Therapists in 20002

Photo of Larissa Godfrey-Smith, Licensed Professional Counselor, MA, LPC
Larissa Godfrey-Smith
Licensed Professional Counselor, MA, LPC
Washington, DC 20002
Located in Union Market, Washington, DC, I specialize in gender and queer topics. The clients I enjoy working with the most are artists, activists, leftists, change-makers, and norm-breakers. They are transgender, queer, bisexual, non-monogamous, formerly religious, and often have untraditional family structures, including chosen family and deconstructed gender roles. I know that therapeutic work does not happen in a vacuum, and it is imperative that we acknowledge our political, structural, and personal contexts. Our sessions can be a place of immense joy, immeasurable rage, and revolutionary change.
Located in Union Market, Washington, DC, I specialize in gender and queer topics. The clients I enjoy working with the most are artists, activists, leftists, change-makers, and norm-breakers. They are transgender, queer, bisexual, non-monogamous, formerly religious, and often have untraditional family structures, including chosen family and deconstructed gender roles. I know that therapeutic work does not happen in a vacuum, and it is imperative that we acknowledge our political, structural, and personal contexts. Our sessions can be a place of immense joy, immeasurable rage, and revolutionary change.
(202) 301-4605 View (202) 301-4605
Photo of Gerald Joseph - The Capital Therapist, Clinical Social Work/Therapist, MSW, LCSW, PATP
The Capital Therapist
Clinical Social Work/Therapist, MSW, LCSW, PATP
2 Endorsed
Washington, DC 20002
I partner with clients who view therapy as a collaborative journey. Together, we work towards achievable goals, addressing their unique concerns. Whether navigating mental health challenges or seeking guidance through psychedelic integration, I prioritize a compassionate and collaborative approach.
I partner with clients who view therapy as a collaborative journey. Together, we work towards achievable goals, addressing their unique concerns. Whether navigating mental health challenges or seeking guidance through psychedelic integration, I prioritize a compassionate and collaborative approach.
(202) 915-5317 View (202) 915-5317
Photo of Josh Greene, Clinical Social Work/Therapist, LICSW
Josh Greene
Clinical Social Work/Therapist, LICSW
1 Endorsed
Washington, DC 20002
I understand that reaching out for therapy is often a challenge and that it may be difficult to choose a therapist with whom you feel comfortable. I have been providing therapy for 28 years and have built a practice predicated upon expertise, trust, collaboration, and confidentiality. I specialize in providing support and successful techniques to help you manage stressors and symptoms associated with depression, anxiety, behavioral problems, relationship stress, addiction, and sexual dysfunction. I work with adolescents, adults, and couples.
I understand that reaching out for therapy is often a challenge and that it may be difficult to choose a therapist with whom you feel comfortable. I have been providing therapy for 28 years and have built a practice predicated upon expertise, trust, collaboration, and confidentiality. I specialize in providing support and successful techniques to help you manage stressors and symptoms associated with depression, anxiety, behavioral problems, relationship stress, addiction, and sexual dysfunction. I work with adolescents, adults, and couples.
(202) 760-4359 View (202) 760-4359
Photo of Tanya Taylor - Capitol Hill Counseling and Resource Center, Clinical Social Work/Therapist, LICSW, LPC, PsyD, PhD
Capitol Hill Counseling and Resource Center
Clinical Social Work/Therapist, LICSW, LPC, PsyD, PhD
Washington, DC 20002
At the Capitol Hill Counseling and Resource Center, we know life isn't always easy. At some point, many of us need a little help to work through the challenges we face. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, relationship issues or something else, there is hope. Initially, you may be hesitant to seek help thru therapy. Most people are, but when you do, you can be confident you are taking a courageous first step towards getting to a better place and a better you. We're ready to help you become the person you want to be. We offer help, healing and hope.
At the Capitol Hill Counseling and Resource Center, we know life isn't always easy. At some point, many of us need a little help to work through the challenges we face. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, relationship issues or something else, there is hope. Initially, you may be hesitant to seek help thru therapy. Most people are, but when you do, you can be confident you are taking a courageous first step towards getting to a better place and a better you. We're ready to help you become the person you want to be. We offer help, healing and hope.
(202) 318-6595 View (202) 318-6595
Photo of Jeremy Kozne, Psychologist, PhD
Jeremy Kozne
Psychologist, PhD
1 Endorsed
Washington, DC 20002
