Therapists in Metairie, LA

Photo of Jessica K Alvendia, Licensed Professional Counselor in Metairie, LA
Jessica K Alvendia
Licensed Professional Counselor, MS LPCS, NCC, CT, BC-TMH, CFRC
Verified Verified
Metairie, LA 70002
I work with a variety of clients and am committed to each one equally. My focus is on the overall mental wellness of individuals according to each’s own unique needs; I am well-versed in theoretical orientations and multiculturalism. I engage with clients based on their individual needs, as each case is just as unique as the client(s). I work with the client(s) from their perspective and help them work towards their chosen goals. I navigate the client to achieve smaller, accomplishable goals that then create a building block for larger, more obtainable long-term goals while giving the client autonomy to enhance self-growth.
I work with a variety of clients and am committed to each one equally. My focus is on the overall mental wellness of individuals according to each’s own unique needs; I am well-versed in theoretical orientations and multiculturalism. I engage with clients based on their individual needs, as each case is just as unique as the client(s). I work with the client(s) from their perspective and help them work towards their chosen goals. I navigate the client to achieve smaller, accomplishable goals that then create a building block for larger, more obtainable long-term goals while giving the client autonomy to enhance self-growth.
(504) 826-8706 View (504) 826-8706
Photo of Audra Detillier, Provisional Licensed Marriage and Family Therapist in Metairie, LA
Audra Detillier
Provisional Licensed Marriage and Family Therapist, MA, PLPC, PLMFT
Verified Verified
Metairie, LA 70001
I work with individuals who struggle with anxiety, depression, and the effects of trauma in their lives, as well as couples and families who want to increase connection. I believe that good therapy is much more than a paid friendship, having a space to simply vent, or playing whack-a-mole with problems - solving one, and then another pops up. We all come into this world with God-given needs for safety, connection, and belonging. I believe that many of our problems stem from trying to get those needs met, but not always knowing how to do so in healthy, effective ways.
I work with individuals who struggle with anxiety, depression, and the effects of trauma in their lives, as well as couples and families who want to increase connection. I believe that good therapy is much more than a paid friendship, having a space to simply vent, or playing whack-a-mole with problems - solving one, and then another pops up. We all come into this world with God-given needs for safety, connection, and belonging. I believe that many of our problems stem from trying to get those needs met, but not always knowing how to do so in healthy, effective ways.
(504) 833-4673 View (504) 833-4673
Photo of Megan Nicole Long, Licensed Professional Counselor in Metairie, LA
Megan Nicole Long
Licensed Professional Counselor, LPC, RPT
Verified Verified
Metairie, LA 70006
My clients often are feeling stressed, overwhelmed, and anxious because of life changes and constant feelings of worry and overwhelm. The kids, teens, and young adults I work with often need to feel heard and set goals of better understanding their big emotions. A major part of this work is including parents and caregivers to provide tools and strategies that can help at home. My clients often have trouble expressing their deepest feelings and want to have better relationships with friends and family. Anxiety sometimes feels like it gets in the way of close relationships, but, together, we can discover new ways to reconnect.
My clients often are feeling stressed, overwhelmed, and anxious because of life changes and constant feelings of worry and overwhelm. The kids, teens, and young adults I work with often need to feel heard and set goals of better understanding their big emotions. A major part of this work is including parents and caregivers to provide tools and strategies that can help at home. My clients often have trouble expressing their deepest feelings and want to have better relationships with friends and family. Anxiety sometimes feels like it gets in the way of close relationships, but, together, we can discover new ways to reconnect.
(504) 509-5324 View (504) 509-5324
Photo of Athena Antippas, Licensed Professional Counselor in Metairie, LA
Athena Antippas
Licensed Professional Counselor, MS, NCC, LPC-S
Verified Verified
1 Endorsed
Metairie, LA 70005
