Therapists in Brighton, MA

Photo of James M Hickey, Psychologist, PsyD
James M Hickey
Psychologist, PsyD
Brighton, MA 02135
Not accepting new clients
If you need help with depression and anxiety, or are struggling to break or gain control over unhealthy patterns, unhappy relationships, or addiction, psychotherapy can be an effective treatment. I work hard to understand what makes you unique, how your personal history affects you now, and what qualities and strengths you can tap into to feel better. I typically will take an active approach with you, at times challenging negative or distorted thinking and at other times helping you face painful feelings. This is done with respect and genuine curiosity as we work together to help you enjoy your life.
If you need help with depression and anxiety, or are struggling to break or gain control over unhealthy patterns, unhappy relationships, or addiction, psychotherapy can be an effective treatment. I work hard to understand what makes you unique, how your personal history affects you now, and what qualities and strengths you can tap into to feel better. I typically will take an active approach with you, at times challenging negative or distorted thinking and at other times helping you face painful feelings. This is done with respect and genuine curiosity as we work together to help you enjoy your life.
(857) 239-0111 View (857) 239-0111
Photo of Aaron P. Gilbert - Boston Evening Therapy Associates, LLC, Clinical Social Work/Therapist, LICSW
Boston Evening Therapy Associates, LLC
Clinical Social Work/Therapist, LICSW
Brighton, MA 02135
You want an excellent therapist. You want one now. We understand. That is what we do. At Boston Evening Therapy Associates, we provide outstanding therapy for adults navigating anxiety, depression, relationship strain, and high-functioning stress. We return inquiries quickly — often the same day — and place new clients within the week whenever possible. We accept all major commercial insurance plans. Reaching out should not feel uncertain. When you contact us, you will hear back.
You want an excellent therapist. You want one now. We understand. That is what we do. At Boston Evening Therapy Associates, we provide outstanding therapy for adults navigating anxiety, depression, relationship strain, and high-functioning stress. We return inquiries quickly — often the same day — and place new clients within the week whenever possible. We accept all major commercial insurance plans. Reaching out should not feel uncertain. When you contact us, you will hear back.
(617) 363-3370 View (617) 363-3370
Photo of Yael Assaf-Gruzman, Counselor, MA, LMHC, EAT
Yael Assaf-Gruzman
Counselor, MA, LMHC, EAT
2 Endorsed
Brighton, MA 02135
Not accepting new clients
We all face challenges and could use support at times. I offer a safe non-judgmental place, where you can focus on your needs through creative expression. Art therapy integrates psychotherapy (talk therapy) with the creative process to improve and enhance mental and emotional well-being of individuals of all ages. No prior artistic experience is needed. Art is a universal language of the mind that speaks through images & symbols and allows verbal and beyond-words communication.
We all face challenges and could use support at times. I offer a safe non-judgmental place, where you can focus on your needs through creative expression. Art therapy integrates psychotherapy (talk therapy) with the creative process to improve and enhance mental and emotional well-being of individuals of all ages. No prior artistic experience is needed. Art is a universal language of the mind that speaks through images & symbols and allows verbal and beyond-words communication.
(617) 860-2831 View (617) 860-2831
Photo of Judi M Locke - Judi Locke, M.A., L.M.H.C.,, Counselor, MA, LMHC
Judi Locke, M.A., L.M.H.C.,
Counselor, MA, LMHC
Online Only
I treat an array of ages and psychological issues from anxiety disorder to behavioral challenges with children, adolescents and adults. I am processed oriented and offer skill building strategies to enhance self-awareness and foster positive change.
I treat an array of ages and psychological issues from anxiety disorder to behavioral challenges with children, adolescents and adults. I am processed oriented and offer skill building strategies to enhance self-awareness and foster positive change.
(617) 841-8493 View (617) 841-8493
Photo of Melissa Morgan, Clinical Social Work/Therapist, LICSW
Melissa Morgan
Clinical Social Work/Therapist, LICSW
Online Only
I specialize in CBT to help mitigate symptoms of anxiety around relationships, social situations, self-esteem, work/school issues, chronic health issues, and chronic depression. Cognitive-behavioral therapy (CBT) is a form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions, behaviors, and thoughts. Unlike traditional talk therapy, which probes patterns and root causes of conflict, CBT focuses on solutions, encouraging patients to challenge distorted cognitions and change destructive patterns of behavior.
