Photo of Julia Bozzone, Pre-Licensed Professional
Julia Bozzone
Pre-Licensed Professional
Verified Verified
1 Endorsed
Pittsburgh, PA 15201  (Online Only)
I work with clients experiencing anxiety, depression, or a significant life transition, such as a career change or relationship issues. This includes individuals who need a safe, supportive space to explore their emotions and understand the root causes of their struggles. We aim to reduce anxiety, gain clarity, and build emotional resilience. I will help you find confidence in managing life’s challenges and find healthier coping strategies to lead a more balanced and fulfilling life. Ultimately, let's work together to want to understand yourself better and create meaningful change.
I work with clients experiencing anxiety, depression, or a significant life transition, such as a career change or relationship issues. This includes individuals who need a safe, supportive space to explore their emotions and understand the root causes of their struggles. We aim to reduce anxiety, gain clarity, and build emotional resilience. I will help you find confidence in managing life’s challenges and find healthier coping strategies to lead a more balanced and fulfilling life. Ultimately, let's work together to want to understand yourself better and create meaningful change.
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Photo of Amy Isaac - Thrive Counseling Center LLC, LPC, NCC, Licensed Professional Counselor
Thrive Counseling Center LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15201
Our lives tend to be multi-faceted works of art, made up of many roles, relationships, and responsibilities. Oftentimes, we adapt to changes in these roles and responsibilities with little or no difficulty; however there are times in our lives when change can cause distraction, negative feelings, and overall dissatisfaction with our lives. These times are when we discover our true authentic lives, within ourselves and our relationships, by engaging in therapy. During sessions, we will explore ineffective behavior patterns and perceptions to move forward into a better state of mind and lead a more fulfilling life.
Our lives tend to be multi-faceted works of art, made up of many roles, relationships, and responsibilities. Oftentimes, we adapt to changes in these roles and responsibilities with little or no difficulty; however there are times in our lives when change can cause distraction, negative feelings, and overall dissatisfaction with our lives. These times are when we discover our true authentic lives, within ourselves and our relationships, by engaging in therapy. During sessions, we will explore ineffective behavior patterns and perceptions to move forward into a better state of mind and lead a more fulfilling life.
(412) 301-9949 View (412) 301-9949
Photo of Debra Kahler, LPC, Licensed Professional Counselor
Debra Kahler
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15201  (Online Only)
Hello My name is Debra Kahler and am a registered board-certified Art Therapist who also holds an LPC licensure in Pennsylvania.
Hello My name is Debra Kahler and am a registered board-certified Art Therapist who also holds an LPC licensure in Pennsylvania.
(412) 203-9982 View (412) 203-9982
Photo of Terry O'Hara, PhD, Psychologist
Terry O'Hara
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15201
I'm a psychologist focusing on forensic matters. Over the past 20 years, I have conducted over 10,000 evaluations in more than 15 counties in Pa and testified on over 850 occasions. I conduct dependency and delinquency evaluations, child custody evaluations, risk of violence evaluations, decertification evaluations, emotional abuse assessment, and evaluations involving parental capacity. My expertise includes bullying, violence, attachment, and parenting. In addition, I provide consultation to attorneys and conduct second opinion evaluations
I'm a psychologist focusing on forensic matters. Over the past 20 years, I have conducted over 10,000 evaluations in more than 15 counties in Pa and testified on over 850 occasions. I conduct dependency and delinquency evaluations, child custody evaluations, risk of violence evaluations, decertification evaluations, emotional abuse assessment, and evaluations involving parental capacity. My expertise includes bullying, violence, attachment, and parenting. In addition, I provide consultation to attorneys and conduct second opinion evaluations
(412) 207-3585 View (412) 207-3585
Through the Mirror, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15201  (Online Only)
After decades helping individuals heal from varying forms of trauma, a pattern was noticed for individuals that may have experienced difficult events in their lives interrupting their understanding of the self concept. Often, these experiences contributed to patterns of thoughts and feeling contributing to individuals feeling "stuck" or not able to meet their full potential. In seeking individual therapy, these responses to life experiences become pathologized rather than seeing the whole person in the context of their environment. Moving away from the pervasive pathologizing mindset, Through the Mirror offers a lighter intervention
