Therapists in Hillsborough, NC

Photo of Lucy Katherine Lang Parker, Clinical Social Work/Therapist, MSW, LCSW-A
Lucy Katherine Lang Parker
Clinical Social Work/Therapist, MSW, LCSW-A
1 Endorsed
Hillsborough, NC 27278
Waitlist for new clients
I’m Lucy, a Licensed Clinical Social Work Associate in the state of North Carolina. I provide affirming and person-centered therapy to teens and adults (ages 14+). As a therapist, I have worked with clients through their journeys with various challenges, including depression, anxiety, loneliness, academic stress, work- related stress, trauma, adjustment issues, relationship issues, and interpersonal problems. I have a particular interest in serving LGBTQ+ clients and clients with Autism, ADHD, or others who identify as neurodivergent. My style is warm, supportive, nonjudgmental, and down to earth.
I’m Lucy, a Licensed Clinical Social Work Associate in the state of North Carolina. I provide affirming and person-centered therapy to teens and adults (ages 14+). As a therapist, I have worked with clients through their journeys with various challenges, including depression, anxiety, loneliness, academic stress, work- related stress, trauma, adjustment issues, relationship issues, and interpersonal problems. I have a particular interest in serving LGBTQ+ clients and clients with Autism, ADHD, or others who identify as neurodivergent. My style is warm, supportive, nonjudgmental, and down to earth.
(919) 892-6542 View (919) 892-6542
Photo of Tamara Louise Starr - Carolina Behavorial Care, FNP-C, PMHNP-C
Carolina Behavorial Care
Verified Verified
Hillsborough, NC 27278
Hello Everyone, I have been providing safe and quality care for close to twenty years. I provide medication management in conjunction with brief psychotherapy and life-style enhancement strategies, using an integrative treatment plan model for mental and behavioral health management of clients across the lifespan. Working together to create life- long strategies to help the Client be the best version of themselves.
Hello Everyone, I have been providing safe and quality care for close to twenty years. I provide medication management in conjunction with brief psychotherapy and life-style enhancement strategies, using an integrative treatment plan model for mental and behavioral health management of clients across the lifespan. Working together to create life- long strategies to help the Client be the best version of themselves.
(984) 367-4846 View (984) 367-4846
Photo of Daja Mayner, Clinical Social Work/Therapist, MSW, LCSW
Daja Mayner
Clinical Social Work/Therapist, MSW, LCSW
Hillsborough, NC 27278
I'm so happy you found me. My name is Daja and I am a licensed psychotherapist with nearly 10 years of experience proving care to folks in my community. I work with people who are dealing with anxiety, depression, and general overwhelm. I also have experience with community members living with racial trauma and combatting shame and stigma associated with accessing mental health care. I excel in my work with couples and families and pull from my professional experiences of working with school systems, home based family therapy, and adult protective services. Burnt out and a part of the sandwich generation, I'm looking at you!
I'm so happy you found me. My name is Daja and I am a licensed psychotherapist with nearly 10 years of experience proving care to folks in my community. I work with people who are dealing with anxiety, depression, and general overwhelm. I also have experience with community members living with racial trauma and combatting shame and stigma associated with accessing mental health care. I excel in my work with couples and families and pull from my professional experiences of working with school systems, home based family therapy, and adult protective services. Burnt out and a part of the sandwich generation, I'm looking at you!
(984) 985-2212 View (984) 985-2212
Photo of Wendy Kadens, Clinical Social Work/Therapist, MSW, LCSW
Wendy Kadens
Clinical Social Work/Therapist, MSW, LCSW
Hillsborough, NC 27278
Sometimes being human is hard. I see therapy as a place to be with that experience, whatever it may be. To connect, explore, and try things out. To be vulnerable while learning to set healthy boundaries. To understand yourself in relation to your past, your present, your experiences and relationships. My job is to help you feel safe enough to both accept yourself and grow toward who you want to be.
Sometimes being human is hard. I see therapy as a place to be with that experience, whatever it may be. To connect, explore, and try things out. To be vulnerable while learning to set healthy boundaries. To understand yourself in relation to your past, your present, your experiences and relationships. My job is to help you feel safe enough to both accept yourself and grow toward who you want to be.
(984) 249-3626 View (984) 249-3626
