Therapists in Baltimore, MD

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Photo of Eli Persing, Clinical Social Work/Therapist, LMSW
Eli Persing
Clinical Social Work/Therapist, LMSW
Baltimore, MD 21201
With extensive experience working with children, families, and adults, Eli has provided support in diverse settings, from treatment foster care at Catholic Charities to guiding adjudicated youth toward sobriety and positive decision-making at the Baltimore City Juvenile Detention Center. As a general community practitioner, he enjoys working with adults in all stages of life, assisting with concerns such as divorce, addiction, anxiety, and community re-entry after incarceration. Eli is trained in Trauma-Focused Cognitive Behavioral Therapy, addiction relapse prevention through CBT, Safe Crisis Management, and Dialectical Behavior
With extensive experience working with children, families, and adults, Eli has provided support in diverse settings, from treatment foster care at Catholic Charities to guiding adjudicated youth toward sobriety and positive decision-making at the Baltimore City Juvenile Detention Center. As a general community practitioner, he enjoys working with adults in all stages of life, assisting with concerns such as divorce, addiction, anxiety, and community re-entry after incarceration. Eli is trained in Trauma-Focused Cognitive Behavioral Therapy, addiction relapse prevention through CBT, Safe Crisis Management, and Dialectical Behavior
(667) 291-9170 View (667) 291-9170
Photo of Daniel Beard, Counselor, LGPC
Daniel Beard
Counselor, LGPC
1 Endorsed
Baltimore, MD 21212
Are you someone who is constantly exhausted by your mind? Maybe someone who constantly has negative thoughts. Or perhaps you are someone who has difficulties progressing with your goals. I understand that it can be complex with the anxieties, traumas, and tragic circumstances that life throws at us. I help individuals cope with, understand, and overcome such adversities that affect them. I have experience working with individuals across the lifespan who experience challenges related to anxiety, depression, trauma, grief, and purpose.
Are you someone who is constantly exhausted by your mind? Maybe someone who constantly has negative thoughts. Or perhaps you are someone who has difficulties progressing with your goals. I understand that it can be complex with the anxieties, traumas, and tragic circumstances that life throws at us. I help individuals cope with, understand, and overcome such adversities that affect them. I have experience working with individuals across the lifespan who experience challenges related to anxiety, depression, trauma, grief, and purpose.
(443) 446-4833 View (443) 446-4833
Photo of Munazza Abraham, Psychologist, PhD, LP
Munazza Abraham
Psychologist, PhD, LP
1 Endorsed
Baltimore, MD 21214
All of my clients are encouraged to join my therapy group as a part of a stepwise care model. In therapy, I create space for you to explore your identities, reclaim your power, access your natural ability to self-heal, and feel whole again. Together, we’ll unpack internalized messages, navigate life transitions, and strengthen your capacity to live with confidence, clarity, and purpose. What makes my practice unique is my emphasis on “Community as medicine” with my creation of therapy groups and my use of ancestral knowledge, holistic and evidence-based practices, the arts, and your interests to craft a tailored healing experience.
All of my clients are encouraged to join my therapy group as a part of a stepwise care model. In therapy, I create space for you to explore your identities, reclaim your power, access your natural ability to self-heal, and feel whole again. Together, we’ll unpack internalized messages, navigate life transitions, and strengthen your capacity to live with confidence, clarity, and purpose. What makes my practice unique is my emphasis on “Community as medicine” with my creation of therapy groups and my use of ancestral knowledge, holistic and evidence-based practices, the arts, and your interests to craft a tailored healing experience.
(410) 406-6880 View (410) 406-6880
Photo of Emily Gordon, Clinical Social Work/Therapist, LCSW-C, CYT-200
Emily Gordon
Clinical Social Work/Therapist, LCSW-C, CYT-200
1 Endorsed
Online Only
We all struggle, and it’s normal to want to avoid difficult feelings. However, learning to be with and understand, even our most dreaded emotions, is a necessary step towards healing and growth. This isn’t something you have to do alone and having someone outside of your personal circle to support, validate, and understand your experience can be invaluable. I am experienced in working with individuals struggling with various mental health concerns but am less interested in the label and most concerned with understanding your experience in order to pinpoint root causes of what is causing discomfort.
