Therapists in New Bethlehem, PA

Photo of Laura Moore Counseling Services llc, Licensed Professional Counselor in New Bethlehem, PA
Laura Moore Counseling Services llc
Licensed Professional Counselor, NBCC, DCC, LPC, MSEd
Verified Verified
4 Endorsed
New Bethlehem, PA 16242
In our therapy sessions, we'll work together to solve current problems and improve positive thinking and behavior resulting from past experiences. Therapy will help you see new possibilities and skills helping you through life's journey. I'm confident you'll find personalized individual therapy beneficial and inspirational. We will use cognitive behavioral therapy or EMDR as a starting place to help you look at situations differently and learn the control you have in how you think and respond to events. We can not control other people, but you can control how you react to them.
In our therapy sessions, we'll work together to solve current problems and improve positive thinking and behavior resulting from past experiences. Therapy will help you see new possibilities and skills helping you through life's journey. I'm confident you'll find personalized individual therapy beneficial and inspirational. We will use cognitive behavioral therapy or EMDR as a starting place to help you look at situations differently and learn the control you have in how you think and respond to events. We can not control other people, but you can control how you react to them.
(814) 275-6611 View (814) 275-6611

Online Therapists

Photo of Alysia Betres, Licensed Professional Counselor in New Bethlehem, PA
Alysia Betres
Licensed Professional Counselor, PhD, MEd, LPC
Verified Verified
Butler, PA 16001  (Online Only)
If you are motivated to make changes in your life, there is a solution to your problem and nothing is impossible. I treat individuals, couples, and families; specializing in many issues, such as anxiety and depression, substance abuse, relationships, and grief/loss. You can email me at drweis2013@gmail.com or visit my website at http://tiascounseling.com. I look forward to hearing from you!
If you are motivated to make changes in your life, there is a solution to your problem and nothing is impossible. I treat individuals, couples, and families; specializing in many issues, such as anxiety and depression, substance abuse, relationships, and grief/loss. You can email me at drweis2013@gmail.com or visit my website at http://tiascounseling.com. I look forward to hearing from you!
(724) 576-8786 View (724) 576-8786
Photo of Nicole Childers, Clinical Social Work/Therapist in New Bethlehem, PA
Nicole Childers
Clinical Social Work/Therapist, LCSW
Verified Verified
Wexford, PA 15090  (Online Only)
I am accepting new telehealth/virtual clients at this time! I enjoy working with teens and adults who are experiencing anxiety, depression, ADHD, and other behavioral health difficulties, as well as problems adjusting to day to day stressors. I also specialize in helping those who are feeling stress related to trauma or relationship conflict or violence, and people experiencing substance abuse disorders. Together, we focus in therapy on building new supports and developing healthier ways of coping. I utilize techniques stemming from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, among other approaches.
I am accepting new telehealth/virtual clients at this time! I enjoy working with teens and adults who are experiencing anxiety, depression, ADHD, and other behavioral health difficulties, as well as problems adjusting to day to day stressors. I also specialize in helping those who are feeling stress related to trauma or relationship conflict or violence, and people experiencing substance abuse disorders. Together, we focus in therapy on building new supports and developing healthier ways of coping. I utilize techniques stemming from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, among other approaches.
(724) 578-4919 View (724) 578-4919
Photo of Julie Mariner, Licensed Professional Counselor in New Bethlehem, PA
Julie Mariner
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Upper Saint Clair, PA 15241
I work with individuals using a holistic approach to mind, body and soul by allowing clients to attain balance and overcome everyday obstacles while meeting the individuals needs. I utilize different approaches to psychotherapy by incorporating various mind-body interventions including: mindfulness skills, cognitive behavior therapy, dialectical behavior therapy, solution focused brief therapy and acceptance and commitment therapy. I believe that each and every individual can benefit from increasing self-awareness, focusing on one’s strengths, and the development of effective communication skills.
I work with individuals using a holistic approach to mind, body and soul by allowing clients to attain balance and overcome everyday obstacles while meeting the individuals needs. I utilize different approaches to psychotherapy by incorporating various mind-body interventions including: mindfulness skills, cognitive behavior therapy, dialectical behavior therapy, solution focused brief therapy and acceptance and commitment therapy. I believe that each and every individual can benefit from increasing self-awareness, focusing on one’s strengths, and the development of effective communication skills.
