Therapists in Northampton, MA

Photo of Mendel Mok, Counselor in Northampton, MA
Mendel Mok
Counselor, LMHC
Verified Verified
2 Endorsed
Northampton, MA 01060  (Online Only)
In treatment we will work together to create a therapeutic environment that supports personal growth, self fulfillment and healing. I believe strongly in client autonomy and see my role as a supportive professional who will collaborate with you to develop a working relationship that promotes the safe and respectful exploration of your unique life challenges.
In treatment we will work together to create a therapeutic environment that supports personal growth, self fulfillment and healing. I believe strongly in client autonomy and see my role as a supportive professional who will collaborate with you to develop a working relationship that promotes the safe and respectful exploration of your unique life challenges.
(413) 359-6082 View (413) 359-6082
Photo of Anna Hogeland, Clinical Social Work/Therapist in Northampton, MA
Anna Hogeland
Clinical Social Work/Therapist, LICSW, MFA
Verified Verified
Northampton, MA 01060
I believe the therapist's role is to be authentic and compassionate, as well as an active participant in helping you to overcome whatever concern brings you to therapy. In addition to listening to what you are struggling with in the moment, I try to help you find ways to manage the distress and more fully engage in your life. I use a combination of traditional talk therapy and skill-building, primarily drawing from CBT, DBT, and ACT.
I believe the therapist's role is to be authentic and compassionate, as well as an active participant in helping you to overcome whatever concern brings you to therapy. In addition to listening to what you are struggling with in the moment, I try to help you find ways to manage the distress and more fully engage in your life. I use a combination of traditional talk therapy and skill-building, primarily drawing from CBT, DBT, and ACT.
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Photo of Northampton Center For Couples Therapy, Counselor in Northampton, MA
Northampton Center For Couples Therapy
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Northampton, MA 01060
When your relationship is in crisis, your whole life is in crisis. Is there anything more ungrounding than a rocky connection between two people? If your marriage or partnership isn’t working, you know all too well the dis-ease of not being on the same page. At worst, you feel hopeless. Receiving specialized help and guidance is the most effective way to move through this painfully discordant time. My hand-picked therapists and I specialize exclusively in treating couples using evidence-informed gold-standard models, including Gottman Method Therapy, Emotionally Focused Therapy, and Pragmatic Experiential Therapy.
When your relationship is in crisis, your whole life is in crisis. Is there anything more ungrounding than a rocky connection between two people? If your marriage or partnership isn’t working, you know all too well the dis-ease of not being on the same page. At worst, you feel hopeless. Receiving specialized help and guidance is the most effective way to move through this painfully discordant time. My hand-picked therapists and I specialize exclusively in treating couples using evidence-informed gold-standard models, including Gottman Method Therapy, Emotionally Focused Therapy, and Pragmatic Experiential Therapy.
(413) 650-1646 View (413) 650-1646
Photo of Elizabeth Simpson, Clinical Social Work/Therapist in Northampton, MA
Elizabeth Simpson
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
There are a lot of ways to practice therapy. One crucial aspect of any "good" therapy is that it helps you expand your curiosity and open-mindedness about yourself - who you have been, who you are, and who you would like to be. Towards this aim, I listen with a commitment to my own openness, mindful of our shared humanity. As a clinical social worker and psychoanalyst, I see folks with a range of concerns from diverse cultural backgrounds. I think contextually, knowing our social worlds are integral to who we are.
There are a lot of ways to practice therapy. One crucial aspect of any "good" therapy is that it helps you expand your curiosity and open-mindedness about yourself - who you have been, who you are, and who you would like to be. Towards this aim, I listen with a commitment to my own openness, mindful of our shared humanity. As a clinical social worker and psychoanalyst, I see folks with a range of concerns from diverse cultural backgrounds. I think contextually, knowing our social worlds are integral to who we are.
(857) 363-3914 View (857) 363-3914
Photo of Andrea E. Cole, Psychologist in Northampton, MA
Andrea E. Cole
Psychologist, PhD
Verified Verified
Northampton, MA 01060
I am a clinical psychologist in private practice in Northampton, Massachusetts. I have worked with adults and college students for over 25 years. My areas of specialization include depression, bereavement, loss, anxiety/stress and sleep difficulties. I also provide treatment to people with relationship, self-esteem, life transition and academic issues.