Raising a child in these uneasy times can be frustrating, confusing, and scary, and it’s okay that you’re feeling like you could use some support. As a counselor and “feelings expert,” I create a safe space for your child to explore emotions. I use play, art and activity-based approaches to help your child talk and play through their uncomfortable feelings. I love to sit on the floor, draw, build and have fun with children to help them open up to me. For your older children, I use activity-based therapy and talk therapy in session.
Raising a child in these uneasy times can be frustrating, confusing, and scary, and it’s okay that you’re feeling like you could use some support. As a counselor and “feelings expert,” I create a safe space for your child to explore emotions. I use play, art and activity-based approaches to help your child talk and play through their uncomfortable feelings. I love to sit on the floor, draw, build and have fun with children to help them open up to me. For your older children, I use activity-based therapy and talk therapy in session.
(504) 946-1184 View (504) 946-1184
Photo of Brandi Plaisance, Clinical Social Work/Therapist in Metairie, LA
Brandi Plaisance
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Metairie, LA 70005
Say yes to yourself this time. It is hard to envision carrying it all. You've learned to appear like you have it all figured out, but internally, you feel disconnected & empty. You wonder how you can return to normal, when you don't quite know what normal is anymore. Your energy level is depleted. You feel like you are surviving on autopilot, but not truly living. Perhaps you are in a relationship that no longer feels sustainable. You don't have to navigate this alone. Thriving is possible. You've come to the right place and I'm here to help. To learn more, I welcome you to visit my website: www.RenewedHopePsychotherapy.com
Say yes to yourself this time. It is hard to envision carrying it all. You've learned to appear like you have it all figured out, but internally, you feel disconnected & empty. You wonder how you can return to normal, when you don't quite know what normal is anymore. Your energy level is depleted. You feel like you are surviving on autopilot, but not truly living. Perhaps you are in a relationship that no longer feels sustainable. You don't have to navigate this alone. Thriving is possible. You've come to the right place and I'm here to help. To learn more, I welcome you to visit my website: www.RenewedHopePsychotherapy.com
(504) 414-6271 View (504) 414-6271
Photo of Mary Elizabeth Wilkes Chand, Clinical Social Work/Therapist in Metairie, LA
Mary Elizabeth Wilkes Chand
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Metairie, LA 70002
Are you having difficulty managing emotions and connecting with others? Do you feel anxious and exhausted, no matter what you do? You may be fed up with feeling triggered by everyday situations, feeling like your emotions are out of your control but also feeling scared to talk about it. You might not even remember a time when things didn't feel this way. But, one thing is for sure: you're ready for some relief. You're ready to stop letting your past control your future. You're ready to bring balance and connection into your life. Most of all, you're ready to build a new life for yourself that is filled with peace and joy.
Are you having difficulty managing emotions and connecting with others? Do you feel anxious and exhausted, no matter what you do? You may be fed up with feeling triggered by everyday situations, feeling like your emotions are out of your control but also feeling scared to talk about it. You might not even remember a time when things didn't feel this way. But, one thing is for sure: you're ready for some relief. You're ready to stop letting your past control your future. You're ready to bring balance and connection into your life. Most of all, you're ready to build a new life for yourself that is filled with peace and joy.
(504) 420-4777 View (504) 420-4777
Photo of Travis Pollard, Licensed Professional Counselor in Metairie, LA
Travis Pollard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Metairie, LA 70002
I have experience working with clients from various backgrounds, presenting with multiple different mental health concerns. I have the most experience and training in working with survivors of trauma. Many of my clients have suffered unbearable loss, abuse, neglect, and traumatic experiences outside of their control. They need help in identifying and regaining control over their symptoms that stem from the trauma they have endured. They need a safe relationship in which they are able to reprocess the events and reactions to the hardest things they have experienced. They want to not feel trapped in their traumatic memory.
