Therapists in Wakefield, MA

Photo of Ellen Holtzman, Psychologist in Wakefield, MA
Ellen Holtzman
Psychologist, PsyD
Verified Verified
Wakefield, MA 01880  (Online Only)
Not accepting new clients
My areas of expertise are the treatment of anxiety, depression and relationship issues in adults. I particularly enjoy counseling millennials. As a warm and understanding therapist, I have successfully worked with clients with a wide variety of life problems to help them decrease distress and lead fuller lives. I provide individual, couple, and family therapy, using a combination of cognitive behavioral and insight oriented techniques.
My areas of expertise are the treatment of anxiety, depression and relationship issues in adults. I particularly enjoy counseling millennials. As a warm and understanding therapist, I have successfully worked with clients with a wide variety of life problems to help them decrease distress and lead fuller lives. I provide individual, couple, and family therapy, using a combination of cognitive behavioral and insight oriented techniques.
(781) 990-2292 View (781) 990-2292
Photo of Christine Creegan, Counselor in Wakefield, MA
Christine Creegan
Counselor, LMHC
Verified Verified
2 Endorsed
Wakefield, MA 01880
Waitlist for new clients
It takes strength to admit that life has become unmanageable, that your previous ways of coping are less effective than they use to be. The first step to healing is acknowledging that those negative thoughts and feelings have been impacting your ability to lead the life you want. The next step is to ask for help. While asking for help can be overwhelming, I provide clients a safe, supportive, and nonjudgmental atmosphere in which to explore their path to healing. I offer a strength based and person centered approached to treatment. I will work with you to meet you where you’re at and help you reach your wellness goals.
It takes strength to admit that life has become unmanageable, that your previous ways of coping are less effective than they use to be. The first step to healing is acknowledging that those negative thoughts and feelings have been impacting your ability to lead the life you want. The next step is to ask for help. While asking for help can be overwhelming, I provide clients a safe, supportive, and nonjudgmental atmosphere in which to explore their path to healing. I offer a strength based and person centered approached to treatment. I will work with you to meet you where you’re at and help you reach your wellness goals.
(781) 257-8129 View (781) 257-8129
Photo of Michelle D' Avolio, Counselor in Wakefield, MA
Michelle D' Avolio
Counselor, MEd
Verified Verified
Wakefield, MA 01880
During my 30 years in private practice, I continue to gain immense satisfaction in seeing people make significant life changes and lead happier lives. I have found the humanistic, educational approach in psychotherapy as essential in helping people achieve a healthy self-concept. My intensive education and training, combined with my rich experience with people of all ages, results in successful therapy for those looking to improve their lives and relationships. If you are looking for a realistic and truthful perspective that will lead to better choices, responses and life decisions, I am confident my expertise will benefit you.
During my 30 years in private practice, I continue to gain immense satisfaction in seeing people make significant life changes and lead happier lives. I have found the humanistic, educational approach in psychotherapy as essential in helping people achieve a healthy self-concept. My intensive education and training, combined with my rich experience with people of all ages, results in successful therapy for those looking to improve their lives and relationships. If you are looking for a realistic and truthful perspective that will lead to better choices, responses and life decisions, I am confident my expertise will benefit you.
(781) 471-5099 View (781) 471-5099
Photo of Amanda Donahoe, Counselor in Wakefield, MA
Amanda Donahoe
Counselor, LMHC
Verified Verified
Wakefield, MA 01880  (Online Only)
Hello! I am a Licensed Mental Health Counselor in MA and I am currently accepting new clients. My approach to therapy resembles teamwork, as we will be working together in a direct and collaborative way. I specialize in helping those struggling with anxiety, depression, stress, and sports performance related concerns. As a former D1 athlete and current coach, I understand the demands and hardships that come with being an athlete. By focusing our your strengths, your self talk, and your thought processes, we can work together to overcome any adversity that you are currently facing.
Hello! I am a Licensed Mental Health Counselor in MA and I am currently accepting new clients. My approach to therapy resembles teamwork, as we will be working together in a direct and collaborative way. I specialize in helping those struggling with anxiety, depression, stress, and sports performance related concerns. As a former D1 athlete and current coach, I understand the demands and hardships that come with being an athlete. By focusing our your strengths, your self talk, and your thought processes, we can work together to overcome any adversity that you are currently facing.
