Therapists in Saint Louis, MO

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Photo of Edie Rasmussen, Licensed Professional Counselor in Saint Louis, MO
Edie Rasmussen
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63122  (Online Only)
Feeling overwhelmed? You may be standing at a crossroads, feeling in your heart that there's more out there for you, but the 'how' and 'where' seem a bit foggy. Guess what? You're not alone in this. Whether it's the weight of ADHD symptoms, being easily triggered or overwhelmed, fighting off anxiety, or dealing with tricky relationships that are weighing you down, I've got your back. Do you often find yourself putting everyone else first and feeling a bit lost in the shuffle? That's where I come in, helping you find your way back to your own path and your own power.
Feeling overwhelmed? You may be standing at a crossroads, feeling in your heart that there's more out there for you, but the 'how' and 'where' seem a bit foggy. Guess what? You're not alone in this. Whether it's the weight of ADHD symptoms, being easily triggered or overwhelmed, fighting off anxiety, or dealing with tricky relationships that are weighing you down, I've got your back. Do you often find yourself putting everyone else first and feeling a bit lost in the shuffle? That's where I come in, helping you find your way back to your own path and your own power.
(314) 794-5533 View (314) 794-5533
Photo of Helen R Friedman, Psychologist in Saint Louis, MO
Helen R Friedman
Psychologist, PhD
Verified Verified
Saint Louis, MO 63130  (Online Only)
Dr. Helen Friedman is a compassionate and interactive clinical psychologist with 10 years of additional formal training after her Ph.D. and 41 years in practice. She works with anxiety, stress, depression, grief, divorce, sexual and relationship issues. Specialty areas are child sexual abuse (children, adults, victims and perpetrators), compulsive sexual behavior (including porn addiction and partners), dissociative identity disorder, and gender identity. Trained in a variety of therapeutic modalities (family systems, psychodynamic, cognitive-behavioral, gestalt, etc.), she tailors her approach to the individual, couple, or family.
Dr. Helen Friedman is a compassionate and interactive clinical psychologist with 10 years of additional formal training after her Ph.D. and 41 years in practice. She works with anxiety, stress, depression, grief, divorce, sexual and relationship issues. Specialty areas are child sexual abuse (children, adults, victims and perpetrators), compulsive sexual behavior (including porn addiction and partners), dissociative identity disorder, and gender identity. Trained in a variety of therapeutic modalities (family systems, psychodynamic, cognitive-behavioral, gestalt, etc.), she tailors her approach to the individual, couple, or family.
(314) 781-4500 View (314) 781-4500
Photo of Melissa V Taylor, Licensed Professional Counselor in Saint Louis, MO
Melissa V Taylor
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
We all need help sometimes. Are you struggling with anxiety, trauma, life changes, issues around gender and/or sexual orientation, or relationships with unhealthy dynamics? I help people to work through things that may be getting in the way of what they want for their life. My hope for everyone is that they find more peace, strength, and joy in life. I specialize in working with lesbian, gay, queer, and transgender populations.
We all need help sometimes. Are you struggling with anxiety, trauma, life changes, issues around gender and/or sexual orientation, or relationships with unhealthy dynamics? I help people to work through things that may be getting in the way of what they want for their life. My hope for everyone is that they find more peace, strength, and joy in life. I specialize in working with lesbian, gay, queer, and transgender populations.
(314) 485-4767 View (314) 485-4767
Photo of Betty Teal-Grant, Clinical Social Work/Therapist in Saint Louis, MO
Betty Teal-Grant
Clinical Social Work/Therapist, PhD, MSW, LCSW
Verified Verified
Saint Louis, MO 63128  (Online Only)
You may be angry, anxious, depressed, grieving, or just feeling overwhelm by life struggles. Taking that first step to seek out a counselor is the most important step to recovery. Regardless of what your struggles are, I believe that counseling can help. I cannot promise that the process will be easy but hope that in the end you will believe the work was worth it.
You may be angry, anxious, depressed, grieving, or just feeling overwhelm by life struggles. Taking that first step to seek out a counselor is the most important step to recovery. Regardless of what your struggles are, I believe that counseling can help. I cannot promise that the process will be easy but hope that in the end you will believe the work was worth it.
(314) 730-9988 View (314) 730-9988
Photo of Debbie Pullin, Licensed Professional Counselor in Saint Louis, MO
Debbie Pullin
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63141  (Online Only)
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
(314) 287-5466 View (314) 287-5466
Photo of Madison Mertz, Pre-Licensed Professional in Saint Louis, MO
Madison Mertz
Pre-Licensed Professional, PLPC
Verified Verified
Saint Louis, MO 63139
The stories we tell ourselves about the world and about our own abilities can propel us forward or hold us back. Only by fully understanding our stories and the way we tell them can we understand where our narratives are serving us and where they are hindering us. This work is key in developing a new outlook and beginning to create the life you want, with the ultimate goal of living a life that is authentic to who you are and what you believe in. It is difficult work, but it is so worth it!
