Photo of Emily Jankowski, LMSW, Clinical Social Work/Therapist
Emily Jankowski
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
I believe healing begins with warmth, trust, and consistent encouragement. Do you experience issues with hardships and trauma in the past, difficult romantic and family relationships, life's challenges, anxiety and depression? Do you want to live a happier and more fulfilling life, feel more self love and acceptance? I am here to help you improve your relationships, process and grow from trauma, better manage anxiety improve your overall mood and decrease daily interferences from your mental health.
I believe healing begins with warmth, trust, and consistent encouragement. Do you experience issues with hardships and trauma in the past, difficult romantic and family relationships, life's challenges, anxiety and depression? Do you want to live a happier and more fulfilling life, feel more self love and acceptance? I am here to help you improve your relationships, process and grow from trauma, better manage anxiety improve your overall mood and decrease daily interferences from your mental health.
(616) 222-0631 x726 View (616) 222-0631 x726
Photo of Christina McPike, LMSW, Clinical Social Work/Therapist
Christina McPike
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
Christina specializes in creating safe spaces for children, adolescents, teens, and families to explore their emotions and experiences in order to facilitate a harmonious family system. With over a decade of experience both locally and internationally in the fields of mental health, trauma recovery, and education, Christina utilizes an eclectic therapeutic approach that is uniquely tailored to meet the family’s needs. Christina believes that the relationship between the client and the therapist is the cornerstone of progress and she values those relationships deeply.
Christina specializes in creating safe spaces for children, adolescents, teens, and families to explore their emotions and experiences in order to facilitate a harmonious family system. With over a decade of experience both locally and internationally in the fields of mental health, trauma recovery, and education, Christina utilizes an eclectic therapeutic approach that is uniquely tailored to meet the family’s needs. Christina believes that the relationship between the client and the therapist is the cornerstone of progress and she values those relationships deeply.
(616) 947-3424 View (616) 947-3424
Photo of Sarah McNees, LPC, Licensed Professional Counselor
Sarah McNees
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Grand Rapids, MI 49504
Waitlist for new clients
In my practice, I recognize that as people we have many different emotions and experiences that drive us. Sometimes we do not understand what we are feeling, why we are feeling it, and why we are responding the way that we are. That is why I am passionate about helping my clients create a better understanding of themselves that creates a positive change to bring healing.
In my practice, I recognize that as people we have many different emotions and experiences that drive us. Sometimes we do not understand what we are feeling, why we are feeling it, and why we are responding the way that we are. That is why I am passionate about helping my clients create a better understanding of themselves that creates a positive change to bring healing.
(616) 303-5225 View (616) 303-5225
Photo of Renee Rose, MA, LPC, ATR, PMH-C, Licensed Professional Counselor
Renee Rose
Licensed Professional Counselor, MA, LPC, ATR, PMH-C
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
A few daytime openings are available! It's so hard on our bodies and minds to be pregnant, give birth or endure loss yet we're expected to carry on with our lives like usual. People that haven't experienced the physical complications and distressing symptoms can't relate. Talking about our "stuff" is uncomfortable because we often feel shame or guilt as we think we should be grateful or we're not feeling good enough. Pregnancy and postpartum is unlike any other journey; sharing our bodies with another human is hard, being a new mom is hard, loss/change is hard! Remember, you are not alone and with help you can be well.
A few daytime openings are available! It's so hard on our bodies and minds to be pregnant, give birth or endure loss yet we're expected to carry on with our lives like usual. People that haven't experienced the physical complications and distressing symptoms can't relate. Talking about our "stuff" is uncomfortable because we often feel shame or guilt as we think we should be grateful or we're not feeling good enough. Pregnancy and postpartum is unlike any other journey; sharing our bodies with another human is hard, being a new mom is hard, loss/change is hard! Remember, you are not alone and with help you can be well.
(616) 213-0899 View (616) 213-0899
Photo of Tracy Thompson, MA, LPC, Counselor
Tracy Thompson
Counselor, MA, LPC
Verified Verified
2 Endorsed
Grand Rapids, MI 49504
