Therapists in Pittsburgh, PA

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Photo of Rachel Hill, Pre-Licensed Professional in Pittsburgh, PA
Rachel Hill
Pre-Licensed Professional
Verified Verified
Pittsburgh, PA 15222
Rachel Hill is a Pre-Licensed Therapist, who is passionate about working with children, adolescents, and adults to help them become the best version of themselves. She has experience working with a wide range of mental health issues and daily life stressors. These experiences include but are not limited to depression, anxiety, grief, life transitions, bipolar disorder, schizophrenia, anger, and ADHD. Rachel specializes in depression, anxiety, life transitions, ADHD, anger, grief, and stress.
Rachel Hill is a Pre-Licensed Therapist, who is passionate about working with children, adolescents, and adults to help them become the best version of themselves. She has experience working with a wide range of mental health issues and daily life stressors. These experiences include but are not limited to depression, anxiety, grief, life transitions, bipolar disorder, schizophrenia, anger, and ADHD. Rachel specializes in depression, anxiety, life transitions, ADHD, anger, grief, and stress.
(412) 896-7941 View (412) 896-7941
Photo of Emily Yelling, Licensed Professional Counselor in Pittsburgh, PA
Emily Yelling
Licensed Professional Counselor, LPC, CADC, CCATP
Verified Verified
Pittsburgh, PA 15237
Not accepting new clients
The goal for all of my clients is to find peace within themselves and begin living a life that they choose. Life circumstances can strip us of our authentic selves and I am here to help you explore and welcome a path of personal wholeness and self acceptance. My approach to therapy is holistic and consists primarily of cognitive behavioral therapy, somatic techniques, self-compassion, and mindfulness. Whether it is mental health, addiction, an unhealthy relationship, stress, trauma or something else, I understand the importance of working with the mind, body and spirit in order to experience complete healing.
The goal for all of my clients is to find peace within themselves and begin living a life that they choose. Life circumstances can strip us of our authentic selves and I am here to help you explore and welcome a path of personal wholeness and self acceptance. My approach to therapy is holistic and consists primarily of cognitive behavioral therapy, somatic techniques, self-compassion, and mindfulness. Whether it is mental health, addiction, an unhealthy relationship, stress, trauma or something else, I understand the importance of working with the mind, body and spirit in order to experience complete healing.
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Photo of Cognitive Behavior Institute, Clinical Social Work/Therapist in Pittsburgh, PA
Cognitive Behavior Institute
Clinical Social Work/Therapist
Verified Verified
Pittsburgh, PA 15220
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
(412) 307-9897 View (412) 307-9897
Photo of Dr. Samantha Marino, Psychologist in Pittsburgh, PA
Dr. Samantha Marino
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15237
I have been most helpful with clients who have clear goals or specific issues they want to address. I can work with you in a brief, specific and time-limited ways to help faciliate problem-solving and behavioral changes as needed. I can also work with you long-term to address chronic or longer standing issues of past trauma, family conflict, or issues with self and identity. Most importantly, I work collaboratively to help you meet your own needs by matching the treatment modality and plan with your stated needs and learning/attachment style. I am direct and honest, but always with permission and gentleness. I respect and value all.
I have been most helpful with clients who have clear goals or specific issues they want to address. I can work with you in a brief, specific and time-limited ways to help faciliate problem-solving and behavioral changes as needed. I can also work with you long-term to address chronic or longer standing issues of past trauma, family conflict, or issues with self and identity. Most importantly, I work collaboratively to help you meet your own needs by matching the treatment modality and plan with your stated needs and learning/attachment style. I am direct and honest, but always with permission and gentleness. I respect and value all.
(412) 899-2191 View (412) 899-2191
Photo of Mark Shoaf, Licensed Professional Counselor in Pittsburgh, PA
Mark Shoaf
Licensed Professional Counselor, MA, LPC, NCC, CCSIM
Verified Verified
7 Endorsed
Pittsburgh, PA 15238
Waitlist for new clients
The funny thing about life's hurts, they generally do not just get better on their own. Running from a problem is a race we will never win. My goal is to create a warm safe and relaxed place for you to explore, to discuss, to learn and maybe laugh. The outcome is for you to feel empowered in your life and to have HOPE. Changing or healing often require learning new skills so my approach is as much about coaching as it is about counseling. My primary counseling modes are Cognitive Dissonance and Reframing and REBT (Rational Emotive Behavioral Therapy). Together we create the tools for HOPE that are custom made for you.
The funny thing about life's hurts, they generally do not just get better on their own. Running from a problem is a race we will never win. My goal is to create a warm safe and relaxed place for you to explore, to discuss, to learn and maybe laugh. The outcome is for you to feel empowered in your life and to have HOPE. Changing or healing often require learning new skills so my approach is as much about coaching as it is about counseling. My primary counseling modes are Cognitive Dissonance and Reframing and REBT (Rational Emotive Behavioral Therapy). Together we create the tools for HOPE that are custom made for you.
