Therapists in 13820

Photo of Bernadette Winters Bell, Clinical Social Work/Therapist, LMSW, PLLC
Bernadette Winters Bell
Clinical Social Work/Therapist, LMSW, PLLC
1 Endorsed
Oneonta, NY 13820
Everyone suffers many losses in their lifetime. Grief is our reaction to loss based on what we have learned from childhood, what we have experienced as adults, and how we have chosen to respond. We then struggle to determine how to evolve and change. The grieving process does not follow a prescribed path. There are many commonalities to the grieving process, yet the journey is unique to the individual. Loss is typically defined as a death, but may take many forms: a relationship, a job, a pet. I specialize in many types of Grief and Transitions including Anticipatory. Absent, Complicated, Disenfranchised, Chronic, Delayed and Inhibited.
Everyone suffers many losses in their lifetime. Grief is our reaction to loss based on what we have learned from childhood, what we have experienced as adults, and how we have chosen to respond. We then struggle to determine how to evolve and change. The grieving process does not follow a prescribed path. There are many commonalities to the grieving process, yet the journey is unique to the individual. Loss is typically defined as a death, but may take many forms: a relationship, a job, a pet. I specialize in many types of Grief and Transitions including Anticipatory. Absent, Complicated, Disenfranchised, Chronic, Delayed and Inhibited.
(607) 327-4134 View (607) 327-4134
Photo of Paige Stone - Next Chapter Mental Health Counseling, PLLC, Counselor, LMHC-D
Next Chapter Mental Health Counseling, PLLC
Counselor, LMHC-D
4 Endorsed
Oneonta, NY 13820
Life transitions can be challenging. Together we will navigate your life's challenges and find a path to healing and growth. Our goal is to create a safe and supportive space where you can explore your thoughts and feelings, develop coping skills, and ultimately, thrive. Whether you’re facing a significant life change or seeking support for emotional well-being, we're here to be a sounding board as you go through your life experiences.
Life transitions can be challenging. Together we will navigate your life's challenges and find a path to healing and growth. Our goal is to create a safe and supportive space where you can explore your thoughts and feelings, develop coping skills, and ultimately, thrive. Whether you’re facing a significant life change or seeking support for emotional well-being, we're here to be a sounding board as you go through your life experiences.
(607) 325-8537 View (607) 325-8537
Photo of Sura Page, Clinical Social Work/Therapist, LCSW-R
Sura Page
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Oneonta, NY 13820
With almost 30 years of experience as a mental health social worker, I offer individual, couples, family and group therapy to children, adolescents and adults. I am a trauma informed clinician with an expertise and specialty in the area of Domestic Abuse/Intimate Partner Violence, Child Abuse, Rape, Sexual Assault, family court issues (mediation) around custody/visitation. In addition to more traditional cognitive therapies, I am also trained in different types of Somatic Modalities such as EMDR and Brainspotting which are Brain-Body psychotherapies.
With almost 30 years of experience as a mental health social worker, I offer individual, couples, family and group therapy to children, adolescents and adults. I am a trauma informed clinician with an expertise and specialty in the area of Domestic Abuse/Intimate Partner Violence, Child Abuse, Rape, Sexual Assault, family court issues (mediation) around custody/visitation. In addition to more traditional cognitive therapies, I am also trained in different types of Somatic Modalities such as EMDR and Brainspotting which are Brain-Body psychotherapies.
(607) 269-4163 View (607) 269-4163
Photo of Jeanette Tolson, Clinical Social Work/Therapist, DSW, LCSW-R, CASAC, CST
Jeanette Tolson
Clinical Social Work/Therapist, DSW, LCSW-R, CASAC, CST
6 Endorsed
Oneonta, NY 13820
It takes courage to reach out and I'm glad you're here. I specialize in working with sex and relationship difficulties and treat individuals and couples. I help people understand the relationship patterns they've developed and how they continue to play out, even though they aren't helpful anymore. I have extensive experience working with people struggling with substances and their families as well. Recovery is an ongoing process and support can help along the way. I tailor treatment to the needs of the person and overall, use a harm reduction approach. We will develop your goals together.