Many people get stuck and feel disappointed or unsatisfied when they evaluate their lives. I work with clients to help them identify destructive thoughts and behaviors, manage disruptive, uncomfortable emotions, establish more fulfilling relationships, and reach a place of genuine satisfaction. I teach clients skills to increase positive feelings and we will work together to uncover deep insights and break entrenched maladaptive, negative life patterns. As your therapist, I provide a warm, directive and active role to help you meet your treatment goals.
Many people get stuck and feel disappointed or unsatisfied when they evaluate their lives. I work with clients to help them identify destructive thoughts and behaviors, manage disruptive, uncomfortable emotions, establish more fulfilling relationships, and reach a place of genuine satisfaction. I teach clients skills to increase positive feelings and we will work together to uncover deep insights and break entrenched maladaptive, negative life patterns. As your therapist, I provide a warm, directive and active role to help you meet your treatment goals.
(202) 933-7917 View (202) 933-7917
Photo of Jennifer 'niki' Novak - Counseling And Consulting On The Hill, Marriage & Family Therapist, LMFT, LPC
Counseling And Consulting On The Hill
Marriage & Family Therapist, LMFT, LPC
Washington, DC 20002
We know how difficult it can be to find and start with a new therapist. We strive to make this transition seamless for you & like to partner with you to develop your goals. CCH is in-network with CareFirst/BlueCross plans. It is the mission of our group to ensure that high quality and compassionate mental health care is accessible, affordable, and affirming. Our clinicians are justice-oriented therapists who prioritize our client’s safety and view them as the expert in their own life. We are here to be supportive. Our therapists genuinely like the folks they serve and bring curiosity and compassion to sessions.
We know how difficult it can be to find and start with a new therapist. We strive to make this transition seamless for you & like to partner with you to develop your goals. CCH is in-network with CareFirst/BlueCross plans. It is the mission of our group to ensure that high quality and compassionate mental health care is accessible, affordable, and affirming. Our clinicians are justice-oriented therapists who prioritize our client’s safety and view them as the expert in their own life. We are here to be supportive. Our therapists genuinely like the folks they serve and bring curiosity and compassion to sessions.
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Photo of Mathew Elder, Clinical Social Work/Therapist, LCSW
Mathew Elder
Clinical Social Work/Therapist, LCSW
Washington, DC 20002
My practice is one that lives within two philosophies— meeting you where you are and finding a place of supportive confrontation. You have a story, and my goal is to navigate through that narrative collaboratively and with curiosity while emphasizing your unique strengths. The supportive confrontation is a challenge to get comfortable with the uncomfortable. Often, attempting something new and facing a fear can inspire change, and that's where we begin our work together. Our sessions are a commitment to bravery when investigating those external and internal influences that slow or prevent the change process from occuring.
My practice is one that lives within two philosophies— meeting you where you are and finding a place of supportive confrontation. You have a story, and my goal is to navigate through that narrative collaboratively and with curiosity while emphasizing your unique strengths. The supportive confrontation is a challenge to get comfortable with the uncomfortable. Often, attempting something new and facing a fear can inspire change, and that's where we begin our work together. Our sessions are a commitment to bravery when investigating those external and internal influences that slow or prevent the change process from occuring.
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Photo of Sevilla King, Clinical Social Work/Therapist, LICSW, LCSW
Sevilla King
Clinical Social Work/Therapist, LICSW, LCSW
Washington, DC 20002
Are you feeling stuck, creatively blocked, or disconnected from your sense of purpose? Do you long for a deeper understanding of yourself and your life’s journey? As a psychodynamic psychotherapist with a deep appreciation for spirituality and Jungian principles, I provide a space for you to explore the layers of your psyche, uncover hidden patterns, and reconnect with your authentic self. Clients often tell me they feel truly seen and heard for the first time in our sessions. My style is warm, intuitive, and deeply attuned to your unique story.
Are you feeling stuck, creatively blocked, or disconnected from your sense of purpose? Do you long for a deeper understanding of yourself and your life’s journey? As a psychodynamic psychotherapist with a deep appreciation for spirituality and Jungian principles, I provide a space for you to explore the layers of your psyche, uncover hidden patterns, and reconnect with your authentic self. Clients often tell me they feel truly seen and heard for the first time in our sessions. My style is warm, intuitive, and deeply attuned to your unique story.