I specialize in CBT to help mitigate symptoms of anxiety around relationships, social situations, self-esteem, work/school issues, chronic health issues, and chronic depression. Cognitive-behavioral therapy (CBT) is a form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions, behaviors, and thoughts. Unlike traditional talk therapy, which probes patterns and root causes of conflict, CBT focuses on solutions, encouraging patients to challenge distorted cognitions and change destructive patterns of behavior.
(617) 379-2182 View (617) 379-2182
Photo of Karen Furia, Clinical Social Work/Therapist, LICSW
Karen Furia
Clinical Social Work/Therapist, LICSW
Brighton, MA 02135
I want to help clients connect past trauma and feelings of shame to problems they are currently facing today, whether this be substance abuse, mood issues, relationship problems or behaviors. I will teach clients a variety of skills to help cope with current symptoms and problems as well as help process underlying negative thoughts and traumas. I also do family work with clients that are using substances or are in early recovery to work on codependency issues within the family system.
I want to help clients connect past trauma and feelings of shame to problems they are currently facing today, whether this be substance abuse, mood issues, relationship problems or behaviors. I will teach clients a variety of skills to help cope with current symptoms and problems as well as help process underlying negative thoughts and traumas. I also do family work with clients that are using substances or are in early recovery to work on codependency issues within the family system.
(617) 764-9824 View (617) 764-9824
Photo of Bruce Mermelstein, Psychologist, EdD
Bruce Mermelstein
Psychologist, EdD
Brighton, MA 02135
Providing in-person/ teletherapy. More than 50 years of helping people feel better about themselves, their families and their relationships. I can help you with the problems that led you to begin your search for a therapist. Maybe you are having difficulty managing feelings of anxiety or depression? Perhaps you and your partner or spouse realized that just talking between yourselves is not solving your relationship conflicts? Maybe you are having conflicts or problems with your child? I can help you, by providing a trusting, caring and nurturing environment so that you can develop more effective strategies to improve your life.
Providing in-person/ teletherapy. More than 50 years of helping people feel better about themselves, their families and their relationships. I can help you with the problems that led you to begin your search for a therapist. Maybe you are having difficulty managing feelings of anxiety or depression? Perhaps you and your partner or spouse realized that just talking between yourselves is not solving your relationship conflicts? Maybe you are having conflicts or problems with your child? I can help you, by providing a trusting, caring and nurturing environment so that you can develop more effective strategies to improve your life.
(617) 860-2781 View (617) 860-2781
Photo of Emily Reiniger, Clinical Social Work/Therapist, LCSW
Emily Reiniger
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Waitlist for new clients
Humans are not meant to work through life's challenges on their own. My goal is to work with folks collaboratively through life transitions and struggles in relationships and careers towards greater peace, self acceptance and alignment with one's own goals. I have experience working primarily with anxiety and depression, ADHD, Autism, OCD, and disordered eating/ eating disorders. Additionally, my background in immigration advocacy increased my understanding of the unique challenges faced by immigrants and first-generation Americans.
Humans are not meant to work through life's challenges on their own. My goal is to work with folks collaboratively through life transitions and struggles in relationships and careers towards greater peace, self acceptance and alignment with one's own goals. I have experience working primarily with anxiety and depression, ADHD, Autism, OCD, and disordered eating/ eating disorders. Additionally, my background in immigration advocacy increased my understanding of the unique challenges faced by immigrants and first-generation Americans.
(978) 541-3709 View (978) 541-3709
Photo of Engi Begi, Counselor, LMHC
Engi Begi
Counselor, LMHC
Online Only
Hi! I’m a Licensed Mental Health Counselor (LMHC) based in Massachusetts. I work exclusively with women and LGBTQ+ adults, providing a warm, affirming, and collaborative therapeutic space. My work focuses on supporting clients through anxiety, identity exploration, relationship challenges, and major life transitions. I’m dedicated to helping clients deepen self-awareness, strengthen emotional resilience, and create meaningful, lasting change that aligns with their values and authentic selves.
Hi! I’m a Licensed Mental Health Counselor (LMHC) based in Massachusetts. I work exclusively with women and LGBTQ+ adults, providing a warm, affirming, and collaborative therapeutic space. My work focuses on supporting clients through anxiety, identity exploration, relationship challenges, and major life transitions. I’m dedicated to helping clients deepen self-awareness, strengthen emotional resilience, and create meaningful, lasting change that aligns with their values and authentic selves.
