Therapists in Medina County, TX

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Photo of Sherry Washington, LPC Intern in Medina County, TX
Sherry Washington
LPC Intern, LPCI
Verified Verified
Castroville, TX 78009  (Online Only)
Sherry has a Bachelor of Science in Psychology, a Master of Science in Clinical Mental Health Counseling and a Graduate Certificate in Mental Health Services which prepared her for making assessments and developing treatment plans centered around lifespan and behavioral issues to ensure effective approaches in counseling. These degrees also prepared her to evaluate and apply these practices ethically and culturally to serve and advocate for a diverse clientele.
Sherry has a Bachelor of Science in Psychology, a Master of Science in Clinical Mental Health Counseling and a Graduate Certificate in Mental Health Services which prepared her for making assessments and developing treatment plans centered around lifespan and behavioral issues to ensure effective approaches in counseling. These degrees also prepared her to evaluate and apply these practices ethically and culturally to serve and advocate for a diverse clientele.
(830) 219-4074 View (830) 219-4074
Photo of Elia Ann Guzman, Pre-Licensed Professional in Medina County, TX
Elia Ann Guzman
Pre-Licensed Professional, MEd, LPC-A
Verified Verified
1 Endorsed
Hondo, TX 78861
You want to experience more joy and fulfillment in your life, but you struggle with fear of failure or rejection, difficulty focusing on positive thoughts in challenging moments, lack of motivation due to low energy levels, a sense of isolation or loneliness, difficulty seeing self-worth or finding purpose, feeling overwhelmed by the state of your emotions and mental health. If you have anxiety, grief, or chronic pain, life can be hard. I’m here to help you make it easier. Even though it may feel like happiness is unattainable right now. Together, we can explore the roots of your struggles and find ways to create lasting change.
You want to experience more joy and fulfillment in your life, but you struggle with fear of failure or rejection, difficulty focusing on positive thoughts in challenging moments, lack of motivation due to low energy levels, a sense of isolation or loneliness, difficulty seeing self-worth or finding purpose, feeling overwhelmed by the state of your emotions and mental health. If you have anxiety, grief, or chronic pain, life can be hard. I’m here to help you make it easier. Even though it may feel like happiness is unattainable right now. Together, we can explore the roots of your struggles and find ways to create lasting change.
(830) 460-5630 View (830) 460-5630
Photo of Abi Nixon, Licensed Professional Counselor Associate in Medina County, TX
Abi Nixon
Licensed Professional Counselor Associate, MS
Verified Verified
1 Endorsed
Castroville, TX 78009
I believe in the counseling process, because it creates a safe, confidential space for people to truly be themselves, be honest, and share parts of their life that they don’t feel comfortable sharing elsewhere. I want to be able to be a safe place to listen to people's concerns and meet them with compassion, understanding, and encouragement. Through this safe place, I hope to help them find the root of whatever issue or difficulty they are facing and help them untangle difficult aspects of life, learn to see themselves with love, replace lies with truth, create meaningful relationships, and walk in truth and confidence.
I believe in the counseling process, because it creates a safe, confidential space for people to truly be themselves, be honest, and share parts of their life that they don’t feel comfortable sharing elsewhere. I want to be able to be a safe place to listen to people's concerns and meet them with compassion, understanding, and encouragement. Through this safe place, I hope to help them find the root of whatever issue or difficulty they are facing and help them untangle difficult aspects of life, learn to see themselves with love, replace lies with truth, create meaningful relationships, and walk in truth and confidence.
(210) 879-1544 View (210) 879-1544
Photo of Rita I Clark, LPC Associate in Medina County, TX
Rita I Clark
LPC Associate, MA, MEd, CAMS-II
Verified Verified
1 Endorsed
Devine, TX 78016  (Online Only)
Disappointed with where you are in life? Caught in a never-ending cycle of relationship struggles? Do you find yourself second-guessing and doubting yourself all the time? Have you been anxious, confused or felt the sting of betrayal from someone you love? I'm so glad you found your way here. Congratulations on taking the first step towards an emotionally healthier you. In counseling, we'll explore those deep-seated emotions, thoughts, and patterns of behavior that are showing up in today's choices. Here you'll find the safe, non-judgmental, and compassionate space we all need for healing and growth to take place.
Disappointed with where you are in life? Caught in a never-ending cycle of relationship struggles? Do you find yourself second-guessing and doubting yourself all the time? Have you been anxious, confused or felt the sting of betrayal from someone you love? I'm so glad you found your way here. Congratulations on taking the first step towards an emotionally healthier you. In counseling, we'll explore those deep-seated emotions, thoughts, and patterns of behavior that are showing up in today's choices. Here you'll find the safe, non-judgmental, and compassionate space we all need for healing and growth to take place.
