Blakely Patterson, Marriage & Family Therapist Associate in Wake Forest, NC
Blakely Patterson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Wake Forest, NC 27587
Waitlist for new clients
As a sibling of a childhood cancer survivor, I have a heart to help individuals, couples, and families when suffering interrupts life’s normal flow. My scope of practice includes, but is not limited to the following areas: trauma, anxiety, grief, OCD, relationship issues, abuse, life transitions, marital/premarital counseling, and family dynamics.
As a sibling of a childhood cancer survivor, I have a heart to help individuals, couples, and families when suffering interrupts life’s normal flow. My scope of practice includes, but is not limited to the following areas: trauma, anxiety, grief, OCD, relationship issues, abuse, life transitions, marital/premarital counseling, and family dynamics.
(919) 891-1375 View (919) 891-1375

How does your Therapist compare?

Number of Therapists in Wake Forest, NC

200+

Average cost per session

$130

Therapists in Wake Forest, NC who prioritize treating:

91% Anxiety
87% Depression
77% Relationship Issues
77% Self Esteem
72% Coping Skills
69% Stress
63% Grief

Average years in practice

10 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
76% Aetna
54% Cigna and Evernorth

How Therapists in Wake Forest, NC see their clients

76% In Person and Online
24% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wake Forest?

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.