The stories we tell ourselves about the world and about our own abilities can propel us forward or hold us back. Only by fully understanding our stories and the way we tell them can we understand where our narratives are serving us and where they are hindering us. This work is key in developing a new outlook and beginning to create the life you want, with the ultimate goal of living a life that is authentic to who you are and what you believe in. It is difficult work, but it is so worth it!
(314) 947-3261 View (314) 947-3261
Photo of Joshua Goff, Clinical Social Work/Therapist in Saint Louis, MO
Joshua Goff
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Life is hard enough without having to go through it alone. No matter who you are or where you are from, my greatest wish for you at the outset is for you to recognize that we all have complications — we all need growth and healing. As we embrace these realities, we also learn to embrace all of the parts of ourselves, including those that most need our attention and affection Make no mistake, the path to growth can be difficult. It involves equal parts frustration and exploration, and even a good dose of humor! But when we face ourselves, we may also find that the outcome is beautiful, rewarding, and even enchanting.
Life is hard enough without having to go through it alone. No matter who you are or where you are from, my greatest wish for you at the outset is for you to recognize that we all have complications — we all need growth and healing. As we embrace these realities, we also learn to embrace all of the parts of ourselves, including those that most need our attention and affection Make no mistake, the path to growth can be difficult. It involves equal parts frustration and exploration, and even a good dose of humor! But when we face ourselves, we may also find that the outcome is beautiful, rewarding, and even enchanting.
(314) 947-2585 View (314) 947-2585
Photo of Kaylyn Chappell, Marriage & Family Therapist in Saint Louis, MO
Kaylyn Chappell
Marriage & Family Therapist, LMFT, LCMFT
Verified Verified
Saint Louis, MO 63108  (Online Only)
Waitlist for new clients
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
(314) 742-7615 View (314) 742-7615
Photo of Carol L Oliver, Licensed Professional Counselor in Saint Louis, MO
Carol L Oliver
Licensed Professional Counselor, MA, LPC, MBA
Verified Verified
2 Endorsed
Saint Louis, MO 63132
My theory is to promote positive reinforcement. Choices should be used to provide a model for understanding human emotions, behaviors and thoughts. Understanding choices in decision making will give you the encouragement to move forward.
My theory is to promote positive reinforcement. Choices should be used to provide a model for understanding human emotions, behaviors and thoughts. Understanding choices in decision making will give you the encouragement to move forward.
(314) 207-8503 View (314) 207-8503
Photo of Jennifer Wainscott, Licensed Professional Counselor in Saint Louis, MO
Jennifer Wainscott
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Saint Louis, MO 63117
Not accepting new clients
Everyone has a story, and every story is complex. Maybe you feel exhausted, stuck, alone, or anxious. Maybe you've hit another difficult patch and you're uncertain of where to turn. Maybe your relationships feel harder than they used to, or perhaps you're tired of experiencing chronic shame. The good news is that life doesn't have to be this way forever; real change is possible. Your struggles and your pain are real, and I want you to know that my office is a safe place where we can explore healing together. I work with teens, adults, and couples, and I have received advanced training in EFT (Emotion Focused Therapy).
Everyone has a story, and every story is complex. Maybe you feel exhausted, stuck, alone, or anxious. Maybe you've hit another difficult patch and you're uncertain of where to turn. Maybe your relationships feel harder than they used to, or perhaps you're tired of experiencing chronic shame. The good news is that life doesn't have to be this way forever; real change is possible. Your struggles and your pain are real, and I want you to know that my office is a safe place where we can explore healing together. I work with teens, adults, and couples, and I have received advanced training in EFT (Emotion Focused Therapy).
(314) 310-1207 x8 View (314) 310-1207 x8
Photo of Trecia K Davis, Clinical Social Work/Therapist in Saint Louis, MO
Trecia K Davis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Not accepting new clients
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
(314) 309-3367 View (314) 309-3367
Photo of Amanda Woollard, Licensed Professional Counselor in Saint Louis, MO
Amanda Woollard
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Saint Louis, MO 63127
Not accepting new clients
I am passionate about helping people and believe therapy is a collaborative process where we will work together to determine your goals and how to achieve them. Current or past issues may have you feeling discouraged or defeated about your ability to feel better. My goal is to create a safe environment that allows you to feel comfortable enough to engage fully in therapy so that I can help you achieve your full potential. Clients find themselves at ease working with me and are able to address what prompted them to seek therapy without fear of being judged or criticized.
I am passionate about helping people and believe therapy is a collaborative process where we will work together to determine your goals and how to achieve them. Current or past issues may have you feeling discouraged or defeated about your ability to feel better. My goal is to create a safe environment that allows you to feel comfortable enough to engage fully in therapy so that I can help you achieve your full potential. Clients find themselves at ease working with me and are able to address what prompted them to seek therapy without fear of being judged or criticized.
