Therapists in Bethany Beach, DE

Photo of Carita Carlyle, Counselor in Bethany Beach, DE
Carita Carlyle
Counselor, LPCMH
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Thank you for visiting my profile. I am licensed in Delaware and have over 30 years experience working in the public school system as a special educator and school counselor at the elementary level. Although most of my experience is with children, their parents and families, I enjoy working with individuals of all ages and couples.
Thank you for visiting my profile. I am licensed in Delaware and have over 30 years experience working in the public school system as a special educator and school counselor at the elementary level. Although most of my experience is with children, their parents and families, I enjoy working with individuals of all ages and couples.
(302) 202-0439 View (302) 202-0439
Photo of Julie Bulitt, Clinical Social Work/Therapist in Bethany Beach, DE
Julie Bulitt
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethany Beach, DE 19930  (Online Only)
I am committed to offering the very best in individual, couples and family therapy. Specialties include ADHD and executive function coaching, with an expertise in adoption, anxiety and learning disabilities. I use a strength based approach to helping people find life balance. I work with my clients to find strategies that help them improve their lives.
I am committed to offering the very best in individual, couples and family therapy. Specialties include ADHD and executive function coaching, with an expertise in adoption, anxiety and learning disabilities. I use a strength based approach to helping people find life balance. I work with my clients to find strategies that help them improve their lives.
(240) 724-2528 View (240) 724-2528
Photo of Mike E. Jackson, Licensed Professional Counselor in Bethany Beach, DE
Mike E. Jackson
Licensed Professional Counselor, MA, MAPC, LPCMH, NBCC
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Accepting new clients. If requested, I offer a free 15 minute consult to see if I am a right fit for you. Currently, I only provide tele-video counseling. Whether it’s brief, solutions-based counseling, or longer ongoing deeper therapy, our sessions are about you and your needs. Along with our sessions together, I love to offer clients educational ideas to empower them to learn, heal, and grow at their comfortable pace. My relaxed demeanor and experience working as a former lead group educator in an acute dual-diagnosis psychiatric hospital has allowed me to work with diverse populations and their important goals with great care.
Accepting new clients. If requested, I offer a free 15 minute consult to see if I am a right fit for you. Currently, I only provide tele-video counseling. Whether it’s brief, solutions-based counseling, or longer ongoing deeper therapy, our sessions are about you and your needs. Along with our sessions together, I love to offer clients educational ideas to empower them to learn, heal, and grow at their comfortable pace. My relaxed demeanor and experience working as a former lead group educator in an acute dual-diagnosis psychiatric hospital has allowed me to work with diverse populations and their important goals with great care.
(302) 206-8964 View (302) 206-8964
Photo of Amanda Pearson-Carmody, Clinical Social Work/Therapist in Bethany Beach, DE
Amanda Pearson-Carmody
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethany Beach, DE 19930
Waitlist for new clients
I work with individuals and couples and have specialized training with those experiencing grief, loss, chronic illness, and adjustment concerns.
I work with individuals and couples and have specialized training with those experiencing grief, loss, chronic illness, and adjustment concerns.
(302) 208-8545 View (302) 208-8545
Photo of Michael J Hurd, Clinical Social Work/Therapist in Bethany Beach, DE
Michael J Hurd
Clinical Social Work/Therapist, PhD
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Realism, Personal Responsibility, Individualism. All worthy goals! Coaching with Dr. Michael Hurd is solution-focused and goal-oriented. Time is spent discussing your problems in the here-and-now, with reference to your background and your childhood only when relevant. Together we target self-defeating behaviors and thinking, rather than focusing on psychopathology. Dr. Hurd provides answers in terms you can understand, helping you find solutions to problems in the here-and-now, with a special emphasis on discovering alternatives to the "victim mentality" of blaming everything on your family, "society" or your biological make-up.
Realism, Personal Responsibility, Individualism. All worthy goals! Coaching with Dr. Michael Hurd is solution-focused and goal-oriented. Time is spent discussing your problems in the here-and-now, with reference to your background and your childhood only when relevant. Together we target self-defeating behaviors and thinking, rather than focusing on psychopathology. Dr. Hurd provides answers in terms you can understand, helping you find solutions to problems in the here-and-now, with a special emphasis on discovering alternatives to the "victim mentality" of blaming everything on your family, "society" or your biological make-up.
(301) 343-4171 View (301) 343-4171
Photo of Allison Scrivani, Counselor in Bethany Beach, DE
Allison Scrivani
Counselor, MS, NBCC
Verified Verified
Bethany Beach, DE 19930