It takes courage to reach out and I'm glad you're here. I specialize in working with sex and relationship difficulties and treat individuals and couples. I help people understand the relationship patterns they've developed and how they continue to play out, even though they aren't helpful anymore. I have extensive experience working with people struggling with substances and their families as well. Recovery is an ongoing process and support can help along the way. I tailor treatment to the needs of the person and overall, use a harm reduction approach. We will develop your goals together.
(607) 235-5770 View (607) 235-5770
Photo of Mandi Mader, Clinical Social Work/Therapist, LCSW-C
Mandi Mader
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Oneonta, NY 13820
I have over 25 years of valuable experience as a general psychotherapist. I'm available to help you with a wide range of mood and relationship issues. I'd love to speak with you about whatever's bothering you, whatever goal you wish to attain, or relationship that you would like to improve. Although I do work with people long term, I feel that people should see some benefit within a few sessions. I work holistically - ecouraging and helping people to eat well, sleep well, and to exercise (Small steps are the way to get started with these issues) I received advanced training in Cognitive Behavioral Therapy for Insomnia at UPenn.
I have over 25 years of valuable experience as a general psychotherapist. I'm available to help you with a wide range of mood and relationship issues. I'd love to speak with you about whatever's bothering you, whatever goal you wish to attain, or relationship that you would like to improve. Although I do work with people long term, I feel that people should see some benefit within a few sessions. I work holistically - ecouraging and helping people to eat well, sleep well, and to exercise (Small steps are the way to get started with these issues) I received advanced training in Cognitive Behavioral Therapy for Insomnia at UPenn.
(607) 558-3868 View (607) 558-3868
Photo of Mario A Molinaro, Counselor, LMHC, ABMP, NCC, SCHPSY, Forensi
Mario A Molinaro
Counselor, LMHC, ABMP, NCC, SCHPSY, Forensi
Oneonta, NY 13820
I have extensive experience in the field of mental health. I am a Licensed Mental Health Counselor who treats individual adults, children of all ages, and families. In addition, I am a NYS Certified School Psychologist, and perform psycho-educational evaluations. I am fluent in English, Italian and Spanish. Additional education and training includes Forensic Psychology pertaining to Family Court, Criminal Court and Immigration related issues.
I have extensive experience in the field of mental health. I am a Licensed Mental Health Counselor who treats individual adults, children of all ages, and families. In addition, I am a NYS Certified School Psychologist, and perform psycho-educational evaluations. I am fluent in English, Italian and Spanish. Additional education and training includes Forensic Psychology pertaining to Family Court, Criminal Court and Immigration related issues.
(607) 389-7301 View (607) 389-7301
Photo of Dani Kowalski, Clinical Social Work/Therapist, LCSW
Dani Kowalski
Clinical Social Work/Therapist, LCSW
2 Endorsed
Oneonta, NY 13820
We might be a good match if you often find yourself focused on the distressing feelings, body sensations, and thoughts that form in response to trauma and life’s challenges. Maybe you want to incorporate a mind/body approach to mental health, explore your attachment style, or learn new coping tools. I am available to meet on a weekly or biweekly basis. Many clients might also appreciate the benefits of more intensive (meaning longer session time) for somatic therapy work.
We might be a good match if you often find yourself focused on the distressing feelings, body sensations, and thoughts that form in response to trauma and life’s challenges. Maybe you want to incorporate a mind/body approach to mental health, explore your attachment style, or learn new coping tools. I am available to meet on a weekly or biweekly basis. Many clients might also appreciate the benefits of more intensive (meaning longer session time) for somatic therapy work.
(607) 357-7189 View (607) 357-7189
Photo of Crystal Huffstickler, Clinical Social Work/Therapist, LCSW
Crystal Huffstickler
Clinical Social Work/Therapist, LCSW
2 Endorsed
Oneonta, NY 13820
You might be moving through life carrying things that are hard to name—grief, anxiety, exhaustion, disconnection, or a sense that something just isn’t working. Maybe you’re questioning old roles, survival strategies, or stories that no longer fit. I work with BIPOC and QT adults who want to better understand themselves, make sense of their experiences, and build something more intentional. Together, we’ll slow down, notice what’s been shaping you, and explore what healing and growth might look like—on your terms.
