Therapists in Saint Louis, MO

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Photo of Mason Alexander Kinghorn, MSW, LCSW, Clinical Social Work/Therapist
Mason Alexander Kinghorn
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63116  (Online Only)
Waitlist for new clients
Do you struggle with depression, anxiety, feeling disconnected from others, or the way your life has been impacted by trauma? Are you searching for happiness or meaning in your relationships, your work, or in life in general? If any of this resonates with you, I may have the type of professional experience that would be helpful to you. I work with adults providing virtual therapy. I have additional experience with anger management, life transitions, LGBTQIA+ related issues, and low self-esteem. I am proud to provide gender-affirming care to clients.
Do you struggle with depression, anxiety, feeling disconnected from others, or the way your life has been impacted by trauma? Are you searching for happiness or meaning in your relationships, your work, or in life in general? If any of this resonates with you, I may have the type of professional experience that would be helpful to you. I work with adults providing virtual therapy. I have additional experience with anger management, life transitions, LGBTQIA+ related issues, and low self-esteem. I am proud to provide gender-affirming care to clients.
(314) 730-0097 View (314) 730-0097
Photo of Rebecca Growe, MSW, LCSW, Clinical Social Work/Therapist
Rebecca Growe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Saint Louis, MO 63105
Waitlist for new clients
I work with kids of all ages, parents, and families.
I work with kids of all ages, parents, and families.
(314) 287-5472 View (314) 287-5472
Photo of Cynthia M Ross, MEd, LPC, Licensed Professional Counselor
Cynthia M Ross
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63108
The primary aim of my therapy is to support clients in achieving greater emotional and social fulfillment by facilitating positive changes. In our therapy sessions, I leverage my extensive knowledge and skills in cognitive behavioral therapy, experiential therapy, and parent coaching to adopt a person-centered and solution-focused approach. Valuing open communication and collaborative effort, I work closely with my clients to identify and empower them toward realizing their utmost potential. I am eager to assist you or your teenager in addressing and overcoming present obstacles to craft the life you desire.
The primary aim of my therapy is to support clients in achieving greater emotional and social fulfillment by facilitating positive changes. In our therapy sessions, I leverage my extensive knowledge and skills in cognitive behavioral therapy, experiential therapy, and parent coaching to adopt a person-centered and solution-focused approach. Valuing open communication and collaborative effort, I work closely with my clients to identify and empower them toward realizing their utmost potential. I am eager to assist you or your teenager in addressing and overcoming present obstacles to craft the life you desire.
(314) 947-5898 View (314) 947-5898
Photo of Carington McGowan, LMSW, Clinical Social Work/Therapist
Carington McGowan
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63112  (Online Only)
Traumatic experiences can change the way that we relate to ourselves as well as the rest of the world. We can be left feeling depressed, on edge, or not like ourselves. As a Licensed Master Social Worker, specializing in trauma, PTSD, and anxiety, my passion is helping teens and adults who have experienced trauma feel safe within themselves again.
Traumatic experiences can change the way that we relate to ourselves as well as the rest of the world. We can be left feeling depressed, on edge, or not like ourselves. As a Licensed Master Social Worker, specializing in trauma, PTSD, and anxiety, my passion is helping teens and adults who have experienced trauma feel safe within themselves again.
(314) 936-4918 View (314) 936-4918
Photo of Irma Hagarty, MEd, LPC, Licensed Professional Counselor
Irma Hagarty
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63119
I serve individuals, couples, and families seeking professional therapeutic services. My areas of expertise include relationship and family dynamic concerns, grief and loss, perinatal mood and anxiety disorders, infertility counseling, mood disorders, and anxiety disorders.
I serve individuals, couples, and families seeking professional therapeutic services. My areas of expertise include relationship and family dynamic concerns, grief and loss, perinatal mood and anxiety disorders, infertility counseling, mood disorders, and anxiety disorders.
(314) 310-0743 View (314) 310-0743
Photo of Alwyn S Whitehead Jr, PsyD, Psychologist
Alwyn S Whitehead Jr
Psychologist, PsyD
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
My clients seek help with a specific difficulty. It may be depression, anxiety, PTSD, relationships, or their path in life. They want to feel happy and fulfilled but have been blocked by some difficulty. When they reach out to accept help they have made the first step in their journey of healing and happiness! We all deserve happiness and modern Cognitive Behavioral Therapy (CBT) provides tools and processes to unblock the natural flow of healing available to us. Plus, anyone can become proficient in using them and applying them to many situations in their life.
