Therapists in Jefferson Parish, LA

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Photo of Stacy Michelle Lewis-Goins - Positive Headspace LLC (Stacy Lewis-Goins), MS, LPC, NCC, Licensed Professional Counselor
Positive Headspace LLC (Stacy Lewis-Goins)
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Harvey, LA 70058
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling...to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a LPC. I believe therapy should focus on the individual including life transitions, and roles in their family as they read, edit, and write their book of life. My goal is to collaborate with you on your healing journey to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling...to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a LPC. I believe therapy should focus on the individual including life transitions, and roles in their family as they read, edit, and write their book of life. My goal is to collaborate with you on your healing journey to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
(504) 226-6384 View (504) 226-6384
Photo of Emma Boelter, PLPC, NCC
Emma Boelter
Provisional Licensed Professional Counselor, PLPC, NCC
Verified Verified
3 Endorsed
Metairie, LA 70005
Hi there, welcome to my page! My clinical focus areas include: neurodivergence, especially ADHD, life transitions, anxiety, depression, relationship challenges, trauma, identity exploration, and emotional regulation challenges. I view a strong client-counselor relationship as foundational to all meaningful therapy. I believe that each one of us intrinsically possesses value and is deserving of love, respect, and the opportunity to evolve. It is my intention to create an inclusive & non-judgmental space in order to support my clients as through challenging seasons and move towards growth.
Hi there, welcome to my page! My clinical focus areas include: neurodivergence, especially ADHD, life transitions, anxiety, depression, relationship challenges, trauma, identity exploration, and emotional regulation challenges. I view a strong client-counselor relationship as foundational to all meaningful therapy. I believe that each one of us intrinsically possesses value and is deserving of love, respect, and the opportunity to evolve. It is my intention to create an inclusive & non-judgmental space in order to support my clients as through challenging seasons and move towards growth.
(504) 732-0351 View (504) 732-0351
Photo of Melanie O'Neill, LPC, Licensed Professional Counselor
Melanie O'Neill
Licensed Professional Counselor, LPC
Verified Verified
Metairie, LA 70003  (Online Only)
I frequently work with professionals who are struggling in multiple areas of their lives, including work and relationships. Folks with difficult childhoods and or those who have experienced trauma may blame themselves or have developed addictions or other ineffective coping strategies. Therapy can help you find your voice , identify your strengths and resources, and find better ways of coping, to help you progress toward your goals. Healing is possible with support, compassion, and understanding in a nonjudgmental counseling relationship. My experience includes over 14 years in mental and behavioral health.
I frequently work with professionals who are struggling in multiple areas of their lives, including work and relationships. Folks with difficult childhoods and or those who have experienced trauma may blame themselves or have developed addictions or other ineffective coping strategies. Therapy can help you find your voice , identify your strengths and resources, and find better ways of coping, to help you progress toward your goals. Healing is possible with support, compassion, and understanding in a nonjudgmental counseling relationship. My experience includes over 14 years in mental and behavioral health.
(504) 608-3681 View (504) 608-3681
Photo of Joseph Wagner, MS, LPC, Counselor
Joseph Wagner
Counselor, MS, LPC
Verified Verified
Jefferson, LA 70121  (Online Only)
I am a licensed professional counselor with 15 years experience treating a range of issues. I bring a warm, empathic style to my work, creating a space where you can discuss the challenges you face while feeling heard and supported. I help people do more of what matters in the presence of difficult inner experiences.
I am a licensed professional counselor with 15 years experience treating a range of issues. I bring a warm, empathic style to my work, creating a space where you can discuss the challenges you face while feeling heard and supported. I help people do more of what matters in the presence of difficult inner experiences.
(504) 224-5108 View (504) 224-5108
Photo of Alisha Francis - Turnaround Coaching and Mentoring Services Center, LPC-S, Licensed Professional Counselor
Turnaround Coaching and Mentoring Services Center
Licensed Professional Counselor, LPC-S
Verified Verified
Marrero, LA 70072
I believe there is nothing wrong with seeking some help when the stressors of life are weighing you down. I here to help you learn how to distribute that weight and get your life and your emotions back in order.
I believe there is nothing wrong with seeking some help when the stressors of life are weighing you down. I here to help you learn how to distribute that weight and get your life and your emotions back in order.
(504) 384-6605 View (504) 384-6605
Photo of Sean Anderson, MSW, LCSW, Clinical Social Work/Therapist
Sean Anderson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Metairie, LA 70002
