Therapists in 10111

Photo of Pamela Garber, Counselor, LMHC
Pamela Garber
Counselor, LMHC
New York, NY 10111
I strongly believe that people are not defined by a diagnosis or demographic. The actual special process of therapy is not solely determined by your diagnosis, demographic category, or immediate circumstances in a paint-by-numbers-approach. The therapist and client have a shared purpose of participating in a structured conversation that will clarify core beliefs, identify unresolved conflicts, and establish realistic options, goals -short term and long. My style is supportive and direct with the goal in mind of working with you for the shared target of you facing life feeling better prepared, happy, secure.
I strongly believe that people are not defined by a diagnosis or demographic. The actual special process of therapy is not solely determined by your diagnosis, demographic category, or immediate circumstances in a paint-by-numbers-approach. The therapist and client have a shared purpose of participating in a structured conversation that will clarify core beliefs, identify unresolved conflicts, and establish realistic options, goals -short term and long. My style is supportive and direct with the goal in mind of working with you for the shared target of you facing life feeling better prepared, happy, secure.
(646) 745-6709 View (646) 745-6709
Photo of Susan Suzy Eppling - CBIT Therapy - Tics, Tourette, Trich, Skin BFRB, Occupational Therapist, OT, MS, OTR
CBIT Therapy - Tics, Tourette, Trich, Skin BFRB
Occupational Therapist, OT, MS, OTR
New York, NY 10111
My name is Susan (Suzy) Eppling, and I am the clinical director of CBIT Therapy and Online OTs. I specialize in repetitive and unwanted behaviors. My patients have Tourette's, Coprolalia, Vocal Tics, and Motor Tics. I also support patients with tic-like behaviors related to Functional Neurological Disorder (FND). In addition, I specialize in Body-Focused Repetitive Behaviors (BFRB) such as nail and lip biting, hair pulling (Trichotillomania), and skin picking. My patients increase their quality of life by learning practical skills that directly help to inhibit unwanted actions.
My name is Susan (Suzy) Eppling, and I am the clinical director of CBIT Therapy and Online OTs. I specialize in repetitive and unwanted behaviors. My patients have Tourette's, Coprolalia, Vocal Tics, and Motor Tics. I also support patients with tic-like behaviors related to Functional Neurological Disorder (FND). In addition, I specialize in Body-Focused Repetitive Behaviors (BFRB) such as nail and lip biting, hair pulling (Trichotillomania), and skin picking. My patients increase their quality of life by learning practical skills that directly help to inhibit unwanted actions.
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Photo of Jessica Perkiss, Clinical Social Work/Therapist, LCSW
Jessica Perkiss
Clinical Social Work/Therapist, LCSW
7 Endorsed
New York, NY 10111
Are you looking to make a change or gain clarity about your feelings, thoughts, and behaviors? Maybe you are going through a difficult transition or having a hard time coping with life's many stressors? Or perhaps something just doesn't feel quite right, and you are not sure what’s wrong? People come to therapy for many different reasons, some more clear than others. I offer a warm and supportive space to help address life's challenges, to explore thoughts and emotions, and to get curious without judgement.
Are you looking to make a change or gain clarity about your feelings, thoughts, and behaviors? Maybe you are going through a difficult transition or having a hard time coping with life's many stressors? Or perhaps something just doesn't feel quite right, and you are not sure what’s wrong? People come to therapy for many different reasons, some more clear than others. I offer a warm and supportive space to help address life's challenges, to explore thoughts and emotions, and to get curious without judgement.
(347) 801-7390 View (347) 801-7390
Photo of Autumn Hahn, Licensed Mental Health Counselor, LMHC, CHT, LPC
Autumn Hahn
Licensed Mental Health Counselor, LMHC, CHT, LPC
4 Endorsed
Online Only
If you are tired of not being over the trauma, guilt & shame, substance abuse, or physical pain, I want to get you: living in the moment, happy, and connected with others. My holistic approach gives fast relief with humor, storytelling, hypnotherapy, and memory reconsolidation.
If you are tired of not being over the trauma, guilt & shame, substance abuse, or physical pain, I want to get you: living in the moment, happy, and connected with others. My holistic approach gives fast relief with humor, storytelling, hypnotherapy, and memory reconsolidation.
