Therapists in Pittsburgh, PA

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Photo of The Counseling and Wellness Center of Pittsburgh, Licensed Professional Counselor in Pittsburgh, PA
The Counseling and Wellness Center of Pittsburgh
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
Pittsburgh, PA 15233
Our Counseling and Psychiatric team in Pittsburgh, Wexford, Monroeville, Greensburg, South Hills, Cranberry, and Online, specializes in providing compassionate mental health services for you, your marriage, and family. If you're grappling with anxiety, anger, depression, trauma, ADHD, PTSD, relationship conflicts, communication challenges, or more, we recognize how these issues can impact your desired life. Our counseling team, complemented by telepsychiatry and medication management services, provides evidence-based therapy solutions for you. With personalized treatment plans, our goal is to fast-track your journey to wellness.
Our Counseling and Psychiatric team in Pittsburgh, Wexford, Monroeville, Greensburg, South Hills, Cranberry, and Online, specializes in providing compassionate mental health services for you, your marriage, and family. If you're grappling with anxiety, anger, depression, trauma, ADHD, PTSD, relationship conflicts, communication challenges, or more, we recognize how these issues can impact your desired life. Our counseling team, complemented by telepsychiatry and medication management services, provides evidence-based therapy solutions for you. With personalized treatment plans, our goal is to fast-track your journey to wellness.
(412) 567-6013 View (412) 567-6013
Photo of Carolyn Theresa Skiff, Licensed Professional Counselor in Pittsburgh, PA
Carolyn Theresa Skiff
Licensed Professional Counselor, MEd, LPC
Verified Verified
Pittsburgh, PA 15227
I am here to help people on their journey, wherever they are in life. I believe in empowering people to make good choices for themselves. I work well with clients suffering from depression and/or anxiety and want solid positive coping skills to help deal with stressors. I use CBT and trauma-informed care, as well as an Adlerian perspective to understand the importance of early childhood experiences on personality and belief structure. I believe mindfulness matters. Taking care of you is important!
I am here to help people on their journey, wherever they are in life. I believe in empowering people to make good choices for themselves. I work well with clients suffering from depression and/or anxiety and want solid positive coping skills to help deal with stressors. I use CBT and trauma-informed care, as well as an Adlerian perspective to understand the importance of early childhood experiences on personality and belief structure. I believe mindfulness matters. Taking care of you is important!
(412) 376-4050 View (412) 376-4050
Photo of Beth Phillips, Pre-Licensed Professional in Pittsburgh, PA
Beth Phillips
Pre-Licensed Professional, MA AT
Verified Verified
Pittsburgh, PA 15236
Beth focuses on helping each individual to restore peace, balance, and calm by accessing the strengths, resources, and creativity that already exist within them. As a trained Art Therapist, Beth believes that art and accessing one’s creativity can be restorative when stress, anxiety, depression, or life experiences are weighing them down. Utilizing a person-centered, holistic, and down to earth approach, Beth helps clients to focus on quieting their inner critic and feeling more centered as they navigate through their journey.
Beth focuses on helping each individual to restore peace, balance, and calm by accessing the strengths, resources, and creativity that already exist within them. As a trained Art Therapist, Beth believes that art and accessing one’s creativity can be restorative when stress, anxiety, depression, or life experiences are weighing them down. Utilizing a person-centered, holistic, and down to earth approach, Beth helps clients to focus on quieting their inner critic and feeling more centered as they navigate through their journey.
(412) 566-8565 View (412) 566-8565
Photo of Shelby O'Brien, Licensed Professional Counselor in Pittsburgh, PA
Shelby O'Brien
Licensed Professional Counselor, MA, LPC
Verified Verified
Pittsburgh, PA 15205
Hi! My name is Shelby and I am a Licensed Professional Counselor. I have worked with clients ranging in age from 4-50 in the individual, family, and group settings. I have helped countless clients manage anxiety, depression, anger, suicidal thoughts, and process through various trauma. I have also worked with clients who have bipolar disorder and borderline personality disorder. I have also helped numerous clients navigate every day stressors related to family, school, work, and life changes. I love animals and am a believer that animals are also great healers and am interested in implementing other alternative forms of healing.
Hi! My name is Shelby and I am a Licensed Professional Counselor. I have worked with clients ranging in age from 4-50 in the individual, family, and group settings. I have helped countless clients manage anxiety, depression, anger, suicidal thoughts, and process through various trauma. I have also worked with clients who have bipolar disorder and borderline personality disorder. I have also helped numerous clients navigate every day stressors related to family, school, work, and life changes. I love animals and am a believer that animals are also great healers and am interested in implementing other alternative forms of healing.
