Therapists in Creve Coeur, MO

Photo of Santianna Clay, Pre-Licensed Professional in Creve Coeur, MO
Santianna Clay
Pre-Licensed Professional, MA, CIT
Verified Verified
Creve Coeur, MO 63141
I am an empathetic, knowledgeable, and passionate clinical and mental health counselor. I have experience with intake assessments, psychological assessments, crisis intervention, case management, and diagnosis and treatment planning. You don’t have to have all the answers because figuring out the complex parts will be what we do together. I will remind you that you, and only you, are the experts of your experiences. My role is that of a catalyst, for you to learn how to advocate for your autonomy with independence and connect to your truth with authenticity.
I am an empathetic, knowledgeable, and passionate clinical and mental health counselor. I have experience with intake assessments, psychological assessments, crisis intervention, case management, and diagnosis and treatment planning. You don’t have to have all the answers because figuring out the complex parts will be what we do together. I will remind you that you, and only you, are the experts of your experiences. My role is that of a catalyst, for you to learn how to advocate for your autonomy with independence and connect to your truth with authenticity.
(314) 325-1579 View (314) 325-1579
Photo of Pamela Hieger, Licensed Professional Counselor in Creve Coeur, MO
Pamela Hieger
Licensed Professional Counselor, MA, LPC
Verified Verified
Creve Coeur, MO 63141
Have you ever gone through a rough patch in life and felt like you didn't know how to get out of it? Some of us struggle for long periods of time and feel that it's our fault or that no one would be able to understand how we feel. Maybe you live with a vague feeling that something's not right. Personal experience with psychotherapy is what turned me into a believer in its power to transform life. I had always felt that I wanted to help people but after my life was changed by experiencing therapy, I really felt that I wanted to pass this gift on to others.
Have you ever gone through a rough patch in life and felt like you didn't know how to get out of it? Some of us struggle for long periods of time and feel that it's our fault or that no one would be able to understand how we feel. Maybe you live with a vague feeling that something's not right. Personal experience with psychotherapy is what turned me into a believer in its power to transform life. I had always felt that I wanted to help people but after my life was changed by experiencing therapy, I really felt that I wanted to pass this gift on to others.
(314) 208-2327 View (314) 208-2327
Photo of William H. Kuntz, Psychologist in Creve Coeur, MO
William H. Kuntz
Psychologist, MS LCSW, Lic Psy
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
Are you experiencing distress in your marriage or relationship? Are you dealing with depression or anxiety? Is your work or family life stressful? Do you need to find greater balance or deal with a major life transition? I am a licensed psychologist and licensed clinical social worker with over 35 years of counseling experience. My specialties include: couples counseling, adolescent issues, depression, anxiety, and life coaching. I am an empathetic and compassionate counselor who understands emotional difficulties and the challenge of balancing personal needs, family, and career.
Are you experiencing distress in your marriage or relationship? Are you dealing with depression or anxiety? Is your work or family life stressful? Do you need to find greater balance or deal with a major life transition? I am a licensed psychologist and licensed clinical social worker with over 35 years of counseling experience. My specialties include: couples counseling, adolescent issues, depression, anxiety, and life coaching. I am an empathetic and compassionate counselor who understands emotional difficulties and the challenge of balancing personal needs, family, and career.
(314) 666-6126 View (314) 666-6126
Photo of Pearlman & Associates, Clinical Social Work/Therapist in Creve Coeur, MO
Pearlman & Associates
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
Creve Coeur, MO 63141
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
(314) 309-2488 View (314) 309-2488
Photo of Sara Kalkenova in Creve Coeur, MO
Sara Kalkenova
MA
Verified Verified
1 Endorsed
Creve Coeur, MO 63141  (Online Only)
Are you thinking about counseling, but aren't sure where to start or who to see? I'm Sara, and I'm here to help. I help people become the best version of themselves by providing an inviting, private space to achieve goals, improve relationships, and heal from challenges such as anxiety, depression, grief & loss, trauma and more.
Are you thinking about counseling, but aren't sure where to start or who to see? I'm Sara, and I'm here to help. I help people become the best version of themselves by providing an inviting, private space to achieve goals, improve relationships, and heal from challenges such as anxiety, depression, grief & loss, trauma and more.