(724) 200-8256 View (724) 200-8256
Photo of Darla Miller, Licensed Professional Counselor in New Bethlehem, PA
Darla Miller
Licensed Professional Counselor, MA, MAEd, LPC
Verified Verified
Warren, PA 16365  (Online Only)
I provide talk therapy and psychoeducation services to assist you in becoming your personal best. Sometimes life hands us situations that lead us to feeling lost and without direction. I will help you work through the barriers you are experiencing and help you get back on the road to success in all areas of your life.
I provide talk therapy and psychoeducation services to assist you in becoming your personal best. Sometimes life hands us situations that lead us to feeling lost and without direction. I will help you work through the barriers you are experiencing and help you get back on the road to success in all areas of your life.
(814) 517-7532 View (814) 517-7532
Photo of Quiet Retreat Therapy, Clinical Social Work/Therapist in New Bethlehem, PA
Quiet Retreat Therapy
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Pittsburgh, PA 15209
My goal in providing therapy is to promote a judgement free, non-anxious presence so that you can explore and grow in ways that feel right to you. By using a mix of traditional and trauma-informed therapy styles, we will work together towards healing and authenticity. Whether you struggle with abuse, discrimination, anxiety, depression, need to hone your coping skills or discover your future path, we are here for you. Discover a safe, confidential, and friendly place to explore issues that are close to your heart. You are cared for and loved.
My goal in providing therapy is to promote a judgement free, non-anxious presence so that you can explore and grow in ways that feel right to you. By using a mix of traditional and trauma-informed therapy styles, we will work together towards healing and authenticity. Whether you struggle with abuse, discrimination, anxiety, depression, need to hone your coping skills or discover your future path, we are here for you. Discover a safe, confidential, and friendly place to explore issues that are close to your heart. You are cared for and loved.
(724) 573-8992 View (724) 573-8992
Photo of Linda Gates, Licensed Professional Counselor in New Bethlehem, PA
Linda Gates
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
I am happy to work with clients on developing more contentment and serenity and less anxiety, depression, anger, guilt, or shame. You might be having a difficult time accepting yourself, accepting the shortcomings of others or accepting life’s struggles. We use Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy to dispute our irrational beliefs and create new alternative beliefs that are helpful to us.
I am happy to work with clients on developing more contentment and serenity and less anxiety, depression, anger, guilt, or shame. You might be having a difficult time accepting yourself, accepting the shortcomings of others or accepting life’s struggles. We use Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy to dispute our irrational beliefs and create new alternative beliefs that are helpful to us.
(412) 990-2092 View (412) 990-2092
Photo of Ronda Overly-Ripple, Marriage & Family Therapist in New Bethlehem, PA
Ronda Overly-Ripple
Marriage & Family Therapist, LMFT, CAADC, CCTP
Verified Verified
Greensburg, PA 15601
I believe that the core to effective therapy is a strong and trusting relationship between therapist and client. Within this working relationship we can explore deeper issues and learn healthier ways of coping and bringing about positive change. People have within themselves the ability to heal but finding that inner strength is sometimes limited by unhealthy coping skills, stress, trauma and grief. It is important to treat the whole person, not just the addiction. I utilize a Person Centered/Strength Based Approach in helping clients reach their goals.
I believe that the core to effective therapy is a strong and trusting relationship between therapist and client. Within this working relationship we can explore deeper issues and learn healthier ways of coping and bringing about positive change. People have within themselves the ability to heal but finding that inner strength is sometimes limited by unhealthy coping skills, stress, trauma and grief. It is important to treat the whole person, not just the addiction. I utilize a Person Centered/Strength Based Approach in helping clients reach their goals.
(412) 231-9432 View (412) 231-9432
Photo of Celeste DiTroia, Licensed Professional Counselor in New Bethlehem, PA
Celeste DiTroia
Licensed Professional Counselor, MS, LPC, LMHC, C-DBT
Verified Verified
Pittsburgh, PA 15212  (Online Only)