Tracy Thompson is the owner of the Family Therapy Place, and is a Licensed Professional Counselor. Tracy specializes in working with children and families who have discovered that life can be a tough journey. Tracy’s training and speciality is with children who have experienced developmental trauma, often due to neglect or abuse. Tracy has a strong belief and training in the experiences of attachment and works with families to rebuild and nurture attachments when they have been broken. Tracy also works with adult families that are working to manage and resolve conflict that has surfaced or created separation within the family.
Tracy Thompson is the owner of the Family Therapy Place, and is a Licensed Professional Counselor. Tracy specializes in working with children and families who have discovered that life can be a tough journey. Tracy’s training and speciality is with children who have experienced developmental trauma, often due to neglect or abuse. Tracy has a strong belief and training in the experiences of attachment and works with families to rebuild and nurture attachments when they have been broken. Tracy also works with adult families that are working to manage and resolve conflict that has surfaced or created separation within the family.
(616) 818-0933 View (616) 818-0933
Photo of Matt DeWit, LLC, Counselor
Matt DeWit
Counselor, LLC
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
I specialize in working with couples navigating the complexities of relationships involving narcissistic, addictive, or depressed male partners. My approach focuses on present incidents of turmoil and processing the associated pain. By fostering accountability and transparency in men, a framework is created that promotes a safer and stronger environment for both partners. These sessions are designed to enhance intimacy and connection, ultimately leading to more resilient and fulfilling relationships. I do not offer virtual sessions and do not accept insurance for couples counseling. I am honored to be invited on this journey.
I specialize in working with couples navigating the complexities of relationships involving narcissistic, addictive, or depressed male partners. My approach focuses on present incidents of turmoil and processing the associated pain. By fostering accountability and transparency in men, a framework is created that promotes a safer and stronger environment for both partners. These sessions are designed to enhance intimacy and connection, ultimately leading to more resilient and fulfilling relationships. I do not offer virtual sessions and do not accept insurance for couples counseling. I am honored to be invited on this journey.
(616) 207-1701 View (616) 207-1701
Photo of Brianna Taylor, MA, LPC, Licensed Professional Counselor
Brianna Taylor
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49504  (Online Only)
Virtual Telehealth only. Everyone's journey in life is different, although one person may have experienced the same situation as another, that experience is unique to every person that encounters it. There are often many challenges in life, some of which were things just handed to you, as if there wasn't enough on your plate already. The everyday tasks that encompass a life can become overwhelming, and draining; in therapy there is the opportunity to navigate the challenges and obstacles that life may face you with. My goal is to assist in your navigation of the life journey, during whatever your personal experiences may bring.
Virtual Telehealth only. Everyone's journey in life is different, although one person may have experienced the same situation as another, that experience is unique to every person that encounters it. There are often many challenges in life, some of which were things just handed to you, as if there wasn't enough on your plate already. The everyday tasks that encompass a life can become overwhelming, and draining; in therapy there is the opportunity to navigate the challenges and obstacles that life may face you with. My goal is to assist in your navigation of the life journey, during whatever your personal experiences may bring.
(616) 523-3442 View (616) 523-3442
Photo of Sarah Rodriguez, MA, LPC, CAADC, Counselor
Sarah Rodriguez
Counselor, MA, LPC, CAADC
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
Waitlist for new clients
I believe therapy is most effective when there is an authentic connection within a non-judgmental environment. Through a collaborative understanding, my hope is to provide a safe space for clients to grow and enhance heir overall well-being while creating an individualized therapeutic experience. To provide this kind of therapy, I adopt a holistic approach and rely on empathy as a guiding principle. I incorporate elements of mindfulness, Acceptance and Commitment Therapy, Narrative therapy, and Internal Family Systems Therapy.
I believe therapy is most effective when there is an authentic connection within a non-judgmental environment. Through a collaborative understanding, my hope is to provide a safe space for clients to grow and enhance heir overall well-being while creating an individualized therapeutic experience. To provide this kind of therapy, I adopt a holistic approach and rely on empathy as a guiding principle. I incorporate elements of mindfulness, Acceptance and Commitment Therapy, Narrative therapy, and Internal Family Systems Therapy.
