Therapists in Portland, ME

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Photo of Katie Coleman, Counselor, MS, LCPC-c, NCC
Katie Coleman
Counselor, MS, LCPC-c, NCC
4 Endorsed
Portland, ME 04101
Waitlist for new clients
I see individuals and relationships, including romantic + non-romantic duos (i.e. friends, siblings, ex-partners). My work is trauma-/systems-informed and relational. Together, we will respond to your needs from this space, recognizing that no one approach fits all. We’ll make sense of a constellation of experiences, feelings, and thoughts, exploring their origins and contexts, protective functions, and impacts on your self and relationships. Our collaborative process enables us to gently explore past wounds, deepen reflection and curiosity, and support new ways of being to heal and grow.
I see individuals and relationships, including romantic + non-romantic duos (i.e. friends, siblings, ex-partners). My work is trauma-/systems-informed and relational. Together, we will respond to your needs from this space, recognizing that no one approach fits all. We’ll make sense of a constellation of experiences, feelings, and thoughts, exploring their origins and contexts, protective functions, and impacts on your self and relationships. Our collaborative process enables us to gently explore past wounds, deepen reflection and curiosity, and support new ways of being to heal and grow.
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Photo of Emily (Raiche) Marquez, Psychologist, PhD
Emily (Raiche) Marquez
Psychologist, PhD
Portland, ME 04101
Dr. Marquez earned her Bachelor of Arts degree in Psychology from Boston College and her Master of Science and Doctor of Philosophy in Counseling Psychology with a specialty in Child and Family Psychology from the University of North Texas. During her training, Dr. Marquez worked in community mental health, integrated care facilities, community advocacy, college counseling, residential treatment, and the Veterans Affairs health care system. Dr. Marquez has over 7 years of experience in providing brief and long-term therapy to children, adolescents, and adults.
Dr. Marquez earned her Bachelor of Arts degree in Psychology from Boston College and her Master of Science and Doctor of Philosophy in Counseling Psychology with a specialty in Child and Family Psychology from the University of North Texas. During her training, Dr. Marquez worked in community mental health, integrated care facilities, community advocacy, college counseling, residential treatment, and the Veterans Affairs health care system. Dr. Marquez has over 7 years of experience in providing brief and long-term therapy to children, adolescents, and adults.
(207) 945-8172 View (207) 945-8172
Photo of Carlton R Lewis - Lewis Psychotherapy, Clinical Social Work/Therapist, LCSW, LADC
Lewis Psychotherapy
Clinical Social Work/Therapist, LCSW, LADC
Online Only
If you want someone who is knowledgeable and understanding, but willing to meet you where you are at, with your particular situations whether it be relationship issues, substance abuse, depression, anxiety or other mental health related issues, please give me a call. I work with couples, individuals, who are looking for solutions for their unique situations. I have many years experience working in the field and I am confident if you reach out to me, then I will be able to guide and assist you in your personal goals and unique situations.
If you want someone who is knowledgeable and understanding, but willing to meet you where you are at, with your particular situations whether it be relationship issues, substance abuse, depression, anxiety or other mental health related issues, please give me a call. I work with couples, individuals, who are looking for solutions for their unique situations. I have many years experience working in the field and I am confident if you reach out to me, then I will be able to guide and assist you in your personal goals and unique situations.
(207) 747-3117 View (207) 747-3117
Photo of Jane Hersey, Clinical Social Work/Therapist, LCSW
Jane Hersey
Clinical Social Work/Therapist, LCSW
Portland, ME 04101
Jane Hersey, LCSW provides compassionate, evidence-based care to support adults and seniors navigating life’s complex emotional challenges. Serving individuals across the state of Maine, she helps clients build resilience and improve well-being through personalized therapy. Whether addressing symptoms of depression, anxiety, or life transitions, Jane partners with clients to help them regain control and live more fulfilling lives. As a Licensed Clinical Social Worker practicing since 1992, Jane specializes in individual and couples therapy with a focus on trauma, grief, and substance use.
Jane Hersey, LCSW provides compassionate, evidence-based care to support adults and seniors navigating life’s complex emotional challenges. Serving individuals across the state of Maine, she helps clients build resilience and improve well-being through personalized therapy. Whether addressing symptoms of depression, anxiety, or life transitions, Jane partners with clients to help them regain control and live more fulfilling lives. As a Licensed Clinical Social Worker practicing since 1992, Jane specializes in individual and couples therapy with a focus on trauma, grief, and substance use.
