Therapists in Dukes County, MA

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Photo of Marie T Doubleday, Counselor, LMHC
Marie T Doubleday
Counselor, LMHC
Verified Verified
Online Only
As a licensed mental health counselor, Marie Doubleday offers therapeutic guidance and support services that combines a blend of psychotherapy and counseling styles as a means to allow individuals or couples to discover inner strength to overcome some of life's most difficult challenges. As individuals, or couples, actively participate in the journey of positive change, problem solving and healing takes place. Marie utilizes different therapeutic approaches to best meet client's individual needs to include Cognitive Behavioral Therapy, Rogerian, Addiction, DBT, Coaching, and Trauma Treatments. Marie has counseling experience of over sixteen years including private practice of seven years.
As a licensed mental health counselor, Marie Doubleday offers therapeutic guidance and support services that combines a blend of psychotherapy and counseling styles as a means to allow individuals or couples to discover inner strength to overcome some of life's most difficult challenges. As individuals, or couples, actively participate in the journey of positive change, problem solving and healing takes place. Marie utilizes different therapeutic approaches to best meet client's individual needs to include Cognitive Behavioral Therapy, Rogerian, Addiction, DBT, Coaching, and Trauma Treatments. Marie has counseling experience of over sixteen years including private practice of seven years.
(508) 208-6070 View (508) 208-6070
Photo of Lisa Cottrell, MA
Lisa Cottrell
MA
Verified Verified
Vineyard Haven, MA 02568
I work with my clients with an understanding that an individual's lived experience, within a cultural context, is primary to finding tools and solutions that can support a person in their growth. I am client centered and humanistic in my orientation. I work with individuals, couples and families with an understanding of how childhood developmental trauma influences how one engages in relationships to self and with others. I support individuals, couples and families with relational challenges, issues inherent in recovery and provide families with safe containment to explore family dynamics within a Family Systems framework.
I work with my clients with an understanding that an individual's lived experience, within a cultural context, is primary to finding tools and solutions that can support a person in their growth. I am client centered and humanistic in my orientation. I work with individuals, couples and families with an understanding of how childhood developmental trauma influences how one engages in relationships to self and with others. I support individuals, couples and families with relational challenges, issues inherent in recovery and provide families with safe containment to explore family dynamics within a Family Systems framework.
(508) 719-7077 View (508) 719-7077
Photo of Kayla Johnson, Counselor, LMHC
Kayla Johnson
Counselor, LMHC
Verified Verified
Vineyard Haven, MA 02568
Navigating life can be a challenge and seeking help isn't always easy, but it is a brave first step in sorting through stressors and struggles to access stability, peace and happiness. If you are struggling with overwhelming life stressors, anxiety, depression, parenting or relationship issues or managing behaviors and impulses and looking for ways to manage and cope or bring a sense of calm into your life you are not alone and I'm so glad you are here!
Navigating life can be a challenge and seeking help isn't always easy, but it is a brave first step in sorting through stressors and struggles to access stability, peace and happiness. If you are struggling with overwhelming life stressors, anxiety, depression, parenting or relationship issues or managing behaviors and impulses and looking for ways to manage and cope or bring a sense of calm into your life you are not alone and I'm so glad you are here!
(508) 682-5471 View (508) 682-5471
Photo of Annika Hurwitt, Counselor, LMHC, PhD
Annika Hurwitt
Counselor, LMHC, PhD
Verified Verified
Vineyard Haven, MA 02568
I work with individuals, couples, and adolescents, as well as executives & leadership teams. Usually 8 sessions are enough to create significant impact. This principle-based psychotherapy provides a logical and consistent explanation of how your mind works. It helps you re-discover your innate mental health and resiliency, & get over long-standing mental habits that may have been causing stress, anxiety, and getting in the way of your relationships. Highly successful people reconnect with the creative flow that got them there. Those who struggle with anxiety or depression rediscover what it means to enjoy life. Couples fall back in love.