(412) 407-4070 View (412) 407-4070
Photo of Jordan Ries, Clinical Social Work/Therapist in Pittsburgh, PA
Jordan Ries
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15217
With a specialization in women’s issues, I approach therapy with a gentle, holistic perspective. I feel most energized working with individuals who value introspection, mindfulness, and self-discovery. In therapy with me, you can expect a relational and connective experience, one that is both tenderhearted and challenging. I integrate mindfulness, body awareness, and parts-of-self work to facilitate deep transformation and wholeness. Together, we'll uncover the wisdom within you, fostering deeper self-awareness and alignment with your authentic self.
With a specialization in women’s issues, I approach therapy with a gentle, holistic perspective. I feel most energized working with individuals who value introspection, mindfulness, and self-discovery. In therapy with me, you can expect a relational and connective experience, one that is both tenderhearted and challenging. I integrate mindfulness, body awareness, and parts-of-self work to facilitate deep transformation and wholeness. Together, we'll uncover the wisdom within you, fostering deeper self-awareness and alignment with your authentic self.
(412) 218-3166 View (412) 218-3166
Photo of Hope Deals Counseling & Consulting, Clinical Social Work/Therapist in Pittsburgh, PA
Hope Deals Counseling & Consulting
Clinical Social Work/Therapist, MSW, LCSW, CCTP, CGCS
Verified Verified
Pittsburgh, PA 15235  (Online Only)
Hope Deals Counseling & Consulting is black woman-led, virtual mental health private practice that utilizes culturally informed psychotherapy and components of cognitive behavioral theory to assist individuals, couples and families to create a "Hope Deal" for a healthier and happier lifestyle with optimal mental wealth. With certifications in grief and trauma, it is understood that your process of self-actualization is unique and deserves a clinically safe space for you to explore and grow in reaching your goals.
Hope Deals Counseling & Consulting is black woman-led, virtual mental health private practice that utilizes culturally informed psychotherapy and components of cognitive behavioral theory to assist individuals, couples and families to create a "Hope Deal" for a healthier and happier lifestyle with optimal mental wealth. With certifications in grief and trauma, it is understood that your process of self-actualization is unique and deserves a clinically safe space for you to explore and grow in reaching your goals.
(412) 219-5978 View (412) 219-5978
Photo of Jaclynn Wise, Psychologist in Pittsburgh, PA
Jaclynn Wise
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15235
It can be difficult to navigate finding mental health care, but you’ve made it this far. I view my role as holding a warm space for us to explore what is working and not working for you in your life. Most of us weren’t taught how to experience our emotions mindfully and respond with intention. It makes sense that many of us struggle with responding to our emotions compassionately. I may help you identify, understand, and accept difficult internal experiences while taking meaningful action in your life.
It can be difficult to navigate finding mental health care, but you’ve made it this far. I view my role as holding a warm space for us to explore what is working and not working for you in your life. Most of us weren’t taught how to experience our emotions mindfully and respond with intention. It makes sense that many of us struggle with responding to our emotions compassionately. I may help you identify, understand, and accept difficult internal experiences while taking meaningful action in your life.
(412) 923-0436 View (412) 923-0436
Photo of Ventura Simmons, Licensed Professional Counselor in Pittsburgh, PA
Ventura Simmons
Licensed Professional Counselor, MEd, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Not accepting new clients
I strive to encourage a self-driven sense of wellness with all individuals I work with. Since 2015 I have worked with individuals coming from an array of backgrounds, challenges, circumstances, and stories. Having worked with professionals from diverse specialties (psychological, psychiatric, medical, occupational, nursing) I like to take a collaborative and eclectic approach to mental health and therapy. Regardless of a person's background it is possible to achieve relief from depression, anxiety, trauma, grief, stress, and relational challenges
I strive to encourage a self-driven sense of wellness with all individuals I work with. Since 2015 I have worked with individuals coming from an array of backgrounds, challenges, circumstances, and stories. Having worked with professionals from diverse specialties (psychological, psychiatric, medical, occupational, nursing) I like to take a collaborative and eclectic approach to mental health and therapy. Regardless of a person's background it is possible to achieve relief from depression, anxiety, trauma, grief, stress, and relational challenges
(412) 301-9739 View (412) 301-9739
Photo of Michelle Crawford, Clinical Social Work/Therapist in Pittsburgh, PA
Michelle Crawford
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15222
Michelle is a Licensed Clinical Certified Social Worker (LCCSW) in Maryland and Pennsylvania. She is passionate about educating people about domestic violence, sexual assault, and human trafficking. Michelle works with adults with anxiety, depression, along with those with trauma.
