Therapists in Middlesex County, MA

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Photo of Ashley Reeves, Clinical Social Work/Therapist in Middlesex County, MA
Ashley Reeves
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Burlington, MA 01803
The ideal client would finally be open to change and hope to have better interpersonal relationships. This can be a client who struggles with their anxiety, possibly has poor attachment styles, and struggles with holding meaningful relationships (romantic, platonic, familial). Their goals would be identifying healthy boundaries and healthy responses, increasing effective communication skills, and identifying past relationships/present relationships in order to identify patterns/habits.
The ideal client would finally be open to change and hope to have better interpersonal relationships. This can be a client who struggles with their anxiety, possibly has poor attachment styles, and struggles with holding meaningful relationships (romantic, platonic, familial). Their goals would be identifying healthy boundaries and healthy responses, increasing effective communication skills, and identifying past relationships/present relationships in order to identify patterns/habits.
(339) 345-2052 View (339) 345-2052
Photo of Alicia Southwell, Clinical Social Work/Therapist in Middlesex County, MA
Alicia Southwell
Clinical Social Work/Therapist, LICSW
Verified Verified
Weston, MA 02493
It is not uncommon to realize we are living lives we never planned on. We may be in an active crisis, or a life transition, or we may realize that we are stuck, or that things are just not working. Often, present-day challenges can be traced back to old patterns of relating, perceiving, understanding, and behaving. I help my clients identify and understand old patterns, and then develop greater flexibility in how they relate and respond. I work with them to adopt new practices which will allow them to move away from impasses and towards lives that are more fulfilling, productive and connected.
It is not uncommon to realize we are living lives we never planned on. We may be in an active crisis, or a life transition, or we may realize that we are stuck, or that things are just not working. Often, present-day challenges can be traced back to old patterns of relating, perceiving, understanding, and behaving. I help my clients identify and understand old patterns, and then develop greater flexibility in how they relate and respond. I work with them to adopt new practices which will allow them to move away from impasses and towards lives that are more fulfilling, productive and connected.
(781) 341-7865 View (781) 341-7865
Photo of Alistair McKnight, Counselor in Middlesex County, MA
Alistair McKnight
Counselor, PsyaD, LMHC
Verified Verified
Cambridge, MA 02138
"Some days you wake up and immediately start to worry. Nothing in particular is wrong it's just the suspicion that forces are aligning quietly and there will be trouble." - Jenny Holzer. What can begin as a vague worry in our daily lives might quickly grow into something more troublesome. We might put off getting help in the hope that "things will get better on their own," but sometimes things don't. Often the most difficult step in addressing areas of concern is the first.
"Some days you wake up and immediately start to worry. Nothing in particular is wrong it's just the suspicion that forces are aligning quietly and there will be trouble." - Jenny Holzer. What can begin as a vague worry in our daily lives might quickly grow into something more troublesome. We might put off getting help in the hope that "things will get better on their own," but sometimes things don't. Often the most difficult step in addressing areas of concern is the first.
(617) 446-3050 View (617) 446-3050
Photo of Whitney Norton, Counselor in Middlesex County, MA
Whitney Norton
Counselor, LMHC, LPCC
Verified Verified
Melrose, MA 02176  (Online Only)
I currently have a waitlist at this time. Feel free to reach out! I work primarily with teens and adults who want to work through anxiety, depression, and trauma, or improve their ability to manage the stress of life. I strive to help individuals visualize and create a life that brings them fulfillment and joy. As a Mental Health Therapist, my goal is to support you in your journey by offering you a space to talk through worries or behaviors that are impeding your ability to live the life you wish to live.
I currently have a waitlist at this time. Feel free to reach out! I work primarily with teens and adults who want to work through anxiety, depression, and trauma, or improve their ability to manage the stress of life. I strive to help individuals visualize and create a life that brings them fulfillment and joy. As a Mental Health Therapist, my goal is to support you in your journey by offering you a space to talk through worries or behaviors that are impeding your ability to live the life you wish to live.
(339) 201-5436 View (339) 201-5436
Photo of Elizabeth Schwamb, Clinical Social Work/Therapist in Middlesex County, MA
Elizabeth Schwamb
Clinical Social Work/Therapist, LICSW
Verified Verified
Newton, MA 02468  (Online Only)
