Therapists in Pittsburgh, PA

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Photo of Katherine Kearns, Clinical Social Work/Therapist in Pittsburgh, PA
Katherine Kearns
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15217
Is your relationship with food and body image getting in the way of the life you wish to live? Are you overwhelmed by unpleasant thoughts and emotions linked to your appearance, self-esteem, and concerns about food? I have a passion for helping individuals develop a normalized relationship with food, weight, and shape! Together, we can discover and change the barriers to achieving a sense of peace and joy around food and body image.
Is your relationship with food and body image getting in the way of the life you wish to live? Are you overwhelmed by unpleasant thoughts and emotions linked to your appearance, self-esteem, and concerns about food? I have a passion for helping individuals develop a normalized relationship with food, weight, and shape! Together, we can discover and change the barriers to achieving a sense of peace and joy around food and body image.
(412) 743-8972 View (412) 743-8972
Photo of Suzanna Styles, Clinical Social Work/Therapist in Pittsburgh, PA
Suzanna Styles
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15218
Not accepting new clients
I am a trauma-informed and somatically-oriented therapist. I can sit with you, listen to you, and walk with you in the hardest places. And with the wisdom I’ve garnered from years of experience, I can guide you towards a life that has meaning. Body, heart, mind, and soul all matter in my work. Blending the best elements from somatic psychology, mindfulness, intergenerational and trauma work, I stay current with what is cutting edge to help you heal. See my website to get more information about me and easily contact me there.
I am a trauma-informed and somatically-oriented therapist. I can sit with you, listen to you, and walk with you in the hardest places. And with the wisdom I’ve garnered from years of experience, I can guide you towards a life that has meaning. Body, heart, mind, and soul all matter in my work. Blending the best elements from somatic psychology, mindfulness, intergenerational and trauma work, I stay current with what is cutting edge to help you heal. See my website to get more information about me and easily contact me there.
(878) 645-3786 View (878) 645-3786
Photo of Amanda Ludwig -Becoming Whole Counseling Consulting, Licensed Professional Counselor in Pittsburgh, PA
Amanda Ludwig -Becoming Whole Counseling Consulting
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15213
Welcome to my page! I'm passionate first about listening well, and then secondly, guiding you through the change and transformation process. Maybe you have been struggling to feel hopeful. Or maybe you're confused about who you really are underneath the masks you wear. Perhaps you're noticing patterns in your life and you're not sure how to change. Or maybe you have experienced one too many losses and are struggling to grieve. I believe you are here because you're working up the courage to do something different. I believe you are here because you want to experience hope and healing.
Welcome to my page! I'm passionate first about listening well, and then secondly, guiding you through the change and transformation process. Maybe you have been struggling to feel hopeful. Or maybe you're confused about who you really are underneath the masks you wear. Perhaps you're noticing patterns in your life and you're not sure how to change. Or maybe you have experienced one too many losses and are struggling to grieve. I believe you are here because you're working up the courage to do something different. I believe you are here because you want to experience hope and healing.
(412) 534-5316 View (412) 534-5316
Photo of North Hills Psychological Services, Psychologist in Pittsburgh, PA
North Hills Psychological Services
Psychologist
Verified Verified
Pittsburgh, PA 15237
Both teletherapy and in-office appointments are available. We are in-network providers for both Highmark and UPMC (excluding UPMC for You). In addition to regular office hours, evening and weekend appointments are usually available. Our practice is staffed by 6 experienced, licensed PhD and Master's level psychologists and therapists. Call 412 367-1481, ext 1. Or, email us for general information. We are located less than 10 min. away from 279, so we are accessible to individuals living in the city. Our web site is http://www.nhpsych.com . We are also providers for out of state BC/BS. Some providers accept Optum, UBH and Aetna.
Both teletherapy and in-office appointments are available. We are in-network providers for both Highmark and UPMC (excluding UPMC for You). In addition to regular office hours, evening and weekend appointments are usually available. Our practice is staffed by 6 experienced, licensed PhD and Master's level psychologists and therapists. Call 412 367-1481, ext 1. Or, email us for general information. We are located less than 10 min. away from 279, so we are accessible to individuals living in the city. Our web site is http://www.nhpsych.com . We are also providers for out of state BC/BS. Some providers accept Optum, UBH and Aetna.
(412) 328-2799 x1 View (412) 328-2799 x1
Photo of Kaitlyn Barbarow, Licensed Professional Counselor in Pittsburgh, PA
Kaitlyn Barbarow
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Pittsburgh, PA 15226
Life can be tough, especially in today's world! For children and adults, struggling with mood, behaviors, or even just a transition in life, it can be helpful to have outside support and feedback! I have experience providing therapy services in a variety of settings including homes, schools, and outpatient offices over the last 7 years. I have a background in treating trauma, ADHD, and mood disorders in individuals at many different stages in life, from childhood to adulthood as well as families.