I work with individuals, couples, and adolescents, as well as executives & leadership teams. Usually 8 sessions are enough to create significant impact. This principle-based psychotherapy provides a logical and consistent explanation of how your mind works. It helps you re-discover your innate mental health and resiliency, & get over long-standing mental habits that may have been causing stress, anxiety, and getting in the way of your relationships. Highly successful people reconnect with the creative flow that got them there. Those who struggle with anxiety or depression rediscover what it means to enjoy life. Couples fall back in love.
(508) 619-4554 View (508) 619-4554
Photo of Katherine Villard-Howe, LMHC
Katherine Villard-Howe
LMHC
Verified Verified
Online Only
I have over 10 years of clinical experience in both urban and rural communities. My practice focuses primarily upon trauma, ptsd, crisis, addiction, first responders and veterans, as well as women and families.
I have over 10 years of clinical experience in both urban and rural communities. My practice focuses primarily upon trauma, ptsd, crisis, addiction, first responders and veterans, as well as women and families.
(508) 501-1846 View (508) 501-1846
Photo of Matthew Malowski, Counselor
Matthew Malowski
Counselor
Verified Verified
2 Endorsed
Online Only
Many athletes struggle with the mental aspect of sports, yet it's often the most overlooked part of an athlete's training. Elite athletes must focus as much on their mindset as their physical abilities. Mental toughness is not just for some people. Having a mental game coach to guide you through some of your personal mental and emotional obstacles could be the game changer you've been seeking for years. Maybe you're a young athlete looking to play at the next level? Perhaps you're just trying to perform better in your local league? A mental game coach can pinpoint your blocks and move you beyond them to play with confidence.
Many athletes struggle with the mental aspect of sports, yet it's often the most overlooked part of an athlete's training. Elite athletes must focus as much on their mindset as their physical abilities. Mental toughness is not just for some people. Having a mental game coach to guide you through some of your personal mental and emotional obstacles could be the game changer you've been seeking for years. Maybe you're a young athlete looking to play at the next level? Perhaps you're just trying to perform better in your local league? A mental game coach can pinpoint your blocks and move you beyond them to play with confidence.
(508) 219-6710 View (508) 219-6710
Photo of Suzanne S Weisman, Clinical Social Work/Therapist, LCSW
Suzanne S Weisman
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Separation, death or emotionally absent parent in a child's early life can often affect secure attachment. Unexplored feelings can lead to mental health challenges such as depression, extreme anxiety or development issues. In Therapy we explore how early attachment issues affects how we process all life events. Loss affects us in many ways. I see patients who are facing cognitive and/ or physical decline; and adult children whose parents are aging.. It is so important to families and individuals who live with intense stresses of not only personal loss, but everyday life events to find a place to process life.
Separation, death or emotionally absent parent in a child's early life can often affect secure attachment. Unexplored feelings can lead to mental health challenges such as depression, extreme anxiety or development issues. In Therapy we explore how early attachment issues affects how we process all life events. Loss affects us in many ways. I see patients who are facing cognitive and/ or physical decline; and adult children whose parents are aging.. It is so important to families and individuals who live with intense stresses of not only personal loss, but everyday life events to find a place to process life.
(646) 386-2270 View (646) 386-2270
Photo of Celina Belmarce Pina Shemo, Counselor, PsyD, LMHC, LMFT
Celina Belmarce Pina Shemo
Counselor, PsyD, LMHC, LMFT
Verified Verified
West Tisbury, MA 02575
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
(508) 538-1948 View (508) 538-1948
Photo of Gabrielle Peña Chudnow, Counselor, LMHC
Gabrielle Peña Chudnow
Counselor, LMHC
Verified Verified
Online Only
Welcome, my name is Gabby. I’m a licensed somatic therapist with over eight years of experience helping individuals alchemize their self-limiting thoughts and behaviors. I support people navigating overwhelming emotions, grief, relationship challenges, work/school stress, life transitions, mind-body disconnection, or feeling stuck and wanting somewhere to land to begin processing the felt sense of it all. My background is in Clinical Mental Health Counseling with a specialization in Holistic Studies, and I love using experiential, relational, strengths-based, and emotionally-focused therapies to foster my clients growth and healing.
