Photo of Jess Downing, LPC, MA, Licensed Professional Counselor
Jess Downing
Licensed Professional Counselor, LPC, MA
Verified Verified
2 Endorsed
Simpsonville, SC 29681
If you've been through a traumatic event, you may find it difficult to go about your usual, everyday life. You may be experiencing anxiety, depression, relationship problems, self-esteem issues, or all of the above. As a therapist, I strive to create a welcoming and safe space for my clients to process these experiences and work toward improving their overall well-being. I believe my clients' goals can best be met when we work together as a team in therapy, and I consider it an honor to work with children, adolescents, and adults through their individual journeys.
If you've been through a traumatic event, you may find it difficult to go about your usual, everyday life. You may be experiencing anxiety, depression, relationship problems, self-esteem issues, or all of the above. As a therapist, I strive to create a welcoming and safe space for my clients to process these experiences and work toward improving their overall well-being. I believe my clients' goals can best be met when we work together as a team in therapy, and I consider it an honor to work with children, adolescents, and adults through their individual journeys.
(864) 523-0974 View (864) 523-0974
Photo of Alexis Greene, LPC, MS, Licensed Professional Counselor
Alexis Greene
Licensed Professional Counselor, LPC, MS
Verified Verified
Simpsonville, SC 29681  (Online Only)
Hello my name is Alexis, and I am happy that you are ready to embark on a journey that leads to a happy, healthier you! Counseling can help you reach your full potential, whether that's having less anxiety, getting more enjoyment out of your everyday activities, or coping with depression. I can help you with your unique needs every step of the way, in a confidential setting. I work with teens through adults, couples and also love working with families as a moving piece to any issue. Through my continued education and expertise, we can work on alleviating symptoms of anxiety, depression, family relations, and other issues.
Hello my name is Alexis, and I am happy that you are ready to embark on a journey that leads to a happy, healthier you! Counseling can help you reach your full potential, whether that's having less anxiety, getting more enjoyment out of your everyday activities, or coping with depression. I can help you with your unique needs every step of the way, in a confidential setting. I work with teens through adults, couples and also love working with families as a moving piece to any issue. Through my continued education and expertise, we can work on alleviating symptoms of anxiety, depression, family relations, and other issues.
(864) 343-8752 View (864) 343-8752
Photo of LaSurma Pippins, LISW-CP, Clinical Social Work/Therapist
LaSurma Pippins
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Simpsonville, SC 29681
In addition to therapy, I believe it is important to assess for the physical and mental well-being, safety, living situation, support systems, financial situations and overall individual needs. I respect that each person life experience and story is unique. I strive to ensure that therapy is in safe and non-judgmental environment as you work through your challenges. My goal is to empower, encourage, support, and assist with the development of self-awareness and coping skills that will that help you face challenges independently.
In addition to therapy, I believe it is important to assess for the physical and mental well-being, safety, living situation, support systems, financial situations and overall individual needs. I respect that each person life experience and story is unique. I strive to ensure that therapy is in safe and non-judgmental environment as you work through your challenges. My goal is to empower, encourage, support, and assist with the development of self-awareness and coping skills that will that help you face challenges independently.
(864) 734-4578 View (864) 734-4578
Photo of Dr. Alexis Sanders - Bask Psychological Services, LLC, PhD, Psychologist
Bask Psychological Services, LLC
Psychologist, PhD
Verified Verified
Simpsonville, SC 29681
Whether psychological assessment or psychotherapy, I truly enjoy and embrace diversity in my practice, with regard to clients and their clinical needs. In addition to psychotherapy services, I perform a myriad of psychological assessments including neurocognitive, psychoeducational, diagnostic clarification, parental fitness, disability assessments, etc. My work with the family court includes co-parenting sessions, reunification counseling, and individual psychotherapy as needed, in addition to expert testimony and other court services as needed.
Whether psychological assessment or psychotherapy, I truly enjoy and embrace diversity in my practice, with regard to clients and their clinical needs. In addition to psychotherapy services, I perform a myriad of psychological assessments including neurocognitive, psychoeducational, diagnostic clarification, parental fitness, disability assessments, etc. My work with the family court includes co-parenting sessions, reunification counseling, and individual psychotherapy as needed, in addition to expert testimony and other court services as needed.