I am a National Board Certified Counselor. I have worked with people in a variety of settings for over 40 years. My background includes being the Director of Counseling at a well known college, hospital social work, and with individuals in long term rehabilitation. I have been an adjunct instructor of Social Work, Psychology and Sociology. I stress confidentiality in my practice and want my clients to be comfortable knowing their privacy is acknowledged and protected. I currently specialize in Grief Counseling, Depression and Anxiety and issues in the LGBTQ+ community. My practice is out of my home which insures privacy.
I am a National Board Certified Counselor. I have worked with people in a variety of settings for over 40 years. My background includes being the Director of Counseling at a well known college, hospital social work, and with individuals in long term rehabilitation. I have been an adjunct instructor of Social Work, Psychology and Sociology. I stress confidentiality in my practice and want my clients to be comfortable knowing their privacy is acknowledged and protected. I currently specialize in Grief Counseling, Depression and Anxiety and issues in the LGBTQ+ community. My practice is out of my home which insures privacy.
(302) 924-8476 View (302) 924-8476
Photo of Dr. Rene Laje, Clinical Social Work/Therapist in Bethany Beach, DE
Dr. Rene Laje
Clinical Social Work/Therapist, PhD, LICSW, LCSW-C, LCSW
Verified Verified
1 Endorsed
Bethany Beach, DE 19930
I strive to help adults and older adults achieve balance through therapy. I am licensed in Maryland, Delaware, DC and Virginia and I have been a Medicare provider since 2009. Through my experience in working with adults and older adults, I am aware of the unique challenges that they encounter during these stages of life. In my practice, I focus on one's strengths and I help clients to recognize their own distinct set of coping skills to live the good quality of life that they deserve to live. I provide Telehealth via Zoom to allow clients the ability to receive support in the comfort and safety of their own homes.
I strive to help adults and older adults achieve balance through therapy. I am licensed in Maryland, Delaware, DC and Virginia and I have been a Medicare provider since 2009. Through my experience in working with adults and older adults, I am aware of the unique challenges that they encounter during these stages of life. In my practice, I focus on one's strengths and I help clients to recognize their own distinct set of coping skills to live the good quality of life that they deserve to live. I provide Telehealth via Zoom to allow clients the ability to receive support in the comfort and safety of their own homes.
(301) 880-4735 View (301) 880-4735
Photo of Kristy Notarangelo, Clinical Social Work/Therapist in Bethany Beach, DE
Kristy Notarangelo
Clinical Social Work/Therapist, LCSW, MBA, A-CBT
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Waitlist for new clients
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
(302) 246-7042 View (302) 246-7042
Photo of Amy Rice, Counselor in Bethany Beach, DE
Amy Rice
Counselor, LPCMH, NCC, MA
Verified Verified
Bethany Beach, DE 19930
Not accepting new clients
I’m passionate about helping individuals reach their maximum potential. There are many life stressors and situations that can present challenges. I’m humbled and honored to be gifted the opportunity to walk alongside you as you work towards healing and recovery through various life transitions. My specialty is working with individuals and families of individuals who struggle with addiction. I also work with individuals who struggle with anxiety, depression, trauma, ptsd, poor self image, and those who need guidance in setting healthy boundaries.
I’m passionate about helping individuals reach their maximum potential. There are many life stressors and situations that can present challenges. I’m humbled and honored to be gifted the opportunity to walk alongside you as you work towards healing and recovery through various life transitions. My specialty is working with individuals and families of individuals who struggle with addiction. I also work with individuals who struggle with anxiety, depression, trauma, ptsd, poor self image, and those who need guidance in setting healthy boundaries.
(302) 416-6150 View (302) 416-6150
Photo of Anne Merical, Clinical Social Work/Therapist in Bethany Beach, DE
Anne Merical
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethany Beach, DE 19930
Not accepting new clients
Trust is the foundation of the therapeutic relationship. With trust, openness and honesty will follow. Then the healing journey can begin, along with growth and transformation. Your commitment to this process is vital. Shame, guilt, regrets, denial, fear, resentment, blame and repression are barriers that prevent so many of us from moving forward to a healthier life. Therapy often stirs up painful emotions and discomfort. It takes courage and requires an investment of yourself. I am here to listen, understand, relate, guide, provide feedback, ask questions, validate and hopefully walk with you in achieving your goals.
