Therapists in Saint Paul, MN

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Photo of Bridgett Littel, Marriage & Family Therapist in Saint Paul, MN
Bridgett Littel
Marriage & Family Therapist, LMFT
Verified Verified
Saint Paul, MN 55118
Not accepting new clients
Whether you are struggling with self-esteem, weight loss/gain, low mood, anxiety, food, relationships, or questioning your place in life, I can help. It is easy to find yourself keeping up on appearances; not only trying to look your best physically, but also mentally and emotionally. Learning how to balance what you need/want and what the world is asking of you is possible and will create space for you to grow into a more authentic you.
Whether you are struggling with self-esteem, weight loss/gain, low mood, anxiety, food, relationships, or questioning your place in life, I can help. It is easy to find yourself keeping up on appearances; not only trying to look your best physically, but also mentally and emotionally. Learning how to balance what you need/want and what the world is asking of you is possible and will create space for you to grow into a more authentic you.
(651) 401-7984 View (651) 401-7984
Geraldine Rockett Ph.D., LP PLLC
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55104  (Online Only)
Not accepting new clients
I help people relieve anxiety and weather difficult transitions with grace. My clients are generally emotionally healthy but have gotten stuck. Whether you’re newly retired, newly parenting, newly married, newly returned to graduate school, or newly graduated from college, the common denominator holds true: transitions are hard. Transitions can leave everyone - even the strongest people - feeling a little lost. As a licensed psychologist with over 40 years experience providing therapy to clients as well as training to doctoral level psychologists, I feel confident that our work together will help you get your life back on track.
I help people relieve anxiety and weather difficult transitions with grace. My clients are generally emotionally healthy but have gotten stuck. Whether you’re newly retired, newly parenting, newly married, newly returned to graduate school, or newly graduated from college, the common denominator holds true: transitions are hard. Transitions can leave everyone - even the strongest people - feeling a little lost. As a licensed psychologist with over 40 years experience providing therapy to clients as well as training to doctoral level psychologists, I feel confident that our work together will help you get your life back on track.
(845) 713-8300 View (845) 713-8300
Photo of Casey Rae Blum, Pre-Licensed Professional in Saint Paul, MN
Casey Rae Blum
Pre-Licensed Professional, MA, LADC, MHP
Verified Verified
Saint Paul, MN 55102  (Online Only)
Deciding to make changes in your life can often be overwhelming. Uncertainty and self-doubt can make a path forward seem impossible. Through our work together, I can assist you in identifying the changes you would like to enact in your own life and help establish how to get there. If you find yourself feeling stuck in emotional pain or problems, therapy can be a catalyst for change you seek.Learning how to manage stress more effectively gives us access to new opportunities. I utilize both EMDR and ART therapies as a way to manage a variety of mental health conditions, including trauma, addiction, depression, grief and anxiety.
Deciding to make changes in your life can often be overwhelming. Uncertainty and self-doubt can make a path forward seem impossible. Through our work together, I can assist you in identifying the changes you would like to enact in your own life and help establish how to get there. If you find yourself feeling stuck in emotional pain or problems, therapy can be a catalyst for change you seek.Learning how to manage stress more effectively gives us access to new opportunities. I utilize both EMDR and ART therapies as a way to manage a variety of mental health conditions, including trauma, addiction, depression, grief and anxiety.
(651) 412-1612 View (651) 412-1612
Photo of Denise M Hein, Marriage & Family Therapist in Saint Paul, MN
Denise M Hein
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55105  (Online Only)
Outwardly your life appears good. You’re accomplished, educated, and successful. You’ve mastered the art of presentation, the illusion of perfection. But inside, you aren’t happy, never feeling good enough with that internal voice reminding you where you fall short. You are irritable, flat, tearful and hanging on by a thread. Recently, it's gotten worse. The years of keeping it together have left you exhausted, overwhelmed, stressed, and not even recognizing yourself. Feeling disappointed, disillusioned and dissatisfied, you’re desperate for a change. Should you get divorced, change careers, or drive away in the middle of the night?