(864) 714-8842 View (864) 714-8842
Photo of Richard Mataafa, LPC-A, LPC Intern
Richard Mataafa
LPC Intern, LPC-A
Verified Verified
Simpsonville, SC 29681
Not accepting new clients
Have you experienced moments of joy, wholeness, and deep connection in your life? If you've found your way to this page, chances are you're not currently residing in those emotional, mental, and spiritual spaces. Instead, you sense a profound longing within your mind, body and spirit to return to those places of fullness and flourishing,
Have you experienced moments of joy, wholeness, and deep connection in your life? If you've found your way to this page, chances are you're not currently residing in those emotional, mental, and spiritual spaces. Instead, you sense a profound longing within your mind, body and spirit to return to those places of fullness and flourishing,
Photo of Madison Dickert, LPCA, Pre-Licensed Professional
Madison Dickert
Pre-Licensed Professional, LPCA
Verified Verified
Simpsonville, SC 29681
My name is Maddie and I am passionate about helping people work through barriers they feel are holding them back in life. Through a person centered approach I aim to provide support to those who are struggling with feelings of anxiety, grief, or depression, have ADHD, are navigating life transitions, have experienced a trauma, and exploring self-esteem and identity issues. I often encourage creativity in therapy as a way to promote growth, processing, and healing.
My name is Maddie and I am passionate about helping people work through barriers they feel are holding them back in life. Through a person centered approach I aim to provide support to those who are struggling with feelings of anxiety, grief, or depression, have ADHD, are navigating life transitions, have experienced a trauma, and exploring self-esteem and identity issues. I often encourage creativity in therapy as a way to promote growth, processing, and healing.
(864) 778-5154 View (864) 778-5154
Photo of Brenda Keller Lipe, MEd, LPCS, Licensed Professional Counselor
Brenda Keller Lipe
Licensed Professional Counselor, MEd, LPCS
Verified Verified
3 Endorsed
Simpsonville, SC 29681
Saying that the last year has been difficult would be an understatement. So much has changed in all spheres of our lives and we wonder if things will ever be back to normal. Add in other typical life challenges and we feel overwhelmed, worried, exhausted and drained. Of particular concern are our children who aren't typically equipped yet with coping skills to manage times like these. The increase in depression and anxiety children are feeling is significant. Because many of them don't know how to verbalize these feelings, they have meltdowns or act out more than normal. You, as the parent, are at your wits end. Sound familiar?
Saying that the last year has been difficult would be an understatement. So much has changed in all spheres of our lives and we wonder if things will ever be back to normal. Add in other typical life challenges and we feel overwhelmed, worried, exhausted and drained. Of particular concern are our children who aren't typically equipped yet with coping skills to manage times like these. The increase in depression and anxiety children are feeling is significant. Because many of them don't know how to verbalize these feelings, they have meltdowns or act out more than normal. You, as the parent, are at your wits end. Sound familiar?
(864) 252-1168 View (864) 252-1168
Photo of Heidi Rinehart, MEd , LPC, LPCS, LAC, Licensed Professional Counselor
Heidi Rinehart
Licensed Professional Counselor, MEd , LPC, LPCS, LAC
Verified Verified
8 Endorsed
Simpsonville, SC 29681
Are you overwhelmed by how stressful your life has become? Do you feel stuck and unhappy, but aren't sure why? Are you dealing with hard relationships, work stress or major life transitions? Do experiences from the past feel like they follow you around and haunt you? The reasons someone chooses to come to therapy may vary, but the most important part is the decision to try. Therapy is one of the most powerful tools in making positive life changes. Therapy can help you learn to move past the experiences that weigh you down so that you can live a more meaningful and fulfilling life.
Are you overwhelmed by how stressful your life has become? Do you feel stuck and unhappy, but aren't sure why? Are you dealing with hard relationships, work stress or major life transitions? Do experiences from the past feel like they follow you around and haunt you? The reasons someone chooses to come to therapy may vary, but the most important part is the decision to try. Therapy is one of the most powerful tools in making positive life changes. Therapy can help you learn to move past the experiences that weigh you down so that you can live a more meaningful and fulfilling life.
(864) 302-3121 View (864) 302-3121
Photo of Stephanie Hertzog, LPC-A, MEd/EdS
Stephanie Hertzog
LPC Associate, LPC-A, MEd/EdS
Verified Verified
Simpsonville, SC 29681
