Therapists in Saint Louis, MO
Ellen Marting Jayaprabhu
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Louis, MO 63141
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63105
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Emily Lombardo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Waitlist for new clients
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
Kerry Hogan
Licensed Professional Counselor, M Ed, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63116
Not accepting new clients
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
Finan Counseling Solutions, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63146
Are you stressed by mental health, substance use issues or someone else's concerning behavior? If you’re reading this, you may be feeling frustrated, worried, in need of strategies for handling stress and coping, emotional reactivity, relational conflicts. Has something distressing happened that you need to talk about? You can thrive with increased self-focus, more flexible thinking, compassionate self-care. I work with adults affected by mental health &/or substance use issues, codependency, trauma, grief/loss, mood and anxiety disorders, self-limiting habits, life change and transitions.
Are you stressed by mental health, substance use issues or someone else's concerning behavior? If you’re reading this, you may be feeling frustrated, worried, in need of strategies for handling stress and coping, emotional reactivity, relational conflicts. Has something distressing happened that you need to talk about? You can thrive with increased self-focus, more flexible thinking, compassionate self-care. I work with adults affected by mental health &/or substance use issues, codependency, trauma, grief/loss, mood and anxiety disorders, self-limiting habits, life change and transitions.
Dominique Begnaud
Licensed Professional Counselor, MA, LPC-MO, LCPC-IL, ATR, NCC
Verified Verified
Saint Louis, MO 63118
Waitlist for new clients
Life is challenging. So many ebbs and flows. I recognize that and would love to help you on your journey. We can all use a little support from time to time. Relationships can be difficult to manage. Setting (and keeping) boundaries at home, at work, or within relationships is hard work. If you or your child are looking for support with issues such as anxiety, depression, bullying, domestic violence, abuse or trauma, I'd love to help. I use creative therapy techniques in-person and via tele-health to support you or your child.
Life is challenging. So many ebbs and flows. I recognize that and would love to help you on your journey. We can all use a little support from time to time. Relationships can be difficult to manage. Setting (and keeping) boundaries at home, at work, or within relationships is hard work. If you or your child are looking for support with issues such as anxiety, depression, bullying, domestic violence, abuse or trauma, I'd love to help. I use creative therapy techniques in-person and via tele-health to support you or your child.
Jeanna Knight PhD
Licensed Professional Counselor, LMFT
Verified Verified
2 Endorsed
Saint Louis, MO 63146 (Online Only)
A medical diagnosis can be life altering. Do you want to be heard, understood, and supported as you try to make sense of this part of your life? Seeing an experienced and empathic therapist can provide a positive transformation that's refreshing and liberating!
A medical diagnosis can be life altering. Do you want to be heard, understood, and supported as you try to make sense of this part of your life? Seeing an experienced and empathic therapist can provide a positive transformation that's refreshing and liberating!
Stacey D Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63117 (Online Only)
Not accepting new clients
Does it feel like your past has hijacked your present life? Are you struggling to find hope for peace and happiness? Are you sick and tired of being sick and tired? If you have answered yes to any of these questions...... I am so happy that you are here. Life can be so unpredictable and feel as if your feet have been knocked right from under you without warning. Sometimes to the point where you might think you will never stand steady again. There are many things that are out of our control, however, we can all learn tools that can help us manage and bring balance and healing to our lives restoring that sense of hope.
Does it feel like your past has hijacked your present life? Are you struggling to find hope for peace and happiness? Are you sick and tired of being sick and tired? If you have answered yes to any of these questions...... I am so happy that you are here. Life can be so unpredictable and feel as if your feet have been knocked right from under you without warning. Sometimes to the point where you might think you will never stand steady again. There are many things that are out of our control, however, we can all learn tools that can help us manage and bring balance and healing to our lives restoring that sense of hope.
Claudine Miller
Licensed Professional Counselor, LPC(MO), LCPC(IL
Verified Verified
Saint Louis, MO 63108 (Online Only)
Change can create stress, depression and anxiety or it can be a transformative experience. I help individuals and couples cope with changes in career, relationships, and life goals. Whether you are unhappy in your relationships, your work, or some other aspect of your life, counseling can help. If you are recognizing the need to create change in your life, I would love to help you create the life you desire. My primary focus is on helping others transform and create joy in their lives.
Change can create stress, depression and anxiety or it can be a transformative experience. I help individuals and couples cope with changes in career, relationships, and life goals. Whether you are unhappy in your relationships, your work, or some other aspect of your life, counseling can help. If you are recognizing the need to create change in your life, I would love to help you create the life you desire. My primary focus is on helping others transform and create joy in their lives.