I have experience working with clients from various backgrounds, presenting with multiple different mental health concerns. I have the most experience and training in working with survivors of trauma. Many of my clients have suffered unbearable loss, abuse, neglect, and traumatic experiences outside of their control. They need help in identifying and regaining control over their symptoms that stem from the trauma they have endured. They need a safe relationship in which they are able to reprocess the events and reactions to the hardest things they have experienced. They want to not feel trapped in their traumatic memory.
(504) 384-6950 View (504) 384-6950
Photo of Living with Intention - Lainie Breaux, Clinical Social Work/Therapist in Metairie, LA
Living with Intention - Lainie Breaux
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Metairie, LA 70002
I have openings! When an atmosphere of trust and collaboration is created, healing can begin. My clients have shared with me that I am amicable and non-judgmental, warm hearted with a sense of humor and play. Within this space, clients who are learning to live with problems like a change in life, addiction or trauma can explore their life experiences, learn to use their current strengths and add new skills to move towards their goal. It takes time and patience, honesty and courage, plus support to look at one's self and stick with new thoughts and behaviors.
I have openings! When an atmosphere of trust and collaboration is created, healing can begin. My clients have shared with me that I am amicable and non-judgmental, warm hearted with a sense of humor and play. Within this space, clients who are learning to live with problems like a change in life, addiction or trauma can explore their life experiences, learn to use their current strengths and add new skills to move towards their goal. It takes time and patience, honesty and courage, plus support to look at one's self and stick with new thoughts and behaviors.
(504) 826-8944 View (504) 826-8944
Photo of Office of Michelle Tate, Licensed Professional Counselor in Metairie, LA
Office of Michelle Tate
Licensed Professional Counselor, EdS, LPC, NCC, RPT
Verified Verified
2 Endorsed
Metairie, LA 70001
Life presents us with challenges, but each challenge is an opportunity to gather new tools for growth. Sometimes we all need a little extra support to navigate what comes our way. I support children and adults through big life changes, academic and professional struggles, relationship building, emotional expression, and motivation enhancement.
Life presents us with challenges, but each challenge is an opportunity to gather new tools for growth. Sometimes we all need a little extra support to navigate what comes our way. I support children and adults through big life changes, academic and professional struggles, relationship building, emotional expression, and motivation enhancement.
(504) 305-8433 View (504) 305-8433
Photo of Molly Holmes, Licensed Professional Counselor in Metairie, LA
Molly Holmes
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Metairie, LA 70002  (Online Only)
Bad patterns of behavior are what create stress and unhappiness in our lives. I've worked with addictions of all kinds, ranging from eating disorders to substance abuse to codependency to process addictions (think nail-biting, smoking, gambling, shopping, etc). But bad habits, addiction or otherwise, frequently have effects on those around us, which is why I've also accumulated years of experience working with couples and families. Whether you're dealing with a behavior you'd like to alter or a relationship you'd like to improve, change is possible.
Bad patterns of behavior are what create stress and unhappiness in our lives. I've worked with addictions of all kinds, ranging from eating disorders to substance abuse to codependency to process addictions (think nail-biting, smoking, gambling, shopping, etc). But bad habits, addiction or otherwise, frequently have effects on those around us, which is why I've also accumulated years of experience working with couples and families. Whether you're dealing with a behavior you'd like to alter or a relationship you'd like to improve, change is possible.
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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 Noelle Raymond, Clinical Social Work/Therapist in Metairie, LA
Noelle Raymond
Clinical Social Work/Therapist, LCSW
Verified Verified
Metairie, LA 70005
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
(504) 788-1577 View (504) 788-1577
Photo of Lori Arceneaux, Clinical Social Work/Therapist in Metairie, LA
Lori Arceneaux
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Metairie, LA 70002
​Hi, My name is Lori Arceneaux. I’m a Licensed Clinical Social Worker with 20 years of experience in adoption and maternity services as well as counseling. I have a particular interest and expertise in working with those touched by foster care and/or adoption. For the majority of my career, I have worked with children and teenagers. I enjoy working with these age groups and assisting them with navigating the often complex emotions that accompany adolescence. Also, I work with families and couples who are in need of assistance of strengthening and improving their relationships and addressing their life stressors.