We all struggle, and it’s normal to want to avoid difficult feelings. However, learning to be with and understand, even our most dreaded emotions, is a necessary step towards healing and growth. This isn’t something you have to do alone and having someone outside of your personal circle to support, validate, and understand your experience can be invaluable. I am experienced in working with individuals struggling with various mental health concerns but am less interested in the label and most concerned with understanding your experience in order to pinpoint root causes of what is causing discomfort.
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Photo of Brianna Veres, Licensed Clinical Professional Counselor, LCPC
Brianna Veres
Licensed Clinical Professional Counselor, LCPC
Baltimore, MD 21212
As a queer and trans identified therapist, I personally understand how painful it can be to go to someone for support and be met with microaggressions, rejection, or outright hostility because of your marginalized identity. Therapy can be a transformative tool of self-discovery and a place to collaboratively develop a roadmap to a life filled with deep meaning and joy. But if your therapist does not understand or accept crucial parts of who you are, it can be deeply damaging and disheartening. If you have had experiences like these, I may be a good fit to provide you with the culturally competent therapy you deserve.
As a queer and trans identified therapist, I personally understand how painful it can be to go to someone for support and be met with microaggressions, rejection, or outright hostility because of your marginalized identity. Therapy can be a transformative tool of self-discovery and a place to collaboratively develop a roadmap to a life filled with deep meaning and joy. But if your therapist does not understand or accept crucial parts of who you are, it can be deeply damaging and disheartening. If you have had experiences like these, I may be a good fit to provide you with the culturally competent therapy you deserve.
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Photo of Julia Sanders, Counselor, LCPC
Julia Sanders
Counselor, LCPC
1 Endorsed
Online Only
I have a focus on helping clients foster self-confidence, healthy coping skills, social-emotional skills, and problem-solving abilities. I enjoys looking for creative solutions to problems and bring that aspect of creativity to therapy. My practice focuses on a Person-Centered, Strength Based approach in conjunction with a variety of techniques to facilitate growth. I strives to help each individual’s understand their unique abilities, strengths, and needs to achieve desired outcomes. My goal is to collaborate with clients on their goals and devise a personalized approach to treatment.
I have a focus on helping clients foster self-confidence, healthy coping skills, social-emotional skills, and problem-solving abilities. I enjoys looking for creative solutions to problems and bring that aspect of creativity to therapy. My practice focuses on a Person-Centered, Strength Based approach in conjunction with a variety of techniques to facilitate growth. I strives to help each individual’s understand their unique abilities, strengths, and needs to achieve desired outcomes. My goal is to collaborate with clients on their goals and devise a personalized approach to treatment.
(443) 665-8385 View (443) 665-8385
Photo of Paris Bienert, Clinical Social Work/Therapist, LCSW-C
Paris Bienert
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Online Only
Not accepting new clients
Are you considering therapy but not sure where to start? Are you concerned that you might have an unhealthy relationship with drugs or alcohol? Do you feel like your anxiety is running (or ruining) your life? If you answered “yes” to any of those questions, then we might be a good fit for therapy! I work primarily with adults struggling with substance use issues, anxiety, burnout, LGBTQIA+ issues, and life transitions.
Are you considering therapy but not sure where to start? Are you concerned that you might have an unhealthy relationship with drugs or alcohol? Do you feel like your anxiety is running (or ruining) your life? If you answered “yes” to any of those questions, then we might be a good fit for therapy! I work primarily with adults struggling with substance use issues, anxiety, burnout, LGBTQIA+ issues, and life transitions.
(410) 835-9316 View (410) 835-9316
Photo of Angie Rusek, Counselor, LGPC
Angie Rusek
Counselor, LGPC
3 Endorsed
Baltimore, MD 21230
Life moves pretty fast, and it can feel heavy when you try to handle it all on your own. Therapy is a space where you can slow down, talk it out, and start to make sense of what has been feeling heavy or even difficult to name. I strive to work collaboratively with you to make the process feel less overwhelming and to build a space where you feel heard, supported, and comfortable being yourself. If you’re looking for a therapist who promotes a safe space to talk about difficult things and occasional light humor, you have found your gal!
Life moves pretty fast, and it can feel heavy when you try to handle it all on your own. Therapy is a space where you can slow down, talk it out, and start to make sense of what has been feeling heavy or even difficult to name. I strive to work collaboratively with you to make the process feel less overwhelming and to build a space where you feel heard, supported, and comfortable being yourself. If you’re looking for a therapist who promotes a safe space to talk about difficult things and occasional light humor, you have found your gal!
