Therapists in Washington, DC

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Samuel A Gordon
Psychologist, PhD
Verified Verified
Washington, DC 20008
I work with dolescents and adults striving to cope effectively with problems associated with depression, anxiety, anger, substance abuse, stress, and medical health issues.
I work with dolescents and adults striving to cope effectively with problems associated with depression, anxiety, anger, substance abuse, stress, and medical health issues.
(202) 516-7626 View (202) 516-7626
Photo of Dr. Amy E Duffy, Licensed Professional Counselor in Washington, DC
Dr. Amy E Duffy
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Washington, DC 20036
I have been working in the mental health field for over fifteen years with a variety of clients including children and adolescents, families, and adults. I enjoy utilizing an eclectic approach to treatment, recognizing the uniqueness that each individual brings to treatment. I specialize in the treatment of exposure to trauma, providing treatment to survivors of sexual violence, childhood abuse, domestic violence, and military combat trauma. When addressing the needs of those who have survived trauma, I focus a great deal of attention on the neurological effects of exposure, as well as the mind and body connection.
I have been working in the mental health field for over fifteen years with a variety of clients including children and adolescents, families, and adults. I enjoy utilizing an eclectic approach to treatment, recognizing the uniqueness that each individual brings to treatment. I specialize in the treatment of exposure to trauma, providing treatment to survivors of sexual violence, childhood abuse, domestic violence, and military combat trauma. When addressing the needs of those who have survived trauma, I focus a great deal of attention on the neurological effects of exposure, as well as the mind and body connection.
(202) 930-9476 View (202) 930-9476
Photo of The MECCA Group LLC, Psychologist in Washington, DC
The MECCA Group LLC
Psychologist, PhD
Verified Verified
Washington, DC 20036
The MECCA Group is comprised of a clinically and culturally diverse team of professionals who provide comprehensive services for children, adolescents, young adults, and their support systems in the Washington, DC Metropolitan area. Our dedicated team of therapeutic professionals consists of psychologists, social workers, counselors, behavior analysts, speech-language pathologists, occupational therapists, physical therapists, vocational specialists, and special educators. All professional team members have extensive knowledge and experience in providing evidence-based practices as well comprehensive holistic care to help all clients reach their highest potential and to Live Fully.
The MECCA Group is comprised of a clinically and culturally diverse team of professionals who provide comprehensive services for children, adolescents, young adults, and their support systems in the Washington, DC Metropolitan area. Our dedicated team of therapeutic professionals consists of psychologists, social workers, counselors, behavior analysts, speech-language pathologists, occupational therapists, physical therapists, vocational specialists, and special educators. All professional team members have extensive knowledge and experience in providing evidence-based practices as well comprehensive holistic care to help all clients reach their highest potential and to Live Fully.
(202) 759-8874 View (202) 759-8874
Photo of Jamie Hunt, Licensed Professional Counselor in Washington, DC
Jamie Hunt
Licensed Professional Counselor, LPC, RDN, NCC
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
Waitlist for new clients
Does feeling guilt, shame, and unworthiness take up all your free time and you feel you can’t stop these thoughts? You are not alone. I understand how difficult this makes life for you- from difficulty concentrating, low energy, avoiding interactions with others, to issues with intimacy in dating/relationships and feeling like you don't fit in. With me, you will learn to identify unhealthy thoughts, habits, and patterns to safely challenge and replace those negative thoughts. You will experience relief from being your own worst critic, improved comfort in socializing with others and feel better about yourself overall.
Does feeling guilt, shame, and unworthiness take up all your free time and you feel you can’t stop these thoughts? You are not alone. I understand how difficult this makes life for you- from difficulty concentrating, low energy, avoiding interactions with others, to issues with intimacy in dating/relationships and feeling like you don't fit in. With me, you will learn to identify unhealthy thoughts, habits, and patterns to safely challenge and replace those negative thoughts. You will experience relief from being your own worst critic, improved comfort in socializing with others and feel better about yourself overall.