Photo of Frank Overton, Counselor, ThM, NCLCMHC, NCLMFT
Frank Overton
Counselor, ThM, NCLCMHC, NCLMFT
Online Only
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I'm happy to work with people I come from an eclectic training background but use RLT and IFS more often than other modalities.
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I'm happy to work with people I come from an eclectic training background but use RLT and IFS more often than other modalities.
(984) 262-8303 View (984) 262-8303
Photo of Callie Durham, Licensed Professional Counselor, MA, LCMHC, PMH-C
Callie Durham
Licensed Professional Counselor, MA, LCMHC, PMH-C
1 Endorsed
Hillsborough, NC 27278
Reaching out for support takes courage—whether you’re navigating anxiety, depression, life transitions, or the complex journey of pregnancy and postpartum for both mom or dad, I'm here to walk alongside you with compassion and care. My approach is grounded in evidence-based tools such as Cognitive Behavioral Therapy (CBT), this can help you to identify and shift unhelpful patterns, while also honoring your wisdom through a person-centered lens that values your unique experience. I often weave in mindfulness practices to help you slow down, find clarity in the present moment, and reconnect with yourself.
Reaching out for support takes courage—whether you’re navigating anxiety, depression, life transitions, or the complex journey of pregnancy and postpartum for both mom or dad, I'm here to walk alongside you with compassion and care. My approach is grounded in evidence-based tools such as Cognitive Behavioral Therapy (CBT), this can help you to identify and shift unhelpful patterns, while also honoring your wisdom through a person-centered lens that values your unique experience. I often weave in mindfulness practices to help you slow down, find clarity in the present moment, and reconnect with yourself.
(336) 265-9241 View (336) 265-9241
Photo of Khalif Matthew Hill, Clinical Social Work/Therapist, LCSW, MSW
Khalif Matthew Hill
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Hillsborough, NC 27278
Not accepting new clients
I enjoy walking alongside late adolescents and adults grappling with anxiety, depression, Trauma, Binge eating disorder, Emotion Dysregulation, and other disordered eating patterns. I also enjoy working with teen and young adults males who can benefit from a male therapist. I provide a supportive and understanding space where all clients can openly discuss their challenges, gain new perspectives, and develop healthier coping strategies. Whether its emotional difficulties or simply looking for guidance, my goal is to help them get on the right track towards a more fulfilling life
I enjoy walking alongside late adolescents and adults grappling with anxiety, depression, Trauma, Binge eating disorder, Emotion Dysregulation, and other disordered eating patterns. I also enjoy working with teen and young adults males who can benefit from a male therapist. I provide a supportive and understanding space where all clients can openly discuss their challenges, gain new perspectives, and develop healthier coping strategies. Whether its emotional difficulties or simply looking for guidance, my goal is to help them get on the right track towards a more fulfilling life
(984) 689-9581 View (984) 689-9581
Photo of Claudia Shapiro, Clinical Social Work/Therapist, LCSW
Claudia Shapiro
Clinical Social Work/Therapist, LCSW
Hillsborough, NC 27278
Waitlist for new clients
I am passionate about working with children, adolescents, and families on a variety of issues, including but not limited to behavioral issues, anxiety, depression, adoption/foster care, trauma, and family stress. While I provide therapy to child and adolescent clients, I offer research-based parenting strategies for parents to support the child's treatment goals.
I am passionate about working with children, adolescents, and families on a variety of issues, including but not limited to behavioral issues, anxiety, depression, adoption/foster care, trauma, and family stress. While I provide therapy to child and adolescent clients, I offer research-based parenting strategies for parents to support the child's treatment goals.
(919) 296-0718 View (919) 296-0718
Photo of Natalia Torres del Valle, Counselor, MA, REAT, LCMHC
Natalia Torres del Valle
Counselor, MA, REAT, LCMHC
Hillsborough, NC 27278
Waitlist for new clients
As an expressive arts therapist, I am dedicated to helping children and adolescents navigate their emotions, find their voice, and discover their true selves. I believe that the arts provide a powerful outlet for expression, allowing us to tap into our innermost thoughts and feelings. In our sessions, I create a safe and inclusive space for your child to explore their internal world. Through various art forms, we delve into the depths of their experiences, unraveling emotions that may have been held tightly within. My approach is holistic and strength-based, tailored to meet the unique needs of each individual or group.
