Therapists in Columbia, MD

Photo of Kelly Drake, Psychologist in Columbia, MD
Kelly Drake
Psychologist, PhD
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
Waitlist for new clients
I am a licensed psychologist, co-founder and director of the Anxiety Treatment Center of Maryland, and part-time Assistant Professor of Child and Adolescent Psychiatry at The Johns Hopkins University (JHU) School of Medicine. I specialize in treating and preventing all forms of anxiety, depression, and related problems in children, adolescents, and adults using cognitive-behavioral therapy (CBT).
I am a licensed psychologist, co-founder and director of the Anxiety Treatment Center of Maryland, and part-time Assistant Professor of Child and Adolescent Psychiatry at The Johns Hopkins University (JHU) School of Medicine. I specialize in treating and preventing all forms of anxiety, depression, and related problems in children, adolescents, and adults using cognitive-behavioral therapy (CBT).
(410) 660-2602 View (410) 660-2602
Photo of Barbara Polonsky, Clinical Social Work/Therapist in Columbia, MD
Barbara Polonsky
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21045
With so many therapists to choose from, you're probably visiting my profile because you're struggling with symptoms of depression or anxiety- the result of difficult life transitions such as divorce, loss, birth of a child, job stress, or relationship conflicts. Depression and anxiety can impair your ability to function at work and at home-compromising your interpersonal relationships as well. As a therapist practicing for over 30 years, I have concentrated my efforts on guiding individuals in discovering their personal strengths, reaching their maximum potential, achieving success, a sense of purpose and a sense of wellbeing.
With so many therapists to choose from, you're probably visiting my profile because you're struggling with symptoms of depression or anxiety- the result of difficult life transitions such as divorce, loss, birth of a child, job stress, or relationship conflicts. Depression and anxiety can impair your ability to function at work and at home-compromising your interpersonal relationships as well. As a therapist practicing for over 30 years, I have concentrated my efforts on guiding individuals in discovering their personal strengths, reaching their maximum potential, achieving success, a sense of purpose and a sense of wellbeing.
(410) 775-5232 View (410) 775-5232
Photo of Mental Health Matters, LLC., Counselor in Columbia, MD
Mental Health Matters, LLC.
Counselor, LCPC, CPT, MS
Verified Verified
Columbia, MD 21045
Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy. You deserve a safe space.
Are you struggling? Do you need support? I’ll work to meet you where you are, no matter what stage of life you’re experiencing. I have experience working with children/adolescents/teens, and I also worked with adults experiencing trauma and a variety of other mental health challenges such as relationship problems, anxiety, and depression. Whatever challenge you’re troubled with, I will work with you by creating a SAFE SPACE. I collaborate with you, assisting you towards your goals. My approach is to listen and understand, and I will work to support you unconditionally, without judgement, and with empathy. You deserve a safe space.
(240) 306-7586 View (240) 306-7586
Photo of Jennifer M Jenkins At Live Free Therapy, Counselor in Columbia, MD
Jennifer M Jenkins At Live Free Therapy
Counselor, LCPC, LPC, CAC-AD, CCTP, C-DBT
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
I provide virtually services in MD and VA. I believe we all have a purpose! Sometimes it is hard for us to fulfill our purpose because of how we interpret what we go through in life. Life can be difficult, especially when you are navigating through life events that have become overwhelming. With a wealth of experience, diverse modalities, and a passion for helping clients discover their strengths, I believe in establishing rapport with clients by providing empathetic, culturally sensitive counseling as they confront the issues they’re dealing with.
I provide virtually services in MD and VA. I believe we all have a purpose! Sometimes it is hard for us to fulfill our purpose because of how we interpret what we go through in life. Life can be difficult, especially when you are navigating through life events that have become overwhelming. With a wealth of experience, diverse modalities, and a passion for helping clients discover their strengths, I believe in establishing rapport with clients by providing empathetic, culturally sensitive counseling as they confront the issues they’re dealing with.
(240) 512-1508 View (240) 512-1508
Photo of Mackenzie Meskin, Counselor in Columbia, MD
Mackenzie Meskin
Counselor, LGPC
Verified Verified
Columbia, MD 21044  (Online Only)
I have immediate availability for new clients. I understand that the first step in reaching out can be so difficult, so if you have made it this far you should be so proud of yourself. I provide a safe, open, and non judgmental space for you as we work together towards your goals. I have a passion for helping others. I work with all ages, presenting with all areas of concern. Whether it be anxiety, depression, addiction, grief, trauma, etc., I am here to work with you on this journey. I look forward to speaking with you!
