Therapists in 44102

Photo of Nina Lipuma, Counselor, MEd, LPC
Nina Lipuma
Counselor, MEd, LPC
1 Endorsed
Cleveland, OH 44102
Licensed Professional Counselor that has obtained a Bachelors of Psychology from Kent State University and my Masters of Education in Clinical Mental Health Counseling at Cleveland State University. As a proud member of the LGBTQIA2s+ community, my focus is on human sexuality and working with individuals, couples, and the polyamorous community. Sex is an integral part of who we are, and I understand how it can influence other areas of life. I also focus on supporting those struggling with depression, anxiety, ADHD, self/body esteem, trauma, and grief, helping individuals navigate these challenges as a whole.
Licensed Professional Counselor that has obtained a Bachelors of Psychology from Kent State University and my Masters of Education in Clinical Mental Health Counseling at Cleveland State University. As a proud member of the LGBTQIA2s+ community, my focus is on human sexuality and working with individuals, couples, and the polyamorous community. Sex is an integral part of who we are, and I understand how it can influence other areas of life. I also focus on supporting those struggling with depression, anxiety, ADHD, self/body esteem, trauma, and grief, helping individuals navigate these challenges as a whole.
(216) 616-3158 View (216) 616-3158
Photo of Matthew Lachman - Cleveland Sex Therapy, Licensed Professional Clinical Counselor, MEd, MS, LPCC-S
Cleveland Sex Therapy
Licensed Professional Clinical Counselor, MEd, MS, LPCC-S
6 Endorsed
Cleveland, OH 44102
I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. As a Licensed Professional Clinical Counselor, I have experience working with individuals, couples, and polyam folx on a wide variety of issues including depression, anxiety, relationships, self-esteem, LGBTQIA+, marital, grief, and stress-related issues. As of late, my personal life journey has lead me to develop a passion for helping others with their relationship concerns, gender identity, human sexuality, intimacy, and sexual dysfunction issues. In November 2021, I became a certified sex therapist through AASECT.
I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. As a Licensed Professional Clinical Counselor, I have experience working with individuals, couples, and polyam folx on a wide variety of issues including depression, anxiety, relationships, self-esteem, LGBTQIA+, marital, grief, and stress-related issues. As of late, my personal life journey has lead me to develop a passion for helping others with their relationship concerns, gender identity, human sexuality, intimacy, and sexual dysfunction issues. In November 2021, I became a certified sex therapist through AASECT.
(216) 446-6686 View (216) 446-6686
Photo of Lauren M Morgan, Marriage & Family Therapist, LPC, MFT
Lauren M Morgan
Marriage & Family Therapist, LPC, MFT
Cleveland, OH 44102
I am an Licensed Professional Counselor and Marriage and Family Therapist with special training in the attachment theory-based modality of Emotionally Focused Couples Therapy. I believe in building a relationship with clients where they feel safe and accepted, yet challenged to grow. Through this therapeutic relationship, individuals, couples, and families can heal and develop new perspectives and practices they can use throughout their entire lives. I utilize an array of techniques, including psycho-education, genograms, role plays, art therapy, and communication exercises, but I feel the most important aspect to therapy is developing a unique relationship with each client.
I am an Licensed Professional Counselor and Marriage and Family Therapist with special training in the attachment theory-based modality of Emotionally Focused Couples Therapy. I believe in building a relationship with clients where they feel safe and accepted, yet challenged to grow. Through this therapeutic relationship, individuals, couples, and families can heal and develop new perspectives and practices they can use throughout their entire lives. I utilize an array of techniques, including psycho-education, genograms, role plays, art therapy, and communication exercises, but I feel the most important aspect to therapy is developing a unique relationship with each client.
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Photo of Dr. Reaver D Nelson, Clinical Social Work/Therapist, DSW, MSW, LISW-S
Dr. Reaver D Nelson
Clinical Social Work/Therapist, DSW, MSW, LISW-S
Cleveland, OH 44102
I am an independiently licensed clinical social worker. I have worked in community-based, residential, and private practice settings with clients from diverse populations, across the lifespan, seeking care for mental health and substance abuse diagnoses for 38 years. The focus of my therapeutic approach is to enhance the mental, emotional, and social well-being of clients through evidence-based and culturally informed services.
