Therapists in Bryn Mawr, PA
Teresa Thompson
Licensed Professional Counselor, LPC, ATR-BC, CBIS
Verified Verified
Bryn Mawr, PA 19010
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
Mary Fry Counseling LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Bryn Mawr, PA 19010
Life can be challenging. It can feel even more complicated when we're not feeling well and we can't seem to break free from whatever struggle is pushing us down. Let's think of therapy as a way of safely unfolding whatever distress you may be in so that we can discover the tools you need to put your life back together. In that process, I will offer you a variety of pathways, tools and interventions to help you discover how to connect with yourself better and understand what you need to be able to move forward in a healthy way.
Life can be challenging. It can feel even more complicated when we're not feeling well and we can't seem to break free from whatever struggle is pushing us down. Let's think of therapy as a way of safely unfolding whatever distress you may be in so that we can discover the tools you need to put your life back together. In that process, I will offer you a variety of pathways, tools and interventions to help you discover how to connect with yourself better and understand what you need to be able to move forward in a healthy way.
Jeannine C Alvare'
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Bryn Mawr, PA 19010
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
I believe that mental health reflects a balance between an individual's emotional functioning and his/her family, friends and community. I support patients in their personal awareness and integration of the mind, body and spirit. I have extensive clinical experience with individuals and families addressing concerns such as: Anxiety, Autistic Spectrum, Attention Deficit Disorders, Bi-Polar Disorder, Depression, Eating Disorders, Learning Differences, Oppositional/Defiant Behaviors, Personality Disorders, Postpartum Depression and Psychological responses to life changes. I offer additional expertise in bi-cultural/racial issues, chronic illness, co-parenting, LGBT community, interfaith marriage and sibling rivalry.
Liz Somsanith
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
Looking for a therapist is a courageous first step and making yourself vulnerable with a stranger can feel intimidating. I consider it a great privilege to sit with others, listen to their stories, and walk alongside them as they make steps towards change. I am highly empathetic, down to earth, & non-judgmental. I use relational and collaborative approaches in therapy and draw from cognitive behavioral techniques, eco-systemic structural family therapy, motivational interviewing, and mindfulness based strategies.
Looking for a therapist is a courageous first step and making yourself vulnerable with a stranger can feel intimidating. I consider it a great privilege to sit with others, listen to their stories, and walk alongside them as they make steps towards change. I am highly empathetic, down to earth, & non-judgmental. I use relational and collaborative approaches in therapy and draw from cognitive behavioral techniques, eco-systemic structural family therapy, motivational interviewing, and mindfulness based strategies.
Gabrielle Harman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
I am a relational therapist who believes the path to healing is best done in partnership. My therapeutic style is based in understanding and compassion; I will meet you where you are, so we can work towards where you want to be. It is my goal to offer you a space in sessions where you can feel heard, understood and connected. We will work together to identify and overcome unhelpful patterns that have been built to protect and navigate difficult situations. In this therapeutic space, these unhelpful patterns can be transformed.
I am a relational therapist who believes the path to healing is best done in partnership. My therapeutic style is based in understanding and compassion; I will meet you where you are, so we can work towards where you want to be. It is my goal to offer you a space in sessions where you can feel heard, understood and connected. We will work together to identify and overcome unhelpful patterns that have been built to protect and navigate difficult situations. In this therapeutic space, these unhelpful patterns can be transformed.
Patti Anne McAndrews Radnor Individual And Family Therapy
Licensed Professional Counselor, MHS, LPC, CAADC, ADHD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Seeking help is a daunting task and finding the right person to assist you on your journey is equally difficult. At Radnor Therapy, I guide clients and/or families toward emotional efficacy. I assist clientele in coping with emotional stress, mental health, or addiction issues, through coaching and therapy. I have over 30 years of experience working with clients and families dealing with mental health and substance abuse/addiction. If I can't help, I'll connect you with someone who can. Having founded Adolescent Advocates in 2005 and sold in 2023, I have faced extreme adversity with great success and connected with many colleagues.
Seeking help is a daunting task and finding the right person to assist you on your journey is equally difficult. At Radnor Therapy, I guide clients and/or families toward emotional efficacy. I assist clientele in coping with emotional stress, mental health, or addiction issues, through coaching and therapy. I have over 30 years of experience working with clients and families dealing with mental health and substance abuse/addiction. If I can't help, I'll connect you with someone who can. Having founded Adolescent Advocates in 2005 and sold in 2023, I have faced extreme adversity with great success and connected with many colleagues.