(314) 470-4601 View (314) 470-4601
Photo of John A Leber, Licensed Professional Counselor in Creve Coeur, MO
John A Leber
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
Have you ever asked yourself “is this what it is supposed to be like?” Feel like your needs are not being met, perhaps you don’t know what YOUR needs are let alone you spouse’s? Shouldn’t it be easier to talk to the person you love than anyone else? Has your trust been broken? Are you fighting to get passion you once had in your relationship back? Is an evening at home for you and your significant other spent staring at each other’s phone. Would you like to find that connection you once had or perhaps you have never been able to develop such a connection. Learn the skills necessary to navigate the ups and downs of a lifetime
Have you ever asked yourself “is this what it is supposed to be like?” Feel like your needs are not being met, perhaps you don’t know what YOUR needs are let alone you spouse’s? Shouldn’t it be easier to talk to the person you love than anyone else? Has your trust been broken? Are you fighting to get passion you once had in your relationship back? Is an evening at home for you and your significant other spent staring at each other’s phone. Would you like to find that connection you once had or perhaps you have never been able to develop such a connection. Learn the skills necessary to navigate the ups and downs of a lifetime
(314) 219-1762 View (314) 219-1762
Photo of Karleigh Struttmann, Clinical Social Work/Therapist in Creve Coeur, MO
Karleigh Struttmann
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
My ideal client is someone who wants to address the issues that they are struggling with in an empathetic and validating environment. They may be struggling with anxiety, depression, borderline personality disorder, or a host of other issues, and they know that when they come to my office they will be working with someone who truly wants to help them. Ideally, their goals would be related to things that they truly care about and want to improve in their lives. My ideal clients wants to find peace within the chaos that everyday life sometimes presents.
My ideal client is someone who wants to address the issues that they are struggling with in an empathetic and validating environment. They may be struggling with anxiety, depression, borderline personality disorder, or a host of other issues, and they know that when they come to my office they will be working with someone who truly wants to help them. Ideally, their goals would be related to things that they truly care about and want to improve in their lives. My ideal clients wants to find peace within the chaos that everyday life sometimes presents.
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Photo of Whig Mullins, Clinical Social Work/Therapist in Creve Coeur, MO
Whig Mullins
Clinical Social Work/Therapist, LCSW, MSW, BSN, RN, BS
Verified Verified
4 Endorsed
Creve Coeur, MO 63141
Effective management of emotions can be challenging. Together we can open doors to create a better more enjoyable life. People often come to our practice seeking relief from life's challenges and leave with both a new perspective and living happier than ever. I specialize in RO-DBT, Radically Open - Dialectical Behavioral Therapy and work with a variety of clients using DBT, Sensorimotor Psychotherapy, Mindfulness skills, life optimization and a variety of other techniques and skills.
Effective management of emotions can be challenging. Together we can open doors to create a better more enjoyable life. People often come to our practice seeking relief from life's challenges and leave with both a new perspective and living happier than ever. I specialize in RO-DBT, Radically Open - Dialectical Behavioral Therapy and work with a variety of clients using DBT, Sensorimotor Psychotherapy, Mindfulness skills, life optimization and a variety of other techniques and skills.
(314) 888-5379 View (314) 888-5379
Photo of Summer Lane, Psychologist in Creve Coeur, MO
Summer Lane
Psychologist, PhD, ABPP
Verified Verified
Creve Coeur, MO 63141
I provide neuropsychological evaluations to individuals ages 2-25 who are having difficulties at school and at home due to cognitive and/or emotional/behavioral concerns. There may be questions about ADHD, autism, learning disability, anxiety, or other issues, as well as how to address those concerns.
I provide neuropsychological evaluations to individuals ages 2-25 who are having difficulties at school and at home due to cognitive and/or emotional/behavioral concerns. There may be questions about ADHD, autism, learning disability, anxiety, or other issues, as well as how to address those concerns.
(314) 794-5320 View (314) 794-5320
Photo of Katelyn Siebert, Clinical Social Work/Therapist in Creve Coeur, MO