As an expressive arts therapist, I am dedicated to helping children and adolescents navigate their emotions, find their voice, and discover their true selves. I believe that the arts provide a powerful outlet for expression, allowing us to tap into our innermost thoughts and feelings. In our sessions, I create a safe and inclusive space for your child to explore their internal world. Through various art forms, we delve into the depths of their experiences, unraveling emotions that may have been held tightly within. My approach is holistic and strength-based, tailored to meet the unique needs of each individual or group.
(919) 926-0312 View (919) 926-0312
Photo of Dr. Ellion Mangel, Clinical Social Work/Therapist, DSW, LCSW
Dr. Ellion Mangel
Clinical Social Work/Therapist, DSW, LCSW
Hillsborough, NC 27278
As a Licensed Clinical Social Worker (LCSW) and Doctor of Social Work (DSW), with a decade of experience, I deeply value the process of learning and growth. I understand how vulnerable it can feel to try something new, face the unfamiliar or revisit challenges you thought you’d already overcome. In our sessions, we’ll work together to uncover and understand the patterns that may be keeping you feeling stuck, disconnected, or distant from what truly matters to you. We’ll collaborate to set meaningful goals and explore practical, evidence-based approaches to navigate self-doubt, emotional pain, and experiences beyond your control.
As a Licensed Clinical Social Worker (LCSW) and Doctor of Social Work (DSW), with a decade of experience, I deeply value the process of learning and growth. I understand how vulnerable it can feel to try something new, face the unfamiliar or revisit challenges you thought you’d already overcome. In our sessions, we’ll work together to uncover and understand the patterns that may be keeping you feeling stuck, disconnected, or distant from what truly matters to you. We’ll collaborate to set meaningful goals and explore practical, evidence-based approaches to navigate self-doubt, emotional pain, and experiences beyond your control.
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Photo of Judy Fitzpatrick, ADHD, Coach
Judy Fitzpatrick
Not Verified Not Verified
Hillsborough, NC 27278
As an adult with ADHD, are you constantly overwhelmed or always playing catch-up? Is lack of focus impacting your life? Whether you are newly diagnosed with ADHD/ADD or have been struggling to find solutions for years, I will help you create effective strategies to manage your challenges and enjoy lasting change. If you are a parent of a child with ADHD, I will help you understand your child's brain, differentiate ADHD struggles from standard childhood behavior, and develop parenting strategies that will stop the chaos and help your child succeed.
As an adult with ADHD, are you constantly overwhelmed or always playing catch-up? Is lack of focus impacting your life? Whether you are newly diagnosed with ADHD/ADD or have been struggling to find solutions for years, I will help you create effective strategies to manage your challenges and enjoy lasting change. If you are a parent of a child with ADHD, I will help you understand your child's brain, differentiate ADHD struggles from standard childhood behavior, and develop parenting strategies that will stop the chaos and help your child succeed.
(847) 257-3337 View (847) 257-3337
Photo of Hannah Rossi, Clinical Social Work/Therapist, MSW, LCSW
Hannah Rossi
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Hillsborough, NC 27278
Not accepting new clients
Feeling overwhelmed by stress or caught up in worry? Have your efforts toward various goals—be it in relationships, health, career, etc.—left you feeling discouraged or disconnected? Maybe you're starting to recognize the ways fear, self-doubt, or old survival skills are holding you back. Are you eager to experiment with new actions and perspectives? I look forward to helping you discover your strengths and move in the direction of your unique values!
Feeling overwhelmed by stress or caught up in worry? Have your efforts toward various goals—be it in relationships, health, career, etc.—left you feeling discouraged or disconnected? Maybe you're starting to recognize the ways fear, self-doubt, or old survival skills are holding you back. Are you eager to experiment with new actions and perspectives? I look forward to helping you discover your strengths and move in the direction of your unique values!
(919) 629-1176 View (919) 629-1176
Photo of Maureen Gomeringer, Clinical Social Work/Therapist, MSW, LCSW, SEP
Maureen Gomeringer
Clinical Social Work/Therapist, MSW, LCSW, SEP
1 Endorsed
Hillsborough, NC 27278