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Photo of Courtney A Pyle, LMSW-C, Clinical Social Work/Therapist
Courtney A Pyle
Clinical Social Work/Therapist, LMSW-C
Verified Verified
1 Endorsed
Grand Rapids, MI 49504  (Online Only)
Are you approaching a big life change or transition, but can't seem to stop the constant critical thoughts, questioning and doubting yourself? Maybe you're feeling anxious and wondering if old experiences are part of what's holding you back now. Perhaps you want more out of life, but just don't know where to start, or know what you actually want. My approach is person-centered, which means we will work together to achieve personal growth and self-acceptance. I believe the therapeutic relationship is crucial, as it provides a safe space to explore thoughts, feelings, and experiences without fear or judgment.
Are you approaching a big life change or transition, but can't seem to stop the constant critical thoughts, questioning and doubting yourself? Maybe you're feeling anxious and wondering if old experiences are part of what's holding you back now. Perhaps you want more out of life, but just don't know where to start, or know what you actually want. My approach is person-centered, which means we will work together to achieve personal growth and self-acceptance. I believe the therapeutic relationship is crucial, as it provides a safe space to explore thoughts, feelings, and experiences without fear or judgment.
(616) 404-3178 View (616) 404-3178
Photo of Cheryll (Cheri) E Fox, LMSW, Clinical Social Work/Therapist
Cheryll (Cheri) E Fox
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
You are not your problems. You are not your pain. You are so much more than that! We don't have to solve or fix you. Instead, let's listen together to to your life and the feelings arising within you. Let's uncover your unique strengths to face whatever challenges arise. Let's provide a place to commit to the things that are important to you. It's in this space where the invitation for a changed reality and transformed future can blossom and grow.
You are not your problems. You are not your pain. You are so much more than that! We don't have to solve or fix you. Instead, let's listen together to to your life and the feelings arising within you. Let's uncover your unique strengths to face whatever challenges arise. Let's provide a place to commit to the things that are important to you. It's in this space where the invitation for a changed reality and transformed future can blossom and grow.
(616) 201-0754 View (616) 201-0754
Photo of Cheyanna S Green-Molett, MA , LLC, Counselor
Cheyanna S Green-Molett
Counselor, MA , LLC
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
I am passionate about working with children, adolescents, and young adults. I am committed to supporting individuals as they navigate difficulties with mood, anxiety, stress, trauma, self-esteem, relationship/peer conflict, anger, behavioral issues, life transitions/life skills, gender/sexual/racial identity, self-harm and suicidal ideation. I am motivated to work alongside clients as they grapple with the intersections of their racial, gender, sexual, and spiritual identities. I am invested in clients who are willing to be uncomfortable as side effect of their lifetime journey of healing and personal growth.
I am passionate about working with children, adolescents, and young adults. I am committed to supporting individuals as they navigate difficulties with mood, anxiety, stress, trauma, self-esteem, relationship/peer conflict, anger, behavioral issues, life transitions/life skills, gender/sexual/racial identity, self-harm and suicidal ideation. I am motivated to work alongside clients as they grapple with the intersections of their racial, gender, sexual, and spiritual identities. I am invested in clients who are willing to be uncomfortable as side effect of their lifetime journey of healing and personal growth.
(616) 737-0669 View (616) 737-0669
Photo of Grant Buhr, LMSW, LICSW , Clinical Social Work/Therapist
Grant Buhr
Clinical Social Work/Therapist, LMSW, LICSW
Verified Verified
Grand Rapids, MI 49504  (Online Only)
I am here to support individuals from all walks of life, including diverse backgrounds, gender identities, and sexual orientations. My focus is particularly on trauma, men, and male-identified adults navigating with issues related to masculinity. Trauma affects our sense of safety, self, and our ability to manage emotions and relationships. It can come from painful experiences or from the absence of essential positive experiences, like warmth and acceptance. To cope with trauma, we might disconnect from parts of ourselves and adapt in ways that help us survive, but this can also create a sense of distance from who we truly are.
