Therapists in Jefferson County, KY

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Photo of Ashley Smith, Counselor, MEd, LPCA
Ashley Smith
Counselor, MEd, LPCA
1 Endorsed
Louisville, KY 40223
Welcome! I’m a therapist who supports adults and couples navigating relationships, premarital concerns, co-parenting, parenting challenges, life transitions, anxiety, and depression. I offer a warm, conversational space where you can feel understood and supported.
Welcome! I’m a therapist who supports adults and couples navigating relationships, premarital concerns, co-parenting, parenting challenges, life transitions, anxiety, and depression. I offer a warm, conversational space where you can feel understood and supported.
(502) 309-2962 View (502) 309-2962
Photo of Susan R Engler, Clinical Social Work/Therapist, LCSW
Susan R Engler
Clinical Social Work/Therapist, LCSW
Louisville, KY 40220
With over 20 years of experience, I'm dedicated to helping individuals and families achieve healing and balance through evidence-based therapy. I provide a safe, supportive space for you to navigate life’s challenges and uncover your inner strength. Whether you're seeking help with anxiety, depression, relationships, trauma, or personal growth, my approach is tailored to your unique needs. I work with clients ranging from elementary age through adulthood.
With over 20 years of experience, I'm dedicated to helping individuals and families achieve healing and balance through evidence-based therapy. I provide a safe, supportive space for you to navigate life’s challenges and uncover your inner strength. Whether you're seeking help with anxiety, depression, relationships, trauma, or personal growth, my approach is tailored to your unique needs. I work with clients ranging from elementary age through adulthood.
(502) 883-6613 View (502) 883-6613
Photo of Jonathan Hernandez, Licensed Professional Clinical Counselor, MEd, LPCC
Jonathan Hernandez
Licensed Professional Clinical Counselor, MEd, LPCC
1 Endorsed
Louisville, KY 40207
Jonathan Dee Hernandez is a Licensed Professional Clinical Counselor in Indiana who has been practicing since 2016. Jonathan utilizes his knowledge in Art therapy in combination with other modalities to assist clients and families with identifying and meeting their needs. They are provided with a safe place to process challenging emotions/thoughts, tools to help meet their needs, psychoeducation to help understand their needs, and autonomy over their treatment. Jonathan centers his practice around establishing a strong therapeutic relationship with humor, genuineness, and support.
Jonathan Dee Hernandez is a Licensed Professional Clinical Counselor in Indiana who has been practicing since 2016. Jonathan utilizes his knowledge in Art therapy in combination with other modalities to assist clients and families with identifying and meeting their needs. They are provided with a safe place to process challenging emotions/thoughts, tools to help meet their needs, psychoeducation to help understand their needs, and autonomy over their treatment. Jonathan centers his practice around establishing a strong therapeutic relationship with humor, genuineness, and support.
(502) 547-7779 View (502) 547-7779
Photo of Kyle Hook, Clinical Social Work/Therapist, Kyle, Hook, CSW
Kyle Hook
Clinical Social Work/Therapist, Kyle, Hook, CSW
Louisville, KY 40204
I work with clients from diverse backgrounds who present with a wide range of personal and emotional concerns. My approach focuses on helping individuals quiet the noise of everyday life, fostering clarity and balance while addressing significant mental and emotional health challenges. I aim to create a supportive and nonjudgmental environment where clients can explore their thoughts, feelings, and behaviors with curiosity and openness. Together, we can work toward developing practical coping strategies, increasing self-awareness, and cultivating a more fulfilling and resilient daily life.
I work with clients from diverse backgrounds who present with a wide range of personal and emotional concerns. My approach focuses on helping individuals quiet the noise of everyday life, fostering clarity and balance while addressing significant mental and emotional health challenges. I aim to create a supportive and nonjudgmental environment where clients can explore their thoughts, feelings, and behaviors with curiosity and openness. Together, we can work toward developing practical coping strategies, increasing self-awareness, and cultivating a more fulfilling and resilient daily life.
(502) 461-1796 View (502) 461-1796
Photo of Karen Chapman, Clinical Social Work/Therapist, LCSW
Karen Chapman
Clinical Social Work/Therapist, LCSW
1 Endorsed
Louisville, KY 40222
Waitlist for new clients
Not currently accepting new clients. Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently finding success with many Gen Z (18+), millennial and Gen Xers with a lot of experience in across the LGBTQIA+ spectrum.
Not currently accepting new clients. Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently finding success with many Gen Z (18+), millennial and Gen Xers with a lot of experience in across the LGBTQIA+ spectrum.
(502) 305-3450 View (502) 305-3450
Photo of Angela R Davis, Clinical Social Work/Therapist, LCSW