​Hi, My name is Lori Arceneaux. I’m a Licensed Clinical Social Worker with 20 years of experience in adoption and maternity services as well as counseling. I have a particular interest and expertise in working with those touched by foster care and/or adoption. For the majority of my career, I have worked with children and teenagers. I enjoy working with these age groups and assisting them with navigating the often complex emotions that accompany adolescence. Also, I work with families and couples who are in need of assistance of strengthening and improving their relationships and addressing their life stressors.
(504) 812-0159 View (504) 812-0159
Photo of Beth Cooney, Clinical Social Work/Therapist in Metairie, LA
Beth Cooney
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Metairie, LA 70005
Everyone has times in their life when they could really benefit from therapy. Taking the first step can be hard but it will help you feel so much better. I am passionate about helping my clients live a happy life and becoming their best self. Many people come to therapy because they feel stuck. I offer a warm and supportive environment to help my clients through their toughest times. I work with children, adolescents and adults struggling with self-esteem, anxiety, depression, post-traumatic stress, grief and loss. I help clients with adjustment problems, relationship difficulties and life transitions.
Everyone has times in their life when they could really benefit from therapy. Taking the first step can be hard but it will help you feel so much better. I am passionate about helping my clients live a happy life and becoming their best self. Many people come to therapy because they feel stuck. I offer a warm and supportive environment to help my clients through their toughest times. I work with children, adolescents and adults struggling with self-esteem, anxiety, depression, post-traumatic stress, grief and loss. I help clients with adjustment problems, relationship difficulties and life transitions.
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Photo of Kay Clemons, Clinical Social Work/Therapist in Metairie, LA
Kay Clemons
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Metairie, LA 70001
There are many life-changing events that are emotionally charged. Whether you are figuring out a career, deciding on getting married or staying single, I am here to help you sift through your options. Then on quite the opposite end, I'm here to help you adjust to being newly single whether through divorce or the loss of a loved one while on the other hand retiring from a work career, then here I am. Let's navigate your world with fresh perspectives to assist you to arrive at a place in your life that is new and positive. Say "goodbye" to the old and bring in the new you!
There are many life-changing events that are emotionally charged. Whether you are figuring out a career, deciding on getting married or staying single, I am here to help you sift through your options. Then on quite the opposite end, I'm here to help you adjust to being newly single whether through divorce or the loss of a loved one while on the other hand retiring from a work career, then here I am. Let's navigate your world with fresh perspectives to assist you to arrive at a place in your life that is new and positive. Say "goodbye" to the old and bring in the new you!
(504) 399-1469 View (504) 399-1469
Photo of Sidney J. Miltz M.Ed., LPC, CCADS, MAC, CCFC, CCTP, Licensed Professional Counselor in Metairie, LA
Sidney J. Miltz M.Ed., LPC, CCADS, MAC, CCFC, CCTP
Licensed Professional Counselor, MEd, LPC, CCSAS, MAC, CCFC
Verified Verified
Metairie, LA 70001
If you are reading this it is because something in your life could be better. The goal of therapy is for individuals to gain insight, explore their possibilities, and to change their world. If you are feeling significant distress or are seeking personal growth because you are not living at your full potential. I can assist you in improving your life.
If you are reading this it is because something in your life could be better. The goal of therapy is for individuals to gain insight, explore their possibilities, and to change their world. If you are feeling significant distress or are seeking personal growth because you are not living at your full potential. I can assist you in improving your life.
(504) 285-9579 View (504) 285-9579
Photo of Krystal M Vaughn, Licensed Professional Counselor in Metairie, LA
Krystal M Vaughn
Licensed Professional Counselor, PhD, LPC-S, NCC, RPT-S
Verified Verified
Metairie, LA 70006
