Photo of Karen Loaiza, Psychologist in 63117, MO
Karen Loaiza
Psychologist, PhD
Verified Verified
I am a licensed clinical psychologist who specializes in providing quality, informed psychotherapy as well as diagnostic assessment. It is truly amazing how life changing the therapy process can be, and I am committed to working in a genuine and collaborative way in order to help people through their path of recovery. I help people achieve symptom relief but also get to the root source of the problem for lasting positive change and improved life satisfaction.
I am a licensed clinical psychologist who specializes in providing quality, informed psychotherapy as well as diagnostic assessment. It is truly amazing how life changing the therapy process can be, and I am committed to working in a genuine and collaborative way in order to help people through their path of recovery. I help people achieve symptom relief but also get to the root source of the problem for lasting positive change and improved life satisfaction.
(314) 310-2766 View (314) 310-2766
Photo of Justin Dodd, Pre-Licensed Professional in 63117, MO
Justin Dodd
Pre-Licensed Professional, PLPC
Verified Verified
5 Endorsed
Saint Louis, MO 63117
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
(314) 582-4216 x7 View (314) 582-4216 x7
Photo of Christine Balliett McEvoy, Licensed Professional Counselor in 63117, MO
Christine Balliett McEvoy
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63117
Waitlist for new clients
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
(314) 884-1822 View (314) 884-1822
Photo of Steven M. Portnoy, Licensed Professional Counselor in 63117, MO
Steven M. Portnoy
Licensed Professional Counselor, MA, LPC
Verified Verified
Put most simply, my approach to psychotherapy is centered around helping you come to know yourself as fully as possible. Many people come to me in search of a more depth-oriented approach to therapy. Many approaches out there right now, in the interest of attempting to reduce symptoms as quickly as possible, may miss the mark in terms of understanding the “why” of it all, the more nuanced understanding of why our difficulties and symptoms are there to begin with, how they actually may have been serving us in some way, and their connection to our relational patterns and our past developmental experiences.
Put most simply, my approach to psychotherapy is centered around helping you come to know yourself as fully as possible. Many people come to me in search of a more depth-oriented approach to therapy. Many approaches out there right now, in the interest of attempting to reduce symptoms as quickly as possible, may miss the mark in terms of understanding the “why” of it all, the more nuanced understanding of why our difficulties and symptoms are there to begin with, how they actually may have been serving us in some way, and their connection to our relational patterns and our past developmental experiences.
(314) 451-5939 View (314) 451-5939
Photo of Bryan Thorson, Clinical Social Work/Therapist in 63117, MO
Bryan Thorson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
From 2002 until 2014 I was an Adolescent Therapist and Clinical Administrator at Logos School. Throughout my professional experience I have guided many adolescents, young adults and their families toward attaining their emotional, social and academic goals. I have established effective therapeutic relationships with individuals suffering from a variety of disorders and issues including but not limited to: Anxiety, Depression, Autism Spectrum Disorders, Bipolar, OCD, ODD, Conduct Disorder, grief and loss, self-injurious behavior, school phobia, substance abuse and others. I believe that everyone has a voice that deserves to be heard and I am here to listen.
From 2002 until 2014 I was an Adolescent Therapist and Clinical Administrator at Logos School. Throughout my professional experience I have guided many adolescents, young adults and their families toward attaining their emotional, social and academic goals. I have established effective therapeutic relationships with individuals suffering from a variety of disorders and issues including but not limited to: Anxiety, Depression, Autism Spectrum Disorders, Bipolar, OCD, ODD, Conduct Disorder, grief and loss, self-injurious behavior, school phobia, substance abuse and others. I believe that everyone has a voice that deserves to be heard and I am here to listen.
(314) 485-2974 View (314) 485-2974
Photo of Kelly Pittman, Clinical Social Work/Therapist in 63117, MO
Kelly Pittman
Clinical Social Work/Therapist, LCSW
Verified Verified