(412) 413-9043 View (412) 413-9043
Photo of Jess Garrow, Pre-Licensed Professional in Pittsburgh, PA
Jess Garrow
Pre-Licensed Professional, MA, NCC
Verified Verified
Pittsburgh, PA 15220  (Online Only)
Welcome! I am a therapist that helps individuals and families overcome challenges and achieve their goals, with experience in a variety of therapeutic and educational settings. I believe in creating a safe and supportive space for clients to explore their unique experience, and I work collaboratively to support clients identify goals and navigate challenges.
Welcome! I am a therapist that helps individuals and families overcome challenges and achieve their goals, with experience in a variety of therapeutic and educational settings. I believe in creating a safe and supportive space for clients to explore their unique experience, and I work collaboratively to support clients identify goals and navigate challenges.
(412) 743-9427 View (412) 743-9427
Photo of Holly Jasin, Licensed Professional Counselor in Pittsburgh, PA
Holly Jasin
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Pittsburgh, PA 15228
"Love is the great miracle cure, loving ourselves works great miracles in our lives." I am a Licensed Professional Counselor and I aspire to team with my clients to achieve their fullest potential using a holistic, wellness-based approach to therapy. By focusing on the mind, body, & spirit, we are capable of healing and moving toward our highest potential. In therapy I like to take both a solution-focused and personal growth approach. Looking at one's life and stressors using a wellness model, allows growth and healing in all areas of life.
"Love is the great miracle cure, loving ourselves works great miracles in our lives." I am a Licensed Professional Counselor and I aspire to team with my clients to achieve their fullest potential using a holistic, wellness-based approach to therapy. By focusing on the mind, body, & spirit, we are capable of healing and moving toward our highest potential. In therapy I like to take both a solution-focused and personal growth approach. Looking at one's life and stressors using a wellness model, allows growth and healing in all areas of life.
(724) 675-4538 View (724) 675-4538
Photo of Neta Bar, Clinical Social Work/Therapist in Pittsburgh, PA
Neta Bar
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
2 Endorsed
Pittsburgh, PA 15217  (Online Only)
I see therapy as a process of exploration, which is enabled by a safe and supportive space, allowing clients to examine past and present challenges, reach insights, identify patterns, and process life’s transitions and relationships. I work with adults who feel that the challenges they face are unnecessarily burdened by their past and unresolved experiences and relationships, and with those who seek to better understand themselves, their difficulties, their connections — and wish to work towards positive change.
I see therapy as a process of exploration, which is enabled by a safe and supportive space, allowing clients to examine past and present challenges, reach insights, identify patterns, and process life’s transitions and relationships. I work with adults who feel that the challenges they face are unnecessarily burdened by their past and unresolved experiences and relationships, and with those who seek to better understand themselves, their difficulties, their connections — and wish to work towards positive change.
(878) 313-2271 View (878) 313-2271
Photo of Ashley Mudrinich, Licensed Professional Counselor in Pittsburgh, PA
Ashley Mudrinich
Licensed Professional Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15206  (Online Only)
Waitlist for new clients
Congratulations on taking the first step towards improving your mental health. It is often not easy navigating the stages of finding a therapist, and I applaud you for finding the strength to make the leap. I am here to make that leap as comfortable as possible, in a way that is most suitable to your needs. I am a person-centered, strength-based, and humanistic therapist. I look to help solidify what is good in a person and identify what can be modified in order to make someone feel more whole. My approach is warm, non-judgmental and genuine. Feel free to visit www.ashleys-counseling.com for more information.
Congratulations on taking the first step towards improving your mental health. It is often not easy navigating the stages of finding a therapist, and I applaud you for finding the strength to make the leap. I am here to make that leap as comfortable as possible, in a way that is most suitable to your needs. I am a person-centered, strength-based, and humanistic therapist. I look to help solidify what is good in a person and identify what can be modified in order to make someone feel more whole. My approach is warm, non-judgmental and genuine. Feel free to visit www.ashleys-counseling.com for more information.
(412) 534-5661 View (412) 534-5661
Photo of Patricia Kehren, Licensed Professional Counselor in Pittsburgh, PA
Patricia Kehren
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Pittsburgh, PA 15211
Waitlist for new clients
I believe that individuals are doing the best that they can given the skills and resources that they have available to them. It is my job as a therapist to educate, support and guide my clients on their journey to self discovery and growth. It's important to me to focus on my clients strengths and what is important to them. I am a firm believer in meeting a client where they are. Be gentle with yourself, you are doing the best you can. Nothing takes more courage than putting yourself back together.
I believe that individuals are doing the best that they can given the skills and resources that they have available to them. It is my job as a therapist to educate, support and guide my clients on their journey to self discovery and growth. It's important to me to focus on my clients strengths and what is important to them. I am a firm believer in meeting a client where they are. Be gentle with yourself, you are doing the best you can. Nothing takes more courage than putting yourself back together.