You might be moving through life carrying things that are hard to name—grief, anxiety, exhaustion, disconnection, or a sense that something just isn’t working. Maybe you’re questioning old roles, survival strategies, or stories that no longer fit. I work with BIPOC and QT adults who want to better understand themselves, make sense of their experiences, and build something more intentional. Together, we’ll slow down, notice what’s been shaping you, and explore what healing and growth might look like—on your terms.
(607) 536-9499 View (607) 536-9499
Photo of Hilary Pope, Clinical Social Work/Therapist, LCSWR
Hilary Pope
Clinical Social Work/Therapist, LCSWR
1 Endorsed
Oneonta, NY 13820
With over 20 years of experience, I offer mental health services for individual, couples, family across the lifespan. I have an expertise in working with children, adolescents and young adults, as well as family an couples.
With over 20 years of experience, I offer mental health services for individual, couples, family across the lifespan. I have an expertise in working with children, adolescents and young adults, as well as family an couples.
(607) 208-7660 View (607) 208-7660
Photo of Francesca Parry, Clinical Social Work/Therapist, LCSW-R
Francesca Parry
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Oneonta, NY 13820
Anxiety. Depression. Have one or both shown up uninvited in your life? Keeping you awake at night with worries and self-doubt, convincing your mind and body that 2 am is the ideal time to problem-solve and gain an enlightened mindset about whatever is troubling you? Most people feel worried or sad from time to time–we’re human, not robots after all–but if you’re searching for a therapist, I’m guessing that these uninvited guests have overstayed their welcome and are reeking havoc with your peace of mind and interfering with your life. You're unsure about whether it's time to change a situation or time to change your mindset.
Anxiety. Depression. Have one or both shown up uninvited in your life? Keeping you awake at night with worries and self-doubt, convincing your mind and body that 2 am is the ideal time to problem-solve and gain an enlightened mindset about whatever is troubling you? Most people feel worried or sad from time to time–we’re human, not robots after all–but if you’re searching for a therapist, I’m guessing that these uninvited guests have overstayed their welcome and are reeking havoc with your peace of mind and interfering with your life. You're unsure about whether it's time to change a situation or time to change your mindset.
(607) 298-8931 View (607) 298-8931
Photo of Suzanne Zeien, Clinical Social Work/Therapist, MSW, LCSW-R, ACSW
Suzanne Zeien
Clinical Social Work/Therapist, MSW, LCSW-R, ACSW
Oneonta, NY 13820
Hello. I have 30 plus years experience as a Licensed Clinical Social Worker-Psychotherapist. I assist people of all ages and backgrounds achieve greater happiness and wellbeing in their daily lives. My office provides a private, comfortable, safe, and inclusive environment for individuals, couples and families. I employ an Integrative Therapy approach to address the unique needs of each person. I am trained in short term and long term counseling and psychotherapy modalities.
Hello. I have 30 plus years experience as a Licensed Clinical Social Worker-Psychotherapist. I assist people of all ages and backgrounds achieve greater happiness and wellbeing in their daily lives. My office provides a private, comfortable, safe, and inclusive environment for individuals, couples and families. I employ an Integrative Therapy approach to address the unique needs of each person. I am trained in short term and long term counseling and psychotherapy modalities.
(607) 703-2921 View (607) 703-2921
Photo of Edward Nichols - Expert ADHD Evaluation Center, Clinical Social Work/Therapist, PhD, MSW, LCSW-R
Expert ADHD Evaluation Center
Clinical Social Work/Therapist, PhD, MSW, LCSW-R
Oneonta, NY 13820
Are you seeking clear, objective answers about ADHD and navigating concerns regarding treatment planning, educational supports or accommodations? At the Expert ADHD Evaluation Center, we provide comprehensive, evidence-based ADHD evaluations for children, adolescents, and adults. Our assessments are designed to assist parents, health care providers, schools, and employers by delivering clear diagnostic conclusions and practical recommendations. Each evaluation includes standardized testing, clinical interpretation, and a detailed written report to support informed decisions regarding treatment, academic services, and accommodations.
Are you seeking clear, objective answers about ADHD and navigating concerns regarding treatment planning, educational supports or accommodations? At the Expert ADHD Evaluation Center, we provide comprehensive, evidence-based ADHD evaluations for children, adolescents, and adults. Our assessments are designed to assist parents, health care providers, schools, and employers by delivering clear diagnostic conclusions and practical recommendations. Each evaluation includes standardized testing, clinical interpretation, and a detailed written report to support informed decisions regarding treatment, academic services, and accommodations.