I am a clinical psychologist in private practice in Northampton, Massachusetts. I have worked with adults and college students for over 25 years. My areas of specialization include depression, bereavement, loss, anxiety/stress and sleep difficulties. I also provide treatment to people with relationship, self-esteem, life transition and academic issues.
(413) 587-0728 View (413) 587-0728
Photo of Fanny Chalfin, Clinical Social Work/Therapist in Northampton, MA
Fanny Chalfin
Clinical Social Work/Therapist, MSW, LICSW, SEP
Verified Verified
Northampton, MA 01060  (Online Only)
Social and political distress are causing fear and alienation, along with feelings of disempowerment and personal inadequacy with less community for us to count on. My way of working with this is to help clients become more aware of their own internal wisdom and connection to all things. I work with adults experiencing anxiety, depression, relational difficulties or just feeling overwhelmed. Listening to your story and using Somatic Experiencing, a mind/body approach, I work to help you find your sense of balance, curiosity, resilience, engagement, and vitality.
Social and political distress are causing fear and alienation, along with feelings of disempowerment and personal inadequacy with less community for us to count on. My way of working with this is to help clients become more aware of their own internal wisdom and connection to all things. I work with adults experiencing anxiety, depression, relational difficulties or just feeling overwhelmed. Listening to your story and using Somatic Experiencing, a mind/body approach, I work to help you find your sense of balance, curiosity, resilience, engagement, and vitality.
(413) 206-2120 View (413) 206-2120
Photo of Caryn Brady, Clinical Social Work/Therapist in Northampton, MA
Caryn Brady
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
I view therapy as a creative, collaborative process that facilitates both change and self-acceptance. As a therapist, I create a curious, nonjudgmental space in which we can jointly explore your past and present experience. Our work aims at a deeper understanding of the circumstances that led you to therapy--perhaps painful ways of relating to yourself, to others, or to work. We will work toward helping you grow beyond the patterns or obstacles that have felt limiting so far--and toward helping you realize a more spacious, hopeful, and fulfilling experience of yourself and relationships.
I view therapy as a creative, collaborative process that facilitates both change and self-acceptance. As a therapist, I create a curious, nonjudgmental space in which we can jointly explore your past and present experience. Our work aims at a deeper understanding of the circumstances that led you to therapy--perhaps painful ways of relating to yourself, to others, or to work. We will work toward helping you grow beyond the patterns or obstacles that have felt limiting so far--and toward helping you realize a more spacious, hopeful, and fulfilling experience of yourself and relationships.
(413) 341-0478 View (413) 341-0478
Photo of Debra E. Tauber-O'Reilly, Clinical Social Work/Therapist in Northampton, MA
Debra E. Tauber-O'Reilly
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060
Waitlist for new clients
By cultivating the qualities of Self in my work with you, we'll open pathways to your health - moving beyond depression, anxiety, trauma - transforming old patterns you realize are no longer effective. Your true strengths emerge. bringing creativity and natural solutions to problems. Being open-minded to your unique and diverse ways of living, thinking and being, we explore the journey toward safe and positive ways of relating to yourself and others.
By cultivating the qualities of Self in my work with you, we'll open pathways to your health - moving beyond depression, anxiety, trauma - transforming old patterns you realize are no longer effective. Your true strengths emerge. bringing creativity and natural solutions to problems. Being open-minded to your unique and diverse ways of living, thinking and being, we explore the journey toward safe and positive ways of relating to yourself and others.
(413) 754-0575 View (413) 754-0575
Photo of Perry Carter, Counselor in Northampton, MA
Perry Carter
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Northampton, MA 01060  (Online Only)
Feeling depressed, anxious, or stuck? Life presents challenges, and there are many reasons to seek help. I provide a comfortable, non-judgmental environment in which we can work together to transform your difficulties into avenues for personal growth. Things don't change, people do, as a result of conscious choices. My approach to treatment is flexible, compassionate, and tailored to what you're seeking from therapy. I take a strengths-based approach, using solution-focused strategies to help you find the clarity to realize your full potential. You can change your life if you're ready to change your habits!