(202) 915-9131 View (202) 915-9131
Photo of Stella Center DC - SGB and Ketamine Therapy in Washington, DC
Stella Center DC - SGB and Ketamine Therapy
MD, PA, LCSW, PMHNP
Verified Verified
Washington, DC 20005
Are you experiencing anxiety, depression, or PTSD? We can help. Stella Center offers in-office medical treatments for mental health paired with virtual integration therapy to bring dramatic healing in the window of transformation following treatment. Get relief from symptoms like disrupted sleep, panic attacks, irritability, hypervigilance, difficulties concentrating, sexual dysfunction, and more. Our protocols include medical & biopsychosocial assessment, ketamine infusions, stellate ganglion block (SGB), trauma informed integration therapy, and more.
Are you experiencing anxiety, depression, or PTSD? We can help. Stella Center offers in-office medical treatments for mental health paired with virtual integration therapy to bring dramatic healing in the window of transformation following treatment. Get relief from symptoms like disrupted sleep, panic attacks, irritability, hypervigilance, difficulties concentrating, sexual dysfunction, and more. Our protocols include medical & biopsychosocial assessment, ketamine infusions, stellate ganglion block (SGB), trauma informed integration therapy, and more.
(202) 804-8576 View (202) 804-8576
Photo of Stephen Robert Stein, Psychologist in Washington, DC
Stephen Robert Stein
Psychologist, PhD
Verified Verified
3 Endorsed
Washington, DC 20008
In my years of practice and clinical experience I have been privileged to be actively engaged in a powerful and life enhancing experience that reduces suffering, promotes healing and opens a doorway to hope, compassion and growth. I believe that therapy offers a unique space to resolve life challenges and difficulties in a collaborative, respectful, empathic and effective way. It also offers an opportunity to become the best person we can be. I am a licensed psychologist in DC and MD. I have been in practice for 30 years and provide individual, couples and group therapy as well as supervision. consultation and clinical training.
In my years of practice and clinical experience I have been privileged to be actively engaged in a powerful and life enhancing experience that reduces suffering, promotes healing and opens a doorway to hope, compassion and growth. I believe that therapy offers a unique space to resolve life challenges and difficulties in a collaborative, respectful, empathic and effective way. It also offers an opportunity to become the best person we can be. I am a licensed psychologist in DC and MD. I have been in practice for 30 years and provide individual, couples and group therapy as well as supervision. consultation and clinical training.
(202) 745-2556 View (202) 745-2556
Photo of Kris Oseth, Licensed Professional Counselor in Washington, DC
Kris Oseth
Licensed Professional Counselor, LPC, LCPC, LPCC, CPT
Verified Verified
1 Endorsed
Washington, DC 20036
I will work with you to illuminate the meaning of your experience and help you practice greater self-acceptance. Therapy goals/counseling/education will be tailored to your unique needs. I may show you how to change your behavior by using Mindfulness/changing your thoughts, recovery/harm reduction tools to address substance use, guidance/education/resources for exploring sexual orientation/gender identity/transitioning/coming out, provide couples/individual work for better communication in relationships, and/or I can apply EMDR/somatic-based approaches for trauma/anxiety and even substance using/behavioral urges.
I will work with you to illuminate the meaning of your experience and help you practice greater self-acceptance. Therapy goals/counseling/education will be tailored to your unique needs. I may show you how to change your behavior by using Mindfulness/changing your thoughts, recovery/harm reduction tools to address substance use, guidance/education/resources for exploring sexual orientation/gender identity/transitioning/coming out, provide couples/individual work for better communication in relationships, and/or I can apply EMDR/somatic-based approaches for trauma/anxiety and even substance using/behavioral urges.