Trust is the foundation of the therapeutic relationship. With trust, openness and honesty will follow. Then the healing journey can begin, along with growth and transformation. Your commitment to this process is vital. Shame, guilt, regrets, denial, fear, resentment, blame and repression are barriers that prevent so many of us from moving forward to a healthier life. Therapy often stirs up painful emotions and discomfort. It takes courage and requires an investment of yourself. I am here to listen, understand, relate, guide, provide feedback, ask questions, validate and hopefully walk with you in achieving your goals.
(302) 202-0686 View (302) 202-0686
Photo of Deborah Anne Stokes, Psychologist in Bethany Beach, DE
Deborah Anne Stokes
Psychologist, PhD, BCN
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Not accepting new clients
PRACTICING TELEHEALTH. Providing psychotherapy and counseling since 1990. I enjoy working with individuals of all ages, families and couples experiencing a range of issues including anxiety, depression, substance abuse, grief, trauma and medical challenges. I work closely with other treatment professionals providing a team approach to providing comprehensive care and utilize a variety of approaches to therapy.
PRACTICING TELEHEALTH. Providing psychotherapy and counseling since 1990. I enjoy working with individuals of all ages, families and couples experiencing a range of issues including anxiety, depression, substance abuse, grief, trauma and medical challenges. I work closely with other treatment professionals providing a team approach to providing comprehensive care and utilize a variety of approaches to therapy.
(302) 200-3741 View (302) 200-3741
Photo of Trey Bell, Clinical Social Work/Therapist in Bethany Beach, DE
Trey Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bethany Beach, DE 19930  (Online Only)
Waitlist for new clients
Hi, I'm Trey, a Licensed Clinical Social Worker with over a decade of experience as an outpatient therapist. I use mindfulness, cognitive behavioral therapy, and other innovative approaches to assist you in creating a unique and balanced life to move through issues like anxiety, depression, stress, socialization, self-esteem and grief. I work with clients of all demographics but specialize in work with men as well as teens and later adolescents transitioning into adulthood. I have certifications in Holistic Health Coaching and Personal Training that, at times, I integrate into my therapy to help you create well-being.
Hi, I'm Trey, a Licensed Clinical Social Worker with over a decade of experience as an outpatient therapist. I use mindfulness, cognitive behavioral therapy, and other innovative approaches to assist you in creating a unique and balanced life to move through issues like anxiety, depression, stress, socialization, self-esteem and grief. I work with clients of all demographics but specialize in work with men as well as teens and later adolescents transitioning into adulthood. I have certifications in Holistic Health Coaching and Personal Training that, at times, I integrate into my therapy to help you create well-being.
(302) 542-3857 View (302) 542-3857
Photo of Daws Mental Health Counseling, Licensed Professional Counselor in Bethany Beach, DE
Daws Mental Health Counseling
Licensed Professional Counselor, LPCMH, NBCC
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Hi, I’m Lindsay Daws. I have been a Licensed Professional Counselor for over 10 years. I graduated in 2010 with my Masters in Mental Health Counseling from Lincoln Memorial University in Harrogate, Tennessee. I specialize in treating depression, anxiety, ADHD, bipolar, grief and other life adjustment disorders. I offer a safe and non-judgmental space for you to tell your story, process, and vent about daily life stressors.
Hi, I’m Lindsay Daws. I have been a Licensed Professional Counselor for over 10 years. I graduated in 2010 with my Masters in Mental Health Counseling from Lincoln Memorial University in Harrogate, Tennessee. I specialize in treating depression, anxiety, ADHD, bipolar, grief and other life adjustment disorders. I offer a safe and non-judgmental space for you to tell your story, process, and vent about daily life stressors.
(302) 307-3956 View (302) 307-3956
Photo of Seaside Healing LLC, Counselor in Bethany Beach, DE
Seaside Healing LLC
Counselor, LCP
Verified Verified
Bethany Beach, DE 19930
Life can be challenging and overwhelming, however, we are all capable of growth, change, and learning from our experiences. I am a Licensed Therapist in Delaware and Maryland with over 25 years of experience. Providing counseling for children, teens, adults, and families dealing with anxiety, depression, trauma, grief/loss, ADHD, and other life issues. I also have many years of experience helping individual and families who are dealing with terminal illness and end of life transitions.
Life can be challenging and overwhelming, however, we are all capable of growth, change, and learning from our experiences. I am a Licensed Therapist in Delaware and Maryland with over 25 years of experience. Providing counseling for children, teens, adults, and families dealing with anxiety, depression, trauma, grief/loss, ADHD, and other life issues. I also have many years of experience helping individual and families who are dealing with terminal illness and end of life transitions.
(302) 291-4456 View (302) 291-4456
Photo of Anthony D Bozzi, Drug & Alcohol Counselor in Bethany Beach, DE
Anthony D Bozzi
Drug & Alcohol Counselor, MS, CTRP, CADC
Verified Verified
Bethany Beach, DE 19930
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
(302) 200-3695 View (302) 200-3695
Photo of Seek Peace Counseling Service LLC, Licensed Professional Counselor in Bethany Beach, DE
