Therapists in Louisville, KY

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Photo of Dr. Helene L Finke, Psychologist in Louisville, KY
Dr. Helene L Finke
Psychologist, PhD
Verified Verified
Louisville, KY 40222
I am a licensed psychologist with more than 20 years of experience helping adults, older adolescents, and couples with a wide range of emotional and life issues such as: depression, anxiety, traumatic experiences, relationship issues, and grief/loss. I enjoy working with individuals who are in some type of life transition/crossroads to help them to clarify and reach their goals - job change, graduating school, entering parenthood, coping with relationship loss.
I am a licensed psychologist with more than 20 years of experience helping adults, older adolescents, and couples with a wide range of emotional and life issues such as: depression, anxiety, traumatic experiences, relationship issues, and grief/loss. I enjoy working with individuals who are in some type of life transition/crossroads to help them to clarify and reach their goals - job change, graduating school, entering parenthood, coping with relationship loss.
(502) 333-9517 View (502) 333-9517
Photo of Ellyn Abdelghany Ramser, Marriage & Family Therapist Associate in Louisville, KY
Ellyn Abdelghany Ramser
Marriage & Family Therapist Associate, MFTA, BSFS
Verified Verified
1 Endorsed
Louisville, KY 40223
Not accepting new clients
We all experience challenges in our life, and sometimes we need support to make the changes we are seeking. I strive to walk side by side through challenging times with my clients, as we move through healing and seek the changes they desire in their lives. My theory of change is rooted in a humanistic approach to therapy that focuses on treating the whole person, and emphasizes the strengths of the client. I have experience working with families, children, adolescents, preteens, teenagers, and adults all with varying issues. I tend to lean into a family systems approach to therapy when working with families and individuals.
We all experience challenges in our life, and sometimes we need support to make the changes we are seeking. I strive to walk side by side through challenging times with my clients, as we move through healing and seek the changes they desire in their lives. My theory of change is rooted in a humanistic approach to therapy that focuses on treating the whole person, and emphasizes the strengths of the client. I have experience working with families, children, adolescents, preteens, teenagers, and adults all with varying issues. I tend to lean into a family systems approach to therapy when working with families and individuals.
(502) 427-7887 View (502) 427-7887
Photo of Sydney Durham, Clinical Social Work/Therapist in Louisville, KY
Sydney Durham
Clinical Social Work/Therapist, CSW
Verified Verified
Louisville, KY 40217
I have experience serving individuals with a plethora of mental health concerns including depression, anxiety, codependency, ADHD, PTSD, behavioral issues, trauma history, and substance abuse. I utilize a person-centered and strengths-based approach in each client encounter to promote self-determination and overall wellbeing. My experience and education enable me to address an individual’s situation from a holistic approach, allowing me to explore all areas that may be impacting one’s mental health.
I have experience serving individuals with a plethora of mental health concerns including depression, anxiety, codependency, ADHD, PTSD, behavioral issues, trauma history, and substance abuse. I utilize a person-centered and strengths-based approach in each client encounter to promote self-determination and overall wellbeing. My experience and education enable me to address an individual’s situation from a holistic approach, allowing me to explore all areas that may be impacting one’s mental health.
(502) 383-0825 View (502) 383-0825
Photo of Jennifer Hartman, Pre-Licensed Professional in Louisville, KY
Jennifer Hartman
Pre-Licensed Professional, LPCA
Verified Verified
1 Endorsed
Louisville, KY 40222
Life has many challenges and being a child, teenager, or parent is no exception. I enjoy using evidence-based play and expressive activities for children and adolescents and am a Certified AutPlay Therapist who works well with children and teens who are neurodiverse. I integrate Cognitive-Behavioral Therapy, Narrative Therapy, and Mindfulness for teens and adults. I strive to support parents with the best tools for their family through Positive Discipline Parenting. When working with couples, I utilize Emotionally-Focused Therapy to build a healthy, secure attachment within the relationship.
Life has many challenges and being a child, teenager, or parent is no exception. I enjoy using evidence-based play and expressive activities for children and adolescents and am a Certified AutPlay Therapist who works well with children and teens who are neurodiverse. I integrate Cognitive-Behavioral Therapy, Narrative Therapy, and Mindfulness for teens and adults. I strive to support parents with the best tools for their family through Positive Discipline Parenting. When working with couples, I utilize Emotionally-Focused Therapy to build a healthy, secure attachment within the relationship.