(830) 254-7948 View (830) 254-7948
Photo of TKR Counseling Services PLLC, Licensed Professional Counselor in Medina County, TX
TKR Counseling Services PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Hondo, TX 78861
You are a loving caregiver, dedicated to your child. But lately, you have found yourself amid an emotional tempest, questioning your abilities and feeling like a parenting failure. Your child’s behavior has become increasingly challenging. Tantrums erupt at the most unexpected times, drawing judgmental glances from strangers and leaving you feeling embarrassed and ashamed. You often wonder how such a tiny human could evoke such intense guilt and self-doubt within you.
You are a loving caregiver, dedicated to your child. But lately, you have found yourself amid an emotional tempest, questioning your abilities and feeling like a parenting failure. Your child’s behavior has become increasingly challenging. Tantrums erupt at the most unexpected times, drawing judgmental glances from strangers and leaving you feeling embarrassed and ashamed. You often wonder how such a tiny human could evoke such intense guilt and self-doubt within you.
(830) 483-8531 View (830) 483-8531
Photo of Wenona Wray, Counselor in Medina County, TX
Wenona Wray
Counselor, LPC, NCC
Verified Verified
Natalia, TX 78059  (Online Only)
Hi I'm Wenni. I describe my style and method of counseling as "Compassionate, Caring and Empathic Counselor and Team member." Yes, Team member. I having been performing counseling for many years, beginning as an Airman to Non-Commissioned Officer in the United States Air Force and now, professionally. Do you often as yourself "Why?", Let me assist you with getting out of the spiral but teaching you the correct way to ask yourself questions and stop those nagging intrusive thoughts.
Hi I'm Wenni. I describe my style and method of counseling as "Compassionate, Caring and Empathic Counselor and Team member." Yes, Team member. I having been performing counseling for many years, beginning as an Airman to Non-Commissioned Officer in the United States Air Force and now, professionally. Do you often as yourself "Why?", Let me assist you with getting out of the spiral but teaching you the correct way to ask yourself questions and stop those nagging intrusive thoughts.
(830) 563-4898 View (830) 563-4898
Photo of Denise Sauceda, Licensed Professional Counselor in Medina County, TX
Denise Sauceda
Licensed Professional Counselor, LPC-S, MA, MHA
Verified Verified
1 Endorsed
Hondo, TX 78861
My professional approach with Professional Psychotherapeutic Practices, Hypnotherapy, EMDR and Trauma Informed Therapy, is used to reduce trauma, stress, depression, anxiety, panic attacks and more. She conducts Life Coaching workshops that build communication and self-esteem skills. ​ Individual Psychotherapy sessions for adults and 12-17 year old children. ​ Denise is also an excellent resource for LPC-A's in their journey to becoming Licensed Professional therapist's. ​
My professional approach with Professional Psychotherapeutic Practices, Hypnotherapy, EMDR and Trauma Informed Therapy, is used to reduce trauma, stress, depression, anxiety, panic attacks and more. She conducts Life Coaching workshops that build communication and self-esteem skills. ​ Individual Psychotherapy sessions for adults and 12-17 year old children. ​ Denise is also an excellent resource for LPC-A's in their journey to becoming Licensed Professional therapist's. ​
(210) 960-9591 View (210) 960-9591
Photo of Timothy Emge-Hoog, Psychologist in Medina County, TX
Timothy Emge-Hoog
Psychologist, PhD
Verified Verified
1 Endorsed
Castroville, TX 78009  (Online Only)
Not accepting new clients
Have you noticed yourself pulling back from your life, even things you used to enjoy? You or your family might notice you leave events early, stay on the fringes, or cancel plans altogether. Sometimes this happens when you are feeling anxious, other times when something reminds you of a past traumatic experience. If you are looking to find a way to move past these reactions and begin to enjoy your life again, there is reason to be optimistic!
Have you noticed yourself pulling back from your life, even things you used to enjoy? You or your family might notice you leave events early, stay on the fringes, or cancel plans altogether. Sometimes this happens when you are feeling anxious, other times when something reminds you of a past traumatic experience. If you are looking to find a way to move past these reactions and begin to enjoy your life again, there is reason to be optimistic!
(830) 580-3429 View (830) 580-3429
Photo of Ashley Rotherberg, Licensed Professional Counselor in Medina County, TX
Ashley Rotherberg
Licensed Professional Counselor, LCSW
Not Verified Not Verified
Castroville, TX 78009  (Online Only)
I am passionate about individuals, couples, and families become their best selves in a safe and judgment-free zone where we can work together to move into the next chapter. I believe in the power of our thoughts and movement to help us all move forward and l look forward to working with you to make sure you are living the life you want.