Feeling depressed, anxious, or stuck? Life presents challenges, and there are many reasons to seek help. I provide a comfortable, non-judgmental environment in which we can work together to transform your difficulties into avenues for personal growth. Things don't change, people do, as a result of conscious choices. My approach to treatment is flexible, compassionate, and tailored to what you're seeking from therapy. I take a strengths-based approach, using solution-focused strategies to help you find the clarity to realize your full potential. You can change your life if you're ready to change your habits!
(413) 315-4804 View (413) 315-4804
Photo of Jesslyn Rodney, Clinical Social Work/Therapist in Northampton, MA
Jesslyn Rodney
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Not accepting new clients
I work to provide a judgment free space, to explore your thoughts and feelings with compassion, humor and empathy. My therapeutic lens is trauma-informed and incorporates how society’s systems may be impacting you. I use a strength based, relational framework, to work to compassionately identify areas in your life you would like to improve and work collaboratively in finding more joy and overall satisfaction. I provide a safe and affirming space to explore and heal old wounds and patterns of thoughts and behaviors that no longer align with your values.
I work to provide a judgment free space, to explore your thoughts and feelings with compassion, humor and empathy. My therapeutic lens is trauma-informed and incorporates how society’s systems may be impacting you. I use a strength based, relational framework, to work to compassionately identify areas in your life you would like to improve and work collaboratively in finding more joy and overall satisfaction. I provide a safe and affirming space to explore and heal old wounds and patterns of thoughts and behaviors that no longer align with your values.
(413) 213-3154 View (413) 213-3154
Photo of Amy L Fowler, Psychologist in Northampton, MA
Amy L Fowler
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
Waitlist for new clients
My specialties include health psychology, relationship issues, depression, anxiety and addictions. I run support groups for MS and Huntington's disease as part of my practice. I have a pragmatic approach to treatment in terms of adapting interventions to meet the needs of the individual. I am interested in mindfulness and its impact on well being. There are so many opportunities to bring about positive change by altering how we relate to both present circumstances and past experience.
My specialties include health psychology, relationship issues, depression, anxiety and addictions. I run support groups for MS and Huntington's disease as part of my practice. I have a pragmatic approach to treatment in terms of adapting interventions to meet the needs of the individual. I am interested in mindfulness and its impact on well being. There are so many opportunities to bring about positive change by altering how we relate to both present circumstances and past experience.
(413) 285-3190 View (413) 285-3190
Photo of Alison Mackinnon, Counselor in Northampton, MA
Alison Mackinnon
Counselor, LMHC
Verified Verified
1 Endorsed
Northampton, MA 01060
In a safe and supportive environment, I provide treatment for individuals in a private practice that fosters trust, understanding, personal growth, and spiritual growth. I have 30+ years of experience as a therapist utilizing a mind/body/spirit, dialectical therapeutic approach, in addressing issues of grief/loss, depression, anxiety, mood disorders, trauma, life transitions, and spiritual connection. I offer EMDR, shamanic counseling and grief counseling in my work with clients . I work to build upon each person's unique strengths, internal wisdom, knowledge, and personal goals.
In a safe and supportive environment, I provide treatment for individuals in a private practice that fosters trust, understanding, personal growth, and spiritual growth. I have 30+ years of experience as a therapist utilizing a mind/body/spirit, dialectical therapeutic approach, in addressing issues of grief/loss, depression, anxiety, mood disorders, trauma, life transitions, and spiritual connection. I offer EMDR, shamanic counseling and grief counseling in my work with clients . I work to build upon each person's unique strengths, internal wisdom, knowledge, and personal goals.
(413) 269-5581 View (413) 269-5581
Photo of Suzie Goldstein, Pre-Licensed Professional in Northampton, MA
Suzie Goldstein
Pre-Licensed Professional, MSW
Verified Verified
Northampton, MA 01060
I embrace a holistic mind-body approach to psychotherapy, which began with becoming a certified Iyengar yoga therapist/ instructor over 10 years ago, specializing in chronic illness/injury. Because this foundation, my integrative approach to clinical work is somatically-based, trauma-centered, and utilizes a neurobiological and attachment-informed lens grounded in social justice. I also utilize cutting-edge evidence-based practices like Flash for trauma. I bring a warm, relational frame to any work with all clients, while always striving to center and support what is important to your particular healing.
