Therapists in Saint Louis, MO

View neighborhoods in Saint Louis
Photo of Stacy Blassingame, Licensed Professional Counselor in Saint Louis, MO
Stacy Blassingame
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
It's plain to see that world bombards us with ample reason to live in fear, doubt, and negativity. Yet, we all possess the ability to change, and to make good on the hope toward a rich, full, and confident life. We can't erase our pasts, but we can work together in the present to find new ways of thinking and being that produce the lives we want.
It's plain to see that world bombards us with ample reason to live in fear, doubt, and negativity. Yet, we all possess the ability to change, and to make good on the hope toward a rich, full, and confident life. We can't erase our pasts, but we can work together in the present to find new ways of thinking and being that produce the lives we want.
(314) 462-2626 View (314) 462-2626
Photo of Diana Dee-Williams, Licensed Professional Counselor in Saint Louis, MO
Diana Dee-Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63125
Not accepting new clients
My name is Diana Dee-Williams, I am a Licensed professional counselor in the State of MO. My focus is to create a safe sense of comfort for clients to build rapport while helping them solve their life challenges. I am psychotherapist who believes in helping individuals explore their inner thoughts, feelings, behaviors behind their significant life challenges as well help him or her move toward Self-Achievement and Self-Growth. The goal is for the therapist and individuals to work together in maintaining stability with the intentional plan to work through those circumstances and reach a positive balance and purpose in life.
My name is Diana Dee-Williams, I am a Licensed professional counselor in the State of MO. My focus is to create a safe sense of comfort for clients to build rapport while helping them solve their life challenges. I am psychotherapist who believes in helping individuals explore their inner thoughts, feelings, behaviors behind their significant life challenges as well help him or her move toward Self-Achievement and Self-Growth. The goal is for the therapist and individuals to work together in maintaining stability with the intentional plan to work through those circumstances and reach a positive balance and purpose in life.
(314) 408-2838 View (314) 408-2838
Photo of Fawn Weber, Licensed Professional Counselor in Saint Louis, MO
Fawn Weber
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63127
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
(314) 526-3474 View (314) 526-3474
Photo of Jenny Scott, Clinical Social Work/Therapist in Saint Louis, MO
Jenny Scott
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63109
I know that reaching out for help can be one of the hardest things any of us do. That’s why I aim to make your experience with help-seeking and mental health as approachable and, dare I say, as fun as possible. I believe that counseling and therapy should be an experience that challenges us in different ways and pushes us to grow through our problems. That’s why, in addition to traditional one-on-one therapy, I offer new and different approaches such as animal-assisted therapy and cognitive-based adventure therapy. There are so many avenues we can take to change ourselves and I hope that what I offer can make that accessible.
I know that reaching out for help can be one of the hardest things any of us do. That’s why I aim to make your experience with help-seeking and mental health as approachable and, dare I say, as fun as possible. I believe that counseling and therapy should be an experience that challenges us in different ways and pushes us to grow through our problems. That’s why, in addition to traditional one-on-one therapy, I offer new and different approaches such as animal-assisted therapy and cognitive-based adventure therapy. There are so many avenues we can take to change ourselves and I hope that what I offer can make that accessible.
(314) 207-3372 View (314) 207-3372
Photo of Nicole McNeil - Ellie Mental Health, Licensed Professional Counselor in Saint Louis, MO
Nicole McNeil - Ellie Mental Health
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63131
Change can happen at any age. All it takes is the commitment and willingness to look at oneself and gain insight, and put steps into action toward change. I provide the support, validation, and openness to help individuals and families explore their strengths, and address and improve the cycles that make them unhappy. I am action oriented and direct, while leaving space for self-exploration and growth in a warm and nurturing environment.
Change can happen at any age. All it takes is the commitment and willingness to look at oneself and gain insight, and put steps into action toward change. I provide the support, validation, and openness to help individuals and families explore their strengths, and address and improve the cycles that make them unhappy. I am action oriented and direct, while leaving space for self-exploration and growth in a warm and nurturing environment.
(314) 463-4778 View (314) 463-4778
Photo of Debbie Pullin, Licensed Professional Counselor in Saint Louis, MO
Debbie Pullin
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63141  (Online Only)
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
(314) 287-5466 View (314) 287-5466
Photo of Ja'nai Barnes, Clinical Social Work/Therapist in Saint Louis, MO
Ja'nai Barnes
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
Saint Louis, MO 63146
Are you struggling with anxiety, stress, or changes in relationships or friendships? Are you feeling overwhelmed with the pressures of every day life and struggling to figure out next steps? Life transitions such as starting a new path, making a career change and figuring out who you are and what you want to be and do can all feel overwhelming. I can provide a supportive and empathetic space to explore the present and obstacles and challenges that are being faced.
Are you struggling with anxiety, stress, or changes in relationships or friendships? Are you feeling overwhelmed with the pressures of every day life and struggling to figure out next steps? Life transitions such as starting a new path, making a career change and figuring out who you are and what you want to be and do can all feel overwhelming. I can provide a supportive and empathetic space to explore the present and obstacles and challenges that are being faced.
