Therapists in Northampton, MA

Photo of Laurel Shortell, Clinical Social Work/Therapist in Northampton, MA
Laurel Shortell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
My approach comes from a strengths based perspective. I believe that individuals have the ability to make significant life changes by identifying the sources of their current difficulties, understanding why their coping methods may have made good sense at the time, and learning new ways of being in the world that fit with who they are now and that support their growth and heart's desire. My role is to provide a supportive, trust-based environment and help individuals create the lives they wish to live.
My approach comes from a strengths based perspective. I believe that individuals have the ability to make significant life changes by identifying the sources of their current difficulties, understanding why their coping methods may have made good sense at the time, and learning new ways of being in the world that fit with who they are now and that support their growth and heart's desire. My role is to provide a supportive, trust-based environment and help individuals create the lives they wish to live.
(413) 418-3186 View (413) 418-3186
Photo of Sara Tyler LICSW, Clinical Social Work/Therapist in Northampton, MA
Sara Tyler LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Northampton, MA 01060
Not accepting new clients
I work with people struggling with depression, anxiety, stage of life changes and relationship issues. I believe that therapy can be a very powerful tool at times in our lives when we are needing extra support. I can help people to create more fulfilling and satisfying lives and help them to navigate through challenging periods. I work individually with adults using psychodynamic, cognitive-behavioral, and mindfulness based methods.
I work with people struggling with depression, anxiety, stage of life changes and relationship issues. I believe that therapy can be a very powerful tool at times in our lives when we are needing extra support. I can help people to create more fulfilling and satisfying lives and help them to navigate through challenging periods. I work individually with adults using psychodynamic, cognitive-behavioral, and mindfulness based methods.
(718) 577-2379 View (718) 577-2379
Photo of Dorrie Christman, Clinical Social Work/Therapist in Northampton, MA
Dorrie Christman
Clinical Social Work/Therapist, MSW, LICSW, RYT
Verified Verified
Northampton, MA 01060
I have been a psychotherapist for over 30 years. I have been trained in numerous modalities including CBT, DBT, and trauma focused treatment. I enjoy working with children and adults suffering from the symptoms of anxiety and mood disorders. I am also a 500 hr. Registered Yoga Teacher. Together with my clients, I create a customized treatment plan that often includes Cognitive Behavioral Techniques and mindfulness /Yoga skills. The approach is often remarkably successful in treating sleep problems, anxiety, depression, trauma and loss.
I have been a psychotherapist for over 30 years. I have been trained in numerous modalities including CBT, DBT, and trauma focused treatment. I enjoy working with children and adults suffering from the symptoms of anxiety and mood disorders. I am also a 500 hr. Registered Yoga Teacher. Together with my clients, I create a customized treatment plan that often includes Cognitive Behavioral Techniques and mindfulness /Yoga skills. The approach is often remarkably successful in treating sleep problems, anxiety, depression, trauma and loss.
(914) 618-5939 View (914) 618-5939
Photo of Tim Oaks, Clinical Social Work/Therapist in Northampton, MA
Tim Oaks
Clinical Social Work/Therapist, LCSW
Verified Verified
Northampton, MA 01060
Our early experiences begin to shape our thoughts, feelings, habits, and beliefs about ourselves in the world. When experiences are positive, successful and shared, we learn how to find satisfaction, connection, and support. When early experiences are overwhelming, the content (feelings, thoughts, sensations) can get stuck and replayed alongside later life events, making us feel worse than we think we should. For example, we might feel off-balance, angry, or fearful; we might think we are powerless, alone, unwanted, incapable, or in danger; and we might feel sensations in our body like tension, weakness, pain, or numbness.
Our early experiences begin to shape our thoughts, feelings, habits, and beliefs about ourselves in the world. When experiences are positive, successful and shared, we learn how to find satisfaction, connection, and support. When early experiences are overwhelming, the content (feelings, thoughts, sensations) can get stuck and replayed alongside later life events, making us feel worse than we think we should. For example, we might feel off-balance, angry, or fearful; we might think we are powerless, alone, unwanted, incapable, or in danger; and we might feel sensations in our body like tension, weakness, pain, or numbness.