(617) 271-2566 View (617) 271-2566
Photo of Mark Lipman, Counselor, MA, LMHC
Mark Lipman
Counselor, MA, LMHC
3 Endorsed
Online Only
Do you find yourself struggling to change your habits? Do you continue to give in to behaviors or beliefs that you know aren’t helping you feel better about living life? Do you want to feel more empowered in your relationship to the things that are distressing you? Are you open to trying new things and thinking creatively about solutions? If so, I may be able to help. Whether it be depression, anxiety, addictive habits, eating disorders, hearing voices, seeing visions, etc, I offer witnessing and skills to help you change the relationship to your experiences and manage your distress so you can live life on your terms.
Do you find yourself struggling to change your habits? Do you continue to give in to behaviors or beliefs that you know aren’t helping you feel better about living life? Do you want to feel more empowered in your relationship to the things that are distressing you? Are you open to trying new things and thinking creatively about solutions? If so, I may be able to help. Whether it be depression, anxiety, addictive habits, eating disorders, hearing voices, seeing visions, etc, I offer witnessing and skills to help you change the relationship to your experiences and manage your distress so you can live life on your terms.
(617) 906-8873 View (617) 906-8873
Photo of Jamie Farrelly, Clinical Social Work/Therapist, LICSW
Jamie Farrelly
Clinical Social Work/Therapist, LICSW
4 Endorsed
Online Only
Welcome- I'm so glad you are here! Whether this is your first time considering therapy or you're returning to it, I want to acknowledge the courage it takes to reach out. Finding the right therapist is an important and personal step, and I’m honored you’re exploring that journey.
Welcome- I'm so glad you are here! Whether this is your first time considering therapy or you're returning to it, I want to acknowledge the courage it takes to reach out. Finding the right therapist is an important and personal step, and I’m honored you’re exploring that journey.
(339) 331-1432 View (339) 331-1432
Photo of Elena Medvedovski-Khanukaev, Clinical Social Work/Therapist, LICSW, BED
Elena Medvedovski-Khanukaev
Clinical Social Work/Therapist, LICSW, BED
1 Endorsed
Brighton, MA 02135
My name is Elena Medvedovski. I am a Clinical Director of the group practice 'Power of Connection'. It is built on the premise that all people are engaged in meaningful relationships throughout their lives. Starting with early relationships with our own families, followed by connections with teachers, and friends, we develop a unique attachment style, impacts our creativity and inspiration. Our practice is focused on empowering clients to improve the meaningful connections in their lives - with themselves and with their significant others through psychotherapy. Psychotherapy is a powerful tool for self-transformation, which achieved through a better understanding of oneself.
My name is Elena Medvedovski. I am a Clinical Director of the group practice 'Power of Connection'. It is built on the premise that all people are engaged in meaningful relationships throughout their lives. Starting with early relationships with our own families, followed by connections with teachers, and friends, we develop a unique attachment style, impacts our creativity and inspiration. Our practice is focused on empowering clients to improve the meaningful connections in their lives - with themselves and with their significant others through psychotherapy. Psychotherapy is a powerful tool for self-transformation, which achieved through a better understanding of oneself.
(617) 858-6278 View (617) 858-6278
Photo of Alyssa Hamilton, Psychologist, PsyD
Alyssa Hamilton
Psychologist, PsyD
Online Only
Updated 11/5/25: Individual therapy is now waitlisted; I am only able to accept consultations for gender affirming care letters at this time. I am a Queer, Non-Binary licensed psychologist striving to support the Queer communities of Maine, New Hampshire, and Massachusetts. I provide individual and group therapy, consultation, and letters of support for gender affirming care to individuals 18+ or adolescents that have consent from their parents for treatment. I practice using a collaborative, trauma informed, evidence-based approach rooted in Cognitive Behavioral Therapy (CBT).
Updated 11/5/25: Individual therapy is now waitlisted; I am only able to accept consultations for gender affirming care letters at this time. I am a Queer, Non-Binary licensed psychologist striving to support the Queer communities of Maine, New Hampshire, and Massachusetts. I provide individual and group therapy, consultation, and letters of support for gender affirming care to individuals 18+ or adolescents that have consent from their parents for treatment. I practice using a collaborative, trauma informed, evidence-based approach rooted in Cognitive Behavioral Therapy (CBT).