Welcome, my name is Gabby. I’m a licensed somatic therapist with over eight years of experience helping individuals alchemize their self-limiting thoughts and behaviors. I support people navigating overwhelming emotions, grief, relationship challenges, work/school stress, life transitions, mind-body disconnection, or feeling stuck and wanting somewhere to land to begin processing the felt sense of it all. My background is in Clinical Mental Health Counseling with a specialization in Holistic Studies, and I love using experiential, relational, strengths-based, and emotionally-focused therapies to foster my clients growth and healing.
(508) 501-0649 View (508) 501-0649
Photo of Lilly Nannes, Counselor, LMHC
Lilly Nannes
Counselor, LMHC
Verified Verified
Online Only
Waitlist for new clients
Life can be overwhelming. Asking for help can be intimidating, but I assure you that taking that step will allow you unload, gain insight, and create space for positive change in your life. We will work together to work through issues big and small and achieve your mental health wellness goals. Whether we are reaching into the past to resolve past trauma or focusing on the present, you can have the life you seek.
Life can be overwhelming. Asking for help can be intimidating, but I assure you that taking that step will allow you unload, gain insight, and create space for positive change in your life. We will work together to work through issues big and small and achieve your mental health wellness goals. Whether we are reaching into the past to resolve past trauma or focusing on the present, you can have the life you seek.
(508) 687-5601 View (508) 687-5601
Shelly Davis
Psychologist, EdD
Verified Verified
Oak Bluffs, MA 02557
I am a Licensed Clinical Psychologist whose practice integrates cognitive-behavioral and psychodynamic therapies. I have practiced as a Psychologist and Registered Nurse at Cambridge Hospital, Harvard Medical School and in New York City, providing clinical, supervisory and administrative services. Working collaboratively with patients from many backgrounds, treatment goals are tailored to their needs. Relaxation training and self-care are always part of treatment. I treat adult patients with anxiety disorders, depression, medical problems and the stress that comes with life changes. Currently I am doing video & phone appts.
I am a Licensed Clinical Psychologist whose practice integrates cognitive-behavioral and psychodynamic therapies. I have practiced as a Psychologist and Registered Nurse at Cambridge Hospital, Harvard Medical School and in New York City, providing clinical, supervisory and administrative services. Working collaboratively with patients from many backgrounds, treatment goals are tailored to their needs. Relaxation training and self-care are always part of treatment. I treat adult patients with anxiety disorders, depression, medical problems and the stress that comes with life changes. Currently I am doing video & phone appts.
(617) 890-6070 View (617) 890-6070
Photo of April S. Knight, Counselor, PhD, LMHC, NBCC, PC
April S. Knight
Counselor, PhD, LMHC, NBCC, PC
Verified Verified
Online Only
Steps to feeling better includes engaging in a process of self-discovery, learning and growing. Negative patterns of thinking, feeling and behaving are changeable. Some patterns are counter intuitive to living a healthy and happy life. I enjoy guiding clients in their own journey of self-discovery, via identifying barriers and opportunities in reaching personal goals. The therapeutic process is not always a linear path, there are twists and turns. However, there are evidenced-based strategies that can help you. My goal is to present them to you, show you how to use them until one or several provide meaningful results.
Steps to feeling better includes engaging in a process of self-discovery, learning and growing. Negative patterns of thinking, feeling and behaving are changeable. Some patterns are counter intuitive to living a healthy and happy life. I enjoy guiding clients in their own journey of self-discovery, via identifying barriers and opportunities in reaching personal goals. The therapeutic process is not always a linear path, there are twists and turns. However, there are evidenced-based strategies that can help you. My goal is to present them to you, show you how to use them until one or several provide meaningful results.
(508) 684-5151 View (508) 684-5151
Photo of Susan Bowen, Counselor, LMHC
Susan Bowen
Counselor, LMHC
Verified Verified
1 Endorsed
Vineyard Haven, MA 02568
Not accepting new clients
When we are lost or realize things are not working, there is a path to a more hopeful future. For some, reaching out to a therapy for the first time may be intimidating, but seeking help and support to deal with life's challenges is the first step toward a more positive and purposeful life. I bring honest and genuine intention to work with you as a unique whole individual-one that is not defined by diagnosis. Our environment will be empathetic and warm, free of judgement to explore your experiences and struggles in a safe and confidential setting.
