Therapists in Calcasieu Parish, LA

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Photo of Austin Istre, Licensed Professional Counselor, MA
Austin Istre
Licensed Professional Counselor, MA
Online Only
Hi. My name is Austin. I’m a therapist that practices primarily from an existential-humanistic perspective. I find that the world is often a confusing, disorienting, and isolating space to navigate. Our work together will go about looking deeper into how it is you have moved and continue to move through that space, the ways you’ve made meaning in your life, and discovering how you can go about living a fulfilling and satisfying life. We’ll look at the barriers that have gotten in your way, the same things that have impeded you becoming the person you wish to be, the person that you are.
Hi. My name is Austin. I’m a therapist that practices primarily from an existential-humanistic perspective. I find that the world is often a confusing, disorienting, and isolating space to navigate. Our work together will go about looking deeper into how it is you have moved and continue to move through that space, the ways you’ve made meaning in your life, and discovering how you can go about living a fulfilling and satisfying life. We’ll look at the barriers that have gotten in your way, the same things that have impeded you becoming the person you wish to be, the person that you are.
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Photo of Rebecca Pettefer, Counselor, MA, PLPC
Rebecca Pettefer
Counselor, MA, PLPC
1 Endorsed
Lake Charles, LA 70601
Waitlist for new clients
We have all experienced things that have left us feeling less-than, left us with wounds that struggle to heal, and have impacted how we live our lives. These experiences come from our childhood, the stress in our day-to-day lives, or even how we process the world around us. As a result of these hurts we often experience struggles in relationships with others, our own self-esteem, and our ability to handle life in healthy ways.
We have all experienced things that have left us feeling less-than, left us with wounds that struggle to heal, and have impacted how we live our lives. These experiences come from our childhood, the stress in our day-to-day lives, or even how we process the world around us. As a result of these hurts we often experience struggles in relationships with others, our own self-esteem, and our ability to handle life in healthy ways.
(337) 508-0936 View (337) 508-0936
Photo of Nikki LaFuria, Provisional Licensed Professional Counselor, MBA , MS, PLPC
Nikki LaFuria
Provisional Licensed Professional Counselor, MBA , MS, PLPC
1 Endorsed
Lake Charles, LA 70605
My personal journey was one that lead me to this field as a calling more than just a career. After years being a successful business owner and real estate broker, balancing career family and community I was lead towards a more balanced path. Although I do not believe we find enlightenment, I know we can fight for peace and balance. My outlook is that people are not broken, just managing the complexity of life. I know and believe that through hard work, discipline, self - awareness and deep love for oneself and others, peace can be found. I don’t believe we need to be fixed but heard, accepted, and understood to heal!
My personal journey was one that lead me to this field as a calling more than just a career. After years being a successful business owner and real estate broker, balancing career family and community I was lead towards a more balanced path. Although I do not believe we find enlightenment, I know we can fight for peace and balance. My outlook is that people are not broken, just managing the complexity of life. I know and believe that through hard work, discipline, self - awareness and deep love for oneself and others, peace can be found. I don’t believe we need to be fixed but heard, accepted, and understood to heal!
(337) 674-2058 View (337) 674-2058
Photo of Lisa Brune, Clinical Social Work/Therapist, MSSW, LCSW, BACS
Lisa Brune
Clinical Social Work/Therapist, MSSW, LCSW, BACS
Online Only
I am a Licensed Clinical Social Worker with over 20 years of experience, Licensed in both Louisiana and Texas. A graduate of the University of Texas at Arlington with a Master's of Science in Social Work, I work with adolescents, adults, seniors, seeing individuals, couples, and families. I have particular interest in all areas of mental health, including grief, loss, trauma, eating disorders, domestic violence, sexual abuse, sexual assault, and parenting issues. I am a Certified Mediator and have a Certification in Critical Incident Stress Management (CISM). In my free time, I enjoy working with my three pet therapy dogs.
I am a Licensed Clinical Social Worker with over 20 years of experience, Licensed in both Louisiana and Texas. A graduate of the University of Texas at Arlington with a Master's of Science in Social Work, I work with adolescents, adults, seniors, seeing individuals, couples, and families. I have particular interest in all areas of mental health, including grief, loss, trauma, eating disorders, domestic violence, sexual abuse, sexual assault, and parenting issues. I am a Certified Mediator and have a Certification in Critical Incident Stress Management (CISM). In my free time, I enjoy working with my three pet therapy dogs.