My clients seek help with a specific difficulty. It may be depression, anxiety, PTSD, relationships, or their path in life. They want to feel happy and fulfilled but have been blocked by some difficulty. When they reach out to accept help they have made the first step in their journey of healing and happiness! We all deserve happiness and modern Cognitive Behavioral Therapy (CBT) provides tools and processes to unblock the natural flow of healing available to us. Plus, anyone can become proficient in using them and applying them to many situations in their life.
(314) 897-4635 View (314) 897-4635
Photo of Kristin Seymour Msn Rn Aprn-Bc, MSN, RN, APRN, BC
Kristin Seymour Msn Rn Aprn-Bc
MSN, RN, APRN, BC
Verified Verified
Saint Louis, MO 63124
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 Alice Kinsella, MEd, LPC, Licensed Professional Counselor
Alice Kinsella
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
6-8 sessions may be all you need. Do you often think/say to yourself: “I should know this?” “I’ve read all the self-help books.” “I’ve done therapy in the past.” "I was doing great." “What are you going to tell me that I don’t already know?” or "I have never done this before" I get it. I work with negative, self-limiting beliefs and past traumas that may be holding you back.
6-8 sessions may be all you need. Do you often think/say to yourself: “I should know this?” “I’ve read all the self-help books.” “I’ve done therapy in the past.” "I was doing great." “What are you going to tell me that I don’t already know?” or "I have never done this before" I get it. I work with negative, self-limiting beliefs and past traumas that may be holding you back.
(314) 328-7516 View (314) 328-7516
Photo of Lee Herzog-Borowiak - Herzog-Borowiak Counseling LLC, MA, LPC, NAMP, NCC, Licensed Professional Counselor
Herzog-Borowiak Counseling LLC
Licensed Professional Counselor, MA, LPC, NAMP, NCC
Verified Verified
Saint Louis, MO 63141
Congratulations you took the first step in becoming a healthier you.! I have a personal mission of helping people reach their highest potential! I am an experienced therapist, educator, counselor, school psychologist, and advocate with 30+ years experience in the helping field. My counseling services are provided to children, adolescents, adults, couples, and families across a wide spectrum of issues. I will support you as you process feelings, face difficult decisions, talk through available options, strengthen your current relationships, learn cognitive behavioral techniques and develop coping strategies! Through this process you will learn ways to reach your highest potential.
Congratulations you took the first step in becoming a healthier you.! I have a personal mission of helping people reach their highest potential! I am an experienced therapist, educator, counselor, school psychologist, and advocate with 30+ years experience in the helping field. My counseling services are provided to children, adolescents, adults, couples, and families across a wide spectrum of issues. I will support you as you process feelings, face difficult decisions, talk through available options, strengthen your current relationships, learn cognitive behavioral techniques and develop coping strategies! Through this process you will learn ways to reach your highest potential.
(314) 736-3716 View (314) 736-3716
Photo of Will Stanfield, CIT, Pre-Licensed Professional
Will Stanfield
Pre-Licensed Professional, CIT
Verified Verified
Saint Louis, MO 63118  (Online Only)
It’s not uncommon, at some point in our lives, to get to a point where we ask ourselves, “Does it really have to be this way forever? Do I really have to carry this pain for the rest of my life?” You may be experiencing some of this pain in your own life and are wondering how it can get better. Can this stress and anxiety really lessen? Do I have to go through all this alone? I want deeper more meaningful relationships, but how do I go about having that? Whether you’re feeling this pain alone or in relationship with another, you may be longing for the support of another to help make sense of what is happening.
It’s not uncommon, at some point in our lives, to get to a point where we ask ourselves, “Does it really have to be this way forever? Do I really have to carry this pain for the rest of my life?” You may be experiencing some of this pain in your own life and are wondering how it can get better. Can this stress and anxiety really lessen? Do I have to go through all this alone? I want deeper more meaningful relationships, but how do I go about having that? Whether you’re feeling this pain alone or in relationship with another, you may be longing for the support of another to help make sense of what is happening.