Emotions tend to be at their root of what concerns us. The fashion we act when our feelings are something we deny generally causes our dominant issues: depression, anxiety, anger, guilt, sadness. With reflection and foundational understanding we can begin growing towards a better life every day.
Emotions tend to be at their root of what concerns us. The fashion we act when our feelings are something we deny generally causes our dominant issues: depression, anxiety, anger, guilt, sadness. With reflection and foundational understanding we can begin growing towards a better life every day.
(504) 758-1358 View (504) 758-1358
Photo of Dr. Gloria M. Lanoux Phd, PhD, D-MFT, LPC, NCC, LPN, Licensed Professional Counselor
Dr. Gloria M. Lanoux Phd
Licensed Professional Counselor, PhD, D-MFT, LPC, NCC, LPN
Verified Verified
Gretna, LA 70056
I have the knowledge, wisdom, experience and professionalism to help you with your problems. Ask yourself what will it take to lessen the pain you are experiencing. I can help! Now, ask yourself what makes you feel alive, content and happy? Recognize that working together we can change your desires into realities. I approach psycho-therapeutic counseling in a holistic fashion. I have great successes in assisting patients to cope with anxiety and depression, the traumas of abuse, teen-age cutters, divorce, death/loss, self-injury and debilitating physical injuries. My style of psychotherapy is more than just emotional support.
I have the knowledge, wisdom, experience and professionalism to help you with your problems. Ask yourself what will it take to lessen the pain you are experiencing. I can help! Now, ask yourself what makes you feel alive, content and happy? Recognize that working together we can change your desires into realities. I approach psycho-therapeutic counseling in a holistic fashion. I have great successes in assisting patients to cope with anxiety and depression, the traumas of abuse, teen-age cutters, divorce, death/loss, self-injury and debilitating physical injuries. My style of psychotherapy is more than just emotional support.
(504) 667-5775 View (504) 667-5775
Photo of Kendra Williams, LPC, NCC, Licensed Professional Counselor
Kendra Williams
Licensed Professional Counselor, LPC, NCC
Verified Verified
Metairie, LA 70005
Waitlist for new clients
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
(504) 434-7807 View (504) 434-7807
Photo of Khari J. Pouncy, MA, PLPC, Pre-Licensed Professional
Khari J. Pouncy
Pre-Licensed Professional, MA, PLPC
Verified Verified
2 Endorsed
Metairie, LA 70005
My focus extends to working closely with individual children and adolescents, addressing issues like ADHD, anxiety, and depression with a personalized touch. Acknowledging the interplay of family dynamics, I emphasize the importance of understanding the family system to comprehend the individual better. Life transitions and hurdles can be especially daunting for young individuals, and I provide a compassionate space for them to explore and express their thoughts and emotions. Together, we navigate the complexities of childhood and adolescence, fostering resilience and personal growth.
My focus extends to working closely with individual children and adolescents, addressing issues like ADHD, anxiety, and depression with a personalized touch. Acknowledging the interplay of family dynamics, I emphasize the importance of understanding the family system to comprehend the individual better. Life transitions and hurdles can be especially daunting for young individuals, and I provide a compassionate space for them to explore and express their thoughts and emotions. Together, we navigate the complexities of childhood and adolescence, fostering resilience and personal growth.
(504) 509-4762 View (504) 509-4762
Photo of Angela L Centanni, LCSW, Clinical Social Work/Therapist
Angela L Centanni
Clinical Social Work/Therapist, LCSW
Verified Verified
Metairie, LA 70002
Not accepting new clients
I invite you to an open space to hear your own voice. In a fast pace world one may often find themselves feeling a sense of 'separation from self'. As you practice noticing your experience, and listening to the messages of your emotions and physiological sensations, a deeper understanding develops. By ‘attending and befriending' ones pain and suffering it settles inside, and symptoms of stress, depression, and anxiety become integrated into healthier lifestyle patterns allowing for greater joy and overall well-being.
I invite you to an open space to hear your own voice. In a fast pace world one may often find themselves feeling a sense of 'separation from self'. As you practice noticing your experience, and listening to the messages of your emotions and physiological sensations, a deeper understanding develops. By ‘attending and befriending' ones pain and suffering it settles inside, and symptoms of stress, depression, and anxiety become integrated into healthier lifestyle patterns allowing for greater joy and overall well-being.
(504) 517-8374 View (504) 517-8374
Photo of Tamika M. Davis, MA, NCC, LPC, CCTP, Licensed Professional Counselor
Tamika M. Davis
Licensed Professional Counselor, MA, NCC, LPC, CCTP
Verified Verified
1 Endorsed
Harvey, LA 70058
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
(504) 285-2249 View (504) 285-2249
Photo of Ben Licata III - Lighthouse Counseling Center, LCSW, CSAT, Clinical Social Work/Therapist
Lighthouse Counseling Center
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
Jefferson, LA 70121