I embrace a holistic mind-body approach to psychotherapy, which began with becoming a certified Iyengar yoga therapist/ instructor over 10 years ago, specializing in chronic illness/injury. Because this foundation, my integrative approach to clinical work is somatically-based, trauma-centered, and utilizes a neurobiological and attachment-informed lens grounded in social justice. I also utilize cutting-edge evidence-based practices like Flash for trauma. I bring a warm, relational frame to any work with all clients, while always striving to center and support what is important to your particular healing.
(413) 423-0977 View (413) 423-0977
Photo of Bren Palla, Clinical Social Work/Therapist in Northampton, MA
Bren Palla
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
We can all become stuck, overwhelmed, hopeless, or just feel we’re not living our best lives for many different reasons. Additionally, the current unrest in society around us can shake a sense of security or predictability we may have held about what our futures hold. These may cause disruptions in sleep and appetite and encourage negative thoughts and moods to grow and persist. Whatever your struggles, I ensure professional care that is collaborative, respectful, and that has your best interests at heart.
We can all become stuck, overwhelmed, hopeless, or just feel we’re not living our best lives for many different reasons. Additionally, the current unrest in society around us can shake a sense of security or predictability we may have held about what our futures hold. These may cause disruptions in sleep and appetite and encourage negative thoughts and moods to grow and persist. Whatever your struggles, I ensure professional care that is collaborative, respectful, and that has your best interests at heart.
(413) 207-9135 View (413) 207-9135
Photo of Lauren Ledoux, Clinical Social Work/Therapist in Northampton, MA
Lauren Ledoux
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Northampton, MA 01060
I am a clinical therapist who uses narrative psychotherapy as a model to treat and process trauma, grief, and relational issues. I work with adults and older adolescents, as well as couples, and use a person-centered eclectic framework with my clients. I have been trained in AASECT sex therapy and encourage any individual, couple, or those engaged in non-traditional relationships to explore sex-related concerns in their work with me. In every aspect of my practice, I use an individualized approach with the client to build a treatment perspective that is specific to their own interests, values, and recovery.
I am a clinical therapist who uses narrative psychotherapy as a model to treat and process trauma, grief, and relational issues. I work with adults and older adolescents, as well as couples, and use a person-centered eclectic framework with my clients. I have been trained in AASECT sex therapy and encourage any individual, couple, or those engaged in non-traditional relationships to explore sex-related concerns in their work with me. In every aspect of my practice, I use an individualized approach with the client to build a treatment perspective that is specific to their own interests, values, and recovery.
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Photo of Kathleen Collins, Psychologist in Northampton, MA
Kathleen Collins
Psychologist, PhD
Verified Verified
Northampton, MA 01060
My interest is in mid-to-later life adults (40+) with a focus on the ways in which identity evolves as we age. I use a diverse approach comprised of behavioral, cognitive-behavioral, identity theory, and personal narrative modalities to address identity issues in the face of change across the lifespan such as health-related change, environmental or cultural shifts, personal loss, or traumatic events—experiences that can impact the ways in which we perceive ourselves. When the balance of our lives is challenged, the resulting stress can be difficult to manage.
My interest is in mid-to-later life adults (40+) with a focus on the ways in which identity evolves as we age. I use a diverse approach comprised of behavioral, cognitive-behavioral, identity theory, and personal narrative modalities to address identity issues in the face of change across the lifespan such as health-related change, environmental or cultural shifts, personal loss, or traumatic events—experiences that can impact the ways in which we perceive ourselves. When the balance of our lives is challenged, the resulting stress can be difficult to manage.
(903) 524-5474 View (903) 524-5474
Photo of Moonbeam Counseling LLC, Clinical Social Work/Therapist in Northampton, MA
Moonbeam Counseling LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
8 Endorsed
Northampton, MA 01060
The world can be an unsafe place at times, posing many challenges for all of us. Looking for help to navigate life stressors can be difficult when you might already be experiencing grief, isolation, and anxiety. It can be easy to feel lost, disconnected, and even helpless. I provide a warm-hearted safe space and am confident in treating many psychological concerns. My goal in therapy is to help you find solutions to your problems and illuminate resources already available to you. I am especially helpful in areas of life transition, trauma, and grief and loss. You don’t have to do this alone.