After decades helping individuals heal from varying forms of trauma, a pattern was noticed for individuals that may have experienced difficult events in their lives interrupting their understanding of the self concept. Often, these experiences contributed to patterns of thoughts and feeling contributing to individuals feeling "stuck" or not able to meet their full potential. In seeking individual therapy, these responses to life experiences become pathologized rather than seeing the whole person in the context of their environment. Moving away from the pervasive pathologizing mindset, Through the Mirror offers a lighter intervention
(412) 743-8737 View (412) 743-8737
Photo of Dawn Brubaker, LSW, DSW, Clinical Social Work/Therapist
Dawn Brubaker
Clinical Social Work/Therapist, LSW, DSW
Verified Verified
Pittsburgh, PA 15201
Not accepting new clients
I have provided services to people across the lifecycle including individuals, couples, children, and adolescents, for over twenty years. My goal is to create a non-judgmental space for healing and growth through self-reflection. I am dedicated to supporting people as they grow through self-discovery. I practice at Thrive Counseling Center of Pittsburgh located in Lawrenceville, PA.
I have provided services to people across the lifecycle including individuals, couples, children, and adolescents, for over twenty years. My goal is to create a non-judgmental space for healing and growth through self-reflection. I am dedicated to supporting people as they grow through self-discovery. I practice at Thrive Counseling Center of Pittsburgh located in Lawrenceville, PA.
(412) 960-6944 View (412) 960-6944
Photo of Camille J Interligi, PsyD, Psychologist
Camille J Interligi
Psychologist, PsyD
Verified Verified
11 Endorsed
Pittsburgh, PA 15201  (Online Only)
My mission is to join with others in pursuit of healing, empowerment, & liberation. Those who work with me are often exploring issues of gender, sexuality, disability, racial identity, complex trauma, and relationships. We often focus on alleviating the anxiety, depression, and disconnection from self & others that can result from our lived experiences. Together, we work towards building self-understanding so you can make decisions about your life & relationships with awareness and intention.
My mission is to join with others in pursuit of healing, empowerment, & liberation. Those who work with me are often exploring issues of gender, sexuality, disability, racial identity, complex trauma, and relationships. We often focus on alleviating the anxiety, depression, and disconnection from self & others that can result from our lived experiences. Together, we work towards building self-understanding so you can make decisions about your life & relationships with awareness and intention.
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Photo of Anita L. Pasquale, LICSW, LCSW, Clinical Social Work/Therapist
Anita L. Pasquale
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15201  (Online Only)
I’m Anita, a Licensed Clinical Social Worker (in PA, MD and WV) dedicated to helping adults of all ages navigate life’s challenges. Everyone has a story, and the difficult parts are often hidden away or overlooked. In my practice, I provide a safe and inclusive space where we can explore your history, values, and aspirations without fear of judgment. Together, we will work to gain a deeper understanding of yourself to help you feel grounded, empowered, and in control.
I’m Anita, a Licensed Clinical Social Worker (in PA, MD and WV) dedicated to helping adults of all ages navigate life’s challenges. Everyone has a story, and the difficult parts are often hidden away or overlooked. In my practice, I provide a safe and inclusive space where we can explore your history, values, and aspirations without fear of judgment. Together, we will work to gain a deeper understanding of yourself to help you feel grounded, empowered, and in control.
(412) 754-3676 View (412) 754-3676
Photo of Dana L Kirkpatrick - Calm Pittsburgh, LPC, NCC, MS
Calm Pittsburgh
LPC, NCC, MS
Verified Verified
Pittsburgh, PA 15201
Your life is complex and unique. The quality of your relationships, work, family, health, and stresses can affect your most authentic and calm state. Let us be your allies! We'd love to peacefully assist you as you navigate the changes and challenges life can bring. Calm believes in making complex issues accessible while maintaining an affirming environment that recognizes and respects each person's unique experiences. We also proudly offer a comprehensive suite of sexuality counseling, education, supervision, and consulting services designed to provide expert guidance and promote the well-being of individuals and communities.
