Therapists in Rensselaer County, NY

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Photo of Alisa Sawyer, Counselor in Rensselaer County, NY
Alisa Sawyer
Counselor, LMHC
Verified Verified
Troy, NY 12180  (Online Only)
Are you finding this time in your life is bringing more overwhelm, anxiety, sadness anger or pain than it is joy? Does life feel very different than you imagined it would right now? Especially when our experience feels very different than what we had expected, it can bring up confusion, self doubt, & worst of all that deep down voice-criticizing, putting us down and have us wondering is it just me? Big life changes things like, starting college, getting married, pregnancy or new motherhood & more, have a way of bringing up some of these deeper held struggles and fears to surface.
Are you finding this time in your life is bringing more overwhelm, anxiety, sadness anger or pain than it is joy? Does life feel very different than you imagined it would right now? Especially when our experience feels very different than what we had expected, it can bring up confusion, self doubt, & worst of all that deep down voice-criticizing, putting us down and have us wondering is it just me? Big life changes things like, starting college, getting married, pregnancy or new motherhood & more, have a way of bringing up some of these deeper held struggles and fears to surface.
(518) 767-7541 View (518) 767-7541
Photo of Karin J Gardner, Clinical Social Work/Therapist in Rensselaer County, NY
Karin J Gardner
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Troy, NY 12180  (Online Only)
I opened Kaleidoscope Psychotherapy, LCSW, PLLC to empower my clients to better understand themselves as they navigate in their personal environment so they may make positive changes and create a meaningful, joyful life. Similar to a kaleidoscope which has many colorful shapes that make the entire image, you also hold many attributes that make you who you are. In our sessions, I will help you to illuminate these attributes within yourself, and reveal behavioral patterns, so we may focus on self-discovery, self-awareness, and positive behavioral changes that attend to your personal strengths and goals.
I opened Kaleidoscope Psychotherapy, LCSW, PLLC to empower my clients to better understand themselves as they navigate in their personal environment so they may make positive changes and create a meaningful, joyful life. Similar to a kaleidoscope which has many colorful shapes that make the entire image, you also hold many attributes that make you who you are. In our sessions, I will help you to illuminate these attributes within yourself, and reveal behavioral patterns, so we may focus on self-discovery, self-awareness, and positive behavioral changes that attend to your personal strengths and goals.
(518) 840-0816 View (518) 840-0816
Photo of Julia Lajeunesse, Counselor in Rensselaer County, NY
Julia Lajeunesse
Counselor, LMHC
Verified Verified
1 Endorsed
Troy, NY 12180  (Online Only)
Waitlist for new clients
Whether you have been to therapy before or are making the leap to explore yourself for the first time, starting therapy can be intimidating. Maybe you feel that despite your best attempts at putting the puzzle pieces of your life/situation together, you still can't seem to find peace. Maybe you don't know where to even start. We can't evade having emotional experiences, so learning to not only cope, but embrace our emotions is an invaluable skill. If you are struggling with the present, ruminating on the past, or worrying about the future- there is a path forward that is worth exploring.
Whether you have been to therapy before or are making the leap to explore yourself for the first time, starting therapy can be intimidating. Maybe you feel that despite your best attempts at putting the puzzle pieces of your life/situation together, you still can't seem to find peace. Maybe you don't know where to even start. We can't evade having emotional experiences, so learning to not only cope, but embrace our emotions is an invaluable skill. If you are struggling with the present, ruminating on the past, or worrying about the future- there is a path forward that is worth exploring.
(518) 500-3115 View (518) 500-3115
Photo of Julianne Patterson, Clinical Social Work/Therapist in Rensselaer County, NY
Julianne Patterson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Troy, NY 12180  (Online Only)
Are you experiencing frequent conflicts and arguments about the same things, but nothing ever seems to get resolved? Do you feel the harder you try to make things better, the worse it seems to get? When people feel they are underappreciated, misunderstood, or blamed for things that don't feel are their fault, people stop listening and can become stuck pointing fingers and assigning blame. No one is changing behaviors or focused on solutions. All you know is you feel stuck, scared and realize that your family relationships are in trouble and need help.