Outwardly your life appears good. You’re accomplished, educated, and successful. You’ve mastered the art of presentation, the illusion of perfection. But inside, you aren’t happy, never feeling good enough with that internal voice reminding you where you fall short. You are irritable, flat, tearful and hanging on by a thread. Recently, it's gotten worse. The years of keeping it together have left you exhausted, overwhelmed, stressed, and not even recognizing yourself. Feeling disappointed, disillusioned and dissatisfied, you’re desperate for a change. Should you get divorced, change careers, or drive away in the middle of the night?
(651) 564-9943 View (651) 564-9943
Photo of Karen Stoddard, Clinical Social Work/Therapist in Saint Paul, MN
Karen Stoddard
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55105
I focus on helping you find a deeper and more positive sense of yourself. Together we explore your feelings, thought patterns, dreams, and attitudes to gain understanding about current problems and concerns. This work can positively transform the perspectives and behaviors that affect where you are feeling stuck, such as with relationship issues, or having symptoms of depression and anxiety, or problems with anger, substance abuse, career and work concerns, struggles with past abuse or trauma, facing acute or chronic health issues, or working through the process of aging.
I focus on helping you find a deeper and more positive sense of yourself. Together we explore your feelings, thought patterns, dreams, and attitudes to gain understanding about current problems and concerns. This work can positively transform the perspectives and behaviors that affect where you are feeling stuck, such as with relationship issues, or having symptoms of depression and anxiety, or problems with anger, substance abuse, career and work concerns, struggles with past abuse or trauma, facing acute or chronic health issues, or working through the process of aging.
(651) 401-8164 View (651) 401-8164
Photo of Kimberly Knoll, Marriage & Family Therapist in Saint Paul, MN
Kimberly Knoll
Marriage & Family Therapist, LMFT
Verified Verified
Saint Paul, MN 55110  (Online Only)
You are smart and resourceful, but feeling stuck. This is so deeply human. We are relational beings. Why would us needing support be any different? Therapy helps you get unstuck, takes it to the next level and challenges you.
You are smart and resourceful, but feeling stuck. This is so deeply human. We are relational beings. Why would us needing support be any different? Therapy helps you get unstuck, takes it to the next level and challenges you.
(651) 504-0620 View (651) 504-0620
Photo of Drew Horowitz, Drug & Alcohol Counselor in Saint Paul, MN
Drew Horowitz
Drug & Alcohol Counselor, MA, LADC, LPCC
Verified Verified
Saint Paul, MN 55105
Drew Horowitz has a vast range of experiences in working with addiction and mental health disorders. He has gained a wealth of knowledge through his own recovery, extensive training, and a master's level education from the Hazelden Graduate School. Drew has several years of professional experience in addiction services. He has worked extensively within a multitude of populations. After spending nearly 5 years with Hennepin County as a co-occurring mental health and substance abuse professional, Drew went into private practice where he treats individuals and families.
Drew Horowitz has a vast range of experiences in working with addiction and mental health disorders. He has gained a wealth of knowledge through his own recovery, extensive training, and a master's level education from the Hazelden Graduate School. Drew has several years of professional experience in addiction services. He has worked extensively within a multitude of populations. After spending nearly 5 years with Hennepin County as a co-occurring mental health and substance abuse professional, Drew went into private practice where he treats individuals and families.
(651) 419-3847 View (651) 419-3847
Photo of Nora L. Hollenkamp, Clinical Social Work/Therapist in Saint Paul, MN
Nora L. Hollenkamp
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55102
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
(763) 317-0829 View (763) 317-0829
Photo of Kait Nolte, Pre-Licensed Professional in Saint Paul, MN
Kait Nolte
Pre-Licensed Professional, MSW, LGSW
Verified Verified
1 Endorsed
Saint Paul, MN 55105
