Therapists in Rockville Centre, NY

Photo of Alexandra K Milak, Pre-Licensed Professional in Rockville Centre, NY
Alexandra K Milak
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
2 Endorsed
Rockville Centre, NY 11570
I am a mental health counselor with a limited permit, working under the supervision of Dr. Sheila Chiffriller, a licensed psychologist. I provide psychotherapy to a diverse population of clients, specializing in survivors of trauma, borderline personality disorder, obsessive-compulsive disorder, anxiety, LGBTQIA+ issues, anger, family issues, couples' issues, bipolar disorder, chronic illness, grief and bereavement. My practice is rooted in principles of affirmation, intersectional justice, harm reduction, and embodiment and holds the position that social oppressions and systemic problems operate as barriers to wellness.
I am a mental health counselor with a limited permit, working under the supervision of Dr. Sheila Chiffriller, a licensed psychologist. I provide psychotherapy to a diverse population of clients, specializing in survivors of trauma, borderline personality disorder, obsessive-compulsive disorder, anxiety, LGBTQIA+ issues, anger, family issues, couples' issues, bipolar disorder, chronic illness, grief and bereavement. My practice is rooted in principles of affirmation, intersectional justice, harm reduction, and embodiment and holds the position that social oppressions and systemic problems operate as barriers to wellness.
(516) 476-9057 View (516) 476-9057
Photo of David Ilson, Clinical Social Work/Therapist in Rockville Centre, NY
David Ilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville Centre, NY 11570
I offer counseling and psychotherapy to adults in a confidential and supportive setting, and I am able to address various issues including: marital, depression, anxiety, difficulty controlling anger, workplace stress, family issues, phobias, and many others. Daytime, evening, and weekend appointments are available. Most insurance policies are accepted and a sliding scale is offered for individuals without health insurance. I can also arrange a referral to a psychiatrist for medication when necessary.
I offer counseling and psychotherapy to adults in a confidential and supportive setting, and I am able to address various issues including: marital, depression, anxiety, difficulty controlling anger, workplace stress, family issues, phobias, and many others. Daytime, evening, and weekend appointments are available. Most insurance policies are accepted and a sliding scale is offered for individuals without health insurance. I can also arrange a referral to a psychiatrist for medication when necessary.
(516) 537-9572 View (516) 537-9572
Photo of Geri D'alessio, Counselor in Rockville Centre, NY
Geri D'alessio
Counselor, LMHC
Verified Verified
Rockville Centre, NY 11570
Life has become so challenging lately, hasn’t it? Sometimes you get weary just trying to put one foot in front of the other and keep going. It may not always feel like this, but often enough to finally seek some help or someone who understands. If you're at that point, please feel free to reach out to me and we'll work together to restore hope, peace, and joy to your life and your relationships.
Life has become so challenging lately, hasn’t it? Sometimes you get weary just trying to put one foot in front of the other and keep going. It may not always feel like this, but often enough to finally seek some help or someone who understands. If you're at that point, please feel free to reach out to me and we'll work together to restore hope, peace, and joy to your life and your relationships.
(516) 518-4590 View (516) 518-4590
Photo of Elizabeth O'Keefe-Morse, Psychologist in Rockville Centre, NY
Elizabeth O'Keefe-Morse
Psychologist, PsyD
Verified Verified
Rockville Centre, NY 11571  (Online Only)
When you feel anxious, overwhelmed, or mentally stuck, it can impact every aspect of your life. These difficult emotions can get in the way of experiencing and participating in your life the way you want to. I specialize in helping people cope with anxiety, depression, and the effects of trauma. I utilize Cognitive Behavioral Therapy and mindfulness strategies to teach new ways to cope with painful thoughts and feelings.
When you feel anxious, overwhelmed, or mentally stuck, it can impact every aspect of your life. These difficult emotions can get in the way of experiencing and participating in your life the way you want to. I specialize in helping people cope with anxiety, depression, and the effects of trauma. I utilize Cognitive Behavioral Therapy and mindfulness strategies to teach new ways to cope with painful thoughts and feelings.
(516) 277-6121 View (516) 277-6121
Photo of Ryan Gallo in Rockville Centre, NY
Ryan Gallo
MHC-LP
Verified Verified
Rockville Centre, NY 11570  (Online Only)
Waitlist for new clients
