Therapists in Rochester, MI

Photo of Sarah Marie Marker, Counselor in Rochester, MI
Sarah Marie Marker
Counselor, MA, LLPC
Verified Verified
Rochester, MI 48306  (Online Only)
Hi! My name is Sarah. I am extremely passionate about helping people find more peace and calm in their lives. I truly believe that every person is doing the best that they can with the knowledge and skills they have. My hope is that therapy would allow you to deepen your understanding of yourself and what makes you happiest. If there is an area in your life that you find yourself consistently struggling in, I would love to be your teammate in empowering you to overcome it. Life will always have its obstacles, but simple, personalized tools can make a world of a difference for each and every person.
Hi! My name is Sarah. I am extremely passionate about helping people find more peace and calm in their lives. I truly believe that every person is doing the best that they can with the knowledge and skills they have. My hope is that therapy would allow you to deepen your understanding of yourself and what makes you happiest. If there is an area in your life that you find yourself consistently struggling in, I would love to be your teammate in empowering you to overcome it. Life will always have its obstacles, but simple, personalized tools can make a world of a difference for each and every person.
(248) 609-4913 View (248) 609-4913
Photo of Robert Kender, Psychologist in Rochester, MI
Robert Kender
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Rochester, MI 48307
I work with a variety of individuals, from ages 15 to 115, whether they come in seeking symptom relief for depression or anxiety, or they are facing challenges involving more existential issues. I believe in building a strong trusting relationship with those I work with, and with this type of foundation in place, we can explore everything from grief and loss, to issues surrounding sexuality; from how you see your place in this world, to ways that you can best integrate yourself into it. Your conception of your own self-actualization is my most important guideline.
I work with a variety of individuals, from ages 15 to 115, whether they come in seeking symptom relief for depression or anxiety, or they are facing challenges involving more existential issues. I believe in building a strong trusting relationship with those I work with, and with this type of foundation in place, we can explore everything from grief and loss, to issues surrounding sexuality; from how you see your place in this world, to ways that you can best integrate yourself into it. Your conception of your own self-actualization is my most important guideline.
(248) 782-6136 View (248) 782-6136
Photo of Annette M Shimkus, Clinical Social Work/Therapist in Rochester, MI
Annette M Shimkus
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
2 Endorsed
Rochester, MI 48307
Waitlist for new clients
Many people I have spoken to indicate that they do want an interactive relationship with their therapist based on trust, support and caring which are dynamics that are important for me to be able to provide to you in this process. Your view of your concerns and what you see as potential solutions are important as well. This is a team effort in helping you to move forward and live a fulfilled life. The 38 years that I have worked in this field has been a challenging and growth filled time and I continue to enjoy the process of helping others find their greatest potential.
Many people I have spoken to indicate that they do want an interactive relationship with their therapist based on trust, support and caring which are dynamics that are important for me to be able to provide to you in this process. Your view of your concerns and what you see as potential solutions are important as well. This is a team effort in helping you to move forward and live a fulfilled life. The 38 years that I have worked in this field has been a challenging and growth filled time and I continue to enjoy the process of helping others find their greatest potential.
(248) 257-5676 View (248) 257-5676
Photo of Latha Ravi, Clinical Social Work/Therapist in Rochester, MI
Latha Ravi
Clinical Social Work/Therapist, Rev Latha Ravi, LMSW, MDiv
Verified Verified
Rochester, MI 48307
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
(947) 222-7797 View (947) 222-7797
Photo of Aspects Counseling - Rebecca Trouse, Counselor in Rochester, MI
Aspects Counseling - Rebecca Trouse
Counselor, MA, LPC, NCC, BCPCC
Verified Verified
14 Endorsed
Rochester, MI 48307
Not accepting new clients
