Therapists in 12309
![Photo of William Roscoe Bonsal - Rocky Bonsal LCSW-R, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9b36252e-62f6-4314-81fd-0414e4e0918f/1/320x400.jpeg)
Rocky Bonsal LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Niskayuna, NY 12309 (Online Only)
Waitlist for new clients
There is much to be said of the idea that a therapist should be a “good fit.” If you don’t feel there is a connection to build on and lessons to be learned, there is no harm in stating that truth and moving on. I’ve worked with people for a few months and some for many years. It’s important to feel you are getting something from your therapy. Therapeutic relationships perform the best when both therapist and client are mutually invested in the work. I deeply appreciate clients who commit and face the sometimes-painful work of therapy, knowing they are working toward a better day, a better life.
There is much to be said of the idea that a therapist should be a “good fit.” If you don’t feel there is a connection to build on and lessons to be learned, there is no harm in stating that truth and moving on. I’ve worked with people for a few months and some for many years. It’s important to feel you are getting something from your therapy. Therapeutic relationships perform the best when both therapist and client are mutually invested in the work. I deeply appreciate clients who commit and face the sometimes-painful work of therapy, knowing they are working toward a better day, a better life.
![Photo of Rachel Watson, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d0fddd0-f739-4903-ae7c-cf84cd003264/1/320x400.jpeg)
Rachel Watson
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Schenectady, NY 12309 (Online Only)
Beginning therapy can be a challenge, and finding a therapist who is the right fit for you may be an additional challenge. As a Psychotherapist, I specialize in management of Trauma/PTSD, Anxiety, Depression, Relationship Issues, Life Transitions, and Personality Disorders. I believe that a variety of treatment approaches are needed to best serve each client. I take a psychoanalytic and eclectic approach, and practice psychotherapy informed primarily by concepts of Cognitive Behavioral Therapy and Cognitive Processing Therapy. My role is to be both a "coach" and supporter.
Beginning therapy can be a challenge, and finding a therapist who is the right fit for you may be an additional challenge. As a Psychotherapist, I specialize in management of Trauma/PTSD, Anxiety, Depression, Relationship Issues, Life Transitions, and Personality Disorders. I believe that a variety of treatment approaches are needed to best serve each client. I take a psychoanalytic and eclectic approach, and practice psychotherapy informed primarily by concepts of Cognitive Behavioral Therapy and Cognitive Processing Therapy. My role is to be both a "coach" and supporter.
![Photo of Dr. Supriya Blair, PsyD, Psychologist](https://photos.psychologytoday.com/42c3a6b6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Supriya Blair
Psychologist, PsyD
Verified Verified
1 Endorsed
Schenectady, NY 12309 (Online Only)
Imagine yourself as a writer, carefully crafting the story of your life. What important events and experiences stand out, and what effect does your supporting cast have on you? Is your story unfolding the way you want it to? For most of us, the answers to these questions aren't always clear. We're often too entrenched in our own story to be our own author. Experiences such as navigating your roles as a woman, partner, and mother, all while taking care of yourself, can be tough.
Imagine yourself as a writer, carefully crafting the story of your life. What important events and experiences stand out, and what effect does your supporting cast have on you? Is your story unfolding the way you want it to? For most of us, the answers to these questions aren't always clear. We're often too entrenched in our own story to be our own author. Experiences such as navigating your roles as a woman, partner, and mother, all while taking care of yourself, can be tough.
![Photo of Maria Skane, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/78a7d432-39a9-4bd0-a33c-829a57b633db/2/320x400.jpeg)
Genuine, honest, caring, interested, easy to talk to, practical. If these are some of the qualities you are looking for in a therapist, we might be a good fit. I am grateful for the privilege of being able to walk beside the people who come to me for therapy. Even though people often come to me feeling anxious, sad or lost, I am naturally drawn to their strengths. A lot of the work I do with my patients centers around helping them to get to know their own strengths.
Genuine, honest, caring, interested, easy to talk to, practical. If these are some of the qualities you are looking for in a therapist, we might be a good fit. I am grateful for the privilege of being able to walk beside the people who come to me for therapy. Even though people often come to me feeling anxious, sad or lost, I am naturally drawn to their strengths. A lot of the work I do with my patients centers around helping them to get to know their own strengths.
![Photo of Colleen Clausson, LCSW-R, CSSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b54e756b-fefa-4fef-9120-58e35418bd2c/3/320x400.jpeg)
Colleen Clausson
Clinical Social Work/Therapist, LCSW-R, CSSW
Verified Verified
1 Endorsed
Schenectady, NY 12309 (Online Only)
Welcome. I am glad you are here. Are you feeling stressed, maybe depressed, anxious, struggling with managing a life transition? Do you feel these feelings impact your personal relationships, work, or overall life satisfaction? I will support you as you lean in, explore the story of who you are, and look to explore areas in your life you may want to make some shifts. Be assured this process is driven by you and your individual needs.