Your life is complex and unique. The quality of your relationships, work, family, health, and stresses can affect your most authentic and calm state. Let us be your allies! We'd love to peacefully assist you as you navigate the changes and challenges life can bring. Calm believes in making complex issues accessible while maintaining an affirming environment that recognizes and respects each person's unique experiences. We also proudly offer a comprehensive suite of sexuality counseling, education, supervision, and consulting services designed to provide expert guidance and promote the well-being of individuals and communities.
(412) 857-3717 View (412) 857-3717
Photo of Bernadette Callaghan, MA, Pre-Licensed Professional
Bernadette Callaghan
Pre-Licensed Professional, MA
Verified Verified
Pittsburgh, PA 15201
When people feel weighed down by the heaviness that seems to consume them, providing a sense of space and reconstruction that allows a shift to occur is vital. In that shift, I hope to provide a supportive environment where they will feel that weight move and become the foundation on which they can rebuild their life. This heaviness is a unilateral condition experienced by all human beings. The secret is to create a skillset that permits the transition from weight being carried to weight being conquered. In my opinion, there is no ideal client, however, there is a blueprint of individual success for everyone.
When people feel weighed down by the heaviness that seems to consume them, providing a sense of space and reconstruction that allows a shift to occur is vital. In that shift, I hope to provide a supportive environment where they will feel that weight move and become the foundation on which they can rebuild their life. This heaviness is a unilateral condition experienced by all human beings. The secret is to create a skillset that permits the transition from weight being carried to weight being conquered. In my opinion, there is no ideal client, however, there is a blueprint of individual success for everyone.
(412) 899-1832 View (412) 899-1832
Photo of Kelsey Chizmar, MS, NCC, LPC, Licensed Professional Counselor
Kelsey Chizmar
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Pittsburgh, PA 15201  (Online Only)
Nice to meet you! I'm Kelsey, and I'm a Licensed Professional Counselor in Pennsylvania. I'm accepting new clients and have openings for telehealth individual sessions on Tuesdays and Wednesdays at varying times ranging from 11 am to 8 pm. I specialize in helping adults who are feeling overwhelmed, burnt out, stressed, anxious, and/or overstimulated. My hope is that you leave every session feeling heard, understood and supported.
Nice to meet you! I'm Kelsey, and I'm a Licensed Professional Counselor in Pennsylvania. I'm accepting new clients and have openings for telehealth individual sessions on Tuesdays and Wednesdays at varying times ranging from 11 am to 8 pm. I specialize in helping adults who are feeling overwhelmed, burnt out, stressed, anxious, and/or overstimulated. My hope is that you leave every session feeling heard, understood and supported.
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Photo of David Orbison, PhD, Psychologist
David Orbison
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15201
Not accepting new clients
These days, many of the people with whom I form a therapeutic relationship are those who have been unsatisfied with prior therapy efforts. In addition, I often work with mental health and medical professionals and their families, as well as persons employed in academia. That said, I enjoy sorting out all sorts of relationship difficulties and the underlying personality issues. In terms of patient populations, I work with individual adults and couples, upset teens and young adults. I am a fully trained psychoanalyst, as well, so I am comfortable with very intimate work, often using the couch. Commitment is a two-way street.
These days, many of the people with whom I form a therapeutic relationship are those who have been unsatisfied with prior therapy efforts. In addition, I often work with mental health and medical professionals and their families, as well as persons employed in academia. That said, I enjoy sorting out all sorts of relationship difficulties and the underlying personality issues. In terms of patient populations, I work with individual adults and couples, upset teens and young adults. I am a fully trained psychoanalyst, as well, so I am comfortable with very intimate work, often using the couch. Commitment is a two-way street.
(412) 906-9219 View (412) 906-9219
Photo of Carolyn Brodie, LPC, MS, NCC, Licensed Professional Counselor
Carolyn Brodie
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15201