(878) 222-4154 View (878) 222-4154
Photo of Kristina Meyrick, Licensed Professional Counselor in Pittsburgh, PA
Kristina Meyrick
Licensed Professional Counselor, LPC, NCC
Verified Verified
Pittsburgh, PA 15275  (Online Only)
Times have been tough and there is no better reason to seek out some much needed self care for yourself! I not only practice as a Licensed Counselor but I also utilize Reiki in addition to therapy so that you can balance out your life and your energies in a holistic way. I have had the pleasure of helping clients over the years with a multitude of issues and diagnoses. Nothing is too difficult to address. If you need someone to not only listen to you but to support you through your difficulties with a friendly upbeat personality then I am the therapist for you! Take the first step to make yourself feel better and contact me.
Times have been tough and there is no better reason to seek out some much needed self care for yourself! I not only practice as a Licensed Counselor but I also utilize Reiki in addition to therapy so that you can balance out your life and your energies in a holistic way. I have had the pleasure of helping clients over the years with a multitude of issues and diagnoses. Nothing is too difficult to address. If you need someone to not only listen to you but to support you through your difficulties with a friendly upbeat personality then I am the therapist for you! Take the first step to make yourself feel better and contact me.
(412) 693-7325 View (412) 693-7325
Photo of Meggan Hudspeth, Licensed Professional Counselor in Pittsburgh, PA
Meggan Hudspeth
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15235
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
(412) 896-0076 View (412) 896-0076
Photo of Adam G Haglund, Clinical Social Work/Therapist in Pittsburgh, PA
Adam G Haglund
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Pittsburgh, PA 15206
Change is a constant in life, and as a therapist, I believe in empowering my patients to embrace it. My goal is to allow you to free yourself from harmful patterns of behavior through self-expression, and to challenge your beliefs in a safe environment. I encourage you to explore your emotions freely during our sessions, without judgment or restraint. Our time together will allow you to feel heard and understood. Together we can work towards a better understanding of your wants, needs, and identities.
Change is a constant in life, and as a therapist, I believe in empowering my patients to embrace it. My goal is to allow you to free yourself from harmful patterns of behavior through self-expression, and to challenge your beliefs in a safe environment. I encourage you to explore your emotions freely during our sessions, without judgment or restraint. Our time together will allow you to feel heard and understood. Together we can work towards a better understanding of your wants, needs, and identities.
(412) 910-1817 View (412) 910-1817
Photo of Heal With Creativity LLC, Art Therapist in Pittsburgh, PA
Heal With Creativity LLC
Art Therapist, MA, ATR-BC, LPC
Verified Verified
6 Endorsed
Pittsburgh, PA 15209
Everyone doesn't think or feel in the same way, we all have our own journey and our own way of experiencing life obstacles. As a licensed and board certified Art Therapist, as well as Licensed Professional Counselor, I will help guide you and your family through your process of healing using creative approaches tailored to fit your specific needs. I have over 20 years of experience working with Autism, developmental and learning disabilities, and behavioral issues. My other specialties include Anxiety, Oppositional behavior, Reactive Attachment, OCD and Trauma in children, adolescents, and adults.
Everyone doesn't think or feel in the same way, we all have our own journey and our own way of experiencing life obstacles. As a licensed and board certified Art Therapist, as well as Licensed Professional Counselor, I will help guide you and your family through your process of healing using creative approaches tailored to fit your specific needs. I have over 20 years of experience working with Autism, developmental and learning disabilities, and behavioral issues. My other specialties include Anxiety, Oppositional behavior, Reactive Attachment, OCD and Trauma in children, adolescents, and adults.
(724) 292-7009 View (724) 292-7009
Photo of Jesse A. Virago, Licensed Professional Counselor in Pittsburgh, PA
Jesse A. Virago
Licensed Professional Counselor, MA, LPC
Verified Verified
Pittsburgh, PA 15235
Waitlist for new clients
The second half of life can be much better than the first. In fact, midlife is an ideal time for healing, change, and growth. So if your ship launched on choppy waters or rocky shoals and you're still navigating rough seas, a midlife course correction could help. What's required? Openness to new experiences, willingness to engage, capacity to commit, and a therapist who knows what's possible and how to achieve it. So whether you're sailing solo or with a shipmate, set sail with a seasoned mariner to help navigate the midlife passage with the art of healing, the science of change, and the "hard work miracle" of growth.
The second half of life can be much better than the first. In fact, midlife is an ideal time for healing, change, and growth. So if your ship launched on choppy waters or rocky shoals and you're still navigating rough seas, a midlife course correction could help. What's required? Openness to new experiences, willingness to engage, capacity to commit, and a therapist who knows what's possible and how to achieve it. So whether you're sailing solo or with a shipmate, set sail with a seasoned mariner to help navigate the midlife passage with the art of healing, the science of change, and the "hard work miracle" of growth.
