Therapists in Saint Louis, MO

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Photo of Love & Kindness Therapeutic Services LLC, Clinical Social Work/Therapist in Saint Louis, MO
Love & Kindness Therapeutic Services LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108  (Online Only)
Not accepting new clients
At Love & Kindness Therapeutic Services LLC, I am looking to connect with clients 18 years and older of all populations, genders, and backgrounds. I enjoy helping clients explore their thoughts and feelings while working closely to develop effective coping, decision making, and skill based learning tools.
At Love & Kindness Therapeutic Services LLC, I am looking to connect with clients 18 years and older of all populations, genders, and backgrounds. I enjoy helping clients explore their thoughts and feelings while working closely to develop effective coping, decision making, and skill based learning tools.
(314) 626-0605 View (314) 626-0605
Photo of Stephanie Bono-Vice, Psychologist in Saint Louis, MO
Stephanie Bono-Vice
Psychologist, JD, PhD
Verified Verified
Saint Louis, MO 63128
Waitlist for new clients
Welcome! If you are reading this profile, you are likely in the process of making a very important decision – choosing a therapist. I believe the client-therapist relationship is an essential component of growth and change, and I am happy to share more with you about myself and my approach to therapy. First, while I strive to create a safe, supportive, and affirming space for everyone, I recognize that safety is something that must be felt and not simply declared. I will meet you where you are at and work to build the trust necessary for vulnerability, growth, and change.
Welcome! If you are reading this profile, you are likely in the process of making a very important decision – choosing a therapist. I believe the client-therapist relationship is an essential component of growth and change, and I am happy to share more with you about myself and my approach to therapy. First, while I strive to create a safe, supportive, and affirming space for everyone, I recognize that safety is something that must be felt and not simply declared. I will meet you where you are at and work to build the trust necessary for vulnerability, growth, and change.
(314) 582-9832 View (314) 582-9832
Photo of Rosette M Signorelli, Clinical Social Work/Therapist in Saint Louis, MO
Rosette M Signorelli
Clinical Social Work/Therapist, MSW, ACSW, LCSW, CGT
Verified Verified
Saint Louis, MO 63117
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
(314) 644-3366 View (314) 644-3366
Photo of Sara Trunko, LPC Intern in Saint Louis, MO
Sara Trunko
LPC Intern, Intern
Verified Verified
1 Endorsed
Saint Louis, MO 63129
Life often presents us with challenges that can easily become overwhelming or even daunting. In a world filled with relentless to-do lists and constant demands, finding time for ourselves often takes a back seat. Our society doesn’t always encourage the practice of self-care, leaving many of us feeling stretched thin. Investing time and energy in yourself is a powerful choice you can make to begin shifting this dynamic. You deserve the life you want and have the power to make meaningful changes toward that life.
Life often presents us with challenges that can easily become overwhelming or even daunting. In a world filled with relentless to-do lists and constant demands, finding time for ourselves often takes a back seat. Our society doesn’t always encourage the practice of self-care, leaving many of us feeling stretched thin. Investing time and energy in yourself is a powerful choice you can make to begin shifting this dynamic. You deserve the life you want and have the power to make meaningful changes toward that life.
(314) 866-8791 View (314) 866-8791
Photo of Kit Lentini, Clinical Social Work/Therapist in Saint Louis, MO
Kit Lentini
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Throughout our lives, many of us adopt narratives that don’t align with our actual experiences — they may leave out important details about our families or our make-up, the ways we were hurt, or the ways in which we have succeeded. But in all cases, they don’t do justice to the depth of our experiences, and in fact, when we have been abused or mistreated, the very purpose of these false narratives may be to obscure the truth of who we are and what we’ve been through. My greatest hope is that our work together will allow you to come home to yourself as you learn to tell stories that honor the core of who you are.