I have immediate availability for new clients. I understand that the first step in reaching out can be so difficult, so if you have made it this far you should be so proud of yourself. I provide a safe, open, and non judgmental space for you as we work together towards your goals. I have a passion for helping others. I work with all ages, presenting with all areas of concern. Whether it be anxiety, depression, addiction, grief, trauma, etc., I am here to work with you on this journey. I look forward to speaking with you!
(240) 820-2775 View (240) 820-2775
Photo of Robert M Ott, Psychologist in Columbia, MD
Robert M Ott
Psychologist, PhD
Verified Verified
Columbia, MD 21046
I have over 36 years of experience working with individuals, couples and families facing a wide range of issues. I like to tailor my approach to the methods that best match individual client needs. I am certified in EMDR and Hypnosis. I also use many humanistic, client centered approaches.
I have over 36 years of experience working with individuals, couples and families facing a wide range of issues. I like to tailor my approach to the methods that best match individual client needs. I am certified in EMDR and Hypnosis. I also use many humanistic, client centered approaches.
(443) 619-7439 View (443) 619-7439
Photo of Arlene Paulson, Clinical Social Work/Therapist in Columbia, MD
Arlene Paulson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
Hi! I’m Arlene Paulson, a Licensed Clinical Social Worker (LCSW-C) and I work with individuals struggling with depression, anxiety, loneliness, relationship difficulties and parenting challenges. I work collaboratively with you to address the life challenges you are facing. With a focus on TEAM-CBT techniques, mindfulness, and creating new habits, we will find what works for you. As an immigrant, the process of figuring out my values and finding my identity was especially challenging early on. I’m here to use my experience, education, tools and perspective to support you in your journey towards emotional well-being.
Hi! I’m Arlene Paulson, a Licensed Clinical Social Worker (LCSW-C) and I work with individuals struggling with depression, anxiety, loneliness, relationship difficulties and parenting challenges. I work collaboratively with you to address the life challenges you are facing. With a focus on TEAM-CBT techniques, mindfulness, and creating new habits, we will find what works for you. As an immigrant, the process of figuring out my values and finding my identity was especially challenging early on. I’m here to use my experience, education, tools and perspective to support you in your journey towards emotional well-being.
(443) 594-7687 View (443) 594-7687
Photo of Carol Jones-Pinckney, Counselor in Columbia, MD
Carol Jones-Pinckney
Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Carol Jones-Pinckney is a Licensed Clinical Professional Counselor and Board Approved Supervisor in the state of Maryland. She has over 20 years of experience in the human services field working with various nonprofits and for the last 8 years has provided therapy for children, adolescents, adults, families, and couples. Carol applies a nonjudgmental, caring, strength-based, and integrative approach to therapy. She maintains that collaboration, trust, and building a partnership are key ingredients to navigate through life’s struggles presented in therapy.
Carol Jones-Pinckney is a Licensed Clinical Professional Counselor and Board Approved Supervisor in the state of Maryland. She has over 20 years of experience in the human services field working with various nonprofits and for the last 8 years has provided therapy for children, adolescents, adults, families, and couples. Carol applies a nonjudgmental, caring, strength-based, and integrative approach to therapy. She maintains that collaboration, trust, and building a partnership are key ingredients to navigate through life’s struggles presented in therapy.
(240) 847-0586 View (240) 847-0586
Photo of Dennis J Blair, Clinical Social Work/Therapist in Columbia, MD
Dennis J Blair
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
(443) 957-4063 View (443) 957-4063
Photo of Dr. Carmen Rickman, Clinical Social Work/Therapist in Columbia, MD
Dr. Carmen Rickman
Clinical Social Work/Therapist, DSW, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
Not accepting new clients
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
(410) 632-6896 View (410) 632-6896
Photo of Jennifer Molinari, Licensed Clinical Professional Counselor in Columbia, MD
Jennifer Molinari
Licensed Clinical Professional Counselor, MS, LCPC, NCC, CHT
Verified Verified
4 Endorsed
Columbia, MD 21044  (Online Only)
Do you compare yourself to others? Do others seem to "have it all together"? Perhaps to the outside world it seems like your living your best life. The truth is that under that seemingly perfect exterior, everything feels painfully hard. Life isn't what you envisioned. You are struggling. Maybe you're experiencing anxiety, sadness, or grief. Life doesn't have to be this way. How would it feel to know that you ARE good enough? What if you were able to quiet that inner critic and be more loving and accepting of yourself? How would it feel to feel safe and secure and to connect with your intuition and heart? All of this is possible.
Do you compare yourself to others? Do others seem to "have it all together"? Perhaps to the outside world it seems like your living your best life. The truth is that under that seemingly perfect exterior, everything feels painfully hard. Life isn't what you envisioned. You are struggling. Maybe you're experiencing anxiety, sadness, or grief. Life doesn't have to be this way. How would it feel to know that you ARE good enough? What if you were able to quiet that inner critic and be more loving and accepting of yourself? How would it feel to feel safe and secure and to connect with your intuition and heart? All of this is possible.