(954) 871-2607 View (954) 871-2607
Photo of Eric Garfinkle, Psychologist, JD, PsyD
Eric Garfinkle
Psychologist, JD, PsyD
3 Endorsed
New York, NY 10111
Having trained in several models of contemporary, evidence-based psychotherapy, I firmly believe that there is no single treatment that works best for everyone. Instead, I have found that therapy is most effective when tailored to the unique needs of each client. As we start our work together, I will help you gain insight into the recurring patterns in your life that are holding you back or causing despair. As treatment proceeds, I will continue to support you as you make what may be difficult, yet, important life changes. I provide services to individuals, as well as to couples seeking more fulfillment from their relationship.
Having trained in several models of contemporary, evidence-based psychotherapy, I firmly believe that there is no single treatment that works best for everyone. Instead, I have found that therapy is most effective when tailored to the unique needs of each client. As we start our work together, I will help you gain insight into the recurring patterns in your life that are holding you back or causing despair. As treatment proceeds, I will continue to support you as you make what may be difficult, yet, important life changes. I provide services to individuals, as well as to couples seeking more fulfillment from their relationship.
(646) 593-7219 View (646) 593-7219
Photo of Rebecca Tyberg, Clinical Social Work/Therapist, LCSW
Rebecca Tyberg
Clinical Social Work/Therapist, LCSW
Online Only
Hi there! I’m Rebecca, and I'm deeply committed to supporting you on your journey toward healing and personal growth. Therapy can seem a bit intimidating at first, but my goal is to make this journey comfortable, supportive, and useful. I’m here to help you navigate the ups and downs of life, whether that means tackling anxiety, dealing with dating or difficult relationships, or maybe just figuring out how to keep it all together. My goal is to offer a safe, compassionate space where you can explore your thoughts and feelings without judgment and gain deeper insights and awareness.
Hi there! I’m Rebecca, and I'm deeply committed to supporting you on your journey toward healing and personal growth. Therapy can seem a bit intimidating at first, but my goal is to make this journey comfortable, supportive, and useful. I’m here to help you navigate the ups and downs of life, whether that means tackling anxiety, dealing with dating or difficult relationships, or maybe just figuring out how to keep it all together. My goal is to offer a safe, compassionate space where you can explore your thoughts and feelings without judgment and gain deeper insights and awareness.
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Photo of Sarah McClane, Counselor, LMHC
Sarah McClane
Counselor, LMHC
Online Only
You’re done pretending everything’s “fine” when it’s clearly not. Maybe you’re stuck in toxic patterns, exhausted from people-pleasing, or finally realizing that high-functioning anxiety isn’t just part of who you are. It’s a red flag demanding your attention. You want to stop overthinking every text, quit spiraling at 2 a.m., and set boundaries without the crushing guilt. You don’t want sugarcoated affirmations. You want real talk, real tools, and real change. You’re ready to do the work even if it’s uncomfortable. I’m here for the brave, the curious, and the done-with-BS crowd who want to reclaim their lives on their own terms.
You’re done pretending everything’s “fine” when it’s clearly not. Maybe you’re stuck in toxic patterns, exhausted from people-pleasing, or finally realizing that high-functioning anxiety isn’t just part of who you are. It’s a red flag demanding your attention. You want to stop overthinking every text, quit spiraling at 2 a.m., and set boundaries without the crushing guilt. You don’t want sugarcoated affirmations. You want real talk, real tools, and real change. You’re ready to do the work even if it’s uncomfortable. I’m here for the brave, the curious, and the done-with-BS crowd who want to reclaim their lives on their own terms.
(518) 990-8028 View (518) 990-8028
Photo of Jessica Linick, Psychologist, PhD, SEP
Jessica Linick
Psychologist, PhD, SEP
Serves Area
Waitlist for new clients