Greetings and salutations, I am Celeste! Are you looking for a space to truly be heard? A safe environment with another human who will not only listen, but empower, and challenge you? Are you struggling with your sexuality? Experiencing anxiety because the world is crazy and adulting is HARD? Does coping with day-to-day things seem like an insurmountable task that you’d rather put off for (yet) another day? How about relationships? Have they been increasingly confusing, or do you find yourself struggling with communication? Well, you are in luck because supporting people with these challenges is what I am all about.
Greetings and salutations, I am Celeste! Are you looking for a space to truly be heard? A safe environment with another human who will not only listen, but empower, and challenge you? Are you struggling with your sexuality? Experiencing anxiety because the world is crazy and adulting is HARD? Does coping with day-to-day things seem like an insurmountable task that you’d rather put off for (yet) another day? How about relationships? Have they been increasingly confusing, or do you find yourself struggling with communication? Well, you are in luck because supporting people with these challenges is what I am all about.
(808) 207-6499 View (808) 207-6499
Photo of LeeAnn Walter, Licensed Professional Counselor in New Bethlehem, PA
LeeAnn Walter
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Youngwood, PA 15697
Connection is key! I seek to provide the space for clients to allow themselves to be open, explore and accept aspects about themselves where shame and fear may have been the barrier. Past trauma, damaging relationships, anxiety, depression, and spiritual abuse are just a few areas where shame and fear are created. These lead us to isolate, mask, and seek unhealthy coping skills in order to face the day. If you find yourself not enjoying relationships, not able to fulfill or even understand your passion/purpose, or stuck in anxiety, depression or addiction I would be honored to walk through these things with you.
Connection is key! I seek to provide the space for clients to allow themselves to be open, explore and accept aspects about themselves where shame and fear may have been the barrier. Past trauma, damaging relationships, anxiety, depression, and spiritual abuse are just a few areas where shame and fear are created. These lead us to isolate, mask, and seek unhealthy coping skills in order to face the day. If you find yourself not enjoying relationships, not able to fulfill or even understand your passion/purpose, or stuck in anxiety, depression or addiction I would be honored to walk through these things with you.
(724) 564-6906 View (724) 564-6906
Photo of Doug Harshberger, Pre-Licensed Professional in New Bethlehem, PA
Doug Harshberger
Pre-Licensed Professional, MA, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15211  (Online Only)
If you have experienced sexual violence in the state of Pennsylvania, ask me about ways to assist with covering costs. As a psychotherapist, I enjoy helping clients implement positive change in their lives, whether it's overcoming trauma, decreasing anxiety or depression, finding new meaning after the loss of a loved one, or making a much needed career change. I believe the purpose of therapy is to enable personal growth that leads to the best version of yourself, and I would be honored to join you on your journey to improved well-being.
If you have experienced sexual violence in the state of Pennsylvania, ask me about ways to assist with covering costs. As a psychotherapist, I enjoy helping clients implement positive change in their lives, whether it's overcoming trauma, decreasing anxiety or depression, finding new meaning after the loss of a loved one, or making a much needed career change. I believe the purpose of therapy is to enable personal growth that leads to the best version of yourself, and I would be honored to join you on your journey to improved well-being.
(412) 435-5186 View (412) 435-5186
Photo of Erin Fox, Licensed Professional Counselor in New Bethlehem, PA
Erin Fox
Licensed Professional Counselor, MA , LPC
Verified Verified
Pittsburgh, PA 15203
Are you facing challenges like anxiety, depression, life transitions, or identity issues? Are you seeking a safe, nonjudgmental space, craving validation, understanding, and guidance? You may be open to self-exploration, aiming for personal growth, seeking insights, coping strategies, and resilience. My ideal client values seeking support and actively participates in therapy. Motivated to improve their lives and relationships, they seek empowerment and self-discovery in therapy.
Are you facing challenges like anxiety, depression, life transitions, or identity issues? Are you seeking a safe, nonjudgmental space, craving validation, understanding, and guidance? You may be open to self-exploration, aiming for personal growth, seeking insights, coping strategies, and resilience. My ideal client values seeking support and actively participates in therapy. Motivated to improve their lives and relationships, they seek empowerment and self-discovery in therapy.