I am an independiently licensed clinical social worker. I have worked in community-based, residential, and private practice settings with clients from diverse populations, across the lifespan, seeking care for mental health and substance abuse diagnoses for 38 years. The focus of my therapeutic approach is to enhance the mental, emotional, and social well-being of clients through evidence-based and culturally informed services.
(216) 755-7194 View (216) 755-7194
Photo of Jessica Michelle Martinez - Jessica Michelle Martinez Therapy, LLC, Clinical Social Work/Therapist, LISW-S, LCSW, MA
Jessica Michelle Martinez Therapy, LLC
Clinical Social Work/Therapist, LISW-S, LCSW, MA
2 Endorsed
Cleveland, OH 44102
If you’re experiencing overthinking, anxiety, low mood, depression, or uncertainty about what to do next, talk therapy can be an effective first step toward clarity. At JMM Therapy, our team—consisting of myself, an LPCC and a Somatic Body-work Professional, works with individuals navigating relationship challenges, as well as those coping with anxiety, trauma, abuse, grief, loss, shame, and self-doubt. We help clients gain clarity on how their past experiences and childhood trauma may be influencing their present behaviors, and we guide them in making values-based decisions that foster meaningful change.
If you’re experiencing overthinking, anxiety, low mood, depression, or uncertainty about what to do next, talk therapy can be an effective first step toward clarity. At JMM Therapy, our team—consisting of myself, an LPCC and a Somatic Body-work Professional, works with individuals navigating relationship challenges, as well as those coping with anxiety, trauma, abuse, grief, loss, shame, and self-doubt. We help clients gain clarity on how their past experiences and childhood trauma may be influencing their present behaviors, and we guide them in making values-based decisions that foster meaningful change.
(216) 910-5193 View (216) 910-5193
Photo of Yub Kim, Licensed Professional Counselor, LPC
Yub Kim
Licensed Professional Counselor, LPC
2 Endorsed
Cleveland, OH 44102
Let's explore what sexual freedom looks like for you. Hi, I’m Yub, and I’m bilingual in Korean and English. I believe that sex and love should be enjoyed with pleasure and explored without judgment. However, the messages we receive throughout life can make it challenging to fully embrace our true sexuality.
Let's explore what sexual freedom looks like for you. Hi, I’m Yub, and I’m bilingual in Korean and English. I believe that sex and love should be enjoyed with pleasure and explored without judgment. However, the messages we receive throughout life can make it challenging to fully embrace our true sexuality.
(216) 677-8748 View (216) 677-8748
Photo of Megan Rivera Muniz, Clinical Social Work/Therapist, MSW, LISW
Megan Rivera Muniz
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Cleveland, OH 44102
Hi there, I’m Megan! I’m a Licensed Independent Social Worker who has known since I was young that I was meant to help others. Supporting individuals and families through life’s hardest seasons isn’t just my career — it’s my passion. There’s nothing more meaningful to me than walking alongside someone as they create real, lasting change. Over the years, I’ve seen a growing need for open, shame-free conversations around sex and relationships. That’s what led me to become a sex-positive therapist — because everyone deserves education, empowerment, and a safe space to explore who they are without judgment.
Hi there, I’m Megan! I’m a Licensed Independent Social Worker who has known since I was young that I was meant to help others. Supporting individuals and families through life’s hardest seasons isn’t just my career — it’s my passion. There’s nothing more meaningful to me than walking alongside someone as they create real, lasting change. Over the years, I’ve seen a growing need for open, shame-free conversations around sex and relationships. That’s what led me to become a sex-positive therapist — because everyone deserves education, empowerment, and a safe space to explore who they are without judgment.
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Photo of Jasmine Reed, Clinical Social Work/Therapist, MSW, LSW
Jasmine Reed
Clinical Social Work/Therapist, MSW, LSW
Serves Area
My hope is for therapy to be a place for you to be your authentic self free of worry about judgment. I believe that clients know the most about themselves and their situations, and should be the leaders of their treatment. Our work together will be collaborative so we can discover ways to help you thrive. Each person has their own set of needs for therapy. I provide individualized care for each of my clients, implementing what they value and how they learn into their healing. I am a trauma-informed therapist, primarily using cognitive and supportive therapies.