Angela R Davis
Clinical Social Work/Therapist, LCSW
1 Endorsed
Louisville, KY 40206
Hello! I'm a child trauma therapist that works with adults and families to manage conflict and reduce stress. My passion is helping families find ways to healing and strengthening bonds. I believe children need a systemic approach and treat them as part of a whole. I enjoy working with parents as part of therapy for children. If you're interested in modalities I use, I practice using PCIT, EMDR, TF-CBT, CPT, IFS, and I'm trained to treat juvenile sexual offenders.
Hello! I'm a child trauma therapist that works with adults and families to manage conflict and reduce stress. My passion is helping families find ways to healing and strengthening bonds. I believe children need a systemic approach and treat them as part of a whole. I enjoy working with parents as part of therapy for children. If you're interested in modalities I use, I practice using PCIT, EMDR, TF-CBT, CPT, IFS, and I'm trained to treat juvenile sexual offenders.
(502) 428-4440 View (502) 428-4440
Photo of Jamila Hadden, Licensed Professional Clinical Counselor, LPCC
Jamila Hadden
Licensed Professional Clinical Counselor, LPCC
Online Only
Hello All, my name is Jamila, I am a Licensed Professional Clinical Counselor (LPCC). I graduated from Webster University with a Master’s in Counseling with a focus on mental health. I have worked with a wide variety of populations, from adolescents to adults. I specialize in Trauma and have trauma focused training. I also specialize in Substance Use Disorder, ADHD, anxiety and depression. I work with clients struggling with a variety of issues especially trauma and emotional intelligence. I meet my clients where they are and work from there. I assist with setting realistic goals and that focus on what the client wants and needs,
Hello All, my name is Jamila, I am a Licensed Professional Clinical Counselor (LPCC). I graduated from Webster University with a Master’s in Counseling with a focus on mental health. I have worked with a wide variety of populations, from adolescents to adults. I specialize in Trauma and have trauma focused training. I also specialize in Substance Use Disorder, ADHD, anxiety and depression. I work with clients struggling with a variety of issues especially trauma and emotional intelligence. I meet my clients where they are and work from there. I assist with setting realistic goals and that focus on what the client wants and needs,
(502) 497-8481 View (502) 497-8481
Photo of Denise Shannon Hutchins - Acadia Counseling Louisville, Licensed Professional Clinical Counselor
Acadia Counseling Louisville
Licensed Professional Clinical Counselor
4 Endorsed
Louisville, KY 40207
The team of helpers at Acadia Counseling is ready to assist you with whatever is weighing you down. Maybe you have never attended counseling before. Maybe you tried it once or twice and didn't like the professional you saw. Whatever your situation, we are ready to help!
The team of helpers at Acadia Counseling is ready to assist you with whatever is weighing you down. Maybe you have never attended counseling before. Maybe you tried it once or twice and didn't like the professional you saw. Whatever your situation, we are ready to help!
(502) 825-1375 View (502) 825-1375
Photo of Courtney Rhea-Ribeiro, Marriage & Family Therapist, LMFT
Courtney Rhea-Ribeiro
Marriage & Family Therapist, LMFT
2 Endorsed
Louisville, KY 40241
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
(502) 427-0968 View (502) 427-0968
Photo of Savannah Clapp, Pre-Licensed Professional, MA, MT-BC
Savannah Clapp
Pre-Licensed Professional, MA, MT-BC
Louisville, KY 40214
I like to work with people who are open to growth and willing to engage honestly in the therapy process. Many come in feeling overwhelmed, stuck, or unsure of how to move forward, but I am here to help. Through Revelation Counseling Center, I offer low-cost counseling in a supportive, nonjudgmental space. I focus on helping you better understand yourself, build practical skills, and make steady progress toward your goals.
I like to work with people who are open to growth and willing to engage honestly in the therapy process. Many come in feeling overwhelmed, stuck, or unsure of how to move forward, but I am here to help. Through Revelation Counseling Center, I offer low-cost counseling in a supportive, nonjudgmental space. I focus on helping you better understand yourself, build practical skills, and make steady progress toward your goals.
(502) 224-4478 View (502) 224-4478
Photo of Aleve Douglas, MEd, LPCC
Aleve Douglas
Verified Verified
1 Endorsed
Louisville, KY 40205
Do you know you need to make a change, but you’re not sure where to begin? Or maybe you’re not sure, what, specifically, you’d really like to be different—you may feel adrift and find it hard to know your own needs and emotions. All change tends to be stressful, difficult to initiate, and even more difficult to sustain. Sometimes taking the space to get a deep breath and sort out what it is that you really want can help you initiate changes that help you enjoy life and connect with others. Taking that time can give you the energy and clarity of mind needed to enact new ways of being that set you on the path that is right for you.