You have an incredibly difficult time saying no to friends, coworkers and family. You feel constant pressure to "get things right" and can immediately go to the worst case scenario when something is off. You have a constant critic in your head that won't stop. You can't remember what you did this morning because your mind goes a mile a minute. It's like you can't catch a break. It doesn't have to be this way; I can help. I love working with busy, exhausted queer and cis, het women and teens to help you give your mind a break; to finally find relief from your inner critic, decrease your worry and stress.
You have an incredibly difficult time saying no to friends, coworkers and family. You feel constant pressure to "get things right" and can immediately go to the worst case scenario when something is off. You have a constant critic in your head that won't stop. You can't remember what you did this morning because your mind goes a mile a minute. It's like you can't catch a break. It doesn't have to be this way; I can help. I love working with busy, exhausted queer and cis, het women and teens to help you give your mind a break; to finally find relief from your inner critic, decrease your worry and stress.
(314) 860-7121 View (314) 860-7121
Photo of Leah Gregory, Clinical Social Work/Therapist in 63117, MO
Leah Gregory
Clinical Social Work/Therapist, LCSW
Verified Verified
Leah Gregory is a Licensed Clinical Social Worker in Missouri who has been practicing since 2016. She obtained her Bachelor in Social Work from Missouri State University and her Master in Social Worker from the University of Missouri-Columbia. Leah aims to provide a safe, unconditionally supportive, and non-judgmental environment where you can feel vulnerable and empowered to heal and grow. She is here to be present with you through your deepest struggles, listen to your most difficult feelings, and work through the challenges you are facing.
Leah Gregory is a Licensed Clinical Social Worker in Missouri who has been practicing since 2016. She obtained her Bachelor in Social Work from Missouri State University and her Master in Social Worker from the University of Missouri-Columbia. Leah aims to provide a safe, unconditionally supportive, and non-judgmental environment where you can feel vulnerable and empowered to heal and grow. She is here to be present with you through your deepest struggles, listen to your most difficult feelings, and work through the challenges you are facing.
(314) 834-7237 View (314) 834-7237
Photo of Michael Deal, Licensed Professional Counselor in 63117, MO
Michael Deal
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63117
When working with individuals, I aim to help them through a collaborative process to understand the underlying issues that are causing them to not live up to their potential. The model which I employ assumes that many of our struggles are connected to conflicts within us of which we are not completely aware. I feel that therapy is most effective when the entire person's personality and history are considered instead of just focusing on current problematic behaviors. My work focuses on recognizing long standing relationship patterns that are troublesome as well as developing a more emotionally stable and adaptive personality.
When working with individuals, I aim to help them through a collaborative process to understand the underlying issues that are causing them to not live up to their potential. The model which I employ assumes that many of our struggles are connected to conflicts within us of which we are not completely aware. I feel that therapy is most effective when the entire person's personality and history are considered instead of just focusing on current problematic behaviors. My work focuses on recognizing long standing relationship patterns that are troublesome as well as developing a more emotionally stable and adaptive personality.
(314) 561-7106 View (314) 561-7106
Photo of Maureen Mcgowan, Licensed Professional Counselor in 63117, MO
Maureen Mcgowan
Licensed Professional Counselor, MAC, NCC, LPC
Verified Verified
Are you hurting? Have you tried everything you can think of to find peace ... answers ... freedom from the pain? I would like to help you. Help give you the knowledge and tools to free you from unhealthy and hurtful communication and relationship patterns. Help you to let go of the painful negative thoughts behind your depression and anxiety. Help you to learn and implement healthy boundaries in your intimate and professional relationships. Professional counseling is so much more than talking ... it is a unique and individualized collaboration between you and the counselor to work together toward your goals for yourself.