When we are lost or realize things are not working, there is a path to a more hopeful future. For some, reaching out to a therapy for the first time may be intimidating, but seeking help and support to deal with life's challenges is the first step toward a more positive and purposeful life. I bring honest and genuine intention to work with you as a unique whole individual-one that is not defined by diagnosis. Our environment will be empathetic and warm, free of judgement to explore your experiences and struggles in a safe and confidential setting.
(508) 422-5026 View (508) 422-5026
Photo of Eric T Johnson, Clinical Social Work/Therapist, LICSW
Eric T Johnson
Clinical Social Work/Therapist, LICSW
Verified Verified
Vineyard Haven, MA 02568
It is essential that therapists are competent and have evidence-based ideas on how to get from A to B, but therapy at its best is a collaborative relationship. A safe space of non-judgment and curiosity. My stance is non-pathologizing. One of profound respect for every person and a belief that they already hold, and have always held, the key to their own growth and well-being. Personal experience with non-ordinary states and Internal Family Systems therapy has deepened my commitment to assist my clients in accessing this intrinsic inner-healing wisdom and ultimately live more courageously and authentically.
It is essential that therapists are competent and have evidence-based ideas on how to get from A to B, but therapy at its best is a collaborative relationship. A safe space of non-judgment and curiosity. My stance is non-pathologizing. One of profound respect for every person and a belief that they already hold, and have always held, the key to their own growth and well-being. Personal experience with non-ordinary states and Internal Family Systems therapy has deepened my commitment to assist my clients in accessing this intrinsic inner-healing wisdom and ultimately live more courageously and authentically.
(508) 403-9637 View (508) 403-9637
Photo of Maryliz van Nes, Clinical Social Work/Therapist, LCSW, LICSW
Maryliz van Nes
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Online Only
As a relational therapist, my approach to psychotherapy orients around the idea that mutually satisfying relationships with others are essential for emotional well-being. This will play out in our session often through experiential work, where we can explore triggers in a safe and contained space, always from a space of curiosity rather than judgement.
As a relational therapist, my approach to psychotherapy orients around the idea that mutually satisfying relationships with others are essential for emotional well-being. This will play out in our session often through experiential work, where we can explore triggers in a safe and contained space, always from a space of curiosity rather than judgement.
(628) 214-2949 View (628) 214-2949
Photo of Philip H. West, Clinical Social Work/Therapist, MA, MSW, LICSW
Philip H. West
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Vineyard Haven, MA 02568
As of 3/13/25 I have a wait list. Please contact me in 3-4 weeks if you still are seeking a therapist. Replies to inquiries in 24-48 hrs. In-person & video on Martha’s Vineyard. Thank you for taking a few minutes to read my profile. My clients are adults of all ages and at different stages of life, seeking healing and growth from past relationships, grief or loss, anxiety, depression, change, uncertainty. I have an affirming, easy going but direct and engaged style and I love helping people in this effort. I am an experienced therapist committed to fostering a safe and meaningful working relationship with you.
As of 3/13/25 I have a wait list. Please contact me in 3-4 weeks if you still are seeking a therapist. Replies to inquiries in 24-48 hrs. In-person & video on Martha’s Vineyard. Thank you for taking a few minutes to read my profile. My clients are adults of all ages and at different stages of life, seeking healing and growth from past relationships, grief or loss, anxiety, depression, change, uncertainty. I have an affirming, easy going but direct and engaged style and I love helping people in this effort. I am an experienced therapist committed to fostering a safe and meaningful working relationship with you.
(508) 501-8854 View (508) 501-8854
Photo of Amanda Saltzberg, Counselor, LMHC
Amanda Saltzberg
Counselor, LMHC
Verified Verified
Online Only