(339) 233-4394 View (339) 233-4394
Photo of Counseling Services of Greater Boston, Counselor in Wakefield, MA
Counseling Services of Greater Boston
Counselor, LMHC
Verified Verified
Wakefield, MA 01880
Waitlist for new clients
Thank you for visiting our profile. Taking the first step can sometimes be a little overwhelming. Our large group practice consists of dedicated therapists with different specialities and approaches that we can match to best fit your needs. If you, or a loved one is struggling, or if you need some support and guidance, please contact us to learn more about our services and therapists.
Thank you for visiting our profile. Taking the first step can sometimes be a little overwhelming. Our large group practice consists of dedicated therapists with different specialities and approaches that we can match to best fit your needs. If you, or a loved one is struggling, or if you need some support and guidance, please contact us to learn more about our services and therapists.
(339) 217-9138 x100 View (339) 217-9138 x100
Photo of Jamie Farrelly, Clinical Social Work/Therapist in Wakefield, MA
Jamie Farrelly
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Wakefield, MA 01880
Not accepting new clients
Our experiences, traumas, and unexpected transitions shape our lives and perspectives. Sometimes we need help to process and proceed. Through experience working with people coping with their most difficult moments I've gained a unique understanding of resiliency and finding peace through life's chaos.
Our experiences, traumas, and unexpected transitions shape our lives and perspectives. Sometimes we need help to process and proceed. Through experience working with people coping with their most difficult moments I've gained a unique understanding of resiliency and finding peace through life's chaos.
(316) 333-5854 View (316) 333-5854
Photo of Melissa Rosenberger, Clinical Social Work/Therapist in Wakefield, MA
Melissa Rosenberger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wakefield, MA 01880
My strong desire to help others came naturally, growing up with a parent who was a first responder and through exposure to people with developmental disabilities in our community. I’ve tailored my education to support my passion of helping others. In 2021, I graduated from the University of New Hampshire with my Master's in Social Work. All of my jobs have focused on people, from my first job spending summers as a camp counselor with young children to my more recent jobs of working with at-risk youth and their parents, to my current work providing therapy to children, adolescents and adults.
My strong desire to help others came naturally, growing up with a parent who was a first responder and through exposure to people with developmental disabilities in our community. I’ve tailored my education to support my passion of helping others. In 2021, I graduated from the University of New Hampshire with my Master's in Social Work. All of my jobs have focused on people, from my first job spending summers as a camp counselor with young children to my more recent jobs of working with at-risk youth and their parents, to my current work providing therapy to children, adolescents and adults.
(339) 888-9202 View (339) 888-9202
Photo of Edith Block, Clinical Social Work/Therapist in Wakefield, MA
Edith Block
Clinical Social Work/Therapist, LICSW
Verified Verified
Wakefield, MA 01880  (Online Only)
I offer therapy for couples and individuals. I currently have openings for both. I understand that relationships are hard and complex and need to be nurtured.  Maybe the love that you felt for your partner is harder to access, buried under frequent and painful arguments or silent treatments.  Many couples find themselves avoiding important conversations/conflict or getting into circular arguments that don’t result in anything productive, most likely pushing the couple further and further away from one another. Perhaps there’s been a betrayal or an affair and you both would like to heal from it.
I offer therapy for couples and individuals. I currently have openings for both. I understand that relationships are hard and complex and need to be nurtured.  Maybe the love that you felt for your partner is harder to access, buried under frequent and painful arguments or silent treatments.  Many couples find themselves avoiding important conversations/conflict or getting into circular arguments that don’t result in anything productive, most likely pushing the couple further and further away from one another. Perhaps there’s been a betrayal or an affair and you both would like to heal from it.
(339) 217-8273 View (339) 217-8273
Photo of Nichole Mesa Tyree, Counselor in Wakefield, MA
Nichole Mesa Tyree
Counselor, MA, LMHC
Verified Verified
Wakefield, MA 01880  (Online Only)
Seeking therapy is a courageous and empowering way to foster growth within ourselves. Whether navigating life transitions, processing past trauma or learning skills to cope with everyday stress, therapy can address a large umbrella of needs.
Seeking therapy is a courageous and empowering way to foster growth within ourselves. Whether navigating life transitions, processing past trauma or learning skills to cope with everyday stress, therapy can address a large umbrella of needs.