As life's stressors build and compound, coping on your own can be a very difficult challenge and can often leave oneself in need of a little extra help. My passion for therapy stems from the belief that we are all in need of safe spaces in life where vulnerablity and trust can develop, yielding healing and growth in areas that tend to hold us back. My goal is to create a safe space that is absent of judgment and welcomes the most vulnerable and honest parts of ourselves. In this dynamic, utilizing empathy and compassion, we will walk together through the difficulties that exist at a pace that is comfortable for YOU.
As life's stressors build and compound, coping on your own can be a very difficult challenge and can often leave oneself in need of a little extra help. My passion for therapy stems from the belief that we are all in need of safe spaces in life where vulnerablity and trust can develop, yielding healing and growth in areas that tend to hold us back. My goal is to create a safe space that is absent of judgment and welcomes the most vulnerable and honest parts of ourselves. In this dynamic, utilizing empathy and compassion, we will walk together through the difficulties that exist at a pace that is comfortable for YOU.
(516) 774-2946 View (516) 774-2946
Photo of Rockville Centre Psychotherapy, LCSW , Clinical Social Work/Therapist in Rockville Centre, NY
Rockville Centre Psychotherapy, LCSW
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rockville Centre, NY 11570
Eclectic and holistic therapeutic services for men and women in all stages of the life cycle. Specializing in the treatment of anxiety and depression, stress, coping, substance abuse issues and life planning. Individual, couples, and family treatment facilitated in a safe, confidential, and therapeutic milieu based in the Rockville Centre area of Long Island, New York.
Eclectic and holistic therapeutic services for men and women in all stages of the life cycle. Specializing in the treatment of anxiety and depression, stress, coping, substance abuse issues and life planning. Individual, couples, and family treatment facilitated in a safe, confidential, and therapeutic milieu based in the Rockville Centre area of Long Island, New York.
(516) 714-4985 View (516) 714-4985
Photo of Luke Unneland, Clinical Social Work/Therapist in Rockville Centre, NY
Luke Unneland
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville Centre, NY 11570
Our practice is based on the concept of therapy having the potential to be more effective when it utilizes physical and meditative interventions that research has found to help counteract negative moods. For example, exercise has been found to be as effective in relieving depression as anti-depressant medication itself. I am a licensed psychotherapist, having earned my MSW from Columbia University and MS in Ed from the the University of Pennsylvania, as well a licensed personal trainer, having earned my certification from the National Academy of Sports Medicine.
Our practice is based on the concept of therapy having the potential to be more effective when it utilizes physical and meditative interventions that research has found to help counteract negative moods. For example, exercise has been found to be as effective in relieving depression as anti-depressant medication itself. I am a licensed psychotherapist, having earned my MSW from Columbia University and MS in Ed from the the University of Pennsylvania, as well a licensed personal trainer, having earned my certification from the National Academy of Sports Medicine.
(914) 354-2941 View (914) 354-2941
Photo of Dr Richard Lustberg, Psychologist in Rockville Centre, NY
Dr Richard Lustberg
Psychologist, PhD, MS, MA
Verified Verified
Rockville Centre, NY 11570
If you feel dissatisfied, stressed, depressed, anxious, unfocused, stuck or unhappy with yourself in any area of your life, I will work with you. Understanding and the ability to relate to others are very important to me and help create a connection as I strive to listen and provide compassion and direction to those in need. It is also most important to have a framework in order to help people achieve their goals - I do. I use the necessary therapeutic interventions that are specifically tailored to those I see which has achieved a high success rate.
If you feel dissatisfied, stressed, depressed, anxious, unfocused, stuck or unhappy with yourself in any area of your life, I will work with you. Understanding and the ability to relate to others are very important to me and help create a connection as I strive to listen and provide compassion and direction to those in need. It is also most important to have a framework in order to help people achieve their goals - I do. I use the necessary therapeutic interventions that are specifically tailored to those I see which has achieved a high success rate.
(516) 874-7463 View (516) 874-7463
Photo of Colleen C. Piazza, MA, LMHC, Counselor in Rockville Centre, NY
Colleen C. Piazza, MA, LMHC
Counselor, MA, LMHC
Verified Verified
Rockville Centre, NY 11570
I provide a caring, supportive and non-judgmental atmosphere for a variety of clients from all backgrounds, from the young to the elderly. I help people who are experiencing relationship issues, family/parenting issues/ depression, anxiety & panic, stress and anger management, grief and loss, financial stresses, and those seeking personal growth. I specialize in helping people learn successful ways of coping through all life's transitions.