(207) 275-6182 View (207) 275-6182
Photo of Greg Perchik, Clinical Social Work/Therapist, LCSW, CCS
Greg Perchik
Clinical Social Work/Therapist, LCSW, CCS
Portland, ME 04103
I provide individual counseling to help people move through periods in their life that may cause them distress, and help them identify the tools to navigate the uncertainty or challenges they may be facing. I have been a practicing therapist and clinical supervisor for over 10 years and, through this experience, I have been privileged to work with a variety of individuals to help them navigate uncertain times. Through implementing empathy, rapport building, humor and goal setting I aim to help others feel that change is possible.
I provide individual counseling to help people move through periods in their life that may cause them distress, and help them identify the tools to navigate the uncertainty or challenges they may be facing. I have been a practicing therapist and clinical supervisor for over 10 years and, through this experience, I have been privileged to work with a variety of individuals to help them navigate uncertain times. Through implementing empathy, rapport building, humor and goal setting I aim to help others feel that change is possible.
(207) 730-6340 View (207) 730-6340
Photo of Nicole DeRobertis, Clinical Social Work/Therapist, LCSW
Nicole DeRobertis
Clinical Social Work/Therapist, LCSW
Portland, ME 04101
I am a clinical social worker licensed in both the state of CT and ME. I specialize in supporting professionals who are dealing with anxiety by facilitating a process of self-compassionate curiosity to increase awareness and insight around the origin of their anxiety and how it may be impacting them in their lives. I help clients identify and implement coping skills that work for them and their unique needs so that they may feel more connected with and confident in their authentic self.
I am a clinical social worker licensed in both the state of CT and ME. I specialize in supporting professionals who are dealing with anxiety by facilitating a process of self-compassionate curiosity to increase awareness and insight around the origin of their anxiety and how it may be impacting them in their lives. I help clients identify and implement coping skills that work for them and their unique needs so that they may feel more connected with and confident in their authentic self.
(207) 223-7592 View (207) 223-7592
Photo of Sara Roesler, Clinical Social Work/Therapist, LICSW, LCSW, MSW, MPH
Sara Roesler
Clinical Social Work/Therapist, LICSW, LCSW, MSW, MPH
Online Only
Hey there—I’m glad you’re here. I work with adults and young adults who are newly diagnosed with anxiety, bipolar disorder, or ADHD. Life can feel chaotic when moods, focus, or emotions are hard to manage. Together, we’ll find practical tools and strategies in a supportive space so you can feel more in control, understood, and confident navigating life’s ups and downs.
Hey there—I’m glad you’re here. I work with adults and young adults who are newly diagnosed with anxiety, bipolar disorder, or ADHD. Life can feel chaotic when moods, focus, or emotions are hard to manage. Together, we’ll find practical tools and strategies in a supportive space so you can feel more in control, understood, and confident navigating life’s ups and downs.
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Photo of Dave Cochrane, Pre-Licensed Professional
Dave Cochrane
Pre-Licensed Professional
Online Only
I view people as multifaceted beings that are shaped by culture and circumstance, yet profoundly influenced by experience, relationships, and individual choice. This path we walk can be dark, but we don't have to walk it alone. Together, we can explore the complexity of this human experience, expanding awareness, inner understanding, and generating new growth.
I view people as multifaceted beings that are shaped by culture and circumstance, yet profoundly influenced by experience, relationships, and individual choice. This path we walk can be dark, but we don't have to walk it alone. Together, we can explore the complexity of this human experience, expanding awareness, inner understanding, and generating new growth.
(207) 843-9030 View (207) 843-9030
Photo of Audrey Oxenhorn, Clinical Social Work/Therapist, LCSW, ACSW
Audrey Oxenhorn
Clinical Social Work/Therapist, LCSW, ACSW
2 Endorsed
Portland, ME 04103
I am a psychospiritual counselor. I help clients to integrate their physical and spiritual selves and reach for their joy. We come into this world as pure beings of light and then we forget. This deep exploration helps us to consider the mind, body and spirit in all our decisions. Often, we seek therapy for one reason and there are multiple forces underlying the quest. Call me If you would like to live a more joyful and integrated life If you are open to newer and highly effective techniques I have a virtual practice for counseling and an in person practice for Quantum Healing Hypnosis Technique (QHHT).