My hope is for therapy to be a place for you to be your authentic self free of worry about judgment. I believe that clients know the most about themselves and their situations, and should be the leaders of their treatment. Our work together will be collaborative so we can discover ways to help you thrive. Each person has their own set of needs for therapy. I provide individualized care for each of my clients, implementing what they value and how they learn into their healing. I am a trauma-informed therapist, primarily using cognitive and supportive therapies.
(440) 600-3677 View (440) 600-3677
Photo of Lindsay Humbel, Licensed Professional Counselor, MEd, LPC
Lindsay Humbel
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Serves Area
If you are desiring connection with yourself and others but struggling to do so then I invite you to join me in the counseling space where I aim to provide you with an honest, genuine and empowering therapeutic dynamic in which you feel safe and accepted. I feel most energized as a therapist when I am helping clients connect or reconnect with themselves, learning and recognizing thoughts, emotions and patterns of behavior that will set them up for healthy and satisfying relationships of all kinds.
If you are desiring connection with yourself and others but struggling to do so then I invite you to join me in the counseling space where I aim to provide you with an honest, genuine and empowering therapeutic dynamic in which you feel safe and accepted. I feel most energized as a therapist when I am helping clients connect or reconnect with themselves, learning and recognizing thoughts, emotions and patterns of behavior that will set them up for healthy and satisfying relationships of all kinds.
(216) 480-0995 View (216) 480-0995
Photo of Kati Buehrle, Clinical Social Work/Therapist, LISW
Kati Buehrle
Clinical Social Work/Therapist, LISW
Serves Area
I am a Licensed Independent Social Worker who works with adults seeking treatment for trauma/PTSD, LGBTQIA+ specific issues, ADHD, anxiety disorders, depression, mood disorders, life transitions, grief and loss, and women’s issues. I completed my advanced education at The University of Akron, where I earned my BSW and MSW. Prior to private practice, I worked in community mental health. In this setting, most of my work focused on providing treatment to LGBTQIA+ folks and those living with HIV. I utilize evidence-based treatment approaches and work with each client to identify which treatment will fit their unique needs.
I am a Licensed Independent Social Worker who works with adults seeking treatment for trauma/PTSD, LGBTQIA+ specific issues, ADHD, anxiety disorders, depression, mood disorders, life transitions, grief and loss, and women’s issues. I completed my advanced education at The University of Akron, where I earned my BSW and MSW. Prior to private practice, I worked in community mental health. In this setting, most of my work focused on providing treatment to LGBTQIA+ folks and those living with HIV. I utilize evidence-based treatment approaches and work with each client to identify which treatment will fit their unique needs.
(216) 424-4465 View (216) 424-4465
Photo of Jaime Fuentes, Licensed Independent Social Worker, MSSA, LISW-S
Jaime Fuentes
Licensed Independent Social Worker, MSSA, LISW-S
3 Endorsed
Serves Area
I have immediate availability for both couples and individuals- seen in person in Rocky River, or via telehealth all over Ohio. As a therapist, I believe in the human capacity for healing and transformation. My work with individuals and couples is grounded in the belief that with the right support and tools, everyone can move beyond survival and begin to thrive. I strive to create a safe, collaborative space where clients feel heard, respected, and empowered to do meaningful work.
I have immediate availability for both couples and individuals- seen in person in Rocky River, or via telehealth all over Ohio. As a therapist, I believe in the human capacity for healing and transformation. My work with individuals and couples is grounded in the belief that with the right support and tools, everyone can move beyond survival and begin to thrive. I strive to create a safe, collaborative space where clients feel heard, respected, and empowered to do meaningful work.
(216) 930-1236 View (216) 930-1236
Photo of Leah L Babaran, Licensed Professional Counselor, LPC, ATR
Leah L Babaran
Licensed Professional Counselor, LPC, ATR
1 Endorsed
Serves Area
I find personal gratification in communicating fresh perspectives and stimulating curiosity and new ideas, as ways for individuals to navigate life’s challenges. It is difficult enough when the systems in place as supports seem counterproductive and sometimes harmful in modern life as we know it. When life “lifes,” it’s completely understandable to want to learn new ways of adapting. I get it, I hear you, and I’m here to help you have those “ah-ha” moments as you work through self-discovery and healing through symptoms and experiences of grief, trauma, stress, depression, anxiety, and/or relational problems.