(337) 447-4700 View (337) 447-4700
Photo of Eddie Windham, Clinical Social Work/Therapist, LCSW
Eddie Windham
Clinical Social Work/Therapist, LCSW
Lake Charles, LA 70601
I have experience dealing with a broad range of issues. I offer discreet and effective treatment of Sexual Addiction, working both with the addict and their spouse or partner. I treat internet, gaming and other addictions using the many of the same techniques I use with sexual addiction. Treatment is done in both individual and couples sessions. I offer several ways of treating addicts with initial intensive out-patient treatment including weekly or bi-weekly appointments, daily appointments for three weeks, or a three day intensive treatment. relationship issues.
I have experience dealing with a broad range of issues. I offer discreet and effective treatment of Sexual Addiction, working both with the addict and their spouse or partner. I treat internet, gaming and other addictions using the many of the same techniques I use with sexual addiction. Treatment is done in both individual and couples sessions. I offer several ways of treating addicts with initial intensive out-patient treatment including weekly or bi-weekly appointments, daily appointments for three weeks, or a three day intensive treatment. relationship issues.
(337) 565-1257 View (337) 565-1257
Photo of La’Tasha Adams, Licensed Professional Counselor, M Ed, LPC
La’Tasha Adams
Licensed Professional Counselor, M Ed, LPC
Lake Charles, LA 70607
I am committed to supporting individuals who are dealing with challenges like depression, anxiety, self-esteem issues, life transitions, and relationship difficulties. Whether clients are facing mental health struggles, adapting to life changes, or looking to enhance their relationships, I strive to offer empathy, patience, and empowerment throughout their journey. In difficult moments, having a reliable support system is crucial—somewhere you can feel understood and not isolated. My goal is to create a safe, nurturing environment, assisting clients in addressing their concerns with compassion and insight.
I am committed to supporting individuals who are dealing with challenges like depression, anxiety, self-esteem issues, life transitions, and relationship difficulties. Whether clients are facing mental health struggles, adapting to life changes, or looking to enhance their relationships, I strive to offer empathy, patience, and empowerment throughout their journey. In difficult moments, having a reliable support system is crucial—somewhere you can feel understood and not isolated. My goal is to create a safe, nurturing environment, assisting clients in addressing their concerns with compassion and insight.
(337) 415-2072 View (337) 415-2072
Photo of Elizabeth Ogea, Licensed Professional Counselor, MA, LPC, CCTP
Elizabeth Ogea
Licensed Professional Counselor, MA, LPC, CCTP
Lake Charles, LA 70605
I am an LPC with 9 years of experience in my field. I enjoy helping clients find their authentic self, leading to living their best life. With therapy, clients develop the tools & skills needed to reach their full potential, be the best version of their self, & no longer have to suffer from the pain of their past. We all experience hardships & obstacles, but we also have a choice to not let them hold us back anymore! I am experienced in and passionate for helping clients defeat codependency, trauma, depression, anxiety, learn conscious dating skills, and other life areas. I would love the opportunity to help you reach your goals!
I am an LPC with 9 years of experience in my field. I enjoy helping clients find their authentic self, leading to living their best life. With therapy, clients develop the tools & skills needed to reach their full potential, be the best version of their self, & no longer have to suffer from the pain of their past. We all experience hardships & obstacles, but we also have a choice to not let them hold us back anymore! I am experienced in and passionate for helping clients defeat codependency, trauma, depression, anxiety, learn conscious dating skills, and other life areas. I would love the opportunity to help you reach your goals!
(337) 201-9469 View (337) 201-9469
Photo of Danielle Shamsie Prejean, MA, BCBA, LBA, CTP
Danielle Shamsie Prejean
Verified Verified
Lake Charles, LA 70605
As a certified trauma professional, I am able to help individuals and families navigate life transitions and challenges. I am competent in adoption coaching and therapy for all stages with pre and post adoption. I am passionate in helping clients identify barriers in their functioning to help in creating growth. Helping clients grow in their coping skills and education of how life events can change our thought patterns, behavioral reactions, and and emotional responses. I am committed to the holistic approach and helping you become the version of yourself or your family. We can not change the past but grow our future.
