Therapists in Pittsburgh, PA

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Photo of Kris Manning, Clinical Social Work/Therapist in Pittsburgh, PA
Kris Manning
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15220
Don’t give up. Did you know that you have the right to choose a new therapist as many times as it takes to find one that works for you? Many people feel stuck with an ineffective therapist, and that can feel like therapy doesn’t work. With the help of a trusted therapist you can gain the awareness and skills to cope better, feel better, and do better for yourself. I hope to be that therapist for you. I believe that you are the expert in your own life. In therapy, your part is to be honest with yourself, open to new ideas, and willing to make changes. My only job is to guide and support you on your journey of self-discovery.
Don’t give up. Did you know that you have the right to choose a new therapist as many times as it takes to find one that works for you? Many people feel stuck with an ineffective therapist, and that can feel like therapy doesn’t work. With the help of a trusted therapist you can gain the awareness and skills to cope better, feel better, and do better for yourself. I hope to be that therapist for you. I believe that you are the expert in your own life. In therapy, your part is to be honest with yourself, open to new ideas, and willing to make changes. My only job is to guide and support you on your journey of self-discovery.
(412) 977-3783 View (412) 977-3783
Photo of Lauren Marie Heaton, Licensed Professional Counselor in Pittsburgh, PA
Lauren Marie Heaton
Licensed Professional Counselor, MS , ICAADC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15237
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
(724) 564-6951 View (724) 564-6951
Photo of Lee Jacobs Riggs, Licensed Professional Counselor in Pittsburgh, PA
Lee Jacobs Riggs
Licensed Professional Counselor, LPC-PA, LCPC-IL
Verified Verified
Pittsburgh, PA 15221  (Online Only)
In my individual, couples, and family work, values of collaboration, mutuality, and connection guide my practice. I partner with clients to identify their own unique strengths that can be used as resources to foster growth and change. I am attentive to the role of early family experiences, cultural values, oppression, and stigma in shaping client's experiences. Particularly when addressing painful or traumatic areas, I attend to clients' emotional safety using mindfulness and body awareness. I believe that healing happens in the context of honest relationships and invite my clients to engage in open dialog about our work together.
In my individual, couples, and family work, values of collaboration, mutuality, and connection guide my practice. I partner with clients to identify their own unique strengths that can be used as resources to foster growth and change. I am attentive to the role of early family experiences, cultural values, oppression, and stigma in shaping client's experiences. Particularly when addressing painful or traumatic areas, I attend to clients' emotional safety using mindfulness and body awareness. I believe that healing happens in the context of honest relationships and invite my clients to engage in open dialog about our work together.
(412) 968-8191 View (412) 968-8191
Photo of Erin Fox, Licensed Professional Counselor in Pittsburgh, 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 Emilee Mainali, Clinical Social Work/Therapist in Pittsburgh, PA
Emilee Mainali
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15217
What's your story? We all have different themes that play out in our lives: some are helpful and inspiring while others are counterproductive and lead us so far off track from who we want to be that we feel lost. I am here to help you identify ways to live with awareness, how to intentionally move forward knowing what is motivating you more clearly so you are no longer reacting to old patterns in work, family, relationships and life. Empower yourself, to write a new chapter.
What's your story? We all have different themes that play out in our lives: some are helpful and inspiring while others are counterproductive and lead us so far off track from who we want to be that we feel lost. I am here to help you identify ways to live with awareness, how to intentionally move forward knowing what is motivating you more clearly so you are no longer reacting to old patterns in work, family, relationships and life. Empower yourself, to write a new chapter.
(412) 515-8494 View (412) 515-8494
Photo of Social Work Consulting and Counseling, LLC, Clinical Social Work/Therapist in Pittsburgh, PA
Social Work Consulting and Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15206  (Online Only)
I believe nobody wants to live a life below their own values and expectations. Humans are complex & still need love, understanding, & valued even in the worse circumstances. I am the Owner of Social Work Consulting and Counseling group practice, and we are currently accepting new clients for EAP, Highmark, & UPMC commercial plans. EAP is an easy and affordable way to get therapy for free with no copay. If you work for UPMC, University of Pitt, PPS Schools, City of Pgh, Port Authority, Woodland Hills, PWSA, or Allegheny County you can request us to be your EAP provider. See our website for more information about EAP services.
I believe nobody wants to live a life below their own values and expectations. Humans are complex & still need love, understanding, & valued even in the worse circumstances. I am the Owner of Social Work Consulting and Counseling group practice, and we are currently accepting new clients for EAP, Highmark, & UPMC commercial plans. EAP is an easy and affordable way to get therapy for free with no copay. If you work for UPMC, University of Pitt, PPS Schools, City of Pgh, Port Authority, Woodland Hills, PWSA, or Allegheny County you can request us to be your EAP provider. See our website for more information about EAP services.