I find personal gratification in communicating fresh perspectives and stimulating curiosity and new ideas, as ways for individuals to navigate life’s challenges. It is difficult enough when the systems in place as supports seem counterproductive and sometimes harmful in modern life as we know it. When life “lifes,” it’s completely understandable to want to learn new ways of adapting. I get it, I hear you, and I’m here to help you have those “ah-ha” moments as you work through self-discovery and healing through symptoms and experiences of grief, trauma, stress, depression, anxiety, and/or relational problems.
(216) 238-5997 View (216) 238-5997
Photo of Kelly Lane, Counselor, LPCC
Kelly Lane
Counselor, LPCC
Serves Area
My best guess is you’re here checking out potential therapists because you’re feeling a bit stuck; you’re ready for something new, or maybe you’re just sick and tired of feeling sick and tired. There are infinite reasons why individuals might seek out counseling and therapy services.  However, there is often a thread of “feeling stuck” or a sense of discomfort as a response to a stressful situation. Perhaps you are going through a difficult time in your life or maybe you’ve noticed a pattern of behavior that you would like to explore further.  Whatever the reason, I’m here to help.
My best guess is you’re here checking out potential therapists because you’re feeling a bit stuck; you’re ready for something new, or maybe you’re just sick and tired of feeling sick and tired. There are infinite reasons why individuals might seek out counseling and therapy services.  However, there is often a thread of “feeling stuck” or a sense of discomfort as a response to a stressful situation. Perhaps you are going through a difficult time in your life or maybe you’ve noticed a pattern of behavior that you would like to explore further.  Whatever the reason, I’m here to help.
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Photo of Berkeley Stocking, Licensed Professional Counselor, LPC
Berkeley Stocking
Licensed Professional Counselor, LPC
4 Endorsed
Serves Area
I’m Berkeley, a licensed professional counselor dedicated to supporting my clients on their unique paths to healing and self-discovery. My therapeutic approach is person-centered and eclectic, which allows me to tailor my methods to fit your specific needs. I draw from various modalities, including mindfulness techniques, cognitive-behavioral strategies, and trauma-informed care such as EMDR, to create a space where you feel heard, valued, and empowered.
I’m Berkeley, a licensed professional counselor dedicated to supporting my clients on their unique paths to healing and self-discovery. My therapeutic approach is person-centered and eclectic, which allows me to tailor my methods to fit your specific needs. I draw from various modalities, including mindfulness techniques, cognitive-behavioral strategies, and trauma-informed care such as EMDR, to create a space where you feel heard, valued, and empowered.
(440) 496-7397 View (440) 496-7397
Photo of Katie Manilla, Counselor, CT
Katie Manilla
Counselor, CT
1 Endorsed
Serves Area
While navigating through life's many ups and downs, I believe it is important to support one another and create a genuine connection with my clients to develop positive coping skills and a compassionate approach. I am interested in supporting young clients who struggle with anxiety, depression, managing stress and life transitions. I strive to create a non-judgmental environment which fosters a goal centered outcome. I also specialize in child therapy to improve struggles children may be experiencing in school or at home including classroom behavior and peer relationships.
While navigating through life's many ups and downs, I believe it is important to support one another and create a genuine connection with my clients to develop positive coping skills and a compassionate approach. I am interested in supporting young clients who struggle with anxiety, depression, managing stress and life transitions. I strive to create a non-judgmental environment which fosters a goal centered outcome. I also specialize in child therapy to improve struggles children may be experiencing in school or at home including classroom behavior and peer relationships.
(216) 820-9258 View (216) 820-9258
Photo of Bonnie F Sliver - Bonnie Sliver - Dayton Counseling Connection, Counselor, MSEd, LPCC
Bonnie Sliver - Dayton Counseling Connection
Counselor, MSEd, LPCC
Serves Area
I am a Licensed Professional Clinical Counselor. I see clients of all ages with various presenting problems such as anxiety, depression, life transitions, and marital issues. My preferred area of focus is trauma. I also offer EMDR treatment.
I am a Licensed Professional Clinical Counselor. I see clients of all ages with various presenting problems such as anxiety, depression, life transitions, and marital issues. My preferred area of focus is trauma. I also offer EMDR treatment.
(937) 802-3968 View (937) 802-3968
Photo of Karla R. Seese, Licensed Social Worker, MSW, LSW, CDCA
Karla R. Seese
Licensed Social Worker, MSW, LSW, CDCA
1 Endorsed
Serves Area