(607) 251-0746 View (607) 251-0746
Photo of Lisa Flachs, Clinical Social Work/Therapist, LCSW-R
Lisa Flachs
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Oneonta, NY 13820
Bad things have happened to you. You don't know where to turn. You feel like no one understands. You're on autopilot and that's just not working. Let's join together to put you back in the pilot's seat so that you move out of the past, live in the present, and design your path into the future. Together we can break down the barriers that are keeping you from the life you want to live. I am ready to meet you where you are and help you achieve your best life.
Bad things have happened to you. You don't know where to turn. You feel like no one understands. You're on autopilot and that's just not working. Let's join together to put you back in the pilot's seat so that you move out of the past, live in the present, and design your path into the future. Together we can break down the barriers that are keeping you from the life you want to live. I am ready to meet you where you are and help you achieve your best life.
(607) 600-8892 View (607) 600-8892
Photo of Theresa Guardiano, Clinical Social Work/Therapist, LCSW
Theresa Guardiano
Clinical Social Work/Therapist, LCSW
1 Endorsed
Oneonta, NY 13820
I work with individuals, couples, families, and groups across all ages who are navigating challenges such as unresolved trauma, addiction, attachment and relationship struggles, anxiety, depression, emotional dysregulation, and family conflict. Whether you're just starting your healing journey or feeling stuck after years of effort, I’m here to help.
I work with individuals, couples, families, and groups across all ages who are navigating challenges such as unresolved trauma, addiction, attachment and relationship struggles, anxiety, depression, emotional dysregulation, and family conflict. Whether you're just starting your healing journey or feeling stuck after years of effort, I’m here to help.
(518) 636-1667 View (518) 636-1667
Photo of Laura Maneates, LMHC, MFT, CASAC-T, ABD
Laura Maneates
Verified Verified
1 Endorsed
Oneonta, NY 13820
Everyone is faced with challenges throughout life. Whether it be a challenging relationship, life transition, trauma, loss of: dream, loved one or unnamed void, loneliness, fear, negative thought pattens... The key to overcoming them is change. The first step to change is to realize everyone needs help with life's challenges. Asking for help will be the most important step you take in your healing journey of revisioning your life. I would be happy to work with you to help you uncover your true potential, to live the life you want to celebrate ! And to witness your discovery of your happier self, your genuine self, your Best Self!
Everyone is faced with challenges throughout life. Whether it be a challenging relationship, life transition, trauma, loss of: dream, loved one or unnamed void, loneliness, fear, negative thought pattens... The key to overcoming them is change. The first step to change is to realize everyone needs help with life's challenges. Asking for help will be the most important step you take in your healing journey of revisioning your life. I would be happy to work with you to help you uncover your true potential, to live the life you want to celebrate ! And to witness your discovery of your happier self, your genuine self, your Best Self!
(607) 388-4844 View (607) 388-4844
Photo of John Genardo - Genardo Mental Health Counseling P.C., Counselor, LCMHC, NCC, CCATP, ADHD
Genardo Mental Health Counseling P.C.
Counselor, LCMHC, NCC, CCATP, ADHD
1 Endorsed
Oneonta, NY 13820
Many women in their 30s feel constantly on edge, mentally overextended, and unable to slow their thoughts. It’s anxiety. It’s overthinking, tension, and exhaustion while trying to appear capable and composed. The pressure to keep up, stay focused, and “get it together” can be overwhelming, leaving you feeling out of control and frustrated with yourself. Even when life looks fine on the outside, your inner critic and worrier is relentless. Over time, this state drains your energy, clouds your focus, and makes it hard to feel present, confident, or at ease in daily life.
Many women in their 30s feel constantly on edge, mentally overextended, and unable to slow their thoughts. It’s anxiety. It’s overthinking, tension, and exhaustion while trying to appear capable and composed. The pressure to keep up, stay focused, and “get it together” can be overwhelming, leaving you feeling out of control and frustrated with yourself. Even when life looks fine on the outside, your inner critic and worrier is relentless. Over time, this state drains your energy, clouds your focus, and makes it hard to feel present, confident, or at ease in daily life.