(412) 838-3522 View (412) 838-3522
Photo of Julie Barry, Clinical Social Work/Therapist in Pittsburgh, PA
Julie Barry
Clinical Social Work/Therapist, DSW, LCSW, PMH-C
Verified Verified
1 Endorsed
Pittsburgh, PA 15222  (Online Only)
Hey there! Certified in perinatal mental health and deeply passionate about supporting women through all stages of life, including fertility challenges, parenting issues, and navigating racial and workplace trauma. Feeling stuck? Wondering why you keep repeating the same patterns or behaviors? Struggling with troubling memories or barriers that are holding you back from finding stability in relationships? Let's tackle these obstacles together! My goal is to empower you to strengthen your focus and deepen your understanding of yourself. Because once we have that clarity, we can create the life you truly want.
Hey there! Certified in perinatal mental health and deeply passionate about supporting women through all stages of life, including fertility challenges, parenting issues, and navigating racial and workplace trauma. Feeling stuck? Wondering why you keep repeating the same patterns or behaviors? Struggling with troubling memories or barriers that are holding you back from finding stability in relationships? Let's tackle these obstacles together! My goal is to empower you to strengthen your focus and deepen your understanding of yourself. Because once we have that clarity, we can create the life you truly want.
(814) 929-3322 View (814) 929-3322
Photo of Rachael Manfredo, Licensed Professional Counselor in Pittsburgh, PA
Rachael Manfredo
Licensed Professional Counselor, MSCP, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Seeking out help can be an overwhelming, difficult process. Having the strength to do so is an admirable step. I believe that the therapeutic journey should be one of a collaborative effort. I’m devoted to creating a safe, nonjudgmental environment where we work together towards your goals and finding some peace in your everyday life.
Seeking out help can be an overwhelming, difficult process. Having the strength to do so is an admirable step. I believe that the therapeutic journey should be one of a collaborative effort. I’m devoted to creating a safe, nonjudgmental environment where we work together towards your goals and finding some peace in your everyday life.
(412) 547-5788 View (412) 547-5788
Photo of Kelley Marron, Clinical Social Work/Therapist in Pittsburgh, PA
Kelley Marron
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15222  (Online Only)
Kelley Marron is a Licensed Clinical Social Worker who has been working in mental health for 18 years. Kelley has a wide range of experience working in clinical, educational, and community-based settings. She believes in a person-centered, non-judgmental approach to treatment that focuses on acceptance. Kelley specializes in depression, anxiety, mood disorders, adjustment disorders, stress management, and women’s issues. Kelley earned her Master of Social Work Degree and Bachelor of Science in Psychology from the University of Pittsburgh.
Kelley Marron is a Licensed Clinical Social Worker who has been working in mental health for 18 years. Kelley has a wide range of experience working in clinical, educational, and community-based settings. She believes in a person-centered, non-judgmental approach to treatment that focuses on acceptance. Kelley specializes in depression, anxiety, mood disorders, adjustment disorders, stress management, and women’s issues. Kelley earned her Master of Social Work Degree and Bachelor of Science in Psychology from the University of Pittsburgh.
(412) 453-8509 View (412) 453-8509
Photo of Susan Brookman, Licensed Professional Counselor in Pittsburgh, PA
Susan Brookman
Licensed Professional Counselor, MA, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
Waitlist for new clients
Trauma can create a feeling within us that others won't accept us, see us or feel what we feel. It can leave us feeling scared, alone and judged. Life stressors can develop creating a mountain that seems too big to climb. Trauma can create a space where you don't have the words to describe what your are feeling and experiencing. You don't have to have the answers. Therapy is a journey of discovery and an experience of acceptance and safety. Healing occurs when we recognize where we have been and create new paths for our lives. I accompany people on their journey towards healing.
Trauma can create a feeling within us that others won't accept us, see us or feel what we feel. It can leave us feeling scared, alone and judged. Life stressors can develop creating a mountain that seems too big to climb. Trauma can create a space where you don't have the words to describe what your are feeling and experiencing. You don't have to have the answers. Therapy is a journey of discovery and an experience of acceptance and safety. Healing occurs when we recognize where we have been and create new paths for our lives. I accompany people on their journey towards healing.