Seek Peace Counseling Service LLC
Licensed Professional Counselor, PhD, NCC, LPCMH
Verified Verified
4 Endorsed
Bethany Beach, DE 19930
Change can be difficult. Especially when you have experienced mental or emotional suffering for months or years. Believing that things can change can be even more difficult, however, change is possible. With counseling, faith, and using your own personal strengths, all things are possible, even experiencing peace. Sometimes experiencing peace may mean that the situation has not gone away or even changed much but the way you think, react, cope, or respond to the situation no longer brings you turmoil. Change can begin in you and with you when you allow us to work together to bring a healing process to your life right now.
Change can be difficult. Especially when you have experienced mental or emotional suffering for months or years. Believing that things can change can be even more difficult, however, change is possible. With counseling, faith, and using your own personal strengths, all things are possible, even experiencing peace. Sometimes experiencing peace may mean that the situation has not gone away or even changed much but the way you think, react, cope, or respond to the situation no longer brings you turmoil. Change can begin in you and with you when you allow us to work together to bring a healing process to your life right now.
(302) 663-7790 View (302) 663-7790
Photo of Julia Stahl, Clinical Social Work/Therapist in Bethany Beach, DE
Julia Stahl
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Not accepting new clients
My practice is currently full and I am not accepting new patients. I work with individuals and couples ages 18 and older. I provide a comfortable and safe environment for my patients to explore their feelings, thoughts and relationships. Through therapy sessions my patients can reduce their symptoms of anxiety & depression, improve their family and work relationships and feel more confident about themselves. I help my patients figure out where they are now, and where they want to be in the future.
My practice is currently full and I am not accepting new patients. I work with individuals and couples ages 18 and older. I provide a comfortable and safe environment for my patients to explore their feelings, thoughts and relationships. Through therapy sessions my patients can reduce their symptoms of anxiety & depression, improve their family and work relationships and feel more confident about themselves. I help my patients figure out where they are now, and where they want to be in the future.
(908) 619-7334 View (908) 619-7334
Photo of Toni Hemmerich, Licensed Professional Counselor in Bethany Beach, DE
Toni Hemmerich
Licensed Professional Counselor, PhD, LPCMH, LPC, NCC
Verified Verified
Bethany Beach, DE 19930  (Online Only)
Welcome! I offer a holistic approach to healing depression, anxiety, and trauma through the integration of energy psychology, spirituality, Reiki, and experiences in and with Nature. This healing modality gives specific attention to the body, the strong therapeutic relationship, the recognition of yourself as a spiritual and divine individual, and the awareness of living in the present moment. Additionally, getting out in Nature promotes healthier moods and provides clarity on decisions and issues. Symptom reduction, new healthy perspectives and coping skills, positive changes in relationships, and empowered self-talk result.
Welcome! I offer a holistic approach to healing depression, anxiety, and trauma through the integration of energy psychology, spirituality, Reiki, and experiences in and with Nature. This healing modality gives specific attention to the body, the strong therapeutic relationship, the recognition of yourself as a spiritual and divine individual, and the awareness of living in the present moment. Additionally, getting out in Nature promotes healthier moods and provides clarity on decisions and issues. Symptom reduction, new healthy perspectives and coping skills, positive changes in relationships, and empowered self-talk result.
(302) 200-3817 View (302) 200-3817
Photo of Dianna H Conner-Jeffers, Psychologist in Bethany Beach, DE
Dianna H Conner-Jeffers
Psychologist, PhD
Verified Verified
2 Endorsed
Bethany Beach, DE 19930
Therapy can be an excellent tool to help calm the chaos, and take stock of what is truly important in our lives, and allow ourselves the time to focus on changing our mindset, relational patterns, or life trajectory. It is my desire to help those who are hurting to make significant changes for themselves to better their mood, self-esteem and their relationships with others, both adults and children. Oftentimes life can become too overwhelming and stressful, and we may need some time and assistance to assess our situation, and find new ways to calm and cope.
Therapy can be an excellent tool to help calm the chaos, and take stock of what is truly important in our lives, and allow ourselves the time to focus on changing our mindset, relational patterns, or life trajectory. It is my desire to help those who are hurting to make significant changes for themselves to better their mood, self-esteem and their relationships with others, both adults and children. Oftentimes life can become too overwhelming and stressful, and we may need some time and assistance to assess our situation, and find new ways to calm and cope.
(302) 464-5445 View (302) 464-5445

