Therapists in Marion, NC

Photo of Payton Saine, Counselor, LCMHCA
Payton Saine
Counselor, LCMHCA
Verified Verified
Online Only
I have experience working with children (ages 8+), adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
I have experience working with children (ages 8+), adolescents, adults, and the elderly, as well as couples and families. I deal primarily with clients who have mood and anxiety disorders or issues such as depression, anxiety, trauma, PTSD, anger, grief, and body image issues, and work collaboratively with these clients to create clear goals that will provide them with a brighter, happier future.
(828) 373-2824 View (828) 373-2824
Photo of Lisa Ripperton, Clinical Social Work/Therapist, LCSW, LCAS
Lisa Ripperton
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Marion, NC 28752
Are you haunted by your past? Do you struggle with anxiety and stress? You can heal and thrive: I believe that change is possible, even in the most challenging circumstances. You can move past old wounds and into your present for a full and fulfilling life. You will learn to embrace change and growth without unnecessary fear, and find your passions and gifts in life. If you are ready to start this process, call me for a free phone consultation on how you can change your life. We are currently accepting intakes with Healthy Blue and Vaya Health Medicaid.
Are you haunted by your past? Do you struggle with anxiety and stress? You can heal and thrive: I believe that change is possible, even in the most challenging circumstances. You can move past old wounds and into your present for a full and fulfilling life. You will learn to embrace change and growth without unnecessary fear, and find your passions and gifts in life. If you are ready to start this process, call me for a free phone consultation on how you can change your life. We are currently accepting intakes with Healthy Blue and Vaya Health Medicaid.
(919) 892-6585 View (919) 892-6585
Photo of Travis Woodruff, MA, LCMHC, LCAS, CCS, NCC
Travis Woodruff
MA, LCMHC, LCAS, CCS, NCC
Verified Verified
2 Endorsed
Marion, NC 28752
Often those things in life that are most difficult are natural parts of life, known as givens – Freedom, Death, Isolation, Meaninglessness. Being confronted with these givens can create anxiety, which can lead to significant consequences. Everyone who looks for a therapist does it because there is something that is blocking their happiness. It might be something external that caused you to look, but you have it within you to set yourself free. Waiting for the world, your boss, your significant other to make things better for you gives someone else control over your happiness.
Often those things in life that are most difficult are natural parts of life, known as givens – Freedom, Death, Isolation, Meaninglessness. Being confronted with these givens can create anxiety, which can lead to significant consequences. Everyone who looks for a therapist does it because there is something that is blocking their happiness. It might be something external that caused you to look, but you have it within you to set yourself free. Waiting for the world, your boss, your significant other to make things better for you gives someone else control over your happiness.
(828) 414-2448 View (828) 414-2448
Photo of Deanne M Ackley - Domestic Appeal & Neural ~Synergistic ~ Network ®, Clinical Social Work/Therapist, LCSW, LISW, CSW, EEG, IFS
Domestic Appeal & Neural ~Synergistic ~ Network ®
Clinical Social Work/Therapist, LCSW, LISW, CSW, EEG, IFS
Verified Verified
Marion, NC 28752
My "ideal client" knows to provide loved ones the very best, he or she must also be at an individual best. Short-changing the "self" depletes the ability to offer abundance to others. Whereas prospering in heart, health, mind, and body lead to connections of premium value. My clients look beyond the ordinary, knowing possibilities are endless and will be found with concerted effort and bravery. Keeping life fresh, free and filled with potential, elevates us all. When my clients depart they have renewed joy and gratitude because they are awakened to the gifts that were once just beyond their reach but now part their life scripts.
My "ideal client" knows to provide loved ones the very best, he or she must also be at an individual best. Short-changing the "self" depletes the ability to offer abundance to others. Whereas prospering in heart, health, mind, and body lead to connections of premium value. My clients look beyond the ordinary, knowing possibilities are endless and will be found with concerted effort and bravery. Keeping life fresh, free and filled with potential, elevates us all. When my clients depart they have renewed joy and gratitude because they are awakened to the gifts that were once just beyond their reach but now part their life scripts.