My approach to therapy is relational, attachment focused, systems based, and trauma informed as I believe how we experience the world is through an eclectic lens of our relational and developmental histories, genetic and biological make-up, experiences with others, and the communities in which we live. I believe that sometimes healing is best ignited through connection, support, and exploration. I practice primarily with adult individuals, families, and couples navigating the effects of stress, PTSD/trauma, identity exploration and self-esteem, life transitions, oppression, and dual-diagnosis.
My approach to therapy is relational, attachment focused, systems based, and trauma informed as I believe how we experience the world is through an eclectic lens of our relational and developmental histories, genetic and biological make-up, experiences with others, and the communities in which we live. I believe that sometimes healing is best ignited through connection, support, and exploration. I practice primarily with adult individuals, families, and couples navigating the effects of stress, PTSD/trauma, identity exploration and self-esteem, life transitions, oppression, and dual-diagnosis.
(651) 615-4657 View (651) 615-4657
Photo of Jennah Al, Pre-Licensed Professional in Saint Paul, MN
Jennah Al
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55104
Waitlist for new clients
I've been working with young people for several years. In that time, I have learned the importance of meeting people where they are, using curiosity and compassion as a guiding principle, and the value of humor and authenticity in building relationships. I am committed to creating a space in which people feel seen and heard and are able be exactly who they are. In our work together, I will support you in developing greater self-awareness, creating capacity for self-advocacy and boundary setting, and developing the ability to navigate relationships with more ease.
I've been working with young people for several years. In that time, I have learned the importance of meeting people where they are, using curiosity and compassion as a guiding principle, and the value of humor and authenticity in building relationships. I am committed to creating a space in which people feel seen and heard and are able be exactly who they are. In our work together, I will support you in developing greater self-awareness, creating capacity for self-advocacy and boundary setting, and developing the ability to navigate relationships with more ease.
(651) 240-6318 View (651) 240-6318
Photo of Scott A Fischer, Psychologist in Saint Paul, MN
Scott A Fischer
Psychologist, PhD, LP, ABPP
Verified Verified
Saint Paul, MN 55114
I help my clients by helping them to understand themselves better. In the process, they are able to find ways to be happier, more effective, and better able to solve their problems. I am comfortable with a number of approaches to therapy. Regardless of the specific approach, I help by providing keys to self-knowledge, warmth, respect, and honesty. I'm able to listen to things that are hard to talk about, tell you things that are hard to hear, and build hope in the process.
I help my clients by helping them to understand themselves better. In the process, they are able to find ways to be happier, more effective, and better able to solve their problems. I am comfortable with a number of approaches to therapy. Regardless of the specific approach, I help by providing keys to self-knowledge, warmth, respect, and honesty. I'm able to listen to things that are hard to talk about, tell you things that are hard to hear, and build hope in the process.
(651) 964-0965 View (651) 964-0965
Photo of Terra Sorg, Clinical Social Work/Therapist in Saint Paul, MN
Terra Sorg
Clinical Social Work/Therapist, MBA, MSW, LICSW
Verified Verified
5 Endorsed
Saint Paul, MN 55114
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
(651) 661-4855 View (651) 661-4855
Photo of Erika Pieniniemi, Counselor in Saint Paul, MN
Erika Pieniniemi
Counselor, MPS, LPCC, LADC
Verified Verified
Saint Paul, MN 55113
Waitlist for new clients
My work has been primarily centered around concerns relating to complex trauma, substance use, anxiety, ADHD, and identity concerns. In particular, I have a strong passion for working within the LGBTQIA+ community. As part of my practice, I recognize that our overall health can be impacted by our lived experiences with the broken systems around us, and at times, symptoms can be a direct result from living within these systems. My focus is to help clients gain insight around the impacts that past experiences may have had, address past trauma, recognize one's own strengths, and learn how to navigate through the challenges of life.
