Therapists in 45821

Photo of John B Smith, Licensed Professional Clinical Counselor , LPCC-S, LMHC
John B Smith
Licensed Professional Clinical Counselor , LPCC-S, LMHC
Online Only
You don’t have to walk through this alone. If you've experienced trauma—especially the kind that’s hidden, denied, or dismissed by others—you may carry pain that feels unspeakable. As a therapist who has personally survived abuse and has spent 25 years helping others heal from sexual, ritual, and spiritual trauma, I offer a grounded, compassionate presence that can hold what others cannot.
You don’t have to walk through this alone. If you've experienced trauma—especially the kind that’s hidden, denied, or dismissed by others—you may carry pain that feels unspeakable. As a therapist who has personally survived abuse and has spent 25 years helping others heal from sexual, ritual, and spiritual trauma, I offer a grounded, compassionate presence that can hold what others cannot.
(419) 780-2734 View (419) 780-2734

More Therapists Nearby

Photo of Elizabeth M Wilde, Clinical Social Work/Therapist, LISW
Elizabeth M Wilde
Clinical Social Work/Therapist, LISW
2 Endorsed
Defiance, OH 43512
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative beliefs and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative beliefs and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
(419) 601-6464 View (419) 601-6464
Photo of Sarah Miller, Clinical Social Work/Therapist, MSW, LISW
Sarah Miller
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Defiance, OH 43512
Accepting Ages 12+, and Adult Females. Feeling anxious, stuck, or just not like yourself lately? Wondering if things will ever feel easier or more manageable? Whether you're figuring out who you are, adjusting to big life changes, or dealing with stress, sadness, or overwhelm, you're not alone—and you don’t have to figure it all out by yourself. I work with adolescents, teens, young adults, people navigating pregnancy or new parenthood and older adults. Together we can work through struggles with depression, anxiety, trauma, SUD prevention in adolescents or maternal mental health.
Accepting Ages 12+, and Adult Females. Feeling anxious, stuck, or just not like yourself lately? Wondering if things will ever feel easier or more manageable? Whether you're figuring out who you are, adjusting to big life changes, or dealing with stress, sadness, or overwhelm, you're not alone—and you don’t have to figure it all out by yourself. I work with adolescents, teens, young adults, people navigating pregnancy or new parenthood and older adults. Together we can work through struggles with depression, anxiety, trauma, SUD prevention in adolescents or maternal mental health.
(567) 406-1640 View (567) 406-1640
Photo of Monica Jill Freeman-Bennefield, Licensed Professional Clinical Counselor, MA, LPCC
Monica Jill Freeman-Bennefield
Licensed Professional Clinical Counselor, MA, LPCC
Serves Area
My ideal client is someone who is grappling with the weight of anxiety, depression, trauma, or mental health struggles that have been affecting their overall well-being and daily life. They may be feeling stuck or overwhelmed by negative thoughts, painful memories, or unrelenting emotions. Perhaps they’ve tried different ways to cope but find themselves caught in cycles of frustration, doubt, or isolation.
My ideal client is someone who is grappling with the weight of anxiety, depression, trauma, or mental health struggles that have been affecting their overall well-being and daily life. They may be feeling stuck or overwhelmed by negative thoughts, painful memories, or unrelenting emotions. Perhaps they’ve tried different ways to cope but find themselves caught in cycles of frustration, doubt, or isolation.
(234) 931-4355 View (234) 931-4355
Photo of Brianna Halasa, Licensed Professional Clinical Counselor, LMHC, LPCC
Brianna Halasa
Licensed Professional Clinical Counselor, LMHC, LPCC
9 Endorsed
Serves Area
I intertwine my experiences as a psychotherapist, yoga teacher, perpetual student, community organizer, and insights from my own mental health journey into my holistic practice. I aim to provide an engaging and warm environment where together we can access tools to help you cope with stressors; set healthy boundaries and improve communication to fuel connection and build relationships; step into your emotions to better regulate them; reprocess past traumatic experiences; and strengthen your attunement and awareness to your body. You have the innate power to heal yourself, I’m simply here to guide and empower you along the way.
I intertwine my experiences as a psychotherapist, yoga teacher, perpetual student, community organizer, and insights from my own mental health journey into my holistic practice. I aim to provide an engaging and warm environment where together we can access tools to help you cope with stressors; set healthy boundaries and improve communication to fuel connection and build relationships; step into your emotions to better regulate them; reprocess past traumatic experiences; and strengthen your attunement and awareness to your body. You have the innate power to heal yourself, I’m simply here to guide and empower you along the way.
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Photo of Celia Hitchcock, Clinical Social Work/Therapist, MSW, LSW
Celia Hitchcock
Clinical Social Work/Therapist, MSW, LSW
Van Wert, OH 45891