(339) 666-1742 View (339) 666-1742
Photo of Kristy Harrington, Counselor in Wakefield, MA
Kristy Harrington
Counselor, LMHC
Verified Verified
Wakefield, MA 01880  (Online Only)
We all have ideas about how we "should" feel, what our life "should" look like, and how we are "supposed to" deal with the hard times. You're done being so hard on yourself and you're ready to get on with the life you want, but you're finding old stories, old ways of thinking and old habits are holding you back. You’re experiencing signs of depression, you're stressed, feel ashamed, and wondering - is this normal, am I normal? Maybe you've been using alcohol or cannabis to dull the pain and pass the time but that's starting to cause problems too. If it's hard to see a way forward, therapy can help you gain some clarity.
We all have ideas about how we "should" feel, what our life "should" look like, and how we are "supposed to" deal with the hard times. You're done being so hard on yourself and you're ready to get on with the life you want, but you're finding old stories, old ways of thinking and old habits are holding you back. You’re experiencing signs of depression, you're stressed, feel ashamed, and wondering - is this normal, am I normal? Maybe you've been using alcohol or cannabis to dull the pain and pass the time but that's starting to cause problems too. If it's hard to see a way forward, therapy can help you gain some clarity.
(978) 307-3614 View (978) 307-3614
Photo of Jennifer Wayman, Counselor in Wakefield, MA
Jennifer Wayman
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Wakefield, MA 01880  (Online Only)
Life is about so much more than going through the motions. But heavy changes or adjustments, grief, anxiety, stress, and struggles with relationships make a full life hard to live. Some days it’s easier to merely function instead of thrive. The goals and fulfillment you once had slip through the cracks. Your wellness is hard to fight for. You’re trying to move on with your pain, but it holds you down like an anchor. You can’t help but see everyone around you rising and moving forward; what happened? How can you begin again and grow?
Life is about so much more than going through the motions. But heavy changes or adjustments, grief, anxiety, stress, and struggles with relationships make a full life hard to live. Some days it’s easier to merely function instead of thrive. The goals and fulfillment you once had slip through the cracks. Your wellness is hard to fight for. You’re trying to move on with your pain, but it holds you down like an anchor. You can’t help but see everyone around you rising and moving forward; what happened? How can you begin again and grow?
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Photo of Heather Gray, Clinical Social Work/Therapist in Wakefield, MA
Heather Gray
Clinical Social Work/Therapist, LICSW
Verified Verified
Wakefield, MA 01880  (Online Only)
As the daughter of a narcissistic or emotionally limited mother, you know what it’s like to be your mother’s saving grace at 9 am and the reason for everything wrong in her life by noon. Your mom very likely made you responsible for her feelings while completely invalidating your own. You were “being difficult” and “too sensitive” when upset. Your slightest mistakes were made out to be your biggest transgressions. Now, without a roadmap, intimacy and relationships are a challenge for you. Intellectually, you know how you got here but making sense of your own mess is painful and confusing.
As the daughter of a narcissistic or emotionally limited mother, you know what it’s like to be your mother’s saving grace at 9 am and the reason for everything wrong in her life by noon. Your mom very likely made you responsible for her feelings while completely invalidating your own. You were “being difficult” and “too sensitive” when upset. Your slightest mistakes were made out to be your biggest transgressions. Now, without a roadmap, intimacy and relationships are a challenge for you. Intellectually, you know how you got here but making sense of your own mess is painful and confusing.
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Photo of Lauren Brierly, Psychologist in Wakefield, MA
Lauren Brierly
Psychologist, PsyD
Verified Verified
Wakefield, MA 01880  (Online Only)
Immediate Availability M-Th for telehealth only. Being a parent is hard, even under the best of circumstances. When you have a child struggling with mental health, the job can become even harder. You might find yourself feeling scared or overwhelmed, having lots of questions but finding few answers. The good news is that you and your child don't have to go through this alone- I'm here to help. As a clinician, I know that the effects of mental health are felt far beyond the individual. Though I work with children and adolescents, I believe in having a collaborative relationship with all members of the family.