Throughout our lives, many of us adopt narratives that don’t align with our actual experiences — they may leave out important details about our families or our make-up, the ways we were hurt, or the ways in which we have succeeded. But in all cases, they don’t do justice to the depth of our experiences, and in fact, when we have been abused or mistreated, the very purpose of these false narratives may be to obscure the truth of who we are and what we’ve been through. My greatest hope is that our work together will allow you to come home to yourself as you learn to tell stories that honor the core of who you are.
(314) 788-2805 View (314) 788-2805
Photo of Mitch Cartwright, Pre-Licensed Professional in Saint Louis, MO
Mitch Cartwright
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
Saint Louis, MO 63104
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
(314) 207-5401 View (314) 207-5401
Photo of Olivia Carosello, Clinical Social Work/Therapist in Saint Louis, MO
Olivia Carosello
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63124
I have been a psychotherapist for the past decade, working from a psychodynamic and trauma-informed perspective. I strive to provide a safe, respectful space in which to explore thoughts, feelings, dreams, and desires. I view symptoms as expressions of conflicts in our lives, some conscious, some unconscious, and believe that gaining insight into symptoms in a compassionate environment can help to relieve them and stop them from arising in different ways throughout our lives. It is a great privilege to work with people as they embark on the journey of knowing and accepting themselves.
I have been a psychotherapist for the past decade, working from a psychodynamic and trauma-informed perspective. I strive to provide a safe, respectful space in which to explore thoughts, feelings, dreams, and desires. I view symptoms as expressions of conflicts in our lives, some conscious, some unconscious, and believe that gaining insight into symptoms in a compassionate environment can help to relieve them and stop them from arising in different ways throughout our lives. It is a great privilege to work with people as they embark on the journey of knowing and accepting themselves.
(314) 310-7076 View (314) 310-7076
Photo of Justin Dodd, Pre-Licensed Professional in Saint Louis, MO
Justin Dodd
Pre-Licensed Professional, PLPC
Verified Verified
5 Endorsed
Saint Louis, MO 63117
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
(314) 582-4216 x7 View (314) 582-4216 x7
Photo of Julia López, Clinical Social Work/Therapist in Saint Louis, MO
Julia López
Clinical Social Work/Therapist, PhD, MPH, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
I work closely with sexual and gender minority individuals (LGBTQIA+), BIPOC and immigrant/refugee populations. I specialize in working with individuals who are 18+ and who may need help with processing trauma, stabilizing emotional regulation and working towards adaptive core beliefs. I believe that oppressive structures impact a person's emotional wellbeing on a multitude of levels and that intersectional identities of a person are all important in the processing of the mental and physical wellbeing of an individual. I have provided therapeutic services for clients for nearly 15 years.
I work closely with sexual and gender minority individuals (LGBTQIA+), BIPOC and immigrant/refugee populations. I specialize in working with individuals who are 18+ and who may need help with processing trauma, stabilizing emotional regulation and working towards adaptive core beliefs. I believe that oppressive structures impact a person's emotional wellbeing on a multitude of levels and that intersectional identities of a person are all important in the processing of the mental and physical wellbeing of an individual. I have provided therapeutic services for clients for nearly 15 years.
(314) 626-8237 View (314) 626-8237
Photo of LaTonya Allen, Licensed Professional Counselor in Saint Louis, MO
LaTonya Allen
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63132
LaTonya Allen, lovingly referred to as "The Taboo Therapist," is a compassionate and committed practitioner originating from the southern United States, now rooted in the Midwest. Blending her genuine Southern charm with an assertive and straightforward style, she has built a renowned reputation as a therapist who fearlessly confronts delicate subjects and guides her clients through challenging life experiences.
LaTonya Allen, lovingly referred to as "The Taboo Therapist," is a compassionate and committed practitioner originating from the southern United States, now rooted in the Midwest. Blending her genuine Southern charm with an assertive and straightforward style, she has built a renowned reputation as a therapist who fearlessly confronts delicate subjects and guides her clients through challenging life experiences.