Are you struggling in your relationships? Are you looking for more meaning, joy and ease in your life? Are you feeling like your responses to life are not matching the problem? Are you feeling down, anxious or stressed and not happy with the choices you are making? Together, we can gain insight and awareness into your unconscious beliefs that are connected to your current life challenges. Once these limiting thoughts and beliefs are brought to the surface, we can work to create a concrete action plan to help you make positive choices and begin to respond in new, joyful and effective ways.
Are you struggling in your relationships? Are you looking for more meaning, joy and ease in your life? Are you feeling like your responses to life are not matching the problem? Are you feeling down, anxious or stressed and not happy with the choices you are making? Together, we can gain insight and awareness into your unconscious beliefs that are connected to your current life challenges. Once these limiting thoughts and beliefs are brought to the surface, we can work to create a concrete action plan to help you make positive choices and begin to respond in new, joyful and effective ways.
(508) 205-8379 View (508) 205-8379
Photo of Carolyn Kildegaard, Counselor, MA, LADC1, RYT, CTP
Carolyn Kildegaard
Counselor, MA, LADC1, RYT, CTP
Verified Verified
Edgartown, MA 02539
Do you know what you want and can't get there? Or perhaps you know what you DON'T want, but continue to experience it? Do even your strongest desires and intentions get sidetracked by unhelpful patterns of thinking (such as beating yourself up or always blaming others), painful emotions that you cannot control, or addictive behavior such as overeating or substance use? If you are tired of this rollercoaster of confusion, and want to experience the joy that arises when you heal young, hurt parts of yourself, I can help. Ultimately this is about cultivating a healthy relationship with yourself. This is where your power lies.
Do you know what you want and can't get there? Or perhaps you know what you DON'T want, but continue to experience it? Do even your strongest desires and intentions get sidetracked by unhelpful patterns of thinking (such as beating yourself up or always blaming others), painful emotions that you cannot control, or addictive behavior such as overeating or substance use? If you are tired of this rollercoaster of confusion, and want to experience the joy that arises when you heal young, hurt parts of yourself, I can help. Ultimately this is about cultivating a healthy relationship with yourself. This is where your power lies.
(774) 358-7364 View (774) 358-7364
Photo of Thomas James Murphy, MA, MDiv, NCA, DPhil, LADC1
Thomas James Murphy
MA, MDiv, NCA, DPhil, LADC1
Verified Verified
Vineyard Haven, MA 02568
How can I help? 4 simple words that are my guiding principle in life and in therapy. How often do we hear these words or more importantly, how often do we wish someone would ask? I became a therapist because someone reached out a hand at the most challenging point in my life and said those exact words. We all face times of feeling overwhelmed by life's challenges, such as relationship dynamics, major transitions, or existential questions. In our therapeutic partnership, my primary aim is to create meaningful change collaboratively. An amazing life is within your grasp, let’s walk toward it together…
How can I help? 4 simple words that are my guiding principle in life and in therapy. How often do we hear these words or more importantly, how often do we wish someone would ask? I became a therapist because someone reached out a hand at the most challenging point in my life and said those exact words. We all face times of feeling overwhelmed by life's challenges, such as relationship dynamics, major transitions, or existential questions. In our therapeutic partnership, my primary aim is to create meaningful change collaboratively. An amazing life is within your grasp, let’s walk toward it together…
(508) 978-3876 View (508) 978-3876
Photo of Howie Marlin, Drug & Alcohol Counselor, MEd, LADC1, CIP, RCP
Howie Marlin
Drug & Alcohol Counselor, MEd, LADC1, CIP, RCP
Verified Verified
1 Endorsed
Vineyard Haven, MA 02568
I specialize in alcohol and other drug addictions, adolescent and young adult issues, and help people see their behavior realistically so they use what they learn to improve their lives.
I specialize in alcohol and other drug addictions, adolescent and young adult issues, and help people see their behavior realistically so they use what they learn to improve their lives.
(508) 687-6029 View (508) 687-6029
1

See more therapy options for Dukes County

How does your Therapist compare?

Number of Therapists in Dukes County, MA

40+

Average cost per session

$157

Therapists in Dukes County, MA who prioritize treating:

88% Anxiety
86% Depression
74% Relationship Issues
74% Stress
71% Self Esteem
69% Trauma and PTSD
64% Grief

Average years in practice

15 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH
71% Optum

How Therapists in Dukes County, MA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Dukes County?

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.