Therapists in Ennis, MT

Photo of Lisa Brubaker, LCSW, LLC, Clinical Social Work/Therapist in Ennis, MT
Lisa Brubaker, LCSW, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Ennis, MT 59729
I offer telemental health sessions via computer, iPad type devices, smart phone, and telephone. Change is possible in a positive therapeutic relationship where feelings, thoughts, and behaviors can be examined, understood and challenged in a safe and respectful way. As a psychotherapist it is my role to assist with this process of exploration and vulnerability. It is a privilege to be trusted with people's hopes and dreams for a more satisfying, balanced life.
I offer telemental health sessions via computer, iPad type devices, smart phone, and telephone. Change is possible in a positive therapeutic relationship where feelings, thoughts, and behaviors can be examined, understood and challenged in a safe and respectful way. As a psychotherapist it is my role to assist with this process of exploration and vulnerability. It is a privilege to be trusted with people's hopes and dreams for a more satisfying, balanced life.
(406) 282-0743 View (406) 282-0743
Photo of Tara M Maier, Counselor in Ennis, MT
Tara M Maier
Counselor, MS, PCLC
Verified Verified
Ennis, MT 59729
As a graduate of Montana State University's dual licensure pathway, I have gained invaluable skills in using Existential Therapy, Cognitive-Behavioral Therapy (CBT), Motivational Interviewing (MI), and Mindfulness to help clients unlock their inner strengths, values, and purpose. I'm a pre-licensed clinical professional counselor (PCLC) working towards an addictions counselor status with a wealth of experience and training to help you achieve your mental and emotional wellness goals.
As a graduate of Montana State University's dual licensure pathway, I have gained invaluable skills in using Existential Therapy, Cognitive-Behavioral Therapy (CBT), Motivational Interviewing (MI), and Mindfulness to help clients unlock their inner strengths, values, and purpose. I'm a pre-licensed clinical professional counselor (PCLC) working towards an addictions counselor status with a wealth of experience and training to help you achieve your mental and emotional wellness goals.
(406) 319-3086 View (406) 319-3086
Photo of Heidi Wilson, Counselor in Ennis, MT
Heidi Wilson
Counselor, MA, LCPC, NCC
Verified Verified
Ennis, MT 59729
Whether this is your first experience with counseling or you are a well-seasoned participant in psychotherapy, starting a new therapeutic relationship can feel overwhelming. In our time together, you can expect a safe, supportive, and accepting space that nurtures healing and personal growth. I use an integrative approach that is person-centered, mindfulness-informed, and focused on meaning-making. I also utilize cognitive and behavioral approaches to collaboratively develop new ways of relating to thoughts, coping, and regulating emotions. My approach is holistic, attending to mind, body, and spirituality.
Whether this is your first experience with counseling or you are a well-seasoned participant in psychotherapy, starting a new therapeutic relationship can feel overwhelming. In our time together, you can expect a safe, supportive, and accepting space that nurtures healing and personal growth. I use an integrative approach that is person-centered, mindfulness-informed, and focused on meaning-making. I also utilize cognitive and behavioral approaches to collaboratively develop new ways of relating to thoughts, coping, and regulating emotions. My approach is holistic, attending to mind, body, and spirituality.
(406) 393-0267 View (406) 393-0267
Photo of Lindsay DeGroot, Counselor in Ennis, MT
Lindsay DeGroot
Counselor, MEd, LCPC-S, LSC, CCTP
Verified Verified
1 Endorsed
Ennis, MT 59729
At LD Counseling Services, we're here to support you on your journey towards improved mental health and well-being. As a small group private practice in rural Montana, we provide a safe and supportive environment for individuals, families, teens, and children looking to overcome past traumas, break unhealthy patterns, enhance self-awareness, and build stronger relationships. Our ideal clients are those who are ready to take an active role in their treatment and work towards their goals. We're here to provide you with the tools and guidance you need to overcome your challenges and live a more fulfilling life.
At LD Counseling Services, we're here to support you on your journey towards improved mental health and well-being. As a small group private practice in rural Montana, we provide a safe and supportive environment for individuals, families, teens, and children looking to overcome past traumas, break unhealthy patterns, enhance self-awareness, and build stronger relationships. Our ideal clients are those who are ready to take an active role in their treatment and work towards their goals. We're here to provide you with the tools and guidance you need to overcome your challenges and live a more fulfilling life.
(406) 215-2066 View (406) 215-2066
Photo of Darcy Dobb, Clinical Social Work/Therapist in Ennis, MT
Darcy Dobb
Clinical Social Work/Therapist, LCSW, MHPP
Verified Verified
Ennis, MT 59729
Not accepting new clients
Do you feel stuck in your life? Are you looking to develop more awareness and insight into your underlying motives, defenses, and desires? Oftentimes we have learned to cope in ways that are no longer effective. I use a blend of therapeutic approaches to help you move from “Dis-ease” towards Ease, “Dis-connection” towards Connection, “Dis-comfort” toward Comfort. To move from trudging through life, or feeling stuck, towards thriving. I would love to help you navigate the challenges you are facing. The goal of therapy is to feel empowered to find healing and solutions to navigate life and live more in the present.
Do you feel stuck in your life? Are you looking to develop more awareness and insight into your underlying motives, defenses, and desires? Oftentimes we have learned to cope in ways that are no longer effective. I use a blend of therapeutic approaches to help you move from “Dis-ease” towards Ease, “Dis-connection” towards Connection, “Dis-comfort” toward Comfort. To move from trudging through life, or feeling stuck, towards thriving. I would love to help you navigate the challenges you are facing. The goal of therapy is to feel empowered to find healing and solutions to navigate life and live more in the present.
(406) 282-8382 View (406) 282-8382