(314) 804-0491 View (314) 804-0491
Photo of Debra H Zand, Psychologist in Saint Louis, MO
Debra H Zand
Psychologist, PhD
Verified Verified
Saint Louis, MO 63127
Dr. Debra Zand, founder and co-owner of Midwest Psychological Services LLC, is a clinical psychologist with 20+ years of experience working with children and their families. She has particular expertise in conducting comprehensive psychological testing, as well as individual and family therapies. Dr. Zand uses an integrative, playful approach to conducting therapy She routinely see families to address: adoption issues, attachment, developmental trauma, anxiety, depression, parent-child relationship struggles, self-regulation difficulties, communication struggles, divorce, and remarriage.
Dr. Debra Zand, founder and co-owner of Midwest Psychological Services LLC, is a clinical psychologist with 20+ years of experience working with children and their families. She has particular expertise in conducting comprehensive psychological testing, as well as individual and family therapies. Dr. Zand uses an integrative, playful approach to conducting therapy She routinely see families to address: adoption issues, attachment, developmental trauma, anxiety, depression, parent-child relationship struggles, self-regulation difficulties, communication struggles, divorce, and remarriage.
(314) 858-8067 View (314) 858-8067
Photo of Erica Lynn Braun, Clinical Social Work/Therapist in Saint Louis, MO
Erica Lynn Braun
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Erica is a seasoned, compassionate therapist - dedicated to empowering individuals on their journey towards mental and emotional well-being. With a wealth of experience and a commitment to excellence, Erica has become a trusted guide for those seeking support and transformation in their lives. Erica has a diverse background, having worked with individuals facing a spectrum of mental health issues such as anxiety, depression, trauma, and relationship difficulties. Her holistic approach to therapy integrates evidence-based practices with personalized strategies, tailoring each session to meet the unique needs and goals of her client.
Erica is a seasoned, compassionate therapist - dedicated to empowering individuals on their journey towards mental and emotional well-being. With a wealth of experience and a commitment to excellence, Erica has become a trusted guide for those seeking support and transformation in their lives. Erica has a diverse background, having worked with individuals facing a spectrum of mental health issues such as anxiety, depression, trauma, and relationship difficulties. Her holistic approach to therapy integrates evidence-based practices with personalized strategies, tailoring each session to meet the unique needs and goals of her client.
(314) 310-3654 View (314) 310-3654
Photo of Emily Seligson in Saint Louis, MO
Emily Seligson
MA, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
Many of us long for genuine connection and safety in relation to ourselves and others. Sometimes we want to better understand who we are and where we came from, but it can feel daunting to even know where to begin. Other times, we hope for tools and understanding that can enable us to feel more regulated, as we move forward through challenging moments. Whatever it is that brought you here today, Emily finds it to be an honor to walk alongside you. Through a fostering of safety and trust in the therapeutic relationship, she strives to create healthy settings for change, growth, and healing.
Many of us long for genuine connection and safety in relation to ourselves and others. Sometimes we want to better understand who we are and where we came from, but it can feel daunting to even know where to begin. Other times, we hope for tools and understanding that can enable us to feel more regulated, as we move forward through challenging moments. Whatever it is that brought you here today, Emily finds it to be an honor to walk alongside you. Through a fostering of safety and trust in the therapeutic relationship, she strives to create healthy settings for change, growth, and healing.
(314) 635-9206 View (314) 635-9206
Photo of David Kaufman, Psychologist in Saint Louis, MO
David Kaufman
Psychologist, PhD, ABPP-CN
Verified Verified
Saint Louis, MO 63141
Waitlist for new clients
Dr. Kaufman is a board-certified clinical neuropsychologist and director of Gateway Neuropsychology, LLC. Dr. Kaufman provides evidence-based evaluation services for children, adolescents, and adults, including comprehensive neuropsychological assessment, ADHD testing, and forensic assessment. He also offers individual and family psychotherapy, specialized behavioral therapy for ADHD, and organization/executive skills training. Dr. Kaufman enjoys teaching and speaking engagements, and is currently an Associate Professor of Psychology at Saint Louis University, where he is active in teaching, clinical training, and research.