The world can be an unsafe place at times, posing many challenges for all of us. Looking for help to navigate life stressors can be difficult when you might already be experiencing grief, isolation, and anxiety. It can be easy to feel lost, disconnected, and even helpless. I provide a warm-hearted safe space and am confident in treating many psychological concerns. My goal in therapy is to help you find solutions to your problems and illuminate resources already available to you. I am especially helpful in areas of life transition, trauma, and grief and loss. You don’t have to do this alone.
(413) 889-8559 View (413) 889-8559
Photo of Mathew Apeseche, Clinical Social Work/Therapist in Northampton, MA
Mathew Apeseche
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01062
My mission is to help my clients better understand who they are, what they want from this life, and how to move towards a more integrated self. My alternative style of therapy blends traditional talk therapy with non-traditional therapeutic methods such as nature therapy, mindfulness-based practices, music, art, movement, and nature-based groups. I have found both personally and professionally that nature, creative expression, and physical activity set the stage for healing and growth, and I enjoy incorporating these elements into my therapeutic approach.
My mission is to help my clients better understand who they are, what they want from this life, and how to move towards a more integrated self. My alternative style of therapy blends traditional talk therapy with non-traditional therapeutic methods such as nature therapy, mindfulness-based practices, music, art, movement, and nature-based groups. I have found both personally and professionally that nature, creative expression, and physical activity set the stage for healing and growth, and I enjoy incorporating these elements into my therapeutic approach.
(508) 433-3467 View (508) 433-3467
Photo of Elizabeth Bristow, Clinical Social Work/Therapist in Northampton, MA
Elizabeth Bristow
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Waitlist for new clients
My name is Elizabeth Bristow and I am a Licensed Independent Clinical Social Worker (LICSW) with over twenty years of experience providing psychotherapy for adults and adolescents. I see individuals, couples and families in my private practice. My office is centrally located, I have day and evening hours and I accept most insurances.
My name is Elizabeth Bristow and I am a Licensed Independent Clinical Social Worker (LICSW) with over twenty years of experience providing psychotherapy for adults and adolescents. I see individuals, couples and families in my private practice. My office is centrally located, I have day and evening hours and I accept most insurances.
(413) 308-5272 View (413) 308-5272
Photo of Linda J Delamater, Marriage & Family Therapist in Northampton, MA
Linda J Delamater
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Northampton, MA 01060
Not accepting new clients
Are you struggling to feel and do better and unable to sustain progress? My focus is to help you tap into your wisdom and enhance your strengths to build a more meaningful quality of life. This includes identifying obstacles to growth and learning healthier methods of managing painful emotions while replacing self- destructive behaviors. The therapeutic relationship is very important. My style is friendly, respectful, compassionate and collaborative. I am highly motivated to help you develop tools to diminish pain, build a satisfying life and behave in ways that are consistent with the person you would like to be.
Are you struggling to feel and do better and unable to sustain progress? My focus is to help you tap into your wisdom and enhance your strengths to build a more meaningful quality of life. This includes identifying obstacles to growth and learning healthier methods of managing painful emotions while replacing self- destructive behaviors. The therapeutic relationship is very important. My style is friendly, respectful, compassionate and collaborative. I am highly motivated to help you develop tools to diminish pain, build a satisfying life and behave in ways that are consistent with the person you would like to be.
(413) 258-7241 View (413) 258-7241

How does your Therapist compare?

Number of Therapists in Northampton, MA

500+

Average cost per session

$150

Therapists in Northampton, MA who prioritize treating:

91% Anxiety
87% Depression
81% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
66% Grief
65% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
47% Optum
45% UnitedHealthcare UHC | UBH

How Therapists in Northampton, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

73% Female
22% Male
5% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Northampton?

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.