(202) 759-6446 View (202) 759-6446
Photo of Sade Adeeyo, Counselor, LPC, LCPC
Sade Adeeyo
Counselor, LPC, LCPC
1 Endorsed
Washington, DC 20002
sade is a social justice worker and licensed psychotherapist in DC, MD, and VA. She has experience working with adolescents and adults of diverse racial, ethnic, class, gender and sexual identities. Her approach is collaborative and firmly rooted in the beliefs that each person has the potential for growth and that two things can be true at the same time: We are all the experts of our lived experiences and sometimes need loving guidance to create the relationships and lives we desire. With warmth, empathy, compassionate curiosity, and straightforward feedback, you can expect a safe container to explore your truth and experiences.
sade is a social justice worker and licensed psychotherapist in DC, MD, and VA. She has experience working with adolescents and adults of diverse racial, ethnic, class, gender and sexual identities. Her approach is collaborative and firmly rooted in the beliefs that each person has the potential for growth and that two things can be true at the same time: We are all the experts of our lived experiences and sometimes need loving guidance to create the relationships and lives we desire. With warmth, empathy, compassionate curiosity, and straightforward feedback, you can expect a safe container to explore your truth and experiences.
(202) 831-8380 View (202) 831-8380
Photo of Ashley Bauman, Licensed Professional Counselor, PhD, LPC, ACS, NCC
Ashley Bauman
Licensed Professional Counselor, PhD, LPC, ACS, NCC
4 Endorsed
Washington, DC 20002
Are you feeling stuck in anxiety, depression, or relational trauma? Are you facing uncertainty, loss, or challenges in your relationships? I can help. Through a therapeutic connection, you will gain insight into your behaviors and emotions beyond symptom management. I will work collaboratively with you to change of patterns of overthinking, perfectionism, and emotional pain by building skills and using new tools. I partner with you to grow in understanding your internal world to learn new ways of relating to yourself and others which can lead to a more resilient and meaningful life.
Are you feeling stuck in anxiety, depression, or relational trauma? Are you facing uncertainty, loss, or challenges in your relationships? I can help. Through a therapeutic connection, you will gain insight into your behaviors and emotions beyond symptom management. I will work collaboratively with you to change of patterns of overthinking, perfectionism, and emotional pain by building skills and using new tools. I partner with you to grow in understanding your internal world to learn new ways of relating to yourself and others which can lead to a more resilient and meaningful life.
(202) 804-8909 View (202) 804-8909
Photo of Virginia Boyles, Counselor, LGPC, MA
Virginia Boyles
Counselor, LGPC, MA
3 Endorsed
Washington, DC 20002
I believe all people are capable of change, growth, and healing. Many of my clients struggle with low self-esteem, stress, depression, anxiety, neurodivergence, interpersonal challenges, or finding their authentic selves in a world that may not always understand them. I provide a safe, empathetic space where they can explore their identity, build self-awareness, and develop tools to manage challenges. Together, we work toward cultivating resilience, improving communication, and fostering meaningful connections.
I believe all people are capable of change, growth, and healing. Many of my clients struggle with low self-esteem, stress, depression, anxiety, neurodivergence, interpersonal challenges, or finding their authentic selves in a world that may not always understand them. I provide a safe, empathetic space where they can explore their identity, build self-awareness, and develop tools to manage challenges. Together, we work toward cultivating resilience, improving communication, and fostering meaningful connections.
(202) 838-4872 View (202) 838-4872
Photo of Melissa Sellevaag, Clinical Social Work/Therapist, LICSW
Melissa Sellevaag
Clinical Social Work/Therapist, LICSW
Washington, DC 20002
I believe in the capacity of individuals and communities to heal and grow. Through the development of a trusted and collaborative relationship we can identify a path through challenging times and forward. I specialize in supporting individuals navigating change and life transition, either expected or unexpected. I have the capacity to witness and support as you uncover your tools to live fully in the present. As the expert in your own life, you are a collaborative partner in the therapy process to enable continued growth after therapy ends.
I believe in the capacity of individuals and communities to heal and grow. Through the development of a trusted and collaborative relationship we can identify a path through challenging times and forward. I specialize in supporting individuals navigating change and life transition, either expected or unexpected. I have the capacity to witness and support as you uncover your tools to live fully in the present. As the expert in your own life, you are a collaborative partner in the therapy process to enable continued growth after therapy ends.
