Therapists in New London County, CT

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Photo of Jon Zane, Clinical Social Work/Therapist, LCSW
Jon Zane
Clinical Social Work/Therapist, LCSW
1 Endorsed
Gales Ferry, CT 06335
As a therapist and first responder, I understand how hard it can be to reach out—especially if you're used to being the one others rely on. Whether you’re stuck after experiencing trauma, navigating a major life shift, or trying to perform at your best under pressure, I offer a space rooted in respect and collaboration that incorporates your feedback. With over 25 years of experience supporting individuals and families, I tailor each session to your needs—whether it’s focused, short-term help or deeper, longer-term healing.
As a therapist and first responder, I understand how hard it can be to reach out—especially if you're used to being the one others rely on. Whether you’re stuck after experiencing trauma, navigating a major life shift, or trying to perform at your best under pressure, I offer a space rooted in respect and collaboration that incorporates your feedback. With over 25 years of experience supporting individuals and families, I tailor each session to your needs—whether it’s focused, short-term help or deeper, longer-term healing.
(959) 207-8085 View (959) 207-8085
Photo of Lisa Annunziato, Licensed Professional Counselor, MA, MS, LPC, LCMHC, CPC
Lisa Annunziato
Licensed Professional Counselor, MA, MS, LPC, LCMHC, CPC
3 Endorsed
Online Only
Are you an empath or a highly sensitive person who struggles? Do you battle with self worth? I see adults only throughout Connecticut, Florida, Maine, and Vermont, utilizing a person-centered approach that emphasizes your strengths and helps you to challenge your inhibitory thought processes. I also use EMDR, somatic techniques, hypnotherapy, and meditation to help you release trauma and stuck energy to calm the nervous system. Clients would describe my style as warm and authentic, with a well-placed sense of humor. I strive to make you feel seen and understood. I also do therapy in a relaxed "come as you are" kind of way.
Are you an empath or a highly sensitive person who struggles? Do you battle with self worth? I see adults only throughout Connecticut, Florida, Maine, and Vermont, utilizing a person-centered approach that emphasizes your strengths and helps you to challenge your inhibitory thought processes. I also use EMDR, somatic techniques, hypnotherapy, and meditation to help you release trauma and stuck energy to calm the nervous system. Clients would describe my style as warm and authentic, with a well-placed sense of humor. I strive to make you feel seen and understood. I also do therapy in a relaxed "come as you are" kind of way.
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Photo of Rita Gilman, Licensed Professional Counselor, LMHC, MA, LPC, CT
Rita Gilman
Licensed Professional Counselor, LMHC, MA, LPC, CT
Groton, CT 06340
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
(860) 566-8932 View (860) 566-8932
Photo of Marc Nee, Marriage & Family Therapist, LMFT, CHT
Marc Nee
Marriage & Family Therapist, LMFT, CHT
2 Endorsed
Norwich, CT 06360
In 1999 I created the following mission statement: "To create a safe space where individuals can explore the issues that are standing in the way of living more fulfilling and authentic lives." As a result, I have explored, studied and practiced a wide variety of techniques to address the mental/emotional aspects of our lives, as well as the physical and spiritual issues that can block potential, and the ability to relate effectively with others. It is always an honor to help clients transition through difficulty and to witness them living more fulfilling lives.
In 1999 I created the following mission statement: "To create a safe space where individuals can explore the issues that are standing in the way of living more fulfilling and authentic lives." As a result, I have explored, studied and practiced a wide variety of techniques to address the mental/emotional aspects of our lives, as well as the physical and spiritual issues that can block potential, and the ability to relate effectively with others. It is always an honor to help clients transition through difficulty and to witness them living more fulfilling lives.
(860) 237-3865 View (860) 237-3865
Photo of Jennifer Thomasson, Licensed Professional Counselor
Jennifer Thomasson
Licensed Professional Counselor
Ledyard, CT 06339
Waitlist for new clients
I work closely with clients to create a therapy experience that’s best suited to their needs. I provide care that is realistic and open. My current openings are as follows. These are weekly standing appts via telehealth. If you are interested in securing a spot please contact via email and note which time slot you are interested in: Currently no openings