(412) 385-3597 View (412) 385-3597
Photo of Christine Haley, Licensed Professional Counselor in Pittsburgh, PA
Christine Haley
Licensed Professional Counselor, BA, MS, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
(412) 981-1743 View (412) 981-1743
Sarah T Cook
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
I provide a safe and gentle place for you to work out whatever is bothering you. We all need a little help along the way. Life can be difficult and it's important to have a safe and completely confidential person to talk to. I have 30 years of training and experience that bring excellent help "to the table" in a compassionate and supportive way. I am looking forward to meeting with you.
I provide a safe and gentle place for you to work out whatever is bothering you. We all need a little help along the way. Life can be difficult and it's important to have a safe and completely confidential person to talk to. I have 30 years of training and experience that bring excellent help "to the table" in a compassionate and supportive way. I am looking forward to meeting with you.
(412) 453-8787 View (412) 453-8787
Photo of Fabyonne Williams, Licensed Professional Counselor in Pittsburgh, PA
Fabyonne Williams
Licensed Professional Counselor, MS, MA, MFT, LPC
Verified Verified
Pittsburgh, PA 15212  (Online Only)
We live such hectic and often overwhelming lives that counseling provides us the opportunity to check out, even if only for a moment. Granting individuals a listening ear and a compassionate empathetic response is my specialty. My ultimate goal is to build healthy individuals and families by developing the therapeutic tool box filled with practices that bring calm to chaos. We must look to our foundation and past experiences in order to create a plan for healing and future success. With that, much of our work will involve delving deep into Family of Origin issues in order to create healthy new norms and patterns.
We live such hectic and often overwhelming lives that counseling provides us the opportunity to check out, even if only for a moment. Granting individuals a listening ear and a compassionate empathetic response is my specialty. My ultimate goal is to build healthy individuals and families by developing the therapeutic tool box filled with practices that bring calm to chaos. We must look to our foundation and past experiences in order to create a plan for healing and future success. With that, much of our work will involve delving deep into Family of Origin issues in order to create healthy new norms and patterns.
(412) 900-8791 View (412) 900-8791
Photo of Tiffany Huntley, Pre-Licensed Professional in Pittsburgh, PA
Tiffany Huntley
Pre-Licensed Professional, MS, NCC
Verified Verified
Pittsburgh, PA 15227  (Online Only)
Hi my name is Tiffany Huntley, I am Deaf/ ASL user. I am a Pre License Counselor with National Deaf Therapy, serving clients in PA, NY, TX, MD, ME, FLA and GA. I have over 20 years of experience in the Deaf mental/behavioral health setting, residential, school, community and in the home.
Hi my name is Tiffany Huntley, I am Deaf/ ASL user. I am a Pre License Counselor with National Deaf Therapy, serving clients in PA, NY, TX, MD, ME, FLA and GA. I have over 20 years of experience in the Deaf mental/behavioral health setting, residential, school, community and in the home.
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Photo of Seth Young, Psychologist in Pittsburgh, PA
Seth Young
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15203
Not accepting new clients
I am an integrative therapist with a multicultural, social justice orientation. I pull from different therapeutic methods to tailor treatment specifically to client needs while also considering the ways that cultural and systemic factors may impact lived experiences. Within my approach, I pay particular attention to clients’ identities, histories, and strengths to promote empowerment and motivation to make meaningful decisions in the present.
I am an integrative therapist with a multicultural, social justice orientation. I pull from different therapeutic methods to tailor treatment specifically to client needs while also considering the ways that cultural and systemic factors may impact lived experiences. Within my approach, I pay particular attention to clients’ identities, histories, and strengths to promote empowerment and motivation to make meaningful decisions in the present.
(724) 603-1351 View (724) 603-1351
Photo of Ivan L Lambert, Licensed Professional Counselor in Pittsburgh, PA
Ivan L Lambert
Licensed Professional Counselor, MA, LPC, ACHT
Verified Verified
Pittsburgh, PA 15202
Waitlist for new clients
I provide a Wellness approach focusing improving quality of life, and working through the emotional blocks that stop emotional & spiritual growth. I bring almost 40 plus years of experience towards a large variety of life issues. Using Heart-Centered therapies - working a soul level, informed by Positive Psychology/Clean Language, I help clients tap into resources found deep within that strive to surface for resolution, wholeness and health.
I provide a Wellness approach focusing improving quality of life, and working through the emotional blocks that stop emotional & spiritual growth. I bring almost 40 plus years of experience towards a large variety of life issues. Using Heart-Centered therapies - working a soul level, informed by Positive Psychology/Clean Language, I help clients tap into resources found deep within that strive to surface for resolution, wholeness and health.
(412) 567-3961 View (412) 567-3961

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.