As a certified trauma professional, I am able to help individuals and families navigate life transitions and challenges. I am competent in adoption coaching and therapy for all stages with pre and post adoption. I am passionate in helping clients identify barriers in their functioning to help in creating growth. Helping clients grow in their coping skills and education of how life events can change our thought patterns, behavioral reactions, and and emotional responses. I am committed to the holistic approach and helping you become the version of yourself or your family. We can not change the past but grow our future.
(337) 674-2822 View (337) 674-2822
Photo of Mellisa L Booth, Licensed Professional Counselor, LPC, PMH-C
Mellisa L Booth
Licensed Professional Counselor, LPC, PMH-C
Lake Charles, LA 70601
Not accepting new clients
I am passionate about helping clients to be more in the here and now (mindfulness), develop self-compassion, create healthy boundaries, make sense of their emotions and pain, and create a meaningful life. In my practice, I offer individual therapy and support for adults and adolescents struggling with a variety of challenges. From perinatal mental health, anxiety, depression, family/relationship issues, adult children of mentally ill/narcissistic parents, people pleasing and codependency, career stress, self-esteem issues, life transitions, school and behavioral issues or body image, I am here to help you through it.
I am passionate about helping clients to be more in the here and now (mindfulness), develop self-compassion, create healthy boundaries, make sense of their emotions and pain, and create a meaningful life. In my practice, I offer individual therapy and support for adults and adolescents struggling with a variety of challenges. From perinatal mental health, anxiety, depression, family/relationship issues, adult children of mentally ill/narcissistic parents, people pleasing and codependency, career stress, self-esteem issues, life transitions, school and behavioral issues or body image, I am here to help you through it.
(337) 573-2008 View (337) 573-2008
Photo of Dr. Adrian D Julian, Counselor, DMFT, LPC-S
Dr. Adrian D Julian
Counselor, DMFT, LPC-S
Lake Charles, LA 70607
I provide an accepting, non-judgmental environment for those seeking help and understanding for the struggles that life brings us. I provide forensic counseling services in the form of child custody evaluations, parenting coordination, court ordered counseling, and divorce counseling. I also work with adults and children who have concerns regarding severe mental illness and dual diagnosis (addiction and a mental illness). Those with anxiety conditions, depression, and adjustment disorders are also welcome in my practice.
I provide an accepting, non-judgmental environment for those seeking help and understanding for the struggles that life brings us. I provide forensic counseling services in the form of child custody evaluations, parenting coordination, court ordered counseling, and divorce counseling. I also work with adults and children who have concerns regarding severe mental illness and dual diagnosis (addiction and a mental illness). Those with anxiety conditions, depression, and adjustment disorders are also welcome in my practice.
(337) 806-8183 View (337) 806-8183
Photo of Brent Woods, Licensed Professional Counselor, MA, LPC, CSAT
Brent Woods
Licensed Professional Counselor, MA, LPC, CSAT
3 Endorsed
Lake Charles, LA 70605
I help individuals struggling with sexual and pornography addiction, trauma, anxiety, and depression find healing and lasting change. I also support couples in rebuilding trust, deepening intimacy, and improving communication. My approach addresses not just the symptoms but the root causes, fostering emotional, spiritual, and relational well-being so you can create a more connected and fulfilling life.
I help individuals struggling with sexual and pornography addiction, trauma, anxiety, and depression find healing and lasting change. I also support couples in rebuilding trust, deepening intimacy, and improving communication. My approach addresses not just the symptoms but the root causes, fostering emotional, spiritual, and relational well-being so you can create a more connected and fulfilling life.
(337) 603-2165 View (337) 603-2165
Photo of Oshe’ Lewis-Reese, Licensed Professional Counselor, MA, LPC
Oshe’ Lewis-Reese
Licensed Professional Counselor, MA, LPC
Lake Charles, LA 70605
Waitlist for new clients
I assist adult clients from various backgrounds and all walks of life. I believe that people experience many things in life that cause issues with self-esteem, perspective, and thought processes. As a result, this may require them to gain insight into their thinking and coping patterns to better understand themselves and improve their coping and decision making.
I assist adult clients from various backgrounds and all walks of life. I believe that people experience many things in life that cause issues with self-esteem, perspective, and thought processes. As a result, this may require them to gain insight into their thinking and coping patterns to better understand themselves and improve their coping and decision making.
(337) 329-9930 View (337) 329-9930