Are you experiencing frequent conflicts and arguments about the same things, but nothing ever seems to get resolved? Do you feel the harder you try to make things better, the worse it seems to get? When people feel they are underappreciated, misunderstood, or blamed for things that don't feel are their fault, people stop listening and can become stuck pointing fingers and assigning blame. No one is changing behaviors or focused on solutions. All you know is you feel stuck, scared and realize that your family relationships are in trouble and need help.
(518) 849-8559 View (518) 849-8559
Photo of Jenn A Hamilton, Clinical Social Work/Therapist in Rensselaer County, NY
Jenn A Hamilton
Clinical Social Work/Therapist, LCSW, CHT
Verified Verified
1 Endorsed
Wynantskill, NY 12198
Being with the people closest to us is often the most challenging part of our life. You might understand why things are like this, but how do you deal with it? The same conflicts repeat over and over. Despite your best efforts to avoid this, you watch yourself falling back to yelling, arguing, or walking away defeated. Maybe it's not ALWAYS this way but there's definitely potential for improvement. Getting along better would ease a lot of that stress, worry, and pain. Things would certainly improve for others affected by this negativity too. Knowing how to love yourself and others would make life much easier and enjoyable.
Being with the people closest to us is often the most challenging part of our life. You might understand why things are like this, but how do you deal with it? The same conflicts repeat over and over. Despite your best efforts to avoid this, you watch yourself falling back to yelling, arguing, or walking away defeated. Maybe it's not ALWAYS this way but there's definitely potential for improvement. Getting along better would ease a lot of that stress, worry, and pain. Things would certainly improve for others affected by this negativity too. Knowing how to love yourself and others would make life much easier and enjoyable.
(518) 282-0586 View (518) 282-0586
Photo of Cassie Munoz, Clinical Social Work/Therapist in Rensselaer County, NY
Cassie Munoz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Hoosick Falls, NY 12090
Waitlist for new clients
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
(518) 255-8913 View (518) 255-8913
Photo of Griffin Church, Licensed Master Social Worker in Rensselaer County, NY
Griffin Church
Licensed Master Social Worker, LMSW
Verified Verified
Troy, NY 12180
Hi, I'm Griffin! I specialize in gender and sexuality, including gender transition, kink, and nonmonogamy. I work with adults, couples, and teens ages 14+. I take a non-pathologizing, interdisciplinary approach, blending tools and insights from behavioral economics, creative writing, and positive psychology. I meet my clients with gentle humor, professionalism, and curiosity.
Hi, I'm Griffin! I specialize in gender and sexuality, including gender transition, kink, and nonmonogamy. I work with adults, couples, and teens ages 14+. I take a non-pathologizing, interdisciplinary approach, blending tools and insights from behavioral economics, creative writing, and positive psychology. I meet my clients with gentle humor, professionalism, and curiosity.
(518) 263-0835 View (518) 263-0835
Photo of Roland Edward Hoffmann, Clinical Social Work/Therapist in Rensselaer County, NY
Roland Edward Hoffmann
Clinical Social Work/Therapist, LCSW
Verified Verified
Troy, NY 12180  (Online Only)
Looking for a therapist? While considered a contractual agreement, there is significant research linking the success of treatment to the therapeutic relationship. I have a natural proclivity for creating enthusiasm and positivity in others and an ability to stimulate others’ strengths for their own personal excellence. Come have a FREE 15 minute conversation to see if we would be a good match.
Looking for a therapist? While considered a contractual agreement, there is significant research linking the success of treatment to the therapeutic relationship. I have a natural proclivity for creating enthusiasm and positivity in others and an ability to stimulate others’ strengths for their own personal excellence. Come have a FREE 15 minute conversation to see if we would be a good match.
(631) 405-4184 View (631) 405-4184
Photo of Jenny Love, Pre-Licensed Professional in Rensselaer County, NY
Jenny Love
Pre-Licensed Professional, MHC-LP
Verified Verified
Rensselaer, NY 12144
I am now accepting clients for EMDR! Please contact me for information. Are you an individual struggling with anxiety, depression, self-esteem or unresolved trauma? Are you a couple who has drifted apart over time, or are you facing separation? Are you a family that struggles to communicate effectively, and you are looking to rebuild your relationships? If so, I can help! I am a limited permit holder in Mental Health Counseling providing counseling to couples, families and individuals from pre-teen to adult by utilizing an integrative approach that is tailored to your needs.