I am a psychospiritual counselor. I help clients to integrate their physical and spiritual selves and reach for their joy. We come into this world as pure beings of light and then we forget. This deep exploration helps us to consider the mind, body and spirit in all our decisions. Often, we seek therapy for one reason and there are multiple forces underlying the quest. Call me If you would like to live a more joyful and integrated life If you are open to newer and highly effective techniques I have a virtual practice for counseling and an in person practice for Quantum Healing Hypnosis Technique (QHHT).
(207) 802-0897 View (207) 802-0897
Photo of Alice Podolsky, Clinical Social Work/Therapist, LCSW
Alice Podolsky
Clinical Social Work/Therapist, LCSW
Portland, ME 04101
Welcome—I’m glad you’re here. Read on to see if we're a fit. I work exclusively with women and LGBTQ+ individuals, creating a safe, affirming space for healing and growth. Many folks come to me feeling weighed down by relationship struggles, anxious thoughts, self-doubt, and the lingering effects of past trauma. I work with young adults as they navigate life transitions, discover their voice and build self-trust. Together, we’ll uncover your strengths, ease self-doubt, and move toward a life with more clarity, confidence, and fulfillment.
Welcome—I’m glad you’re here. Read on to see if we're a fit. I work exclusively with women and LGBTQ+ individuals, creating a safe, affirming space for healing and growth. Many folks come to me feeling weighed down by relationship struggles, anxious thoughts, self-doubt, and the lingering effects of past trauma. I work with young adults as they navigate life transitions, discover their voice and build self-trust. Together, we’ll uncover your strengths, ease self-doubt, and move toward a life with more clarity, confidence, and fulfillment.
(207) 746-0502 View (207) 746-0502
Photo of Paula Curran, Clinical Social Work/Therapist, MSW, LCSW
Paula Curran
Clinical Social Work/Therapist, MSW, LCSW
Portland, ME 04101
Are you experiencing frustration, feeling upset by an unsatisfying relationship? Do you feel overwhelmed by finances, divorce or stress? How will I handle all these pressures? Do you consider therapy but don't know where to start: how do I choose from the therapists I read about?. If you seek someone who will engage with you, understand that you are doing your best to make sense of the problems confronting you and wants to participate in creating strategies to resolve these problems, please call me to talk about how we might collaborate to create the life you desire.
Are you experiencing frustration, feeling upset by an unsatisfying relationship? Do you feel overwhelmed by finances, divorce or stress? How will I handle all these pressures? Do you consider therapy but don't know where to start: how do I choose from the therapists I read about?. If you seek someone who will engage with you, understand that you are doing your best to make sense of the problems confronting you and wants to participate in creating strategies to resolve these problems, please call me to talk about how we might collaborate to create the life you desire.
(207) 605-8108 View (207) 605-8108
Photo of Sarah McVicar, Licensed Clinical Professional Counselor, LPCC
Sarah McVicar
Licensed Clinical Professional Counselor, LPCC
Online Only
Becoming a therapist has been a winding journey! I have always been a good listener with an interest in people's stories and a desire to make a positive difference ('tikkun olam' - sometimes translated as 'repair of the world'). My personal experiences with mental health and substance use disorder (SUD) ultimately led me to shift my focus from environmental work to therapy (although I still like to find ways to incorporate the natural world into my therapy practice!). I know that struggling with SUD and other mental health issues does not make you less of a person and it should not affect the quality of your healthcare.
Becoming a therapist has been a winding journey! I have always been a good listener with an interest in people's stories and a desire to make a positive difference ('tikkun olam' - sometimes translated as 'repair of the world'). My personal experiences with mental health and substance use disorder (SUD) ultimately led me to shift my focus from environmental work to therapy (although I still like to find ways to incorporate the natural world into my therapy practice!). I know that struggling with SUD and other mental health issues does not make you less of a person and it should not affect the quality of your healthcare.
(207) 679-0561 View (207) 679-0561
Photo of Tasha Diane Washington - Tasha, LMSW Healthy Minds Counseling Inc, Clinical Social Work/Therapist, LMSW
Tasha, LMSW Healthy Minds Counseling Inc
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Are you feeling like nothing you've tried has worked? Whether you're considering therapy for the first time or returning after a previous experience that didn’t meet your needs, I invite you to explore a different kind of support. I believe in working collaboratively to help you find meaningful solutions and move toward the goals that matter most to you. This is a space where your voice will be heard—especially if the world has made you feel silenced.