(314) 897-7438 View (314) 897-7438
Photo of Meagan Vorce in Saint Louis, MO
Meagan Vorce
MEd, P-LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63117  (Online Only)
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
(314) 907-0258 View (314) 907-0258
Photo of Trecia K Davis, Clinical Social Work/Therapist in Saint Louis, MO
Trecia K Davis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Not accepting new clients
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
(314) 309-3367 View (314) 309-3367
Photo of Kimberly Davis, Counselor in Saint Louis, MO
Kimberly Davis
Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63139  (Online Only)
Are you currently facing challenges in life? Or have you been grappling with past traumas without glimpses of light at the end of the tunnel? You don't have to go through it alone. I'm Kim Davis, a Licensed Professional Counselor (LPC) based in Missouri who guides clients through challenging times.
Are you currently facing challenges in life? Or have you been grappling with past traumas without glimpses of light at the end of the tunnel? You don't have to go through it alone. I'm Kim Davis, a Licensed Professional Counselor (LPC) based in Missouri who guides clients through challenging times.
(314) 208-3286 View (314) 208-3286
Photo of Kimberly E Keegan, Licensed Professional Counselor in Saint Louis, MO
Kimberly E Keegan
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Saint Louis, MO 63131
I find that often a person is suffering with one or more unresolved issues and continues to hope things will change. When things don't change or get better, they may be ready to seek counseling and become open to talking with a stranger. That's often a big step to take. The goal is to improve the situation, handle a crisis and/or just stop the pain. There are many issues that result in reaching out to a counselor including a relationship crisis, loss of some sort, surviving trauma, addictions, difficulty with family or significant others, and changes that may occur within the person such as depression or anxiety.
I find that often a person is suffering with one or more unresolved issues and continues to hope things will change. When things don't change or get better, they may be ready to seek counseling and become open to talking with a stranger. That's often a big step to take. The goal is to improve the situation, handle a crisis and/or just stop the pain. There are many issues that result in reaching out to a counselor including a relationship crisis, loss of some sort, surviving trauma, addictions, difficulty with family or significant others, and changes that may occur within the person such as depression or anxiety.
(314) 937-5229 View (314) 937-5229
Photo of Andy Kerckhoff, Counselor in Saint Louis, MO
Andy Kerckhoff
Counselor, MA, LPC-S, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
I help individuals with depression, anxiety, anger, addiction, trauma, grief, or shame. Many of my clients are in major life transitions. I help people become more aware of their emotional responses to stressors and to find better ways to manage their inner lives. I can help you become more empowered to make wiser decisions with a stronger sense of self, so you will be more satisfied with your life.
I help individuals with depression, anxiety, anger, addiction, trauma, grief, or shame. Many of my clients are in major life transitions. I help people become more aware of their emotional responses to stressors and to find better ways to manage their inner lives. I can help you become more empowered to make wiser decisions with a stronger sense of self, so you will be more satisfied with your life.
(636) 215-6600 View (636) 215-6600
Photo of Kristin Seymour Msn Rn Aprn-Bc in Saint Louis, MO
Kristin Seymour Msn Rn Aprn-Bc
MSN, RN, APRN, BC
Verified Verified
Saint Louis, MO 63124
Waitlist for new clients
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
(314) 307-5092 View (314) 307-5092
Photo of Alicia Michelle Collier, Licensed Professional Counselor in Saint Louis, MO
Alicia Michelle Collier
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
(618) 508-4891 View (618) 508-4891
Photo of Kimberly Vest, Licensed Professional Counselor in Saint Louis, MO
Kimberly Vest
Licensed Professional Counselor, MA, LPC, CFRC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
As a therapist, my main focus is to care for the concerns of the client's heart. I believe that we are made for connection and attachment. When relationships have been harmed or trauma has occurred, there is a fracture, wound or scar. This can run deep and needs to be treated with tenderness and understanding. Those who have experienced trauma may not understand the toll it has done to the brain, body, heart, soul or voice. I have the privilege of educating and finding therapeutic ways in which the client can heal. It is a true honor to walk alongside someone while they find their way towards healing and wholeness.
As a therapist, my main focus is to care for the concerns of the client's heart. I believe that we are made for connection and attachment. When relationships have been harmed or trauma has occurred, there is a fracture, wound or scar. This can run deep and needs to be treated with tenderness and understanding. Those who have experienced trauma may not understand the toll it has done to the brain, body, heart, soul or voice. I have the privilege of educating and finding therapeutic ways in which the client can heal. It is a true honor to walk alongside someone while they find their way towards healing and wholeness.
(636) 685-2053 View (636) 685-2053
Photo of Brandon Noel, Clinical Social Work/Therapist in Saint Louis, MO
Brandon Noel
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Saint Louis, MO 63139
Each day brings new challenges. Some involve our families or our jobs or our relationships, but all involve our minds. Healing begins with the recognition that these battles are not obstacles, but doorways, to a better life — opportunities to develop ourselves in ways we couldn’t previously imagine. You possess the capacity for greatness. You have a purpose! Awareness and the vulnerability to trust another human are keys to unlocking your potential in these ways. Therapy provides an outlet to experience yourself as such, and to work toward the harmony and inner peace you’ve longed for.