(314) 287-5397 View (314) 287-5397
Photo of Riott Kochman, Clinical Social Work/Therapist in Saint Louis, MO
Riott Kochman
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63104
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
(314) 501-5645 View (314) 501-5645
Photo of Midwest Institute for Addiction, Licensed Professional Counselor in Saint Louis, MO
Midwest Institute for Addiction
Licensed Professional Counselor, MSW, LMSW, PhD, MD
Verified Verified
Saint Louis, MO 63141
Any St. Louis rehabilitation center can provide treatment; MIA provides the difference. There are many drug rehab centers, but few of these rehab centers compare to Midwest Institute for Addiction's programs. This differentiation goes beyond our comprehensive, individualized, and evidence based treatment model and focuses on the quality of services that we offer. There is a lack of separation in the minds of professional service providers when considering the difference between a product offered and the service that coincides with that product. The MIA difference is the ability to offer quality services that coincide with our quality treatment.
Any St. Louis rehabilitation center can provide treatment; MIA provides the difference. There are many drug rehab centers, but few of these rehab centers compare to Midwest Institute for Addiction's programs. This differentiation goes beyond our comprehensive, individualized, and evidence based treatment model and focuses on the quality of services that we offer. There is a lack of separation in the minds of professional service providers when considering the difference between a product offered and the service that coincides with that product. The MIA difference is the ability to offer quality services that coincide with our quality treatment.
(314) 834-7035 View (314) 834-7035
Photo of Emily Lombardo, Clinical Social Work/Therapist in Saint Louis, MO
Emily Lombardo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Waitlist for new clients
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
(314) 671-0603 View (314) 671-0603
Photo of Sara Schuessler, Counselor in Saint Louis, MO
Sara Schuessler
Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63146  (Online Only)
Hi! I'm glad you're here! My name is Sara Schuessler and I am a therapist in St. Louis, Missouri, with over 14 years of clinical experience. I have my Master of Arts in Counseling from Missouri Baptist University, and my Bachelor or Arts in Psychology from Truman State University. I have experience in lots of different settings, including residential treatment, schools, in home, and now, telehealth. I've worked with all ages and often see clients wanting to work on decreasing anxiety, managing anger, navigating family conflict, experienced a traumatic event, or having lost a loved one.
Hi! I'm glad you're here! My name is Sara Schuessler and I am a therapist in St. Louis, Missouri, with over 14 years of clinical experience. I have my Master of Arts in Counseling from Missouri Baptist University, and my Bachelor or Arts in Psychology from Truman State University. I have experience in lots of different settings, including residential treatment, schools, in home, and now, telehealth. I've worked with all ages and often see clients wanting to work on decreasing anxiety, managing anger, navigating family conflict, experienced a traumatic event, or having lost a loved one.
(314) 970-3709 View (314) 970-3709
Photo of Brienna Thompson, Licensed Professional Counselor in Saint Louis, MO
Brienna Thompson
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63143
Brienna is a Licensed Professional Counselor with more than 5 years of experience. She is committed to helping children, adolescents, adults, and couples develop strategies for daily living that address their unique challenges. She specializes in depression, anxiety, trauma, grief, and child behavioral issues. Brienna completed her Master's in Clinical Psychology at the Forest Institute of Professional Psychology.
Brienna is a Licensed Professional Counselor with more than 5 years of experience. She is committed to helping children, adolescents, adults, and couples develop strategies for daily living that address their unique challenges. She specializes in depression, anxiety, trauma, grief, and child behavioral issues. Brienna completed her Master's in Clinical Psychology at the Forest Institute of Professional Psychology.
(314) 820-0811 View (314) 820-0811
Photo of Love & Kindness Therapeutic Services LLC, Clinical Social Work/Therapist in Saint Louis, MO
Love & Kindness Therapeutic Services LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108  (Online Only)
Not accepting new clients
At Love & Kindness Therapeutic Services LLC, I am looking to connect with clients 18 years and older of all populations, genders, and backgrounds. I enjoy helping clients explore their thoughts and feelings while working closely to develop effective coping, decision making, and skill based learning tools.
At Love & Kindness Therapeutic Services LLC, I am looking to connect with clients 18 years and older of all populations, genders, and backgrounds. I enjoy helping clients explore their thoughts and feelings while working closely to develop effective coping, decision making, and skill based learning tools.
(314) 626-0605 View (314) 626-0605
Photo of Caitlin McDaniel, LPC Intern in Saint Louis, MO
Caitlin McDaniel
LPC Intern
Verified Verified
Saint Louis, MO 63104
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
(314) 312-3723 View (314) 312-3723
Photo of Amy Gagliardi, Clinical Social Work/Therapist in Saint Louis, MO
Amy Gagliardi
Clinical Social Work/Therapist, MSW, LCSW, CCMC
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
(314) 742-9688 View (314) 742-9688

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.