(412) 547-5319 View (412) 547-5319
Photo of Abigail Stambul, Licensed Professional Counselor in New Bethlehem, PA
Abigail Stambul
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Bessemer, PA 16112
My goal is to provide a warm and inviting space for my client to be heard and for their thoughts and feelings to be expressed freely. I am not focused on labels or a diagnosis, but rather on the person and meeting them where they are. I believe everyone is doing the best they can, and are seeking support to make changes they desire.
My goal is to provide a warm and inviting space for my client to be heard and for their thoughts and feelings to be expressed freely. I am not focused on labels or a diagnosis, but rather on the person and meeting them where they are. I believe everyone is doing the best they can, and are seeking support to make changes they desire.
(724) 401-4993 View (724) 401-4993
Photo of Khaliah J (Cousar) Tate, Licensed Professional Counselor in New Bethlehem, PA
Khaliah J (Cousar) Tate
Licensed Professional Counselor, MS, LPC, ACS
Verified Verified
2 Endorsed
Monroeville, PA 15146  (Online Only)
Waitlist for new clients
Hi There! Sometimes life can be difficult. Anxiety, depression, relationship issues, parent/child issues, trauma-LIFE can sneak up on you. You can walk in healing from these issues and more. Sometimes you need the space and the right person to help you get unstuck and move forward in success. I have worked for over 18 years with children, adolescents, adults and families in overcoming their obstacles in mental health and addiction to walk in healing.
Hi There! Sometimes life can be difficult. Anxiety, depression, relationship issues, parent/child issues, trauma-LIFE can sneak up on you. You can walk in healing from these issues and more. Sometimes you need the space and the right person to help you get unstuck and move forward in success. I have worked for over 18 years with children, adolescents, adults and families in overcoming their obstacles in mental health and addiction to walk in healing.
(540) 416-0413 View (540) 416-0413
Photo of Molly Scott-Anthony, Psychologist in New Bethlehem, PA
Molly Scott-Anthony
Psychologist, PsyD, NCSP
Verified Verified
Pittsburgh, PA 15229
**Immediate Daytime availability for PCIT. ** I am a licensed psychologist who specializes in work with children and their families. I am trained in Parent Child Interaction Therapy, an evidence-based therapy for young children between 2.5-7 exhibiting behavioral challenges such as aggression, negative attention-seeking behaviors, low self-esteem, and defiance. Many parents who enroll in PCIT express feelings of stress, frustration, and are overwhelmed by attempts to manage their child's behavior while maintaining a positive relationship.
**Immediate Daytime availability for PCIT. ** I am a licensed psychologist who specializes in work with children and their families. I am trained in Parent Child Interaction Therapy, an evidence-based therapy for young children between 2.5-7 exhibiting behavioral challenges such as aggression, negative attention-seeking behaviors, low self-esteem, and defiance. Many parents who enroll in PCIT express feelings of stress, frustration, and are overwhelmed by attempts to manage their child's behavior while maintaining a positive relationship.
(412) 328-2789 View (412) 328-2789
Photo of Christie Walsh, Licensed Professional Counselor in New Bethlehem, PA
Christie Walsh
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
Welcome!! My goal is to help support you in living a fulfilling life and build on your inherit strengths. My experience includes working with those who suffer from substance use issues, personal growth and development, and career counseling. I specialize in helping those suffering from anxiety & depression, grief, self-esteem issues, vocational concerns, and marital and relational conflict. I can help you to confront things that have remained unprocessed or new experiences which have brought forth stress or pain. Whether you are struggling from an acute crisis or recent stress, I can help you to better navigate the waters.
Welcome!! My goal is to help support you in living a fulfilling life and build on your inherit strengths. My experience includes working with those who suffer from substance use issues, personal growth and development, and career counseling. I specialize in helping those suffering from anxiety & depression, grief, self-esteem issues, vocational concerns, and marital and relational conflict. I can help you to confront things that have remained unprocessed or new experiences which have brought forth stress or pain. Whether you are struggling from an acute crisis or recent stress, I can help you to better navigate the waters.
(412) 207-3534 View (412) 207-3534
Photo of Martha M Yablonsky, Licensed Professional Counselor in New Bethlehem, PA
Martha M Yablonsky
Licensed Professional Counselor, MSEd, NCC, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15217