Online Therapists

Photo of Ellie Kraus, Clinical Social Work/Therapist in Ennis, MT
Ellie Kraus
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Bozeman, MT 59715
Our experiences impact who we are, the positive ones stay with us, but the negative ones stay with us as well. The relationships we have had throughout our lives are also deeply influential in shaping who we are and how we feel and behave in our current environment. Therapy gives us a deeper understanding of who we are and how our relationships and experiences have impacted us. Through a deeper awareness we have more control over how we'd like to show up in our lives. I specialize in Eating Disorders, Trauma, PTSD, ASD, anxiety and depression.
Our experiences impact who we are, the positive ones stay with us, but the negative ones stay with us as well. The relationships we have had throughout our lives are also deeply influential in shaping who we are and how we feel and behave in our current environment. Therapy gives us a deeper understanding of who we are and how our relationships and experiences have impacted us. Through a deeper awareness we have more control over how we'd like to show up in our lives. I specialize in Eating Disorders, Trauma, PTSD, ASD, anxiety and depression.
(720) 897-5833 View (720) 897-5833
Photo of Shannon Harrison, Marriage & Family Therapist in Ennis, MT
Shannon Harrison
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Montana City, MT 59634
Hello! I am a seasoned therapist who has more than 15 years experience providing mental health services to those in need. I have specialized treatment with anxiety disorders and phobias, mood disorders such as depression and bipolar, addictions, trauma and PTSD, OCD themes, BFRB's, couple's therapy, family therapy, adolescent struggles, religious issues, and identity transitions such as LGBTQ issues. I hold some additional specialized training with adoption and attachment issues.
Hello! I am a seasoned therapist who has more than 15 years experience providing mental health services to those in need. I have specialized treatment with anxiety disorders and phobias, mood disorders such as depression and bipolar, addictions, trauma and PTSD, OCD themes, BFRB's, couple's therapy, family therapy, adolescent struggles, religious issues, and identity transitions such as LGBTQ issues. I hold some additional specialized training with adoption and attachment issues.
(406) 729-6180 View (406) 729-6180
Photo of Angelia Mathias, Counselor in Ennis, MT
Angelia Mathias
Counselor, LCPC, LAC
Verified Verified
1 Endorsed
Butte, MT 59701  (Online Only)
Are you finding it hard to enjoy the things you love, like school, hobbies, or because of your anxiety? Do you feel like your anxiety is getting in the way of your relationships, and causing physical symptoms like headaches or stomachaches? The good news is that with the right support and tools, you can learn to manage your anxiety and start living a more fulfilling life. I know how important it is to feel like your therapist is on your side and understands what you're going through. When you're struggling with anxiety, it can feel like no one else really gets it.
Are you finding it hard to enjoy the things you love, like school, hobbies, or because of your anxiety? Do you feel like your anxiety is getting in the way of your relationships, and causing physical symptoms like headaches or stomachaches? The good news is that with the right support and tools, you can learn to manage your anxiety and start living a more fulfilling life. I know how important it is to feel like your therapist is on your side and understands what you're going through. When you're struggling with anxiety, it can feel like no one else really gets it.
(406) 215-4865 View (406) 215-4865
Photo of Gina Temple, Counselor in Ennis, MT
Gina Temple
Counselor, MS Ed, CRC , LCPC
Verified Verified
Bozeman, MT 59718
*Taking new clients*Offering Telehealth. I have 30 years of experience in the field of counseling. I enjoy working with adolescents, adults, couples, and families who are seeking compassionate support with anxiety, depression or a challenging transition or experience. I create a space to foster positive growth and strengthen overall quality of life through personal awareness. I believe that each individual has unique gifts and strengths within them, and when given the support and guidance through the counseling process, great progress can be made. My approach is Eclectic in nature, as I use techniques from all schools of therapy.