(410) 709-3974 View (410) 709-3974
Photo of Adult & Adolescent Counseling Services, LLC, Licensed Clinical Professional Counselor in Columbia, MD
Adult & Adolescent Counseling Services, LLC
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Columbia, MD 21046
Adult & Adolescent Counseling Services, LLC is an evidence-based mental health counseling practice dedicated to bringing quality services to Individuals & families in Howard County. I specialize in working with pre-teens, adolescents, and adults struggling with anxiety disorders, mood disorders, ADHD, executive functioning, and other social/emotional, and behavioral issues. At the core of my practice is the belief that a strong client/therapist connection is one of the most important factors in achieving a positive outcome in therapy. My goal is to provide clients with caring, compassionate, and effective counseling services.
Adult & Adolescent Counseling Services, LLC is an evidence-based mental health counseling practice dedicated to bringing quality services to Individuals & families in Howard County. I specialize in working with pre-teens, adolescents, and adults struggling with anxiety disorders, mood disorders, ADHD, executive functioning, and other social/emotional, and behavioral issues. At the core of my practice is the belief that a strong client/therapist connection is one of the most important factors in achieving a positive outcome in therapy. My goal is to provide clients with caring, compassionate, and effective counseling services.
(443) 400-7948 View (443) 400-7948
Photo of Professional Life Coaching by Dr. Joy in Columbia, MD
Professional Life Coaching by Dr. Joy
MEd, EdD
Verified Verified
Columbia, MD 21044
When I was young, no one ever told me how to "do" life. So, though I was blessed to have had mentors who provided a level of support and guidance, most of what I learned in life was by trial and error, often resulting in the making of unnecessary mistakes along the way. Though as it's said, "experience is the best teacher", it's not always the least painful or most efficient way to learn and advance in life! Thankfully, help is available.
When I was young, no one ever told me how to "do" life. So, though I was blessed to have had mentors who provided a level of support and guidance, most of what I learned in life was by trial and error, often resulting in the making of unnecessary mistakes along the way. Though as it's said, "experience is the best teacher", it's not always the least painful or most efficient way to learn and advance in life! Thankfully, help is available.
(410) 973-6840 View (410) 973-6840
Photo of Y Mimi Sneed, Clinical Social Work/Therapist in Columbia, MD
Y Mimi Sneed
Clinical Social Work/Therapist, LCSW-C, LICSW, CCTP
Verified Verified
1 Endorsed
Columbia, MD 21045
Not accepting new clients
I enjoy working with children and their families. I believe that children that experience poor impulse control and inattention (ADHD), anxiety, depression, grief and trauma do not necessarily have the skills to express their feelings in ways that adults can relate and therefore are sometimes misunderstood. I work with these children and their families to best identify ways to communicate those feelings in a safe, healthy environment through the use of play therapy and expressive therapies.
I enjoy working with children and their families. I believe that children that experience poor impulse control and inattention (ADHD), anxiety, depression, grief and trauma do not necessarily have the skills to express their feelings in ways that adults can relate and therefore are sometimes misunderstood. I work with these children and their families to best identify ways to communicate those feelings in a safe, healthy environment through the use of play therapy and expressive therapies.
(240) 452-4813 View (240) 452-4813
Photo of Anna Altieri, Counselor in Columbia, MD
Anna Altieri
Counselor, LCPC
Verified Verified
Columbia, MD 21044
I am a Licensed Clinical Professional Counselor in the state of Maryland and have recently become a credentialed Board Approved Supervisor. For the last several years, I have been advocating for and with people struggling with mental health concerns. As a strength-based, person-centered clinician, meeting an individual’s needs in crisis, mental illness, substance abuse, trauma, and other similar stressors, I am well prepared to work side-by-side with my clients and help guide them through the often confusing processes leading toward success.
I am a Licensed Clinical Professional Counselor in the state of Maryland and have recently become a credentialed Board Approved Supervisor. For the last several years, I have been advocating for and with people struggling with mental health concerns. As a strength-based, person-centered clinician, meeting an individual’s needs in crisis, mental illness, substance abuse, trauma, and other similar stressors, I am well prepared to work side-by-side with my clients and help guide them through the often confusing processes leading toward success.
(240) 512-1632 View (240) 512-1632
Photo of Reginald Nettles, Psychologist in Columbia, MD
Reginald Nettles
Psychologist, PhD, CGP
Verified Verified
Columbia, MD 21045
People who are seeking to change dysfunctional patterns in their emotional lives and interpersonal relationships or are undergoing major life transitions and loss, may benefit from my approaches to psychotherapy. Working from interpersonal, psychodynamic and emotion focused frameworks, I emphasize the importance of relationships - developmentally and throughout the life span. I have many years of experience assisting people with emotional, interpersonal, achievement-related and existential dilemmas. Adults of diverse racial, ethnic, and spiritual backgrounds, gender orientations, physical abilities, and health statuses are seen in my practice.