(828) 575-0148 View (828) 575-0148
Photo of Chrissy Holiday, Licensed Professional Counselor, MDiv, MA/EdS, NCC, LCMHC
Chrissy Holiday
Licensed Professional Counselor, MDiv, MA/EdS, NCC, LCMHC
Verified Verified
1 Endorsed
Marion, NC 28752
Not accepting new clients
I believe that change is hard but not impossible. I work especially well with people who are struggling with anxiety, depression, life transitions, and spirituality. I work mainly through trauma-informed therapy, reality therapy, EMDR, and internal family systems therapy, though I am open to other approaches to counseling. Individuals and families are welcome in my office to receive empathetic and intentional mental health care. Although I am not able to prescribe medication, I understand it is often a major part of mental wellness and I can coordinate with any prescribing doctors who may already be part of your wellness team.
I believe that change is hard but not impossible. I work especially well with people who are struggling with anxiety, depression, life transitions, and spirituality. I work mainly through trauma-informed therapy, reality therapy, EMDR, and internal family systems therapy, though I am open to other approaches to counseling. Individuals and families are welcome in my office to receive empathetic and intentional mental health care. Although I am not able to prescribe medication, I understand it is often a major part of mental wellness and I can coordinate with any prescribing doctors who may already be part of your wellness team.
(980) 404-2360 x4 View (980) 404-2360 x4
Photo of Beth A. Bell, Licensed Professional Clinical Counselor, MA, LPCC-S, LCMHC, RPT-S, NCC ACS
Beth A. Bell
Licensed Professional Clinical Counselor, MA, LPCC-S, LCMHC, RPT-S, NCC ACS
Verified Verified
1 Endorsed
Marion, NC 28752
I am looking forward to meeting with you to help you write a new chapter in your story. I am available to work with children, adolescents and adults (any gender) from 8 to eighty plus. I would like to help you or your child explore new strategies for healthy living if you are struggling with behavior and impulse issues, depression, anxiety, self-harming, suicidal thoughts, relationship and infidelity issues, abuse and trauma, and life change concerns. I offer tele-health to clients in Ohio, and both tele-health and in-person in North Carolina.
I am looking forward to meeting with you to help you write a new chapter in your story. I am available to work with children, adolescents and adults (any gender) from 8 to eighty plus. I would like to help you or your child explore new strategies for healthy living if you are struggling with behavior and impulse issues, depression, anxiety, self-harming, suicidal thoughts, relationship and infidelity issues, abuse and trauma, and life change concerns. I offer tele-health to clients in Ohio, and both tele-health and in-person in North Carolina.
(828) 445-1806 View (828) 445-1806
Photo of Groce Scot Robinson, Pre-Licensed Professional, MA, MAT
Groce Scot Robinson
Pre-Licensed Professional, MA, MAT
Verified Verified
Marion, NC 28752
Are you feeling stuck, overwhelmed, or unable to move past life’s challenges? Whether you’re navigating a major life transition, struggling with persistent feelings of anxiety or depression, or just feel like you aren’t reaching your fullest potential, I am here to help. I believe that healing starts with being truly heard. As an active listener and a compassionate source of support, I create a safe, non-judgmental space for you to explore your thoughts and feelings.
Are you feeling stuck, overwhelmed, or unable to move past life’s challenges? Whether you’re navigating a major life transition, struggling with persistent feelings of anxiety or depression, or just feel like you aren’t reaching your fullest potential, I am here to help. I believe that healing starts with being truly heard. As an active listener and a compassionate source of support, I create a safe, non-judgmental space for you to explore your thoughts and feelings.
(828) 576-3425 View (828) 576-3425
Charley Brown
Drug & Alcohol Counselor, MA, LCAS-A
Verified Verified
1 Endorsed
Marion, NC 28752
My ideal client presents with low self-esteem and struggles with understanding their values and self worth. The need to learn self empowerment and self-love. Their goal is to understand their self more deeply. They want to find balance with their mental wellness.
My ideal client presents with low self-esteem and struggles with understanding their values and self worth. The need to learn self empowerment and self-love. Their goal is to understand their self more deeply. They want to find balance with their mental wellness.
(828) 656-5067 View (828) 656-5067
Photo of Amy Jolly - Life Shine Counseling, Lic Clinical Mental Health Counselor Supervisor, MA, LCMHCS