*Taking new clients*Offering Telehealth. I have 30 years of experience in the field of counseling. I enjoy working with adolescents, adults, couples, and families who are seeking compassionate support with anxiety, depression or a challenging transition or experience. I create a space to foster positive growth and strengthen overall quality of life through personal awareness. I believe that each individual has unique gifts and strengths within them, and when given the support and guidance through the counseling process, great progress can be made. My approach is Eclectic in nature, as I use techniques from all schools of therapy.
(207) 994-8568 View (207) 994-8568
Photo of Mariah Rene McManis, Clinical Social Work/Therapist in Ennis, MT
Mariah Rene McManis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bozeman, MT 59718
I enjoy working with clients from all walks of life, and I integrate a wide range of interventions that pull from many different schools of thought. Overall, my goal is to build a strong and trusting relationship with my client. Furthermore, my focus is to aid my client in building a stronger mind body connection and to encourage personal growth through the use of self compassion, mindfulness, and shame resilience.
I enjoy working with clients from all walks of life, and I integrate a wide range of interventions that pull from many different schools of thought. Overall, my goal is to build a strong and trusting relationship with my client. Furthermore, my focus is to aid my client in building a stronger mind body connection and to encourage personal growth through the use of self compassion, mindfulness, and shame resilience.
(406) 412-6543 View (406) 412-6543
Photo of Jennifer Ramirez, Clinical Social Worker License Candidate in Ennis, MT
Jennifer Ramirez
Clinical Social Worker License Candidate, MSW, SWLC
Verified Verified
Bozeman, MT 59715
I am a Social Worker License Candidate (SWLC) with a Master of Social Work degree and a Graduate Certificate in Conflict Resolution and Mediation from Colorado State University. I am bi-lingual and professionally proficient in English and Spanish. I have worked with children, adults, and older adults in a variety of settings, including a psychiatric residential treatment facility, a behavioral health hospital, and independent, assisted, and memory care communities. In session, I encourage clients to be their most authentic selves and create a space where they feel heard and understood.
I am a Social Worker License Candidate (SWLC) with a Master of Social Work degree and a Graduate Certificate in Conflict Resolution and Mediation from Colorado State University. I am bi-lingual and professionally proficient in English and Spanish. I have worked with children, adults, and older adults in a variety of settings, including a psychiatric residential treatment facility, a behavioral health hospital, and independent, assisted, and memory care communities. In session, I encourage clients to be their most authentic selves and create a space where they feel heard and understood.
(406) 302-8389 View (406) 302-8389
Photo of Jai Russell, Clinical Social Work/Therapist in Ennis, MT
Jai Russell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bozeman, MT 59715
Waitlist for new clients
Welcome! For many of us, it turns out being human is far more challenging than we ever imagined. In our core we long to feel safe, connected, capable, valued and a sense of purpose and direction. Yet, you may find that you are weary, confused, burdened, stressed and your relationships are limping along or lost altogether. You’re not alone. Having faced profound hardships, losses and efforts to change in my own life, I am honored to walk alongside you to offer a safe and supportive place to explore your experiences, identify patterns that keep you stuck, and gain skills to engage change and bring about flourishing in your life.
Welcome! For many of us, it turns out being human is far more challenging than we ever imagined. In our core we long to feel safe, connected, capable, valued and a sense of purpose and direction. Yet, you may find that you are weary, confused, burdened, stressed and your relationships are limping along or lost altogether. You’re not alone. Having faced profound hardships, losses and efforts to change in my own life, I am honored to walk alongside you to offer a safe and supportive place to explore your experiences, identify patterns that keep you stuck, and gain skills to engage change and bring about flourishing in your life.
(406) 380-4008 View (406) 380-4008
Photo of Hannah Bretz, Counselor in Ennis, MT
Hannah Bretz
Counselor, MA, LCPC
Verified Verified
2 Endorsed
Bozeman, MT 59718  (Online Only)
Is life starting to feel unmanageable? As an someone living with ADHD or anxiety, you might be grappling with thoughts that no matter how hard you try, it's never enough. Everyday situations can trigger overwhelming feelings, like navigating relationships. Perhaps you can't even recall a time when things didn't feel this way. But one thing is certain: you're ready for relief. You're eager to reconnect with others and regain control over your life. Above all, you're prepared to embrace a new phase of life, one free from shame and low self-esteem.