Undoing Knots Therapy
Psychologist, PsyD, LPC
Verified Verified
Saint Louis, MO 63109 (Online Only)
The choice of therapist is an important one and it is often helpful to have some insight into how the therapist you’re considering views therapy. My background involves training in a variety of approaches, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based therapy. At the core, I believe therapy to be a journey to becoming more fully yourself. I have experience in helping people navigate life-changing medical diagnoses, managing depressive and anxiety symptoms, and relationship stress whether romantic, familial or friendships.
The choice of therapist is an important one and it is often helpful to have some insight into how the therapist you’re considering views therapy. My background involves training in a variety of approaches, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based therapy. At the core, I believe therapy to be a journey to becoming more fully yourself. I have experience in helping people navigate life-changing medical diagnoses, managing depressive and anxiety symptoms, and relationship stress whether romantic, familial or friendships.
Dustin B Adamo
Psychologist, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63131
Available remotely in: AL, AZ, AR, CT, DE, D.C., GA, ID, IL, IN, KS, KY, ME, MD, MN, NE, NV, NH, NJ, NC, OH, OK, PA, RI, TN, TX, UT, VA, WA, WV, WI. I was introduced to psychology while going through a difficult time as a young college student and seeking the help of a therapist. The experience taught me so much about myself and how to manage my emotions during difficult times that I decided to learn more about the field. One intro to psychology class turned into two more, and then just 12 short years later (with a few twists and turns along the way) I completed my PhD in counseling psychology!
Available remotely in: AL, AZ, AR, CT, DE, D.C., GA, ID, IL, IN, KS, KY, ME, MD, MN, NE, NV, NH, NJ, NC, OH, OK, PA, RI, TN, TX, UT, VA, WA, WV, WI. I was introduced to psychology while going through a difficult time as a young college student and seeking the help of a therapist. The experience taught me so much about myself and how to manage my emotions during difficult times that I decided to learn more about the field. One intro to psychology class turned into two more, and then just 12 short years later (with a few twists and turns along the way) I completed my PhD in counseling psychology!
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Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63119
Whatever the reason that has led you to seek therapy services, I am here to listen. I offer a gentle, compassionate and non-judgmental environment, providing my clients with a safe space where they will feel heard and supported. Whether you are struggling with a significant life event, feeling unsatisfied in a relationship or job, coping with loss, or experiencing feelings of depression or anxiety, I believe that you are capable of making meaningful change. Employing a strengths-based, collaborative approach, together we will work toward developing a clear path to achieve your goals and lead a more purposeful and satisfying life.
Whatever the reason that has led you to seek therapy services, I am here to listen. I offer a gentle, compassionate and non-judgmental environment, providing my clients with a safe space where they will feel heard and supported. Whether you are struggling with a significant life event, feeling unsatisfied in a relationship or job, coping with loss, or experiencing feelings of depression or anxiety, I believe that you are capable of making meaningful change. Employing a strengths-based, collaborative approach, together we will work toward developing a clear path to achieve your goals and lead a more purposeful and satisfying life.
Rita Skiba-Mathews
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63108
Are you seeking a therapist who is committed to providing a safe and affirming environment where your experiences, feelings, and identity are respected and valued? Perhaps you have experienced hardship or traumas and feel stuck in a loop of past memories. Or maybe you are finding it challenging to be effective in your day to day life. If something about this resonates with you, I think we might be a good fit! I hope to provide a comfortable and nonjudgemental environment where you can safely show up as your authentic self to work on treatment goals that fit your current struggles.
Are you seeking a therapist who is committed to providing a safe and affirming environment where your experiences, feelings, and identity are respected and valued? Perhaps you have experienced hardship or traumas and feel stuck in a loop of past memories. Or maybe you are finding it challenging to be effective in your day to day life. If something about this resonates with you, I think we might be a good fit! I hope to provide a comfortable and nonjudgemental environment where you can safely show up as your authentic self to work on treatment goals that fit your current struggles.
The Empowerment Spot, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63131
Scheduling New Clients! Do you feel anxiety about a current life transition? Is a past trauma holding you back in life? It's common to experience grief about the loss of someone or an idea of how you thought life would be. Individuals and couples can enhance the quality of their relationships and gain a better understand of others by attending therapy. I will sit with you and accept you as you are, while we work together on creating a plan of action to break out of patterns that are no longer serving you. It is ok if you have no clue where to start. This is a great first step!