(502) 706-4757 View (502) 706-4757
Photo of Sara Williamson Sutphin in Louisville, KY
Sara Williamson Sutphin
MEd, LPP
Verified Verified
1 Endorsed
Louisville, KY 40207
As a Licensed Psychological Practitioner, I use telehealth and in person therapy formats to treat adults. I have extensive experience treating individuals with obsessive-compulsive disorder (OCD), panic disorder, PTSD, body-focused repetitive behaviors (such as trichotillomania), hoarding, and other anxiety-related disorders. I employ a values-based approach that often includes humor, music, and connecting with community and people. Exposure/Ritual Prevention therapy in particular will include experiencing aversive and unpleasant thoughts and feelings and learning skills to tolerate them to improve overall quality of life.
As a Licensed Psychological Practitioner, I use telehealth and in person therapy formats to treat adults. I have extensive experience treating individuals with obsessive-compulsive disorder (OCD), panic disorder, PTSD, body-focused repetitive behaviors (such as trichotillomania), hoarding, and other anxiety-related disorders. I employ a values-based approach that often includes humor, music, and connecting with community and people. Exposure/Ritual Prevention therapy in particular will include experiencing aversive and unpleasant thoughts and feelings and learning skills to tolerate them to improve overall quality of life.
(502) 354-4702 View (502) 354-4702
Photo of Heather Patterson, Counselor in Louisville, KY
Heather Patterson
Counselor, LPCC, RPT
Verified Verified
Louisville, KY 40217
My goal as a therapist is to help individuals achieve their highest level of functioning based on their stage of development. I recognize that oftentimes trauma and toxic stress block people from accessing their authentic selves which leads to a feeling of being “stuck.” Moreover, these blocks must be worked through to avoid reenacting harmful intra- and inter-personal patterns of interaction. With my youngest clients, I utilize the therapeutic powers of play to help with emotional processing and becoming “unstuck.”
My goal as a therapist is to help individuals achieve their highest level of functioning based on their stage of development. I recognize that oftentimes trauma and toxic stress block people from accessing their authentic selves which leads to a feeling of being “stuck.” Moreover, these blocks must be worked through to avoid reenacting harmful intra- and inter-personal patterns of interaction. With my youngest clients, I utilize the therapeutic powers of play to help with emotional processing and becoming “unstuck.”
(502) 549-1927 View (502) 549-1927
Photo of Traci Braun, Counselor in Louisville, KY
Traci Braun
Counselor, MEd, LPCC, EMDR
Verified Verified
1 Endorsed
Louisville, KY 40207
In addition to being a licensed counselor, I am also a committed Christian and practice in a Christian counseling center. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. Although my experience is not limited to these, specific areas of focus include the following: depression, anxiety, high-functioning autism, adoption-related issues, alcoholism and eating disorders, spiritual struggles, and general life issues. I am interested in working with people who are ready to improve the quality of their life.
In addition to being a licensed counselor, I am also a committed Christian and practice in a Christian counseling center. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. Although my experience is not limited to these, specific areas of focus include the following: depression, anxiety, high-functioning autism, adoption-related issues, alcoholism and eating disorders, spiritual struggles, and general life issues. I am interested in working with people who are ready to improve the quality of their life.
(502) 514-4271 View (502) 514-4271
Photo of Jeff Twyman, Marriage & Family Therapist in Louisville, KY
Jeff Twyman
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40204
Hello, my name is Jeff Twyman and I am a Licensed Marriage and Family Therapist with over 25 years of experience, specializing in individual, couples and family therapy. Thanks for taking the time to explore this site. I hope it will be helpful to you as you make a crucial decision about pursuing counseling. One of my goals is to help you uncover your true potential and to lead an authentic life. As such, I think of myself as a collaborator and a facilitator in working toward goals that matter to you. I look forward to hearing from you.
