Therapists in Barnstable, MA

Photo of Ruthanne Barr, Clinical Social Work/Therapist in Barnstable, MA
Ruthanne Barr
Clinical Social Work/Therapist, LICSW
Verified
Barnstable, MA 02630  (Online Only)
I enjoy working with clients who have experienced a significant life change. They may be experiencing mental, emotional and physical symptoms of depression, anxiety or illness. As a grief therapist and clinical social worker, I use a holistic and integrative psychotherapy model that includes: Grief Therapy, EMDR, Emotional Freedom Technique, Narrative Therapy, Guided Imagery, Dream Work and Mindfulness Based Stress Reduction.
I enjoy working with clients who have experienced a significant life change. They may be experiencing mental, emotional and physical symptoms of depression, anxiety or illness. As a grief therapist and clinical social worker, I use a holistic and integrative psychotherapy model that includes: Grief Therapy, EMDR, Emotional Freedom Technique, Narrative Therapy, Guided Imagery, Dream Work and Mindfulness Based Stress Reduction.
(508) 232-4582 View (508) 232-4582
Photo of Dr. Jonathan Kelley, Counselor in Barnstable, MA
Dr. Jonathan Kelley
Counselor, PsyaD, CrtPsya, LMHC
Verified
Barnstable, MA 02630
Limited availability for new clients in Barnstable location: I find every person is unique, with individual gifts, tolerances and goals. In my experience, people come to therapy searching for help with some inhibition, perfectionism, self-esteem or emotion creating blocks in relationships, work and enjoying life. I have found the power of conversation and careful listening opens up new perspectives and flexibility of thought, action and breadth of emotions, creating a more fulfilling life.
Limited availability for new clients in Barnstable location: I find every person is unique, with individual gifts, tolerances and goals. In my experience, people come to therapy searching for help with some inhibition, perfectionism, self-esteem or emotion creating blocks in relationships, work and enjoying life. I have found the power of conversation and careful listening opens up new perspectives and flexibility of thought, action and breadth of emotions, creating a more fulfilling life.
(508) 281-2856 View (508) 281-2856
Photo of Aimee Teresa Facchini, Clinical Social Work/Therapist in Barnstable, MA
Aimee Teresa Facchini
Clinical Social Work/Therapist, MSW, LICSW
Verified
Barnstable, MA 02630
My name is Aimee Facchini and I have been a private practitioner on Cape Cod, Ma for over 25 years. I am a LICSW and Life Coach. My work experience is diverse and extensive from nonprofit agencies to crisis management to private practice. I have worked with individuals, families, and groups struggling with symptoms of depression, anxiety, grief, and more. I have nurtured a supportive, safe and diverse community that encourages positive connections and outcomes. You are invited to explore your journey and unravel your authentic truth. Remember, your life transitions are not roadblocks, but bridges to self-actualization.
My name is Aimee Facchini and I have been a private practitioner on Cape Cod, Ma for over 25 years. I am a LICSW and Life Coach. My work experience is diverse and extensive from nonprofit agencies to crisis management to private practice. I have worked with individuals, families, and groups struggling with symptoms of depression, anxiety, grief, and more. I have nurtured a supportive, safe and diverse community that encourages positive connections and outcomes. You are invited to explore your journey and unravel your authentic truth. Remember, your life transitions are not roadblocks, but bridges to self-actualization.
(508) 714-3766 View (508) 714-3766
Photo of Julie Nicole Saperstein, Clinical Social Work/Therapist in Barnstable, MA
Julie Nicole Saperstein
Clinical Social Work/Therapist, LCSW, LICSW
Verified
2 Endorsed
Barnstable, MA 02648  (Online Only)
I provide psychotherapy to individuals, couples, families and groups. I specialize in Dialectical Behavioral Therapy (DBT), but my approach is varied and client driven. I customize a combination of a deep exploration of the past with a pragmatic skills-based way to move forward. My clients receive therapy that feels authentic, safe, warm and conducive to profound growth. I treat a wide range of issues and disorders including ADHD, Anxiety, Depression, Addiction, Bipolar Disorder and Borderline Personality Disorder. I also specialize in couples work, including post infidelity reconciliation. I also do Ketamine Assisted Therapy