My work has been primarily centered around concerns relating to complex trauma, substance use, anxiety, ADHD, and identity concerns. In particular, I have a strong passion for working within the LGBTQIA+ community. As part of my practice, I recognize that our overall health can be impacted by our lived experiences with the broken systems around us, and at times, symptoms can be a direct result from living within these systems. My focus is to help clients gain insight around the impacts that past experiences may have had, address past trauma, recognize one's own strengths, and learn how to navigate through the challenges of life.
(952) 333-4918 View (952) 333-4918
Photo of Savira Kambhu, Pre-Licensed Professional in Saint Paul, MN
Savira Kambhu
Pre-Licensed Professional
Verified Verified
1 Endorsed
Saint Paul, MN 55114  (Online Only)
Some of the issues I work with often include anxiety, depression, anger, lack of motivation, career-related stress, parental issues, sex and gender-related issues, and addiction. I work to create an environment that feels supportive, respectful, and collaborative. Together we will explore your challenges and find ways to get unstuck. Sometimes our goal may be to decrease the severity of symptoms, and sometimes it may be to understand what is missing in your life.
Some of the issues I work with often include anxiety, depression, anger, lack of motivation, career-related stress, parental issues, sex and gender-related issues, and addiction. I work to create an environment that feels supportive, respectful, and collaborative. Together we will explore your challenges and find ways to get unstuck. Sometimes our goal may be to decrease the severity of symptoms, and sometimes it may be to understand what is missing in your life.
(651) 661-3672 View (651) 661-3672
Photo of Katie Hughes, Clinical Social Work/Therapist in Saint Paul, MN
Katie Hughes
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55105  (Online Only)
Are you looking for a way to feel better and to start taking steps toward the life you want to live? Perhaps you've been putting everyone else's needs above your own, or maybe you've been holding up everyone else while you're struggling to just hold onto yourself. If you've lost yourself along the way, I know how hard that can be, and you no longer need to suffer in silence. Whether you’re feeling stuck in depression, anxiety, overwhelm, emptiness, or loneliness, together we can start moving you toward relief from the pain you're experiencing and toward a life you feel excited to live.
Are you looking for a way to feel better and to start taking steps toward the life you want to live? Perhaps you've been putting everyone else's needs above your own, or maybe you've been holding up everyone else while you're struggling to just hold onto yourself. If you've lost yourself along the way, I know how hard that can be, and you no longer need to suffer in silence. Whether you’re feeling stuck in depression, anxiety, overwhelm, emptiness, or loneliness, together we can start moving you toward relief from the pain you're experiencing and toward a life you feel excited to live.
(651) 877-6509 View (651) 877-6509
Photo of Alix Bellus, Pre-Licensed Professional in Saint Paul, MN
Alix Bellus
Pre-Licensed Professional
Verified Verified
Saint Paul, MN 55116
I strongly believe in the transformative power of therapy. I work with clients using curiosity and understanding to explore the roadblocks that keep them from becoming who they want to be. These roadblocks can be met with skills and tools or space to process, ultimately highlighting the client’s own ability to create change. Therapy should be unique to the individual. I am passionate about creating a collaborative therapeutic relationship, and am dedicated to finding the style of therapy that works best for each client. I use a blend of theoretical orientations and offer a direct, holistic, solution-focused lens.
I strongly believe in the transformative power of therapy. I work with clients using curiosity and understanding to explore the roadblocks that keep them from becoming who they want to be. These roadblocks can be met with skills and tools or space to process, ultimately highlighting the client’s own ability to create change. Therapy should be unique to the individual. I am passionate about creating a collaborative therapeutic relationship, and am dedicated to finding the style of therapy that works best for each client. I use a blend of theoretical orientations and offer a direct, holistic, solution-focused lens.
(952) 243-5211 x703 View (952) 243-5211 x703
Photo of Laura Kuzzy, Counselor in Saint Paul, MN
Laura Kuzzy
Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55114
Not accepting new clients
We often create a story about our lives that is untrue or unkind. We become bound by shame, guilt or negative self-perceptions. These views shape how we show up in the world and dictate what we feel we deserve and what we can achieve. Four principles of my therapeutic practice include: addressing shame, challenging negative core beliefs, building self-awareness and creating self-efficacy.