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Photo of Jeffrey Botman, Psychologist, PhD
Jeffrey Botman
Psychologist, PhD
Online Only
Anxiety, depression, guilt, shame, regret. Marital conflict, parent-child struggles. Alienation, isolation. These are real problems that don't always have easy solutions. I help clients to learn, grow, and resolve their problems - big or small, simple or complicate. Whether they include: self-defeating habits, hurtful relationship patterns, overwhelming enotions, or debilitating personal histories. Want a safe place where you are appreciated and your experience is validated? I can provide it. Need interpersonal understanding and wise guidance? I offer that, too. Want to mobilize inner resources? Contact me.
Anxiety, depression, guilt, shame, regret. Marital conflict, parent-child struggles. Alienation, isolation. These are real problems that don't always have easy solutions. I help clients to learn, grow, and resolve their problems - big or small, simple or complicate. Whether they include: self-defeating habits, hurtful relationship patterns, overwhelming enotions, or debilitating personal histories. Want a safe place where you are appreciated and your experience is validated? I can provide it. Need interpersonal understanding and wise guidance? I offer that, too. Want to mobilize inner resources? Contact me.
(617) 420-7329 View (617) 420-7329
Photo of Emma Avish, Clinical Social Work/Therapist, LICSW
Emma Avish
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Hi there, I’m so glad you’re here. Whether you're feeling stuck, anxious, overwhelmed, or just trying to figure things out, I offer a calm, compassionate space where you can breathe, speak freely, and be fully yourself. I show up with patience, presence, and deep respect for whatever you’re carrying. I specialize in supporting people through life’s in-between moments - whether it’s starting college, questioning identity, launching into adulthood, adjusting after a loss, or facing the “what now?” moments of life. I believe growth happens when we feel safe enough to show up just as we are, and I’m here to support you at your pace.
Hi there, I’m so glad you’re here. Whether you're feeling stuck, anxious, overwhelmed, or just trying to figure things out, I offer a calm, compassionate space where you can breathe, speak freely, and be fully yourself. I show up with patience, presence, and deep respect for whatever you’re carrying. I specialize in supporting people through life’s in-between moments - whether it’s starting college, questioning identity, launching into adulthood, adjusting after a loss, or facing the “what now?” moments of life. I believe growth happens when we feel safe enough to show up just as we are, and I’m here to support you at your pace.
(857) 688-0594 View (857) 688-0594
Photo of Megan Lydon, Clinical Social Work/Therapist, LICSW
Megan Lydon
Clinical Social Work/Therapist, LICSW
Online Only
Not accepting new clients
Welcome — I'm glad you're here! I specialize in working with children, adolescents, and adults who are navigating anxiety, depression, life transitions or relationship challenges. Whether your child is struggling emotionally, you're a teen feeling overwhelmed, or an adult trying to find direction, therapy can provide a supportive space to explore, heal, and grow. My style is warm and collaborative, and I draw from a variety of evidence-based modalities including CBT and DBT. My goal is to provide a space where clients feel seen and heard, and also help strengthen ability to manage emotions and challenge unhelpful thought patterns.
Welcome — I'm glad you're here! I specialize in working with children, adolescents, and adults who are navigating anxiety, depression, life transitions or relationship challenges. Whether your child is struggling emotionally, you're a teen feeling overwhelmed, or an adult trying to find direction, therapy can provide a supportive space to explore, heal, and grow. My style is warm and collaborative, and I draw from a variety of evidence-based modalities including CBT and DBT. My goal is to provide a space where clients feel seen and heard, and also help strengthen ability to manage emotions and challenge unhelpful thought patterns.
(617) 993-6008 View (617) 993-6008
Photo of Brian Hiller, Counselor, MC, LMHC
Brian Hiller
Counselor, MC, LMHC
2 Endorsed
Online Only
Everybody is born with the capacity to enjoy life, to feel empowered, and to be healthy in mind, body, and spirit. Unfortunately, certain life circumstances such as abusive and toxic relationships, family conflict, trauma, failure, and loss can prevent people from feeling hopeful, worthy, or successful. In a supportive and nurturing environment, I have dedicated my career to helping others develop the positive habits, spiritual tools, and healthy thinking needed for them to heal and succeed.