Katelyn Siebert
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
I am passionate about helping people gain a better understanding of themselves and the environments they are in. I believe this is the first step to growth and healing. When we better understand our thoughts and emotions we can more fully address them. I understand that for some people therapy may be met with hesitation or fear. Therefore, I am fully dedicated to providing a safe space for my clients built on trust, compassion, and respect to meet their therapeutic goals.
I am passionate about helping people gain a better understanding of themselves and the environments they are in. I believe this is the first step to growth and healing. When we better understand our thoughts and emotions we can more fully address them. I understand that for some people therapy may be met with hesitation or fear. Therefore, I am fully dedicated to providing a safe space for my clients built on trust, compassion, and respect to meet their therapeutic goals.
(314) 582-9769 View (314) 582-9769
Photo of Yael Kula, Clinical Social Work/Therapist in Creve Coeur, MO
Yael Kula
Clinical Social Work/Therapist, LCSW
Verified Verified
Creve Coeur, MO 63141
Oftentimes a therapist needs a therapist, and I specialize in working with therapists. I am intimately familiar with the burnout and fatigue that accompanies a therapists’ job. Every therapist I have worked with is a deeply compassionate, selfless, and idealistic person, who is dedicated to their clients. I work to help therapists care for themselves so that they can continue to feel healthy as they work with their clients. While we can often successfully support our clients, this does not always extend to feeling supported in our own lives.
Oftentimes a therapist needs a therapist, and I specialize in working with therapists. I am intimately familiar with the burnout and fatigue that accompanies a therapists’ job. Every therapist I have worked with is a deeply compassionate, selfless, and idealistic person, who is dedicated to their clients. I work to help therapists care for themselves so that they can continue to feel healthy as they work with their clients. While we can often successfully support our clients, this does not always extend to feeling supported in our own lives.
(314) 328-7432 View (314) 328-7432
Photo of Andrew Menatti, Psychologist in Creve Coeur, MO
Andrew Menatti
Psychologist, PhD, ABPP
Verified Verified
Creve Coeur, MO 63141
As a neuropsychologist, I welcome clients seeking to find out how their thinking and memory abilities affect their capacity to live a full, meaningful life. I conduct empirically sound psychological and neuropsychological assessments, and provide feedback and recommendations to patients, families, physicians, and schools about how the brain's abilities (such as memory, attention, and other abilities) affect a person's life, and what can be done about it. Clients are encouraged to call with concerns regarding Alzheimer's, traumatic brain injury, ADHD, and others, whether for themselves or for loved ones. I also provide CBT-I.
As a neuropsychologist, I welcome clients seeking to find out how their thinking and memory abilities affect their capacity to live a full, meaningful life. I conduct empirically sound psychological and neuropsychological assessments, and provide feedback and recommendations to patients, families, physicians, and schools about how the brain's abilities (such as memory, attention, and other abilities) affect a person's life, and what can be done about it. Clients are encouraged to call with concerns regarding Alzheimer's, traumatic brain injury, ADHD, and others, whether for themselves or for loved ones. I also provide CBT-I.
(314) 860-7927 View (314) 860-7927
Photo of Mary-Ashley Seabrook Kurian, Licensed Professional Counselor in Creve Coeur, MO
Mary-Ashley Seabrook Kurian
Licensed Professional Counselor, MA, LPC
Verified Verified
Creve Coeur, MO 63141
If you're reading this, here are some of the thoughts you might be experiencing: "I am tired of feeling this way," "I know there's something better in life than this," "My body feels completely out of control and caught in an anxious/depressive cycle," "I want to be free of this fear and step into peace and clarity," "I seem to have this chronic pain or body disposition that doesn't make sense and I don't enjoy; it might be connected to something that happened to me..." If one or more of these thoughts just won't go away, it may be time to get some therapeutic support.
If you're reading this, here are some of the thoughts you might be experiencing: "I am tired of feeling this way," "I know there's something better in life than this," "My body feels completely out of control and caught in an anxious/depressive cycle," "I want to be free of this fear and step into peace and clarity," "I seem to have this chronic pain or body disposition that doesn't make sense and I don't enjoy; it might be connected to something that happened to me..." If one or more of these thoughts just won't go away, it may be time to get some therapeutic support.