I am now accepting clients for EMDR! Please contact me for information. Are you an individual struggling with anxiety, depression, self-esteem or unresolved trauma? Are you a couple who has drifted apart over time, or are you facing separation? Are you a family that struggles to communicate effectively, and you are looking to rebuild your relationships? If so, I can help! I am a limited permit holder in Mental Health Counseling providing counseling to couples, families and individuals from pre-teen to adult by utilizing an integrative approach that is tailored to your needs.
(518) 333-9705 View (518) 333-9705
Photo of Taylor Bouton, Licensed Master Social Worker in Rensselaer County, NY
Taylor Bouton
Licensed Master Social Worker, LMSW
Verified Verified
Troy, NY 12180
Finding the right therapist for you can be daunting, but it is important to find a good fit. I am a trauma-informed, queer woman therapist that works with adults that have a desire to increase their overall wellness, manage their emotions, and become the best version of themselves. I specialize in assisting people who are LGBTQIA+, in a domestic violence situation, struggling with their body dysmorphia, eating disorders, and the struggles of aging.
Finding the right therapist for you can be daunting, but it is important to find a good fit. I am a trauma-informed, queer woman therapist that works with adults that have a desire to increase their overall wellness, manage their emotions, and become the best version of themselves. I specialize in assisting people who are LGBTQIA+, in a domestic violence situation, struggling with their body dysmorphia, eating disorders, and the struggles of aging.
(518) 351-2760 View (518) 351-2760
Photo of Joel Haynes, Counselor in Rensselaer County, NY
Joel Haynes
Counselor, MA, LMHC
Verified Verified
Troy, NY 12180  (Online Only)
As a licensed mental health counselor I specialize in multicultural counseling, individual therapy treating disorders such as substance abuse, personality disorders, anxiety, phobias, trauma and couples counseling. As we move into a new and different world I imagine it can be hard for some of us to develop new coping skills to manage living in this new world. I am here to help navigate and guide you and your loved ones through these difficult times. I also provide home visits for the elderly who just can't leave their home yet still need someone to talk. More details will be provided during the intake.
As a licensed mental health counselor I specialize in multicultural counseling, individual therapy treating disorders such as substance abuse, personality disorders, anxiety, phobias, trauma and couples counseling. As we move into a new and different world I imagine it can be hard for some of us to develop new coping skills to manage living in this new world. I am here to help navigate and guide you and your loved ones through these difficult times. I also provide home visits for the elderly who just can't leave their home yet still need someone to talk. More details will be provided during the intake.
(518) 720-6315 View (518) 720-6315
Photo of Amber Kline, Clinical Social Work/Therapist in Rensselaer County, NY
Amber Kline
Clinical Social Work/Therapist, LCSW
Verified Verified
Rensselaer, NY 12144
Do you feel overwhelmed by trying to do it all and balancing the responsibilities of work, family & friendships? Do you feel constant pressure to be the one that always holds everything together and if you don’t, everything around you will fall apart? Do you find that you spend so much of your time taking care of everyone and everything else that you don’t know who you are anymore? Do you struggle with maintaining healthy relationships and wonder, “when will I ever get it right?” If you answered yes to any of these questions, you are not alone!
Do you feel overwhelmed by trying to do it all and balancing the responsibilities of work, family & friendships? Do you feel constant pressure to be the one that always holds everything together and if you don’t, everything around you will fall apart? Do you find that you spend so much of your time taking care of everyone and everything else that you don’t know who you are anymore? Do you struggle with maintaining healthy relationships and wonder, “when will I ever get it right?” If you answered yes to any of these questions, you are not alone!
(518) 351-2943 View (518) 351-2943
Photo of EMHC (Experiential Mental Health Counseling), Counselor in Rensselaer County, NY
EMHC (Experiential Mental Health Counseling)
Counselor, LMHC
Not Verified Not Verified
Troy, NY 12180
Waitlist for new clients