You are here because you realize life as it is isn’t working for you. Perhaps you feel overwhelmed, exhausted, unsettled, or stuck. Perhaps you struggle to find joy in the present moment. Perhaps you are facing challenges with the relationship you have with yourself or with others.
You are here because you realize life as it is isn’t working for you. Perhaps you feel overwhelmed, exhausted, unsettled, or stuck. Perhaps you struggle to find joy in the present moment. Perhaps you are facing challenges with the relationship you have with yourself or with others.
(864) 702-2738 View (864) 702-2738
Photo of Asha N Griffin, MA, LPC, NCC,  BC-TMH, Licensed Professional Counselor
Asha N Griffin
Licensed Professional Counselor, MA, LPC, NCC, BC-TMH
Verified Verified
Simpsonville, SC 29681  (Online Only)
Do you feel like your “life is a mess” or “out of control”? Do you feel a lack of self-esteem, self-identity, or self-confidence in your abilities? Do you feel your emotional issues get in the way of you having clarity and a more fulfilled life? Do you have a difficult time managing certain aspects of day to day living in areas including work, home life, relationships, mental health, physical health, social life, personal ambitions, and spiritual well-being? Do you feel as if you want to bring balance to your life but you don’t know where to start?
Do you feel like your “life is a mess” or “out of control”? Do you feel a lack of self-esteem, self-identity, or self-confidence in your abilities? Do you feel your emotional issues get in the way of you having clarity and a more fulfilled life? Do you have a difficult time managing certain aspects of day to day living in areas including work, home life, relationships, mental health, physical health, social life, personal ambitions, and spiritual well-being? Do you feel as if you want to bring balance to your life but you don’t know where to start?
(864) 375-6041 View (864) 375-6041
Photo of Leighann Mullinnix, MA, LPCA
Leighann Mullinnix
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
2 Endorsed
Simpsonville, SC 29681
I love working with people of any & all identities, cultures, beliefs, & experiences. Whether you’re struggling with peer relationships, college/career decisions, trauma, anxiety, sexuality, ADHD—all concerns are welcome in my office. If you haven’t been to counseling or previously had a poor experience, I could be a great fit as I have been in your shoes! Likewise if you feel I am not the best fit after we meet, please let me know so I can assist you with referrals. I want you to find the space that best fits you, even if it’s not mine.
I love working with people of any & all identities, cultures, beliefs, & experiences. Whether you’re struggling with peer relationships, college/career decisions, trauma, anxiety, sexuality, ADHD—all concerns are welcome in my office. If you haven’t been to counseling or previously had a poor experience, I could be a great fit as I have been in your shoes! Likewise if you feel I am not the best fit after we meet, please let me know so I can assist you with referrals. I want you to find the space that best fits you, even if it’s not mine.
(864) 387-8291 View (864) 387-8291
Photo of Sarah L. Eddleman, MMFT, LMFT, Marriage & Family Therapist
Sarah L. Eddleman
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
1 Endorsed
Simpsonville, SC 29681  (Online Only)
Not accepting new clients
So you feel like life is too much and that the expectations for you are too high. You feel like you aren't good enough to make it through the current situations in your life, or at least not with your desired outcomes. You struggle with an inner dialogue, like a bad music track stuck on repeat. The thoughts tell you that you aren't going to meet your expectations. That you're not good enough so what is the point in trying. You feel at times like no one will understand what you're going through and you're hit with this uncontrollable rage.
So you feel like life is too much and that the expectations for you are too high. You feel like you aren't good enough to make it through the current situations in your life, or at least not with your desired outcomes. You struggle with an inner dialogue, like a bad music track stuck on repeat. The thoughts tell you that you aren't going to meet your expectations. That you're not good enough so what is the point in trying. You feel at times like no one will understand what you're going through and you're hit with this uncontrollable rage.
View
Photo of Heather Windham, LISW-CP, Clinical Social Work/Therapist
Heather Windham
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Simpsonville, SC 29681  (Online Only)
Immediate openings for telehealth! Are you feeling "stuck" in a personal or professional situation where you don't see a clear resolution? Perhaps past trauma or neglect is impacting your ability to de-stress and get your needs met in an effective way. With over 20 years of clinical experience, I am honored to walk this path with you and put the 'pieces of the puzzle' back together in a way that empowers you to speak your truth while living a life you love! I will support you in being more mindful when facing daily stressors and help you develop coping skills that move life forward in a positive direction.