People who are seeking to change dysfunctional patterns in their emotional lives and interpersonal relationships or are undergoing major life transitions and loss, may benefit from my approaches to psychotherapy. Working from interpersonal, psychodynamic and emotion focused frameworks, I emphasize the importance of relationships - developmentally and throughout the life span. I have many years of experience assisting people with emotional, interpersonal, achievement-related and existential dilemmas. Adults of diverse racial, ethnic, and spiritual backgrounds, gender orientations, physical abilities, and health statuses are seen in my practice.
(410) 205-1092 View (410) 205-1092
Photo of Dr. Matthew Mason, Psychologist in Columbia, MD
Dr. Matthew Mason
Psychologist, PhD, BCBA-D, LBA
Verified Verified
1 Endorsed
Columbia, MD 21044
I specializing in neurodevelopmental disorders, and have conducted over 1,000 assessments. I identify each person's strengths and support needs, and focus on helping each person be the most independent and healthy version of themselves.
I specializing in neurodevelopmental disorders, and have conducted over 1,000 assessments. I identify each person's strengths and support needs, and focus on helping each person be the most independent and healthy version of themselves.
(240) 384-5277 View (240) 384-5277
Photo of Elizabeth Jillian Bishop, Clinical Social Work/Therapist in Columbia, MD
Elizabeth Jillian Bishop
Clinical Social Work/Therapist, LMSW, MA
Verified Verified
Columbia, MD 21044  (Online Only)
I believe in an eclectic and individualized approach to helping folks achieve their unique goals and objectives, and to cultivate an optimal quality of life. I've worked with people who have experienced breast cancer, those recovering from complex post-traumatic stress disorder, individuals who’ve experienced intimate partner violence, people struggling with or recovering from alcohol use disorder, as well as those managing day-to-day anxieties and periods of depression. As a member of the LGBTQ+ community, I've helped my peers and allies explore identities, navigate relationships, etc.
I believe in an eclectic and individualized approach to helping folks achieve their unique goals and objectives, and to cultivate an optimal quality of life. I've worked with people who have experienced breast cancer, those recovering from complex post-traumatic stress disorder, individuals who’ve experienced intimate partner violence, people struggling with or recovering from alcohol use disorder, as well as those managing day-to-day anxieties and periods of depression. As a member of the LGBTQ+ community, I've helped my peers and allies explore identities, navigate relationships, etc.
(240) 693-5955 View (240) 693-5955
Photo of Shelia Lipscomb, Licensed Clinical Professional Counselor in Columbia, MD
Shelia Lipscomb
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Shelia Lipscomb is a Licensed Graduate Professional Counselor (LGPC) who has more than 2 years of experience working with teens, adults, and seniors who are suffering the effects of anxiety, anger, depression, ADHD, chronic stress, relationship issues, family conflict, academic issues, behavioral disorders, and more.
Shelia Lipscomb is a Licensed Graduate Professional Counselor (LGPC) who has more than 2 years of experience working with teens, adults, and seniors who are suffering the effects of anxiety, anger, depression, ADHD, chronic stress, relationship issues, family conflict, academic issues, behavioral disorders, and more.
(240) 201-2790 View (240) 201-2790
Photo of Zev Sheppard, Clinical Social Work/Therapist in Columbia, MD
Zev Sheppard
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21044  (Online Only)
My goal throughout our time together is to first create a space where the client feels comfortable and empowered to explore his/her emotions. In doing so, I help individuals identify the things that are most affecting their mental health and work collaboratively with clients to develop healthy habits that will positively affect one’s life. Sessions will include talk-therapy, reflection, and the development of healthy coping skills using a client-centered model. I hope to make each client feel as though their mental health is a priority and that they are worthy of clarity and happiness.
My goal throughout our time together is to first create a space where the client feels comfortable and empowered to explore his/her emotions. In doing so, I help individuals identify the things that are most affecting their mental health and work collaboratively with clients to develop healthy habits that will positively affect one’s life. Sessions will include talk-therapy, reflection, and the development of healthy coping skills using a client-centered model. I hope to make each client feel as though their mental health is a priority and that they are worthy of clarity and happiness.
(240) 549-6456 View (240) 549-6456

How does your Therapist compare?

Number of Therapists in Columbia, MD

800+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
88% Depression
76% Self Esteem
75% Relationship Issues
70% Coping Skills
68% Stress
62% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
77% CareFirst
72% Cigna and Evernorth

How Therapists in Columbia, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.