Are you looking for support or a safe place to recover emotionally from life's storms? Do you desire to restore and strengthen relationships? Perhaps it is time to explore new possibilities for your life. Whatever issue you are facing, please know your well-being is of utmost importance. Aiding you in the process of reaching your goals is the prime objective in counseling. Let's work together, creating strategies for improving emotions, behaviors, or relationships. Please call today so we can discuss which options may be best for you. I look forward to talking with you soon. 248-805-1108
Are you looking for support or a safe place to recover emotionally from life's storms? Do you desire to restore and strengthen relationships? Perhaps it is time to explore new possibilities for your life. Whatever issue you are facing, please know your well-being is of utmost importance. Aiding you in the process of reaching your goals is the prime objective in counseling. Let's work together, creating strategies for improving emotions, behaviors, or relationships. Please call today so we can discuss which options may be best for you. I look forward to talking with you soon. 248-805-1108
(248) 805-1108 View (248) 805-1108
Photo of Roots & Wings Counseling, PLLC, Counselor in Rochester, MI
Roots & Wings Counseling, PLLC
Counselor, MA, LPC, NCC
Verified Verified
Rochester, MI 48307
We are all on a journey towards improved health and wholeness, but the road to healing can often be difficult to navigate. Life challenges can result in feelings of anger, depression, anxiety, and loss of control. Often times we might experience physical symptoms as a result of ongoing stress as well. These same struggles, however, can be opportunities for growth. Our counseling professionals will walk with you on your journey of self-discovery, and together we will uncover your unique strengths, develop coping skills, increase self-confidence, and work toward restoring balance in your life.
We are all on a journey towards improved health and wholeness, but the road to healing can often be difficult to navigate. Life challenges can result in feelings of anger, depression, anxiety, and loss of control. Often times we might experience physical symptoms as a result of ongoing stress as well. These same struggles, however, can be opportunities for growth. Our counseling professionals will walk with you on your journey of self-discovery, and together we will uncover your unique strengths, develop coping skills, increase self-confidence, and work toward restoring balance in your life.
(248) 365-7254 View (248) 365-7254
Photo of Marci Nowaczok, Licensed Professional Counselor in Rochester, MI
Marci Nowaczok
Licensed Professional Counselor, LPC, NCC
Verified Verified
Rochester, MI 48307
Have you found yourself in a place where you have followed all of the rules, done the things that you were taught to do, and found yourself in the reality of not feeling happy or fulfilled? Have you strived for the best and achieved a family, home, job—and yet there is still something that is not good enough? You have made the decision to begin looking into these discrepancies, and that little nudge is your inner knowing that something is off. You’re ready to listen to your needs, wants, and desires but putting them into action is daunting. I believe that by getting quiet and tapping into our inner wisdom, healing and growth occur.
Have you found yourself in a place where you have followed all of the rules, done the things that you were taught to do, and found yourself in the reality of not feeling happy or fulfilled? Have you strived for the best and achieved a family, home, job—and yet there is still something that is not good enough? You have made the decision to begin looking into these discrepancies, and that little nudge is your inner knowing that something is off. You’re ready to listen to your needs, wants, and desires but putting them into action is daunting. I believe that by getting quiet and tapping into our inner wisdom, healing and growth occur.
(248) 453-7565 View (248) 453-7565
Photo of Debra Marie Migliazzo, Clinical Social Work/Therapist in Rochester, MI
Debra Marie Migliazzo
Clinical Social Work/Therapist, MSW, LMSW, RYT 200
Verified Verified
Rochester, MI 48307
Sometimes we just need a little help figuring out life's challenges-----help sorting out how to make some of "those" big decisions...or how to pick up the pieces after a fallout, breakup or death of a loved one. Maybe drugs and alcohol have taken over you and the lifestyle you once knew; recovery may be a frightening thing to explore. Sometimes we are caught up in someone else's mess; a loved one with a substance abuse, alcohol or gambling problem. Finances may be causing conflict with others and within ourselves.Sometimes we need help because someone /something may be needing more
Sometimes we just need a little help figuring out life's challenges-----help sorting out how to make some of "those" big decisions...or how to pick up the pieces after a fallout, breakup or death of a loved one. Maybe drugs and alcohol have taken over you and the lifestyle you once knew; recovery may be a frightening thing to explore. Sometimes we are caught up in someone else's mess; a loved one with a substance abuse, alcohol or gambling problem. Finances may be causing conflict with others and within ourselves.Sometimes we need help because someone /something may be needing more