Are you feeling overwhelmed with anxiety, depression, or struggling with addiction? You're not alone. In my practice, I specialize in providing integrative therapy that combines elements of cognitive behavioral therapy (CBT), solution-focused therapy, narrative therapy, and utilize a person-centered approach to meet your unique needs and goals. As a therapist, my priority is to create a safe and supportive space where you can explore your thoughts, feelings and experiences without judgment.
Are you feeling overwhelmed with anxiety, depression, or struggling with addiction? You're not alone. In my practice, I specialize in providing integrative therapy that combines elements of cognitive behavioral therapy (CBT), solution-focused therapy, narrative therapy, and utilize a person-centered approach to meet your unique needs and goals. As a therapist, my priority is to create a safe and supportive space where you can explore your thoughts, feelings and experiences without judgment.
(617) 819-0131 View (617) 819-0131
Photo of Betsy Harris, LICSW, Clinical Social Work/Therapist in Middlesex County, MA
Betsy Harris, LICSW
Clinical Social Work/Therapist, LICSW, DBT-LBC
Verified Verified
1 Endorsed
Watertown, MA 02472
Are you looking for help managing emotions? Stuck in patterns you can't get out of? Looking to understand how your past has influenced your present? As a DBT and trauma therapist, I help clients make changes to improve their lives. Clients I work with may have difficulty coping with emotions, engage in self-harm or substance abuse, disordered eating or have experienced anxiety, trauma or PTSD. Using empathy and validation, along with direct feedback and humor, I enjoy helping clients discover how to build a life worth living.
Are you looking for help managing emotions? Stuck in patterns you can't get out of? Looking to understand how your past has influenced your present? As a DBT and trauma therapist, I help clients make changes to improve their lives. Clients I work with may have difficulty coping with emotions, engage in self-harm or substance abuse, disordered eating or have experienced anxiety, trauma or PTSD. Using empathy and validation, along with direct feedback and humor, I enjoy helping clients discover how to build a life worth living.
(617) 751-6343 View (617) 751-6343
Photo of Fernanda Alves, Counselor in Middlesex County, MA
Fernanda Alves
Counselor, LMHC
Verified Verified
2 Endorsed
Natick, MA 01760
Welcome! I'm Fernanda Alves a bilingual Licensed Mental Health Counselor with a mission rooted in compassion and a commitment to your well-being. With licenses in both Florida and Massachusetts, I bring over ten yearsof experience in various settings, including outpatient, school, and private practice. My passion lies in helping individuals of all ages - children, adolescents, and adults - overcome mental health challenges. Having navigated my own journey with anxiety and ADHD, I understand the complexities of suffering and the limitations of talk therapy alone.
Welcome! I'm Fernanda Alves a bilingual Licensed Mental Health Counselor with a mission rooted in compassion and a commitment to your well-being. With licenses in both Florida and Massachusetts, I bring over ten yearsof experience in various settings, including outpatient, school, and private practice. My passion lies in helping individuals of all ages - children, adolescents, and adults - overcome mental health challenges. Having navigated my own journey with anxiety and ADHD, I understand the complexities of suffering and the limitations of talk therapy alone.
(508) 719-7536 View (508) 719-7536
Photo of Sarah Loper, Counselor in Middlesex County, MA
Sarah Loper
Counselor, MA, LMHC
Verified Verified
Newton, MA 02460
When life presents challenges that are too difficult to manage on one's own, it's helpful to collaborate with a psychotherapist to create change that is both tangible and meaningful. Over the course of more than 20 years of practice, I've had the privilege of working with individuals, groups, families and couples from a wide array of backgrounds. I embrace the importance and uniqueness of diverse cultural backgrounds that influence one's life. My approach is best described as: interactive, compassionate, humorous, nonjudgmental and respectful.
When life presents challenges that are too difficult to manage on one's own, it's helpful to collaborate with a psychotherapist to create change that is both tangible and meaningful. Over the course of more than 20 years of practice, I've had the privilege of working with individuals, groups, families and couples from a wide array of backgrounds. I embrace the importance and uniqueness of diverse cultural backgrounds that influence one's life. My approach is best described as: interactive, compassionate, humorous, nonjudgmental and respectful.
(617) 925-6627 View (617) 925-6627
Photo of Dr. Vincenzo G. Teran, Psychologist in Middlesex County, MA
Dr. Vincenzo G. Teran
Psychologist, PsyD
Verified Verified
Cambridge, MA 02139