Life can be tough, especially in today's world! For children and adults, struggling with mood, behaviors, or even just a transition in life, it can be helpful to have outside support and feedback! I have experience providing therapy services in a variety of settings including homes, schools, and outpatient offices over the last 7 years. I have a background in treating trauma, ADHD, and mood disorders in individuals at many different stages in life, from childhood to adulthood as well as families.
(412) 538-6873 View (412) 538-6873
Photo of Spiegel Freedman Psychological Associates, Psychologist in Pittsburgh, PA
Spiegel Freedman Psychological Associates
Psychologist
Verified Verified
1 Endorsed
Pittsburgh, PA 15237
The clinicians of Spiegel Freedman Psychological Associates provide outpatient psychotherapeutic care to the people of the greater Pittsburgh area. We are committed to excellence and strive to provide our community with the highest quality of psychological services. We combine professional expertise with personal compassion in our therapeutic care. Our diverse staff and associates offer psychological evaluation and care for children, adolescents, adults, elders, couples and families.
The clinicians of Spiegel Freedman Psychological Associates provide outpatient psychotherapeutic care to the people of the greater Pittsburgh area. We are committed to excellence and strive to provide our community with the highest quality of psychological services. We combine professional expertise with personal compassion in our therapeutic care. Our diverse staff and associates offer psychological evaluation and care for children, adolescents, adults, elders, couples and families.
(412) 307-5806 x1 View (412) 307-5806 x1
Photo of Tracey S. McCarthy, Licensed Professional Counselor in Pittsburgh, PA
Tracey S. McCarthy
Licensed Professional Counselor, MSEd, BCC, LPC, BC-TMH
Verified Verified
Pittsburgh, PA 15206  (Online Only)
Happy 2024! New Year, New You? I propose New Year, Real You. It’s time to come out and enjoy the freedom of living authentically. I limit my practice to trans/non-binary folks. I help people to transition, accept themselves, navigate life's journey, and thrive. I give feedback and use my life experiences to connect with them— to view situations in new ways, clarify ideas, and invite them to try new things.
Happy 2024! New Year, New You? I propose New Year, Real You. It’s time to come out and enjoy the freedom of living authentically. I limit my practice to trans/non-binary folks. I help people to transition, accept themselves, navigate life's journey, and thrive. I give feedback and use my life experiences to connect with them— to view situations in new ways, clarify ideas, and invite them to try new things.
(724) 908-0060 View (724) 908-0060
Photo of Gwen Kelly, Clinical Social Work/Therapist in Pittsburgh, PA
Gwen Kelly
Clinical Social Work/Therapist, JD, MSW, LSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Accepting new clients! Your neurodivergence makes you feel "other" and "on the outside" in a world that is set up for neutrotypicals. The consistent pressure to function as if your brain is not different makes day-to-day life so exhausting you could burst. You are starting to come to terms with the fact that your intrusive thoughts and compulsions may actually be OCD, but you have no idea where to start with something that feels so big. You are tired of pretending that your partners aren't your partners when discussing... well, everything. You want to discuss the complexities and nuances of your relationships. ALL of them.
Accepting new clients! Your neurodivergence makes you feel "other" and "on the outside" in a world that is set up for neutrotypicals. The consistent pressure to function as if your brain is not different makes day-to-day life so exhausting you could burst. You are starting to come to terms with the fact that your intrusive thoughts and compulsions may actually be OCD, but you have no idea where to start with something that feels so big. You are tired of pretending that your partners aren't your partners when discussing... well, everything. You want to discuss the complexities and nuances of your relationships. ALL of them.
(412) 455-3658 View (412) 455-3658
Photo of Sirena Claxon, Licensed Professional Counselor in Pittsburgh, PA
Sirena Claxon
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
Within our lives the one constant that prevails overtime is change. As humans, we often can be creatures of habit and life changes can be significantly difficult at times for us to manage. The fear attached to changes within our mental health, medical health, interpersonal relationships, identity, job status, etc. can feel very overwhelming. However, within our sessions I hope to provide you with a safe and supportive space to unpack these concerns and allow you to learn various skills to empower you to feel fully capable of addressing these life changes.
Within our lives the one constant that prevails overtime is change. As humans, we often can be creatures of habit and life changes can be significantly difficult at times for us to manage. The fear attached to changes within our mental health, medical health, interpersonal relationships, identity, job status, etc. can feel very overwhelming. However, within our sessions I hope to provide you with a safe and supportive space to unpack these concerns and allow you to learn various skills to empower you to feel fully capable of addressing these life changes.
