Therapists in Saint Louis, MO

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Photo of Amy Gagliardi, Clinical Social Work/Therapist in Saint Louis, MO
Amy Gagliardi
Clinical Social Work/Therapist, MSW, LCSW, CCMC
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
(314) 742-9688 View (314) 742-9688
Photo of Andie Cutright - Ellie Mental Health, Pre-Licensed Professional in Saint Louis, MO
Andie Cutright - Ellie Mental Health
Pre-Licensed Professional, MdE, PLPC
Verified Verified
Saint Louis, MO 63128
My goal as a counselor is for my clients to feel safe, seen, and heard during our time together. I have a passion for providing a space filled with acceptance and support as people process hardships and begin to heal.
My goal as a counselor is for my clients to feel safe, seen, and heard during our time together. I have a passion for providing a space filled with acceptance and support as people process hardships and begin to heal.
(314) 897-7141 View (314) 897-7141
Photo of Courtney Cannes, Licensed Professional Counselor in Saint Louis, MO
Courtney Cannes
Licensed Professional Counselor, LPC, NCC
Verified Verified
Saint Louis, MO 63131
Not accepting new clients
Welcome! Starting counseling can be overwhelming and I would love the opportunity to start this process with you. Maybe you are struggling with your own internal emotions or thoughts. Maybe you are acting in a way that doesn't feel right and you want to break some patterns. Maybe your relationships with friends, family, kids is not what you want. Counseling is a great place to find hope and work towards creating the life that you want. I provide a safe and non-judgmental atmosphere for you to share your struggles/concerns and for us to work together towards freedom and healing.
Welcome! Starting counseling can be overwhelming and I would love the opportunity to start this process with you. Maybe you are struggling with your own internal emotions or thoughts. Maybe you are acting in a way that doesn't feel right and you want to break some patterns. Maybe your relationships with friends, family, kids is not what you want. Counseling is a great place to find hope and work towards creating the life that you want. I provide a safe and non-judgmental atmosphere for you to share your struggles/concerns and for us to work together towards freedom and healing.
(314) 300-7989 View (314) 300-7989
Photo of Amy L Butler in Saint Louis, MO
Amy L Butler
MMFT, MEd, BSEd, BAID
Verified Verified
1 Endorsed
Saint Louis, MO 63119
Currently Accepting NEW Clients on Mondays, Tuesdays, Thursdays and some Fridays. I feel that I’m patient, supportive, and genuine, but also speak the truth and will speak to the elephant in the room. Each of us hold the necessary tools required to find peace within ourselves and among others. My job is not to fix, but to offer encouragement and guidance though listening and conversation. I specialize in issues related to peer and relationship issues, both premarital and marriage related. My concentration areas are couples. My goal is to help you, your partner and/or your family navigate life challenges.
Currently Accepting NEW Clients on Mondays, Tuesdays, Thursdays and some Fridays. I feel that I’m patient, supportive, and genuine, but also speak the truth and will speak to the elephant in the room. Each of us hold the necessary tools required to find peace within ourselves and among others. My job is not to fix, but to offer encouragement and guidance though listening and conversation. I specialize in issues related to peer and relationship issues, both premarital and marriage related. My concentration areas are couples. My goal is to help you, your partner and/or your family navigate life challenges.
(314) 501-9209 x704 View (314) 501-9209 x704
Photo of Lee Lockwood, Clinical Social Work/Therapist in Saint Louis, MO
Lee Lockwood
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Saint Louis, MO 63131
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
(314) 329-8892 View (314) 329-8892
Photo of Lingli (Linda) Zhang - Live Flow Space LLC, Licensed Professional Counselor in Saint Louis, MO
Lingli (Linda) Zhang - Live Flow Space LLC
Licensed Professional Counselor, PhD, MEd, NCC
Verified Verified
Saint Louis, MO 63139
Do you wonder, sometimes lying on the bed at the mid hour of night, that life could be different: maybe lighter, with a little bit more hope; and your pounding heart can slow down and feel some peace; when you look out, you can smile and sense trust? Is there part of you that want to embark on a journey of healing and growth, to build nourishing relationships with your own self, with others, and with the life at large, to lay the foundation for a life of meaning and joy?