I am passionate about individuals, couples, and families become their best selves in a safe and judgment-free zone where we can work together to move into the next chapter. I believe in the power of our thoughts and movement to help us all move forward and l look forward to working with you to make sure you are living the life you want.
(830) 202-5704 View (830) 202-5704
Photo of Lorraine Emery Ortiz, Licensed Professional Counselor in Medina County, TX
Lorraine Emery Ortiz
Licensed Professional Counselor, MA, LPC-S, LCDC
Verified Verified
Devine, TX 78016
Waitlist for new clients
Counseling provides a means to healing. I specialize in treating clients who are at least 6 years old through adults. Children may face difficulties with anger management, bullying, physical aggression; difficulties in school, with peers or family members; and defiance. Issues for others may include but not limited to building coping skills for parenting, anxiety, depression, anger, grief, divorce/separation, teen pregnancy, domestic violence, physical/sexual abuse; sexual assault, P.T.S.D., relationship issues, communication skills, and conflict resolution. I work with youth and adults individually, as couples, and/or families.
Counseling provides a means to healing. I specialize in treating clients who are at least 6 years old through adults. Children may face difficulties with anger management, bullying, physical aggression; difficulties in school, with peers or family members; and defiance. Issues for others may include but not limited to building coping skills for parenting, anxiety, depression, anger, grief, divorce/separation, teen pregnancy, domestic violence, physical/sexual abuse; sexual assault, P.T.S.D., relationship issues, communication skills, and conflict resolution. I work with youth and adults individually, as couples, and/or families.
(210) 801-9891 View (210) 801-9891
Photo of Jill Lewis, Licensed Professional Counselor in Medina County, TX
Jill Lewis
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Castroville, TX 78009  (Online Only)
All of us can feel the impact of these uncertain times. Life can present itself with unpredictable situations that may impact your ability to live the life you desire. Uncertainty and adjusting to life changes may feel difficult, stressful, and overwhelming. I believe in the capacity of human resilience, and the power to overcome life's challenges so you can create ways to experience and enjoy your life fully.
All of us can feel the impact of these uncertain times. Life can present itself with unpredictable situations that may impact your ability to live the life you desire. Uncertainty and adjusting to life changes may feel difficult, stressful, and overwhelming. I believe in the capacity of human resilience, and the power to overcome life's challenges so you can create ways to experience and enjoy your life fully.
(830) 445-3949 View (830) 445-3949
Photo of Debbie L Gonzalez, Licensed Professional Counselor in Medina County, TX
Debbie L Gonzalez
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Hondo, TX 78861  (Online Only)
As a Latinx therapist, Debbie understands the barriers to receiving mental health treatment due to cultural and familial factors and will help her clients break generational trauma to achieve emotional and mental stability.
As a Latinx therapist, Debbie understands the barriers to receiving mental health treatment due to cultural and familial factors and will help her clients break generational trauma to achieve emotional and mental stability.
(830) 365-7119 View (830) 365-7119
Photo of Erin Fly, Licensed Professional Counselor in Medina County, TX
Erin Fly
Licensed Professional Counselor, LPC
Verified Verified
Mico, TX 78056  (Online Only)
Erin Fly is a Licensed Professional Counselor (LPC) with over 3 years of experience in the field of mental health. She often works with teens, adults, and seniors who have dual diagnoses such as addiction and mental illness and specializes in depression, anxiety, grief, and other diagnoses such as trauma and PTSD. Erin graduated from The Chicago School of Professional Psychology with a Master's Degree in Clinical Mental Health Counseling.
Erin Fly is a Licensed Professional Counselor (LPC) with over 3 years of experience in the field of mental health. She often works with teens, adults, and seniors who have dual diagnoses such as addiction and mental illness and specializes in depression, anxiety, grief, and other diagnoses such as trauma and PTSD. Erin graduated from The Chicago School of Professional Psychology with a Master's Degree in Clinical Mental Health Counseling.
(210) 864-9398 View (210) 864-9398
Photo of Intimate Possibilities, LLC, Licensed Professional Counselor in Medina County, TX
Intimate Possibilities, LLC
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Hondo, TX 78861
Lately, you’ve been wondering if this relationship has run its course. Maybe there’s no way to rekindle the excitement and intimacy you once shared. You still care deeply about each other, and neither of you is ready to give up on this relationship yet. However, continuing like this is not appealing. Let me help you find that passion again.
Lately, you’ve been wondering if this relationship has run its course. Maybe there’s no way to rekindle the excitement and intimacy you once shared. You still care deeply about each other, and neither of you is ready to give up on this relationship yet. However, continuing like this is not appealing. Let me help you find that passion again.
(210) 796-8111 View (210) 796-8111