Welcome. I am glad you are here. Are you feeling stressed, maybe depressed, anxious, struggling with managing a life transition? Do you feel these feelings impact your personal relationships, work, or overall life satisfaction? I will support you as you lean in, explore the story of who you are, and look to explore areas in your life you may want to make some shifts. Be assured this process is driven by you and your individual needs.
![Photo of Laura DaPolito, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9b474345-7a14-4da3-9b05-c7941f9ffdba/2/320x400.jpeg)
Laura DaPolito
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Niskayuna, NY 12309 (Online Only)
Therapy is about you: your goals, your hopes, and your needs. Clients come to therapy seeking empathic support but also concrete skills to improve their lives. I provide non-judgmental, thoughtful help for teens and adults managing depression, anxiety, and trauma symptoms that disrupt their lives. Because healing happens through connection, I work to enable clients to connect with themselves and others in meaningful ways. Through a heart centered approach, I empower clients to harness their courage in facing past and present losses, traumas, and stressors so that they no longer feel trapped or controlled by their experiences.
Therapy is about you: your goals, your hopes, and your needs. Clients come to therapy seeking empathic support but also concrete skills to improve their lives. I provide non-judgmental, thoughtful help for teens and adults managing depression, anxiety, and trauma symptoms that disrupt their lives. Because healing happens through connection, I work to enable clients to connect with themselves and others in meaningful ways. Through a heart centered approach, I empower clients to harness their courage in facing past and present losses, traumas, and stressors so that they no longer feel trapped or controlled by their experiences.
![Photo of Kristin Gotebiowski, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/126694b9-086e-4bed-b316-f43bf72735fc/2/320x400.jpeg)
Kristin Gotebiowski
Marriage & Family Therapist, LMFT
Verified Verified
Niskayuna, NY 12309 (Online Only)
Hello! My work with individuals is built upon a foundation of patience, openness, and non-judgment. I enjoy helping others accept and see the value in themselves so they feel empowered to make the changes in their lives that will bring greater joy, peace, and positivity. All of us have strengths within, and resources around us, that can make our lives better. I help you tap into these strengths and resources based on your personal goals. I will hold space for you to honestly discuss what is going on for you now and in the past, while never losing sight of who you truly are and what you are capable of becoming in your future.
Hello! My work with individuals is built upon a foundation of patience, openness, and non-judgment. I enjoy helping others accept and see the value in themselves so they feel empowered to make the changes in their lives that will bring greater joy, peace, and positivity. All of us have strengths within, and resources around us, that can make our lives better. I help you tap into these strengths and resources based on your personal goals. I will hold space for you to honestly discuss what is going on for you now and in the past, while never losing sight of who you truly are and what you are capable of becoming in your future.
![Photo of Ruth N Geller, MA, LMHC, Counselor](https://photos.psychologytoday.com/3e8bd128-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Welcome to my reimagined counseling practice--now, purely virtual! Do you feel like a square peg in a round hole? Are you out of touch with who you are and what you really want? Do you sometimes lie awake nights worrying, "Is this IT?" You know you need a change, but you're not sure how to take the first step. Somewhere along the way, you may have started doing what others thought was best for you instead of trusting your own gut. Perhaps you're unhappy because you and your job aren't a good fit. Maybe you feel overwhelmed with stress from all sides.
Welcome to my reimagined counseling practice--now, purely virtual! Do you feel like a square peg in a round hole? Are you out of touch with who you are and what you really want? Do you sometimes lie awake nights worrying, "Is this IT?" You know you need a change, but you're not sure how to take the first step. Somewhere along the way, you may have started doing what others thought was best for you instead of trusting your own gut. Perhaps you're unhappy because you and your job aren't a good fit. Maybe you feel overwhelmed with stress from all sides.
![Photo of Douglas Kabat, LCSW, CASAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ee30cde-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I help alcohol troubled people control or stop their drinking. I use The Sinclair Method, which allows most people to control their drinking by taking a Naltrexone pill our hour prior to every drinking episode. For most people (78% according to the research) this results in reduced drinking to a problem-free level; many people stop drinking completely. No detox or rehab is necessary and treatment consists primarily of brief, regular coaching. I refer you to physicians who are familiar with The Sinclair Method, and will provide the medical service necessary for you to use this approach. I provide coaching, support and encouragement.