Photo of Julie Ireland, Licensed Professional Counselor, MA, LPC-A, NCC
Julie Ireland
Licensed Professional Counselor, MA, LPC-A, NCC
Lake Charles, LA 70605
Not accepting new clients
Are you tired of feeling stuck and powerless? Do you hear a constant stream of negative thoughts about yourself and your life? I am here to help you cultivate the rich, full, meaningful life for which you were created. I work with individuals, couples, and families to identify and address the barriers to their life success. Through counseling, clients address the perfectionism, trauma, and old patterns that get in the way of authentic connection with themselves and others.
Are you tired of feeling stuck and powerless? Do you hear a constant stream of negative thoughts about yourself and your life? I am here to help you cultivate the rich, full, meaningful life for which you were created. I work with individuals, couples, and families to identify and address the barriers to their life success. Through counseling, clients address the perfectionism, trauma, and old patterns that get in the way of authentic connection with themselves and others.
(337) 607-0684 View (337) 607-0684
Photo of Helen Thacker Marcantel, Pre-Licensed Professional, MS, PLMFT, PLPC
Helen Thacker Marcantel
Pre-Licensed Professional, MS, PLMFT, PLPC
Iowa, LA 70647
Are you feeling anxious, overwhelmed and aimlessly trying quick fixes to feel just an ounce of relief? What if you could find a way to handle what life throws your way with ease and understanding? Therapy isn't just for those going through challenging times but is here to help individuals learn tools to thrive and be their best selves. Take the first step toward a balanced, empowering life. It's time to invest in YOU! Let's explore how therapy can help to manage stress, build resilience, and live with more clarity and confidence.
Are you feeling anxious, overwhelmed and aimlessly trying quick fixes to feel just an ounce of relief? What if you could find a way to handle what life throws your way with ease and understanding? Therapy isn't just for those going through challenging times but is here to help individuals learn tools to thrive and be their best selves. Take the first step toward a balanced, empowering life. It's time to invest in YOU! Let's explore how therapy can help to manage stress, build resilience, and live with more clarity and confidence.
(337) 386-1068 View (337) 386-1068
Photo of Ryan Clemons, Licensed Professional Counselor, MEd, LPC
Ryan Clemons
Licensed Professional Counselor, MEd, LPC
Lake Charles, LA 70605
Are you feeling anxious and stressed? Do you struggle with negative thoughts or past trauma? Are you struggling with work-life balance? Are you having a hard time identifying your support system? Do you have goals you want to accomplish in life?
Are you feeling anxious and stressed? Do you struggle with negative thoughts or past trauma? Are you struggling with work-life balance? Are you having a hard time identifying your support system? Do you have goals you want to accomplish in life?
(337) 502-9570 View (337) 502-9570
Photo of Ali Renee Thorne - Trauma - Life Transitions, Licensed Professional Counselor, MA, LPC
Ali Renee Thorne - Trauma - Life Transitions
Licensed Professional Counselor, MA, LPC
Lake Charles, LA 70605
I believe counseling is a collaborative process comprised of empathy, trust, and respect. My goal is to listen and guide clients toward their personal success. I prioritize creating a safe, trusting environment to help a client feel comfortable talking to me about his or her unique experiences. Using an integrative and trauma-informed approach, I meet clients where they are to create goals and teach valuable coping skills to improve their daily life.
I believe counseling is a collaborative process comprised of empathy, trust, and respect. My goal is to listen and guide clients toward their personal success. I prioritize creating a safe, trusting environment to help a client feel comfortable talking to me about his or her unique experiences. Using an integrative and trauma-informed approach, I meet clients where they are to create goals and teach valuable coping skills to improve their daily life.
(337) 509-1783 View (337) 509-1783
Photo of Chase Walling, Licensed Professional Counselor, MA, LPC
Chase Walling
Licensed Professional Counselor, MA, LPC
Lake Charles, LA 70615
Not accepting new clients
Everybody struggles sometimes. Struggles are a normal part of the human experience, and I am grateful to be able to provide consistent help and support from a non-judgmental therapeutic position of acceptance and encouragement. As your counselor, I offer to engage with you using a holistic approach to mental health with a focus on destigmatizing self-care; after all, quality of life starts with your own self. My focus is on you with the goal of empowering you and improving your quality of life so that you may work towards life as the most happy and healthy individual that you can be.