(855) 729-9711 View (855) 729-9711
Photo of Paige Zorniger - Paige Zorniger- Mind & Body (Somatic) Therapy, Licensed Professional Counselor, LPC
Paige Zorniger- Mind & Body (Somatic) Therapy
Licensed Professional Counselor, LPC
3 Endorsed
Washington, DC 20002
Maybe you find yourself caught in cycles of overthinking. Maybe you feel like you need to handle it all on your own, or you find yourself repeating old patterns in relationships that leave you feeling unfulfilled. You might feel like that familiar perfectionism helps… until you're reminded again that it doesn’t. That’s where I can help. I work with people navigating relationships, life transitions, and the practice of self-compassion—often while managing anxiety, self-doubt, or a desire for something more. My role is to help you connect with your own inner wisdom and move toward meaningful, fulfilling change.
Maybe you find yourself caught in cycles of overthinking. Maybe you feel like you need to handle it all on your own, or you find yourself repeating old patterns in relationships that leave you feeling unfulfilled. You might feel like that familiar perfectionism helps… until you're reminded again that it doesn’t. That’s where I can help. I work with people navigating relationships, life transitions, and the practice of self-compassion—often while managing anxiety, self-doubt, or a desire for something more. My role is to help you connect with your own inner wisdom and move toward meaningful, fulfilling change.
(202) 599-6493 View (202) 599-6493
Photo of Jason Nicholsen, Clinical Social Work/Therapist, LICSW
Jason Nicholsen
Clinical Social Work/Therapist, LICSW
Washington, DC 20002
I started this virtual-based therapy practice so that I could connect with individuals struggling to feel connected in their lives. There are no judgements. Together, we can explore the resilience and strength you already have and take action towards a richer, fuller life.  I have a Master's degree in Social Work from New York University and utilize Acceptance and Commitment Therapy and Cognitive Behavioral Therapy along with an eclectic mix of other evidence-informed interventions to support you and your goals.
I started this virtual-based therapy practice so that I could connect with individuals struggling to feel connected in their lives. There are no judgements. Together, we can explore the resilience and strength you already have and take action towards a richer, fuller life.  I have a Master's degree in Social Work from New York University and utilize Acceptance and Commitment Therapy and Cognitive Behavioral Therapy along with an eclectic mix of other evidence-informed interventions to support you and your goals.
(202) 568-8621 View (202) 568-8621
Photo of J. Larissa Godfrey-Smith - Godfrey-Smith Counseling, Licensed Professional Counselor, LPC
Godfrey-Smith Counseling
Licensed Professional Counselor, LPC
Washington, DC 20002
Gender-focused queer care for folks of all ages and identities.
Gender-focused queer care for folks of all ages and identities.
(202) 831-4862 View (202) 831-4862
Photo of Amy Hunter, Clinical Social Work/Therapist, LICSW
Amy Hunter
Clinical Social Work/Therapist, LICSW
Washington, DC 20002
Parenting Support for Every Stage: Babies, Toddlers, and Teens Are you feeling stressed, frustrated, or unsure about your parenting? Do you wish you had guidance on how to soothe a fussy baby, calm a reactive toddler, set healthy limits around screen time, or maintain a connection with your teen? Many parents want to raise their children differently from how they were parented, but struggle to know how. I provide personalized parenting consultations for individuals and parenting teams. Together, we explore your child’s behavior, your parenting approach, and your family dynamics to create a practical approach forward.
Parenting Support for Every Stage: Babies, Toddlers, and Teens Are you feeling stressed, frustrated, or unsure about your parenting? Do you wish you had guidance on how to soothe a fussy baby, calm a reactive toddler, set healthy limits around screen time, or maintain a connection with your teen? Many parents want to raise their children differently from how they were parented, but struggle to know how. I provide personalized parenting consultations for individuals and parenting teams. Together, we explore your child’s behavior, your parenting approach, and your family dynamics to create a practical approach forward.
(202) 931-6373 View (202) 931-6373
Photo of Leah Liszka, Clinical Social Work/Therapist, LICSW, LCSW-C
Leah Liszka
Clinical Social Work/Therapist, LICSW, LCSW-C
1 Endorsed
Washington, DC 20002