(412) 274-8174 View (412) 274-8174
Photo of Dr. Melissa K Johnson, Psychologist in Pittsburgh, PA
Dr. Melissa K Johnson
Psychologist, PhD
Verified Verified
1 Endorsed
Pittsburgh, PA 15215
Waitlist for new clients
I am a licensed clinical psychologist with 15 years of experience helping people develop insight, knowledge and self-compassion. I specialize in treating anxiety, trauma, substance use, relationship conflict and grief. I am a national consultant for Cognitive Behavioral Therapy for Substance Use Disorders, certified in Cognitive Processing Therapy for PTSD, Dual Recovery and skilled in therapies for those with abuse histories (e.g., STAIR, Seeking Safety).
I am a licensed clinical psychologist with 15 years of experience helping people develop insight, knowledge and self-compassion. I specialize in treating anxiety, trauma, substance use, relationship conflict and grief. I am a national consultant for Cognitive Behavioral Therapy for Substance Use Disorders, certified in Cognitive Processing Therapy for PTSD, Dual Recovery and skilled in therapies for those with abuse histories (e.g., STAIR, Seeking Safety).
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Photo of Melissa Oliver, Licensed Professional Counselor in Pittsburgh, PA
Melissa Oliver
Licensed Professional Counselor, LPC, CST
Verified Verified
1 Endorsed
Pittsburgh, PA 15239
Not accepting new clients
Have you been feeling stressed, anxious or unbalanced? I provide therapy to individuals ages 18 and older. I provide individual and couple's therapy. I am committed to providing a non-judgmental space to services clients. I provide services for individuals dealing with grief, relationship issues, adjustment issues, life changes, divorce and separation, nontraditional relationships, marital therapy, sexual identity, women's sexual health, general anxiety and depression.
Have you been feeling stressed, anxious or unbalanced? I provide therapy to individuals ages 18 and older. I provide individual and couple's therapy. I am committed to providing a non-judgmental space to services clients. I provide services for individuals dealing with grief, relationship issues, adjustment issues, life changes, divorce and separation, nontraditional relationships, marital therapy, sexual identity, women's sexual health, general anxiety and depression.
(412) 253-4568 View (412) 253-4568
Photo of Debbie Witchel, Licensed Professional Counselor in Pittsburgh, PA
Debbie Witchel
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15238
Does the thought of starting a new day seem overwhelming? Do you dread interacting with others due to anxiety/depression? Are you unhappy with/or feel stuck in your relationships? Do you struggle with setting boundaries and people pleasing? Are you grieving the loss of a loved one? I listen, I care and I want to help. I can assist you to heal and lead a happier life. I believe in connecting with you as a person, the significance of identifying and releasing unexpressed feelings and changing unhealthy life themes. I am also trained in co-parenting (including court-ordered) for couples experiencing a divorce.
Does the thought of starting a new day seem overwhelming? Do you dread interacting with others due to anxiety/depression? Are you unhappy with/or feel stuck in your relationships? Do you struggle with setting boundaries and people pleasing? Are you grieving the loss of a loved one? I listen, I care and I want to help. I can assist you to heal and lead a happier life. I believe in connecting with you as a person, the significance of identifying and releasing unexpressed feelings and changing unhealthy life themes. I am also trained in co-parenting (including court-ordered) for couples experiencing a divorce.
(412) 252-2450 View (412) 252-2450
Photo of Jennifer L Newman, Clinical Social Work/Therapist in Pittsburgh, PA
Jennifer L Newman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
"I am seeking. I am striving. I am in it with all my heart". - Vincent Van Gogh
"I am seeking. I am striving. I am in it with all my heart". - Vincent Van Gogh
(412) 259-3918 View (412) 259-3918
Photo of Kerrie Boydman, Clinical Social Work/Therapist in Pittsburgh, PA
Kerrie Boydman
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Pittsburgh, PA 15237  (Online Only)
Not accepting new clients
**Currently unable to accept new clients at this time.** Have you felt distracted lately at work or at school, feeling this overwhelming sense of dissatisfaction? Do you find you're more distressed than usual over daily stressors, simple chores or minor arguments? And do you find yourself constantly thinking about all the things you want to change? You may know what behaviors you have that are causing you distress or you may lack insight into what it is that is getting in your way. Either way, when you know something has to change, but you don't know how to go about it, therapy may be the answer.
**Currently unable to accept new clients at this time.** Have you felt distracted lately at work or at school, feeling this overwhelming sense of dissatisfaction? Do you find you're more distressed than usual over daily stressors, simple chores or minor arguments? And do you find yourself constantly thinking about all the things you want to change? You may know what behaviors you have that are causing you distress or you may lack insight into what it is that is getting in your way. Either way, when you know something has to change, but you don't know how to go about it, therapy may be the answer.