Are you feeling like nothing you've tried has worked? Whether you're considering therapy for the first time or returning after a previous experience that didn’t meet your needs, I invite you to explore a different kind of support. I believe in working collaboratively to help you find meaningful solutions and move toward the goals that matter most to you. This is a space where your voice will be heard—especially if the world has made you feel silenced.
(207) 360-4626 View (207) 360-4626
Photo of Katie Ryan, Clinical Social Work/Therapist, LMSW-CC
Katie Ryan
Clinical Social Work/Therapist, LMSW-CC
1 Endorsed
Online Only
Therapy is an opportunity to get to know ourselves more deeply in a safe and supportive space. I am here to listen with empathy and curiosity to the concerns of Mainers via Telehealth. Together we will identify your values and the things that get in the way of growing in the direction of those values. We will work on sitting with emotions rather than fighting against them. And we will identify your strengths and resources to help you grow more fully into yourself. I take a warm, familiar approach to our conversations and leave space for humor and joy in the healing process.
Therapy is an opportunity to get to know ourselves more deeply in a safe and supportive space. I am here to listen with empathy and curiosity to the concerns of Mainers via Telehealth. Together we will identify your values and the things that get in the way of growing in the direction of those values. We will work on sitting with emotions rather than fighting against them. And we will identify your strengths and resources to help you grow more fully into yourself. I take a warm, familiar approach to our conversations and leave space for humor and joy in the healing process.
(207) 975-8709 View (207) 975-8709
Photo of Dr. Laura Sproch, Psychologist, PhD, CEDS
Dr. Laura Sproch
Psychologist, PhD, CEDS
1 Endorsed
Online Only
If you are experiencing anxiety, depression, disordered eating, negative body image, body-focused repetitive behaviors (hair pulling, skin picking), or other mental health concerns, please contact me. I am a clinical psychologist who believes in offering compassionate, collaborative, and evidence-based treatment. I enjoy supporting folks through interpersonal difficulties, life transitions, stress, and grief and loss. I know how difficult change can be and offer a supportive approach that values working toward your personal goals.
If you are experiencing anxiety, depression, disordered eating, negative body image, body-focused repetitive behaviors (hair pulling, skin picking), or other mental health concerns, please contact me. I am a clinical psychologist who believes in offering compassionate, collaborative, and evidence-based treatment. I enjoy supporting folks through interpersonal difficulties, life transitions, stress, and grief and loss. I know how difficult change can be and offer a supportive approach that values working toward your personal goals.
(207) 288-7576 View (207) 288-7576
Photo of Sarah Spiegel, Counselor, MA, LCPC
Sarah Spiegel
Counselor, MA, LCPC
2 Endorsed
Portland, ME 04103
Seeking counseling is a sign of hope. I strive to create a compassionate, grounded, and non-judgmental collaboration with you to facilitate change and help you move forward in a meaningful way. Let's tap into your strengths to get the most out of our sessions, making space for new insights and skills, and improving communication. My expertise includes helping people heal from past hurts and traumas, navigating life transitions, relationships (family, intimacy, parenting), depression, anxiety, stress reduction, conflict resolution, and grief/loss. I enjoy working with individuals and couples who are committed to growth.
Seeking counseling is a sign of hope. I strive to create a compassionate, grounded, and non-judgmental collaboration with you to facilitate change and help you move forward in a meaningful way. Let's tap into your strengths to get the most out of our sessions, making space for new insights and skills, and improving communication. My expertise includes helping people heal from past hurts and traumas, navigating life transitions, relationships (family, intimacy, parenting), depression, anxiety, stress reduction, conflict resolution, and grief/loss. I enjoy working with individuals and couples who are committed to growth.
(207) 835-3429 View (207) 835-3429
Photo of Jaime Mastrorio, Clinical Social Work/Therapist, LCSW
Jaime Mastrorio
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portland, ME 04103
Waitlist for new clients