We are a practice of mental health counselors who utilizes an integrated approach. We offer individual, couple, and family therapy to those who are looking to work on their emotional, behavioral, and mental health. We provide a safe and genuine space to help clients improve skills to manage symptoms of anxiety, depression, and trauma and work on interpersonal relationships.
We are a practice of mental health counselors who utilizes an integrated approach. We offer individual, couple, and family therapy to those who are looking to work on their emotional, behavioral, and mental health. We provide a safe and genuine space to help clients improve skills to manage symptoms of anxiety, depression, and trauma and work on interpersonal relationships.
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Photo of Teresa D'Arcangelis, Clinical Social Work/Therapist in Rensselaer County, NY
Teresa D'Arcangelis
Clinical Social Work/Therapist, LCSW
Verified Verified
Wynantskill, NY 12198
Whatever you are struggling with, it is my priority to help you cope, heal and develop skills to make you a healthier, stronger person. Life presents us with so many challenges- and opportunities for growth, all without a rulebook. New situations can be difficult. Old traumas and triggers are too. Maybe you think you've figured things out; then everything shifts. Parents and teens/tweens sometimes stop seeing things the same way. Adolescents struggle and can act out their pain in self-destructive ways and lash out at people they love. If life seems like a source of stress and pain, therapy may be an answer.
Whatever you are struggling with, it is my priority to help you cope, heal and develop skills to make you a healthier, stronger person. Life presents us with so many challenges- and opportunities for growth, all without a rulebook. New situations can be difficult. Old traumas and triggers are too. Maybe you think you've figured things out; then everything shifts. Parents and teens/tweens sometimes stop seeing things the same way. Adolescents struggle and can act out their pain in self-destructive ways and lash out at people they love. If life seems like a source of stress and pain, therapy may be an answer.
(518) 625-8719 View (518) 625-8719
Photo of Kristey Palmisano, Clinical Social Work/Therapist in Rensselaer County, NY
Kristey Palmisano
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
Troy, NY 12180
Ever felt like you get in your own way ? Do you feel energetically stuck in one place and feel like there is no way to move forward in life? We all have the strength to heal ourselves as long as we have a safe space to explore emotions, negative thought patterns, and unresolved trauma within the soul. It is human nature to connect with others, sometimes it takes an unbiased support system to discover your authentic self through mind, body, and spirit. Our work together will explore healing your inner world through creativity, compassion, and positive self exploration.
Ever felt like you get in your own way ? Do you feel energetically stuck in one place and feel like there is no way to move forward in life? We all have the strength to heal ourselves as long as we have a safe space to explore emotions, negative thought patterns, and unresolved trauma within the soul. It is human nature to connect with others, sometimes it takes an unbiased support system to discover your authentic self through mind, body, and spirit. Our work together will explore healing your inner world through creativity, compassion, and positive self exploration.
(518) 975-3234 View (518) 975-3234
Photo of Carla Winner, Counselor in Rensselaer County, NY
Carla Winner
Counselor, LMHC
Verified Verified
Troy, NY 12180  (Online Only)
There are times in our lives when we are faced with challenges and suffering that we can no longer just push through or face alone any longer. I strive to come along side my clients as they journey through this difficult time in their life by giving them empathy, practical tools, helpful strategies and encouraging them in their faith to a place of healing. My practice and my counseling approach are rooted in the Christian faith. It is also unique in that it’s solely video conferencing and telephone sessions. This gives my clients less time traveling to one more appointment and more time in the comfort of their own home.
There are times in our lives when we are faced with challenges and suffering that we can no longer just push through or face alone any longer. I strive to come along side my clients as they journey through this difficult time in their life by giving them empathy, practical tools, helpful strategies and encouraging them in their faith to a place of healing. My practice and my counseling approach are rooted in the Christian faith. It is also unique in that it’s solely video conferencing and telephone sessions. This gives my clients less time traveling to one more appointment and more time in the comfort of their own home.
(518) 520-1843 View (518) 520-1843
Photo of Sarah Vulgamore, Counselor in Rensselaer County, NY
Sarah Vulgamore