(413) 307-4134 View (413) 307-4134
Photo of Jenna McGivney, Counselor in Northampton, MA
Jenna McGivney
Counselor, LMHC, ATR-BC
Verified Verified
Northampton, MA 01060
Humans are resilient. We break bones and recover. We are not defined by our fractures, so why be defined by our adversities? By the same token, trauma may feel like a fracture to one’s personality, but trauma does not define an individual. On the contrary, but rather, an individual is defined by the characteristics that silently evolve in the aftermath. My approach is relational, psychodynamic-oriented, and skills-based to teach how to manage emotions, tolerate distress, and improve relationships. I aim to tailor treatment based on needs and readiness in order to foster resilience, enhanced insight, and achieve personal growth.
Humans are resilient. We break bones and recover. We are not defined by our fractures, so why be defined by our adversities? By the same token, trauma may feel like a fracture to one’s personality, but trauma does not define an individual. On the contrary, but rather, an individual is defined by the characteristics that silently evolve in the aftermath. My approach is relational, psychodynamic-oriented, and skills-based to teach how to manage emotions, tolerate distress, and improve relationships. I aim to tailor treatment based on needs and readiness in order to foster resilience, enhanced insight, and achieve personal growth.
(413) 277-7512 View (413) 277-7512
Photo of Max Ehrnfelt, Clinical Social Work/Therapist in Northampton, MA
Max Ehrnfelt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Northampton, MA 01060  (Online Only)
Waitlist for new clients
Are you hoping to practice clear and effective communication with others about your wants, needs, or boundaries? Are you thinking about breaking a pattern or stopping a behavior that no longer serves you? Are you searching for a supportive, collaborative space to reflect on your past, to stay grounded in the present, or to explore what you want for your future?
Are you hoping to practice clear and effective communication with others about your wants, needs, or boundaries? Are you thinking about breaking a pattern or stopping a behavior that no longer serves you? Are you searching for a supportive, collaborative space to reflect on your past, to stay grounded in the present, or to explore what you want for your future?
(413) 287-1780 View (413) 287-1780
Photo of Carrie Hennessy, Psychologist in Northampton, MA
Carrie Hennessy
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
Welcome! I provide psychological services to adults with wide-ranging hopes and intentions. My approach is trauma-informed and emphasizes the Internal Family Systems (IFS) model of therapy. Through exploring present moment thoughts, feelings and sensation, you will gain access to meaningful and often neglected parts of yourself creating a pathway to deeper self-connection and greater overall well-being.
Welcome! I provide psychological services to adults with wide-ranging hopes and intentions. My approach is trauma-informed and emphasizes the Internal Family Systems (IFS) model of therapy. Through exploring present moment thoughts, feelings and sensation, you will gain access to meaningful and often neglected parts of yourself creating a pathway to deeper self-connection and greater overall well-being.
(413) 269-8689 View (413) 269-8689
Photo of Brett Thatcher, Clinical Social Work/Therapist in Northampton, MA
Brett Thatcher
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
I am a psychotherapist who works from a relational psychodynamic perspective; I collaborate with clients to explore and narrate who, how, and why you are - aiming for a richer experience of your life. Broadly speaking, my approach is to help you foster a curiosity about and relationship with the various (and often disparate) aspects of your experience. My style is authentic, warm, and accepting, which helps provide a space where you can become comfortable to eventually venture into the deeply uncomfortable to enable growth and change.
I am a psychotherapist who works from a relational psychodynamic perspective; I collaborate with clients to explore and narrate who, how, and why you are - aiming for a richer experience of your life. Broadly speaking, my approach is to help you foster a curiosity about and relationship with the various (and often disparate) aspects of your experience. My style is authentic, warm, and accepting, which helps provide a space where you can become comfortable to eventually venture into the deeply uncomfortable to enable growth and change.
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Photo of Anne Parente, LICSW, Clinical Social Work/Therapist in Northampton, MA
Anne Parente, LICSW
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Northampton, MA 01060