I see individual women and LGBTQIA+ clients (including allies) aged 16+. I have devoted my practice to working with clients with Eating Disorders (Anorexia, Bulimia, ARFID, OSFED, and BED) and Anxiety diagnoses. My main goal is to validate and empower clients to live authentically, and to deliver therapy in a way that is evidence-based and nurturing.
I see individual women and LGBTQIA+ clients (including allies) aged 16+. I have devoted my practice to working with clients with Eating Disorders (Anorexia, Bulimia, ARFID, OSFED, and BED) and Anxiety diagnoses. My main goal is to validate and empower clients to live authentically, and to deliver therapy in a way that is evidence-based and nurturing.
(412) 547-8246 View (412) 547-8246
Photo of Dana L. Kirkpatrick, LPC, CST, CSTS, Licensed Professional Counselor
Dana L. Kirkpatrick
Licensed Professional Counselor, LPC, CST, CSTS
Verified Verified
Pittsburgh, PA 15201
Not accepting new clients
******Hello, I am currently not taking any new clients at this time.*******Create the life you want -- let me be your ally. I aim to encourage anyone seeking mental health support to consider therapy. Those looking to make positive changes or better manage life's complexities will benefit from introspection and insight through therapeutic guidance. My clients tend to be busy professionals, often navigating both internal and/or external challenges. I aim to offer goal-oriented, open minded mental health support for those dealing with complex issues and stresses of all kinds.
******Hello, I am currently not taking any new clients at this time.*******Create the life you want -- let me be your ally. I aim to encourage anyone seeking mental health support to consider therapy. Those looking to make positive changes or better manage life's complexities will benefit from introspection and insight through therapeutic guidance. My clients tend to be busy professionals, often navigating both internal and/or external challenges. I aim to offer goal-oriented, open minded mental health support for those dealing with complex issues and stresses of all kinds.
(412) 857-3717 View (412) 857-3717
Photo of Angelica Victoria Daniele, MA, MS, NCC, E-RYT, LPC, Licensed Professional Counselor
Angelica Victoria Daniele
Licensed Professional Counselor, MA, MS, NCC, E-RYT, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15201
Nothing is inherently wrong with you. Your diagnosis (if any) is a temporary experience; it does not define you. You don’t NEED me for long, I’m just a guide. But, if something feels off; if your head is clouded; if your career, relationships, or health are stressful; if you’re sick and tired of being sick and tired; if you can’t comb through your options; if you feel stuck, unsure, or overwhelmed; if you can’t find relief… I’m here for as long as you need. But the power is in YOU. I’ll help you become so self-aware that you wholeheartedly trust your intuition enough to offer yourself the answers: no doubt, fear, or guilt.
Nothing is inherently wrong with you. Your diagnosis (if any) is a temporary experience; it does not define you. You don’t NEED me for long, I’m just a guide. But, if something feels off; if your head is clouded; if your career, relationships, or health are stressful; if you’re sick and tired of being sick and tired; if you can’t comb through your options; if you feel stuck, unsure, or overwhelmed; if you can’t find relief… I’m here for as long as you need. But the power is in YOU. I’ll help you become so self-aware that you wholeheartedly trust your intuition enough to offer yourself the answers: no doubt, fear, or guilt.
(412) 328-2680 View (412) 328-2680
Photo of Dr. Sonia Schilling-Mansour, MSW, LCSW, EdD, Clinical Social Work/Therapist
Dr. Sonia Schilling-Mansour
Clinical Social Work/Therapist, MSW, LCSW, EdD
Verified Verified
Pittsburgh, PA 15201  (Online Only)
My approach is personalized for individuals committed to personal growth and open to new experiences. Join me in a journey of self-discovery, empowerment, and healing as I provide compassionate guidance through life's ups and downs. I specialize in assisting primary children (ages 8-12) adolescents (ages 13+), adults, and couples who are seeking guidance in navigating life's complexities. I focus on addressing issues such as depression, anxiety, co-dependency, anger management, self-esteem, trauma, peer issues, school issues, divorce, and relationship challenges.
My approach is personalized for individuals committed to personal growth and open to new experiences. Join me in a journey of self-discovery, empowerment, and healing as I provide compassionate guidance through life's ups and downs. I specialize in assisting primary children (ages 8-12) adolescents (ages 13+), adults, and couples who are seeking guidance in navigating life's complexities. I focus on addressing issues such as depression, anxiety, co-dependency, anger management, self-esteem, trauma, peer issues, school issues, divorce, and relationship challenges.
(814) 787-1932 View (814) 787-1932
Photo of Lexi Pizzuto, MS, Pre-Licensed Professional
Lexi Pizzuto
Pre-Licensed Professional, MS