(586) 776-8885 View (586) 776-8885
Photo of Julie Lavin, Licensed Professional Counselor in Rochester, MI
Julie Lavin
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Rochester, MI 48308  (Online Only)
Most of my clients are young adults from 18-29 who wrestle with anxiety, adulthood struggles, people-pleasing and setting boundaries at work and in relationships. I create a judge-free zone to work on you and celebrate your wins.
Most of my clients are young adults from 18-29 who wrestle with anxiety, adulthood struggles, people-pleasing and setting boundaries at work and in relationships. I create a judge-free zone to work on you and celebrate your wins.
(248) 218-9929 View (248) 218-9929
Photo of Courtney Zullo, Counselor in Rochester, MI
Courtney Zullo
Counselor, MA, LPC
Verified Verified
2 Endorsed
Rochester, MI 48307
If you are having difficulties feeling overwhelmed, anxious, depressed, stuck or are looking to make some changes in yourself, I offer a place where you won’t get interrupted, where a genuine, caring person will give you the space to hear yourself tell your unique story and to empathize with you. Whatever unwanted thoughts, feelings, or behaviors you may be experiencing, I am here to help. Working together, you have the opportunity to process difficult emotions, life's uncertainties, and heal inner wounds without having to be alone.
If you are having difficulties feeling overwhelmed, anxious, depressed, stuck or are looking to make some changes in yourself, I offer a place where you won’t get interrupted, where a genuine, caring person will give you the space to hear yourself tell your unique story and to empathize with you. Whatever unwanted thoughts, feelings, or behaviors you may be experiencing, I am here to help. Working together, you have the opportunity to process difficult emotions, life's uncertainties, and heal inner wounds without having to be alone.
(586) 785-5082 View (586) 785-5082
Photo of North Oakland Counseling LLC, Counselor in Rochester, MI
North Oakland Counseling LLC
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Rochester, MI 48307
At North Oakland Counseling our mission is to: 1-Improve your communication skills so you can deepen your connection in marriage and other relationships. 2-Provide you with tools to cope effectively with stress and experience relief from anxiety and depression. 3-Help you control & manage obsessive-compulsive behaviors. 4-Work with you through grief and emptiness so you are able to transform hopelessness and helplessness into joy and happiness. 5- Help you manage anger & recover from abuse, trauma, & addictions. 6-Increase your sense of personal integrity consciously and subconsciously so you can begin to experience more life contentment and more authentic self.
At North Oakland Counseling our mission is to: 1-Improve your communication skills so you can deepen your connection in marriage and other relationships. 2-Provide you with tools to cope effectively with stress and experience relief from anxiety and depression. 3-Help you control & manage obsessive-compulsive behaviors. 4-Work with you through grief and emptiness so you are able to transform hopelessness and helplessness into joy and happiness. 5- Help you manage anger & recover from abuse, trauma, & addictions. 6-Increase your sense of personal integrity consciously and subconsciously so you can begin to experience more life contentment and more authentic self.
(248) 841-4080 View (248) 841-4080
Photo of Lily K Saari, Counselor in Rochester, MI
Lily K Saari
Counselor, LLPC
Verified Verified
1 Endorsed
Rochester, MI 48309
My intended target population is families, particularly children and adolescents with the hope that these skills can be refined throughout the course of their life. I also would like to specialize in marriage and family at some point to work with parents of these children to assist them in creating patterns that fit the lifestyle they are trying to create. Every client has a different perspective on what healthy living is and respect those boundaries accordingly. Therefore, I use an integrative humanistic theoretical approach that utilizes narrative and cognitive behavioral tactics to organize information and practice goal setting.
My intended target population is families, particularly children and adolescents with the hope that these skills can be refined throughout the course of their life. I also would like to specialize in marriage and family at some point to work with parents of these children to assist them in creating patterns that fit the lifestyle they are trying to create. Every client has a different perspective on what healthy living is and respect those boundaries accordingly. Therefore, I use an integrative humanistic theoretical approach that utilizes narrative and cognitive behavioral tactics to organize information and practice goal setting.