Online Therapists

Photo of Corazoncitos Alegres Counseling and Play Therapy, Licensed Professional Counselor in Medina County, TX
Corazoncitos Alegres Counseling and Play Therapy
Licensed Professional Counselor, LPC, RPT
Verified Verified
San Antonio, TX 78247
¿Le preocupa la conducta de su hijo? ¿Cree que necesita ayuda y no sabe dónde encontrarla? ¿Está buscando orientación para manejar cambios que han ocurrido en la vida de su niño, ya sean como resultado del desarrollo normal de la edad o por situaciones en el medio que le rodea? En Corazoncitos Alegres ofrecemos consejería infantil en español a través de la terapia de juego. Nos especializamos en niños de edad temprana, preescolar y primaria y ayudamos a padres que necesitan recursos para continuar dando lo mejor de sí en la ardua tarea de la crianza. Llame ahora para conocer más sobre nuestros servicios de consejería en español.
¿Le preocupa la conducta de su hijo? ¿Cree que necesita ayuda y no sabe dónde encontrarla? ¿Está buscando orientación para manejar cambios que han ocurrido en la vida de su niño, ya sean como resultado del desarrollo normal de la edad o por situaciones en el medio que le rodea? En Corazoncitos Alegres ofrecemos consejería infantil en español a través de la terapia de juego. Nos especializamos en niños de edad temprana, preescolar y primaria y ayudamos a padres que necesitan recursos para continuar dando lo mejor de sí en la ardua tarea de la crianza. Llame ahora para conocer más sobre nuestros servicios de consejería en español.
(210) 571-7645 View (210) 571-7645
Photo of Janet Scarborough Civitelli, Psychologist in Medina County, TX
Janet Scarborough Civitelli
Psychologist, PhD, LP
Verified Verified
3 Endorsed
Austin, TX 78701  (Online Only)
Waitlist for new clients
Life can be stressful, can't it? Therapy or coaching can help you change the things you have the power to change individually while we collectively work for change at a systems level. I help clients who are struggling with workplace challenges, anxiety, insomnia, relationship conflict, and medical challenges. I offer convenient, accessible telehealth therapy via a secure version of Zoom. I am licensed to provide therapy in Texas and all PSYPACT states. I also offer career coaching via telephone to clients in all U.S. states.
Life can be stressful, can't it? Therapy or coaching can help you change the things you have the power to change individually while we collectively work for change at a systems level. I help clients who are struggling with workplace challenges, anxiety, insomnia, relationship conflict, and medical challenges. I offer convenient, accessible telehealth therapy via a secure version of Zoom. I am licensed to provide therapy in Texas and all PSYPACT states. I also offer career coaching via telephone to clients in all U.S. states.
(512) 710-2630 View (512) 710-2630
Photo of Maddie Domin, Licensed Master Social Worker in Medina County, TX
Maddie Domin
Licensed Master Social Worker, LMSW
Verified Verified
3 Endorsed
Austin, TX 78748
Hi there! I am a gender queer, pansexual, latinx, therapist who specializes in working with women, queer and gender diverse, polyamorous folks, and is DID affirming. I work with ages 15 and up, specializing in late adolescence and young adulthood. My niche within trauma is childhood trauma, emotional and sexual abuse. Trauma work and growth is beautifully messy, I want my clients to feel brave enough and safe enough to get their hands dirty with me for the sake of growth and peace. I recognize that this may take time, and I am willing to take that time with the client o feel safe with me and in my therapeutic space.
Hi there! I am a gender queer, pansexual, latinx, therapist who specializes in working with women, queer and gender diverse, polyamorous folks, and is DID affirming. I work with ages 15 and up, specializing in late adolescence and young adulthood. My niche within trauma is childhood trauma, emotional and sexual abuse. Trauma work and growth is beautifully messy, I want my clients to feel brave enough and safe enough to get their hands dirty with me for the sake of growth and peace. I recognize that this may take time, and I am willing to take that time with the client o feel safe with me and in my therapeutic space.