(202) 759-8060 View (202) 759-8060
Photo of Dr. Karin Arndt, Psychologist in Washington, DC
Dr. Karin Arndt
Psychologist, PhD
Verified Verified
Washington, DC 20008
I specialize in working with women in young adulthood and midlife who struggle with anxiety, depression, low self-esteem, identity-related questions, adjustment difficulties, "family history stuff," existential malaise, the perimenopausal and menopausal transitions, spiritual concerns, and issues related to gender and sexuality. My goal is to help you experience greater self-awareness, freedom, and comfort in your skin. My style is warm and compassionate, while also being direct and (oftentimes) challenging. I bring humor to the therapeutic process and love what I do for a living.
I specialize in working with women in young adulthood and midlife who struggle with anxiety, depression, low self-esteem, identity-related questions, adjustment difficulties, "family history stuff," existential malaise, the perimenopausal and menopausal transitions, spiritual concerns, and issues related to gender and sexuality. My goal is to help you experience greater self-awareness, freedom, and comfort in your skin. My style is warm and compassionate, while also being direct and (oftentimes) challenging. I bring humor to the therapeutic process and love what I do for a living.
(202) 998-6817 View (202) 998-6817
Photo of Angelica Phillips, Counselor in Washington, DC
Angelica Phillips
Counselor
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Hello! My name is Angelica and I am a therapist with Arelis Perez Psychotherapy Services. My goal is to equip you with the necessary tools and strategies to lead a healthier and more fulfilling lifestyle. Whether you are facing challenges related to relationships, mental health, self-esteem, or personal growth, I am here to guide you through the therapeutic process. I strive to create a safe and welcoming environment where you can freely express your thoughts, feelings, and concerns without fear of judgment. I believe in the power of empathy and aim to understand your unique experiences and perspectives.
Hello! My name is Angelica and I am a therapist with Arelis Perez Psychotherapy Services. My goal is to equip you with the necessary tools and strategies to lead a healthier and more fulfilling lifestyle. Whether you are facing challenges related to relationships, mental health, self-esteem, or personal growth, I am here to guide you through the therapeutic process. I strive to create a safe and welcoming environment where you can freely express your thoughts, feelings, and concerns without fear of judgment. I believe in the power of empathy and aim to understand your unique experiences and perspectives.
(202) 953-6840 View (202) 953-6840
Photo of Netelege Richards, Clinical Social Work/Therapist in Washington, DC
Netelege Richards
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Washington, DC 20004  (Online Only)
As a Clinical Social Worker, i have experience in working with individuals who struggle with depression (Suicidal Ideation and Self Harm Urges), Anxiety, Anger, Adverse childhood events, parenting of adolescents, parenting of youth with mental health diagnosis, trauma related disorders, life transitions, school stressors, work stressors, race related issues and LGBTQIA+ related issues.
As a Clinical Social Worker, i have experience in working with individuals who struggle with depression (Suicidal Ideation and Self Harm Urges), Anxiety, Anger, Adverse childhood events, parenting of adolescents, parenting of youth with mental health diagnosis, trauma related disorders, life transitions, school stressors, work stressors, race related issues and LGBTQIA+ related issues.
(202) 980-1358 View (202) 980-1358
Photo of Achieving Joy, Clinical Social Work/Therapist in Washington, DC
Achieving Joy
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20017
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
(301) 691-3874 View (301) 691-3874
Photo of Drew Joseph - Couples Therapy, Marriage & Family Therapist in Washington, DC
Drew Joseph - Couples Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
13 Endorsed
Washington, DC 20036  (Online Only)
I provide a confidential setting where straight & gay couples can address matters of the heart. I help you figure out what's wrong and consider what to do about it. The length of therapy varies from one-time consultations to long-term treatment, depending on your problem, interest, and resources. I work well with couples who fear they may not be able to go on together. I also enjoy working with recovering alcoholics and addicts, supporting their integration of therapy with the wisdom and fellowship of the Twelve Steps.