Life Shine Counseling
Lic Clinical Mental Health Counselor Supervisor, MA, LCMHCS
Verified Verified
Marion, NC 28752
The gift of therapy is that it is a safe place for self-exploration and self-expression. I believe in the possibility of healing and that individuals have answers within. Therapy is a tool that can help one find meaning. I enjoy taking this journey with my clients and it is my goal to support others in their growth and expansion. I aim to utilize the creativity and imagination of my clients so that they have a fulfilling experience. I am open to incorporating various traditions and spiritual philosophies. I have a background in health and wellness education and promotion which benefits my clients on their path to wellness.
The gift of therapy is that it is a safe place for self-exploration and self-expression. I believe in the possibility of healing and that individuals have answers within. Therapy is a tool that can help one find meaning. I enjoy taking this journey with my clients and it is my goal to support others in their growth and expansion. I aim to utilize the creativity and imagination of my clients so that they have a fulfilling experience. I am open to incorporating various traditions and spiritual philosophies. I have a background in health and wellness education and promotion which benefits my clients on their path to wellness.
(828) 373-6832 View (828) 373-6832
Photo of Sara N Lowery - Essential Waters Counseling and Consulting, PLLC, Counselor, LCMHC, LCAS, CCS
Essential Waters Counseling and Consulting, PLLC
Counselor, LCMHC, LCAS, CCS
Verified Verified
Online Only
Some of the most important personality traits that I bring to my practice include being Genuine, Kind, Realistic, and Detail Oriented. My clinical strengths include the skills to help build social connections and insight into choices, rapport building, harm reduction, accountability and consistency. I also provide educational resources for you to explore and expand your understanding. My main objective is to make sure you feel heard, understood, empowered; and to support your connections with others as well as within yourself.
Some of the most important personality traits that I bring to my practice include being Genuine, Kind, Realistic, and Detail Oriented. My clinical strengths include the skills to help build social connections and insight into choices, rapport building, harm reduction, accountability and consistency. I also provide educational resources for you to explore and expand your understanding. My main objective is to make sure you feel heard, understood, empowered; and to support your connections with others as well as within yourself.
(828) 332-5388 View (828) 332-5388
Photo of Brandi Harris, Licensed Clinical Mental Health Counselor, MA, LCMHCS, LCAS, CSI, NCC
Brandi Harris
Licensed Clinical Mental Health Counselor, MA, LCMHCS, LCAS, CSI, NCC
Verified Verified
Marion, NC 28752
Waitlist for new clients
If you are looking for support on your journey of self-discovery or dealing with some stressors, I would love to help! I enjoy working with individuals who may be struggling and need an empathetic ear. I believe everyone can improve their sense of well-being with some support. I enjoy doing in person sessions as well as telemedicine.
If you are looking for support on your journey of self-discovery or dealing with some stressors, I would love to help! I enjoy working with individuals who may be struggling and need an empathetic ear. I believe everyone can improve their sense of well-being with some support. I enjoy doing in person sessions as well as telemedicine.
(828) 360-8217 View (828) 360-8217
Photo of Julia Rodriguez-Chapman, Lic Clinical Mental Health Counselor Associate, LCMHCA
Julia Rodriguez-Chapman
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Marion, NC 28752
Embracing the human experience can sometimes evoke fear, as we navigate the emotional, physical, and spiritual components of this thing called life. Often, it is our past that creates our present, informing how we view both ourselves and the world around us. Collaborating with someone can offer a valuable opportunity to explore and ultimately release that which no longer serves us.
Embracing the human experience can sometimes evoke fear, as we navigate the emotional, physical, and spiritual components of this thing called life. Often, it is our past that creates our present, informing how we view both ourselves and the world around us. Collaborating with someone can offer a valuable opportunity to explore and ultimately release that which no longer serves us.
(828) 532-2592 View (828) 532-2592
Photo of Nikki Hughes, Licensed Professional Counselor, LCMHC, LCAS
Nikki Hughes
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Marion, NC 28752
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