I provide a caring, supportive and non-judgmental atmosphere for a variety of clients from all backgrounds, from the young to the elderly. I help people who are experiencing relationship issues, family/parenting issues/ depression, anxiety & panic, stress and anger management, grief and loss, financial stresses, and those seeking personal growth. I specialize in helping people learn successful ways of coping through all life's transitions.
(516) 515-1988 View (516) 515-1988
Photo of LaShaun Dean, Clinical Social Work/Therapist in Rockville Centre, NY
LaShaun Dean
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Rockville Centre, NY 11570  (Online Only)
Are you currently, struggling with depression, anxiety, sexuality, trauma, substance use, mental health, and work and life stress? Are you seeking to process your thoughts and feelings, overcome your trauma, and create a better future for yourself? Do you want to develop healthier coping strategies, explore boundary setting, and maintain your relationships that are most important to you? Finding a balance in life is often hard and poses challenges to even the strongest people.
Are you currently, struggling with depression, anxiety, sexuality, trauma, substance use, mental health, and work and life stress? Are you seeking to process your thoughts and feelings, overcome your trauma, and create a better future for yourself? Do you want to develop healthier coping strategies, explore boundary setting, and maintain your relationships that are most important to you? Finding a balance in life is often hard and poses challenges to even the strongest people.
(516) 908-9962 View (516) 908-9962
Photo of Susan Oldis, Clinical Social Work/Therapist in Rockville Centre, NY
Susan Oldis
Clinical Social Work/Therapist, LCSW
Verified Verified
Rockville Centre, NY 11570
If human beings are hard wired to be in relationships, then why are they so difficult sometimes? Especially after the past couple of years (did someone say pandemic?), we can find ourselves going through conflict and stress with loved ones. Struggling to find ways to cope and communicate may lead to endless arguments or feelings of hopelessness. You don’t have to be alone in the struggle. I work with both couples and individuals experiencing addictions, anxiety, depression and loss. I approach therapy as a creative conversation that not only helps to "put out the fire" but also to figure out how it started to begin with.
If human beings are hard wired to be in relationships, then why are they so difficult sometimes? Especially after the past couple of years (did someone say pandemic?), we can find ourselves going through conflict and stress with loved ones. Struggling to find ways to cope and communicate may lead to endless arguments or feelings of hopelessness. You don’t have to be alone in the struggle. I work with both couples and individuals experiencing addictions, anxiety, depression and loss. I approach therapy as a creative conversation that not only helps to "put out the fire" but also to figure out how it started to begin with.
(516) 373-7850 View (516) 373-7850
Photo of Colleen Mullin, Clinical Social Work/Therapist in Rockville Centre, NY
Colleen Mullin
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
1 Endorsed
Rockville Centre, NY 11570
Parenting stress is common but sometimes requires counseling. Parents often have questions about their child's development. My specialty is early childhood development and disorders such as ADHD, Autism, Aspergers and other differences including learning differences. Other issues include difficulty socializing. Therapy includes assessment, diagnosis, referral for additional resources, support, education, parent training, and increasing coping skills. Other therapeutic strategies include behavior management, mindfulness, relaxation training, play therapy, social skills training and cognitive behavioral therapy.
Parenting stress is common but sometimes requires counseling. Parents often have questions about their child's development. My specialty is early childhood development and disorders such as ADHD, Autism, Aspergers and other differences including learning differences. Other issues include difficulty socializing. Therapy includes assessment, diagnosis, referral for additional resources, support, education, parent training, and increasing coping skills. Other therapeutic strategies include behavior management, mindfulness, relaxation training, play therapy, social skills training and cognitive behavioral therapy.
(516) 962-2712 View (516) 962-2712
Photo of EMDR Intensives LI, Counselor in Rockville Centre, NY
EMDR Intensives LI
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Rockville Centre, NY 11570
You need help — and a lot of it — right now, and 45-minutes of therapy once a week doesn’t feel intensive enough. Feeling stuck in past trauma and sick of it running your life, maybe you’re crunched on time, too, with a busy schedule and thousands of demands pulling you every which way. Or you’re already working with a therapist weekly, and want to use EMDR as a brief adjunct to accelerate that work. Let’s embark on a focused journey designed to help you feel better, fast.