Immediate Availability M-Th for telehealth only. Being a parent is hard, even under the best of circumstances. When you have a child struggling with mental health, the job can become even harder. You might find yourself feeling scared or overwhelmed, having lots of questions but finding few answers. The good news is that you and your child don't have to go through this alone- I'm here to help. As a clinician, I know that the effects of mental health are felt far beyond the individual. Though I work with children and adolescents, I believe in having a collaborative relationship with all members of the family.
(339) 330-2369 View (339) 330-2369
Photo of Jim Morin, Counselor in Wakefield, MA
Jim Morin
Counselor, LMHC
Verified Verified
Wakefield, MA 01880
I enjoy working with all ages, and bring a calming presence to the issues brought by children and their parents, as well as to the problems and concerns of adults. I specialize in working with people in their relationships. I an eager to work with couples, and also work with individuals on relationship issues. With adults, particularly men, I facilitate addressing the many barriers that undermine healthy relationships such as unmanaged anger, domestic violence and controlling behavior, substance abuse, and codependency. I encourage and help all my clients to utilize effective stress management strategies, including mindfulness meditation.
I enjoy working with all ages, and bring a calming presence to the issues brought by children and their parents, as well as to the problems and concerns of adults. I specialize in working with people in their relationships. I an eager to work with couples, and also work with individuals on relationship issues. With adults, particularly men, I facilitate addressing the many barriers that undermine healthy relationships such as unmanaged anger, domestic violence and controlling behavior, substance abuse, and codependency. I encourage and help all my clients to utilize effective stress management strategies, including mindfulness meditation.
(339) 337-1413 View (339) 337-1413
Photo of Maurice Maher Cheffro, Clinical Social Work/Therapist in Wakefield, MA
Maurice Maher Cheffro
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Wakefield, MA 01880
We all would like to believe that we can manage our individual hardships on our own. Many times, we are quite capable of doing so but some issues can be more challenging. Having the assistance of trained clinician can help you gain more insight; more peace and the ability to better problem solve. My name is Maurice Maher Cheffro, I recently began Bridge Forward Counseling with the sole purpose of helping others to begin their personal journey towards positive change and healing. I believe one of my best assets is the ability to meet people where they’re at and help them to feel more at ease in order to take steps forward.
We all would like to believe that we can manage our individual hardships on our own. Many times, we are quite capable of doing so but some issues can be more challenging. Having the assistance of trained clinician can help you gain more insight; more peace and the ability to better problem solve. My name is Maurice Maher Cheffro, I recently began Bridge Forward Counseling with the sole purpose of helping others to begin their personal journey towards positive change and healing. I believe one of my best assets is the ability to meet people where they’re at and help them to feel more at ease in order to take steps forward.
(339) 233-4729 View (339) 233-4729
Photo of Emily McDonough, Clinical Social Work/Therapist in Wakefield, MA
Emily McDonough
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wakefield, MA 01880
I am motivated to help my clients learn realistic and self-compassionate ways to thrive. I am happiest helping my clients to achieve meaningful growth, at their own pace. I earned my Master’s of Social Work in 2015 from the University of New England, after earning my Bachelor’s in the same discipline from Wheelock College (now Boston University) in 2014. I enjoy working with people of all ages and types of neurodiversity, from preteens to elders. I am lucky to be a true people person! I have been fortunate to contribute to various interdisciplinary teams throughout my career in settings such as inpatient mental health facilities,
I am motivated to help my clients learn realistic and self-compassionate ways to thrive. I am happiest helping my clients to achieve meaningful growth, at their own pace. I earned my Master’s of Social Work in 2015 from the University of New England, after earning my Bachelor’s in the same discipline from Wheelock College (now Boston University) in 2014. I enjoy working with people of all ages and types of neurodiversity, from preteens to elders. I am lucky to be a true people person! I have been fortunate to contribute to various interdisciplinary teams throughout my career in settings such as inpatient mental health facilities,
(339) 329-9077 View (339) 329-9077
Photo of Launch Psychological Associates, Psychologist in Wakefield, MA
Launch Psychological Associates
Psychologist, PsyD
Verified Verified
Wakefield, MA 01880
We are a group of warm and talented clinicians who provide therapy to children, adolescents and adults. We use evidence based interventions including cognitive behavioral therapy and acceptance and commitment therapy to relieve suffering and enable our patients to meet their goals. We work well with both children and adults, treating anxiety disorders, OCD, ADHD, depression, eating disorders, including ARFID, as well as obesity and health related issues.