I help alcohol troubled people control or stop their drinking. I use The Sinclair Method, which allows most people to control their drinking by taking a Naltrexone pill our hour prior to every drinking episode. For most people (78% according to the research) this results in reduced drinking to a problem-free level; many people stop drinking completely. No detox or rehab is necessary and treatment consists primarily of brief, regular coaching. I refer you to physicians who are familiar with The Sinclair Method, and will provide the medical service necessary for you to use this approach. I provide coaching, support and encouragement.
![Photo of Rebecca Marie Stone, LMHC, MA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1d90e712-ad4c-47a9-97ae-54757bc067d2/1/320x400.jpeg)
Rebecca Marie Stone
Clinical Social Work/Therapist, LMHC, MA
Verified Verified
Schenectady, NY 12309 (Online Only)
Feeling overwhelmed by anxiety, depression, or major life changes? You don't have to face it alone. I am a dedicated Licensed Mental Health Counselor with over 4 years of experience. I understand how tough it can be to cope with these feelings, and I'm here to help. My approach is warm and personalized, combining Cognitive Behavioral Therapy, Solution Focused Therapy, and Person-Centered Therapy to suit your unique needs. Together, we'll create a safe space to explore your emotions, build resilience, and develop effective coping strategies. Let's start this journey towards a happier, more balanced life together.
Feeling overwhelmed by anxiety, depression, or major life changes? You don't have to face it alone. I am a dedicated Licensed Mental Health Counselor with over 4 years of experience. I understand how tough it can be to cope with these feelings, and I'm here to help. My approach is warm and personalized, combining Cognitive Behavioral Therapy, Solution Focused Therapy, and Person-Centered Therapy to suit your unique needs. Together, we'll create a safe space to explore your emotions, build resilience, and develop effective coping strategies. Let's start this journey towards a happier, more balanced life together.
![Photo of Laurel Burns, EdS, LMHC, Counselor](https://photos.psychologytoday.com/3e601a9e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
15 Second Videos
Colleen Clausson
Laura DaPolito
Pamela Price-Lerner
Family and Personal Counseling Telehealth
I believe everyone benefits from therapy. We all at times experience anxiety, depression, stress, anger, self-doubt and many other feelings that cause us distress. I offer counseling services in my office but will also travel to you--your home, office or location that is convenient and comfortable for you. My goal is to eliminate barriers that may block you from participating in this crucial service and to allow you to improve your mental health well-being and ultimately your life.
I believe everyone benefits from therapy. We all at times experience anxiety, depression, stress, anger, self-doubt and many other feelings that cause us distress. I offer counseling services in my office but will also travel to you--your home, office or location that is convenient and comfortable for you. My goal is to eliminate barriers that may block you from participating in this crucial service and to allow you to improve your mental health well-being and ultimately your life.
![Photo of Denise Morett, PsyD, Psychologist](https://photos.psychologytoday.com/4d7cd907-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Do you want to heal as well as shift life challenging repetitive patterns? Have you experienced anxiety, depression, trauma, loss, and/or relationship issues. Have you tried methods of therapy, medication and other assorted methods? Change and healing is possible and easier than we think. I offer that help and true shift that supports lasting permanent change to clear out old issues, cope and manage the present day, and leverage resiliency for the future. Using plant meds, nutrition, cognition, imagery and therapy, lifelong physical and emotional health is possible. Couple Intensives available. Plant medicine consultations available
Do you want to heal as well as shift life challenging repetitive patterns? Have you experienced anxiety, depression, trauma, loss, and/or relationship issues. Have you tried methods of therapy, medication and other assorted methods? Change and healing is possible and easier than we think. I offer that help and true shift that supports lasting permanent change to clear out old issues, cope and manage the present day, and leverage resiliency for the future. Using plant meds, nutrition, cognition, imagery and therapy, lifelong physical and emotional health is possible. Couple Intensives available. Plant medicine consultations available
![Photo of Andrew S Berry, PhD, PsyD, ABPP, Psychologist](https://photos.psychologytoday.com/50e72e14-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My area of expertise is PTSD, as suffered by veterans and first responders. I have published on this topic, as well as lecturing around the country at analytic institutes. I have also presented at both national and international conferences. In addition to my professional identity as a clinical psychologist and a psychoanalyst, I am also a past volunteer firefighter and EMT.
My area of expertise is PTSD, as suffered by veterans and first responders. I have published on this topic, as well as lecturing around the country at analytic institutes. I have also presented at both national and international conferences. In addition to my professional identity as a clinical psychologist and a psychoanalyst, I am also a past volunteer firefighter and EMT.