Now accepting video clients from Minnesota! ! ! I believe that we all have the resources to succeed within ourselves. Therapy connects us to our strengths and our resilience. As a client-centered therapist, I am honored to collaborate with you and help you reach your mental health goals. I am non-binary (agender) and work often with people who identify under the LGBTQIA+ umbrella. I am body- and sex- positive, kink-aware, and poly-friendly, and my practice philosophy is grounded in intersectional and feminist theory.
Now accepting video clients from Minnesota! ! ! I believe that we all have the resources to succeed within ourselves. Therapy connects us to our strengths and our resilience. As a client-centered therapist, I am honored to collaborate with you and help you reach your mental health goals. I am non-binary (agender) and work often with people who identify under the LGBTQIA+ umbrella. I am body- and sex- positive, kink-aware, and poly-friendly, and my practice philosophy is grounded in intersectional and feminist theory.
(202) 417-7868 View (202) 417-7868
Photo of Aaryn Kopp, Clinical Social Work/Therapist, LICSW
Aaryn Kopp
Clinical Social Work/Therapist, LICSW
Washington, DC 20002
I work with ages 12+ who are experiencing anxiety, depression, adjustment issues, trauma, CPTSD/PTSD, and grief. I believe what we resist persists, so challenges are best overcome when faced directly with courage and compassion. True healing and change can take time and effort, and I believe deeply in the power of therapy to create a dynamic for growth and change—helping individuals create the selves and lives they hope to live.
I work with ages 12+ who are experiencing anxiety, depression, adjustment issues, trauma, CPTSD/PTSD, and grief. I believe what we resist persists, so challenges are best overcome when faced directly with courage and compassion. True healing and change can take time and effort, and I believe deeply in the power of therapy to create a dynamic for growth and change—helping individuals create the selves and lives they hope to live.
(202) 804-0924 View (202) 804-0924
Photo of Talia Zeiger, Counselor, LGPC
Talia Zeiger
Counselor, LGPC
Washington, DC 20002
Understanding the complexities of navigating queerness in a cisheteronormative world can be an isolating experience. I enjoy working with LGBTQ+ individuals to find affirming and authentic ways of being. I help clients unlearn who they have been taught they “should” be and empower them to be themselves. I am committed to helping clients increase their confidence, develop a strong sense of identity, and relieve tension in interpersonal relationships. I guide clients toward personal growth as well as healing through finding harmony in their relationships with others.
Understanding the complexities of navigating queerness in a cisheteronormative world can be an isolating experience. I enjoy working with LGBTQ+ individuals to find affirming and authentic ways of being. I help clients unlearn who they have been taught they “should” be and empower them to be themselves. I am committed to helping clients increase their confidence, develop a strong sense of identity, and relieve tension in interpersonal relationships. I guide clients toward personal growth as well as healing through finding harmony in their relationships with others.
(833) 716-0855 View (833) 716-0855
Photo of Karin Erickson, Clinical Social Work/Therapist, LICSW, LCSW
Karin Erickson
Clinical Social Work/Therapist, LICSW, LCSW
1 Endorsed
Washington, DC 20002
Parents and caregivers often need support as they adapt to the changing needs of an infant or young child, while also paying attention to their own well-being. Teachers and clinical professionals also may have questions and concerns during times of increased stress, unexpected, or frightening events. Too much stress, or too many stressful events can result in overwhelming or extreme reactions in both young children and in adults. I provide therapy with young children and their caregivers using interactive play activities, sensory strategies and guided communication to increase positive and loving connections.
Parents and caregivers often need support as they adapt to the changing needs of an infant or young child, while also paying attention to their own well-being. Teachers and clinical professionals also may have questions and concerns during times of increased stress, unexpected, or frightening events. Too much stress, or too many stressful events can result in overwhelming or extreme reactions in both young children and in adults. I provide therapy with young children and their caregivers using interactive play activities, sensory strategies and guided communication to increase positive and loving connections.
(202) 915-5989 View (202) 915-5989

See more therapy options for 20002

How does your Therapist compare?

Number of Therapists in 20002

500+

Average cost per session

$175

Therapists in 20002 who prioritize treating:

90% Anxiety
83% Depression
74% Relationship Issues
72% Self Esteem
68% Stress
67% Life Transitions
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
75% Cigna and Evernorth
64% CareFirst

How Therapists in 20002 see their clients

70% Online Only
30% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 20002?

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.