Do you ever feel like you’re doing well in some areas but held back in others by anxiety or self-doubt? Have you noticed how past experiences impact your ability to trust or handle relationships? If this sounds like you, this might be the right time to work with a therapist who can help. Together, we’ll tackle these challenges, rebuilding confidence, easing anxiety, strengthening relationships, and paving the way for a more fulfilling life. Discover the positive impact of therapy with an experienced psychologist.
Do you ever feel like you’re doing well in some areas but held back in others by anxiety or self-doubt? Have you noticed how past experiences impact your ability to trust or handle relationships? If this sounds like you, this might be the right time to work with a therapist who can help. Together, we’ll tackle these challenges, rebuilding confidence, easing anxiety, strengthening relationships, and paving the way for a more fulfilling life. Discover the positive impact of therapy with an experienced psychologist.
(857) 453-8133 View (857) 453-8133
Photo of Jenn Pontillo, Counselor in Middlesex County, MA
Jenn Pontillo
Counselor, LMHC, LCMHC
Verified Verified
Somerville, MA 02143  (Online Only)
Hi! Morning appointments available via telehealth- private pay, & superbills. Licensed in MA/RI/VT. My practice includes adults, emerging adults, educators, and healthcare professionals. My clients typically identify feelings of anxiety, depression, and uncertainty during life transitions. They are motivated, insightful, and seeking ways to regulate and process emotions. I provide support and guidance so that you are empowered to live a full, joyful, and authentic life. I lead with compassion, empathy, humor, and care. Creating a safe, supportive, and non-judgmental space for clients to share their story is incredibly important.
Hi! Morning appointments available via telehealth- private pay, & superbills. Licensed in MA/RI/VT. My practice includes adults, emerging adults, educators, and healthcare professionals. My clients typically identify feelings of anxiety, depression, and uncertainty during life transitions. They are motivated, insightful, and seeking ways to regulate and process emotions. I provide support and guidance so that you are empowered to live a full, joyful, and authentic life. I lead with compassion, empathy, humor, and care. Creating a safe, supportive, and non-judgmental space for clients to share their story is incredibly important.
(781) 210-8151 View (781) 210-8151
Photo of Julie Williams, Counselor in Middlesex County, MA
Julie Williams
Counselor, LMHC
Verified Verified
Acton, MA 01720
Not accepting new clients
~ NO OPENINGS ~ I feel extremely fortunate to have the opportunity to work with so many wonderful individuals, couples & families, and for them to trust me with the sensitive details of their lives!  My practice is designed to provide a warm, non-judgmental environment to safely explore unhelpful thoughts, feelings & behaviors which are getting in your way, and more importantly, focusing on strengths and positive traits which are the foundation for change.
~ NO OPENINGS ~ I feel extremely fortunate to have the opportunity to work with so many wonderful individuals, couples & families, and for them to trust me with the sensitive details of their lives!  My practice is designed to provide a warm, non-judgmental environment to safely explore unhelpful thoughts, feelings & behaviors which are getting in your way, and more importantly, focusing on strengths and positive traits which are the foundation for change.
(978) 631-2637 View (978) 631-2637
Photo of Juliana Manganella, Clinical Social Work/Therapist in Middlesex County, MA
Juliana Manganella
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Concord, MA 01742
After gaining clinical experience in academic, psychiatric, and medical hospital settings, I've chosen to specialize in supporting adolescents and adults in order to address anxiety, life adjustments, and mood disorders through a trauma-informed, strengths-based lens. I take an integrative, relational approach to therapy. At its core, therapy is about building a trusting relationship and rapport to create a meaningful holding space for every client. I believe in client's expertise in their own life, and strive to center that in our work.
After gaining clinical experience in academic, psychiatric, and medical hospital settings, I've chosen to specialize in supporting adolescents and adults in order to address anxiety, life adjustments, and mood disorders through a trauma-informed, strengths-based lens. I take an integrative, relational approach to therapy. At its core, therapy is about building a trusting relationship and rapport to create a meaningful holding space for every client. I believe in client's expertise in their own life, and strive to center that in our work.
(978) 699-9355 View (978) 699-9355
Photo of Melanie Shear, Clinical Social Work/Therapist in Middlesex County, MA
Melanie Shear
Clinical Social Work/Therapist, LICSW
Verified Verified
Lexington, MA 02421