You need help — and a lot of it — right now, and 45-minutes of therapy once a week doesn’t feel intensive enough. Feeling stuck in past trauma and sick of it running your life, maybe you’re crunched on time, too, with a busy schedule and thousands of demands pulling you every which way. Or you’re already working with a therapist weekly, and want to use EMDR as a brief adjunct to accelerate that work. Let’s embark on a focused journey designed to help you feel better, fast.
(516) 963-2607 View (516) 963-2607
Photo of Joanne Kim, Clinical Social Work/Therapist in Rockville Centre, NY
Joanne Kim
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rockville Centre, NY 11570  (Online Only)
Joanne has years of experience treating the adults, elderly and special-needs population both in community and medical settings. While working towards her Bachelor's degree in social work, Master's degree in social work and her Licensed Clinical Social Work (LCSW), Joanne has worked in community mental health, sub-acute inpatient rehabs and hospitals, providing individual and family therapy to those affected by health and psychosocial/socioeconomic challenges as well as trauma.
Joanne has years of experience treating the adults, elderly and special-needs population both in community and medical settings. While working towards her Bachelor's degree in social work, Master's degree in social work and her Licensed Clinical Social Work (LCSW), Joanne has worked in community mental health, sub-acute inpatient rehabs and hospitals, providing individual and family therapy to those affected by health and psychosocial/socioeconomic challenges as well as trauma.
(516) 701-2349 View (516) 701-2349
Photo of Jessica Ryan Cesare, Psychologist in Rockville Centre, NY
Jessica Ryan Cesare
Psychologist, PhD
Verified Verified
2 Endorsed
Rockville Centre, NY 11570
I believe therapeutic change and progress evolve through the combination of a non-judgmental, insight oriented approach and the development of a therapeutic relationship. With self understanding we gain insight into repetitive cycles that often contribute to sadness, anxiety, and relationship conflicts. In my work with clients I place emphasis on the strength of the intuitive, centered self. Throughout my training and postdoctoral work, I have had the privilege to gain experience in a variety of settings ranging from private practice, inpatient psychiatric hospitals, a residential treatment center, and outpatient clinics.
I believe therapeutic change and progress evolve through the combination of a non-judgmental, insight oriented approach and the development of a therapeutic relationship. With self understanding we gain insight into repetitive cycles that often contribute to sadness, anxiety, and relationship conflicts. In my work with clients I place emphasis on the strength of the intuitive, centered self. Throughout my training and postdoctoral work, I have had the privilege to gain experience in a variety of settings ranging from private practice, inpatient psychiatric hospitals, a residential treatment center, and outpatient clinics.
(516) 217-0128 View (516) 217-0128
Photo of Brenna Tighe, Counselor in Rockville Centre, NY
Brenna Tighe
Counselor, LMHC, CRC
Verified Verified
1 Endorsed
Rockville Centre, NY 11570  (Online Only)
As a therapist that has been in therapy for years, I know what it feels like to be in your shoes right now! Finding a therapist can be a daunting task, but once you find the right fit it is so worth it. I meet clients where they are to provide a safe, calm, and supportive environment to help them accomplish their goals.
As a therapist that has been in therapy for years, I know what it feels like to be in your shoes right now! Finding a therapist can be a daunting task, but once you find the right fit it is so worth it. I meet clients where they are to provide a safe, calm, and supportive environment to help them accomplish their goals.
(516) 689-0316 View (516) 689-0316
Photo of Marissa Sala, Counselor in Rockville Centre, NY
Marissa Sala
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Rockville Centre, NY 11570
My goal as a counselor is to help my clients navigate the complex and challenging situations that often prevent us from achieving what we would like to in life. I will work collaboratively with you to identify and resolve areas of stress and conflict, create goals and build upon your strengths and abilities to accomplish them. By providing a supportive and safe environment, I am here to guide you towards effective solutions that will enable you to see yourself in a more compassionate and healthy way and to realize your greatest potential.
My goal as a counselor is to help my clients navigate the complex and challenging situations that often prevent us from achieving what we would like to in life. I will work collaboratively with you to identify and resolve areas of stress and conflict, create goals and build upon your strengths and abilities to accomplish them. By providing a supportive and safe environment, I am here to guide you towards effective solutions that will enable you to see yourself in a more compassionate and healthy way and to realize your greatest potential.