I am a licensed therapist providing collaborative, client-centered support for individuals seeking emotional wellness and personal growth. My approach is warm, empathetic, and practical. I offer guidance for those experiencing anxiety, depression, trauma, stress, and relationship challenges, as well as those looking to deepen self-awareness or build healthier coping skills.
I am a licensed therapist providing collaborative, client-centered support for individuals seeking emotional wellness and personal growth. My approach is warm, empathetic, and practical. I offer guidance for those experiencing anxiety, depression, trauma, stress, and relationship challenges, as well as those looking to deepen self-awareness or build healthier coping skills.
(440) 703-6525 View (440) 703-6525
Photo of John May, Marriage & Family Therapist, LMFT
John May
Marriage & Family Therapist, LMFT
Serves Area
I am currently accepting new clients. INN with BCBS and Aetna. Whether you are single or partnered; I strive to help you navigate life’s most challenging times. As an affirming and accepting therapist I have experience working with folx from all kinds of backgrounds. Most of my professional experience includes working with childhood and religious trauma, relationship issues, anxiety, depression and personality disorders. So let’s walk together along your healing journey and write that next best chapter for your life.
I am currently accepting new clients. INN with BCBS and Aetna. Whether you are single or partnered; I strive to help you navigate life’s most challenging times. As an affirming and accepting therapist I have experience working with folx from all kinds of backgrounds. Most of my professional experience includes working with childhood and religious trauma, relationship issues, anxiety, depression and personality disorders. So let’s walk together along your healing journey and write that next best chapter for your life.
(828) 373-8237 View (828) 373-8237
Photo of Ashley Renee Lawrence, Licensed Professional Clinical Counselor, MA, LPCC
Ashley Renee Lawrence
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
Serves Area
Surfside Solutions & More Counseling, LLC offers mental health treatment to clients struggling due to abuse, trauma, and life transitions. Additionally, we provide treatment for general anxiety, depression, ADHD, Bipolar and most other mental-emotional disorders. We use a surfing model in our counseling practice to indicate how the problem is the wave and the solution is the surfboard. We help clients identify and develop solutions to surf their waves.
Surfside Solutions & More Counseling, LLC offers mental health treatment to clients struggling due to abuse, trauma, and life transitions. Additionally, we provide treatment for general anxiety, depression, ADHD, Bipolar and most other mental-emotional disorders. We use a surfing model in our counseling practice to indicate how the problem is the wave and the solution is the surfboard. We help clients identify and develop solutions to surf their waves.
(419) 517-5769 View (419) 517-5769
Photo of Spencer Kline, Counselor, MA, LPCC-S, CSAT
Spencer Kline
Counselor, MA, LPCC-S, CSAT
1 Endorsed
Serves Area
Thanks for checking out my page! My areas of specialty include sex addiction, trauma, and clinical supervision. I work with addicted individuals, betrayed partners, and couples working through recovery together. My therapeutic approach is centered on connecting with clients, giving them the opportunity to share their story, and ultimately equipping and empowering them to change the narrative of their story in a way that will help them to thrive. My goal is to create a space where those who feel unheard can truly find their voice. Connection, authenticity, and vulnerability are foundational in the way I relate to clients.
Thanks for checking out my page! My areas of specialty include sex addiction, trauma, and clinical supervision. I work with addicted individuals, betrayed partners, and couples working through recovery together. My therapeutic approach is centered on connecting with clients, giving them the opportunity to share their story, and ultimately equipping and empowering them to change the narrative of their story in a way that will help them to thrive. My goal is to create a space where those who feel unheard can truly find their voice. Connection, authenticity, and vulnerability are foundational in the way I relate to clients.
(440) 941-8851 View (440) 941-8851

See more therapy options for 44102

How does your Therapist compare?

Number of Therapists in 44102

100+

Average cost per session

$130

Therapists in 44102 who prioritize treating:

97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
83% Depression
75% Trauma and PTSD
75% Stress

Average years in practice

8 Years

Top 3 insurances accepted

92% Aetna
76% Anthem
73% Cigna and Evernorth

How Therapists in 44102 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

79% Female
17% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 44102?

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.