Meredith Lisa Kramer
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
I believe that everyone has the potential to live a fuller, happier and more enriching life. Therapy is an excellent way to achieve the life you want to live and be the best you. Therapy provides an opportunity for you to look at what you are doing, thinking and feeling on a daily basis and what is or is not working well in your life. This information will forge a path that will empower you to feel more confident in both personal and work relationships. The goal is to help you feel less anxious, depressed, angry, helpless or whatever symptom is bringing you into therapy. I also offer video therapy or tele-therapy at the present time
I believe that everyone has the potential to live a fuller, happier and more enriching life. Therapy is an excellent way to achieve the life you want to live and be the best you. Therapy provides an opportunity for you to look at what you are doing, thinking and feeling on a daily basis and what is or is not working well in your life. This information will forge a path that will empower you to feel more confident in both personal and work relationships. The goal is to help you feel less anxious, depressed, angry, helpless or whatever symptom is bringing you into therapy. I also offer video therapy or tele-therapy at the present time
Diane Gibfried
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Bryn Mawr, PA 19010
I offer an opportunity to address multiple issues with an emphasis on the effects of trauma, anxiety, depression, grief and loss. Trauma and emotional pain can lead to a sense of being stuck. This can feel like being stuck in responses to situations and events and people that maintain our pain and present obstacles to our growth and flourishing. A warm and trusting therapeutic relationship can create an opportunity to get unstuck. This can manifest as increased confidence and a feeling that you are more present in your life. It can foster self awareness and improvement in your relationship with yourself and others.
I offer an opportunity to address multiple issues with an emphasis on the effects of trauma, anxiety, depression, grief and loss. Trauma and emotional pain can lead to a sense of being stuck. This can feel like being stuck in responses to situations and events and people that maintain our pain and present obstacles to our growth and flourishing. A warm and trusting therapeutic relationship can create an opportunity to get unstuck. This can manifest as increased confidence and a feeling that you are more present in your life. It can foster self awareness and improvement in your relationship with yourself and others.
Sandra Greenberg
Clinical Social Work/Therapist, PhD, LCSW, BCD
Verified Verified
Bryn Mawr, PA 19010
Are you struggling in your marriage or partnership? Has conflict, emotional distance or anxiety increased over the years? Do you want to get out of the rut but don't know where to begin? The truth is, positive change can happen. You can learn to identify and disrupt fixed patterns that keep you stuck. You can gain relational skills to tackle differences with confidence and heart. Discover how to connect with your inner GPS - be true to yourself and create more enlivened loving moments. Now is the time. Take your first step toward living a more authentic wholehearted life. I can help.
Are you struggling in your marriage or partnership? Has conflict, emotional distance or anxiety increased over the years? Do you want to get out of the rut but don't know where to begin? The truth is, positive change can happen. You can learn to identify and disrupt fixed patterns that keep you stuck. You can gain relational skills to tackle differences with confidence and heart. Discover how to connect with your inner GPS - be true to yourself and create more enlivened loving moments. Now is the time. Take your first step toward living a more authentic wholehearted life. I can help.
Kristina Ferrari | Modern Relationship Therapy
Licensed Professional Counselor, MSEd, LPC
Verified Verified
7 Endorsed
Bryn Mawr, PA 19010
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
Michael M. Green
Licensed Professional Counselor, MDiv, MA, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
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Marriage & Family Therapist, PhD, MDiv, MFT, IFS
Verified Verified
Bryn Mawr, PA 19010
Have you "disappeared" in order to be in a relationship? Do you feel "selfish" considering your own needs and wants? Would you like to stand up for yourself AND still be in relationship? Is the phrase, "I matter, too," one you want to believe? If so, the time has come to create effective ways to move into relationship with Self and Others. The truth is that each of us matters equally. When we live from a place of mutual importance, we honor boundaries, make decisions for ourselves, and are responsible for the only person we can truly manage, our self.
Have you "disappeared" in order to be in a relationship? Do you feel "selfish" considering your own needs and wants? Would you like to stand up for yourself AND still be in relationship? Is the phrase, "I matter, too," one you want to believe? If so, the time has come to create effective ways to move into relationship with Self and Others. The truth is that each of us matters equally. When we live from a place of mutual importance, we honor boundaries, make decisions for ourselves, and are responsible for the only person we can truly manage, our self.
Dawn Altman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Are you looking to find greater meaning and purpose in life? As a Jungian-oriented psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
Are you looking to find greater meaning and purpose in life? As a Jungian-oriented psychotherapist, I specialize in working with individuals experiencing life transitions, be it divorce, new parenthood, or midlife changes or loss. Anxiety, depression, loss of vitality, disordered eating, and addictions are symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
Rachael Ariel Scott
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Bryn Mawr, PA 19010
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
Brian M. Berman
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
Are you experiencing racing thoughts or anxious feelings? Are you feeling lonely, empty or unfulfilled? I have 22 years of experience helping clients feel more at ease in their lives and become their best selves. Difficult losses, relationship challenges, addiction or career change can leave you feeling stuck and dissatisfied. With compassion and care, I will help you overcome each of these challenges. Together we will regain your optimism and reconnect with the person you value inside.
Are you experiencing racing thoughts or anxious feelings? Are you feeling lonely, empty or unfulfilled? I have 22 years of experience helping clients feel more at ease in their lives and become their best selves. Difficult losses, relationship challenges, addiction or career change can leave you feeling stuck and dissatisfied. With compassion and care, I will help you overcome each of these challenges. Together we will regain your optimism and reconnect with the person you value inside.