(412) 532-1142 View (412) 532-1142
Photo of Cassandra Hartless, Licensed Professional Counselor in Pittsburgh, PA
Cassandra Hartless
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15220  (Online Only)
I am a licensed professional counselor looking to help others find their full potential by using an eclectic approach to therapy. If you find yourself aimlessly scrolling through profiles in search of an authentic therapist, I may be a great fit for you. I find that being authentic with clients is what helps them build a foundation and feel safe enough to share their issues and concerns. I practice from a person-centered approach while mixing in elements of CBT to help clients guide their treatment while also holding them accountable.
I am a licensed professional counselor looking to help others find their full potential by using an eclectic approach to therapy. If you find yourself aimlessly scrolling through profiles in search of an authentic therapist, I may be a great fit for you. I find that being authentic with clients is what helps them build a foundation and feel safe enough to share their issues and concerns. I practice from a person-centered approach while mixing in elements of CBT to help clients guide their treatment while also holding them accountable.
(412) 910-2723 View (412) 910-2723
Photo of Emily M Kane, Licensed Professional Counselor in Pittsburgh, PA
Emily M Kane
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Pittsburgh, PA 15206
I help people who are building and maintaining their families. I support people from their reproductive health journeys to navigating caregiver challenges with children ages 0-5. I’m experienced in supporting caregivers of multiples (twins, triplets, etc.), medically fragile children, processing whole-family traumatic experiences with young children, and caregiving-driven career pivots. I’ve previously worked in Biometrics Research, Community Mental Health, Tech Operations, and Education. I’m deeply committed to local community service.
I help people who are building and maintaining their families. I support people from their reproductive health journeys to navigating caregiver challenges with children ages 0-5. I’m experienced in supporting caregivers of multiples (twins, triplets, etc.), medically fragile children, processing whole-family traumatic experiences with young children, and caregiving-driven career pivots. I’ve previously worked in Biometrics Research, Community Mental Health, Tech Operations, and Education. I’m deeply committed to local community service.
(412) 204-6741 View (412) 204-6741
Photo of Martha D'Abruzzo, Clinical Social Work/Therapist in Pittsburgh, PA
Martha D'Abruzzo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
Not accepting new clients
Hello! Due to a focus on other offerings, I do not have psychotherapy openings. However, I am accepting new clients (Telehealth) for the Safe and Sound Protocol and mindfulness training. My psychotherapy approach is rooted in mindfulness, relational systems, trauma and nervous system informed intervention. Over the past several years I have trained in newer frameworks, including EMDR, Polyvagal Theory-informed therapy, somatic and sensory experiencing, as well as other trauma-informed techniques.
Hello! Due to a focus on other offerings, I do not have psychotherapy openings. However, I am accepting new clients (Telehealth) for the Safe and Sound Protocol and mindfulness training. My psychotherapy approach is rooted in mindfulness, relational systems, trauma and nervous system informed intervention. Over the past several years I have trained in newer frameworks, including EMDR, Polyvagal Theory-informed therapy, somatic and sensory experiencing, as well as other trauma-informed techniques.
(412) 906-9837 View (412) 906-9837
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 Arti Maharaj, Licensed Professional Counselor in Pittsburgh, PA
Arti Maharaj
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15222
Arti Maharaj is a Licensed Professional Counselor (LPC) with over 10 years of experience in the mental health field. She is dedicated to her work in the field and is passionate in providing quality treatment for each of her clients struggles. She specializes in depression, anxiety, trauma, family and relationship issues. She offers individual, family, or couples therapy. Arti is also a certified yoga teacher and enjoys integrating the yogic practice into treatment with clients who are interested in an energetic and spiritual-based mental health treatment.
Arti Maharaj is a Licensed Professional Counselor (LPC) with over 10 years of experience in the mental health field. She is dedicated to her work in the field and is passionate in providing quality treatment for each of her clients struggles. She specializes in depression, anxiety, trauma, family and relationship issues. She offers individual, family, or couples therapy. Arti is also a certified yoga teacher and enjoys integrating the yogic practice into treatment with clients who are interested in an energetic and spiritual-based mental health treatment.
(412) 900-8445 View (412) 900-8445
Photo of Aurora Health Services, Pre-Licensed Professional in Pittsburgh, PA
Aurora Health Services
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Pittsburgh, PA 15219  (Online Only)
Now Accepting New Clients of all ages with Immediate Openings with No Wait Lists! Aurora Health Services is a wellness organization serving All of Pennsylvania and Florida, providing client-specific counseling services. Aurora also offers additional specialized programs to support the unique needs of one's evolving day-to-day life. We have 16 therapists specializing in a broad spectrum of modalities.
Now Accepting New Clients of all ages with Immediate Openings with No Wait Lists! Aurora Health Services is a wellness organization serving All of Pennsylvania and Florida, providing client-specific counseling services. Aurora also offers additional specialized programs to support the unique needs of one's evolving day-to-day life. We have 16 therapists specializing in a broad spectrum of modalities.
(724) 585-8456 View (724) 585-8456

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.