*I am not able to accept new clients at this time.* By listening deeply, providing insight, coaching and support we collaborate to move past self-defeating patterns that interfere with your living well. As a seasoned psychotherapist and life coach with 30 years experience I believe in each person's singular life path and inherent capacity to heal and grow. Drawing on mindfulness and body-based wisdom we focus your strengths to transform fear into hope, confusion into direction. I work well with people who are stuck emotionally in themselves or in their relationships; people who have experienced trauma; people desiring change.
*I am not able to accept new clients at this time.* By listening deeply, providing insight, coaching and support we collaborate to move past self-defeating patterns that interfere with your living well. As a seasoned psychotherapist and life coach with 30 years experience I believe in each person's singular life path and inherent capacity to heal and grow. Drawing on mindfulness and body-based wisdom we focus your strengths to transform fear into hope, confusion into direction. I work well with people who are stuck emotionally in themselves or in their relationships; people who have experienced trauma; people desiring change.
(413) 239-3444 View (413) 239-3444
Photo of Jessica Ray-Mendoza, Counselor in Northampton, MA
Jessica Ray-Mendoza
Counselor, MA, LMHC
Verified Verified
Northampton, MA 01060
Waitlist for new clients
I live and come to psychology with a consciousness of interpersonal, structural and institutional oppression that many of us experience throughout our lives. You will find compassion and understanding at the cross-sections of your suffering and your identities. Whether it is anxiety, depression, social/community difficulties, I can help explore these elements so that you can harness hope, presence, and restoration.
I live and come to psychology with a consciousness of interpersonal, structural and institutional oppression that many of us experience throughout our lives. You will find compassion and understanding at the cross-sections of your suffering and your identities. Whether it is anxiety, depression, social/community difficulties, I can help explore these elements so that you can harness hope, presence, and restoration.
(857) 203-8263 View (857) 203-8263
Photo of Ann Novick, Clinical Social Work/Therapist in Northampton, MA
Ann Novick
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
We all have a unique journey in life. I believe that our resilience is as unique as our journey. I work with clients to help them overcome distressing cycles that make them feel stuck and empower them to find stability, create healthier relationships and live an enriched life. Together we explore underlying emotions and find new ways of coping with past traumas, difficult life transitions, loss, relational distress and other mental health issues.
We all have a unique journey in life. I believe that our resilience is as unique as our journey. I work with clients to help them overcome distressing cycles that make them feel stuck and empower them to find stability, create healthier relationships and live an enriched life. Together we explore underlying emotions and find new ways of coping with past traumas, difficult life transitions, loss, relational distress and other mental health issues.
(413) 402-6069 View (413) 402-6069
Photo of Brigid Donnellan, Pre-Licensed Professional in Northampton, MA
Brigid Donnellan
Pre-Licensed Professional
Verified Verified
Northampton, MA 01060
I am a queer, pre-licensed professional. In sessions, I combine academic, lived, and clinical experiences to create a client-focused therapeutic environment based on collaboration and community. My training has centered on working with queer and trans adolescents and young adults, as well as partnership work, including monogamous, ENM, and poly relationship constellations. In my clinical work, I believe in the strength of authenticity, connection, warmth, and empathy. I primarily draw on narrative, dialogic, and relational approaches in my work. Anti-oppression, social justice, and intersectional feminist lenses are also central.
I am a queer, pre-licensed professional. In sessions, I combine academic, lived, and clinical experiences to create a client-focused therapeutic environment based on collaboration and community. My training has centered on working with queer and trans adolescents and young adults, as well as partnership work, including monogamous, ENM, and poly relationship constellations. In my clinical work, I believe in the strength of authenticity, connection, warmth, and empathy. I primarily draw on narrative, dialogic, and relational approaches in my work. Anti-oppression, social justice, and intersectional feminist lenses are also central.
(413) 613-4228 View (413) 613-4228
Photo of Gail Fries, LICSW, SEP, Clinical Social Work/Therapist in Northampton, MA
Gail Fries, LICSW, SEP
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Northampton, MA 01060