(314) 582-9365 View (314) 582-9365
Photo of Toni Richter, LCSW, CYT, TCYM, Clinical Social Work/Therapist
Toni Richter
Clinical Social Work/Therapist, LCSW, CYT, TCYM
Verified Verified
Saint Louis, MO 63109  (Online Only)
You are a woman and feel exhausted from feelings of shame, fear, and resentment. You desperately want something different. You want to give and receive love that feels authentic to you. Connect more to yourself. You want to stop stuffing down your needs and feelings for others. You want to let go of people-pleasing, break old patterns, and hold boundaries but you’re stuck in protective mode."My needs don't matter", "I'm worthless", or "I'm not good enough" play too often in your mind. You desperately want to release this pain to live, parent, and experience life differently. Awaken a life with feelings of safety and resilience.
You are a woman and feel exhausted from feelings of shame, fear, and resentment. You desperately want something different. You want to give and receive love that feels authentic to you. Connect more to yourself. You want to stop stuffing down your needs and feelings for others. You want to let go of people-pleasing, break old patterns, and hold boundaries but you’re stuck in protective mode."My needs don't matter", "I'm worthless", or "I'm not good enough" play too often in your mind. You desperately want to release this pain to live, parent, and experience life differently. Awaken a life with feelings of safety and resilience.
(314) 834-5832 View (314) 834-5832
Photo of Amy Yeskie, LCSW, Clinical Social Work/Therapist
Amy Yeskie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Not accepting new clients
Welcome! Taking the first step in reaching out can be challenging. My goal is to create the kind of environment that feels safe to explore whatever issue is causing you distress. As a social worker, I bring a deep empathy and a strengths-based approach to our sessions, where you are the expert in your own experience. I'm EMDR trained and utilize a variety of clinical interventions like CBT, narrative techniques, Solution Focused Therapy and Motivational interviewing, to help see what fits your needs.
Welcome! Taking the first step in reaching out can be challenging. My goal is to create the kind of environment that feels safe to explore whatever issue is causing you distress. As a social worker, I bring a deep empathy and a strengths-based approach to our sessions, where you are the expert in your own experience. I'm EMDR trained and utilize a variety of clinical interventions like CBT, narrative techniques, Solution Focused Therapy and Motivational interviewing, to help see what fits your needs.
(314) 948-4054 View (314) 948-4054
Photo of Megan R Gray, MA, LPC, Licensed Professional Counselor
Megan R Gray
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Therapy is a space for you to process your experiences, share your feelings, and work through decisions free from judgement. I will offer my support and insight as we work together to better understand your inner world.
Therapy is a space for you to process your experiences, share your feelings, and work through decisions free from judgement. I will offer my support and insight as we work together to better understand your inner world.
(314) 834-6717 View (314) 834-6717
Photo of Lee Lockwood, LCSW, BCD, Clinical Social Work/Therapist
Lee Lockwood
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Saint Louis, MO 63131
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
My approach is to help my patients both resolve the issues they bring to my office and help them become more able to prevent or minimize the recurrence of these issues. And, often what people can not see in themselves defeats their genuine attempts to change their lives. My strengths are helping people both see and deal with what really gets in the way of their achieving substantial change. The mind/emotions are often like icebergs- only a small amount is above water to be seen-yet much is unseen and can lead to great damage( a failure to change).
(314) 329-8892 View (314) 329-8892
Photo of Helen McGlynn, PhD, MA, MEd, LCSW, LPC, Clinical Social Work/Therapist
Helen McGlynn
Clinical Social Work/Therapist, PhD, MA, MEd, LCSW, LPC
Verified Verified
Saint Louis, MO 63117  (Online Only)
Hello. I welcome you to my online therapy space, where I will listen to your stress issues and identify those strategies that work. Almost every person struggles with depression, anxiety, or relationships as these are part of the human experience. In the therapy session, we work together to put your story in order, find your strengths, and receive professional guidance based on years of experience. I have limited in office hours on Mondays, and availabilty online during the week. I only accept ComPsych insurance, and my rates are reasonable. I answer phone calls right away.