I am here to support individuals from all walks of life, including diverse backgrounds, gender identities, and sexual orientations. My focus is particularly on trauma, men, and male-identified adults navigating with issues related to masculinity. Trauma affects our sense of safety, self, and our ability to manage emotions and relationships. It can come from painful experiences or from the absence of essential positive experiences, like warmth and acceptance. To cope with trauma, we might disconnect from parts of ourselves and adapt in ways that help us survive, but this can also create a sense of distance from who we truly are.
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Photo of Julia J Krump, LMSW-C, Clinical Social Work/Therapist
Julia J Krump
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Grand Rapids, MI 49504  (Online Only)
Not accepting new clients
Not Currently Accepting New Clients. I help people recover from people-pleasing, perfectionism, and other ways of coping with that uneasy feeling of insecurity in relationships. I know how it feels – I’ve been there too. I know how it feels to feel like you’re holding up the sky and that you must earn your place in someone’s life. And I know how it feels to learn how to let go and say, “no more” and go about creating the life you want, not the one you feel like you have to do.
Not Currently Accepting New Clients. I help people recover from people-pleasing, perfectionism, and other ways of coping with that uneasy feeling of insecurity in relationships. I know how it feels – I’ve been there too. I know how it feels to feel like you’re holding up the sky and that you must earn your place in someone’s life. And I know how it feels to learn how to let go and say, “no more” and go about creating the life you want, not the one you feel like you have to do.
(616) 585-0934 View (616) 585-0934
Photo of Andrea Dieleman, LMSW, LICSW, Clinical Social Work/Therapist
Andrea Dieleman
Clinical Social Work/Therapist, LMSW, LICSW
Verified Verified
Grand Rapids, MI 49504  (Online Only)
I work with clients from all backgrounds, religions, gender identity, and sexual orientation. I believe that as we move through life we encounter moments that cause us to adapt; whether from trauma, unmet expectations, humiliation, lack of nurturing, societal pressure, or our role within our family. We cultivate these adaptations and carry them with us, applying them to new parts of life where they may no longer be needed. If we learn to meet ourselves with compassion, gratitude, and curiosity, getting to know the parts of us that work so diligently to protect us, we can begin to uncover and heal the deeper wounds that they shield.
I work with clients from all backgrounds, religions, gender identity, and sexual orientation. I believe that as we move through life we encounter moments that cause us to adapt; whether from trauma, unmet expectations, humiliation, lack of nurturing, societal pressure, or our role within our family. We cultivate these adaptations and carry them with us, applying them to new parts of life where they may no longer be needed. If we learn to meet ourselves with compassion, gratitude, and curiosity, getting to know the parts of us that work so diligently to protect us, we can begin to uncover and heal the deeper wounds that they shield.
(616) 522-4017 View (616) 522-4017
Photo of Ashley Jo Shackelton, LMSW, Clinical Social Work/Therapist
Ashley Jo Shackelton
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Grand Rapids, MI 49504
Experiencing trauma of any kind can leave us feeling overwhelmed and stuck. It can stop us in our tracks and upend life as we know it. Although it can seem impossible, healing from trauma is possible. My hope is to help others go from surviving to thriving despite life’s challenges. Facing trauma can be lonely and confusing, but you don't have to sort through it on your own. Trauma is complicated and one can experience a range of emotions such as: anger, grief, fear, sadness, anxiety and guilt. I would love to help you work through these feelings and move towards healing and peace.
Experiencing trauma of any kind can leave us feeling overwhelmed and stuck. It can stop us in our tracks and upend life as we know it. Although it can seem impossible, healing from trauma is possible. My hope is to help others go from surviving to thriving despite life’s challenges. Facing trauma can be lonely and confusing, but you don't have to sort through it on your own. Trauma is complicated and one can experience a range of emotions such as: anger, grief, fear, sadness, anxiety and guilt. I would love to help you work through these feelings and move towards healing and peace.
(616) 319-4349 x9 View (616) 319-4349 x9
Photo of Erin DeSmet, LMSW, Clinical Social Work/Therapist
Erin DeSmet
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
Not accepting new clients
“The past affects the present even without our being aware of it.” - Francine Shapiro
“The past affects the present even without our being aware of it.” - Francine Shapiro
(616) 207-1183 View (616) 207-1183
Photo of Scott Mcknight - 3rdchair - Counseling Center for Young Adults, Clinical Social Work/Therapist