(248) 665-8822 View (248) 665-8822
Photo of Samantha Piro, Counselor in Rochester, MI
Samantha Piro
Counselor, MA, LPC, RYT500
Verified Verified
3 Endorsed
Rochester, MI 48307
Healing begins to take place when we have a space to truly feel heard, understood, and seen. I seek to create this space where you feel safe to be you. Healing is a not a linear, one-size-fits-all experience, and I welcome multiple perspectives. I work with individuals and couples on a variety of topics including relationship difficulties, trauma, overwhelming thoughts & emotions, low self-esteem, and life transitions. I enjoy being emotionally present and journeying with people to discover their unique way to healing their lives and living a more joyful life.
Healing begins to take place when we have a space to truly feel heard, understood, and seen. I seek to create this space where you feel safe to be you. Healing is a not a linear, one-size-fits-all experience, and I welcome multiple perspectives. I work with individuals and couples on a variety of topics including relationship difficulties, trauma, overwhelming thoughts & emotions, low self-esteem, and life transitions. I enjoy being emotionally present and journeying with people to discover their unique way to healing their lives and living a more joyful life.
(947) 888-7903 View (947) 888-7903
Photo of Diane Johnston, Counselor in Rochester, MI
Diane Johnston
Counselor, MPA, MA, LPC, NCC
Verified Verified
1 Endorsed
Rochester, MI 48307
Not accepting new clients
My goal is to meet you where you are currently in the process of change and healing. I will provide you with a trusting & honest therapeutic environment. I provide safe assistance for women with anxiety, relationship issues, life transitions, & depression. My specialization is working with women building self esteem, healthy relationships, and coping skills, while managing health issues, life stress, hopelessness, and trauma. I motivate women to create positive life changes through a holistic and therapeutic approach. Member MI TriCounty Trauma Recovery Network (TRN) and Oakland County Suicide task force. EMDR certified by Emdria.
My goal is to meet you where you are currently in the process of change and healing. I will provide you with a trusting & honest therapeutic environment. I provide safe assistance for women with anxiety, relationship issues, life transitions, & depression. My specialization is working with women building self esteem, healthy relationships, and coping skills, while managing health issues, life stress, hopelessness, and trauma. I motivate women to create positive life changes through a holistic and therapeutic approach. Member MI TriCounty Trauma Recovery Network (TRN) and Oakland County Suicide task force. EMDR certified by Emdria.
(947) 800-5780 View (947) 800-5780
Photo of Tracey A Reno, Licensed Professional Counselor in Rochester, MI
Tracey A Reno
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Rochester, MI 48306  (Online Only)
Are you seeking nonjudgmental support and a resource to help you through a difficult chapter in your life? Maybe you have come to a crossroad professionally, relationally, personally. You are not alone; I can help. I am devoted to empowering people and helping them to overcome what holds them back by unleashing their strengths. A trusting therapeutic relationship where you feel safe to share your concerns is at the heart of what fosters personal insight leading to strategies for overcoming challenges and obstacles. Developing this strong rapport provides the foundation from which you begin your work toward making positive change.
Are you seeking nonjudgmental support and a resource to help you through a difficult chapter in your life? Maybe you have come to a crossroad professionally, relationally, personally. You are not alone; I can help. I am devoted to empowering people and helping them to overcome what holds them back by unleashing their strengths. A trusting therapeutic relationship where you feel safe to share your concerns is at the heart of what fosters personal insight leading to strategies for overcoming challenges and obstacles. Developing this strong rapport provides the foundation from which you begin your work toward making positive change.
(248) 780-7143 View (248) 780-7143
Photo of Paige Pradko, Counselor in Rochester, MI
Paige Pradko
Counselor, MA, LPC, NCC
Verified Verified
Rochester, MI 48307  (Online Only)