March, 2026: I have limited openings for new patients. You are welcome to contact me and our practice manager will schedule a consultation as I am able and will discuss your care needs and therapy goals. I have dedicated my 20 year long career to the premise that we must know what is possible and have capacity to do it before we can be free to choose. During my academic studies in Psychology, Philosophy, Religion, and Social Work I was introduced to the intersections of Queer and Gender theories and became ignited with the framework of knowledge, power, control, and paths to liberation, all of which continue to inform my practice.
March, 2026: I have limited openings for new patients. You are welcome to contact me and our practice manager will schedule a consultation as I am able and will discuss your care needs and therapy goals. I have dedicated my 20 year long career to the premise that we must know what is possible and have capacity to do it before we can be free to choose. During my academic studies in Psychology, Philosophy, Religion, and Social Work I was introduced to the intersections of Queer and Gender theories and became ignited with the framework of knowledge, power, control, and paths to liberation, all of which continue to inform my practice.
(919) 766-2757 View (919) 766-2757
Photo of Michelle George, Counselor, MA, LPCC, LCMHC, SEP
Michelle George
Counselor, MA, LPCC, LCMHC, SEP
6 Endorsed
Hillsborough, NC 27278
Talk therapy can be helpful, but sometimes it's just not enough. Maladaptive patterns of stress, trauma, anxiety, and depression lie in our bodies. You and I will untangle these problematic patterns to get to the root of your pain together. Our sessions will allow you to metaphorically dip your toe into the pain and then always come back to safety. In this way you are challenged to grow in a slow, safe manner.
Talk therapy can be helpful, but sometimes it's just not enough. Maladaptive patterns of stress, trauma, anxiety, and depression lie in our bodies. You and I will untangle these problematic patterns to get to the root of your pain together. Our sessions will allow you to metaphorically dip your toe into the pain and then always come back to safety. In this way you are challenged to grow in a slow, safe manner.
(919) 371-5932 View (919) 371-5932
Photo of Danielle R Oakley, Psychologist, PhD, HSP
Danielle R Oakley
Psychologist, PhD, HSP
Online Only
Life events occur that can overwhelm our coping skills or maybe we have been dealing with challenges for a long time. Either way, there are times we could all use support and perspective. I often work with people experiencing anxiety, depression, interpersonal relationship issues, trauma, and eating disorders. I believe that social/cultural identities, roles, and life circumstances impact how we feel about ourselves and others. I'd like to get to know your unique story. Whether this is your first time looking for a therapist or it's time to re-connect with treatment, you have taken the first step.
Life events occur that can overwhelm our coping skills or maybe we have been dealing with challenges for a long time. Either way, there are times we could all use support and perspective. I often work with people experiencing anxiety, depression, interpersonal relationship issues, trauma, and eating disorders. I believe that social/cultural identities, roles, and life circumstances impact how we feel about ourselves and others. I'd like to get to know your unique story. Whether this is your first time looking for a therapist or it's time to re-connect with treatment, you have taken the first step.
(984) 364-8686 View (984) 364-8686
Photo of Anna Marie Smith, Clinical Social Work/Therapist, MSW, RYT500, LCSW
Anna Marie Smith
Clinical Social Work/Therapist, MSW, RYT500, LCSW
Online Only
Not accepting new clients
My approach to counseling is that we are our one minds, body, soul, and spirit - all within us is connected - we are one. Becoming reconnected is the process of returning to your whole self, back home to who we are designed to be. Although we cannot erase the harm done to us, we can reclaim and reconnect back to our original sense of self. Counseling is a process of coming back home to you. I am a fan of allowing you to guide our processes of coming home to you. My approach to therapy is an embodied, interpersonal and narrative (story) focused.
My approach to counseling is that we are our one minds, body, soul, and spirit - all within us is connected - we are one. Becoming reconnected is the process of returning to your whole self, back home to who we are designed to be. Although we cannot erase the harm done to us, we can reclaim and reconnect back to our original sense of self. Counseling is a process of coming back home to you. I am a fan of allowing you to guide our processes of coming home to you. My approach to therapy is an embodied, interpersonal and narrative (story) focused.
(919) 343-9388 View (919) 343-9388
Photo of Dana S Breedlove, Psychologist, PhD, LP, HSPP