I’m passionate about working with individuals facing mental health challenges and trauma. In the past I have worked with various populations including mental health, addictions, trauma, domestic violence, human trafficking, and unhoused clients. I take a holistic, person-centered, relational, and solution-focused approach, grounded in trauma-informed care, to help clients build strength, resilience, and valuable skills.
I’m passionate about working with individuals facing mental health challenges and trauma. In the past I have worked with various populations including mental health, addictions, trauma, domestic violence, human trafficking, and unhoused clients. I take a holistic, person-centered, relational, and solution-focused approach, grounded in trauma-informed care, to help clients build strength, resilience, and valuable skills.
(419) 502-9221 View (419) 502-9221
Photo of Jessie Leu, Licensed Professional Clinical Counselor, LPCC-S, LICDC, CAS
Jessie Leu
Licensed Professional Clinical Counselor, LPCC-S, LICDC, CAS
5 Endorsed
Serves Area
I am a queer therapist who has been practicing therapeutic services in multiple settings over the past 10 years. I have experience working with a multitude of diagnoses including: eating disorders, trauma, depression, anxiety, OCD, ADHD and substance use. I believe in providing a safe space for my clients using a person-centered approach which focuses on the importance of each client's goals, preferences, and values. My main focus in session is ensuring that each client is heard, respected, and able to be their most authentic self. I am a sex-positive therapist, and affirming to those in the LGBTQ +, communities.
I am a queer therapist who has been practicing therapeutic services in multiple settings over the past 10 years. I have experience working with a multitude of diagnoses including: eating disorders, trauma, depression, anxiety, OCD, ADHD and substance use. I believe in providing a safe space for my clients using a person-centered approach which focuses on the importance of each client's goals, preferences, and values. My main focus in session is ensuring that each client is heard, respected, and able to be their most authentic self. I am a sex-positive therapist, and affirming to those in the LGBTQ +, communities.
(440) 750-2443 View (440) 750-2443
Photo of Skylar Wannemacher, Licensed Social Worker, LMSW
Skylar Wannemacher
Licensed Social Worker, LMSW
Van Wert, OH 45891
Therapy is one of the most meaningful journeys you can take, and it is also hard work. When we work together, you will feel supported and challenged in the best way. From the very first session, we will set clear intentions for what you want to achieve, and I will be beside you every step of the way. Clients often describe me as deeply invested (“When I talk to her, I can tell she is really present with me”) and caringly direct (“She is honest and pushes me, but always with compassion”). I love this because it means I am creating a space for honesty and growth while also encouraging you toward the breakthroughs you are seeking.
Therapy is one of the most meaningful journeys you can take, and it is also hard work. When we work together, you will feel supported and challenged in the best way. From the very first session, we will set clear intentions for what you want to achieve, and I will be beside you every step of the way. Clients often describe me as deeply invested (“When I talk to her, I can tell she is really present with me”) and caringly direct (“She is honest and pushes me, but always with compassion”). I love this because it means I am creating a space for honesty and growth while also encouraging you toward the breakthroughs you are seeking.
(419) 670-6196 View (419) 670-6196
Photo of Alanna Burke-Sindlinger, Art Therapist, ATR-BC, LPAT, LPCC
Alanna Burke-Sindlinger
Art Therapist, ATR-BC, LPAT, LPCC
10 Endorsed
Serves Area
Are you finding yourself feeling lost or confused about who you are, who you want to be and who you want to become? Have you had life circumstances or events happen that have brought upon rapid change and find yourself struggling to adjust? Are you struggling with chronic mental or physical health conditions and chronic pain that have become barriers to you accomplishing life goals or hindering your quality of life?
Are you finding yourself feeling lost or confused about who you are, who you want to be and who you want to become? Have you had life circumstances or events happen that have brought upon rapid change and find yourself struggling to adjust? Are you struggling with chronic mental or physical health conditions and chronic pain that have become barriers to you accomplishing life goals or hindering your quality of life?
(419) 314-4168 View (419) 314-4168
Photo of April McKenzie, Clinical Social Work/Therapist, LISW
April McKenzie
Clinical Social Work/Therapist, LISW
1 Endorsed
Defiance, OH 43512
I join with people collaboratively to explore ways to live healthier, more balanced lives. I understand that things such as anxiety, depression, or trauma history can be overwhelming for the individual and family members leading to a variety of symptoms and situational difficulties. I am comfortable working with a variety of difficult topics such as suicidal ideation or self harm and enjoy working with family systems to improve communication patterns and increase positive behaviors and connection in the home.
I join with people collaboratively to explore ways to live healthier, more balanced lives. I understand that things such as anxiety, depression, or trauma history can be overwhelming for the individual and family members leading to a variety of symptoms and situational difficulties. I am comfortable working with a variety of difficult topics such as suicidal ideation or self harm and enjoy working with family systems to improve communication patterns and increase positive behaviors and connection in the home.