We are a group of warm and talented clinicians who provide therapy to children, adolescents and adults. We use evidence based interventions including cognitive behavioral therapy and acceptance and commitment therapy to relieve suffering and enable our patients to meet their goals. We work well with both children and adults, treating anxiety disorders, OCD, ADHD, depression, eating disorders, including ARFID, as well as obesity and health related issues.
(781) 328-0776 View (781) 328-0776
Photo of Audra Bartz, Clinical Social Work/Therapist in Wakefield, MA
Audra Bartz
Clinical Social Work/Therapist, LICSW
Verified Verified
Wakefield, MA 01880
I welcome a collaboration with individuals, couples and families that are looking to address issues that are getting in the way of feeling satisfied, happy and positively engaged in their lives. Whether suffering from a mental health issue such as Depression, Anxiety, Eating Disorders or working through life transitions, relational issues and challenges, I encourage an active curiosity in one's personal experience. I view therapy as a safe space to process complex feelings, thoughts and experiences in a non-judgmental way.
I welcome a collaboration with individuals, couples and families that are looking to address issues that are getting in the way of feeling satisfied, happy and positively engaged in their lives. Whether suffering from a mental health issue such as Depression, Anxiety, Eating Disorders or working through life transitions, relational issues and challenges, I encourage an active curiosity in one's personal experience. I view therapy as a safe space to process complex feelings, thoughts and experiences in a non-judgmental way.
(339) 329-8791 View (339) 329-8791
Photo of Courtney Cennami, Counselor in Wakefield, MA
Courtney Cennami
Counselor, LMHC
Verified Verified
1 Endorsed
Wakefield, MA 01880  (Online Only)
Hello, and thank you for visiting my page! If you are here, you are taking the first step in your journey of acceptance, self-love, and learning strategies to cope with any uncomfortable emotions or life difficulties. You are strong and capable, but you are struggling right now to recognize all your many strengths and abilities. We will work together to heal and find tools that will help you cope in the present moment and prepare you for the future. I have experience working with a variety of individuals with a wide range of mental health struggles, or individuals simply needing a safe space to express their thoughts and feelings.
Hello, and thank you for visiting my page! If you are here, you are taking the first step in your journey of acceptance, self-love, and learning strategies to cope with any uncomfortable emotions or life difficulties. You are strong and capable, but you are struggling right now to recognize all your many strengths and abilities. We will work together to heal and find tools that will help you cope in the present moment and prepare you for the future. I have experience working with a variety of individuals with a wide range of mental health struggles, or individuals simply needing a safe space to express their thoughts and feelings.
(339) 219-5304 View (339) 219-5304
Photo of Maria Ceddia, Clinical Social Work/Therapist in Wakefield, MA
Maria Ceddia
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wakefield, MA 01880
I am committed to helping people live healthier, happier lives. I obtained my undergraduate degree at University of New Hampshire, and my Master’s in Community and School Counseling at Salem State University. Lastly, I obtained my LCSW at Boston University. My early years of work with children and families were in the trenches, working in Philadelphia’s elite protective services unit helping under-served and neglected families. Since that time, I’ve enjoyed working as a guidance counselor, school adjustment counselor, and a department head in local High Schools. I am passionate about helping people succeed.
I am committed to helping people live healthier, happier lives. I obtained my undergraduate degree at University of New Hampshire, and my Master’s in Community and School Counseling at Salem State University. Lastly, I obtained my LCSW at Boston University. My early years of work with children and families were in the trenches, working in Philadelphia’s elite protective services unit helping under-served and neglected families. Since that time, I’ve enjoyed working as a guidance counselor, school adjustment counselor, and a department head in local High Schools. I am passionate about helping people succeed.
(339) 500-7235 View (339) 500-7235

How does your Therapist compare?

Number of Therapists in Wakefield, MA

90+

Average cost per session

$150

Therapists in Wakefield, MA who prioritize treating:

89% Anxiety
85% Depression
77% Self Esteem
74% Relationship Issues
74% Coping Skills
66% Trauma and PTSD
58% Peer Relationships

Average years in practice

8 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
73% Harvard Pilgrim
73% UnitedHealthcare UHC | UBH

How Therapists in Wakefield, MA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wakefield?

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.