Is life starting to feel unmanageable? As an someone living with ADHD or anxiety, you might be grappling with thoughts that no matter how hard you try, it's never enough. Everyday situations can trigger overwhelming feelings, like navigating relationships. Perhaps you can't even recall a time when things didn't feel this way. But one thing is certain: you're ready for relief. You're eager to reconnect with others and regain control over your life. Above all, you're prepared to embrace a new phase of life, one free from shame and low self-esteem.
(406) 506-5877 View (406) 506-5877
Photo of Adam Bobinski, LPC Intern in Ennis, MT
Adam Bobinski
LPC Intern, PCLC, MS
Verified Verified
Helena, MT 59601
Are you struggling with the complex nature of life and its many facets which often drive us into spirals of negative thinking? Are you struggling with the life you live and how it has unfolded so far? Do you often feel frustrated? Angry? In need of clarity and mental peace? Have you had a difficult time processing or dealing with your anxiety and depression? Do you wish for more positive thinking in your life? These are just a few of the issues I treat often as a counselor who has struggled with many of those same issues and come out of it with a better view of my own life and the world around me. Call today to see if I can help!
Are you struggling with the complex nature of life and its many facets which often drive us into spirals of negative thinking? Are you struggling with the life you live and how it has unfolded so far? Do you often feel frustrated? Angry? In need of clarity and mental peace? Have you had a difficult time processing or dealing with your anxiety and depression? Do you wish for more positive thinking in your life? These are just a few of the issues I treat often as a counselor who has struggled with many of those same issues and come out of it with a better view of my own life and the world around me. Call today to see if I can help!
(406) 743-3456 View (406) 743-3456
Photo of Bobby Ahearn, Counselor in Ennis, MT
Bobby Ahearn
Counselor, MS, LCPC
Verified Verified
Bozeman, MT 59715
My experience is working with late teens, young adults, adults, and couples who are experiencing emotional distress from past and/or current struggles. My hope is for us to build a compassionate and brave space together, so that you can feel safe sharing and exploring your story. Our work will not only uncover the barriers to the growth and fulfillment that you deserve, but also will help you experience hope and healing through healthier relationships with self and others.
My experience is working with late teens, young adults, adults, and couples who are experiencing emotional distress from past and/or current struggles. My hope is for us to build a compassionate and brave space together, so that you can feel safe sharing and exploring your story. Our work will not only uncover the barriers to the growth and fulfillment that you deserve, but also will help you experience hope and healing through healthier relationships with self and others.
(406) 840-0976 View (406) 840-0976
Photo of Megan Spalding, Counselor in Ennis, MT
Megan Spalding
Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Bozeman, MT 59718
My focus is working with individual adults. I support individuals in finding happiness, fulfilment, and balance in their lives by helping them navigate life transitions, dissatisfying relationships, and life stressors. I also specialize in helping people in overcoming issues like anxiety, depression, and attachment trauma.
My focus is working with individual adults. I support individuals in finding happiness, fulfilment, and balance in their lives by helping them navigate life transitions, dissatisfying relationships, and life stressors. I also specialize in helping people in overcoming issues like anxiety, depression, and attachment trauma.
(406) 365-1411 View (406) 365-1411
Photo of Amy Gault, Clinical Social Work/Therapist in Ennis, MT
Amy Gault
Clinical Social Work/Therapist, LCSW, CDVS-I
Verified Verified
Anaconda, MT 59711
Accepting NEW Clients (Telehealth and Anaconda office only) - and accepting Medicaid. Are you struggling to find your center? Do you feel anxious, inadequate or depressed and don't know where to turn - especially in these challenging times? Maybe your relationships are suffering, you feel alone, or you find yourself leaning toward substance use to cope with difficulties. Find the courage to reach out and begin sharing your worries or fears, as well as your hopes and dreams, in a supportive and encouraging environment.