Everybody is born with the capacity to enjoy life, to feel empowered, and to be healthy in mind, body, and spirit. Unfortunately, certain life circumstances such as abusive and toxic relationships, family conflict, trauma, failure, and loss can prevent people from feeling hopeful, worthy, or successful. In a supportive and nurturing environment, I have dedicated my career to helping others develop the positive habits, spiritual tools, and healthy thinking needed for them to heal and succeed.
(617) 206-1478 View (617) 206-1478
Photo of Gayatri Khosla, LMHC
Gayatri Khosla
Verified Verified
1 Endorsed
Brighton, MA 02135
Not accepting new clients
Note: I am not accepting new clients. Welcome! I support individuals who are looking to process traumatic experiences, explore gender, sexuality and cultural identity and navigate intergenerational trauma. I’m a Licensed Mental Health Counselor (LMHC) with 8 years of experience working in various clinical settings with a variety of age groups. I am invested in the power of connection and community, especially for those who have been historically marginalized by systems that weren’t built for them. My hope is to empower the people I work with to reclaim their authentic self through community, resistance.
Note: I am not accepting new clients. Welcome! I support individuals who are looking to process traumatic experiences, explore gender, sexuality and cultural identity and navigate intergenerational trauma. I’m a Licensed Mental Health Counselor (LMHC) with 8 years of experience working in various clinical settings with a variety of age groups. I am invested in the power of connection and community, especially for those who have been historically marginalized by systems that weren’t built for them. My hope is to empower the people I work with to reclaim their authentic self through community, resistance.
(857) 392-3962 View (857) 392-3962
Photo of Irene Piryatinsky, Psychologist, PhD, ABPP-CN
Irene Piryatinsky
Psychologist, PhD, ABPP-CN
1 Endorsed
Brighton, MA 02135
Is your child, teen or young adult falling behind at school or work? Are you worried they may fail, but want tools to help them succeed? Or, is an older family member struggling with aging, mood or cognitive changes, life transitions, or complications from a medical event like a stroke or procedure, that’s affected their thoughts, reactions, and ability to do daily tasks or work? If so, this must be taking its toll! Let me help. I understand how distressing and time-consuming these challenges can be. You need a specialist to assess the situation and give you a comprehensive plan and therapies that work.
Is your child, teen or young adult falling behind at school or work? Are you worried they may fail, but want tools to help them succeed? Or, is an older family member struggling with aging, mood or cognitive changes, life transitions, or complications from a medical event like a stroke or procedure, that’s affected their thoughts, reactions, and ability to do daily tasks or work? If so, this must be taking its toll! Let me help. I understand how distressing and time-consuming these challenges can be. You need a specialist to assess the situation and give you a comprehensive plan and therapies that work.
(617) 925-6608 View (617) 925-6608
Photo of Adam Coolidge, Clinical Social Work/Therapist, LICSW
Adam Coolidge
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
I am a licensed individual therapist who works with adults struggling with anxiety, depression, addiction, low self-esteem, and difficult life-transitions. My clients are typically aged 18-65, and looking for a path to cope with their present concerns through developing and strengthening skills and self-understanding to aid them in living more comfortable, fulfilling, and meaningful lives. I use an eclectic approach to engage in a client-centered relationship formed through compassion, empathy, and validation. Mental health is a challenging landscape, yet with the right support I believe the process can be rewarding too.
I am a licensed individual therapist who works with adults struggling with anxiety, depression, addiction, low self-esteem, and difficult life-transitions. My clients are typically aged 18-65, and looking for a path to cope with their present concerns through developing and strengthening skills and self-understanding to aid them in living more comfortable, fulfilling, and meaningful lives. I use an eclectic approach to engage in a client-centered relationship formed through compassion, empathy, and validation. Mental health is a challenging landscape, yet with the right support I believe the process can be rewarding too.
(617) 271-2535 View (617) 271-2535

See more therapy options for Brighton

How does your Therapist compare?

Number of Therapists in Brighton, MA

100+

Average cost per session

$175

Therapists in Brighton, MA who prioritize treating:

96% Anxiety
93% Depression
86% Relationship Issues
84% Self Esteem
74% Trauma and PTSD
72% Stress
55% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
64% Optum

How Therapists in Brighton, MA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

72% Female
26% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brighton?

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.