Do you wonder, sometimes lying on the bed at the mid hour of night, that life could be different: maybe lighter, with a little bit more hope; and your pounding heart can slow down and feel some peace; when you look out, you can smile and sense trust? Is there part of you that want to embark on a journey of healing and growth, to build nourishing relationships with your own self, with others, and with the life at large, to lay the foundation for a life of meaning and joy?
(314) 664-9639 View (314) 664-9639
Photo of Colleen Gosser, Pre-Licensed Professional in Saint Louis, MO
Colleen Gosser
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63132
No matter what you're struggling with, you shouldn’t have to navigate it alone. In our sessions, we will work to uncover themes and patterns across your life, to gain better understanding of yourself. I hope to help you foster growth and healing. My aim is always to equip you with new insights, perspectives, and skills to help you progress.
No matter what you're struggling with, you shouldn’t have to navigate it alone. In our sessions, we will work to uncover themes and patterns across your life, to gain better understanding of yourself. I hope to help you foster growth and healing. My aim is always to equip you with new insights, perspectives, and skills to help you progress.
(314) 947-4212 x704 View (314) 947-4212 x704
Photo of Shannon Clark, Psychologist in Saint Louis, MO
Shannon Clark
Psychologist, PhD
Verified Verified
Saint Louis, MO 63117  (Online Only)
What's not working with your health and life goals? Do you suffer from pain and can't get a clear answer why? Do you find the motivation to stay healthy an impossible task with your busy schedule? Do difficult relationships or trauma make it hard to manage stress? It's time to do the deeper work.
What's not working with your health and life goals? Do you suffer from pain and can't get a clear answer why? Do you find the motivation to stay healthy an impossible task with your busy schedule? Do difficult relationships or trauma make it hard to manage stress? It's time to do the deeper work.
(314) 866-3957 View (314) 866-3957
Photo of Melissa Fasoldt, Pre-Licensed Professional in Saint Louis, MO
Melissa Fasoldt
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63105
Are you struggling with various relationships in your life? Do you feel guilty when you try to set boundaries that would be in your best interest? I believe boundaries are essential for our mental health. I help my clients understand their feelings while providing a safe and comforting environment.
Are you struggling with various relationships in your life? Do you feel guilty when you try to set boundaries that would be in your best interest? I believe boundaries are essential for our mental health. I help my clients understand their feelings while providing a safe and comforting environment.
(314) 451-7594 View (314) 451-7594
Photo of Emily Hudson, Licensed Professional Counselor in Saint Louis, MO
Emily Hudson
Licensed Professional Counselor, ND, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63118
Waitlist for new clients
I am a Licensed Professional Counselor (LPC) with the state of Missouri. I received a Masters in Counseling Psychology as well as a Doctorate in Naturopathic Medicine from Bastyr University in 2017. During my studies, I was a staff counselor at Bastyr University. In addition, I offered low cost therapy to the community at a year long internship at Seattle Therapy Alliance. I spent 4 years as a clinical fellow at Roots Renewal Counseling in St. Louis, MO. I enjoy working with adults experiencing issues related to anxiety, depression, OCD, grief/loss, chronic illness, identity development, career, body image and self confidence.
I am a Licensed Professional Counselor (LPC) with the state of Missouri. I received a Masters in Counseling Psychology as well as a Doctorate in Naturopathic Medicine from Bastyr University in 2017. During my studies, I was a staff counselor at Bastyr University. In addition, I offered low cost therapy to the community at a year long internship at Seattle Therapy Alliance. I spent 4 years as a clinical fellow at Roots Renewal Counseling in St. Louis, MO. I enjoy working with adults experiencing issues related to anxiety, depression, OCD, grief/loss, chronic illness, identity development, career, body image and self confidence.