(443) 375-5207 View (443) 375-5207
Photo of Alexis M Roberson, Counselor, LCPC, LPC
Alexis M Roberson
Counselor, LCPC, LPC
Online Only
Maryland and Virginia clients welcome! You are strong! You’ve taken the first step toward reclaiming your life and regaining your peace. Whether you’re seeking greater emotional self-awareness, support in navigating life’s stressors, or help in strengthening your relationship, I am honored to walk alongside you—individually or as a couple. Together, we will explore challenges, build practical skills, and work toward healthier patterns and deeper connection. My goal is to create a nurturing, authentic therapeutic space that supports growth, healing, and peace. Ready to invest in your well-being? Let’s do this.
Maryland and Virginia clients welcome! You are strong! You’ve taken the first step toward reclaiming your life and regaining your peace. Whether you’re seeking greater emotional self-awareness, support in navigating life’s stressors, or help in strengthening your relationship, I am honored to walk alongside you—individually or as a couple. Together, we will explore challenges, build practical skills, and work toward healthier patterns and deeper connection. My goal is to create a nurturing, authentic therapeutic space that supports growth, healing, and peace. Ready to invest in your well-being? Let’s do this.
(410) 632-6140 View (410) 632-6140
Photo of Wendy Bernard Pitts, Clinical Social Work/Therapist, LCSW-C
Wendy Bernard Pitts
Clinical Social Work/Therapist, LCSW-C
4 Endorsed
Online Only
Not accepting new clients
Your degree hasn’t prepared you for everything, and stepping into the field can feel overwhelming. Maybe you're drowning in paperwork, struggling with complex cases, or afraid to ask for help at your agency. Or perhaps you need clinical supervision to sit for the Maryland, Virginia, or DC licensing exam, but your agency lacks a certified supervisor. I provide the support, tools, and confidence you need to develop your clinical skills, trust your instincts, and grow into the self-assured clinician you envisioned. With expert guidance, you can build a fulfilling, lasting career.
Your degree hasn’t prepared you for everything, and stepping into the field can feel overwhelming. Maybe you're drowning in paperwork, struggling with complex cases, or afraid to ask for help at your agency. Or perhaps you need clinical supervision to sit for the Maryland, Virginia, or DC licensing exam, but your agency lacks a certified supervisor. I provide the support, tools, and confidence you need to develop your clinical skills, trust your instincts, and grow into the self-assured clinician you envisioned. With expert guidance, you can build a fulfilling, lasting career.
(443) 775-2699 View (443) 775-2699
Photo of Bina Weiss, Marriage & Family Therapist, LCMFT
Bina Weiss
Marriage & Family Therapist, LCMFT
1 Endorsed
Baltimore, MD 21209
Life can be overwhelming, with many challenges. I believe that knowledge and clarity are the key elements when confronting challenges in life and in relationships. I work with my clients to develop a clear self-awareness about their role in life and how they function in different situations. My objective is to help the clients understand themselves, their actions, and their motivations. Throughout the session, I create a warm and supportive atmosphere that feels safe and secure, allowing the clients to work through their challenges with comfort. I work well with individuals, couples, parenting and singles who are navigating dating.
Life can be overwhelming, with many challenges. I believe that knowledge and clarity are the key elements when confronting challenges in life and in relationships. I work with my clients to develop a clear self-awareness about their role in life and how they function in different situations. My objective is to help the clients understand themselves, their actions, and their motivations. Throughout the session, I create a warm and supportive atmosphere that feels safe and secure, allowing the clients to work through their challenges with comfort. I work well with individuals, couples, parenting and singles who are navigating dating.
(323) 430-9224 View (323) 430-9224
Photo of Shalia Seibles, Licensed Clinical Professional Counselor, LCPC
Shalia Seibles
Licensed Clinical Professional Counselor, LCPC
Online Only
Often times people consider therapy at a point where life feels overwhelming, and talking about emotions or challenges can feel extremely difficult. Choosing to seek support is a courageous act that reflects strength, and self-compassion. If you are a woman, or teen experiencing anxiety, difficulty managing emotions, life stressors, or the lingering effects of trauma, my practice provides experienced, compassionate support tailored to your needs.