Immediate openings for telehealth! Are you feeling "stuck" in a personal or professional situation where you don't see a clear resolution? Perhaps past trauma or neglect is impacting your ability to de-stress and get your needs met in an effective way. With over 20 years of clinical experience, I am honored to walk this path with you and put the 'pieces of the puzzle' back together in a way that empowers you to speak your truth while living a life you love! I will support you in being more mindful when facing daily stressors and help you develop coping skills that move life forward in a positive direction.
(864) 971-3724 View (864) 971-3724
Photo of Michael Catalana, PhD, LPCS, LPC, Licensed Professional Counselor
Michael Catalana
Licensed Professional Counselor, PhD, LPCS, LPC
Verified Verified
Simpsonville, SC 29681
Greetings! I look forward to becoming a part of your support network. My name is Michael and I am a Licensed Professional Counselor Supervisor (LPC-S) and Licensed Professional Counselor (LPC) in the state of South Carolina and Tennessee. My general approach to counseling is systemic, and overall focus is building empowerment in sync with your unique support system. I strive to be genuine during therapy and enjoy listening to, and learning from, the individuals I support. I also provide clinical supervision for Licensed Professional Counseling Associate (LPC-A) and am currently enrolling participants. Email me for details.
Greetings! I look forward to becoming a part of your support network. My name is Michael and I am a Licensed Professional Counselor Supervisor (LPC-S) and Licensed Professional Counselor (LPC) in the state of South Carolina and Tennessee. My general approach to counseling is systemic, and overall focus is building empowerment in sync with your unique support system. I strive to be genuine during therapy and enjoy listening to, and learning from, the individuals I support. I also provide clinical supervision for Licensed Professional Counseling Associate (LPC-A) and am currently enrolling participants. Email me for details.
(864) 400-0893 View (864) 400-0893
Meg McGarity
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
1 Endorsed
Simpsonville, SC 29681
My name is Meg and I am a recent graduate from Montreat College. My background is mainly in adolescents. Although I am open to all populations, I especially enjoy working with children, adolescents, and teens. I try to make therapy fun so it is something that can be looked forward to, particularly for younger clients. I strive to make clients feel seen and heard no matter the circumstances. It takes courage to reach out and ask for help, I am proud of you for taking the first step. Together, we will create a space where you feel heard, understood, and empowered.
My name is Meg and I am a recent graduate from Montreat College. My background is mainly in adolescents. Although I am open to all populations, I especially enjoy working with children, adolescents, and teens. I try to make therapy fun so it is something that can be looked forward to, particularly for younger clients. I strive to make clients feel seen and heard no matter the circumstances. It takes courage to reach out and ask for help, I am proud of you for taking the first step. Together, we will create a space where you feel heard, understood, and empowered.
(864) 581-3854 View (864) 581-3854
Photo of Shelly L Atkinson, LPC/S-C, LAC-A, AADC, CS-IP, Counselor
Shelly L Atkinson
Counselor, LPC/S-C, LAC-A, AADC, CS-IP
Verified Verified
1 Endorsed
Simpsonville, SC 29681
Hi! I am Shelly! I am so excited to be here and to have the opportunity to serve you! I am a practicing LPC in the Upstate of SC. I find absolute pleasure in working with clients who are in need of someone coming alongside them for guidance with concerns ranging from anxiety and depression to substance use issues and much more. Some potential clients like yourself may just need a listening ear, life coaching or guidance with developing healthy, appropriate skills to navigate life and managing the range of emotions that come along with that. Call or email me to discuss your particular needs. Telehealth services are available.
Hi! I am Shelly! I am so excited to be here and to have the opportunity to serve you! I am a practicing LPC in the Upstate of SC. I find absolute pleasure in working with clients who are in need of someone coming alongside them for guidance with concerns ranging from anxiety and depression to substance use issues and much more. Some potential clients like yourself may just need a listening ear, life coaching or guidance with developing healthy, appropriate skills to navigate life and managing the range of emotions that come along with that. Call or email me to discuss your particular needs. Telehealth services are available.
(864) 778-3033 View (864) 778-3033
Photo of Summer Caffera Meidana, LMSW, Clinical Social Work/Therapist
Summer Caffera Meidana
Clinical Social Work/Therapist, LMSW
Verified Verified
Simpsonville, SC 29681