Verified Verified
Pittsburgh, PA 15201
I see individuals 18+. My style in session and in my life is one of authenticity, humor, and empathetic directness. I believe in approaching one’s wounds and struggles with compassionate curiosity and remaining open to the idea that healing is a lifelong journey of evolving and getting connected with ourselves over and over as we navigate the many seasons of our lives. My work is grounded in Feminist and Attachment theory, and I believe that the power of a collaborative and client autonomy focused therapeutic relationship is the foundation upon which healing is facilitated.
I see individuals 18+. My style in session and in my life is one of authenticity, humor, and empathetic directness. I believe in approaching one’s wounds and struggles with compassionate curiosity and remaining open to the idea that healing is a lifelong journey of evolving and getting connected with ourselves over and over as we navigate the many seasons of our lives. My work is grounded in Feminist and Attachment theory, and I believe that the power of a collaborative and client autonomy focused therapeutic relationship is the foundation upon which healing is facilitated.
(412) 388-2282 View (412) 388-2282
Photo of Ashlee Groover, MS, NCC, LPC, Licensed Professional Counselor
Ashlee Groover
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15201
I currently have space for EMDR interested clients! Understanding the unsettling feelings, emotions, and thoughts that you may be experiencing can be an incredibly complex task to grapple with on your own. It can feel even more daunting when you think of how to try and explain what is going on to someone else. I strive to provide a supportive and collaborative environment to assist you in taking the time to explore the things you seek to understand. My goal is to help you build your “mental tool box” with effective coping skills, confidence, and self-awareness to tackle any obstacle that is thrown your way.
I currently have space for EMDR interested clients! Understanding the unsettling feelings, emotions, and thoughts that you may be experiencing can be an incredibly complex task to grapple with on your own. It can feel even more daunting when you think of how to try and explain what is going on to someone else. I strive to provide a supportive and collaborative environment to assist you in taking the time to explore the things you seek to understand. My goal is to help you build your “mental tool box” with effective coping skills, confidence, and self-awareness to tackle any obstacle that is thrown your way.
(412) 520-7741 View (412) 520-7741
Photo of Maddie Canel, MS, NCC, Licensed Professional Counselor
Maddie Canel
Licensed Professional Counselor, MS, NCC
Verified Verified
4 Endorsed
Pittsburgh, PA 15201
I have lived experience with neurodivergence, depression, anxiety, and being in a plus sized body. I have experience working with the above as well as being trained in working with clients with BPD and clients who just feel like they need a safe space to discuss day to day life stressors. I stress to my clients that therapy is for everyone and there is no such thing as a "trauma olympics" where something is better or worse than others! I work with clients age 6+.
I have lived experience with neurodivergence, depression, anxiety, and being in a plus sized body. I have experience working with the above as well as being trained in working with clients with BPD and clients who just feel like they need a safe space to discuss day to day life stressors. I stress to my clients that therapy is for everyone and there is no such thing as a "trauma olympics" where something is better or worse than others! I work with clients age 6+.
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Photo of Mike Drew, LPC, Licensed Professional Counselor
Mike Drew
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15201
Whatever you're seeking, be it treatment for depression or anxiety, or be it deeper insight into yourself, my goal as a therapist is to help you through that process and guide you along the way, as a trusted companion would.
Whatever you're seeking, be it treatment for depression or anxiety, or be it deeper insight into yourself, my goal as a therapist is to help you through that process and guide you along the way, as a trusted companion would.
(412) 776-0772 View (412) 776-0772

How does your Therapist compare?

Number of Therapists in 15201

100+

Average cost per session

$140

Therapists in 15201 who prioritize treating:

91% Anxiety
87% Depression
77% Relationship Issues
77% Self Esteem
70% Stress
66% Life Transitions
65% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

82% Aetna
79% Highmark
67% Cigna and Evernorth

How Therapists in 15201 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

79% Female
15% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 15201?

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.