For what seems like a hopeless situation, our therapeutic process for healing sex addicts and the relationships they have destroyed has changed the lives of thousands of addicts, their partners, and the relationships and families they share together. We offer everything you need to find healing. No matter if this is the first or fiftieth time you are searching for help, Lighthouse is where you can turn to. Contact us today for an assessment of how we can help you.
For what seems like a hopeless situation, our therapeutic process for healing sex addicts and the relationships they have destroyed has changed the lives of thousands of addicts, their partners, and the relationships and families they share together. We offer everything you need to find healing. No matter if this is the first or fiftieth time you are searching for help, Lighthouse is where you can turn to. Contact us today for an assessment of how we can help you.
(504) 265-1449 View (504) 265-1449
Photo of Amanda M Giardina, LPC, NCC, Licensed Professional Counselor
Amanda M Giardina
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Harahan, LA 70123
Making the decision to look for a therapist to assist you, support your marriage, your family or your child can be extremely fulfilling. My objective is to utilize my varied experience to provide you with caring and individualized therapeutic support that is attuned to your specific goals. Learning to understand what has brought you to this moment and working collaboratively, we will build on your strengths and explore new tools to overcome obstacles that are hindering you in reaching your desired outcomes.
Making the decision to look for a therapist to assist you, support your marriage, your family or your child can be extremely fulfilling. My objective is to utilize my varied experience to provide you with caring and individualized therapeutic support that is attuned to your specific goals. Learning to understand what has brought you to this moment and working collaboratively, we will build on your strengths and explore new tools to overcome obstacles that are hindering you in reaching your desired outcomes.
(504) 217-2027 View (504) 217-2027
Leslie C Higgins
Psychologist, PsyD
Verified Verified
Metairie, LA 70006
Not accepting new clients
I enjoy working with children and adults in a personalized approach tailored to each patient's unique situation. My theoretical background is rooted in cognitive behavioral therapy, family therapy, play therapy, and psychodynamic therapy, but I pull from many sources in creating a treatment plan. I enjoy tackling diagnostic puzzles and working closely with patients and families to get to the bottom of what causes disruption in someone's life. Most consider me direct and no nonsense. I trained in Exposure Response Prevention for OCD treatment in both children and adults and enjoy these treatment challenges.
I enjoy working with children and adults in a personalized approach tailored to each patient's unique situation. My theoretical background is rooted in cognitive behavioral therapy, family therapy, play therapy, and psychodynamic therapy, but I pull from many sources in creating a treatment plan. I enjoy tackling diagnostic puzzles and working closely with patients and families to get to the bottom of what causes disruption in someone's life. Most consider me direct and no nonsense. I trained in Exposure Response Prevention for OCD treatment in both children and adults and enjoy these treatment challenges.
(504) 702-6887 View (504) 702-6887
Photo of Nisha Ranshi, MS, BCBA, LBA
Nisha Ranshi
MS, BCBA, LBA
Verified Verified
Kenner, LA 70065
I offer 1:1 skills coaching for neurodiverse adults, teens, and kids. I also offer parent coaching and general consultations; all my sessions incorporate Acceptance and Commitment Therapy (ACT) which helps separate thoughts from sense of self through a behavioral lens. I am also currently a CBS student (Certified Behavioral Sexologist) under Nicholas Maio Aether and can offer sessions via telehealth/in person for concerns around socio-sexual behaviors and supports. Skills can include learning how to flirt, self advocacy skills, and recognizing safe/unsafe situations.
I offer 1:1 skills coaching for neurodiverse adults, teens, and kids. I also offer parent coaching and general consultations; all my sessions incorporate Acceptance and Commitment Therapy (ACT) which helps separate thoughts from sense of self through a behavioral lens. I am also currently a CBS student (Certified Behavioral Sexologist) under Nicholas Maio Aether and can offer sessions via telehealth/in person for concerns around socio-sexual behaviors and supports. Skills can include learning how to flirt, self advocacy skills, and recognizing safe/unsafe situations.
(504) 688-7723 View (504) 688-7723
Photo of Catherine Gallagher, LPC, Licensed Professional Counselor
Catherine Gallagher
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
River Ridge, LA 70123  (Online Only)
I believe one of the most courageous things you can do is begin to understand your own story. Many people see therapy as an intimidating situation. Often people envision a one-sided interaction with a distant therapist providing ambiguous feedback or over-generalized commentary. I am the opposite! I spend the time to gain get to know you and provide real, honest observations. I work to identify your personal strengths and utilize them to work towards your goals- I don't believe therapy has to be an emotionally painful process. Since 2014, I have helped individuals from a variety of backgrounds find meaning and purpose.