View
Photo of Dana M Greco, Clinical Social Work/Therapist in Rockville Centre, NY
Dana M Greco
Clinical Social Work/Therapist, LCSW-R, CDM
Verified Verified
Rockville Centre, NY 11570
Deciding on counseling for your relationship takes courage. Yet, living in conflict and pain only causes more pain and anguish and confusion as to what to do. In my session I provide an emotionally safe space, to share and explore the dynamic, the wants, needs and all the variables that both of you need to communicate. I'm very neutral and non-bias, I commit myself to supporting you both. As a mediator in addition to my counseling, it is my skill to remain fair and impartial. Let's see how I can help you get the clarity and fulfillment in your relationship. In my own experience, when relationships are not working, nothing else is.
Deciding on counseling for your relationship takes courage. Yet, living in conflict and pain only causes more pain and anguish and confusion as to what to do. In my session I provide an emotionally safe space, to share and explore the dynamic, the wants, needs and all the variables that both of you need to communicate. I'm very neutral and non-bias, I commit myself to supporting you both. As a mediator in addition to my counseling, it is my skill to remain fair and impartial. Let's see how I can help you get the clarity and fulfillment in your relationship. In my own experience, when relationships are not working, nothing else is.
(646) 480-6854 View (646) 480-6854
Photo of Elyse Rubio At Helping Hands Psychotherapy, Clinical Social Work/Therapist in Rockville Centre, NY
Elyse Rubio At Helping Hands Psychotherapy
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Rockville Centre, NY 11570
Are you struggling with an issue in your life? Feel alone and like there is no one to talk to? Are you afraid that if you speak to family and friends they will judge you? Whatever you are struggling with, you dont have to go through it alone. I utilize various client centered interventions with a strength-based approach. ​ Through personal and professional experience I have discovered a passion for working with individuals to enhance self-awareness, build stronger relationships and improve the family experience. When one member of the family is suffering it impacts the entire family.
Are you struggling with an issue in your life? Feel alone and like there is no one to talk to? Are you afraid that if you speak to family and friends they will judge you? Whatever you are struggling with, you dont have to go through it alone. I utilize various client centered interventions with a strength-based approach. ​ Through personal and professional experience I have discovered a passion for working with individuals to enhance self-awareness, build stronger relationships and improve the family experience. When one member of the family is suffering it impacts the entire family.
(516) 548-6833 View (516) 548-6833
Photo of Meredith Kreinbihl (Musgnug), Counselor in Rockville Centre, NY
Meredith Kreinbihl (Musgnug)
Counselor, LMHC
Verified Verified
2 Endorsed
Rockville Centre, NY 11570
In my work with you, I will guide you on a journey of self-reflection and self-discovery in a soothing and safe environment. In our time together we will explore various aspects of your past, present, and future. Through our understanding of this information we will work together in a way that will address your presenting concerns and trials. Applying both my training in psychodynamic theory and as a Mental Health Counselor we will help you to gain a deeper understanding of yourself. Together we can create new paths and strategies that will assist you in living a fulfilling and rewarding life.
In my work with you, I will guide you on a journey of self-reflection and self-discovery in a soothing and safe environment. In our time together we will explore various aspects of your past, present, and future. Through our understanding of this information we will work together in a way that will address your presenting concerns and trials. Applying both my training in psychodynamic theory and as a Mental Health Counselor we will help you to gain a deeper understanding of yourself. Together we can create new paths and strategies that will assist you in living a fulfilling and rewarding life.
(516) 259-3074 View (516) 259-3074

See more therapy options for Rockville Centre

How does your Therapist compare?

Number of Therapists in Rockville Centre, NY

200+

Average cost per session

$150

Therapists in Rockville Centre, NY who prioritize treating:

93% Anxiety
92% Depression
80% Relationship Issues
79% Self Esteem
69% Coping Skills
64% Stress
59% Grief

Average years in practice

16 Years

Top 3 insurances accepted

74% Aetna
72% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Rockville Centre, NY see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Rockville Centre?

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.