Often times people consider therapy at a point where life feels overwhelming, and talking about emotions or challenges can feel extremely difficult. Choosing to seek support is a courageous act that reflects strength, and self-compassion. If you are a woman, or teen experiencing anxiety, difficulty managing emotions, life stressors, or the lingering effects of trauma, my practice provides experienced, compassionate support tailored to your needs.
(443) 293-5328 View (443) 293-5328
Photo of Louis Blasetti, Licensed Clinical Professional Counselor, LCPC, NCC
Louis Blasetti
Licensed Clinical Professional Counselor, LCPC, NCC
Online Only
My goal is to create an approachable and non-judgemental environment, in which you can discuss any concerns you may have. Maybe you need support in a recent life transition? Maybe you are experiencing intrusive or racing thoughts? Maybe issues from the past keep affecting your present day? Maybe you just came out to your family? I want to create a space in which you feel you are able to process these events.
My goal is to create an approachable and non-judgemental environment, in which you can discuss any concerns you may have. Maybe you need support in a recent life transition? Maybe you are experiencing intrusive or racing thoughts? Maybe issues from the past keep affecting your present day? Maybe you just came out to your family? I want to create a space in which you feel you are able to process these events.
(443) 552-5143 View (443) 552-5143
Photo of James E Finkelstein, Psychologist, PsyD
James E Finkelstein
Psychologist, PsyD
1 Endorsed
Baltimore, MD 21209
If you're here, part of you knows it's time for a change. What if I told you that there is a way to stop struggling with the parts of yourself that feel so uncomfortable? That is the heart of the work that I do: in a safe and confidential space, identify where you are stuck and what is holding you back from living the life that you want. As a Clinical Psychologist, I have extensive training and experience treating a wide range of difficulties, specializing in the treatment of anxiety, addictions, chronic health issues, grief/bereavement, and shame-based symptoms. I see clients in-person or via telehealth (all Psypact.org states)
If you're here, part of you knows it's time for a change. What if I told you that there is a way to stop struggling with the parts of yourself that feel so uncomfortable? That is the heart of the work that I do: in a safe and confidential space, identify where you are stuck and what is holding you back from living the life that you want. As a Clinical Psychologist, I have extensive training and experience treating a wide range of difficulties, specializing in the treatment of anxiety, addictions, chronic health issues, grief/bereavement, and shame-based symptoms. I see clients in-person or via telehealth (all Psypact.org states)
(410) 504-1580 View (410) 504-1580
Photo of Boyd Eustace, Counselor, LCPC
Boyd Eustace
Counselor, LCPC
Baltimore, MD 21211
When looking for a therapist, a person or couple may be unsure of how therapy can help them. Therapy helps people respond more effectively and rationally to the challenges of work, relationships, and life. I work within a collaborative framework to help clients find emotional and practical solutions to improve relationships, achieve their goals, and attain emotional well-being and happiness.
When looking for a therapist, a person or couple may be unsure of how therapy can help them. Therapy helps people respond more effectively and rationally to the challenges of work, relationships, and life. I work within a collaborative framework to help clients find emotional and practical solutions to improve relationships, achieve their goals, and attain emotional well-being and happiness.
(443) 981-2081 View (443) 981-2081
Photo of Garrett Marple, Clinical Social Work/Therapist, LCSW
Garrett Marple
Clinical Social Work/Therapist, LCSW
Baltimore, MD 21224
Hey there! My name is Garrett and I am a therapist but also a mirror. I help clients examine how their learned negative thought patterns create their life outcomes and perspectives. I utilize a combination of CBT and solution-based modalities to help clients understand themselves and make changes for the better. Our sessions together will be a collaborative non judgmental space for you to work through your healing journey! My goal is for you to build the confidence and resilience needed to handle life’s ups and downs. I look forward to meeting you.
Hey there! My name is Garrett and I am a therapist but also a mirror. I help clients examine how their learned negative thought patterns create their life outcomes and perspectives. I utilize a combination of CBT and solution-based modalities to help clients understand themselves and make changes for the better. Our sessions together will be a collaborative non judgmental space for you to work through your healing journey! My goal is for you to build the confidence and resilience needed to handle life’s ups and downs. I look forward to meeting you.
(443) 731-0264 View (443) 731-0264
Photo of Kelly Garafola, Clinical Social Work/Therapist, LCSW-C, MSW
Kelly Garafola
Clinical Social Work/Therapist, LCSW-C, MSW