Do you know you need to make a change, but you’re not sure where to begin? Or maybe you’re not sure, what, specifically, you’d really like to be different—you may feel adrift and find it hard to know your own needs and emotions. All change tends to be stressful, difficult to initiate, and even more difficult to sustain. Sometimes taking the space to get a deep breath and sort out what it is that you really want can help you initiate changes that help you enjoy life and connect with others. Taking that time can give you the energy and clarity of mind needed to enact new ways of being that set you on the path that is right for you.
(502) 829-7702 View (502) 829-7702
Photo of Katelyn D Mensing - Blue Moon Therapy, Clinical Social Work/Therapist, LCSW
Blue Moon Therapy
Clinical Social Work/Therapist, LCSW
Louisville, KY 40204
We, Blue Moon Therapy, treat people who have childhood trauma, abuse/neglect, PTSD, OCD, eating disorders, anxiety, depression, and dissociation. We will treat the source of your symptoms using the best therapies out there (EMDR, Brainspotting, Internal Family Systems, and Ego State Therapy). You will be able to break cycles, feel more calm, quiet your anger, talk to people with ease, have more peaceful relationships, stand up to others, think before you react, have more control over yourself, go to sleep at night without being in your head, and so much more. Your life will start to feel as if you put on a new pair of glasses.
We, Blue Moon Therapy, treat people who have childhood trauma, abuse/neglect, PTSD, OCD, eating disorders, anxiety, depression, and dissociation. We will treat the source of your symptoms using the best therapies out there (EMDR, Brainspotting, Internal Family Systems, and Ego State Therapy). You will be able to break cycles, feel more calm, quiet your anger, talk to people with ease, have more peaceful relationships, stand up to others, think before you react, have more control over yourself, go to sleep at night without being in your head, and so much more. Your life will start to feel as if you put on a new pair of glasses.
(502) 383-4027 View (502) 383-4027
Photo of Raeko Diemer, Marriage & Family Therapist, LMFT
Raeko Diemer
Marriage & Family Therapist, LMFT
2 Endorsed
Lyndon, KY 40222
Everyone needs treatment based on your individual needs and strengths. As an experienced therapist, I can teach you the skills you need to resolve current stressors and challenges. I will help you identify where you feel stuck and help you move towards positive change.
Everyone needs treatment based on your individual needs and strengths. As an experienced therapist, I can teach you the skills you need to resolve current stressors and challenges. I will help you identify where you feel stuck and help you move towards positive change.
(502) 806-8635 View (502) 806-8635
Photo of Gemrita Anglin, Clinical Social Work/Therapist, LCSW
Gemrita Anglin
Clinical Social Work/Therapist, LCSW
Online Only
You may be feeling overwhelmed, exhausted, or stretched thin from being the one others rely on - whether at work, in your family, or in your relationships. On the outside, you may appear composed, while privately feeling drained, second-guessing yourself, or unsure how to set boundaries without guilt. I work with women who often feel responsible for others and are ready to stop carrying so much on their own. My approach is calm, grounded, and centered on creating a steady space where you can better understand your needs, build clearer boundaries, and move forward with more steadiness, confidence, and faith.
You may be feeling overwhelmed, exhausted, or stretched thin from being the one others rely on - whether at work, in your family, or in your relationships. On the outside, you may appear composed, while privately feeling drained, second-guessing yourself, or unsure how to set boundaries without guilt. I work with women who often feel responsible for others and are ready to stop carrying so much on their own. My approach is calm, grounded, and centered on creating a steady space where you can better understand your needs, build clearer boundaries, and move forward with more steadiness, confidence, and faith.
(502) 334-0368 View (502) 334-0368
Photo of Ramaia Coleman, Clinical Social Work/Therapist, LCSW
Ramaia Coleman
Clinical Social Work/Therapist, LCSW
Louisville, KY 40223
She is particularly passionate about supporting women through life transitions, reproductive challenges, and post-partum mental health concerns. Ramaia provides therapy that empowers clients to process grief, manage stress, and build coping skills that support emotional well-being and resilience. Her approach integrates evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Mindfulness, and parenting skills coaching to help clients navigate challenges while fostering self-awareness and growth.She is particularly passionate about supporting women through life transitions, reproductive challenges, and post-partum men