I have great respect for individuals willing to engage in the therapy. It is not an easy process, but it does provide an opportunity for real change and healing. I have spent much of my career working with individuals struggling with issues of addiction, depression and anxiety, and other severe and persistent mental illness and personality disorders. Much time has also been spent working with those recovering from a history of trauma or history of physical, verbal, and sexual abuse.
(828) 808-8543 View (828) 808-8543
Photo of Margaret Huss, Licensed Professional Counselor, MA, NCC, LCMHC
Margaret Huss
Licensed Professional Counselor, MA, NCC, LCMHC
Verified Verified
Marion, NC 28752
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
Life transitions are a part of our journey and, while some are rewarding, some are a challenge. Whether you are struggling with something personally or professionally, you could benefit from working with a therapist who understands and can help guide you through the work to initiate change in your life. My approach is holistic, honest, and interactive with a little humor thrown in when needed. Clients appreciate my authenticity and ability to “be real” with them regarding how best to tackle current issues and concerns. I encourage my clients to start with small steps and move toward what speaks to their heart and their values.
(828) 554-7720 View (828) 554-7720
Photo of Amy Schott, Counselor, MS, LCMHC A
Amy Schott
Counselor, MS, LCMHC A
Verified Verified
Marion, NC 28752
Life is not always easy or kind. If you find yourself at a standstill and need support, I am here to help you. My goal is to help you achieve the life you want. I have experience with children, adolescents, families, and couples working through behavioral issues, trauma, mood and anxiety disorders. I have 4 years’ experience working with Intellectual and Developmental disabilities.
Life is not always easy or kind. If you find yourself at a standstill and need support, I am here to help you. My goal is to help you achieve the life you want. I have experience with children, adolescents, families, and couples working through behavioral issues, trauma, mood and anxiety disorders. I have 4 years’ experience working with Intellectual and Developmental disabilities.
(980) 737-9355 View (980) 737-9355
Photo of Vanessa Pickett, Licensed Clinical Mental Health Counselor, EdS, LCMHC
Vanessa Pickett
Licensed Clinical Mental Health Counselor, EdS, LCMHC
Verified Verified
Serves Area
Hello and welcome! I'm glad that you're here and considering working with me. I am licensed in North Carolina, South Carolina, and Vermont (online only for SC and VT clients). I specialize in counseling with women who are experiencing anxiety, body image issues, pregnancy/postpartum mental health concerns, depression, life transitions, parenting difficulties, and relationship concerns. I have over fifteen years of experience in the mental health field in a variety of counseling settings including inpatient and outpatient agencies, a university counseling center, public school systems, non-profits, and now in my private practice.
Hello and welcome! I'm glad that you're here and considering working with me. I am licensed in North Carolina, South Carolina, and Vermont (online only for SC and VT clients). I specialize in counseling with women who are experiencing anxiety, body image issues, pregnancy/postpartum mental health concerns, depression, life transitions, parenting difficulties, and relationship concerns. I have over fifteen years of experience in the mental health field in a variety of counseling settings including inpatient and outpatient agencies, a university counseling center, public school systems, non-profits, and now in my private practice.
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Photo of Kailani Morse, LCMHC Associate, MEd, EdS
Kailani Morse
LCMHC Associate, MEd, EdS
Verified Verified
Serves Area
I specialize in women's health and life transitions. In my practice, I offer a warm, non-judgmental space for you to safely explore your past, your health, and relationships. By connecting with your body, we can heal past wounds and uncover your inner strengths. I use an integrative, depth oriented, trauma-informed, and holistic wellness approach to healing. I work best with women who identify as people pleasers and perfectionists. You don’t have to carry it all alone anymore—together, we’ll help you break free from the pressure, so you can finally feel relaxed, aligned, and at peace to grow into who you truly are.