(NOTE: I have little to no availability. ) Do you struggle with the effects of a difficult childhood, have an addiction, had a life-changing accident, or experienced an abusive or controlling relationship? If so, you probably don't enjoy life as much as you'd like. Our work will be both a partnership and an exploration, working at your pace. I'm trained as a psychotherapist and a Somatic Experiencing Practitioner. I value working collaboratively, at your pace, towards building greater resilience, feeling safer, and resolving areas of difficulty so that you can enjoy yourself, your relationships and your life more.
(NOTE: I have little to no availability. ) Do you struggle with the effects of a difficult childhood, have an addiction, had a life-changing accident, or experienced an abusive or controlling relationship? If so, you probably don't enjoy life as much as you'd like. Our work will be both a partnership and an exploration, working at your pace. I'm trained as a psychotherapist and a Somatic Experiencing Practitioner. I value working collaboratively, at your pace, towards building greater resilience, feeling safer, and resolving areas of difficulty so that you can enjoy yourself, your relationships and your life more.
(413) 314-3177 View (413) 314-3177
Photo of Raye Locke, Clinical Social Work/Therapist in Northampton, MA
Raye Locke
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Not accepting new clients
I have a warm, calm and accepting presence and enjoy examining the work from multiple perspectives. I believe clinical work should help increase insight by finding connections between past experiences, the present moment and expectations of the future. My practice is informed by psychodynamic approaches, creating an open and flexible space that is responsive to changing needs. I incorporate metaphor, analogy, art, music, play, mindfulness and relaxation to more fully explore the self in moving toward expression and authenticity.
I have a warm, calm and accepting presence and enjoy examining the work from multiple perspectives. I believe clinical work should help increase insight by finding connections between past experiences, the present moment and expectations of the future. My practice is informed by psychodynamic approaches, creating an open and flexible space that is responsive to changing needs. I incorporate metaphor, analogy, art, music, play, mindfulness and relaxation to more fully explore the self in moving toward expression and authenticity.
(413) 384-3662 View (413) 384-3662
Photo of Sara Silvia, Counselor in Northampton, MA
Sara Silvia
Counselor, MA, LMHC
Verified Verified
Northampton, MA 01060
My mission is to create a healing space for you to feel safe and understood. I specialize in helping people recover from trauma, eating and body image issues, addiction, anxiety, and depression. Together we make sense of seemingly illogical or out of proportion reactions and responses. I believe even the most challenging parts of our personalities are creative adaptations developed to help us survive, and that true healing involves honoring these parts of ourselves, while working to find beneficial pathways in the present.
My mission is to create a healing space for you to feel safe and understood. I specialize in helping people recover from trauma, eating and body image issues, addiction, anxiety, and depression. Together we make sense of seemingly illogical or out of proportion reactions and responses. I believe even the most challenging parts of our personalities are creative adaptations developed to help us survive, and that true healing involves honoring these parts of ourselves, while working to find beneficial pathways in the present.
(413) 923-6131 View (413) 923-6131
Photo of Amorn O'Connor, Counselor in Northampton, MA
Amorn O'Connor
Counselor, LMHC, R-DMT
Verified Verified
Northampton, MA 01060
For young children, behavior is a way to communicate needs. When complex emotions arise through challenging behaviors, parents may be left feeling unsure how to respond. Does your child seem overly anxious? Are they highly distressed when separated from you or more withdrawn than you'd expect? Maybe they've experienced a traumatic or scary event, a significant loss, or you’d like to prepare them for a family life change. Are you an adoptive or foster family wanting help with bonding and building secure attachment? Do you hope to gain clearer insight into your child’s needs and support them through a stressful time?
For young children, behavior is a way to communicate needs. When complex emotions arise through challenging behaviors, parents may be left feeling unsure how to respond. Does your child seem overly anxious? Are they highly distressed when separated from you or more withdrawn than you'd expect? Maybe they've experienced a traumatic or scary event, a significant loss, or you’d like to prepare them for a family life change. Are you an adoptive or foster family wanting help with bonding and building secure attachment? Do you hope to gain clearer insight into your child’s needs and support them through a stressful time?