Scheduling New Clients! Do you feel anxiety about a current life transition? Is a past trauma holding you back in life? It's common to experience grief about the loss of someone or an idea of how you thought life would be. Individuals and couples can enhance the quality of their relationships and gain a better understand of others by attending therapy. I will sit with you and accept you as you are, while we work together on creating a plan of action to break out of patterns that are no longer serving you. It is ok if you have no clue where to start. This is a great first step!
Emma Donovan
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Hi! My name is Emma. I offer an alternative, holistic, and spiritual approach to therapy for people in their 20s and 30s. I help you get to the root of your problems and heal past wounds so you can feel more conscious, integrated, and whole. I use IFS therapy, Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
Hi! My name is Emma. I offer an alternative, holistic, and spiritual approach to therapy for people in their 20s and 30s. I help you get to the root of your problems and heal past wounds so you can feel more conscious, integrated, and whole. I use IFS therapy, Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
Lee Lockwood
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Saint Louis, MO 63131
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
Quantum Consulting Group LLC
EdD
Verified Verified
Saint Louis, MO 63101
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
Kathy Bearman
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63141
Feeling confused, depressed or overwhelmed? I can help. Talking with someone who listens without judging, understands your concerns and helps you clarify issues can be invaluable. I provide a warm, compassionate, accepting environment where you can safely explore personal issues and conflicts. Together we will work to create a greater sense of peace, balance and fulfillment within your life. I work with teens, adults and couples seeking help with issues such as grief or loss, cancer support, relationship issues, depression, anxiety and stress. I often incorporate meditation, mindfulness and imagery techniques along with more traditional approaches if clients desire.
Feeling confused, depressed or overwhelmed? I can help. Talking with someone who listens without judging, understands your concerns and helps you clarify issues can be invaluable. I provide a warm, compassionate, accepting environment where you can safely explore personal issues and conflicts. Together we will work to create a greater sense of peace, balance and fulfillment within your life. I work with teens, adults and couples seeking help with issues such as grief or loss, cancer support, relationship issues, depression, anxiety and stress. I often incorporate meditation, mindfulness and imagery techniques along with more traditional approaches if clients desire.
Ingrid Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63112
Therapy should be a place where you feel safe to divulge your darkest secrets while knowing that the person that you confide in, will not only support your journey of self-improvement and healing but help guide you like a beacon in the sea or a flashlight when it’s dark. And because of this, we think that finding the RIGHT therapist is one of the most crucial parts of the therapeutic process... I work to help you solve a variety of issues and welcome and host safe spaces for active duty /retired veterans and their dependents, college students, LGBTQ+, POC, and older adults.
Therapy should be a place where you feel safe to divulge your darkest secrets while knowing that the person that you confide in, will not only support your journey of self-improvement and healing but help guide you like a beacon in the sea or a flashlight when it’s dark. And because of this, we think that finding the RIGHT therapist is one of the most crucial parts of the therapeutic process... I work to help you solve a variety of issues and welcome and host safe spaces for active duty /retired veterans and their dependents, college students, LGBTQ+, POC, and older adults.
Mallory Cohn
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63128
I'm passionate about helping adults and couples find healing, empowerment, growth, and meaning in their lives. I have experience working with anxiety, depression, trauma, identity development, relationship and attachment issues, life transitions, and grief. I'm especially dedicated to working with LGBTQIA+ and nonmonogamous clients. I practice from a humanistic standpoint, integrating psychodynamic, behavioral, and mindfulness-based strategies drawn from a variety of approaches in order to personalize therapy to the individual client’s values, goals, and strengths.
I'm passionate about helping adults and couples find healing, empowerment, growth, and meaning in their lives. I have experience working with anxiety, depression, trauma, identity development, relationship and attachment issues, life transitions, and grief. I'm especially dedicated to working with LGBTQIA+ and nonmonogamous clients. I practice from a humanistic standpoint, integrating psychodynamic, behavioral, and mindfulness-based strategies drawn from a variety of approaches in order to personalize therapy to the individual client’s values, goals, and strengths.
See more therapy options for Saint Louis
Nearby Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Jennings
- Ladue
- Maplewood
- Normandy
- Olivette
- Overland
- Richmond Heights
- University City
- Webster Groves
How does your Therapist compare?
Number of Therapists in Saint Louis, MO
1,000+
Average cost per session
$125
Therapists in Saint Louis, MO who prioritize treating:
91% | Anxiety |
86% | Depression |
77% | Relationship Issues |
74% | Self Esteem |
70% | Trauma and PTSD |
67% | Stress |
66% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
74% | UnitedHealthcare UHC | UBH |
71% | Aetna |
71% | Cigna and Evernorth |
How Therapists in Saint Louis, MO see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Louis?
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
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.
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.
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.