(314) 626-8862 View (314) 626-8862
Photo of Kathryn Stinson, Licensed Professional Counselor in Saint Louis, MO
Kathryn Stinson
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63143
Waitlist for new clients
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
(314) 827-6803 View (314) 827-6803
Photo of Cheryl M Thompson, Licensed Professional Counselor in Saint Louis, MO
Cheryl M Thompson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63108
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
(314) 207-3278 View (314) 207-3278
Photo of Carly Sparks, Clinical Social Work/Therapist in Saint Louis, MO
Carly Sparks
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Saint Louis, MO 63108
KINETIC counseling specializes in trauma, depression, anxiety, relationship issues, familial stress, and parenting. With 14 years of experience in family social work, Carly provides private counseling services which focus on a comprehensive appreciation of the complexity of people's lives and choices. She utilizes Cognitive Behavioral Therapy, Cognitive Processing Therapy, Stress Reduction techniques, Mindfulness strategies, and Dialectical Behavior Therapy interventions. Carly works to incorporate a holistic approach embracing each person's interests, hobbies, educational background and belief system.
KINETIC counseling specializes in trauma, depression, anxiety, relationship issues, familial stress, and parenting. With 14 years of experience in family social work, Carly provides private counseling services which focus on a comprehensive appreciation of the complexity of people's lives and choices. She utilizes Cognitive Behavioral Therapy, Cognitive Processing Therapy, Stress Reduction techniques, Mindfulness strategies, and Dialectical Behavior Therapy interventions. Carly works to incorporate a holistic approach embracing each person's interests, hobbies, educational background and belief system.
(314) 310-0186 View (314) 310-0186
Photo of Chatonia Williams, Clinical Social Work/Therapist in Saint Louis, MO
Chatonia Williams
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63119  (Online Only)
You sometimes feel like the weight of the world is on your shoulders and you don’t know where to start. Feeling stressed, irritated, sad, heavy, or hopeless happens to all of us, and it can be hard to show our feelings when we think no one will understand or that we will be judged. You are never alone even when you feel like you are! I am here to listen and to help you feel supported. Let’s work together to help you find more successful ways to utilize your current strengths and resilience in the face of life’s challenges.
You sometimes feel like the weight of the world is on your shoulders and you don’t know where to start. Feeling stressed, irritated, sad, heavy, or hopeless happens to all of us, and it can be hard to show our feelings when we think no one will understand or that we will be judged. You are never alone even when you feel like you are! I am here to listen and to help you feel supported. Let’s work together to help you find more successful ways to utilize your current strengths and resilience in the face of life’s challenges.
(314) 208-2852 x5 View (314) 208-2852 x5
Photo of Joshua Goff, Clinical Social Work/Therapist in Saint Louis, MO
Joshua Goff
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Life is hard enough without having to go through it alone. No matter who you are or where you are from, my greatest wish for you at the outset is for you to recognize that we all have complications — we all need growth and healing. As we embrace these realities, we also learn to embrace all of the parts of ourselves, including those that most need our attention and affection Make no mistake, the path to growth can be difficult. It involves equal parts frustration and exploration, and even a good dose of humor! But when we face ourselves, we may also find that the outcome is beautiful, rewarding, and even enchanting.
Life is hard enough without having to go through it alone. No matter who you are or where you are from, my greatest wish for you at the outset is for you to recognize that we all have complications — we all need growth and healing. As we embrace these realities, we also learn to embrace all of the parts of ourselves, including those that most need our attention and affection Make no mistake, the path to growth can be difficult. It involves equal parts frustration and exploration, and even a good dose of humor! But when we face ourselves, we may also find that the outcome is beautiful, rewarding, and even enchanting.
(314) 947-2585 View (314) 947-2585
Photo of Kate Early, Licensed Professional Counselor in Saint Louis, MO
Kate Early
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63117
I am a Certified Internal Family Systems (IFS) and IFS couple's therapist with 20 years and 20,000 hours of experience helping people of diverse backgrounds to navigate through dark times in their lives. I have REAL hope that people can overcome depression, calm anxiety, be transformed through grief, and find their peaceful center in the midst of over-stimulation and busyness. I love helping angry, estranged couples find connection and play again. I enjoy helping people find psychological relief in the presence of physical pain.