I work closely with clients to create a therapy experience that’s best suited to their needs. I provide care that is realistic and open. My current openings are as follows. These are weekly standing appts via telehealth. If you are interested in securing a spot please contact via email and note which time slot you are interested in: Currently no openings
(860) 936-9225 View (860) 936-9225
Photo of Shalyn Moran, Marriage & Family Therapist Associate, LMFTA
Shalyn Moran
Marriage & Family Therapist Associate, LMFTA
1 Endorsed
Online Only
You might be feeling overwhelmed, stuck in patterns that are hard to change, or carrying stress that no longer feels manageable alone. Many of my clients are thoughtful, self-aware people navigating anxiety, ADHD, trauma, or relationship challenges. You don’t have to have everything figured out before starting therapy. Together we’ll explore patterns, strengthen relationships, and build practical tools that support real change. We’ll move at a pace that feels comfortable for you. If you’re curious about working together, you can book a free 15-30 minute consult meeting to see if we are the right fit. All of you is welcome here.
You might be feeling overwhelmed, stuck in patterns that are hard to change, or carrying stress that no longer feels manageable alone. Many of my clients are thoughtful, self-aware people navigating anxiety, ADHD, trauma, or relationship challenges. You don’t have to have everything figured out before starting therapy. Together we’ll explore patterns, strengthen relationships, and build practical tools that support real change. We’ll move at a pace that feels comfortable for you. If you’re curious about working together, you can book a free 15-30 minute consult meeting to see if we are the right fit. All of you is welcome here.
(860) 373-0005 View (860) 373-0005
Photo of Jennette Miller, Clinical Social Work/Therapist, LCSW
Jennette Miller
Clinical Social Work/Therapist, LCSW
2 Endorsed
Groton, CT 06340
If you’ve been feeling stuck, overwhelmed, or unsure of how to move forward, I’m here to support you. I know how heavy it can feel trying to hold everything together while also trying to figure out what’s next. I provide a warm, supportive, and welcoming space where children, teens, and adults can safely explore challenges like trauma, anxiety, depression, and stress. Together, we work to help you feel more grounded, confident, and in control of your life.
If you’ve been feeling stuck, overwhelmed, or unsure of how to move forward, I’m here to support you. I know how heavy it can feel trying to hold everything together while also trying to figure out what’s next. I provide a warm, supportive, and welcoming space where children, teens, and adults can safely explore challenges like trauma, anxiety, depression, and stress. Together, we work to help you feel more grounded, confident, and in control of your life.
(860) 854-7757 View (860) 854-7757
Photo of Heidi Veltheim, Licensed Professional Counselor, MS, LPC
Heidi Veltheim
Licensed Professional Counselor, MS, LPC
1 Endorsed
New London, CT 06320
I am an experienced, engaging licensed professional counselor who brings warmth, humor and acceptance into my practice. My approach is strength-based, client centered and relationship-based to meet the individual needs of each client. I have found that a trusting relationship allows me to fully understand the person, provides an opportunity to work together, and allows us to explore the challenges that you are facing while working toward achieving your specific goals.
I am an experienced, engaging licensed professional counselor who brings warmth, humor and acceptance into my practice. My approach is strength-based, client centered and relationship-based to meet the individual needs of each client. I have found that a trusting relationship allows me to fully understand the person, provides an opportunity to work together, and allows us to explore the challenges that you are facing while working toward achieving your specific goals.
(860) 791-4604 View (860) 791-4604
Photo of Lori Luciani, Clinical Social Work/Therapist, LCSW
Lori Luciani
Clinical Social Work/Therapist, LCSW
Online Only
I welcome new clients who are seeking support for anxiety, depression, life transitions, stress, and emotional challenges. My background in education has given me extensive experience helping individuals navigate personal growth, build resilience, and develop practical coping skills in a supportive and compassionate environment.
I welcome new clients who are seeking support for anxiety, depression, life transitions, stress, and emotional challenges. My background in education has given me extensive experience helping individuals navigate personal growth, build resilience, and develop practical coping skills in a supportive and compassionate environment.
(860) 926-2698 View (860) 926-2698