Are You Ready to Transform Your Life? Feeling burnt out, overwhelmed, and unsure of your next steps? It's time to take control of your well-being and start living the life you truly desire. Discover a Path to Renewal and Empowerment. At Ashwood Counseling, we specialize in guiding individuals like you through challenging times, empowering you to make real changes and create a life that aligns with your vision.
Are You Ready to Transform Your Life? Feeling burnt out, overwhelmed, and unsure of your next steps? It's time to take control of your well-being and start living the life you truly desire. Discover a Path to Renewal and Empowerment. At Ashwood Counseling, we specialize in guiding individuals like you through challenging times, empowering you to make real changes and create a life that aligns with your vision.
(864) 664-2498 View (864) 664-2498
Photo of Bethany Pankratz, LPC, NCC, Counselor
Bethany Pankratz
Counselor, LPC, NCC
Verified Verified
Simpsonville, SC 29681  (Online Only)
NOTE: (I work exclusively with adult females). Trauma is part of life. The lasting pain of sexual or physical abuse is obvious, but the subtlety of an emotionally neglectful or spiritually abusive upbringing often has similar outcomes of self-blaming and deep shame. It's by no mistake that my practice is called Likewise; I've struggled through the healing process, and I still get stuck. But I do the work because I value my option to thrive, and am keenly aware that my decision to do so affects those connected to me. Whether you're seeking help for others' sake or your own (or both) I'd be honored to come alongside and support you.
NOTE: (I work exclusively with adult females). Trauma is part of life. The lasting pain of sexual or physical abuse is obvious, but the subtlety of an emotionally neglectful or spiritually abusive upbringing often has similar outcomes of self-blaming and deep shame. It's by no mistake that my practice is called Likewise; I've struggled through the healing process, and I still get stuck. But I do the work because I value my option to thrive, and am keenly aware that my decision to do so affects those connected to me. Whether you're seeking help for others' sake or your own (or both) I'd be honored to come alongside and support you.
(920) 354-8496 View (920) 354-8496
Photo of Mindy C Bromm, MS, MSEd, NCC, LPC, Licensed Professional Counselor
Mindy C Bromm
Licensed Professional Counselor, MS, MSEd, NCC, LPC
Verified Verified
1 Endorsed
Simpsonville, SC 29681
Are you or your child constantly angry at the way things are going? Your relationships with family and friends are suffering. There are times you feel your child is out of control or needs something you cannot give them. You find yourself feeling overwhelmed trying to be the parent you know you want to be. Or maybe you are going through something else entirely. No matter what it is, I will come alongside you and your family to bring guidance and support. Although it may seem like it, there is no problem too big to work through.
Are you or your child constantly angry at the way things are going? Your relationships with family and friends are suffering. There are times you feel your child is out of control or needs something you cannot give them. You find yourself feeling overwhelmed trying to be the parent you know you want to be. Or maybe you are going through something else entirely. No matter what it is, I will come alongside you and your family to bring guidance and support. Although it may seem like it, there is no problem too big to work through.
(864) 920-1088 View (864) 920-1088
Photo of Sarah Cotterman, EdS, LPC-A
Sarah Cotterman
Licensed Professional Counselor Associate, EdS, LPC-A
Verified Verified
Simpsonville, SC 29681
As a child counselor, I create a space and build a relationship with your child that allows them to feel safe, organize experiences, and build skills to help your child thrive. I believe that every child has the ability to heal, solve problems, and develop a positive self-concept. I also believe that parents/caregivers are the most important part of the counseling process as they are the most important relationship in the child's life. I collaborate with parents/caregivers to create strategies to better connect with and support their child.
As a child counselor, I create a space and build a relationship with your child that allows them to feel safe, organize experiences, and build skills to help your child thrive. I believe that every child has the ability to heal, solve problems, and develop a positive self-concept. I also believe that parents/caregivers are the most important part of the counseling process as they are the most important relationship in the child's life. I collaborate with parents/caregivers to create strategies to better connect with and support their child.
(864) 259-2500 View (864) 259-2500
1

How does your Therapist compare?

Number of Therapists in 29681

100+

Average cost per session

$125

Therapists in 29681 who prioritize treating:

95% Anxiety
86% Depression
80% Coping Skills
80% Self Esteem
77% Stress
70% Relationship Issues
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
70% Aetna
69% Cigna and Evernorth

How Therapists in 29681 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 29681?

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.

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