I provide psychotherapy to individuals, couples, families and groups. I specialize in Dialectical Behavioral Therapy (DBT), but my approach is varied and client driven. I customize a combination of a deep exploration of the past with a pragmatic skills-based way to move forward. My clients receive therapy that feels authentic, safe, warm and conducive to profound growth. I treat a wide range of issues and disorders including ADHD, Anxiety, Depression, Addiction, Bipolar Disorder and Borderline Personality Disorder. I also specialize in couples work, including post infidelity reconciliation. I also do Ketamine Assisted Therapy
(201) 884-1704 View (201) 884-1704
Kelly Pike
Counselor, MEd, LMHC
Verified
1 Endorsed
Barnstable, MA 02630
Offering support and problem solving for adults navigating changes and transitions in any stage of life. Accepting insurance, appointments available, and a free telephone consultation. Comfortable private office setting on Barnstable Harbor. Let me help you find your solution, and provide you with support.
Offering support and problem solving for adults navigating changes and transitions in any stage of life. Accepting insurance, appointments available, and a free telephone consultation. Comfortable private office setting on Barnstable Harbor. Let me help you find your solution, and provide you with support.
(508) 744-6028 View (508) 744-6028
Ana Zick
Counselor, MA, CAGS, LMHC
Verified
Barnstable, MA 02630  (Online Only)
Are you going through a spiritual transformation? Are you questioning everything you believed in? Are you struggling in relationships and continue to repeat the same patterns? I may be of assistance in finding answers to your questions as well as balance and joy in your life.
Are you going through a spiritual transformation? Are you questioning everything you believed in? Are you struggling in relationships and continue to repeat the same patterns? I may be of assistance in finding answers to your questions as well as balance and joy in your life.
(774) 326-0151 View (774) 326-0151
Photo of Claudia Partyka Alifano, Counselor in Barnstable, MA
Claudia Partyka Alifano
Counselor, MA, LMHC
Verified
Barnstable, MA 02630
As a holistic spiritual psychotherapist, expressive art therapist and licensed mental health counselor, I partner with people of all ages to ease depression & anxiety, assist with grief counseling, and guide major life transitions. I also have two post-graduate certificates in trauma. My traditional psychotherapy practice consists of many teens and adults in my quaint office overlooking Barnstable Harbour.
As a holistic spiritual psychotherapist, expressive art therapist and licensed mental health counselor, I partner with people of all ages to ease depression & anxiety, assist with grief counseling, and guide major life transitions. I also have two post-graduate certificates in trauma. My traditional psychotherapy practice consists of many teens and adults in my quaint office overlooking Barnstable Harbour.
(508) 640-7206 View (508) 640-7206
Photo of Ashley Franklin, Clinical Social Work/Therapist in Barnstable, MA
Ashley Franklin
Clinical Social Work/Therapist, LICSW, MSW
Verified
1 Endorsed
Barnstable, MA 02630  (Online Only)
If you are struggling with depression, anxiety, negative thoughts, low self-esteem, stress, life transitions, insomnia, weight gain or a chronic disease or illness, I offer a non-judgmental, collaborative approach combining holistic mental health interventions with evidenced based practices geared towards helping individuals start to find a sense of balance and tools to help overcome life’s obstacles.
If you are struggling with depression, anxiety, negative thoughts, low self-esteem, stress, life transitions, insomnia, weight gain or a chronic disease or illness, I offer a non-judgmental, collaborative approach combining holistic mental health interventions with evidenced based practices geared towards helping individuals start to find a sense of balance and tools to help overcome life’s obstacles.
(508) 812-9331 View (508) 812-9331
Photo of Jill Damico, Drug & Alcohol Counselor in Barnstable, MA
Jill Damico
Drug & Alcohol Counselor, BA, LADC II
Verified
Barnstable, MA 02648
Hi, I'm Jill! Thank you for reading my profile. Addiction is a disease that wants you alone, isolated, and far away from people you care about. It is insidious and cunning and dangerous. But the good news is, you are not alone! Let me help you shine a light on addiction, identify your fears and focus on recovery within yourself.
Hi, I'm Jill! Thank you for reading my profile. Addiction is a disease that wants you alone, isolated, and far away from people you care about. It is insidious and cunning and dangerous. But the good news is, you are not alone! Let me help you shine a light on addiction, identify your fears and focus on recovery within yourself.
(508) 709-6394 View (508) 709-6394
Photo of Marliese Vogel, Clinical Social Work/Therapist in Barnstable, MA
Marliese Vogel
Clinical Social Work/Therapist, LISW, ACSW
Verified
Barnstable, MA 02648