Photo of Antonella Sferrazza, Licensed Professional Counselor, MS, LPC
Antonella Sferrazza
Licensed Professional Counselor, MS, LPC
Online Only
Navigating mental health challenges such as depression and anxiety can be overwhelming and you don’t have to figure it all out on your own. I work with children, teens, and young adults who are ready to feel more balanced, confident, and connected. Together, we’ll explore what’s holding you back, and we'll create practical steps toward healing and growth at a pace that feels right for you.
Navigating mental health challenges such as depression and anxiety can be overwhelming and you don’t have to figure it all out on your own. I work with children, teens, and young adults who are ready to feel more balanced, confident, and connected. Together, we’ll explore what’s holding you back, and we'll create practical steps toward healing and growth at a pace that feels right for you.
(475) 325-6120 View (475) 325-6120
Photo of Tara L Sousa, Marriage & Family Therapist, LMFT
Tara L Sousa
Marriage & Family Therapist, LMFT
1 Endorsed
Stonington, CT 06378
Not accepting new clients
I’m dedicated to creating a safe, open environment where every voice is heard. I believe that therapy should be a space where you feel supported, understood, and empowered to navigate life’s challenges. I work with adolescents, adults, and families, helping them find their voice, identity, and independence while navigating expectations from family and society. As a LMFT, my approach is trauma-informed, and I utilize interventions including CBT and DBT, to help individuals and families work through challenges. My approach is collaborative, compassionate, and strengths-based.
I’m dedicated to creating a safe, open environment where every voice is heard. I believe that therapy should be a space where you feel supported, understood, and empowered to navigate life’s challenges. I work with adolescents, adults, and families, helping them find their voice, identity, and independence while navigating expectations from family and society. As a LMFT, my approach is trauma-informed, and I utilize interventions including CBT and DBT, to help individuals and families work through challenges. My approach is collaborative, compassionate, and strengths-based.
(860) 200-3496 View (860) 200-3496
Photo of Jenna T Cohen, Clinical Social Work/Therapist, LCSW, PMH-C
Jenna T Cohen
Clinical Social Work/Therapist, LCSW, PMH-C
1 Endorsed
Mystic, CT 06355
Waitlist for new clients
Welcome! I am so glad you are here. My name is Jenna Cohen and I am a Licensed Clinical Social Worker (LCSW), Certified EMDR therapist, and Certified Perinatal Mental Health Counselor (PMH-C). I approach therapy from a place of compassion and a firm belief that each person is the expert in their own life with unique powers to heal. I work with clients to help them resolve and heal from Trauma, Anxiety, Perinatal Mental Health/Perinatal mood and Anxiety Disorders (PMADS), sexual assault and Traumatic Grief and Loss. I am passionate about your healing and passionate about the power of EMDR.
Welcome! I am so glad you are here. My name is Jenna Cohen and I am a Licensed Clinical Social Worker (LCSW), Certified EMDR therapist, and Certified Perinatal Mental Health Counselor (PMH-C). I approach therapy from a place of compassion and a firm belief that each person is the expert in their own life with unique powers to heal. I work with clients to help them resolve and heal from Trauma, Anxiety, Perinatal Mental Health/Perinatal mood and Anxiety Disorders (PMADS), sexual assault and Traumatic Grief and Loss. I am passionate about your healing and passionate about the power of EMDR.
(860) 431-3918 View (860) 431-3918
Photo of Sarah Warzecha, Clinical Social Work/Therapist, LCSW
Sarah Warzecha
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Ever wish therapy felt more like a coffee date where you can just be real — debating oat milk vs almond milk, reacting to a chaotic text thread, and accidentally oversharing before the espresso even hits? I offer a calm, conversational space that feels grounded, human, and real. We’ll talk about the heavy stuff, the “why am I like this?” moments, situationships, burnout, and whether that overpriced Starbucks drink was worth it. Humor is welcome as we do deeper work. I support college students, young adults, and adults navigating burnout, identity shifts, relationship stress, and the pressure of seeming fine while not feeling fine.
Ever wish therapy felt more like a coffee date where you can just be real — debating oat milk vs almond milk, reacting to a chaotic text thread, and accidentally oversharing before the espresso even hits? I offer a calm, conversational space that feels grounded, human, and real. We’ll talk about the heavy stuff, the “why am I like this?” moments, situationships, burnout, and whether that overpriced Starbucks drink was worth it. Humor is welcome as we do deeper work. I support college students, young adults, and adults navigating burnout, identity shifts, relationship stress, and the pressure of seeming fine while not feeling fine.