Not accepting new referrals at this time. Are you looking for a safe place to address feelings and behaviors that seem overwhelming? With a direct and gentle approach, and over twenty five years of experience, I offer the space you need to feel safe and begin to notice your own life patterns. Getting unstuck means developing increased awareness and finding new ways of being in our relationship with ourselves and others. I work with people to address concerns from sadness, grief, loss, trauma, depression, shame, low motivation, excessive worry, eating disorders, and adjustment to the many challenges and transitions in life.
Not accepting new referrals at this time. Are you looking for a safe place to address feelings and behaviors that seem overwhelming? With a direct and gentle approach, and over twenty five years of experience, I offer the space you need to feel safe and begin to notice your own life patterns. Getting unstuck means developing increased awareness and finding new ways of being in our relationship with ourselves and others. I work with people to address concerns from sadness, grief, loss, trauma, depression, shame, low motivation, excessive worry, eating disorders, and adjustment to the many challenges and transitions in life.
(978) 434-5322 View (978) 434-5322
Photo of Steven Chapin, Psychologist in Middlesex County, MA
Steven Chapin
Psychologist, PhD
Verified Verified
Littleton, MA 01460
In my work as a therapist, my first priority is to establish a comfortable, respectful working relationship that will allow my clients to begin to focus on the often difficult, painful and complex feelings, issues and situations that have brought them to counseling. My role is to listen carefully and thoughtfully, and to help guide and facilitate discussions that will help my clients to grow and change in beneficial ways, to resolve important conflicts and issues, and to reduce the severity of symptoms such as anxiety, depressed mood and difficulty managing anger.
In my work as a therapist, my first priority is to establish a comfortable, respectful working relationship that will allow my clients to begin to focus on the often difficult, painful and complex feelings, issues and situations that have brought them to counseling. My role is to listen carefully and thoughtfully, and to help guide and facilitate discussions that will help my clients to grow and change in beneficial ways, to resolve important conflicts and issues, and to reduce the severity of symptoms such as anxiety, depressed mood and difficulty managing anger.
(978) 496-3135 View (978) 496-3135
Photo of Susan J Lee, Psychologist in Middlesex County, MA
Susan J Lee
Psychologist, PsyD
Verified Verified
Arlington, MA 02474  (Online Only)
Not accepting new clients
My therapeutic approach may look different depending on what is going on with the person and what his or her needs are, but I generally use an insight-oriented and cognitive approach. I help people figure things out, understand themselves better, sort out their thoughts and feelings, and gain perspective on themselves so that they are able to make effective choices in their lives and work towards greater emotional well-being. People generally describe me as having a calming presence and creating a safe environment for them.
My therapeutic approach may look different depending on what is going on with the person and what his or her needs are, but I generally use an insight-oriented and cognitive approach. I help people figure things out, understand themselves better, sort out their thoughts and feelings, and gain perspective on themselves so that they are able to make effective choices in their lives and work towards greater emotional well-being. People generally describe me as having a calming presence and creating a safe environment for them.
(781) 696-9940 View (781) 696-9940
Photo of Martin Young, Clinical Social Work/Therapist in Middlesex County, MA
Martin Young
Clinical Social Work/Therapist, LICSW
Verified Verified
Acton, MA 01720
I am skilled at treating clients with a variety of issues including depression, anxiety problems, couples issues, sexual issues, substance abuse and relationship issues. My clients tend to find it very easy to open up to me and build rapport. I see therapy as a collaboration between myself and the client. It is important we both work together to help resolve your issues.
I am skilled at treating clients with a variety of issues including depression, anxiety problems, couples issues, sexual issues, substance abuse and relationship issues. My clients tend to find it very easy to open up to me and build rapport. I see therapy as a collaboration between myself and the client. It is important we both work together to help resolve your issues.
(781) 361-9999 View (781) 361-9999
Photo of Emily Schweitzer, Clinical Social Work/Therapist in Middlesex County, MA
Emily Schweitzer
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Cambridge, MA 02140
Do you ever find yourself facing the same challenges, repeating patterns, or feeling stuck in your life? It’s like there’s a hidden script influencing your actions and emotions, and you can’t quite put your finger on it. This could feel like lack of self confidence, feeling sad or fearful, relationship challenges, or physical pain. I work with couples and individuals to understand how past relationships and events influence the challenges of today. By understanding the “how”, we cultivate a profound self-awareness that empowers you to find new ways of being and feeling that better serve you.