I provide a confidential setting where straight & gay couples can address matters of the heart. I help you figure out what's wrong and consider what to do about it. The length of therapy varies from one-time consultations to long-term treatment, depending on your problem, interest, and resources. I work well with couples who fear they may not be able to go on together. I also enjoy working with recovering alcoholics and addicts, supporting their integration of therapy with the wisdom and fellowship of the Twelve Steps.
(202) 559-4837 View (202) 559-4837
Photo of Leyla M. Kenny, Clinical Social Work/Therapist in Washington, DC
Leyla M. Kenny
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Washington, DC 20036
With over 20 years of experience, I provide psychotherapy for adults dealing with anxiety, depression, self-esteem issues, grief, and interpersonal issues. I am on faculty at The Catholic University of America and the Washington School of Psychiatry where I continuously both learn and teach the latest findings in effective therapy.
With over 20 years of experience, I provide psychotherapy for adults dealing with anxiety, depression, self-esteem issues, grief, and interpersonal issues. I am on faculty at The Catholic University of America and the Washington School of Psychiatry where I continuously both learn and teach the latest findings in effective therapy.
(202) 559-4261 View (202) 559-4261
Photo of Celebration Of Life Healing Practice- Valerie A Noblin, Licensed Professional Counselor in Washington, DC
Celebration Of Life Healing Practice- Valerie A Noblin
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20017  (Online Only)
One thing that I feel most accomplished about is being able to effectively “hold a space” for my clients who are in the midst of personal transitions that are affecting their mood and behavior. Often times, individuals are seeking security, acceptance and validation to delve into their innermost thoughts and feelings in an attempt to understand the "how and why" of particular circumstances. Our emotional wounds have a story to tell, lessons to convey. Therapy provides an opportunity to "hear, feel and see" our experiences in a way that guides us to discover meaning, purpose and ways to integrate the insights gained.
One thing that I feel most accomplished about is being able to effectively “hold a space” for my clients who are in the midst of personal transitions that are affecting their mood and behavior. Often times, individuals are seeking security, acceptance and validation to delve into their innermost thoughts and feelings in an attempt to understand the "how and why" of particular circumstances. Our emotional wounds have a story to tell, lessons to convey. Therapy provides an opportunity to "hear, feel and see" our experiences in a way that guides us to discover meaning, purpose and ways to integrate the insights gained.
(855) 862-2392 View (855) 862-2392
Photo of C'aira Neal, Counselor in Washington, DC
C'aira Neal
Counselor, MA, LGPC, NCC
Verified Verified
Washington, DC 20006
I believe Therapy is a lifelong commitment to healing as you are ever growing, changing, and evolving. While being a part of your journey, I am committed to a few specific areas and would like to: Help you understand that growth can be an uncomfortable process but I am here to assist you better navigate growing pains and to look for opportunities to learn from those discomforts. Invite you to learn who you were and how you can get back to that person before your environmental and life experiences shaped and shifted your self-concept and -esteem into an unhealthy self-view.
I believe Therapy is a lifelong commitment to healing as you are ever growing, changing, and evolving. While being a part of your journey, I am committed to a few specific areas and would like to: Help you understand that growth can be an uncomfortable process but I am here to assist you better navigate growing pains and to look for opportunities to learn from those discomforts. Invite you to learn who you were and how you can get back to that person before your environmental and life experiences shaped and shifted your self-concept and -esteem into an unhealthy self-view.
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Photo of Laura Cuevas Gaitan in Washington, DC
Laura Cuevas Gaitan
Psyc, Life, Coach, MA
Verified Verified
Washington, DC 20037
We can work together to achieve your goals! Find your career path, develop your skills. Find yourself! Make a difference in your thoughts and behaviours. Get better relationships at home and work.
We can work together to achieve your goals! Find your career path, develop your skills. Find yourself! Make a difference in your thoughts and behaviours. Get better relationships at home and work.