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Photo of Hadley McIntyre, Clinical Social Work/Therapist in Creve Coeur, MO
Hadley McIntyre
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Creve Coeur, MO 63141
Whatever it might be that brought you here, whatever you’re going through it deserves a safe space and healing. My goal within private practice is to create a safe and judgement free space to help you grow within. Through a collaborative approach I will guide you through major life changes and struggles. I have extensive experience in working with adolescents, children, and adults. I most enjoy working with high conflict familial relationships, anxiety, life transitions, and self-love.
Whatever it might be that brought you here, whatever you’re going through it deserves a safe space and healing. My goal within private practice is to create a safe and judgement free space to help you grow within. Through a collaborative approach I will guide you through major life changes and struggles. I have extensive experience in working with adolescents, children, and adults. I most enjoy working with high conflict familial relationships, anxiety, life transitions, and self-love.
(314) 470-8349 View (314) 470-8349
Photo of Whitney L Larkin, Licensed Professional Counselor in Creve Coeur, MO
Whitney L Larkin
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
Waitlist for new clients
I provide individualize care to clients who are struggling to manage symptoms of anxiety, trauma, depression, and life transitions. I enjoy work with pregnant and postpartum women who are feeling overwhelmed by anxiety, depression and adjusting to their new life as a parent. I focus much of my work on helping you to find clarity and stabilization, then move into personal growth and acceptance. I want to help you find the best version of yourself and truly enjoy life.
I provide individualize care to clients who are struggling to manage symptoms of anxiety, trauma, depression, and life transitions. I enjoy work with pregnant and postpartum women who are feeling overwhelmed by anxiety, depression and adjusting to their new life as a parent. I focus much of my work on helping you to find clarity and stabilization, then move into personal growth and acceptance. I want to help you find the best version of yourself and truly enjoy life.
(314) 582-1227 View (314) 582-1227
Photo of Max Zubatsky, Marriage & Family Therapist in Creve Coeur, MO
Max Zubatsky
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
Our lives can be filled with so many obstacles and challenges on a daily basis. Whether these challenges are personal, family, work or peers, we sometimes need to get additional perspectives and clarity on some of life's most pressing issues. I view therapy as a way for clients to seek personal growth and find helpful solutions moving forward. I use humor, compassion and unconditional support to help individuals, couples and families work through a variety of presenting issues. My goal is to help clients resolve the main problem in therapy and help them gain additional strengths and insights in their lives.
Our lives can be filled with so many obstacles and challenges on a daily basis. Whether these challenges are personal, family, work or peers, we sometimes need to get additional perspectives and clarity on some of life's most pressing issues. I view therapy as a way for clients to seek personal growth and find helpful solutions moving forward. I use humor, compassion and unconditional support to help individuals, couples and families work through a variety of presenting issues. My goal is to help clients resolve the main problem in therapy and help them gain additional strengths and insights in their lives.
(314) 310-3460 View (314) 310-3460
Photo of Kris Wilson, Clinical Social Work/Therapist in Creve Coeur, MO
Kris Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Creve Coeur, MO 63141
Many of my clients have had previous experiences in therapy before reaching my office. They feel at the end of their rope as traditional talk therapy hasn't facilitated the changes they need. They often hear how resilient or insightful they are but struggle to feel closeness and safety in relationships or to access positive emotions. Or, they might have been told that the intensity of their emotions is too much for their therapist or loved ones to handle. Overall, they are looking for therapist with an in-depth approach for their specific concerns, and are ready connect with a clinician who is invested in doing just that.