Difficult life experiences, whether they happen once or are ongoing, can leave us feeling isolated and disconnected, both from others, and from ourselves. It can be hard to find pleasure in relationships, hobbies, families, or careers, or to even simply just "be" as we are. I view therapy first and foremost as a way to reconnect and be curious about ourselves; to find a place of safety, connectedness, and support from which we can begin to explore who we are, how we came to be, and where we want to go. As sessions progress, I aim to help you find resilience, movement, ease, stillness, or freedom, wherever you may need it.
Difficult life experiences, whether they happen once or are ongoing, can leave us feeling isolated and disconnected, both from others, and from ourselves. It can be hard to find pleasure in relationships, hobbies, families, or careers, or to even simply just "be" as we are. I view therapy first and foremost as a way to reconnect and be curious about ourselves; to find a place of safety, connectedness, and support from which we can begin to explore who we are, how we came to be, and where we want to go. As sessions progress, I aim to help you find resilience, movement, ease, stillness, or freedom, wherever you may need it.
(646) 798-4488 View (646) 798-4488
Photo of April A McLean - McLean Wellness Group, Inc, Psychologist, PsyD, LADC
McLean Wellness Group, Inc
Psychologist, PsyD, LADC
Serves Area
Accepting new clients for telemedicine. Starting therapy can feel scary. I create a supportive, inclusive space to explore what’s happening—and why. I build genuine relationships, meet you where you are, and help identify your strengths. I specialize in addiction and recovery, and I support clients through anxiety, depression, and life transitions. I also offer EMDR for trauma and PTSD. Therapy can help you move forward with clarity and lasting change.
Accepting new clients for telemedicine. Starting therapy can feel scary. I create a supportive, inclusive space to explore what’s happening—and why. I build genuine relationships, meet you where you are, and help identify your strengths. I specialize in addiction and recovery, and I support clients through anxiety, depression, and life transitions. I also offer EMDR for trauma and PTSD. Therapy can help you move forward with clarity and lasting change.
(860) 318-9266 View (860) 318-9266
Photo of Emma C. Hotar, Clinical Social Work/Therapist, LCSW
Emma C. Hotar
Clinical Social Work/Therapist, LCSW
4 Endorsed
Serves Area
Healthy relationships provide us with support, connection, and a deeper meaning in our lives. They are the fruits of our labor and, sometimes, the thorns of our circumstances. However they may show up in your life, you might have wondered about overcoming these obstacles, rearranging things in your life, changing the quality of your relationships, revitalizing your circumstances, redefining the meaning of your life, resetting it & rebuilding it to a higher ground. It starts & ends with you, that is where change happens.
Healthy relationships provide us with support, connection, and a deeper meaning in our lives. They are the fruits of our labor and, sometimes, the thorns of our circumstances. However they may show up in your life, you might have wondered about overcoming these obstacles, rearranging things in your life, changing the quality of your relationships, revitalizing your circumstances, redefining the meaning of your life, resetting it & rebuilding it to a higher ground. It starts & ends with you, that is where change happens.
(347) 830-7086 View (347) 830-7086
Photo of Juhee Jhalani, Psychologist, PhD, MA
Juhee Jhalani
Psychologist, PhD, MA
Serves Area
Hi there! I am a New York state licensed psychologist. In my practice I offer a compassionate space to support my patients in understanding and managing wide range of concerns including- anxiety, depression, mood disorders, trauma, relationship concerns, sleep disorders and obesity. I am also trained in palliative care (end-of-life management) and psycho-oncology (cancer management). Currently, I hold a faculty position in Psychiatry at the NYU Grossman School of Medicine, and I am a full-time staff Psychologist at the Bellevue Hospital Center.
Hi there! I am a New York state licensed psychologist. In my practice I offer a compassionate space to support my patients in understanding and managing wide range of concerns including- anxiety, depression, mood disorders, trauma, relationship concerns, sleep disorders and obesity. I am also trained in palliative care (end-of-life management) and psycho-oncology (cancer management). Currently, I hold a faculty position in Psychiatry at the NYU Grossman School of Medicine, and I am a full-time staff Psychologist at the Bellevue Hospital Center.