(737) 637-5997 View (737) 637-5997
Photo of Arsahy Alvizo, Licensed Professional Counselor in Medina County, TX
Arsahy Alvizo
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78253  (Online Only)
Arsy is a Licensed Professional Counselor in the state of Texas (81619). She graduated from The University of Texas at San Antonio with her Masters of Science in Mental Health Counseling. She provides a warm and welcoming environment in order for you to feel safe and open throughout the counseling process. She will work alongside you to navigate the presenting issues and find solutions that are authentic to you. Arsy employs a person-centered and CBT approach that focuses on helping the client identify and change thinking patterns that have a negative influence on their behavior and their emotional being.
Arsy is a Licensed Professional Counselor in the state of Texas (81619). She graduated from The University of Texas at San Antonio with her Masters of Science in Mental Health Counseling. She provides a warm and welcoming environment in order for you to feel safe and open throughout the counseling process. She will work alongside you to navigate the presenting issues and find solutions that are authentic to you. Arsy employs a person-centered and CBT approach that focuses on helping the client identify and change thinking patterns that have a negative influence on their behavior and their emotional being.
(210) 791-6239 View (210) 791-6239
Photo of John Collis, Counselor in Medina County, TX
John Collis
Counselor, LPC
Verified Verified
Hunt, TX 78024
The bad news: anxiety and depression are all around us and why wouldn't it be? Troubling news on the television, relationships in disarray, pain and suffering everywhere! Anxiety and depression keeps us from living the life we desire, from doing the things we want, and from interacting with others in a healthy manner. It frustrates us and makes us irritable. The good news: through changing our thoughts and utilizing solution based therapies, we can attack and overcome our feelings of anxiety and depression. I would love to come along side you and work together with you to help you create the healthy you that you want to be.
The bad news: anxiety and depression are all around us and why wouldn't it be? Troubling news on the television, relationships in disarray, pain and suffering everywhere! Anxiety and depression keeps us from living the life we desire, from doing the things we want, and from interacting with others in a healthy manner. It frustrates us and makes us irritable. The good news: through changing our thoughts and utilizing solution based therapies, we can attack and overcome our feelings of anxiety and depression. I would love to come along side you and work together with you to help you create the healthy you that you want to be.
(830) 254-7637 View (830) 254-7637
Photo of Jacquilin Chavez, Licensed Professional Counselor in Medina County, TX
Jacquilin Chavez
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78705  (Online Only)
Hi! I'm Jacqui. I have been a therapist for 31 years. Times have changed and so has counseling! Today's clients are troubled by many things that cause stress and anxiety, not to mention trauma. It's understandable given what we deal with on a daily basis.
Hi! I'm Jacqui. I have been a therapist for 31 years. Times have changed and so has counseling! Today's clients are troubled by many things that cause stress and anxiety, not to mention trauma. It's understandable given what we deal with on a daily basis.
(737) 367-2901 View (737) 367-2901

See more therapy options for Medina County

How does your Therapist compare?

Number of Therapists in Medina County, TX

10+

Average cost per session

$125

Therapists in Medina County, TX who prioritize treating:

86% Depression
79% Anxiety
79% Grief
64% Trauma and PTSD
64% Stress
57% Relationship Issues
50% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
78% Cigna and Evernorth
67% Aetna

How Therapists in Medina County, TX see their clients

57% Online Only
43% In Person and Online

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Medina County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.