Accepting NEW Clients (Telehealth and Anaconda office only) - and accepting Medicaid. Are you struggling to find your center? Do you feel anxious, inadequate or depressed and don't know where to turn - especially in these challenging times? Maybe your relationships are suffering, you feel alone, or you find yourself leaning toward substance use to cope with difficulties. Find the courage to reach out and begin sharing your worries or fears, as well as your hopes and dreams, in a supportive and encouraging environment.
(406) 380-4225 View (406) 380-4225
Photo of Sarehl Hyland, Counselor in Ennis, MT
Sarehl Hyland
Counselor, LCPC
Verified Verified
3 Endorsed
Bozeman, MT 59718
Understanding your young child's needs can be confusing and draining -- I offer ways to bring more joy and less stress to you and your child. You are an essential & cherished part of your child's therapy. As a guide in your relationship, I can help you to: explore what your child is communicating; understand his/her perception; read his/her cues; support strong emotions and behaviors; teach him/her how to cope; integrate past difficulties; heal; learn new parenting skills; and connect more deeply. We'll work together through the power of play, activities, discussion, reflection, modeling, skill development, and body awareness.
Understanding your young child's needs can be confusing and draining -- I offer ways to bring more joy and less stress to you and your child. You are an essential & cherished part of your child's therapy. As a guide in your relationship, I can help you to: explore what your child is communicating; understand his/her perception; read his/her cues; support strong emotions and behaviors; teach him/her how to cope; integrate past difficulties; heal; learn new parenting skills; and connect more deeply. We'll work together through the power of play, activities, discussion, reflection, modeling, skill development, and body awareness.
(406) 924-3161 View (406) 924-3161
Photo of Hope Restored Counseling Services, Counselor in Ennis, MT
Hope Restored Counseling Services
Counselor, MA, LCPC
Verified Verified
Dillon, MT 59725
My focus is on working with individuals who are "stuck" in unhealthy patterns, couples to create satisfying marriages, and families to create ease of communication and understanding among family members. I specialize in the areas of trauma, abuse, anxiety, OCD, mood disorders, stress management, grief and loss, life transitions, women’s issues, and perinatal mental health.
My focus is on working with individuals who are "stuck" in unhealthy patterns, couples to create satisfying marriages, and families to create ease of communication and understanding among family members. I specialize in the areas of trauma, abuse, anxiety, OCD, mood disorders, stress management, grief and loss, life transitions, women’s issues, and perinatal mental health.
(406) 420-7923 View (406) 420-7923
Photo of Lauren Jarosz, Counselor in Ennis, MT
Lauren Jarosz
Counselor, LCPC
Verified Verified
2 Endorsed
Bozeman, MT 59715
Lauren believes our experiences shape how we interact with ourselves and others. She believes increasing self-understanding is a powerful tool to increase our freedom to choose how we react and respond to people, situations, and life events. Lauren was born and raised in Montana and earned her Master of Science in Mental Health Counseling from Montana State University. Prior to returning to school in pursuit of a degree in counseling, Lauren earned a Master of Science in Special Education from Grand Canyon University and taught K-5 special education.
Lauren believes our experiences shape how we interact with ourselves and others. She believes increasing self-understanding is a powerful tool to increase our freedom to choose how we react and respond to people, situations, and life events. Lauren was born and raised in Montana and earned her Master of Science in Mental Health Counseling from Montana State University. Prior to returning to school in pursuit of a degree in counseling, Lauren earned a Master of Science in Special Education from Grand Canyon University and taught K-5 special education.
(406) 577-8247 View (406) 577-8247

See more therapy options for Ennis

How does your Therapist compare?

Number of Therapists in Ennis, MT

< 10

Therapists in Ennis, MT who prioritize treating:

100% Depression
100% Anxiety
100% Domestic Abuse
100% Trauma and PTSD
100% Domestic Violence
100% Coping Skills
100% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% PacificSource

How Therapists in Ennis, MT see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Ennis?

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.