We often create a story about our lives that is untrue or unkind. We become bound by shame, guilt or negative self-perceptions. These views shape how we show up in the world and dictate what we feel we deserve and what we can achieve. Four principles of my therapeutic practice include: addressing shame, challenging negative core beliefs, building self-awareness and creating self-efficacy.
(763) 308-8535 View (763) 308-8535
Photo of Annie Mogush, Pre-Licensed Professional in Saint Paul, MN
Annie Mogush
Pre-Licensed Professional, PhD
Verified Verified
Saint Paul, MN 55105
I believe in therapeutic relationships as a building block toward a more just future. The world changes for the better when transformed individuals spread their healing through their interactions with others. When you invite me into your process, I bring a deep commitment to our client-therapist relationship as a fulcrum for transformative change. My responsibility is to cultivate the conditions for you to lead that process of understanding and growth.
I believe in therapeutic relationships as a building block toward a more just future. The world changes for the better when transformed individuals spread their healing through their interactions with others. When you invite me into your process, I bring a deep commitment to our client-therapist relationship as a fulcrum for transformative change. My responsibility is to cultivate the conditions for you to lead that process of understanding and growth.
(651) 615-8444 View (651) 615-8444
Photo of Nikita Tavares, Pre-Licensed Professional in Saint Paul, MN
Nikita Tavares
Pre-Licensed Professional, MPS
Verified Verified
2 Endorsed
Saint Paul, MN 55114
Your experience is valid whether it be sadness, anxiety/worry, lack of self-trust, substance use/misuse, low motivation, a sense of disconnect from yourself or others, or difficulty adjusting. You may feel like you are moving through life without purpose or meaning, like your brain is on autopilot reacting to the world instead of responding mindfully. As a therapist, I help people tap into their inner healing systems in order to understand and welcome all parts of themselves. My goal is to help you feel empowered in approaching life and your relationships with greater clarity, ease, calm, creativity, and confidence.
Your experience is valid whether it be sadness, anxiety/worry, lack of self-trust, substance use/misuse, low motivation, a sense of disconnect from yourself or others, or difficulty adjusting. You may feel like you are moving through life without purpose or meaning, like your brain is on autopilot reacting to the world instead of responding mindfully. As a therapist, I help people tap into their inner healing systems in order to understand and welcome all parts of themselves. My goal is to help you feel empowered in approaching life and your relationships with greater clarity, ease, calm, creativity, and confidence.
View
Photo of Margaret Evers, Clinical Social Work/Therapist in Saint Paul, MN
Margaret Evers
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Paul, MN 55106
Hi! I am Maggie Evers, a Licensed Independent Clinical Social Worker (LICSW) serving both Minnesota and Wisconsin residents, here to help navigate life's twists and turns. Think of me as your co-pilot on this journey offering a safe and judgment-free space where you can unpack your thoughts and feelings. I specialize in cutting through the jargon and getting to the heart of what's on your mind. Life can be messy, and I'm here to help you sort through it. My approach is real, grounded, and collaborative—we're in this together.
Hi! I am Maggie Evers, a Licensed Independent Clinical Social Worker (LICSW) serving both Minnesota and Wisconsin residents, here to help navigate life's twists and turns. Think of me as your co-pilot on this journey offering a safe and judgment-free space where you can unpack your thoughts and feelings. I specialize in cutting through the jargon and getting to the heart of what's on your mind. Life can be messy, and I'm here to help you sort through it. My approach is real, grounded, and collaborative—we're in this together.
(651) 376-2533 View (651) 376-2533

How does your Therapist compare?

Number of Therapists in Saint Paul, MN

1,000+

Average cost per session

$170

Therapists in Saint Paul, MN who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
68% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
72% UCare
68% HealthPartners of MN and WI

How Therapists in Saint Paul, MN see their clients

74% In Person and Online
26% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Paul?

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.