Michelle is a Licensed Clinical Certified Social Worker (LCCSW) in Maryland and Pennsylvania. She is passionate about educating people about domestic violence, sexual assault, and human trafficking. Michelle works with adults with anxiety, depression, along with those with trauma.
(412) 684-6728 View (412) 684-6728
Photo of Melissa Smiley Jacobson, Clinical Social Work/Therapist in Pittsburgh, PA
Melissa Smiley Jacobson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15213
If you’re looking for a therapist, you're ready for something in your life to change. Are you tired of trying to figure things out on your own? Are you struggling with your important relationships? Do the people you usually turn to for guidance no longer seem to know how to help? Whatever brought you to this point, your regular ways of making yourself feel better are no longer enough to restore your peace of mind. You don’t need to deal with all of that alone.
If you’re looking for a therapist, you're ready for something in your life to change. Are you tired of trying to figure things out on your own? Are you struggling with your important relationships? Do the people you usually turn to for guidance no longer seem to know how to help? Whatever brought you to this point, your regular ways of making yourself feel better are no longer enough to restore your peace of mind. You don’t need to deal with all of that alone.
(878) 203-1823 View (878) 203-1823
Photo of Liana Scalise, Licensed Professional Counselor in Pittsburgh, PA
Liana Scalise
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15213
I have over two decades of experience working within various community mental health settings helping children, adolescents, adults, and families navigate emotional, behavioral, social, and mental health needs. I create a goal-oriented treatment for those experiencing, but not limited to, anxiety, depression, grief and loss, intrapersonal conflict, relationship and communication issues, childhood trauma, stressful events, life transitions, and parenting needs.
I have over two decades of experience working within various community mental health settings helping children, adolescents, adults, and families navigate emotional, behavioral, social, and mental health needs. I create a goal-oriented treatment for those experiencing, but not limited to, anxiety, depression, grief and loss, intrapersonal conflict, relationship and communication issues, childhood trauma, stressful events, life transitions, and parenting needs.
(717) 915-5883 View (717) 915-5883
Photo of Curtis Terry, Licensed Professional Counselor in Pittsburgh, PA
Curtis Terry
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Pittsburgh, PA 15217  (Online Only)
If it is time to reorient your life course, allow me to assist you. My goal is to assist you in establishing inner peace. I view counseling from a tripartite approach where I assist my clients with self-awareness, gaining knowledge, and developing skills that may assist them with strategies to manage effectively and successfully the various transitions experienced in life. I believe people long to live lives that reflect harmony between their thoughts and their actions. Many times, stress and distress complicate this effort.
If it is time to reorient your life course, allow me to assist you. My goal is to assist you in establishing inner peace. I view counseling from a tripartite approach where I assist my clients with self-awareness, gaining knowledge, and developing skills that may assist them with strategies to manage effectively and successfully the various transitions experienced in life. I believe people long to live lives that reflect harmony between their thoughts and their actions. Many times, stress and distress complicate this effort.
(878) 205-0175 View (878) 205-0175
Photo of Tracy Thorpe Scott, Pre-Licensed Professional in Pittsburgh, PA
Tracy Thorpe Scott
Pre-Licensed Professional, MS, CLC, CHT
Verified Verified
Pittsburgh, PA 15221
It's time. You desire to understand and move forward from the experiences that limit your personal growth and development. As a results-oriented Masters Level Clinician, I can help. My priority is to create a warm and welcoming space where you feel seen, heard, understood, and inspired to create change. My ability to quickly build trust and rapport has allowed me to successfully assist clients from adolescence through adulthood, using a variety of therapeutic modalities and coaching. Create the healing and forward momentum you desire and deserve. Make the investment in your present and future self. My services are self-pay only.
It's time. You desire to understand and move forward from the experiences that limit your personal growth and development. As a results-oriented Masters Level Clinician, I can help. My priority is to create a warm and welcoming space where you feel seen, heard, understood, and inspired to create change. My ability to quickly build trust and rapport has allowed me to successfully assist clients from adolescence through adulthood, using a variety of therapeutic modalities and coaching. Create the healing and forward momentum you desire and deserve. Make the investment in your present and future self. My services are self-pay only.
(412) 754-7479 View (412) 754-7479
Photo of Christine Haley, Licensed Professional Counselor in Pittsburgh, PA
Christine Haley
Licensed Professional Counselor, BA, MS, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
(412) 981-1743 View (412) 981-1743
Photo of Brittany M. Kiefer, Licensed Professional Counselor in Pittsburgh, PA
Brittany M. Kiefer
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
At times we may struggle with intense and confusing emotions that interfere with reaching our daily goals and aspirations. By working collaboratively within a calm, supportive and non-judgmental atmosphere, we can begin to become more curious about desired changes. Therapy can serve as a guide to help you gain a better understanding of yourself, how you relate and navigate the interpersonal relationships in your life, and within your environment. I also believe it is imperative to view therapy through a trauma-informed lens, while respecting each individual's background, where trauma's may have left unspoken words.