Hello, my name is Jeff Twyman and I am a Licensed Marriage and Family Therapist with over 25 years of experience, specializing in individual, couples and family therapy. Thanks for taking the time to explore this site. I hope it will be helpful to you as you make a crucial decision about pursuing counseling. One of my goals is to help you uncover your true potential and to lead an authentic life. As such, I think of myself as a collaborator and a facilitator in working toward goals that matter to you. I look forward to hearing from you.
(502) 233-3269 View (502) 233-3269
Photo of Shipra Singh, Licensed Professional Clinical Counselor in Louisville, KY
Shipra Singh
Licensed Professional Clinical Counselor, MS MA, LPCC, NCC, CMCP, PhD Can
Verified Verified
Louisville, KY 40208
Not accepting new clients
In today’s world, we witness a plethora of stressors, which affect our day to day life’s mental health wellbeing. With the increased stress, and exhaustion in routine life, meeting the demands of family, work, and personal goals, especially during the pandemic period, it gets difficult to cope. The restrictions of social distancing has further isolated individuals who are seeking support to manage their overwhelming psycho emotional state. This extent of exertion leads to mental health issues e.g., depression, anxiety. These individuals can be a wife, a mother, a student, a teacher, a doctor, or a mental health professional.
In today’s world, we witness a plethora of stressors, which affect our day to day life’s mental health wellbeing. With the increased stress, and exhaustion in routine life, meeting the demands of family, work, and personal goals, especially during the pandemic period, it gets difficult to cope. The restrictions of social distancing has further isolated individuals who are seeking support to manage their overwhelming psycho emotional state. This extent of exertion leads to mental health issues e.g., depression, anxiety. These individuals can be a wife, a mother, a student, a teacher, a doctor, or a mental health professional.
(315) 277-6931 View (315) 277-6931
Photo of Sarah Lucich, Counselor in Louisville, KY
Sarah Lucich
Counselor, LPCC
Verified Verified
Louisville, KY 40207
Sarah Lucich is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2020. Sarah believes that building a strong therapeutic alliance with the client is fundamental to efficacy of therapy. She is dedicated to empowering and building up each client so that they can take their power back and live the life they want to live. Sarah loves to incorporate movement and client interests into therapy to facilitate increasing client insight and self-awareness. She is straight-forward in order to increase transparency when partnering with clients when working toward client goals for treatment.
Sarah Lucich is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2020. Sarah believes that building a strong therapeutic alliance with the client is fundamental to efficacy of therapy. She is dedicated to empowering and building up each client so that they can take their power back and live the life they want to live. Sarah loves to incorporate movement and client interests into therapy to facilitate increasing client insight and self-awareness. She is straight-forward in order to increase transparency when partnering with clients when working toward client goals for treatment.
(502) 369-7802 View (502) 369-7802
Photo of Claire Norris, Counselor in Louisville, KY
Claire Norris
Counselor, MEd , LPCA
Verified Verified
1 Endorsed
Louisville, KY 40299
When faced with life challenges we can often feel alone and misunderstood. I strive to make people feel heard and validated in their experiences. The relationship between you and I can be one of the most foundational elements to change by providing you with a safe place that is nonjudgmental, empathetic, and honest. It can be difficult navigating our mental and emotional processes and responses, and our social environments. My goal is to help you explore and overcome your challenges, and empower you to make change.
When faced with life challenges we can often feel alone and misunderstood. I strive to make people feel heard and validated in their experiences. The relationship between you and I can be one of the most foundational elements to change by providing you with a safe place that is nonjudgmental, empathetic, and honest. It can be difficult navigating our mental and emotional processes and responses, and our social environments. My goal is to help you explore and overcome your challenges, and empower you to make change.