(607) 600-2984 View (607) 600-2984
Photo of Tonya DeMulder - Sunshine Counseling Services LCSW, PLLC, Clinical Social Work/Therapist, LCSWR
Sunshine Counseling Services LCSW, PLLC
Clinical Social Work/Therapist, LCSWR
Oneonta, NY 13820
My name is Tonya DeMulder and I am the owner of Sunshine Counseling Services. Some of the most basic human needs are to be heard and feel connected. I’ve been working for 15+ years with individuals and families who have experienced trauma, depression, anxiety, and many other challenges. My passion is to help others feel heard and connected as they navigate their own unique path to healing. In an effort to reduce barriers to treatment and increase access to care, I made the decision to start a Group Therapy Practice...Sunshine Counseling Services LCSW, PLLC.
My name is Tonya DeMulder and I am the owner of Sunshine Counseling Services. Some of the most basic human needs are to be heard and feel connected. I’ve been working for 15+ years with individuals and families who have experienced trauma, depression, anxiety, and many other challenges. My passion is to help others feel heard and connected as they navigate their own unique path to healing. In an effort to reduce barriers to treatment and increase access to care, I made the decision to start a Group Therapy Practice...Sunshine Counseling Services LCSW, PLLC.
(607) 317-7160 View (607) 317-7160
Photo of Thomas B Bolton - Mind Matters Regional Neurofeedback Centers, MS, BCN, QEEG D
Mind Matters Regional Neurofeedback Centers
Verified Verified
1 Endorsed
Oneonta, NY 13820
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
(315) 915-5937 View (315) 915-5937
Photo of Karrie Crippen-Hotaling, Clinical Social Work/Therapist, LCSW
Karrie Crippen-Hotaling
Clinical Social Work/Therapist, LCSW
Serves Area
Clients want to feel safe and understood. This is especially important when being vulnerable and sharing your emotions. Processing through tough times and tough emotions can be scary and tiring, but you won't be alone. Having someone empathetic co-pilot your way through tough times can be truly uplifting. We will work together to define your goals and reach your happiness, however you define it.
Clients want to feel safe and understood. This is especially important when being vulnerable and sharing your emotions. Processing through tough times and tough emotions can be scary and tiring, but you won't be alone. Having someone empathetic co-pilot your way through tough times can be truly uplifting. We will work together to define your goals and reach your happiness, however you define it.
(607) 208-7922 View (607) 208-7922
Photo of Charlene Cross, Clinical Social Work/Therapist, LCSW
Charlene Cross
Clinical Social Work/Therapist, LCSW
Serves Area
Do you feel like you don't have a safe supportive place to talk about how you really feel? Growing up in a small community their can be bias and strong individual and community expectations which sometimes does not agree with our internal voice or opinions yet we don't share them in fear of what others around us may say or do. I make a safe place for all to come and be free to talk about real thoughts and feelings even if they differ from the community norm. Many of my clients feel overwhelmed with many areas of life, and struggle to find confidence in what to do next. Together we explore possible causes, barriers and solutions.
Do you feel like you don't have a safe supportive place to talk about how you really feel? Growing up in a small community their can be bias and strong individual and community expectations which sometimes does not agree with our internal voice or opinions yet we don't share them in fear of what others around us may say or do. I make a safe place for all to come and be free to talk about real thoughts and feelings even if they differ from the community norm. Many of my clients feel overwhelmed with many areas of life, and struggle to find confidence in what to do next. Together we explore possible causes, barriers and solutions.
(838) 285-0827 View (838) 285-0827

See more therapy options for 13820

How does your Therapist compare?

Number of Therapists in 13820

50+

Average cost per session

$150

Therapists in 13820 who prioritize treating:

88% Anxiety
82% Depression
76% Stress
74% Relationship Issues
70% Trauma and PTSD
68% Self Esteem
60% Grief

Average years in practice

15 Years

Top 3 insurances accepted

83% Aetna
66% Cigna and Evernorth
66% Carelon Behavioral Health

How Therapists in 13820 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 13820?

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.