(412) 899-1257 View (412) 899-1257
Photo of Kaitlyn E Myers-Brooks, Licensed Professional Counselor in Pittsburgh, PA
Kaitlyn E Myers-Brooks
Licensed Professional Counselor, MSEd, LPC, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15222
Not accepting new clients
In serving clients who may be part of the Autistic, ADHD, LGBTQ+, and/or military communities, I've seen first hand that the diversity of human experience leads to ingenuity. I work to provide an accepting, supportive, and creative space for clients to communicate their story and discover their own path forward. Together, we can explore the narrative that defines the personal, professional, and social aspects of your life, navigating intersections between lived experiences and identities. I help you to see your patterns of success and both recognize and utilize the expertise you already hold within yourself.
In serving clients who may be part of the Autistic, ADHD, LGBTQ+, and/or military communities, I've seen first hand that the diversity of human experience leads to ingenuity. I work to provide an accepting, supportive, and creative space for clients to communicate their story and discover their own path forward. Together, we can explore the narrative that defines the personal, professional, and social aspects of your life, navigating intersections between lived experiences and identities. I help you to see your patterns of success and both recognize and utilize the expertise you already hold within yourself.
(878) 205-2148 View (878) 205-2148
Photo of Tiara Wilson, Licensed Professional Counselor in Pittsburgh, PA
Tiara Wilson
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15222
Tiara Wilson is a Licensed Professional Counselor (LPC) with over 8 years of experience in behavioral health. She is collaborative and passionate about helping individuals identify and overcome personal obstacles. She has experience treating children, adolescents, and adults with unique concerns and diverse backgrounds. Tiara specializes in anxiety, depression, addiction, women's issues, life transitions, work-life imbalance, & family conflicts.
Tiara Wilson is a Licensed Professional Counselor (LPC) with over 8 years of experience in behavioral health. She is collaborative and passionate about helping individuals identify and overcome personal obstacles. She has experience treating children, adolescents, and adults with unique concerns and diverse backgrounds. Tiara specializes in anxiety, depression, addiction, women's issues, life transitions, work-life imbalance, & family conflicts.
(412) 314-3745 View (412) 314-3745
Photo of Brooke N. Generett, Clinical Social Work/Therapist in Pittsburgh, PA
Brooke N. Generett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15219
Brooke Generett, a licensed clinical social worker, founded Generett Counseling Services, LLC in 2012. She equips her clients with essential life skills for problem-solving in challenging environments. Her approach for improving mental health highlights her clients' strengths, helps them identify barriers to their personal successes, and tailors wellness strategies to their needs that produce positive outcomes. Brooke received her bachelor's degree in psychology from Hampton University and her Master of Social Work, with an emphasis in mental health, from the University of Pittsburgh.
Brooke Generett, a licensed clinical social worker, founded Generett Counseling Services, LLC in 2012. She equips her clients with essential life skills for problem-solving in challenging environments. Her approach for improving mental health highlights her clients' strengths, helps them identify barriers to their personal successes, and tailors wellness strategies to their needs that produce positive outcomes. Brooke received her bachelor's degree in psychology from Hampton University and her Master of Social Work, with an emphasis in mental health, from the University of Pittsburgh.
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Photo of Michele Garon, Licensed Professional Counselor in Pittsburgh, PA
Michele Garon
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15228  (Online Only)
Life is constantly changing. It can become so overwhelming at times that we don’t even know where to start meeting those challenges. However, we don’t have to face them alone.
Life is constantly changing. It can become so overwhelming at times that we don’t even know where to start meeting those challenges. However, we don’t have to face them alone.
(412) 851-6034 View (412) 851-6034
Photo of Chelsie Musisko, Licensed Professional Counselor in Pittsburgh, PA
Chelsie Musisko
Licensed Professional Counselor, LPC, CCTP, CAIMHP
Verified Verified
2 Endorsed
Pittsburgh, PA 15222  (Online Only)
Are you feeling the weight of stress, depression, or anxiety? I'm here to help. I understand that you may be seeking support to cope with the daily struggles of life. You're looking for someone who can provide guidance and practical solutions, someone who truly comprehends the challenges you face. Your goal is clear - to lead a happier, more fulfilling life. Let's work together to make that a reality.
Are you feeling the weight of stress, depression, or anxiety? I'm here to help. I understand that you may be seeking support to cope with the daily struggles of life. You're looking for someone who can provide guidance and practical solutions, someone who truly comprehends the challenges you face. Your goal is clear - to lead a happier, more fulfilling life. Let's work together to make that a reality.
(412) 455-8608 View (412) 455-8608
Cynthia T Paulding
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15217  (Online Only)
It isn't always easy to manage the many parts of our lives. Sometimes situations, fears, beliefs, and unmet needs make the goals of being content and happy seem hard to reach. While we do the best we can, that doesn't always seem to be enough. Could how you do "the best you can" use a little adjusting? When things need to change, it can help to talk with a trained professional to sort things out. In most cases, there are options that have been overlooked. I can support you on your journey to a healthier and happier you.