Michael E Silverstein
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a clinical psychologist with 30 years experience helping individuals and couples find relief from depression, anxiety, addiction, OCD and relationship problems. We will use evidence-based approaches that have been scientifically proven to work, developing coping skills and new habits that are easy to learn and apply to everyday life. I believe we are all experts in our own lives and often already possess answers to our problems without realizing it. I work collaboratively to help set specific achievable goals, avoid previously hurtful thoughts and behaviors, and overcome barriers to finding effective solutions.
I am a clinical psychologist with 30 years experience helping individuals and couples find relief from depression, anxiety, addiction, OCD and relationship problems. We will use evidence-based approaches that have been scientifically proven to work, developing coping skills and new habits that are easy to learn and apply to everyday life. I believe we are all experts in our own lives and often already possess answers to our problems without realizing it. I work collaboratively to help set specific achievable goals, avoid previously hurtful thoughts and behaviors, and overcome barriers to finding effective solutions.
Nickolas C Alikakos
Clinical Social Work/Therapist, MSS, LMSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I am a LMSW who earned my Master’s degree from Bryn Mawr College. I am committed to providing quality therapeutic services that promote positive change through collaboration, reflection, compassion, and direction. I work on helping everyone find their own individualized path towards success and growth as I believe that everyone’s journeys and walks of life are unique. I have experience in both individual and group settings working with clients who are dealing with various mental health issues, interpersonal conflict, relationship issues and addiction.I use a combination of evidenced- based therapeutic modalities
I am a LMSW who earned my Master’s degree from Bryn Mawr College. I am committed to providing quality therapeutic services that promote positive change through collaboration, reflection, compassion, and direction. I work on helping everyone find their own individualized path towards success and growth as I believe that everyone’s journeys and walks of life are unique. I have experience in both individual and group settings working with clients who are dealing with various mental health issues, interpersonal conflict, relationship issues and addiction.I use a combination of evidenced- based therapeutic modalities
Jacqueline M Salmon
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Clients who are struggling with anxiety, depression, stress due to relationship,family and work issues, as well as those suffering from loss and grief find that my long professional experience and warm, empathic style helps them access their own inner strengths. I strive to help clients clarify their thoughts and feelings, and support them in developing personal goals that will make their lives more satisfying. My intention is to help clients remove both inner and outer obstacles that prevent them from living rich and meaningful lives. I find my work deeply rewarding and inspiring.
Clients who are struggling with anxiety, depression, stress due to relationship,family and work issues, as well as those suffering from loss and grief find that my long professional experience and warm, empathic style helps them access their own inner strengths. I strive to help clients clarify their thoughts and feelings, and support them in developing personal goals that will make their lives more satisfying. My intention is to help clients remove both inner and outer obstacles that prevent them from living rich and meaningful lives. I find my work deeply rewarding and inspiring.
Catherine Schuler
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
I specialize in providing evidence-based treatment for the full spectrum of anxiety disorders - including OCD, generalized anxiety disorder, panic disorder, and specific phobias including emetophobia - for individuals 15+. If you find yourself stuck in patterns of avoidance, reliance on safety behaviors, need for reassurance from loved ones, or self-doubt, you may be living with one of these disorders. If you are ready to break free of these patterns and engage more fully with your life, I encourage you to reach out to see if therapy with me is a good fit.
I specialize in providing evidence-based treatment for the full spectrum of anxiety disorders - including OCD, generalized anxiety disorder, panic disorder, and specific phobias including emetophobia - for individuals 15+. If you find yourself stuck in patterns of avoidance, reliance on safety behaviors, need for reassurance from loved ones, or self-doubt, you may be living with one of these disorders. If you are ready to break free of these patterns and engage more fully with your life, I encourage you to reach out to see if therapy with me is a good fit.
The Postpartum Stress Center, LLC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
We are a virtual practice dedicated to maternal wellness, serving the needs of pregnant and postpartum women and their families for almost 40 years. Our team is comprised of highly skilled therapists who are social workers, psychologists and psychiatrists and have received advanced training in the treatment of prenatal and postpartum depression and anxiety. Our practice is not limited to this area of specialty as we provide general counseling for adolescents, adults and couples.
See more therapy options for Bryn Mawr
Nearby Searches for Bryn Mawr
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How does your Therapist compare?
Number of Therapists in Bryn Mawr, PA
300+
Average cost per session
$160
Therapists in Bryn Mawr, PA who prioritize treating:
95% | Anxiety |
90% | Depression |
83% | Relationship Issues |
74% | Self Esteem |
68% | Trauma and PTSD |
65% | Stress |
63% | Grief |
Average years in practice
15 Years
Top 3 insurances accepted
70% | Aetna |
59% | Highmark |
51% | UnitedHealthcare UHC | UBH |
How Therapists in Bryn Mawr, PA see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Bryn Mawr?
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.