Everybody struggles sometimes. Struggles are a normal part of the human experience, and I am grateful to be able to provide consistent help and support from a non-judgmental therapeutic position of acceptance and encouragement. As your counselor, I offer to engage with you using a holistic approach to mental health with a focus on destigmatizing self-care; after all, quality of life starts with your own self. My focus is on you with the goal of empowering you and improving your quality of life so that you may work towards life as the most happy and healthy individual that you can be.
(337) 427-7152 View (337) 427-7152
Photo of Shianne Syed, Licensed Professional Counselor, M Ed, LPC, NCC
Shianne Syed
Licensed Professional Counselor, M Ed, LPC, NCC
2 Endorsed
Lake Charles, LA 70601
Welcome! I’m so glad you're considering taking this important step in your healing journey. I’m a licensed therapist dedicated to walking alongside individuals as they navigate life’s emotional challenges, explore their inner world, and rediscover their sense of purpose and belonging. My approach to therapy is rooted in a holistic perspective that honors the mind-body connection, the impact of early life experiences, and the importance of meaningful relationships. I believe that healing happens when we are seen and understood in the context of our whole story—not just our symptoms.
Welcome! I’m so glad you're considering taking this important step in your healing journey. I’m a licensed therapist dedicated to walking alongside individuals as they navigate life’s emotional challenges, explore their inner world, and rediscover their sense of purpose and belonging. My approach to therapy is rooted in a holistic perspective that honors the mind-body connection, the impact of early life experiences, and the importance of meaningful relationships. I believe that healing happens when we are seen and understood in the context of our whole story—not just our symptoms.
(337) 426-9531 View (337) 426-9531
Photo of Marlaena Miller, Licensed Professional Counselor, MA, LPC
Marlaena Miller
Licensed Professional Counselor, MA, LPC
1 Endorsed
Lake Charles, LA 70601
Do you ever think you are the only one who hasn't gotten their life together yet? The truth is we ALL experience difficult and stressful life stuff at times. Life can be really tough. We all carry pain that is often exacerbated by new relationships and situations: psychological, emotional, and spiritual pain. If you have tried to "figure it out" on your own for too long, like so many of us think we must, and would like a relatable professional to work with you toward healing and growth, I would appreciate the opportunity and privilege to work with you on your journey toward a healthier, happier you. It's ok to need some help.
Do you ever think you are the only one who hasn't gotten their life together yet? The truth is we ALL experience difficult and stressful life stuff at times. Life can be really tough. We all carry pain that is often exacerbated by new relationships and situations: psychological, emotional, and spiritual pain. If you have tried to "figure it out" on your own for too long, like so many of us think we must, and would like a relatable professional to work with you toward healing and growth, I would appreciate the opportunity and privilege to work with you on your journey toward a healthier, happier you. It's ok to need some help.
(337) 246-5596 View (337) 246-5596
Photo of Ryan Ellender, Clinical Social Work/Therapist, MSW, LCSW
Ryan Ellender
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Sulphur, LA 70663
Waitlist for new clients
Taking the first step toward healing can feel overwhelming, but you don’t have to do it alone. Whether you’re struggling with anxiety, depression, substance misuse, trauma, or navigating complex challenges, I am here to support you with warmth, understanding, and a deep respect for your unique journey. I have experience working with individuals facing a wide range of mental health challenges, from everyday stressors to acute psychiatric conditions. No matter your past or what you’re going through, this is a space where you will be accepted, valued, and truly heard.
Taking the first step toward healing can feel overwhelming, but you don’t have to do it alone. Whether you’re struggling with anxiety, depression, substance misuse, trauma, or navigating complex challenges, I am here to support you with warmth, understanding, and a deep respect for your unique journey. I have experience working with individuals facing a wide range of mental health challenges, from everyday stressors to acute psychiatric conditions. No matter your past or what you’re going through, this is a space where you will be accepted, valued, and truly heard.
(337) 548-2715 View (337) 548-2715

See more therapy options for Calcasieu Parish

How does your Therapist compare?

Number of Therapists in Calcasieu Parish, LA

70+

Average cost per session

$120

Therapists in Calcasieu Parish, LA who prioritize treating:

96% Anxiety
90% Depression
81% Stress
78% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
68% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
70% Aetna
62% Cigna and Evernorth

How Therapists in Calcasieu Parish, LA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Calcasieu Parish?

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.