I am a Certified Internal Family Systems (IFS) and IFS couple's therapist with 20 years and 20,000 hours of experience helping people of diverse backgrounds to navigate through dark times in their lives. I have REAL hope that people can overcome depression, calm anxiety, be transformed through grief, and find their peaceful center in the midst of over-stimulation and busyness. I love helping angry, estranged couples find connection and play again. I enjoy helping people find psychological relief in the presence of physical pain.
(314) 394-8332 View (314) 394-8332
Photo of Lauren Komp, Clinical Social Work/Therapist in Saint Louis, MO
Lauren Komp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63112
Not accepting new clients
I am not currently accepting new clients. Hi and welcome! I am a Licensed Clinical Social Worker and I have been providing therapy services for 10 years. I have a background in treating individuals who have experienced trauma, are struggling with stress, anxiety, depression, grief, and relationship issues. I can also help with life transitions, lack of motivation, and struggles with self-esteem. I have specialized experience working with the LGBTQIA+ community and those who identify as non-monogamous. I see individuals ranging in ages from 16 years old and up.
I am not currently accepting new clients. Hi and welcome! I am a Licensed Clinical Social Worker and I have been providing therapy services for 10 years. I have a background in treating individuals who have experienced trauma, are struggling with stress, anxiety, depression, grief, and relationship issues. I can also help with life transitions, lack of motivation, and struggles with self-esteem. I have specialized experience working with the LGBTQIA+ community and those who identify as non-monogamous. I see individuals ranging in ages from 16 years old and up.
(314) 274-6632 View (314) 274-6632
Photo of Laura Chackes, Psychologist in Saint Louis, MO
Laura Chackes
Psychologist, PsyD
Verified Verified
5 Endorsed
Saint Louis, MO 63141
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
(314) 384-5223 View (314) 384-5223
Photo of Glenda Sullentrup, Licensed Professional Counselor in Saint Louis, MO
Glenda Sullentrup
Licensed Professional Counselor, MA, LPC, MCC, HTCP
Verified Verified
Saint Louis, MO 63126
Are you getting everything you want out of life? Maybe you're (still) looking for what you want to be when you grow up. Perhaps you've just been fired or laid off, or the writing's on the wall and you don't know what to do next. Or worse, you have to drag yourself out of bed every day. Maybe you're dealing with an unexpected crisis, or you just want life to have more meaning.
Are you getting everything you want out of life? Maybe you're (still) looking for what you want to be when you grow up. Perhaps you've just been fired or laid off, or the writing's on the wall and you don't know what to do next. Or worse, you have to drag yourself out of bed every day. Maybe you're dealing with an unexpected crisis, or you just want life to have more meaning.
(314) 272-4314 View (314) 272-4314
Photo of Camille McCormack, Licensed Professional Counselor in Saint Louis, MO
Camille McCormack
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
Are you scared of what’s to come? Do you sometimes feel lonely, confused? Maybe unheard or misunderstood. Perhaps it’s a transitional time in your life. Have you lost someone (or something) dear to you? Do you have a decision to make but don’t quite know how to launch? A counselor can be a resource to help you through these adjustments. A set of ears, a sounding board... Whether there’s difficulty with interpersonal relationships you need to further explore, or challenges with current situations you suspect stem from your past, let's explore and navigate
Are you scared of what’s to come? Do you sometimes feel lonely, confused? Maybe unheard or misunderstood. Perhaps it’s a transitional time in your life. Have you lost someone (or something) dear to you? Do you have a decision to make but don’t quite know how to launch? A counselor can be a resource to help you through these adjustments. A set of ears, a sounding board... Whether there’s difficulty with interpersonal relationships you need to further explore, or challenges with current situations you suspect stem from your past, let's explore and navigate
(314) 620-8291 View (314) 620-8291

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$126

Therapists in Saint Louis, MO who prioritize treating:

92% Anxiety
87% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
72% Aetna
72% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.