At this time, and throughout 2021, I am not able to accept new clients. At times, people need a safe and supportive environment to express their thoughts and feelings. Counseling is an opportunity for people to gain: awareness, acceptance, insight, and identify tools for relaxation and problem-solving. Counseling is a therapeutic relationship wherein your voice is heard.
At this time, and throughout 2021, I am not able to accept new clients. At times, people need a safe and supportive environment to express their thoughts and feelings. Counseling is an opportunity for people to gain: awareness, acceptance, insight, and identify tools for relaxation and problem-solving. Counseling is a therapeutic relationship wherein your voice is heard.
(412) 387-5182 View (412) 387-5182
Photo of Tessa McArdle, Clinical Social Work/Therapist in New Bethlehem, PA
Tessa McArdle
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15217
Tess is a Licensed Social Worker with a Masters in Social Work from The University of Pennsylvania’s School of Social Policy & Practice. Since 2016, Tess has worked closely with youth and families in a range of school settings, from elementary through college. Through this work, Tess has developed a passion for working with children, youth, and young adults. Tess understands mental health as the exploration and uncovering of one’s true self. She believes engaging authentically with others to explore one’s internal world and to identify and heal one’s wounds can be a liberatory, and at times, a radical act.
Tess is a Licensed Social Worker with a Masters in Social Work from The University of Pennsylvania’s School of Social Policy & Practice. Since 2016, Tess has worked closely with youth and families in a range of school settings, from elementary through college. Through this work, Tess has developed a passion for working with children, youth, and young adults. Tess understands mental health as the exploration and uncovering of one’s true self. She believes engaging authentically with others to explore one’s internal world and to identify and heal one’s wounds can be a liberatory, and at times, a radical act.
(412) 615-3418 View (412) 615-3418
Photo of Brecken Hart, Clinical Social Work/Therapist in New Bethlehem, PA
Brecken Hart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15232
When we are on our way towards healing, we may face many roadblocks: past trauma, invalidating environments, our views of ourselves, among many others. While we are hard-wired to heal, it can be hard to do so when there are many factors getting in the way of our journey towards peace. Maybe standard talk therapy or CBT has not been helpful for you in the past, and you feel stuck. My passion is working with survivors of trauma or chronically invalidating environments who hope to build a life worth living.
When we are on our way towards healing, we may face many roadblocks: past trauma, invalidating environments, our views of ourselves, among many others. While we are hard-wired to heal, it can be hard to do so when there are many factors getting in the way of our journey towards peace. Maybe standard talk therapy or CBT has not been helpful for you in the past, and you feel stuck. My passion is working with survivors of trauma or chronically invalidating environments who hope to build a life worth living.
View
Photo of Kathleen Hoffmann, Clinical Social Work/Therapist in New Bethlehem, PA
Kathleen Hoffmann
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Mount Lebanon, PA 15228
Now accepting new clients. Life hands each of us all types of challenges. Therapy can help when we feel the need to 'update' our skills in our own 'toolbox' for coping or to make a changes in our behaviors to reduce any negative impact certain situations can have on our mood and on our lives! I have over 25 years experience working as a therapist with mental health and substance issues, coping with trauma, relationship issues, chronic illness, stress reactions, diabetes, breast cancer, codependency, personality disorders, grief and loss, thought disorders and mood disorders.
Now accepting new clients. Life hands each of us all types of challenges. Therapy can help when we feel the need to 'update' our skills in our own 'toolbox' for coping or to make a changes in our behaviors to reduce any negative impact certain situations can have on our mood and on our lives! I have over 25 years experience working as a therapist with mental health and substance issues, coping with trauma, relationship issues, chronic illness, stress reactions, diabetes, breast cancer, codependency, personality disorders, grief and loss, thought disorders and mood disorders.
(412) 913-8322 View (412) 913-8322

How does your Therapist compare?

Number of Therapists in New Bethlehem, PA

< 10

Therapists in New Bethlehem, PA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Divorce
100% Career Counseling

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH

How Therapists in New Bethlehem, PA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in New Bethlehem?

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.