Are you hurting? Have you tried everything you can think of to find peace ... answers ... freedom from the pain? I would like to help you. Help give you the knowledge and tools to free you from unhealthy and hurtful communication and relationship patterns. Help you to let go of the painful negative thoughts behind your depression and anxiety. Help you to learn and implement healthy boundaries in your intimate and professional relationships. Professional counseling is so much more than talking ... it is a unique and individualized collaboration between you and the counselor to work together toward your goals for yourself.
(844) 976-2707 View (844) 976-2707
Photo of Cindy Heidenry, Clinical Social Work/Therapist in 63117, MO
Cindy Heidenry
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63117
Therapy is a confidential space and more importantly a relationship that one explores and discovers feelings, internal structures and wishes within.  I hope treatment provides the openness to observe, process and play with these understandings of yourself and your relationships with the world.  It may be a goal, an external event, or an overwhelming feeling that brings you in the door.  My treatment style is informed by psychodynamic, relational and systems theory perspectives.  I believe treatment to be a collaborative, co-creative journey through the healing process.
Therapy is a confidential space and more importantly a relationship that one explores and discovers feelings, internal structures and wishes within.  I hope treatment provides the openness to observe, process and play with these understandings of yourself and your relationships with the world.  It may be a goal, an external event, or an overwhelming feeling that brings you in the door.  My treatment style is informed by psychodynamic, relational and systems theory perspectives.  I believe treatment to be a collaborative, co-creative journey through the healing process.
(314) 794-5266 View (314) 794-5266
Photo of Aurelia Deas, Clinical Social Work/Therapist in 63117, MO
Aurelia Deas
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63117
Welcome and thank you for your interest in getting to know me. I am a Licensed Clinical Social Worker offering brief and extended therapy to children, adolescents, families, individual adults and groups. I received my Masters of Social Work from Washington University in St. Louis at The George Warren Brown School of Social Work. I am a bilingual clinician speaking both English and Spanish.
Welcome and thank you for your interest in getting to know me. I am a Licensed Clinical Social Worker offering brief and extended therapy to children, adolescents, families, individual adults and groups. I received my Masters of Social Work from Washington University in St. Louis at The George Warren Brown School of Social Work. I am a bilingual clinician speaking both English and Spanish.
(314) 207-4351 x102 View (314) 207-4351 x102
Photo of Katrice Kendle, Pre-Licensed Professional in 63117, MO
Katrice Kendle
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
I assist with social/relationship concerns; self-esteem and assertiveness skills; as well as career and life direction topics. I work to understand clients within their family and/or social dynamic, with the intent to build insight into emotional or interpersonal obstacles, and subsequently, move towards growth by providing tools for self-awareness.
I assist with social/relationship concerns; self-esteem and assertiveness skills; as well as career and life direction topics. I work to understand clients within their family and/or social dynamic, with the intent to build insight into emotional or interpersonal obstacles, and subsequently, move towards growth by providing tools for self-awareness.
(314) 897-4611 View (314) 897-4611
Photo of Richard C. Mulligan, Psychologist in 63117, MO
Richard C. Mulligan
Psychologist, PhD
Verified Verified
Dr. Richard C. Mulligan is a Psychologist in Missouri who has been practicing since 2016. He has a BA in Psychology from University of Chicago, an MS in Psychology from Finch University of Health Sciences, The Chicago Medical School, a Predoctoral Internship at Clinical Psychology Training Consortium, Brown Medical School, a Ph.D. in Psychology from Rosalind Franklin University of Medicine and Science (Neuropsychology Track), a Postdoctoral Fellowship in Clinical Psychology Training Consortium from Brown Medical School, and a Postdoctoral Fellowship from Washington University in Saint Louis School of Medicine.
Dr. Richard C. Mulligan is a Psychologist in Missouri who has been practicing since 2016. He has a BA in Psychology from University of Chicago, an MS in Psychology from Finch University of Health Sciences, The Chicago Medical School, a Predoctoral Internship at Clinical Psychology Training Consortium, Brown Medical School, a Ph.D. in Psychology from Rosalind Franklin University of Medicine and Science (Neuropsychology Track), a Postdoctoral Fellowship in Clinical Psychology Training Consortium from Brown Medical School, and a Postdoctoral Fellowship from Washington University in Saint Louis School of Medicine.