My areas of specialty are; supporting neurodivergent individuals and their families with finding acceptance, as well as with adolescents who are struggling with regulating their mood, emotions, or impulses. With both populations, I emphasize establishing healthy relational patterns, improving boundaries, acceptance, psychoeducation, and skill building. I have also found success working with young adults with ADHD who are struggling to manage executive skills leading to anxiety and stress. The intersection of trauma with above populations is salient and I invite clients experiencing anxiety and depression as a result.
My areas of specialty are; supporting neurodivergent individuals and their families with finding acceptance, as well as with adolescents who are struggling with regulating their mood, emotions, or impulses. With both populations, I emphasize establishing healthy relational patterns, improving boundaries, acceptance, psychoeducation, and skill building. I have also found success working with young adults with ADHD who are struggling to manage executive skills leading to anxiety and stress. The intersection of trauma with above populations is salient and I invite clients experiencing anxiety and depression as a result.
(207) 230-6891 View (207) 230-6891
Kathryn Leonard
Clinical Social Work/Therapist, MSW Uni, LCSW
Portland, ME 04101
Kathryn Leonard, LCSW, provides compassionate, evidence-based therapy to support adults and seniors in managing a wide range of mental health concerns, with a focus on creating a space of acceptance, collaboration, and lasting change. Serving individuals across the state of Maine, Kathryn works with clients navigating anxiety, depression, life transitions, and trauma, offering personalized strategies to help them achieve greater emotional well-being and resilience. At LifeStance Health, Kathryn specializes in treating substance use disorders, anxiety, and post-traumatic stress disorder (PTSD).
Kathryn Leonard, LCSW, provides compassionate, evidence-based therapy to support adults and seniors in managing a wide range of mental health concerns, with a focus on creating a space of acceptance, collaboration, and lasting change. Serving individuals across the state of Maine, Kathryn works with clients navigating anxiety, depression, life transitions, and trauma, offering personalized strategies to help them achieve greater emotional well-being and resilience. At LifeStance Health, Kathryn specializes in treating substance use disorders, anxiety, and post-traumatic stress disorder (PTSD).
(207) 383-3989 View (207) 383-3989
Photo of Christene J Berg, Drug & Alcohol Counselor, LADC
Christene J Berg
Drug & Alcohol Counselor, LADC
Portland, ME 04103
My personal journey, along with my education and over 15 years of professional experience, have combined to enable me to be an effective counselor who is compassionate, non-judgmental and empathetic. One who believes we are all equal regardless of our race, sexual orientation, or spiritual beliefs. I believe in recovery of the whole person ... body, mind and soul. We will focus on your strengths and build a recovery plan that works for you.
My personal journey, along with my education and over 15 years of professional experience, have combined to enable me to be an effective counselor who is compassionate, non-judgmental and empathetic. One who believes we are all equal regardless of our race, sexual orientation, or spiritual beliefs. I believe in recovery of the whole person ... body, mind and soul. We will focus on your strengths and build a recovery plan that works for you.
(207) 389-7548 View (207) 389-7548
Photo of Jennifer Wurfel, Drug & Alcohol Counselor, LADC, CCS
Jennifer Wurfel
Drug & Alcohol Counselor, LADC, CCS
2 Endorsed
Portland, ME 04101
Not accepting new clients
"Superman's not brave. You can't be brave if your indestructible, its everyday people like you and me that are brave knowing we could easily be defeated but still continue to move forward"-unknown. It is a huge gift to be able to witness someone who had little hope become that person they always dreamed of! To give just one person the gift of hope; that is priceless. I have found that most people "in recovery", they are strong amazing people! You've overcome so much already, use those assets for your recovery instead of active addiction.
"Superman's not brave. You can't be brave if your indestructible, its everyday people like you and me that are brave knowing we could easily be defeated but still continue to move forward"-unknown. It is a huge gift to be able to witness someone who had little hope become that person they always dreamed of! To give just one person the gift of hope; that is priceless. I have found that most people "in recovery", they are strong amazing people! You've overcome so much already, use those assets for your recovery instead of active addiction.
(207) 417-4989 View (207) 417-4989

See more therapy options for Portland

How does your Therapist compare?

Number of Therapists in Portland, ME

1,000+

Average cost per session

$150

Therapists in Portland, ME who prioritize treating:

93% Anxiety
85% Depression
73% Trauma and PTSD
72% Relationship Issues
68% Self Esteem
63% Stress
61% Grief

Average years in practice

12 Years

Top 3 insurances accepted

72% Aetna
65% BlueCross and BlueShield
63% Anthem

How Therapists in Portland, ME see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.