(413) 216-6165 View (413) 216-6165
Photo of Josh Relin, Psychologist in Northampton, MA
Josh Relin
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
Psychotherapy is incredibly helpful not just in managing mental health diagnoses such as Depression, Anxiety, Bipolar Disorder, etc., but it is also a powerful support in navigating the ways in which we can all get stuck in undesired and unhealthy patterns in our lives and relationships. My goal is that your experience of therapy is one in which you feel deeply heard and understood, challenged in healthy ways, and safe and comfortable to explore a wide range of thoughts, feelings, and experiences in a neutral and non-judgmental setting.
Psychotherapy is incredibly helpful not just in managing mental health diagnoses such as Depression, Anxiety, Bipolar Disorder, etc., but it is also a powerful support in navigating the ways in which we can all get stuck in undesired and unhealthy patterns in our lives and relationships. My goal is that your experience of therapy is one in which you feel deeply heard and understood, challenged in healthy ways, and safe and comfortable to explore a wide range of thoughts, feelings, and experiences in a neutral and non-judgmental setting.
(413) 216-4151 View (413) 216-4151
Photo of Jonna Sciacca, Counselor in Northampton, MA
Jonna Sciacca
Counselor, LMHC
Verified Verified
Northampton, MA 01062
Not accepting new clients
Having someone to talk to who listens well, respectfully and skillfully in a safe environment aids people in making positive changes in their lives. I have many years experience in this type of listening and asking of the right questions to help you more clearly find and achieve your goals. Empowering you to meet your goals, build healthier relationships, find more contentment, acheive improved health, overcome anxiety, and successfully deal with loss and grief is the focus of my work. Using a solution focused approach I am able to aid individuals and couples to become overall more emotionally resilient and happy.
Having someone to talk to who listens well, respectfully and skillfully in a safe environment aids people in making positive changes in their lives. I have many years experience in this type of listening and asking of the right questions to help you more clearly find and achieve your goals. Empowering you to meet your goals, build healthier relationships, find more contentment, acheive improved health, overcome anxiety, and successfully deal with loss and grief is the focus of my work. Using a solution focused approach I am able to aid individuals and couples to become overall more emotionally resilient and happy.
(413) 369-3542 View (413) 369-3542
Photo of Brenda Martin-Tousignant, Psychologist in Northampton, MA
Brenda Martin-Tousignant
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
I’m a licensed psychologist who specializes in women’s and parental mental health. Juggling all the needs of self, children, partners, work, & daily life demands can result in an overwhelming loss of control and losing one’s “self,” which takes a toll on social, physical, & emotional wellbeing. Whether you’re trying to find your new normal after the newest addition to your family, dealing with relationship challenges, experiencing postpartum depression or anxiety, trying to process a traumatic birth or NICU experience, or struggling with grief or family trauma, I’m here to help.
I’m a licensed psychologist who specializes in women’s and parental mental health. Juggling all the needs of self, children, partners, work, & daily life demands can result in an overwhelming loss of control and losing one’s “self,” which takes a toll on social, physical, & emotional wellbeing. Whether you’re trying to find your new normal after the newest addition to your family, dealing with relationship challenges, experiencing postpartum depression or anxiety, trying to process a traumatic birth or NICU experience, or struggling with grief or family trauma, I’m here to help.
(413) 287-1782 View (413) 287-1782
Photo of Marie Westburg, Art Therapist in Northampton, MA
Marie Westburg
Art Therapist, MA, ATR
Verified Verified
Northampton, MA 01060
Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and ​begin to experience a more joyful and meaningful life.
Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and ​begin to experience a more joyful and meaningful life.
(413) 553-1242 View (413) 553-1242

How does your Therapist compare?

Number of Therapists in Northampton, MA

500+

Average cost per session

$150

Therapists in Northampton, MA who prioritize treating:

91% Anxiety
87% Depression
81% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
66% Grief
65% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
47% Optum
45% UnitedHealthcare UHC | UBH

How Therapists in Northampton, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

73% Female
22% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northampton?

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.