It isn't always easy to manage the many parts of our lives. Sometimes situations, fears, beliefs, and unmet needs make the goals of being content and happy seem hard to reach. While we do the best we can, that doesn't always seem to be enough. Could how you do "the best you can" use a little adjusting? When things need to change, it can help to talk with a trained professional to sort things out. In most cases, there are options that have been overlooked. I can support you on your journey to a healthier and happier you.
(412) 444-7212 View (412) 444-7212
Photo of Monique Stevenson, Pre-Licensed Professional in Pittsburgh, PA
Monique Stevenson
Pre-Licensed Professional, MHS
Verified Verified
1 Endorsed
Pittsburgh, PA 15222  (Online Only)
Monique attended Chestnut Hill College where she received her Bachelor’s Degree in Psychology. She took her love for working with others to the next level and decided to complete her Master’s Degree in Human Services. She has over 15 years of experience in counseling and social services. Her primary focus has been in clinical work. Monique specializes in Trauma Informed and CBT therapeutic approaches. She holds a strong background in working with both Adolescents and Adults.
Monique attended Chestnut Hill College where she received her Bachelor’s Degree in Psychology. She took her love for working with others to the next level and decided to complete her Master’s Degree in Human Services. She has over 15 years of experience in counseling and social services. Her primary focus has been in clinical work. Monique specializes in Trauma Informed and CBT therapeutic approaches. She holds a strong background in working with both Adolescents and Adults.
(412) 324-7744 View (412) 324-7744
Photo of Mike Elliot, Licensed Professional Counselor in Pittsburgh, PA
Mike Elliot
Licensed Professional Counselor, MSPC, NCC, LPC, CCTP
Verified Verified
9 Endorsed
Pittsburgh, PA 15206
Waitlist for new clients
I am a cognitively oriented therapist. That is a fancy way to say I pay a lot of attention to your thoughts. There are only three things in the universe you can control: your thoughts, your feelings, and your behaviors. It is your thoughts that drive your feelings and behaviors. The better you manage your thoughts, the better you manage your emotions and your life.
I am a cognitively oriented therapist. That is a fancy way to say I pay a lot of attention to your thoughts. There are only three things in the universe you can control: your thoughts, your feelings, and your behaviors. It is your thoughts that drive your feelings and behaviors. The better you manage your thoughts, the better you manage your emotions and your life.
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Photo of Anchorpoint Counseling Ministry, Clinical Social Work/Therapist in Pittsburgh, PA
Anchorpoint Counseling Ministry
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15237
We are a local nonprofit organization that supports children, teens, adults, parents, couples, and families on their journeys toward hope, healing, and learning. We are a reliable place to turn in your community for professional support addressing various issues like anxiety, depression, grief, low self-esteem, abuse, anger, peer pressure, marriage/family problems, parenting difficulties, and academic struggles.
We are a local nonprofit organization that supports children, teens, adults, parents, couples, and families on their journeys toward hope, healing, and learning. We are a reliable place to turn in your community for professional support addressing various issues like anxiety, depression, grief, low self-esteem, abuse, anger, peer pressure, marriage/family problems, parenting difficulties, and academic struggles.
(412) 324-3164 View (412) 324-3164
Photo of Suzanne Burkley, Clinical Social Work/Therapist in Pittsburgh, PA
Suzanne Burkley
Clinical Social Work/Therapist, LPC
Verified Verified
Pittsburgh, PA 15213
Suzanne M. Burkley is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2003. She attended Indiana University of PA for Criminology and received a Bachelor of Arts (BA) in 1990 and attended Duquesne University and received a Master of Science Education (MSED) in 1998. Suzanne is skilled at several different evidenced based practices (CBT, DBT, MI, Brief Solution Focus, Exposure Therapy, Person Center, TF-CBT) and is able to apply specific approaches, methods and/or strategies to fit the need of the client at that particular time.
Suzanne M. Burkley is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2003. She attended Indiana University of PA for Criminology and received a Bachelor of Arts (BA) in 1990 and attended Duquesne University and received a Master of Science Education (MSED) in 1998. Suzanne is skilled at several different evidenced based practices (CBT, DBT, MI, Brief Solution Focus, Exposure Therapy, Person Center, TF-CBT) and is able to apply specific approaches, methods and/or strategies to fit the need of the client at that particular time.
(412) 218-3514 View (412) 218-3514

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.