Many of my clients have had previous experiences in therapy before reaching my office. They feel at the end of their rope as traditional talk therapy hasn't facilitated the changes they need. They often hear how resilient or insightful they are but struggle to feel closeness and safety in relationships or to access positive emotions. Or, they might have been told that the intensity of their emotions is too much for their therapist or loved ones to handle. Overall, they are looking for therapist with an in-depth approach for their specific concerns, and are ready connect with a clinician who is invested in doing just that.
(314) 350-6959 View (314) 350-6959
Photo of Kristi London, Pre-Licensed Professional in Creve Coeur, MO
Kristi London
Pre-Licensed Professional, MA, PLPC
Verified Verified
Creve Coeur, MO 63141
I offer counseling to couples, families, adults, and teens dealing with a variety of concerns including anxiety, depression, addiction, marital conflict, relationship difficulties, and more. My therapeutic style is characterized by genuine warmth and connection and evidence-based clinical treatment. My clients are supported in accessing their innate abilities and strengths while learning practical and realistic coping skills they can use in their daily lives. These coping skills help support real and lasting change.
I offer counseling to couples, families, adults, and teens dealing with a variety of concerns including anxiety, depression, addiction, marital conflict, relationship difficulties, and more. My therapeutic style is characterized by genuine warmth and connection and evidence-based clinical treatment. My clients are supported in accessing their innate abilities and strengths while learning practical and realistic coping skills they can use in their daily lives. These coping skills help support real and lasting change.
(314) 970-3741 View (314) 970-3741
Photo of Rachel Bolter, Pre-Licensed Professional in Creve Coeur, MO
Rachel Bolter
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Creve Coeur, MO 63141
Let's be honest... adolescence and young adulthood can be tough! This period in life is often characterized by identity confusion, low self-esteem, difficulty regulating emotions, behavioral concerns, and many more challenges that the average young person isn't equipped to handle on their own. I definitely didn't know what to do when I experienced these hurdles as an adolescent and young adult. To this day, I still have to ask for help every once in a while! If you are beginning the process of finding help for yourself or your child, I want to applaud you for taking the first step in a challenging yet worthwhile journey!
Let's be honest... adolescence and young adulthood can be tough! This period in life is often characterized by identity confusion, low self-esteem, difficulty regulating emotions, behavioral concerns, and many more challenges that the average young person isn't equipped to handle on their own. I definitely didn't know what to do when I experienced these hurdles as an adolescent and young adult. To this day, I still have to ask for help every once in a while! If you are beginning the process of finding help for yourself or your child, I want to applaud you for taking the first step in a challenging yet worthwhile journey!
(314) 328-0883 View (314) 328-0883
Photo of Tony Tramelli, Licensed Professional Counselor in Creve Coeur, MO
Tony Tramelli
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Creve Coeur, MO 63141
I am dedicated to helping others improve the quality of their lives. I have a deep respect for those who come into my office and want to help them process and overcome the issues that are causing them pain. What I have come to know in having done this work for the past ten years is that we all experience pain in our own unique and profound ways. I provide a collaborative and compassionate approach, in which we work together to help you gain insight into what is getting in the way of you having a fuller, healthier, and happier life.
I am dedicated to helping others improve the quality of their lives. I have a deep respect for those who come into my office and want to help them process and overcome the issues that are causing them pain. What I have come to know in having done this work for the past ten years is that we all experience pain in our own unique and profound ways. I provide a collaborative and compassionate approach, in which we work together to help you gain insight into what is getting in the way of you having a fuller, healthier, and happier life.
(314) 582-3308 View (314) 582-3308

How does your Therapist compare?

Number of Therapists in Creve Coeur, MO

200+

Average cost per session

$130

Therapists in Creve Coeur, MO who prioritize treating:

92% Anxiety
89% Depression
80% Relationship Issues
77% Self Esteem
74% Coping Skills
73% Stress
67% Grief

Average years in practice

12 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth
69% Aetna

How Therapists in Creve Coeur, MO see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Creve Coeur?

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.