(419) 597-5296 View (419) 597-5296
Photo of Hannah Middleton, Counselor, LPCC
Hannah Middleton
Counselor, LPCC
8 Endorsed
Serves Area
One of the hardest struggles in life can be trying to learn how to navigate the world when something is lost. Facing the reality that we as humans have to grieve losses can be excruciating – whether the loss be of a loved one, relationship, or simply your sense of belonging in this world. Life-altering changes are inevitable parts of the human condition, but this doesn't make them any less painful. Realizing the impermanence of all things can be difficult to bear. You may find yourself in denial – trying your hardest to avoid and shut things out; becoming distant and disconnected. How does one find meaning when the meaning is gone?
One of the hardest struggles in life can be trying to learn how to navigate the world when something is lost. Facing the reality that we as humans have to grieve losses can be excruciating – whether the loss be of a loved one, relationship, or simply your sense of belonging in this world. Life-altering changes are inevitable parts of the human condition, but this doesn't make them any less painful. Realizing the impermanence of all things can be difficult to bear. You may find yourself in denial – trying your hardest to avoid and shut things out; becoming distant and disconnected. How does one find meaning when the meaning is gone?
(440) 294-6163 View (440) 294-6163
Photo of Katie Sprow-Arend, Clinical Social Work/Therapist, MSW, LISW-S
Katie Sprow-Arend
Clinical Social Work/Therapist, MSW, LISW-S
Bryan, OH 43506
Therapy provides a unique opportunity for personal growth and positive change. My goal is to collaborate with you to rejuvenate your meaning and purpose in life, leading to a greater sense of overall wellbeing. I value a strong therapeutic alliance where you can feel understood and accepted while connecting with your individual needs and experiences. I provide a flexible, personalized approach, and we will work together to reach your goals. I accept adults, teens, and children 5 and up. For children, I believe in active therapy and utilize a variety of play therapy and sand tray techniques.
Therapy provides a unique opportunity for personal growth and positive change. My goal is to collaborate with you to rejuvenate your meaning and purpose in life, leading to a greater sense of overall wellbeing. I value a strong therapeutic alliance where you can feel understood and accepted while connecting with your individual needs and experiences. I provide a flexible, personalized approach, and we will work together to reach your goals. I accept adults, teens, and children 5 and up. For children, I believe in active therapy and utilize a variety of play therapy and sand tray techniques.
(567) 400-4380 View (567) 400-4380
Photo of Jeannie Wagner, Counselor, LSW, LPCC-S
Jeannie Wagner
Counselor, LSW, LPCC-S
Serves Area
You're Not Alone. You may long for something more but feel unsure how to get there. Caught between who you are and who you hope to become, you want to better understand yourself, recognize patterns in your relationships, and move toward a life that feels meaningful and whole. Many of the people I work with deeply desire meaningful connection, balance, and freedom. They want to understand themselves more fully—why they think, feel, and relate the way they do—and are open to learning, growing, and seeing their story from a new perspective.​
You're Not Alone. You may long for something more but feel unsure how to get there. Caught between who you are and who you hope to become, you want to better understand yourself, recognize patterns in your relationships, and move toward a life that feels meaningful and whole. Many of the people I work with deeply desire meaningful connection, balance, and freedom. They want to understand themselves more fully—why they think, feel, and relate the way they do—and are open to learning, growing, and seeing their story from a new perspective.​
(419) 928-5950 View (419) 928-5950
Photo of Frances M Duncan, Clinical Social Work/Therapist, MSSW, LISW
Frances M Duncan
Clinical Social Work/Therapist, MSSW, LISW
1 Endorsed
Serves Area
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 38 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 38 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
(937) 210-4625 View (937) 210-4625
Photo of Catherine Schmidlin, Licensed Professional Counselor, MA, LPC, NCC, CTP
Catherine Schmidlin
Licensed Professional Counselor, MA, LPC, NCC, CTP
Bryan, OH 43506
Many people come to counseling feeling defined by what has happened to them. You may carry the weight of trauma, shame, or painful experiences that seem to control the narrative of your life. My ideal client is someone who longs to take back their voice and rewrite their story in a way that reflects strength, resilience, and hope. You may be searching for peace, healthier relationships, or simply the freedom to live without fear. If you are ready to turn the page and begin a new chapter, counseling can offer the support and guidance you deserve.
Many people come to counseling feeling defined by what has happened to them. You may carry the weight of trauma, shame, or painful experiences that seem to control the narrative of your life. My ideal client is someone who longs to take back their voice and rewrite their story in a way that reflects strength, resilience, and hope. You may be searching for peace, healthier relationships, or simply the freedom to live without fear. If you are ready to turn the page and begin a new chapter, counseling can offer the support and guidance you deserve.