(646) 832-2267 View (646) 832-2267
Photo of Zi Wang, Counselor, MA, EdM, LMHC
Zi Wang
Counselor, MA, EdM, LMHC
Online Only
If you are reading this as, chances are, you’ve tried just about everything and still feel angry, depressed, lonely, and overwhelmed. My therapeutic style is dynamic, genuine, and practical. I like to call it out with kindness when you are going off track, I will give you encouragement when you are making positive progress, I will also give you tangible skills to make steady progress. My aim is to help you focus on the process of self improvement, identify unhealthy patterns, and understand the underlying causes of your thoughts, feelings, and actions.
If you are reading this as, chances are, you’ve tried just about everything and still feel angry, depressed, lonely, and overwhelmed. My therapeutic style is dynamic, genuine, and practical. I like to call it out with kindness when you are going off track, I will give you encouragement when you are making positive progress, I will also give you tangible skills to make steady progress. My aim is to help you focus on the process of self improvement, identify unhealthy patterns, and understand the underlying causes of your thoughts, feelings, and actions.
(646) 798-8161 View (646) 798-8161
Photo of Viviana A. Coles, Marriage & Family Therapist, DMFT, LMFT-S, CST
Viviana A. Coles
Marriage & Family Therapist, DMFT, LMFT-S, CST
5 Endorsed
Serves Area
I'm licensed in TX/CA/NY/FL and I am a Doctor of Marriage and Family Therapy/Certified Sex Therapist/Author of "The 4 Intimacy Styles" and "The Dr. Viviana Method for Intimate Reconnection" (online program for couples). My therapeutic approach is brief and solution-oriented, so I do recognize the importance of how my clients' problems have come about, but I place a higher value on offering my clients new and fresh solutions. I take into account what clients have tried in the past and help them to come up with changes that will be long-lasting and efficient.
I'm licensed in TX/CA/NY/FL and I am a Doctor of Marriage and Family Therapy/Certified Sex Therapist/Author of "The 4 Intimacy Styles" and "The Dr. Viviana Method for Intimate Reconnection" (online program for couples). My therapeutic approach is brief and solution-oriented, so I do recognize the importance of how my clients' problems have come about, but I place a higher value on offering my clients new and fresh solutions. I take into account what clients have tried in the past and help them to come up with changes that will be long-lasting and efficient.
(800) 913-9613 View (800) 913-9613
Photo of Nadene Koliopoulos, MS
Nadene Koliopoulos
Verified Verified
Serves Area
My ideal clients are adolescents who have learning and behavioral issues. I work with young adults who are looking at colleges and helping them with career choices.
My ideal clients are adolescents who have learning and behavioral issues. I work with young adults who are looking at colleges and helping them with career choices.
(917) 909-8617 View (917) 909-8617
Photo of Kristen Tolbert - Associates in Corporate Psychology, Licensed Professional Counselor, PhD
Associates in Corporate Psychology
Licensed Professional Counselor, PhD
Online Only
Leaders carry immense pressure that often goes unseen, navigating high-stakes decisions in isolation. Our psychologists understand the invisible realities because we’ve led through them, studied them deeply, and partnered closely with thousands of executives. Our clients are among the most capable leaders in the world; we treat them that way. Organizations call us when complexity, urgency, and discretion matter. Our approach moves beyond simple therapy and coaching. We recalibrate leaders’ internal architecture to handle real-world pressure—bringing clarity to decisions, emotional command under stress, and sharper, strategic action.
Leaders carry immense pressure that often goes unseen, navigating high-stakes decisions in isolation. Our psychologists understand the invisible realities because we’ve led through them, studied them deeply, and partnered closely with thousands of executives. Our clients are among the most capable leaders in the world; we treat them that way. Organizations call us when complexity, urgency, and discretion matter. Our approach moves beyond simple therapy and coaching. We recalibrate leaders’ internal architecture to handle real-world pressure—bringing clarity to decisions, emotional command under stress, and sharper, strategic action.
(877) 759-0919 View (877) 759-0919