Hello. I welcome you to my online therapy space, where I will listen to your stress issues and identify those strategies that work. Almost every person struggles with depression, anxiety, or relationships as these are part of the human experience. In the therapy session, we work together to put your story in order, find your strengths, and receive professional guidance based on years of experience. I have limited in office hours on Mondays, and availabilty online during the week. I only accept ComPsych insurance, and my rates are reasonable. I answer phone calls right away.
(314) 925-9081 View (314) 925-9081
Photo of Amy Studer - Alternative Access Counseling, MA, LPC, LCPC, Licensed Professional Counselor
Alternative Access Counseling
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63116  (Online Only)
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
(573) 577-3368 View (573) 577-3368
Photo of Alejandra Mata, MA, LPC, NCC
Alejandra Mata
MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63110
Alex is a 1st gen counselor who works with children of all ages, adolescents, teens & young adults. She will collaborate with you in different therapeutic manners to find the best route together for you/ your child. With her laid-back and positive attitude, your health and well-being will be accepted and prioritized. Alex considers your unique birth order and environment to play an important role in the growth of a child, which leads to the development of our "inner child" or inner voice. Our triggers unconsciously awaken our inner child and lead us to cope/ respond similarly to out younger self.
Alex is a 1st gen counselor who works with children of all ages, adolescents, teens & young adults. She will collaborate with you in different therapeutic manners to find the best route together for you/ your child. With her laid-back and positive attitude, your health and well-being will be accepted and prioritized. Alex considers your unique birth order and environment to play an important role in the growth of a child, which leads to the development of our "inner child" or inner voice. Our triggers unconsciously awaken our inner child and lead us to cope/ respond similarly to out younger self.
(314) 310-8492 View (314) 310-8492
Photo of Eric Gregory, MDiv, MAC, LPC, CSAT-C, Licensed Professional Counselor
Eric Gregory
Licensed Professional Counselor, MDiv, MAC, LPC, CSAT-C
Verified Verified
1 Endorsed
Saint Louis, MO 63116
I come to the counseling room as a fellow traveller with a strong desire to create emotional and spiritual safety, regardless of what must be faced. Much of my experience has been focused on helping men find hope and a voice amid brokenness, loneliness, and relational trouble. I meet with individuals wrestling with anxiety, depression, past or present abuse, sexual confusion, sexual addiction, and spiritual and emotional health in general. Real relief and real growth are really possible!
I come to the counseling room as a fellow traveller with a strong desire to create emotional and spiritual safety, regardless of what must be faced. Much of my experience has been focused on helping men find hope and a voice amid brokenness, loneliness, and relational trouble. I meet with individuals wrestling with anxiety, depression, past or present abuse, sexual confusion, sexual addiction, and spiritual and emotional health in general. Real relief and real growth are really possible!
(314) 207-5890 View (314) 207-5890
Photo of Megan Seidman, MSW, LCSW, Clinical Social Work/Therapist
Megan Seidman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63119
Whatever the reason that has led you to seek therapy services, I am here to listen. I offer a gentle, compassionate and non-judgmental environment, providing my clients with a safe space where they will feel heard and supported. Whether you are struggling with a significant life event, feeling unsatisfied in a relationship or job, coping with loss, or experiencing feelings of depression or anxiety, I believe that you are capable of making meaningful change. Employing a strengths-based, collaborative approach, together we will work toward developing a clear path to achieve your goals and lead a more purposeful and satisfying life.
Whatever the reason that has led you to seek therapy services, I am here to listen. I offer a gentle, compassionate and non-judgmental environment, providing my clients with a safe space where they will feel heard and supported. Whether you are struggling with a significant life event, feeling unsatisfied in a relationship or job, coping with loss, or experiencing feelings of depression or anxiety, I believe that you are capable of making meaningful change. Employing a strengths-based, collaborative approach, together we will work toward developing a clear path to achieve your goals and lead a more purposeful and satisfying life.
(314) 370-2268 x702 View (314) 370-2268 x702
Photo of Linda S Pevnick, LCSW, Clinical Social Work/Therapist
Linda S Pevnick
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63146  (Online Only)
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
(314) 828-5325 View (314) 828-5325
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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
74% Relationship Issues
71% Self Esteem
69% Trauma and PTSD
68% Stress
64% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
75% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Saint Louis, MO see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
18% 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.