(860) 809-5020 View (860) 809-5020
Photo of Nikki Krys, Drug & Alcohol Counselor, LADC, LPCA
Nikki Krys
Drug & Alcohol Counselor, LADC, LPCA
3 Endorsed
New London, CT 06320
Don't let the hard days win. I envision the people that I work alongside finding freedom, rebuilding their lives, and using their strengths to achieve their goals. It is my belief that all individuals possess an innate capacity for transformation and healing. I provide a trustworthy and collaborative environment, aiming to help individuals build a strong foundation for lifelong success. By exploring your feelings, discovering life's meaning, and focusing on your strengths, you can cultivate a powerful sense of self, unlocking a life of freedom. You are stronger than addiction.
Don't let the hard days win. I envision the people that I work alongside finding freedom, rebuilding their lives, and using their strengths to achieve their goals. It is my belief that all individuals possess an innate capacity for transformation and healing. I provide a trustworthy and collaborative environment, aiming to help individuals build a strong foundation for lifelong success. By exploring your feelings, discovering life's meaning, and focusing on your strengths, you can cultivate a powerful sense of self, unlocking a life of freedom. You are stronger than addiction.
(860) 238-3744 View (860) 238-3744
Photo of Patricia McClure, MSN, APRN, BC
Patricia McClure
Verified Verified
Online Only
Degreed in Medicine and Mental health and Board Certified as a Mental Health Nurse Practitioner I offer unique holistic care. Years of experience providing therapy and prescribing and managing psychiatric medications means you won't have the added frustration of seeing different practitioners for your care. Join me in a safe, comfortable, confidential atmosphere, where together, we work through the problems causing difficulties in your life. True healing occurs in the "therapeutic relationship" we develop together. Please Call for more information.
Degreed in Medicine and Mental health and Board Certified as a Mental Health Nurse Practitioner I offer unique holistic care. Years of experience providing therapy and prescribing and managing psychiatric medications means you won't have the added frustration of seeing different practitioners for your care. Join me in a safe, comfortable, confidential atmosphere, where together, we work through the problems causing difficulties in your life. True healing occurs in the "therapeutic relationship" we develop together. Please Call for more information.
(860) 544-8737 View (860) 544-8737
Photo of Nora J Gumpel, Marriage & Family Therapist, LMFT
Nora J Gumpel
Marriage & Family Therapist, LMFT
3 Endorsed
Pawcatuck, CT 06379
Open For New Clients - Individuals, Couples and Trauma. My work is with couples and individuals - relationship challenges of all types. Assisting people with really listening to themselves is what I seem to do. This is a process of softening self-judgment/doubt, harsh and often cruel inner dialog. My clients report more satisfying and loving experiences relating to people in general. This rewarding journey results in the kind of relationship with ourselves we only dream of having.
Open For New Clients - Individuals, Couples and Trauma. My work is with couples and individuals - relationship challenges of all types. Assisting people with really listening to themselves is what I seem to do. This is a process of softening self-judgment/doubt, harsh and often cruel inner dialog. My clients report more satisfying and loving experiences relating to people in general. This rewarding journey results in the kind of relationship with ourselves we only dream of having.
(860) 362-2919 View (860) 362-2919
Photo of Tracy Schaperow - New London County Psychologists and Counselors, Psychologist, LMFT, LPC, PhD, PsyD, LCSW
New London County Psychologists and Counselors
Psychologist, LMFT, LPC, PhD, PsyD, LCSW
2 Endorsed
Waterford, CT 06385
With literally hundreds of therapists in New London County alone, it is hard to know who to see. There are so many different degrees, license types, and approaches. By contacting us, we'll help you find a good match with a therapist in our Waterford practice. If we cannot find you a good match within our practice, we will find you one outside of it either nearby or elsewhere in the county (evaluation required).
With literally hundreds of therapists in New London County alone, it is hard to know who to see. There are so many different degrees, license types, and approaches. By contacting us, we'll help you find a good match with a therapist in our Waterford practice. If we cannot find you a good match within our practice, we will find you one outside of it either nearby or elsewhere in the county (evaluation required).