More Therapists Nearby

Photo of Ahimsa Luciano, Art Therapist, MA, LCAT, ATR-BC
Ahimsa Luciano
Art Therapist, MA, LCAT, ATR-BC
20 Endorsed
Pleasantville, NY 10570
Are you are a young adult in college or grad school, or a new professional role feeling slightly overwhelmed or excited, but facing scenarios that are not what you were expecting? Change is hard, even when it’s exactly what you may have wanted. I work with clients who may be feeling unsatisfied or stuck in their lives. Sometimes we may simply want a safe and objective space that is solely their own for regular check-ins on their lives. I love working with creatives, high achievers, and people just embarking on their adult lives to find connection to themselves and what they hope to accomplish.
Are you are a young adult in college or grad school, or a new professional role feeling slightly overwhelmed or excited, but facing scenarios that are not what you were expecting? Change is hard, even when it’s exactly what you may have wanted. I work with clients who may be feeling unsatisfied or stuck in their lives. Sometimes we may simply want a safe and objective space that is solely their own for regular check-ins on their lives. I love working with creatives, high achievers, and people just embarking on their adult lives to find connection to themselves and what they hope to accomplish.
(914) 380-7068 View (914) 380-7068
Photo of Anthony Preischel, Counselor, LMHC, PhD(c), CSAT(c)
Anthony Preischel
Counselor, LMHC, PhD(c), CSAT(c)
New York, NY 10010
Click on "my website" to book a free consultation. Insurance is accepted both In Network and Out of Network. Porn Addiction. Sex Addiction. Couple's Therapy and Infidelity. Depression, Anxiety, Anger Management, Communication Issues. CSAT; Certified Sex Addiction Therapist training. CBT; Cognitive Behavioral Therapy. REBT; Rational Emotive Behavioral Therapy. EFTC; Emotionally Focused Couple's Therapy. Gottman Method. Choice Theory/Reality Therapy. I work with people 18+, individuals, couples, and families. Licensed in NY and FL.
Click on "my website" to book a free consultation. Insurance is accepted both In Network and Out of Network. Porn Addiction. Sex Addiction. Couple's Therapy and Infidelity. Depression, Anxiety, Anger Management, Communication Issues. CSAT; Certified Sex Addiction Therapist training. CBT; Cognitive Behavioral Therapy. REBT; Rational Emotive Behavioral Therapy. EFTC; Emotionally Focused Couple's Therapy. Gottman Method. Choice Theory/Reality Therapy. I work with people 18+, individuals, couples, and families. Licensed in NY and FL.
(929) 405-1933 View (929) 405-1933
Photo of Dr. Mark Aghakhan, Psychologist, PsyD
Dr. Mark Aghakhan
Psychologist, PsyD
Online Only
Welcome, my name is Mark Aghakhan and I am a licensed clinical psychologist. I utilize interventions that best match one’s style and approach toward daily experiences. Among areas of expertise include anxiety, depression, PTSD, coping skills, identity, and strength building.
Welcome, my name is Mark Aghakhan and I am a licensed clinical psychologist. I utilize interventions that best match one’s style and approach toward daily experiences. Among areas of expertise include anxiety, depression, PTSD, coping skills, identity, and strength building.
(773) 867-5870 View (773) 867-5870
Photo of Nicholas Lombardi, Clinical Social Work/Therapist, LCSW
Nicholas Lombardi
Clinical Social Work/Therapist, LCSW
Online Only
My name is Nicholas Lombardi, Licensed Clinical Social Worker. I have been working in the field of social work since 2008 in many different areas which has given me the opportunity to expand my knowledge and increase my abilities to provide the best therapeutic process for my client's needs. I have worked with all types of different clients throughout my career and have no specific comfort level. I am always up for a challenge.
My name is Nicholas Lombardi, Licensed Clinical Social Worker. I have been working in the field of social work since 2008 in many different areas which has given me the opportunity to expand my knowledge and increase my abilities to provide the best therapeutic process for my client's needs. I have worked with all types of different clients throughout my career and have no specific comfort level. I am always up for a challenge.
(332) 249-2601 View (332) 249-2601
Photo of Tashia Millstein - Wellcome Care Behavioral Health — Tashia Millstein, Clinical Social Work/Therapist, LMSW
Wellcome Care Behavioral Health — Tashia Millstein
Clinical Social Work/Therapist, LMSW
Far Rockaway, NY 11691
Are you feeling overwhelmed by stress, experiencing anxiety or depression, or challenged with navigating life transitions? Are you seeking support for relationship challenge? We understand and we can help you develop effective coping strategies and resilience, guidance and support, improve your communication. We offer compassionate therapist to help you explore underlying issues, and work with you to build a path toward recovery. We are here to offer personalized care designed to meet you where you are and guide you toward a healthier, more balanced life.
Are you feeling overwhelmed by stress, experiencing anxiety or depression, or challenged with navigating life transitions? Are you seeking support for relationship challenge? We understand and we can help you develop effective coping strategies and resilience, guidance and support, improve your communication. We offer compassionate therapist to help you explore underlying issues, and work with you to build a path toward recovery. We are here to offer personalized care designed to meet you where you are and guide you toward a healthier, more balanced life.
(929) 560-2517 View (929) 560-2517

See more therapy options for 10111

How does your Therapist compare?

Number of Therapists in 10111

10+

Average cost per session

$250

Therapists in 10111 who prioritize treating:

93% Self Esteem
93% Life Transitions
87% Anxiety
87% Stress
80% Relationship Issues
73% Depression
73% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

70% Aetna
60% Oxford
50% BlueCross and BlueShield

How Therapists in 10111 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10111?

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.