Counselor, MA, MS, NCC
Verified Verified
Troy, NY 12180
I deeply respect your wanting to address something in your life that keeps you from feeling happy and whole. Maybe it's a recent event or loss, or a troubled relationship, or maybe a past pain that continues to hurt. Perhaps you are feeling a lack of purpose, or a lack of connection with who you really are. The role of a pastoral counselor is to be a compassionate listener and guide - someone who can sit with you as you explore a deeper self-understanding, reflect back to you your insights, discuss options and goals, then assist you in designing an effective path of healing and change. I am honored to offer you my support.
I deeply respect your wanting to address something in your life that keeps you from feeling happy and whole. Maybe it's a recent event or loss, or a troubled relationship, or maybe a past pain that continues to hurt. Perhaps you are feeling a lack of purpose, or a lack of connection with who you really are. The role of a pastoral counselor is to be a compassionate listener and guide - someone who can sit with you as you explore a deeper self-understanding, reflect back to you your insights, discuss options and goals, then assist you in designing an effective path of healing and change. I am honored to offer you my support.
(518) 720-6212 View (518) 720-6212
Photo of Brittany L Hennessey, Counselor in Rensselaer County, NY
Brittany L Hennessey
Counselor, LMHC
Verified Verified
Troy, NY 12180  (Online Only)
Currently accepting new patients for virtual therapy in NYS. I offer support and guidance to children, adolescents, families, and individual adults for a number of struggles including anxiety, ADHD, depression, relationship difficulties, trauma, and more. I have spent my 10+ years as a therapist building trusting relationships with my clients to create a place where they can become the best version of themselves.
Currently accepting new patients for virtual therapy in NYS. I offer support and guidance to children, adolescents, families, and individual adults for a number of struggles including anxiety, ADHD, depression, relationship difficulties, trauma, and more. I have spent my 10+ years as a therapist building trusting relationships with my clients to create a place where they can become the best version of themselves.
(518) 840-1125 View (518) 840-1125
Photo of Dr. Brian T. Clemente, Psychologist in Rensselaer County, NY
Dr. Brian T. Clemente
Psychologist, PhD
Verified Verified
Troy, NY 12180
Not accepting new clients
I grew up in the Capital Region but moved to the west coast to pursue my graduate education and ended up staying for twenty years. Now I am back in the area with an office space in downtown Troy where I offer therapy services and also conduct psychological evaluations and other consultation services. I can conduct online sessions utilizing a HIPPA compliant video platform. Lastly, I do still offer, when possible, a free consultation to answer any questions and/or determine if you feel we would be a good fit.
I grew up in the Capital Region but moved to the west coast to pursue my graduate education and ended up staying for twenty years. Now I am back in the area with an office space in downtown Troy where I offer therapy services and also conduct psychological evaluations and other consultation services. I can conduct online sessions utilizing a HIPPA compliant video platform. Lastly, I do still offer, when possible, a free consultation to answer any questions and/or determine if you feel we would be a good fit.
(518) 201-1892 View (518) 201-1892
Photo of Rebecca Freedman, Clinical Social Work/Therapist in Rensselaer County, NY
Rebecca Freedman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Troy, NY 12180  (Online Only)
Not accepting new clients
I love to help my clients achieve their goals. To instill hope that good things are possible and that change can produce positive effects in our lives is the cornerstone of my therapeutic philosophy.
I love to help my clients achieve their goals. To instill hope that good things are possible and that change can produce positive effects in our lives is the cornerstone of my therapeutic philosophy.
(518) 720-7450 View (518) 720-7450

See more therapy options for Rensselaer County

How does your Therapist compare?

Number of Therapists in Rensselaer County, NY

100+

Average cost per session

$125

Therapists in Rensselaer County, NY who prioritize treating:

91% Anxiety
88% Depression
79% Trauma and PTSD
78% Self Esteem
77% Relationship Issues
68% Coping Skills
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

61% Aetna
59% UnitedHealthcare UHC | UBH
55% Cigna and Evernorth

How Therapists in Rensselaer County, NY see their clients

55% In Person and Online
45% Online Only

Gender breakdown

74% Female
21% Male
5% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Rensselaer 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.