Have you been in talk therapy and it has NOT worked? Do you want to let go of shame, depression, and guilt? I am looking for people who want to change. The human body is energy. By living life, all kinds of experiences happen. Some of these are negative and traumatic. These occurrences get stuck in your energy field and affect you psychologically. Working with me you will remember memories, and incidents ( you thought you forgot), and together we weave the holes in your energy field and remove the blocks in your energy that are preventing growth and flow.
Have you been in talk therapy and it has NOT worked? Do you want to let go of shame, depression, and guilt? I am looking for people who want to change. The human body is energy. By living life, all kinds of experiences happen. Some of these are negative and traumatic. These occurrences get stuck in your energy field and affect you psychologically. Working with me you will remember memories, and incidents ( you thought you forgot), and together we weave the holes in your energy field and remove the blocks in your energy that are preventing growth and flow.
(508) 625-7384 View (508) 625-7384
Photo of Caroline Mary Corrigan, Clinical Social Work/Therapist in Barnstable, MA
Caroline Mary Corrigan
Clinical Social Work/Therapist, LICSW, CADC, EMDR
Verified
Barnstable, MA 02630  (Online Only)
Waitlist for new clients
Everyone will eventually come upon an issue that they are struggling to process. Whether it is addiction, loss, depression, anxiety, trauma or recently being diagnosed with a serious illness, we all sometimes need the help of a professional to navigate personal challenges in life. Often we are hoping to facilitate change in our journey and are unsure on where to begin. I am a licensed independent clinical social worker and a certified alcohol and drug counselor. I specialize in helping those whose primary goal is to overcome life obstacles, recover from mental health issues, dual diagnosis and have the willingness to do so.
Everyone will eventually come upon an issue that they are struggling to process. Whether it is addiction, loss, depression, anxiety, trauma or recently being diagnosed with a serious illness, we all sometimes need the help of a professional to navigate personal challenges in life. Often we are hoping to facilitate change in our journey and are unsure on where to begin. I am a licensed independent clinical social worker and a certified alcohol and drug counselor. I specialize in helping those whose primary goal is to overcome life obstacles, recover from mental health issues, dual diagnosis and have the willingness to do so.
(774) 208-0631 View (774) 208-0631
Photo of Mary Grabowski, Psychologist in Barnstable, MA
Mary Grabowski
Psychologist, PsyD
Verified
Barnstable, MA 02630
Ready to better understand how your brain function or learning impacts your day-to-day life? Ready to move forward in your life? I offer Psychological and Neuropsychological Evaluation and Therapy Services. My testing clients may have a neurological disorder or difficulties with attention, focus, organization, and/or memory, neurodevelopmental disorders, medical conditions, and comorbid psychiatric disorders. My therapy clients may have Anxiety related disorders, depression and/or stress which can cause an upheaval in life. I often work with complex families including those with a member who has ASD, disability or dementia.
Ready to better understand how your brain function or learning impacts your day-to-day life? Ready to move forward in your life? I offer Psychological and Neuropsychological Evaluation and Therapy Services. My testing clients may have a neurological disorder or difficulties with attention, focus, organization, and/or memory, neurodevelopmental disorders, medical conditions, and comorbid psychiatric disorders. My therapy clients may have Anxiety related disorders, depression and/or stress which can cause an upheaval in life. I often work with complex families including those with a member who has ASD, disability or dementia.
(508) 687-6380 View (508) 687-6380
Photo of Amanda Urato, LMHC, New Inspiration Counseling, Counselor in Barnstable, MA
Amanda Urato, LMHC, New Inspiration Counseling
Counselor, LMHC
Verified
Barnstable, MA 02630  (Online Only)
Waitlist for new clients
Since Amanda is not taking on new clients until July, please consider another one of our great therapists, Shane MacDonald, LICSW, who has immediately openings. He's GREAT: eager and able to help! See Shane's profile on our New Inspiration website, at www.newinspiration.org
Since Amanda is not taking on new clients until July, please consider another one of our great therapists, Shane MacDonald, LICSW, who has immediately openings. He's GREAT: eager and able to help! See Shane's profile on our New Inspiration website, at www.newinspiration.org
(339) 201-9927 View (339) 201-9927