You are here because you want to feel better. My goal is to help you find your peace of mind and get back to enjoying your life. I specialize in treating people with Anxiety Disorders, Panic and OCD. Send me a message on PaigePradko.com and find out more about my online courses and support groups for Health Anxiety, Agoraphobia and Panic, and OCD (coming soon). Take your first step to feel better today. Visit PaigePradko.com. I look forward to seeing you there.
You are here because you want to feel better. My goal is to help you find your peace of mind and get back to enjoying your life. I specialize in treating people with Anxiety Disorders, Panic and OCD. Send me a message on PaigePradko.com and find out more about my online courses and support groups for Health Anxiety, Agoraphobia and Panic, and OCD (coming soon). Take your first step to feel better today. Visit PaigePradko.com. I look forward to seeing you there.
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Michelle Bunk
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Rochester, MI 48307
I am a Clinical Social Worker who has been in the field of mental health and education for over 20 years. The goal of my practice is to provide a safe and comfortable environment for you to achieve your therapeutic and life goals. Whether you are struggling with feelings of anxiety or depression, issues involving loss or transition (divorce, grief, life transitions), we can work to achieve personal growth, improve self esteem, coping skills, and you can become the best version of yourself.
I am a Clinical Social Worker who has been in the field of mental health and education for over 20 years. The goal of my practice is to provide a safe and comfortable environment for you to achieve your therapeutic and life goals. Whether you are struggling with feelings of anxiety or depression, issues involving loss or transition (divorce, grief, life transitions), we can work to achieve personal growth, improve self esteem, coping skills, and you can become the best version of yourself.
(248) 805-1951 View (248) 805-1951
Photo of Julie Ann Phillips, Clinical Social Work/Therapist in Rochester, MI
Julie Ann Phillips
Clinical Social Work/Therapist, LMSW
Verified Verified
Rochester, MI 48307
I believe we all have the ability to live happy, fulfilling and purpose-driven lives. Sometimes relationship problems, grief, past trauma or just our own misconceptions about ourselves can contribute to our unhappiness. We may be compassionate with our friends and family, but not so much with ourself. I believe the role of a therapist is to help guide the client with objective and empathetic listening and non-judgmental suggestions. Sometimes you may need a reality check, and other times all you may need is a reinforcing message that you are on the right track with your thoughts, beliefs and actions.
I believe we all have the ability to live happy, fulfilling and purpose-driven lives. Sometimes relationship problems, grief, past trauma or just our own misconceptions about ourselves can contribute to our unhappiness. We may be compassionate with our friends and family, but not so much with ourself. I believe the role of a therapist is to help guide the client with objective and empathetic listening and non-judgmental suggestions. Sometimes you may need a reality check, and other times all you may need is a reinforcing message that you are on the right track with your thoughts, beliefs and actions.
(586) 789-9832 View (586) 789-9832
Photo of Carrie Gleason, Psychologist in Rochester, MI
Carrie Gleason
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Rochester, MI 48307
Today you are one step closer to a new you, in which you feel empowered to begin a positive path towards growth, and the establishment of meaning in your life. As a clinical psychologist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
Today you are one step closer to a new you, in which you feel empowered to begin a positive path towards growth, and the establishment of meaning in your life. As a clinical psychologist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life.
(248) 291-3885 View (248) 291-3885
Eric Beshears
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Rochester, MI 48307
All evidence based interventions are complimented with humor, compassion, high treatment expectations, unorthodox candor, and professionalism.
All evidence based interventions are complimented with humor, compassion, high treatment expectations, unorthodox candor, and professionalism.
(248) 243-4424 View (248) 243-4424

How does your Therapist compare?

Number of Therapists in Rochester, MI

100+

Average cost per session

$150

Therapists in Rochester, MI who prioritize treating:

94% Anxiety
92% Depression
83% Relationship Issues
79% Grief
79% Self Esteem
73% Coping Skills
70% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
62% Blue Care Network
58% Aetna

How Therapists in Rochester, MI see their clients

80% In Person and Online
20% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.