3rdchair - Counseling Center for Young Adults
Clinical Social Work/Therapist
Verified Verified
Grand Rapids, MI 49504
3rdchair believed a supportive community for young adults needed to exist. So, we looked around, and we did not see a unique place crafted to meet the needs our young adults are facing in today’s complex environment. Through that research and identifying their needs, we decided that this would be the place to champion young adults here in Michigan. We are a collective bunch of 25 counselors who specialize in counseling high school, college students, and 20-somethings. 3rdchair is a 501c3 nonprofit that ensures all young adults have access to counseling to get the help they need, regardless of their financial capacity.
3rdchair believed a supportive community for young adults needed to exist. So, we looked around, and we did not see a unique place crafted to meet the needs our young adults are facing in today’s complex environment. Through that research and identifying their needs, we decided that this would be the place to champion young adults here in Michigan. We are a collective bunch of 25 counselors who specialize in counseling high school, college students, and 20-somethings. 3rdchair is a 501c3 nonprofit that ensures all young adults have access to counseling to get the help they need, regardless of their financial capacity.
(616) 365-5644 View (616) 365-5644
Photo of Eric Fullen, LMSW, Clinical Social Work/Therapist
Eric Fullen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Grand Rapids, MI 49504
Are you feeling stuck in your personal life, work life, or relationships? Do you tend to blame yourself when things go awry? You’re not alone. We've all been there, and I know firsthand how difficult it can be to reach out for help, but that is your first step toward healing. I believe you have what it takes to heal and grow, but I also know that sometimes that feels impossible. That's where I come in. My focus is creating space for all of you, including the parts of you that keep you going and even the parts that you are ashamed of, scared of, and maybe even hate?
Are you feeling stuck in your personal life, work life, or relationships? Do you tend to blame yourself when things go awry? You’re not alone. We've all been there, and I know firsthand how difficult it can be to reach out for help, but that is your first step toward healing. I believe you have what it takes to heal and grow, but I also know that sometimes that feels impossible. That's where I come in. My focus is creating space for all of you, including the parts of you that keep you going and even the parts that you are ashamed of, scared of, and maybe even hate?
(616) 727-7923 View (616) 727-7923
Photo of Brendan Kelly - The Well Being, Behavioral Health & Fitness Ctr, LMSW, Clinical Social Work/Therapist
The Well Being, Behavioral Health & Fitness Ctr
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
Not interested in taking medications? At The Well Being, we provide our clients with skilled and experienced therapists, and an opportunity to begin using cardiovascular exercise as an effective mental health "medication" . At The Well Being, we offer traditional outpatient counseling services, while also providing the means for exercise to become a key component of your treatment. This is an alternative evidence-based approach for those who aren't interested in taking medications, or a more comprehensive alternative for those who are.
Not interested in taking medications? At The Well Being, we provide our clients with skilled and experienced therapists, and an opportunity to begin using cardiovascular exercise as an effective mental health "medication" . At The Well Being, we offer traditional outpatient counseling services, while also providing the means for exercise to become a key component of your treatment. This is an alternative evidence-based approach for those who aren't interested in taking medications, or a more comprehensive alternative for those who are.
(616) 710-3953 View (616) 710-3953
Angela Chesser
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
Life these days comes with external stressors that impact your quality of life; I believe in helping an individual increase their own self-worth to improve health, comfort and peace.
Life these days comes with external stressors that impact your quality of life; I believe in helping an individual increase their own self-worth to improve health, comfort and peace.
(616) 612-2330 x735 View (616) 612-2330 x735
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See more therapy options for 49504

How does your Therapist compare?

Number of Therapists in 49504

100+

Average cost per session

$150

Therapists in 49504 who prioritize treating:

94% Depression
94% Anxiety
83% Self Esteem
78% Relationship Issues
75% Trauma and PTSD
71% Coping Skills
68% Grief

Average years in practice

9 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
71% Priority Health
64% Blue Care Network

How Therapists in 49504 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 49504?

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.