Photo of Ralph Cahoon, Clinical Social Work/Therapist in Barnstable, MA
Ralph Cahoon
Clinical Social Work/Therapist, LICSW, LADC, DAAETS, MAC
Verified
9 Endorsed
Barnstable, MA 02630
Not accepting new clients
*** I HAVE LIMITED AVAILABILITY AND AM ONLY ACCEPTING FIRST RESPONDERS OR ACTIVE/RETIRED MILITARY AS NEW CLIENTS*** Welcome. Seeking help is a big step. Now you need to find the right therapist. I believe the most important factor in therapy is the relationship between client and therapist. I strive to make that relationship safe, open and honest. My goals in therapy are to provide clients with the tools and strategies they need to live a better life and to learn to focus on solutions instead of problems.
*** I HAVE LIMITED AVAILABILITY AND AM ONLY ACCEPTING FIRST RESPONDERS OR ACTIVE/RETIRED MILITARY AS NEW CLIENTS*** Welcome. Seeking help is a big step. Now you need to find the right therapist. I believe the most important factor in therapy is the relationship between client and therapist. I strive to make that relationship safe, open and honest. My goals in therapy are to provide clients with the tools and strategies they need to live a better life and to learn to focus on solutions instead of problems.
(508) 332-8422 View (508) 332-8422
Photo of Kathy Davis-Gillette, PhD, New Inspiration LLC, Psychologist in Barnstable, MA
Kathy Davis-Gillette, PhD, New Inspiration LLC
Psychologist, PhD
Verified
Barnstable, MA 02630  (Online Only)
Joy. Self-Esteem. Confidence. Fulfillment. Do you ever feel as if something is missing in your Life––either as an individual or couple? If so, let’s join together and find the missing pieces. As a Team, we’ll take an objective look at your Life and your desires. Then we’ll put together a personal Action Plan that will show the way to a more complete and happier You! The possibilities are endless once you take the first step!
Joy. Self-Esteem. Confidence. Fulfillment. Do you ever feel as if something is missing in your Life––either as an individual or couple? If so, let’s join together and find the missing pieces. As a Team, we’ll take an objective look at your Life and your desires. Then we’ll put together a personal Action Plan that will show the way to a more complete and happier You! The possibilities are endless once you take the first step!
(339) 220-2974 View (339) 220-2974
Photo of Lisa A Balboni-Farhadi, Clinical Social Work/Therapist in Barnstable, MA
Lisa A Balboni-Farhadi
Clinical Social Work/Therapist, MSW, LICSW
Verified
Barnstable, MA 02630
Everyone, at some point in their lives, will experience some type of mental health symptom, be it depression, anxiety, loss/grief, addictions to substances or behaviors, and adjustment to major life changes.The good news is that most of us have been using coping skills that we may not even know that we have. Depending on the situation or severity of symptoms, sometimes seeking help to learn new, or healthier coping skills, as well as having someone listen and help prioritize stressors can make a huge difference in our lives and help no longer feel so frustrated, alone and overwhelmed.
Everyone, at some point in their lives, will experience some type of mental health symptom, be it depression, anxiety, loss/grief, addictions to substances or behaviors, and adjustment to major life changes.The good news is that most of us have been using coping skills that we may not even know that we have. Depending on the situation or severity of symptoms, sometimes seeking help to learn new, or healthier coping skills, as well as having someone listen and help prioritize stressors can make a huge difference in our lives and help no longer feel so frustrated, alone and overwhelmed.
(508) 658-9228 View (508) 658-9228
Photo of Karen Vernen Thompson LICSW, Clinical Social Work/Therapist in Barnstable, MA
Karen Vernen Thompson LICSW
Clinical Social Work/Therapist, LICW, CADACII, LADCI
Verified
1 Endorsed
Barnstable, MA 02630
Addiction ,depression ,anxiety and trauma are my specialties.I have worked with thousands of adolescents,couples. adults and familes over the last 29 years. Extensive training PTSD. MSW BOSTON COLLEGE LICENCE CLINCAL SOCIAL WORK. DRUG COUNSELOR IN MA. LADCI LICENCE. CERTIFED ALCOHOL AND DRUG ADDICTION COUNSELOR CADACII RAPID RESOLUTION TREATMENT CERTIFIED RRT
Addiction ,depression ,anxiety and trauma are my specialties.I have worked with thousands of adolescents,couples. adults and familes over the last 29 years. Extensive training PTSD. MSW BOSTON COLLEGE LICENCE CLINCAL SOCIAL WORK. DRUG COUNSELOR IN MA. LADCI LICENCE. CERTIFED ALCOHOL AND DRUG ADDICTION COUNSELOR CADACII RAPID RESOLUTION TREATMENT CERTIFIED RRT
(774) 462-5399 View (774) 462-5399
Photo of Barbara L Blair, Clinical Social Work/Therapist in Barnstable, MA
Barbara L Blair