At times we may struggle with intense and confusing emotions that interfere with reaching our daily goals and aspirations. By working collaboratively within a calm, supportive and non-judgmental atmosphere, we can begin to become more curious about desired changes. Therapy can serve as a guide to help you gain a better understanding of yourself, how you relate and navigate the interpersonal relationships in your life, and within your environment. I also believe it is imperative to view therapy through a trauma-informed lens, while respecting each individual's background, where trauma's may have left unspoken words.
(412) 207-3438 View (412) 207-3438
Photo of Jenna Mates, Psychologist in Pittsburgh, PA
Jenna Mates
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15232
Accepting ADHD evals! I work with children, tweens, adolescents, and young adults who struggle with managing their emotional, behavioral, and social needs. I know that therapy can be initially uncomfortable and/or anxiety provoking, yet I create a safe and supportive space for my patients. The therapeutic relationship is extremely important in my practice, as I believe that we need to work together in order to meet your goals. Additionally, I collaborate with parents, schools, and other medical professionals. I utilize various approaches and interventions to target each individual's needs and to create the best treatment for you.
Accepting ADHD evals! I work with children, tweens, adolescents, and young adults who struggle with managing their emotional, behavioral, and social needs. I know that therapy can be initially uncomfortable and/or anxiety provoking, yet I create a safe and supportive space for my patients. The therapeutic relationship is extremely important in my practice, as I believe that we need to work together in order to meet your goals. Additionally, I collaborate with parents, schools, and other medical professionals. I utilize various approaches and interventions to target each individual's needs and to create the best treatment for you.
(412) 784-6218 View (412) 784-6218
Photo of Michelle Landau, Clinical Social Work/Therapist in Pittsburgh, PA
Michelle Landau
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
I help clients learn to listen to and hear themselves; my interest is in helping you to develop the confidence to recognize and honor your own wisdom and thereby make more effective choices in your life. My clinical experiences have afforded me the opportunity to work with a wide range of clients, including but not limited to those with major depressive disorders, anxiety disorders, bi-polar disorder, and grief. If you are interested in gaining insight into your problems and concerns in order to make changes in your life, then our work together will be rewarding for you.
I help clients learn to listen to and hear themselves; my interest is in helping you to develop the confidence to recognize and honor your own wisdom and thereby make more effective choices in your life. My clinical experiences have afforded me the opportunity to work with a wide range of clients, including but not limited to those with major depressive disorders, anxiety disorders, bi-polar disorder, and grief. If you are interested in gaining insight into your problems and concerns in order to make changes in your life, then our work together will be rewarding for you.
(412) 253-6173 View (412) 253-6173
Photo of Stephanie Golden, Psychologist in Pittsburgh, PA
Stephanie Golden
Psychologist, PsyD
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Not accepting new clients
I'm a licensed psychologist specializing in trauma, anxiety, depression, body image, and relationship concerns. I strive to cultivate a safe and open environment to explore each client’s experience with curiosity and compassion. I support each client’s goals and desire for meaningful change through a collaborative and nonjudgmental approach. With clients, I will strive to work towards genuine growth and self-understanding about the past and present, while strengthening coping skills and relationships.
I'm a licensed psychologist specializing in trauma, anxiety, depression, body image, and relationship concerns. I strive to cultivate a safe and open environment to explore each client’s experience with curiosity and compassion. I support each client’s goals and desire for meaningful change through a collaborative and nonjudgmental approach. With clients, I will strive to work towards genuine growth and self-understanding about the past and present, while strengthening coping skills and relationships.
(724) 530-3828 View (724) 530-3828
Photo of Nicolas DiSalvo, Licensed Professional Counselor in Pittsburgh, PA
Nicolas DiSalvo
Licensed Professional Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15232
Mental health can be a difficult and challenging experience. The hardest step is reaching out for help. If you have made it this far keep going. If you struggle with anxiety, depression, grief and loss, you are not alone. I work with a variety of people, from all backgrounds and all walks of life. I am interested in the human existence, and how everyone has a unique experience. I am interested in stories people tell themselves and others.
Mental health can be a difficult and challenging experience. The hardest step is reaching out for help. If you have made it this far keep going. If you struggle with anxiety, depression, grief and loss, you are not alone. I work with a variety of people, from all backgrounds and all walks of life. I am interested in the human existence, and how everyone has a unique experience. I am interested in stories people tell themselves and others.
(412) 293-0761 View (412) 293-0761

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

2,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
70% Coping Skills
69% Trauma and PTSD
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% 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.