(202) 609-8364 View (202) 609-8364
Photo of Trevor Dunn, Psychologist in Washington, DC
Trevor Dunn
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20003
Dr. Dunn specializes in the treatment of eating disorders, body image concerns, anxiety, OCD, depression, LGBTQ+ concerns, life transitions, relationship/interpersonal concerns, gender affirming treatment evaluations, grief/loss, identity concerns, and multicultural psychology (e.g., gender, sexuality, race/ethnicity). Trained as a counseling psychologist, he provides evidence-based, culturally centered therapy to adults in Washington DC, Virginia, and other PSYPACT states. Using warmth and empathy, he helps clients examine and reflect on their lives, and move in the direction of their goals and values.
Dr. Dunn specializes in the treatment of eating disorders, body image concerns, anxiety, OCD, depression, LGBTQ+ concerns, life transitions, relationship/interpersonal concerns, gender affirming treatment evaluations, grief/loss, identity concerns, and multicultural psychology (e.g., gender, sexuality, race/ethnicity). Trained as a counseling psychologist, he provides evidence-based, culturally centered therapy to adults in Washington DC, Virginia, and other PSYPACT states. Using warmth and empathy, he helps clients examine and reflect on their lives, and move in the direction of their goals and values.
(703) 884-1802 View (703) 884-1802
Photo of Marcela Kepic, Licensed Professional Counselor in Washington, DC
Marcela Kepic
Licensed Professional Counselor, PhD, LPC, NCC , ACS
Verified Verified
Washington, DC 20036
Thank you for embarking on this courageous journey towards self-improvement. Life's path is often strewn with challenges, yet each hurdle presents an opportunity for growth and resilience. I firmly believe in the inherent capacity of every individual to learn, evolve, and heal, irrespective of the adversities they face. Together, let's awaken the dormant potential within.
Thank you for embarking on this courageous journey towards self-improvement. Life's path is often strewn with challenges, yet each hurdle presents an opportunity for growth and resilience. I firmly believe in the inherent capacity of every individual to learn, evolve, and heal, irrespective of the adversities they face. Together, let's awaken the dormant potential within.
(202) 902-8596 View (202) 902-8596
Photo of Samira Pizarro, Clinical Social Work/Therapist in Washington, DC
Samira Pizarro
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20001  (Online Only)
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. With Samira, you will explore what your values are and find ways to use those values to stay committed to your goals.
Samira Pizaro is a licensed clinical social worker dedicated to motivating change, creating healthier habits, and building a safe space for clients. You can trust Samira will be purpose-driven and practical around your care needs and treatment planning. Her approach toward accessible, well-rounded mental health care includes challenging negative thinking with insightful questioning and value-oriented goal setting so you can maintain the healthiest version of yourself. With Samira, you will explore what your values are and find ways to use those values to stay committed to your goals.
(202) 980-4192 View (202) 980-4192
Photo of Kayena Pierre-Louis, Clinical Social Work/Therapist in Washington, DC
Kayena Pierre-Louis
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20019  (Online Only)
Feeling like life's a maze of stress and sadness? What if I told you there's a cozy corner where understanding heals and your inner light shines bright? Welcome to Compassionate Counseling, where I blend warmth and expertise to guide you. Whether you're a career-driven go-getter or a burnt-out mom, let's rediscover your joy together. Your journey to emotional well-being starts here! I'm not your average therapist—I'm your partner in this journey, ready to listen and support you every step of the way.
Feeling like life's a maze of stress and sadness? What if I told you there's a cozy corner where understanding heals and your inner light shines bright? Welcome to Compassionate Counseling, where I blend warmth and expertise to guide you. Whether you're a career-driven go-getter or a burnt-out mom, let's rediscover your joy together. Your journey to emotional well-being starts here! I'm not your average therapist—I'm your partner in this journey, ready to listen and support you every step of the way.
(888) 903-6247 View (888) 903-6247

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
54% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.