(567) 223-2718 View (567) 223-2718
Photo of Nikki Siewert, Social Worker, SWT, MSW, Intern
Nikki Siewert
Social Worker, SWT, MSW, Intern
Defiance, OH 43512
Hi, I am Nikki. Healing starts when you feel seen, heard, and understood. Whether you're struggling with anxiety, depression, trauma, life transitions, or relationship challenges, I provide compassionate, trauma-informed care designed to help you rediscover your strengths and move toward the life you want to live. I believe that every person has inherent strengths and resilience, even during life's most difficult moments.
Hi, I am Nikki. Healing starts when you feel seen, heard, and understood. Whether you're struggling with anxiety, depression, trauma, life transitions, or relationship challenges, I provide compassionate, trauma-informed care designed to help you rediscover your strengths and move toward the life you want to live. I believe that every person has inherent strengths and resilience, even during life's most difficult moments.
(419) 757-3649 View (419) 757-3649
Photo of Kayla Gladieux, Clinical Social Work/Therapist, MSW, LISW, LCSW
Kayla Gladieux
Clinical Social Work/Therapist, MSW, LISW, LCSW
Convoy, OH 45832
I recognize that it can be difficult making the decision to reach out for help when you are feeling stuck in your life. Your decision to seek help is one of courage and hope. I enjoy working with individuals, couples and families to collaboratively find solutions to issues they face. Through building a strong foundation of trust and maintaining a safe and comfortable environment, we will work together to help you get to a place of balance and contentment in your life. My hope is that you, as the client, can be sure you are seeing the change you desire and getting what you need on your path towards a better quality of life.
I recognize that it can be difficult making the decision to reach out for help when you are feeling stuck in your life. Your decision to seek help is one of courage and hope. I enjoy working with individuals, couples and families to collaboratively find solutions to issues they face. Through building a strong foundation of trust and maintaining a safe and comfortable environment, we will work together to help you get to a place of balance and contentment in your life. My hope is that you, as the client, can be sure you are seeing the change you desire and getting what you need on your path towards a better quality of life.
(419) 674-9990 View (419) 674-9990
Photo of Amy Brown, SEP, MS, OD-MRO, ISP, RCST
Amy Brown
Verified Verified
Serves Area
You're wanting to feel alive and comfortable in your own skin, but you find yourself freezing up or overwhelmed with images from the past or stuck in ways you can't explain. While talking about it can be helpful, if you're dealing with a trauma or ingrained stress response, it gets stuck in the body and talking alone doesn't unlock the trauma patterns in the body. Body-based modalities combined with talking really help to unwind trauma patterns. If you come see me, we won't only sit in chairs talking.
You're wanting to feel alive and comfortable in your own skin, but you find yourself freezing up or overwhelmed with images from the past or stuck in ways you can't explain. While talking about it can be helpful, if you're dealing with a trauma or ingrained stress response, it gets stuck in the body and talking alone doesn't unlock the trauma patterns in the body. Body-based modalities combined with talking really help to unwind trauma patterns. If you come see me, we won't only sit in chairs talking.
(513) 995-7020 View (513) 995-7020
Photo of Frankie Bowen, Licensed Professional Counselor, MA, LPC, NCC
Frankie Bowen
Licensed Professional Counselor, MA, LPC, NCC
Van Wert, OH 45891
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
(419) 670-6374 View (419) 670-6374
Photo of Ryan R Taylor, Counselor, MRC, CRC, LPCC-S
Ryan R Taylor
Counselor, MRC, CRC, LPCC-S
3 Endorsed
Serves Area
Stress, low self-esteem, navigating a life transition, or anxiety and depression? Feel like you need to find your boundaries? Perhaps a trusted person told you it was time to try therapy. We can explore your communication, expectations, and boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey, helping you to find what works for you so you can pursue your pathway to healing and growth. No diagnosis needed. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
Stress, low self-esteem, navigating a life transition, or anxiety and depression? Feel like you need to find your boundaries? Perhaps a trusted person told you it was time to try therapy. We can explore your communication, expectations, and boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey, helping you to find what works for you so you can pursue your pathway to healing and growth. No diagnosis needed. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
(937) 595-0078 View (937) 595-0078

How does your Therapist compare?

Number of Therapists in 45821

< 10

Therapists in 45821 who prioritize treating:

100% Depression
100% Anxiety
100% Chronic Pain
100% Dissociative Disorders (DID)
100% Trauma and PTSD
100% Spirituality
100% Adoption

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 45821 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 45821?

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.