![Photo of Yanique Cox, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0137cd2d-3868-47aa-acea-6eabb12858bb/2/320x400.png)
Have you lost interest in activities you used to find enjoyable, have trouble concentrating and making decisions, or find it hard to sleep at night due to racing thoughts? You may have noticed that you haven’t been feeling like yourself lately, and life has begun to feel overwhelming.
Have you lost interest in activities you used to find enjoyable, have trouble concentrating and making decisions, or find it hard to sleep at night due to racing thoughts? You may have noticed that you haven’t been feeling like yourself lately, and life has begun to feel overwhelming.
![Photo of Sonja Roinestad, LMHC, Counselor](https://photos.psychologytoday.com/15da6855-020b-4c0d-8232-40afc167708f/1/320x400.png)
I have worked with clients with issues such as marital problems, but they improved self-esteem, advocacy, and assertiveness in therapy, which reduced conflict with their spouse. My ideal client is someone motivated to change at the onset of therapy, who is committed to attending regular therapy sessions, identifies their goals, and focuses on a collaborative process to achieve their goals.
I have worked with clients with issues such as marital problems, but they improved self-esteem, advocacy, and assertiveness in therapy, which reduced conflict with their spouse. My ideal client is someone motivated to change at the onset of therapy, who is committed to attending regular therapy sessions, identifies their goals, and focuses on a collaborative process to achieve their goals.
I helped people navigate a variety of topics, including anxiety, codependency, substance abuse, relational issues, ADHD, gender/identity exploration, and religious trauma, among others. My ideal client is ready to explore, ask questions, and get to the root of things. They want to improve their relationship with themselves and others. They are an active participant in the therapeutic process and are willing to work with me to explore solutions.
I helped people navigate a variety of topics, including anxiety, codependency, substance abuse, relational issues, ADHD, gender/identity exploration, and religious trauma, among others. My ideal client is ready to explore, ask questions, and get to the root of things. They want to improve their relationship with themselves and others. They are an active participant in the therapeutic process and are willing to work with me to explore solutions.
![Photo of Moonhawk River Stone, MS, LMHC, Counselor](https://photos.psychologytoday.com/3bf8ab86-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am an internationally recognized expert in transgender care with 25 years experience working with transsexual, transgender and gender variant people of all ages, especially young gender variant children, and their families. When someone is contemplating a gender transition it is my approach to work with the whole family as everyone transitions in a gender transition. I have a solid record of success in workplace transitions for clients My expertise lends itself to working with transgender clients from many varied racial, cultural, religious and ethnic backgrounds.
I also work with lesbian, gay, bisexual clients across the full spectrum of issues.
I am an internationally recognized expert in transgender care with 25 years experience working with transsexual, transgender and gender variant people of all ages, especially young gender variant children, and their families. When someone is contemplating a gender transition it is my approach to work with the whole family as everyone transitions in a gender transition. I have a solid record of success in workplace transitions for clients My expertise lends itself to working with transgender clients from many varied racial, cultural, religious and ethnic backgrounds.
I also work with lesbian, gay, bisexual clients across the full spectrum of issues.
![Photo of Sandra Estimable, LMHC, Counselor](https://photos.psychologytoday.com/6b3583be-462e-40e9-a27f-4906a405ad62/1/320x400.png)
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
![Photo of Barbara Hanna, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f85d82c9-b8fe-4c68-b152-05db6327294f/2/320x400.png)
My ideal client would be willing to work with me systemically, meaning someone willing to look beyond themselves and think, “Why is this happening?” instead of just thinking they are the problem. For example, if someone is coming in to work on depression and anxiety, my ideal client would be willing to explore the underlying issues contributing to the depression and anxiety instead of someone who is only looking for coping skills and such.
My ideal client would be willing to work with me systemically, meaning someone willing to look beyond themselves and think, “Why is this happening?” instead of just thinking they are the problem. For example, if someone is coming in to work on depression and anxiety, my ideal client would be willing to explore the underlying issues contributing to the depression and anxiety instead of someone who is only looking for coping skills and such.
See more therapy options for 12309
How does your Therapist compare?
Number of Therapists in 12309
40+
Average cost per session
$125
Therapists in 12309 who prioritize treating:
94% | Depression |
94% | Anxiety |
82% | Self Esteem |
76% | Relationship Issues |
71% | Trauma and PTSD |
71% | Stress |
69% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
70% | UnitedHealthcare UHC | UBH |
60% | Aetna |
57% | Cigna and Evernorth |
How Therapists in 12309 see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 12309?
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
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.
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.
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.