(314) 804-7857 View (314) 804-7857
Photo of Marni Deutsch Therapy, LLC in 63117, MO
Marni Deutsch Therapy, LLC
MA, LPC
Verified Verified
Saint Louis, MO 63117
I'm so glad you are considering reaching out. Counseling is a big and exciting step. Don't hesitate to get in touch with me for any questions. Through counseling, you have the power to increase the quality of your own life and you deserve to do so. We will work together through open discussion and strategic collaboration to make positive, lasting changes. We will talk about your anxieties, fears, thinking patterns and behavior choices. In my office, we will not spend much time focusing on unconscious motives or the opinions of others. Our primary focus will be to empower you to realize your ultimate potential.
I'm so glad you are considering reaching out. Counseling is a big and exciting step. Don't hesitate to get in touch with me for any questions. Through counseling, you have the power to increase the quality of your own life and you deserve to do so. We will work together through open discussion and strategic collaboration to make positive, lasting changes. We will talk about your anxieties, fears, thinking patterns and behavior choices. In my office, we will not spend much time focusing on unconscious motives or the opinions of others. Our primary focus will be to empower you to realize your ultimate potential.
(314) 254-9901 View (314) 254-9901
Photo of Christine Shore-Fitzgerald, Clinical Social Work/Therapist in 63117, MO
Christine Shore-Fitzgerald
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63117
"There is nothing you can tell me that won't strike me as beautiful and human" -Cheryl Strayed. Major life changes, invalidating home/social lives, past trauma, and current stressors affect moods, behaviors, and relationships, often leaving us repeating unhelpful patterns. When our attempts to cope with and repair issues no longer work, it's time to seek therapy. I will collaborate with you and provide a warm, safe, nonjudgmental space so you feel supported while you develop interpersonal skills, learn to manage emotions, strengthen relationships, and improve self-awareness so you can make changes toward living the life you desire.
"There is nothing you can tell me that won't strike me as beautiful and human" -Cheryl Strayed. Major life changes, invalidating home/social lives, past trauma, and current stressors affect moods, behaviors, and relationships, often leaving us repeating unhelpful patterns. When our attempts to cope with and repair issues no longer work, it's time to seek therapy. I will collaborate with you and provide a warm, safe, nonjudgmental space so you feel supported while you develop interpersonal skills, learn to manage emotions, strengthen relationships, and improve self-awareness so you can make changes toward living the life you desire.
(314) 720-3029 View (314) 720-3029
Photo of Katie Willard Virant, Clinical Social Work/Therapist in 63117, MO
Katie Willard Virant
Clinical Social Work/Therapist, JD, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63117
We thrive as humans when we understand ourselves. I work creatively and compassionately with children, adolescents and adults of all ages to deepen and broaden self-understanding. Emotional pain - like physical pain - is a signal that help is needed and that something must change. Psychotherapy can be that powerful catalyst for healing. I believe in meeting people where they are, listening intently, and co-creating a safe and brave space where my clients can grow.
We thrive as humans when we understand ourselves. I work creatively and compassionately with children, adolescents and adults of all ages to deepen and broaden self-understanding. Emotional pain - like physical pain - is a signal that help is needed and that something must change. Psychotherapy can be that powerful catalyst for healing. I believe in meeting people where they are, listening intently, and co-creating a safe and brave space where my clients can grow.
(314) 667-4811 View (314) 667-4811
Photo of Suzie Rapisardo, Clinical Social Work/Therapist in 63117, MO
Suzie Rapisardo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond Heights, MO 63117  (Online Only)
Do you tell yourself you are bad at being an adult? You feel like you are drowning in your to do list and all of the life tasks that seem necessary just to tread water. "Easy" things like keeping up with laundry and getting to appointments on time are constantly beating up your self-worth. How do other people make this seem so effortless? You have so many goals and ideas but making headway on any of them feels impossible at times. You are also creative, resilient, and even this second looking for the right kind of help so you can try again! Note: See "groups" section near the bottom of this page or read on for one on one options.