(860) 248-4176 View (860) 248-4176
Photo of Anna Thompson, Marriage & Family Therapist, LMFT
Anna Thompson
Marriage & Family Therapist, LMFT
1 Endorsed
Groton, CT 06340
Deeply gratifying relationships take work and aren't always easy. If your relationship is struggling, or if you're thinking, "we need a tune-up," I'd love to help. I follow Gottman's research-based approach when working with couples. Do you feel like you and your significant other speak two different languages? A couple's biggest goal is often to improve communication and understanding which often includes feeling heard, decreasing conflict, being respected, gaining the ability to accept influence from one another, and being each other's best friend and teammate rather than just allies.
Deeply gratifying relationships take work and aren't always easy. If your relationship is struggling, or if you're thinking, "we need a tune-up," I'd love to help. I follow Gottman's research-based approach when working with couples. Do you feel like you and your significant other speak two different languages? A couple's biggest goal is often to improve communication and understanding which often includes feeling heard, decreasing conflict, being respected, gaining the ability to accept influence from one another, and being each other's best friend and teammate rather than just allies.
(860) 846-3077 View (860) 846-3077
Photo of Olivia Tufo, Clinical Social Work/Therapist, MSW, LCSW
Olivia Tufo
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
East Lyme, CT 06333
My focus is providing therapy for those of us living in the "real world." Plenty of what we see and hear online about "fixing" relationships, "perfect" parenting, and finding a "balanced" career just doesn't seem to make a difference in our day to day life. Clients often come to me with anxiety, obsessive thoughts, depression, family or marital conflict, or just feeling overwhelmed, overworked, and downright miserable. Wouldn't it be nice if all it took to feel better was a trip to the spa or using the latest parenting theory you saw on social media made your kids eat their vegetables? That just isn't how it works.
My focus is providing therapy for those of us living in the "real world." Plenty of what we see and hear online about "fixing" relationships, "perfect" parenting, and finding a "balanced" career just doesn't seem to make a difference in our day to day life. Clients often come to me with anxiety, obsessive thoughts, depression, family or marital conflict, or just feeling overwhelmed, overworked, and downright miserable. Wouldn't it be nice if all it took to feel better was a trip to the spa or using the latest parenting theory you saw on social media made your kids eat their vegetables? That just isn't how it works.
(860) 391-6161 View (860) 391-6161
Photo of Barbara L Bourgeois, Licensed Professional Counselor, MBA, MS, LPC, NCC
Barbara L Bourgeois
Licensed Professional Counselor, MBA, MS, LPC, NCC
4 Endorsed
Online Only
Having difficulty with your relationships? Whether your challenge is based in your relationship with yourself or with others, this kind of conflict and the avoidance thereof can sometimes lead to symptoms of depression or anxiety. My approach to therapy is holistic and truth based. Embracing a lifestyle approach, I believe in employing simple everyday changes as a way to return your body to balance and repair the relationships that bring us peace. Our bodies and minds need many sources of nourishment to achieve optimal health and sustainable vitality.
Having difficulty with your relationships? Whether your challenge is based in your relationship with yourself or with others, this kind of conflict and the avoidance thereof can sometimes lead to symptoms of depression or anxiety. My approach to therapy is holistic and truth based. Embracing a lifestyle approach, I believe in employing simple everyday changes as a way to return your body to balance and repair the relationships that bring us peace. Our bodies and minds need many sources of nourishment to achieve optimal health and sustainable vitality.
(203) 745-2154 View (203) 745-2154

See more therapy options for New London County

How does your Therapist compare?

Number of Therapists in New London County, CT

600+

Average cost per session

$150

Therapists in New London County, CT who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
87% Depression
77% Self Esteem
73% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

74% Aetna
68% BlueCross and BlueShield
68% Cigna and Evernorth

How Therapists in New London County, CT see their clients

65% In Person and Online
35% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New London County?

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.