More Therapists Nearby

Photo of Cathy Brown, Clinical Social Work/Therapist in Bethany Beach, DE
Cathy Brown
Clinical Social Work/Therapist, LMSW
Verified Verified
Millville, DE 19970
Cathy Brown is a Licensed Master Social Worker in Delaware. She has a Masters of Social Work. Cathy wants to help the client have more control over their life, find needed resources to help with their issues, and help their family find peace of mind, even including family in group therapy. In her personal time, Cathy enjoys reading and spending time with her family.
Cathy Brown is a Licensed Master Social Worker in Delaware. She has a Masters of Social Work. Cathy wants to help the client have more control over their life, find needed resources to help with their issues, and help their family find peace of mind, even including family in group therapy. In her personal time, Cathy enjoys reading and spending time with her family.
(302) 572-2657 View (302) 572-2657

See more therapy options for Bethany Beach

How does your Therapist compare?

Number of Therapists in Bethany Beach, DE

10+

Average cost per session

$150

Therapists in Bethany Beach, DE who prioritize treating:

89% Anxiety
84% Relationship Issues
79% Depression
79% Self Esteem
74% Grief
68% Coping Skills
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
62% Highmark
54% Aetna

How Therapists in Bethany Beach, DE see their clients

52% Online Only
48% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bethany Beach?

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.