(502) 334-1059 View (502) 334-1059
Photo of Amanda Newton in Louisville, KY
Amanda Newton
MA
Verified Verified
Louisville, KY 40205
Are you tired of feeling stuck in patterns of stress, overwhelm, or anxiety? Do you feel like you have trauma or emotions stuck in your body? Do you long for a deeper sense of connection with yourself and others? Sleep issues? Do you feel numb like you are just going through the motions? Stuck in fight, fight or freeze? Have you experienced traditional talk therapy but feels like something is missing? If any of these sound like you, you've come to the right place. You can also check out my website for more info: wellnesssomaticcenter.com
Are you tired of feeling stuck in patterns of stress, overwhelm, or anxiety? Do you feel like you have trauma or emotions stuck in your body? Do you long for a deeper sense of connection with yourself and others? Sleep issues? Do you feel numb like you are just going through the motions? Stuck in fight, fight or freeze? Have you experienced traditional talk therapy but feels like something is missing? If any of these sound like you, you've come to the right place. You can also check out my website for more info: wellnesssomaticcenter.com
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Photo of Carol A Niehaus, Clinical Social Work/Therapist in Louisville, KY
Carol A Niehaus
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40272
I have a great deal of experience working with people who have chronic illness, depression, anxiety and co-dependency. I work with many people who are the caregivers to their families. I’ve observed that caregivers are often wonderful about taking care of everyone except themselves. As a therapist I will help you prioritize self care. I will support you in setting limits and boundaries and keeping that backbone when then temptation is to please others at your own expense. It is OK to say “No”. It is OK to put yourself first for a change. It is important that you feel seen and heard. Your feelings matter.
I have a great deal of experience working with people who have chronic illness, depression, anxiety and co-dependency. I work with many people who are the caregivers to their families. I’ve observed that caregivers are often wonderful about taking care of everyone except themselves. As a therapist I will help you prioritize self care. I will support you in setting limits and boundaries and keeping that backbone when then temptation is to please others at your own expense. It is OK to say “No”. It is OK to put yourself first for a change. It is important that you feel seen and heard. Your feelings matter.
(502) 878-7079 View (502) 878-7079
Photo of Kaye Gallagher, Marriage & Family Therapist in Louisville, KY
Kaye Gallagher
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40207
Kaye Gallagher is a Licensed Marriage and Family Therapist in Kentucky who has been practicing since 2016. Taking the first step toward your own healing or help can feel overwhelming, but with the right support it doesn't have to. Kaye strives to create a safe, welcoming, and person-centered environment for each of her clients. Kaye's goal is to walk with you on this journey, empowering you to feel confident in making positive changes. She specializes in the treatment of anxiety, trauma, mood disorders, life transitions, body image, and disordered eating.
Kaye Gallagher is a Licensed Marriage and Family Therapist in Kentucky who has been practicing since 2016. Taking the first step toward your own healing or help can feel overwhelming, but with the right support it doesn't have to. Kaye strives to create a safe, welcoming, and person-centered environment for each of her clients. Kaye's goal is to walk with you on this journey, empowering you to feel confident in making positive changes. She specializes in the treatment of anxiety, trauma, mood disorders, life transitions, body image, and disordered eating.
(502) 369-7928 View (502) 369-7928
Photo of Terrell Crossland, Clinical Social Work/Therapist in Louisville, KY
Terrell Crossland
Clinical Social Work/Therapist, MSSW, CSW
Verified Verified
2 Endorsed
Louisville, KY 40291
As a clinician, I serve all people regardless of race, ethnicity, religious/spiritual affiliation/beliefs, gender, and sexual orientation. As a black clinician, I strive to destroy the stigma of mental health, especially within the black/African American community.
As a clinician, I serve all people regardless of race, ethnicity, religious/spiritual affiliation/beliefs, gender, and sexual orientation. As a black clinician, I strive to destroy the stigma of mental health, especially within the black/African American community.
(502) 427-1018 View (502) 427-1018
Photo of Warren Lambert, Psychologist in Louisville, KY
Warren Lambert
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Louisville, KY 40207  (Online Only)
I work primarily with adolescents and adults. I believe people, at different points in their lives, may need support overcoming hurdles or may just be feeling "stuck." I enjoy working with clients who have concerns in many areas, including depression, relationships, identity, adjustment, anxiety and worry, stress and life management, or family concerns. I value my work as a psychologist and approach each client with respect for their own unique identity and the concerns they seek therapy for.
I work primarily with adolescents and adults. I believe people, at different points in their lives, may need support overcoming hurdles or may just be feeling "stuck." I enjoy working with clients who have concerns in many areas, including depression, relationships, identity, adjustment, anxiety and worry, stress and life management, or family concerns. I value my work as a psychologist and approach each client with respect for their own unique identity and the concerns they seek therapy for.