Dr. Kaufman is a board-certified clinical neuropsychologist and director of Gateway Neuropsychology, LLC. Dr. Kaufman provides evidence-based evaluation services for children, adolescents, and adults, including comprehensive neuropsychological assessment, ADHD testing, and forensic assessment. He also offers individual and family psychotherapy, specialized behavioral therapy for ADHD, and organization/executive skills training. Dr. Kaufman enjoys teaching and speaking engagements, and is currently an Associate Professor of Psychology at Saint Louis University, where he is active in teaching, clinical training, and research.
(314) 200-0202 View (314) 200-0202
Photo of Quantum Consulting Group LLC, Counselor in Saint Louis, MO
Quantum Consulting Group LLC
Counselor, EdD, LPC, NCC, BC-THC
Verified Verified
Saint Louis, MO 63101  (Online Only)
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
(314) 208-2718 View (314) 208-2718
Photo of Pete Sandoval, Licensed Professional Counselor in Saint Louis, MO
Pete Sandoval
Licensed Professional Counselor, LPC, NCC, CCTP
Verified Verified
1 Endorsed
Saint Louis, MO 63114  (Online Only)
Today is a new day! Having someone to listen without judgment is a tremendous gift. It can remove the loneliness and despair that can happen when life gets to be too much to bear. Perhaps you've had therapy before but something's still missing. You've done everything you can think of or that your previous therapist told you. You are dedicated to your personal growth. You engage in regular practices and are committed to do whatever it takes to be your best self. Despite some real progress, the deeper relief you've been looking for hasn't occurred just yet.
Today is a new day! Having someone to listen without judgment is a tremendous gift. It can remove the loneliness and despair that can happen when life gets to be too much to bear. Perhaps you've had therapy before but something's still missing. You've done everything you can think of or that your previous therapist told you. You are dedicated to your personal growth. You engage in regular practices and are committed to do whatever it takes to be your best self. Despite some real progress, the deeper relief you've been looking for hasn't occurred just yet.
(314) 462-2696 View (314) 462-2696
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 La Juana Walker McGill, Licensed Professional Counselor in Saint Louis, MO
La Juana Walker McGill
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63136  (Online Only)
Are you looking for ways to improve your quality of life? I am a Licensed Professional Counselor that is dedicated to helping others create positive outcomes for their lives. Through 23 years of experience in private practice, I have demonstrated my dedication to the empowerment of men, women, adolescents, couples, and families. My goal is to provide a safe and comfortable environment that promotes positive outcomes for the clients that I serve.
Are you looking for ways to improve your quality of life? I am a Licensed Professional Counselor that is dedicated to helping others create positive outcomes for their lives. Through 23 years of experience in private practice, I have demonstrated my dedication to the empowerment of men, women, adolescents, couples, and families. My goal is to provide a safe and comfortable environment that promotes positive outcomes for the clients that I serve.
(314) 403-1859 View (314) 403-1859
Photo of Steven Mark Weiner, Psychologist in Saint Louis, MO
Steven Mark Weiner
Psychologist, PhD
Verified Verified
Saint Louis, MO 63141
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
(314) 282-3630 View (314) 282-3630
Photo of Rae English Psychotherapy, LLC, Clinical Social Work/Therapist in Saint Louis, MO
Rae English Psychotherapy, LLC
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
7 Endorsed
Saint Louis, MO 63118  (Online Only)
Life is challenging. Even when we are doing our best, we may still experience anxiety, depression, stress, moodiness, and difficulties in our relationships. Some of those feelings originate from experiences we remember clearly and want to understand and organize; other feelings seem to come from nowhere and despite our best efforts, interfere with our feeling better and doing the things we want to do.
Life is challenging. Even when we are doing our best, we may still experience anxiety, depression, stress, moodiness, and difficulties in our relationships. Some of those feelings originate from experiences we remember clearly and want to understand and organize; other feelings seem to come from nowhere and despite our best efforts, interfere with our feeling better and doing the things we want to do.
(314) 876-8770 View (314) 876-8770

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.