I specialize in women's health and life transitions. In my practice, I offer a warm, non-judgmental space for you to safely explore your past, your health, and relationships. By connecting with your body, we can heal past wounds and uncover your inner strengths. I use an integrative, depth oriented, trauma-informed, and holistic wellness approach to healing. I work best with women who identify as people pleasers and perfectionists. You don’t have to carry it all alone anymore—together, we’ll help you break free from the pressure, so you can finally feel relaxed, aligned, and at peace to grow into who you truly are.
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Photo of Lela Saffle, Clinical Social Work/Therapist, MA, LCSW
Lela Saffle
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Serves Area
Intrusive thoughts, overwhelming feelings, a never-ending sense of never doing or being enough. You feel stuck and you can't seem to get free of this nagging sense of inadequacy, loneliness, and longing to be perfect. The pain is so unbearable, you work harder and longer and hustle more to prove your worth and then get swallowed in soul sucking shame for being so powerless to change. It's hard to stay present, you're stuck in your head and you've tried everything to feel better. It hurts and you can't find your way out.
Intrusive thoughts, overwhelming feelings, a never-ending sense of never doing or being enough. You feel stuck and you can't seem to get free of this nagging sense of inadequacy, loneliness, and longing to be perfect. The pain is so unbearable, you work harder and longer and hustle more to prove your worth and then get swallowed in soul sucking shame for being so powerless to change. It's hard to stay present, you're stuck in your head and you've tried everything to feel better. It hurts and you can't find your way out.
(828) 678-6837 View (828) 678-6837
Photo of Penny Lane Hamblin, Licensed Professional Counselor, EdD, NCC, LCMHCS
Penny Lane Hamblin
Licensed Professional Counselor, EdD, NCC, LCMHCS
Verified Verified
Serves Area
Not accepting new clients
If you worry constantly, feel a loss of control in life, and you want to feel confident when you wake up in the morning then I can support you to make changes in your life. Anxiety is something we are born with, sometimes we can manage, and other times we cannot. I can assist with decreasing anxiety symptoms by targeting the root of the anxiety. Let's explore the culprit of your current symptoms and develop an understanding of the culprit so the culprit doesn't control your life. Let me support you and help you regain control of you.
If you worry constantly, feel a loss of control in life, and you want to feel confident when you wake up in the morning then I can support you to make changes in your life. Anxiety is something we are born with, sometimes we can manage, and other times we cannot. I can assist with decreasing anxiety symptoms by targeting the root of the anxiety. Let's explore the culprit of your current symptoms and develop an understanding of the culprit so the culprit doesn't control your life. Let me support you and help you regain control of you.
(828) 373-1163 View (828) 373-1163
Photo of Tracy M. Scott, Licensed Clinical Mental Health Counselor, LCMHC, NCC, LPC
Tracy M. Scott
Licensed Clinical Mental Health Counselor, LCMHC, NCC, LPC
Verified Verified
Serves Area
Hi, I’m Tracy. I work with women facing depression and anxiety who feel disconnected from their true selves. They’re often navigating the overwhelm of life transitions or daily pressures and seeking a space where they can be authentic and fully heard. These women desire to explore the roots of their struggles, not just the surface symptoms, and are open to creative, holistic approaches. Their goal is to reconnect with their strength, find balance in mind, body, and spirit, and cultivate mindfulness, humor, and a sense of grounded yet flexible self-care.
Hi, I’m Tracy. I work with women facing depression and anxiety who feel disconnected from their true selves. They’re often navigating the overwhelm of life transitions or daily pressures and seeking a space where they can be authentic and fully heard. These women desire to explore the roots of their struggles, not just the surface symptoms, and are open to creative, holistic approaches. Their goal is to reconnect with their strength, find balance in mind, body, and spirit, and cultivate mindfulness, humor, and a sense of grounded yet flexible self-care.
(828) 523-1396 View (828) 523-1396
1

How does your Therapist compare?

Number of Therapists in Marion, NC

40+

Average cost per session

$150

Therapists in Marion, NC who prioritize treating:

95% Anxiety
85% Depression
85% Trauma and PTSD
70% Relationship Issues
68% Self Esteem
68% Stress
68% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
86% Aetna
60% UnitedHealthcare UHC | UBH

How Therapists in Marion, NC see their clients

85% In Person and Online
15% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Marion?

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.