I believe one of the most courageous things you can do is begin to understand your own story. Many people see therapy as an intimidating situation. Often people envision a one-sided interaction with a distant therapist providing ambiguous feedback or over-generalized commentary. I am the opposite! I spend the time to gain get to know you and provide real, honest observations. I work to identify your personal strengths and utilize them to work towards your goals- I don't believe therapy has to be an emotionally painful process. Since 2014, I have helped individuals from a variety of backgrounds find meaning and purpose.
(504) 946-1403 View (504) 946-1403
Tony Melito
Marriage & Family Therapist, PhD, LMFT, LPC , C-MGCP
Verified Verified
Metairie, LA 70002
I have a successful practice in working with couples, individuals, and families. The nature of your problem(s) will determine the approaches and techniques I use for treatment. Additionally, as a Certified Mental Game Coaching Professional, I work with high school, collegiate, and professional athletes in a wide variety of sports.
I have a successful practice in working with couples, individuals, and families. The nature of your problem(s) will determine the approaches and techniques I use for treatment. Additionally, as a Certified Mental Game Coaching Professional, I work with high school, collegiate, and professional athletes in a wide variety of sports.
(504) 226-7566 View (504) 226-7566
Photo of Andrea Kent Steinkamp, LCSW, BACS, Clinical Social Work/Therapist
Andrea Kent Steinkamp
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
3 Endorsed
Metairie, LA 70002
Do you find that you feel stuck, & trapped by feelings of depression, anxiety, fear and loneliness, or like you are constantly emotionally drained? Perhaps your life seems difficult, empty, or flat out falling apart? Or like you have been hijacked by negative thoughts and memories. If so, now may be the time to consider reaching out for help. Each of us struggles with feeling unhappy, frightened and alone from time to time, and change can seem scary and insurmountable. Do not despair, there is help available that will allow you to have a rich relationship with yourself and others, as well as to begin experiencing joy in your life.
Do you find that you feel stuck, & trapped by feelings of depression, anxiety, fear and loneliness, or like you are constantly emotionally drained? Perhaps your life seems difficult, empty, or flat out falling apart? Or like you have been hijacked by negative thoughts and memories. If so, now may be the time to consider reaching out for help. Each of us struggles with feeling unhappy, frightened and alone from time to time, and change can seem scary and insurmountable. Do not despair, there is help available that will allow you to have a rich relationship with yourself and others, as well as to begin experiencing joy in your life.
(504) 397-9065 View (504) 397-9065
Photo of Allison Lindsey Durant, LPC, Licensed Professional Counselor
Allison Lindsey Durant
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Metairie, LA 70005
Feeling stuck, out of sorts, off balance? Maybe you have an issue you'd like to tackle or have no idea why you are feeling this way. I believe you are the expert and view the counseling relationship as one of team work based in trust, understanding, support, and safety, allowing you to explore, define, and navigate life's challenges while developing and realizing goals for an authentic or improved life.
Feeling stuck, out of sorts, off balance? Maybe you have an issue you'd like to tackle or have no idea why you are feeling this way. I believe you are the expert and view the counseling relationship as one of team work based in trust, understanding, support, and safety, allowing you to explore, define, and navigate life's challenges while developing and realizing goals for an authentic or improved life.
(504) 475-0116 View (504) 475-0116
Photo of Marlo Best, LPC, MA, NCC, Licensed Professional Counselor
Marlo Best
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
Harvey, LA 70059  (Online Only)
knowing where to begin when seeking help can be tough. If you wonder if you are in the right place to get help, here are 8 examples, you are sick and tired of being sick and tired, you cannot escape asking why this happened to you, you have done everything you know to do, you are consumed during the day and lie awake at night fighting fears, discomfort, and pain, you struggle to articulate/deny feelings of guilt and shame, you feel inadequate and different, you seek to find or realign with your purpose, at times, your life does not feel worthy of living.
knowing where to begin when seeking help can be tough. If you wonder if you are in the right place to get help, here are 8 examples, you are sick and tired of being sick and tired, you cannot escape asking why this happened to you, you have done everything you know to do, you are consumed during the day and lie awake at night fighting fears, discomfort, and pain, you struggle to articulate/deny feelings of guilt and shame, you feel inadequate and different, you seek to find or realign with your purpose, at times, your life does not feel worthy of living.
(504) 285-4074 View (504) 285-4074
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How does your Therapist compare?

Number of Therapists in Jefferson Parish, LA

500+

Average cost per session

$125

Therapists in Jefferson Parish, LA who prioritize treating:

94% Anxiety
90% Depression
80% Self Esteem
79% Relationship Issues
76% Coping Skills
71% Stress
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

72% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH
68% Aetna

How Therapists in Jefferson Parish, LA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Jefferson 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.