Dr. Vaughn is a Licensed Professional Counselor-Supervisor and Registered Play Therapist-Supervisor at Vaughn Therapeutic Collective. She specializes in working with children, adolescents, and parents. Dr. Vaughn provides the following clinical services: Individual Therapy, Play Therapy, Parent Child Interactional Therapy, Autplay, Telehealth, Mental Health Consultation to local schools. Dr. Vaughn has years of experience providing clinical services to those with ADHD, anxiety, autism (level 1), adjustment disorder, neurodevelopmental disorders, dysregulation issues, and other developmental disorders.
Dr. Vaughn is a Licensed Professional Counselor-Supervisor and Registered Play Therapist-Supervisor at Vaughn Therapeutic Collective. She specializes in working with children, adolescents, and parents. Dr. Vaughn provides the following clinical services: Individual Therapy, Play Therapy, Parent Child Interactional Therapy, Autplay, Telehealth, Mental Health Consultation to local schools. Dr. Vaughn has years of experience providing clinical services to those with ADHD, anxiety, autism (level 1), adjustment disorder, neurodevelopmental disorders, dysregulation issues, and other developmental disorders.
(504) 321-6728 View (504) 321-6728
Photo of Randy L. Hess, MSW, LCSW, Clinical Social Work/Therapist in Metairie, LA
Randy L. Hess, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW, ACSW, BCD
Verified Verified
Metairie, LA 70005  (Online Only)
I treat a variety of issues but the issues I am best suited to treating are anger management and anxiety and depression.
I treat a variety of issues but the issues I am best suited to treating are anger management and anxiety and depression.
(504) 208-2732 View (504) 208-2732
Photo of Keith M Brown, Licensed Professional Counselor in Metairie, LA
Keith M Brown
Licensed Professional Counselor, MEd, LPC
Verified Verified
Metairie, LA 70001
Not accepting new clients
What should you expect from your counselor? Facilitator of change? Shoulder to cry on? Empathetic active listening? Custodian of mental health wisdom? Regardless of the names they carry, a counselor that you can trust, confide in, and relate to is a paramount necessity to an exceptional therapeutic relationship. By understanding our current experiences, and how they interact with our past, we can find ways to make change in our lives so that we may obtain our goal of living more empowered lives.
What should you expect from your counselor? Facilitator of change? Shoulder to cry on? Empathetic active listening? Custodian of mental health wisdom? Regardless of the names they carry, a counselor that you can trust, confide in, and relate to is a paramount necessity to an exceptional therapeutic relationship. By understanding our current experiences, and how they interact with our past, we can find ways to make change in our lives so that we may obtain our goal of living more empowered lives.
(504) 613-4285 View (504) 613-4285
Photo of Noble Barkley, Licensed Professional Counselor in Metairie, LA
Noble Barkley
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Metairie, LA 70005
As a counselor, I have enjoyed the privilege of working with clients from all walks of life. I have experience providing services for the treatment of depression, anxiety, trauma, substance use disorder, as well problems related to life changes. I've also received training for domestic violence intervention and treatment, with extensive experience providing services to men seeking help addressing violence within their intimate relationships. I feel that counseling is most effective when the client and the clinician connect in a way that encourages honest feedback and empowerment for the client.
As a counselor, I have enjoyed the privilege of working with clients from all walks of life. I have experience providing services for the treatment of depression, anxiety, trauma, substance use disorder, as well problems related to life changes. I've also received training for domestic violence intervention and treatment, with extensive experience providing services to men seeking help addressing violence within their intimate relationships. I feel that counseling is most effective when the client and the clinician connect in a way that encourages honest feedback and empowerment for the client.
(985) 275-8564 View (985) 275-8564

How does your Therapist compare?

Number of Therapists in Metairie, LA

400+

Average cost per session

$125

Therapists in Metairie, LA who prioritize treating:

94% Anxiety
90% Depression
80% Relationship Issues
79% Self Esteem
73% Coping Skills
70% Stress
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
62% Aetna

How Therapists in Metairie, LA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Metairie?

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.