Each day brings new challenges. Some involve our families or our jobs or our relationships, but all involve our minds. Healing begins with the recognition that these battles are not obstacles, but doorways, to a better life — opportunities to develop ourselves in ways we couldn’t previously imagine. You possess the capacity for greatness. You have a purpose! Awareness and the vulnerability to trust another human are keys to unlocking your potential in these ways. Therapy provides an outlet to experience yourself as such, and to work toward the harmony and inner peace you’ve longed for.
(314) 582-3574 View (314) 582-3574
Photo of Alyssa Reynolds, LPC Intern in Saint Louis, MO
Alyssa Reynolds
LPC Intern
Verified Verified
Saint Louis, MO 63104
I know that life can sometimes be a whirlwind especially when we don’t have enough time to reflect and process. Without setting aside intentional time, life’s challenges can feel like chaos. Maybe you looked up and realized that you haven’t done things for yourself in a while. Being swept up in life’s whirlwind can distract from the realization that you aren’t doing things that bring you joy and fulfillment.
I know that life can sometimes be a whirlwind especially when we don’t have enough time to reflect and process. Without setting aside intentional time, life’s challenges can feel like chaos. Maybe you looked up and realized that you haven’t done things for yourself in a while. Being swept up in life’s whirlwind can distract from the realization that you aren’t doing things that bring you joy and fulfillment.
(314) 936-4240 View (314) 936-4240
Photo of Sharper Vision Counseling Services, Licensed Professional Counselor in Saint Louis, MO
Sharper Vision Counseling Services
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63114
Waitlist for new clients
At this time we have a Counseling Intern and Associate Therapist Available Only. There are times in life when you feel stuck, sad, angry, or indifferent. In these times, it is helpful to have a non-bias party be a mirror on your journey to becoming the best version of you that you can be. There are also times when clients have identified that familial traditions have held them captive or even hindered their growth. Processing those things will help you to identify the best path for you as you move forward to your big picture. We would love to assist you on that journey of becoming a better you.
At this time we have a Counseling Intern and Associate Therapist Available Only. There are times in life when you feel stuck, sad, angry, or indifferent. In these times, it is helpful to have a non-bias party be a mirror on your journey to becoming the best version of you that you can be. There are also times when clients have identified that familial traditions have held them captive or even hindered their growth. Processing those things will help you to identify the best path for you as you move forward to your big picture. We would love to assist you on that journey of becoming a better you.
(314) 582-0810 View (314) 582-0810
Photo of Abby Evilsizor, Clinical Social Work/Therapist in Saint Louis, MO
Abby Evilsizor
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63122  (Online Only)
Fuerza means strength in Spanish and that is what I wish for all of my clients who come to Fuerza Wellness. What I hope for you during therapy is that you are able to find the strength you need to get through life’s challenges AND to allow yourself to let go and soften. That you can dream of your future AND live in the moment. That you may know your identities AND be confident in what those are. If you are going through a major life transition, coming into your own as an adult, have a trauma history, are bicultural, or in the perinatal phase of life, we may be a good fit to work together.
Fuerza means strength in Spanish and that is what I wish for all of my clients who come to Fuerza Wellness. What I hope for you during therapy is that you are able to find the strength you need to get through life’s challenges AND to allow yourself to let go and soften. That you can dream of your future AND live in the moment. That you may know your identities AND be confident in what those are. If you are going through a major life transition, coming into your own as an adult, have a trauma history, are bicultural, or in the perinatal phase of life, we may be a good fit to work together.
(314) 501-6627 View (314) 501-6627
Photo of Caitlin McNeece, Clinical Social Work/Therapist in Saint Louis, MO
Caitlin McNeece
Clinical Social Work/Therapist, MSW, LCSW, RYT 200
Verified Verified
Saint Louis, MO 63116  (Online Only)
Not accepting new clients
Anxiety and past trauma have kept you playing small, but in your heart you know that life can be so much bigger! You’re ready to wrestle with anxiety, shine a light on hurts and hardships of the past, and begin living life on your own terms. It feels like you’ve been waiting forever, unsure if the timing is right, but now you realize that “ready” might never happen, and you’re willing to try anyway. You're dreaming of a life where you stop second guessing yourself, where you feel connected and have a deep sense of belonging, and where you're no longer paralyzed by worries. You're ready to get back in the driver's seat of life!
Anxiety and past trauma have kept you playing small, but in your heart you know that life can be so much bigger! You’re ready to wrestle with anxiety, shine a light on hurts and hardships of the past, and begin living life on your own terms. It feels like you’ve been waiting forever, unsure if the timing is right, but now you realize that “ready” might never happen, and you’re willing to try anyway. You're dreaming of a life where you stop second guessing yourself, where you feel connected and have a deep sense of belonging, and where you're no longer paralyzed by worries. You're ready to get back in the driver's seat of life!
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How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.