Baltimore, MD 21209
Not accepting new clients
My belief is that the most caring thing a therapist can offer is pushing a client towards their long term goals, while also recognizing and validating the fact that change can be very difficult! I use this dialectical approach with all clients, however the first step is clarifying what is important to YOU, not necessarily to the people around you. I see the relationship of a therapist and client to be one of two equals, working symbiotically together. Whether you are dealing with anxiety, depression, grief, relationship challenges, or simply looking to better understand yourself, I am excited to be a part of your journey!
My belief is that the most caring thing a therapist can offer is pushing a client towards their long term goals, while also recognizing and validating the fact that change can be very difficult! I use this dialectical approach with all clients, however the first step is clarifying what is important to YOU, not necessarily to the people around you. I see the relationship of a therapist and client to be one of two equals, working symbiotically together. Whether you are dealing with anxiety, depression, grief, relationship challenges, or simply looking to better understand yourself, I am excited to be a part of your journey!
(443) 294-8971 View (443) 294-8971
Photo of Donesha Barnett, Clinical Social Work/Therapist, LCSW-C
Donesha Barnett
Clinical Social Work/Therapist, LCSW-C
Online Only
Donesha offers online therapy for high achievers who struggle with burnout, low motivation, and self-doubt. Her clients see change by addressing limiting beliefs, fears, and patterns that block them from moving forward. Donesha asks reflective questions, listens, and encourages honesty. She brings authenticity, sharp clinical insight, and real tools that bring real change. You should book a session if you are ready to live your best life. Because many of her clients are adults with busy lives, Donesha offers flexible scheduling featuring early morning, evening, and weekend hours.
Donesha offers online therapy for high achievers who struggle with burnout, low motivation, and self-doubt. Her clients see change by addressing limiting beliefs, fears, and patterns that block them from moving forward. Donesha asks reflective questions, listens, and encourages honesty. She brings authenticity, sharp clinical insight, and real tools that bring real change. You should book a session if you are ready to live your best life. Because many of her clients are adults with busy lives, Donesha offers flexible scheduling featuring early morning, evening, and weekend hours.
(443) 856-2071 View (443) 856-2071
Photo of Karen Kindig - The Womb Room Team, Clinical Social Work/Therapist
The Womb Room Team
Clinical Social Work/Therapist
Baltimore, MD 21211
It takes a village. The Womb Room began out of love in 2015, by a Mom looking to provide space to connect and support pregnant and postpartum people through yoga. To be the village.
It takes a village. The Womb Room began out of love in 2015, by a Mom looking to provide space to connect and support pregnant and postpartum people through yoga. To be the village.
(410) 424-5298 View (410) 424-5298
Photo of Brittany Spencer, Counselor, LCPC, CST
Brittany Spencer
Counselor, LCPC, CST
1 Endorsed
Baltimore, MD 21209
Life is life-ing, and taking a chance on letting another person support you can feel overwhelming. Perhaps you’ve dealt with past letdowns or inconsistencies time and time again, and yet, here you are showing up for yourself and/or your relationship. I do not take lightly being rooted in your story. As someone who holds multiple marginalized identities; Black, Female, Queer, I recognize the benefits when our voices, experiences and nuances are given a space to be nurtured. I welcome all parts of you that will sit on the couch with us. Even the part exhausted still fighting to protect you, because that's all it knows.
Life is life-ing, and taking a chance on letting another person support you can feel overwhelming. Perhaps you’ve dealt with past letdowns or inconsistencies time and time again, and yet, here you are showing up for yourself and/or your relationship. I do not take lightly being rooted in your story. As someone who holds multiple marginalized identities; Black, Female, Queer, I recognize the benefits when our voices, experiences and nuances are given a space to be nurtured. I welcome all parts of you that will sit on the couch with us. Even the part exhausted still fighting to protect you, because that's all it knows.
(202) 759-6027 View (202) 759-6027

See more therapy options for Baltimore

How does your Therapist compare?

Number of Therapists in Baltimore, MD

2,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
87% Depression
72% Self Esteem
70% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

76% Cigna and Evernorth
73% BlueCross and BlueShield
70% CareFirst

How Therapists in Baltimore, MD see their clients

56% Online Only
44% In Person and Online

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

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.