Do you tell yourself you are bad at being an adult? You feel like you are drowning in your to do list and all of the life tasks that seem necessary just to tread water. "Easy" things like keeping up with laundry and getting to appointments on time are constantly beating up your self-worth. How do other people make this seem so effortless? You have so many goals and ideas but making headway on any of them feels impossible at times. You are also creative, resilient, and even this second looking for the right kind of help so you can try again! Note: See "groups" section near the bottom of this page or read on for one on one options.
(314) 501-9759 View (314) 501-9759
Photo of Sean Bradley, Clinical Social Work/Therapist in 63117, MO
Sean Bradley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Welcome, I'm here to help. I am experienced in assisting children and families who have been affected by trauma and are dealing with its effects, including anxiety, anger issues, post-traumatic stress, depression, and other symptoms. Additionally, I am experienced in working with children who display severe behavioral issues in response to their trauma. I have provided individual and family therapy for children in a Residential Treatment Facility and I'm well-versed in the Foster and Adoptive systems. I also help families struggling with communication issues and children experiencing attachment difficulties with their parents.
Welcome, I'm here to help. I am experienced in assisting children and families who have been affected by trauma and are dealing with its effects, including anxiety, anger issues, post-traumatic stress, depression, and other symptoms. Additionally, I am experienced in working with children who display severe behavioral issues in response to their trauma. I have provided individual and family therapy for children in a Residential Treatment Facility and I'm well-versed in the Foster and Adoptive systems. I also help families struggling with communication issues and children experiencing attachment difficulties with their parents.
(314) 310-7893 View (314) 310-7893
Photo of Psychological Services of St Louis, Clinical Social Work/Therapist in 63117, MO
Psychological Services of St Louis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Andrea offers counseling to children ages 12 through young adulthood. She strives to provide a relaxed and welcoming environment that supports the reflection of their relationships, behavior, and their emotions. Andrea has experience with treating anxiety, depression, ADHD, Disruptive Mood Dysregulation Disorder, Intermittent Explosive Disorder, and Autism.
Andrea offers counseling to children ages 12 through young adulthood. She strives to provide a relaxed and welcoming environment that supports the reflection of their relationships, behavior, and their emotions. Andrea has experience with treating anxiety, depression, ADHD, Disruptive Mood Dysregulation Disorder, Intermittent Explosive Disorder, and Autism.
(314) 804-0895 View (314) 804-0895
Photo of Brittany N. Murphy, Licensed Professional Counselor in 63117, MO
Brittany N. Murphy
Licensed Professional Counselor, PhD, LPC, NCC, BC-TMH
Verified Verified
4 Endorsed
Saint Louis, MO 63117  (Online Only)
You're in the right place! You're ready for your mood and motivation to improve, your relationships to be better, your work to be more enjoyable, and your life to feel more meaningful. I work well with people who feel stuck or that things aren't as they could or should be. My clients want clarity about their experiences, their relationships, and the direction of their lives.
You're in the right place! You're ready for your mood and motivation to improve, your relationships to be better, your work to be more enjoyable, and your life to feel more meaningful. I work well with people who feel stuck or that things aren't as they could or should be. My clients want clarity about their experiences, their relationships, and the direction of their lives.
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How does your Therapist compare?

Number of Therapists in 63117

100+

Average cost per session

$147

Therapists in 63117 who prioritize treating:

91% Anxiety
87% Depression
80% Relationship Issues
69% Trauma and PTSD
66% Grief
65% Self Esteem
59% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

80% UnitedHealthcare UHC | UBH
68% Cigna and Evernorth
67% Optum

How Therapists in 63117 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
15% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63117?

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.