Dana S Breedlove
Psychologist, PhD, LP, HSPP
1 Endorsed
Hillsborough, NC 27278
Are you or your child feeling overwhelmed by life? Is your child disinterested or struggling in school? Do you feel misunderstood or struggle to to fit in? As a therapist with many years of experience as a school psychologist and special education teacher, I bring a unique perspective to problem solving. Personally navigating life with ADHD adds an additional layer of insight, compassion, and creativity! I can help you better understand your or your child’s challenges and needs, and find ways to address them. I would be honored to walk with you as you tackle the rough spots in your life and move more confidently towards your goals.
Are you or your child feeling overwhelmed by life? Is your child disinterested or struggling in school? Do you feel misunderstood or struggle to to fit in? As a therapist with many years of experience as a school psychologist and special education teacher, I bring a unique perspective to problem solving. Personally navigating life with ADHD adds an additional layer of insight, compassion, and creativity! I can help you better understand your or your child’s challenges and needs, and find ways to address them. I would be honored to walk with you as you tackle the rough spots in your life and move more confidently towards your goals.
(984) 300-3567 View (984) 300-3567
Photo of Zan Rafterman Derby, Clinical Social Work/Therapist, BCBA, LCSW
Zan Rafterman Derby
Clinical Social Work/Therapist, BCBA, LCSW
Hillsborough, NC 27278
I have seen firsthand how families can have a profound impact on their neurodiverse child's growth and development, and how that child can have a profound impact on their families. I believe in taking a holistic approach collaborating with both children and their families across different therapeutic methods to support and uplift the lives of everyone in the family.
I have seen firsthand how families can have a profound impact on their neurodiverse child's growth and development, and how that child can have a profound impact on their families. I believe in taking a holistic approach collaborating with both children and their families across different therapeutic methods to support and uplift the lives of everyone in the family.
(919) 646-3138 View (919) 646-3138
Photo of Togor Gado, Clinical Social Work/Therapist, MSW, LCSW-A
Togor Gado
Clinical Social Work/Therapist, MSW, LCSW-A
1 Endorsed
Hillsborough, NC 27278
I am a good fit for folks navigating complex trauma, anxiety, depression, mood disorders, grief, identity exploration, and life transitions. My practice centers folks from the global majority, 1st and 2nd generation immigrants from the African diaspora, and LGBTQIA+ communities. I believe healing happens through connection with ourselves, relationships, communities, and the natural world. I take a relational, affirming approach that honors your strengths, pace, values, and lived experience. We build emotional regulation, self-trust, embodied awareness to support sustainable change and transformation.
I am a good fit for folks navigating complex trauma, anxiety, depression, mood disorders, grief, identity exploration, and life transitions. My practice centers folks from the global majority, 1st and 2nd generation immigrants from the African diaspora, and LGBTQIA+ communities. I believe healing happens through connection with ourselves, relationships, communities, and the natural world. I take a relational, affirming approach that honors your strengths, pace, values, and lived experience. We build emotional regulation, self-trust, embodied awareness to support sustainable change and transformation.
(919) 582-5843 View (919) 582-5843
Photo of Jocelyn Peacock, LCSW Associate , MSW, LCSWA
Jocelyn Peacock
LCSW Associate , MSW, LCSWA
1 Endorsed
Hillsborough, NC 27278
Embarking on a healing journey requires both intention and courage. My goal as a therapist is to provide a trust-filled, safe environment to support and provide guidance in your journey towards wellness.
Embarking on a healing journey requires both intention and courage. My goal as a therapist is to provide a trust-filled, safe environment to support and provide guidance in your journey towards wellness.
(984) 240-9124 View (984) 240-9124

See more therapy options for Hillsborough

How does your Therapist compare?

Number of Therapists in Hillsborough, NC

100+

Average cost per session

$150

Therapists in Hillsborough, NC who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
84% Depression
75% Relationship Issues
73% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
91% Aetna
42% Cigna and Evernorth

How Therapists in Hillsborough, NC see their clients

83% In Person and Online
17% Online Only

Gender breakdown

78% Female
18% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hillsborough?

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.