Do you ever find yourself facing the same challenges, repeating patterns, or feeling stuck in your life? It’s like there’s a hidden script influencing your actions and emotions, and you can’t quite put your finger on it. This could feel like lack of self confidence, feeling sad or fearful, relationship challenges, or physical pain. I work with couples and individuals to understand how past relationships and events influence the challenges of today. By understanding the “how”, we cultivate a profound self-awareness that empowers you to find new ways of being and feeling that better serve you.
(508) 978-5189 View (508) 978-5189
Photo of Stacey Kohler, Clinical Social Work/Therapist in Middlesex County, MA
Stacey Kohler
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Framingham, MA 01702  (Online Only)
Not accepting new clients
I offer compassionate counseling to help clients find more adaptive ways of handling life stressors. My clients feel better after just a few sessions. I have over 28 years of experience working with clients and getting them back on their feet. I work with individuals who have medical issues, trauma issues, and individuals who are on disability. I also have an interest in the treatment of anxiety and offer many different experiential exercises and relaxation training tools. I offer Integrative EMDR Psychotherapy, and I am trained in hypnosis from the American Society of Clinical Hypnosis. Give me a call please.
I offer compassionate counseling to help clients find more adaptive ways of handling life stressors. My clients feel better after just a few sessions. I have over 28 years of experience working with clients and getting them back on their feet. I work with individuals who have medical issues, trauma issues, and individuals who are on disability. I also have an interest in the treatment of anxiety and offer many different experiential exercises and relaxation training tools. I offer Integrative EMDR Psychotherapy, and I am trained in hypnosis from the American Society of Clinical Hypnosis. Give me a call please.
(508) 570-5006 View (508) 570-5006
Photo of Thomas W. Westerling, Psychologist in Middlesex County, MA
Thomas W. Westerling
Psychologist, PhD
Verified Verified
3 Endorsed
Cambridge, MA 02138
It can be rather disheartening to expend considerable energy trying to change something and be left with a similar outcome. It is not easy to lead a fulfilling life while being caught in patterns outside of awareness. Psychotherapy gives the opportunity to look inward and ask how a fleeting thought, a dream, or a subtle change may be related to ongoing difficulties. Taking a closer look at something while also being curious during that exploration can open up a greater understanding and lead to meaningful changes.
It can be rather disheartening to expend considerable energy trying to change something and be left with a similar outcome. It is not easy to lead a fulfilling life while being caught in patterns outside of awareness. Psychotherapy gives the opportunity to look inward and ask how a fleeting thought, a dream, or a subtle change may be related to ongoing difficulties. Taking a closer look at something while also being curious during that exploration can open up a greater understanding and lead to meaningful changes.
(617) 936-8919 View (617) 936-8919
Photo of Alexa Myta, PsyD, Psychologist in Middlesex County, MA
Alexa Myta, PsyD
Psychologist, PsyD
Verified Verified
Newton, MA 02458
I am a passionate individual dedicated to the field of psychology. Throughout my life, I have been intrigued by the complexities of the human mind and the profound impact it has on our emotions, behaviors, and overall well-being. With a strong desire to help others navigate their inner struggles, I pursued a career in psychology to gain a deeper understanding of the human psyche. My journey has been driven by a genuine curiosity and a genuine desire to make a positive difference in people's lives.
I am a passionate individual dedicated to the field of psychology. Throughout my life, I have been intrigued by the complexities of the human mind and the profound impact it has on our emotions, behaviors, and overall well-being. With a strong desire to help others navigate their inner struggles, I pursued a career in psychology to gain a deeper understanding of the human psyche. My journey has been driven by a genuine curiosity and a genuine desire to make a positive difference in people's lives.
(617) 944-1738 View (617) 944-1738

See more therapy options for Middlesex County

How does your Therapist compare?

Number of Therapists in Middlesex County, MA

3,000+

Average cost per session

$165

Therapists in Middlesex County, MA who prioritize treating:

92% Anxiety
86% Depression
74% Relationship Issues
73% Self Esteem
67% Coping Skills
64% Trauma and PTSD
64% Stress

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
58% UnitedHealthcare UHC | UBH
56% Optum

How Therapists in Middlesex County, MA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Middlesex 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.