She is particularly passionate about supporting women through life transitions, reproductive challenges, and post-partum mental health concerns. Ramaia provides therapy that empowers clients to process grief, manage stress, and build coping skills that support emotional well-being and resilience. Her approach integrates evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Mindfulness, and parenting skills coaching to help clients navigate challenges while fostering self-awareness and growth.She is particularly passionate about supporting women through life transitions, reproductive challenges, and post-partum men
(502) 735-1027 View (502) 735-1027
Photo of Susanne Binford, Clinical Social Work/Therapist, DSW, LCSW
Susanne Binford
Clinical Social Work/Therapist, DSW, LCSW
Online Only
Have you been affected by trauma or loss? Are you struggling with high anxiety? Are you having intrusive thoughts, nightmares, always on alert or easily startled? Does your mind churn at night? Let's work through this. Everyone has the capacity for change. Sometimes it is difficult to see how that change can happen and it leaves us feeling stuck. There is no single way to go through life and that means that different treatments will work for different people. Everyone deserves a safe place in therapy.
Have you been affected by trauma or loss? Are you struggling with high anxiety? Are you having intrusive thoughts, nightmares, always on alert or easily startled? Does your mind churn at night? Let's work through this. Everyone has the capacity for change. Sometimes it is difficult to see how that change can happen and it leaves us feeling stuck. There is no single way to go through life and that means that different treatments will work for different people. Everyone deserves a safe place in therapy.
(502) 549-1143 View (502) 549-1143
Photo of Tabitha Overstreet, Clinical Social Work/Therapist, MSW, LCSW
Tabitha Overstreet
Clinical Social Work/Therapist, MSW, LCSW
Louisville, KY 40223
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(502) 335-4957 View (502) 335-4957
Photo of Karen Voyer-Caravona, Clinical Social Work/Therapist, LCSW
Karen Voyer-Caravona
Clinical Social Work/Therapist, LCSW
Louisville, KY 40207
Karen is particularly passionate about supporting individuals working through trauma and PTSD. As an EMDR-trained therapist, she helps clients process and reduce the distress associated with traumatic memories. Karen also works closely with those coping with grief, postpartum depression and anxiety, and sleep disorders, empowering them with the tools needed to regain a sense of balance and stability in their daily lives. In her practice, Karen utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based interventions.Karen is particularly passionate about supporting individuals workin
Karen is particularly passionate about supporting individuals working through trauma and PTSD. As an EMDR-trained therapist, she helps clients process and reduce the distress associated with traumatic memories. Karen also works closely with those coping with grief, postpartum depression and anxiety, and sleep disorders, empowering them with the tools needed to regain a sense of balance and stability in their daily lives. In her practice, Karen utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based interventions.Karen is particularly passionate about supporting individuals workin
(502) 385-6718 View (502) 385-6718
Photo of Albert Vanhumlian, Pre-Licensed Professional, CT, MDiv
Albert Vanhumlian
Pre-Licensed Professional, CT, MDiv
Louisville, KY 40207
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
(859) 350-6975 View (859) 350-6975
Photo of Lindsay Thornely, Marriage & Family Therapist, LMFT
Lindsay Thornely
Marriage & Family Therapist, LMFT
1 Endorsed
Louisville, KY 40299
I work with clients facing a variety of challenges, including anxiety, life transitions, and relational difficulties. Drawing from a deep understanding of the emotional and psychological impact of these issues, I tailor each session to meet the unique needs of the individual, providing personalized support, coping strategies, and practical tools to help navigate life's complexities. My ability to meet clients where they are and guide them toward solutions fosters both trust and progress in the therapeutic relationship.
I work with clients facing a variety of challenges, including anxiety, life transitions, and relational difficulties. Drawing from a deep understanding of the emotional and psychological impact of these issues, I tailor each session to meet the unique needs of the individual, providing personalized support, coping strategies, and practical tools to help navigate life's complexities. My ability to meet clients where they are and guide them toward solutions fosters both trust and progress in the therapeutic relationship.
(502) 806-2168 View (502) 806-2168

See more therapy options for Jefferson County

How does your Therapist compare?

Number of Therapists in Jefferson County, KY

1,000+

Average cost per session

$125

Therapists in Jefferson County, KY who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
85% Depression
72% Trauma and PTSD
72% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
71% Anthem
65% BlueCross and BlueShield

How Therapists in Jefferson County, KY see their clients

64% In Person and Online
36% Online Only

Gender breakdown

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

How can I find a therapist in Jefferson 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.