(502) 947-3837 View (502) 947-3837
Photo of Rachael Renshaw- Millennial Therapist, Counselor in Louisville, KY
Rachael Renshaw- Millennial Therapist
Counselor, BA, MEd, LPCC-S
Verified Verified
Louisville, KY 40207
What part of your life is the source of feelings of depression, anxiety, perfectionism, shame, or relational issues? It can be difficult to develop self awareness in which we can distinguish the root cause of poor quality of life. I specialize in Cognitive Behavioral Therapy which is geared towards aiding clients in developing a self awareness of unhealthy thinking habits and behaviors and teaching thought stopping, mindfulness techniques, and replacement thoughts. I also utilize Dialectical Behavioral and Brief Solution Focused strategies, which aid clients in the most time efficient manner possible.
What part of your life is the source of feelings of depression, anxiety, perfectionism, shame, or relational issues? It can be difficult to develop self awareness in which we can distinguish the root cause of poor quality of life. I specialize in Cognitive Behavioral Therapy which is geared towards aiding clients in developing a self awareness of unhealthy thinking habits and behaviors and teaching thought stopping, mindfulness techniques, and replacement thoughts. I also utilize Dialectical Behavioral and Brief Solution Focused strategies, which aid clients in the most time efficient manner possible.
(859) 353-6796 View (859) 353-6796
Photo of Tamika January, Counselor in Louisville, KY
Tamika January
Counselor, LPCA, NCC
Verified Verified
Louisville, KY 40243  (Online Only)
I am a Licensed Professional Counselor Associate with a passion for helping individuals and families heal from past experiences, develop healthy communication patterns, establish boundaries, and operate within a safe, loving dynamic. I am a certified trauma-informed care provider. I believe your ability to grow lies within you. I look forward to working with you. Contact me to begin your healing journey today. Immediate openings for new clients.
I am a Licensed Professional Counselor Associate with a passion for helping individuals and families heal from past experiences, develop healthy communication patterns, establish boundaries, and operate within a safe, loving dynamic. I am a certified trauma-informed care provider. I believe your ability to grow lies within you. I look forward to working with you. Contact me to begin your healing journey today. Immediate openings for new clients.
(502) 680-8892 View (502) 680-8892
Photo of Elaina Barnett, Art Therapist in Louisville, KY
Elaina Barnett
Art Therapist, BFA, MEd, LPATA
Verified Verified
Louisville, KY 40222
I have experience working with adolescents and adults from various cultural backgrounds, ages, sexualities, and gender expressions, with various goals, trauma histories, diagnoses, and physical health conditions. My professional interests include intergenerational healing, the impact of marginalization on health, LGBTQ identities and experiences, inner child work, and the use of expressive arts in healing.
I have experience working with adolescents and adults from various cultural backgrounds, ages, sexualities, and gender expressions, with various goals, trauma histories, diagnoses, and physical health conditions. My professional interests include intergenerational healing, the impact of marginalization on health, LGBTQ identities and experiences, inner child work, and the use of expressive arts in healing.
(502) 215-3985 View (502) 215-3985
Photo of Eileen O'Neill Estes, Art Therapist in Louisville, KY
Eileen O'Neill Estes
Art Therapist, PhD, LPAT-S, ATR-BC, GC-C
Verified Verified
Louisville, KY 40222
I am a licensed and board-certified art therapist and a certified grief counselor. I began my career in the field of mental health 30+ years ago. My journey began, and remains, in the area of psycho-oncology working with cancer patients and their family members. Over the years, I have branched grief and loss as it relates to major life changes, traumatic events, and living with mental health diagnoses. I frequently use art therapy as a tool to help clients gain a clearer picture of themselves, their strengths and the areas of themselves and their lives that they want to nurture and grow.
I am a licensed and board-certified art therapist and a certified grief counselor. I began my career in the field of mental health 30+ years ago. My journey began, and remains, in the area of psycho-oncology working with cancer patients and their family members. Over the years, I have branched grief and loss as it relates to major life changes, traumatic events, and living with mental health diagnoses. I frequently use art therapy as a tool to help clients gain a clearer picture of themselves, their strengths and the areas of themselves and their lives that they want to nurture and grow.
(502) 237-7486 View (502) 237-7486

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
69% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

73% In Person and Online
27% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Louisville?

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.