Clinical Social Work/Therapist, MSW, LICSW
Verified
Barnstable, MA 02630  (Online Only)
Not accepting new clients
As a therapist of over 30 years' training and experience in helping people with many kinds of life problems, I have worked on Cape Cod over 20 years. A few years ago I closed my private practice, planning to retire, but the pandemic and subsequent mental health crisis has compelled me to return to my original vocation, this time through "telehealth" appointments -- counseling over the internet via a secure platform. For those who don't use the internet easily, I will also help by telephone. In Massachusetts, your teletherapy is covered by your health insurance in the same way it would be covered for in-person sessions.
As a therapist of over 30 years' training and experience in helping people with many kinds of life problems, I have worked on Cape Cod over 20 years. A few years ago I closed my private practice, planning to retire, but the pandemic and subsequent mental health crisis has compelled me to return to my original vocation, this time through "telehealth" appointments -- counseling over the internet via a secure platform. For those who don't use the internet easily, I will also help by telephone. In Massachusetts, your teletherapy is covered by your health insurance in the same way it would be covered for in-person sessions.
(508) 388-5311 View (508) 388-5311
Photo of Susan Greeley Murati, Counselor in Barnstable, MA
Susan Greeley Murati
Counselor, PsyD, MPH, LMHC, CMHC
Verified
Barnstable, MA 02630  (Online Only)
As a Cultural Psychologist and a Licensed Counselor, I have provided psychotherapy services to a wide range of clients for over 18 years. I specialize in seeing a client's strengths. My counseling style is warm and interactive, with occasional humor. I believe in treating people with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach is customized to meet the unique and specific needs of my clients. It takes courage to seek a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step, I am here to support you.
As a Cultural Psychologist and a Licensed Counselor, I have provided psychotherapy services to a wide range of clients for over 18 years. I specialize in seeing a client's strengths. My counseling style is warm and interactive, with occasional humor. I believe in treating people with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach is customized to meet the unique and specific needs of my clients. It takes courage to seek a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step, I am here to support you.
(603) 932-6557 View (603) 932-6557
Photo of Heidi Peddell Hall, PhD, Clinical Psychologist, Psychologist in Barnstable, MA
Heidi Peddell Hall, PhD, Clinical Psychologist
Psychologist, PhD, EdM
Verified
Barnstable, MA 02630
I focus primarily on evaluating children, adolescents and adults through Psychological or Psychoeducational Testing. Testing can I help people to discover their intellectual strengths and weaknesses, learning style, emotional triggers and better ways to deal with stress or confusion. In addition to diagnosing things like ADHD, Anxiety Disorders, Depression, Asperger's, Autism, Mood Disorders and Learning Disabilities (something most school systems are unable to do when testing students who are struggling), I can help kids and adults access the services (e.g., therapeutic, educational, vocational and/or pharmacological) that are most likely to improve the quality of their lives.
I focus primarily on evaluating children, adolescents and adults through Psychological or Psychoeducational Testing. Testing can I help people to discover their intellectual strengths and weaknesses, learning style, emotional triggers and better ways to deal with stress or confusion. In addition to diagnosing things like ADHD, Anxiety Disorders, Depression, Asperger's, Autism, Mood Disorders and Learning Disabilities (something most school systems are unable to do when testing students who are struggling), I can help kids and adults access the services (e.g., therapeutic, educational, vocational and/or pharmacological) that are most likely to improve the quality of their lives.
(508) 966-7361 View (508) 966-7361

See more therapy options for Barnstable

How does your Therapist compare?

Number of Therapists in Barnstable, MA

60+

Average cost per session

$150

Therapists in Barnstable, MA who prioritize treating:

93% Depression
93% Anxiety
81% Self Esteem
72% Coping Skills
69% Trauma and PTSD
68% Relationship Issues
65% Stress

Average years in practice

14 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
63% Optum

How Therapists in Barnstable, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

89% Female
11% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Barnstable?

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.