Therapists in Littleton, NH

Photo of Lesley Wotton, MS, LCMHC, Counselor
Lesley Wotton
Counselor, MS, LCMHC
Verified Verified
Littleton, NH 03561
Not accepting new clients
My therapeutic approach is person-centered. I firmly believe that people have innate strengths and the capability to grow and change, as they desire. I believe in building resilience through harnessing that strength, learning positive coping strategies, and providing time and space for growth and healing. I have a broad range of experience with a varied age range; I have worked across the developmental spectrum, from young children to adults. My therapy experience includes: anxiety, depression, perinatal support, grief, parenting, trauma, play therapy strategies; life changes; and self-esteem.
My therapeutic approach is person-centered. I firmly believe that people have innate strengths and the capability to grow and change, as they desire. I believe in building resilience through harnessing that strength, learning positive coping strategies, and providing time and space for growth and healing. I have a broad range of experience with a varied age range; I have worked across the developmental spectrum, from young children to adults. My therapy experience includes: anxiety, depression, perinatal support, grief, parenting, trauma, play therapy strategies; life changes; and self-esteem.
(603) 874-1112 View (603) 874-1112
Photo of Angelique Fortin (Angie), MS, LCMHC, Counselor
Angelique Fortin (Angie)
Counselor, MS, LCMHC
Verified Verified
Littleton, NH 03561
Not accepting new clients
As a therapist, I recognize the importance that therapy has in providing a space for people to process their thoughts, feeling, and struggles in a confidential and safe environment. Therapy can be especially helpful to those who are seeking an opportunity to better understand their personal situation, symptoms and strategize ways to overcome them.
As a therapist, I recognize the importance that therapy has in providing a space for people to process their thoughts, feeling, and struggles in a confidential and safe environment. Therapy can be especially helpful to those who are seeking an opportunity to better understand their personal situation, symptoms and strategize ways to overcome them.
(833) 699-1127 View (833) 699-1127
Photo of undefined - Catholic Charities New Hampshire, Counselor
Catholic Charities New Hampshire
Counselor
Verified Verified
Littleton, NH 03561
Welcome to our Counseling Services website! Our mental-health professionals, situated in offices throughout the State of New Hampshire, offer a comprehensive, integrated continuum of quality care for people struggling with a range of life issues. Our clients come from all faith traditions and from every walk of life, and our practice is exercised with the highest ethical standards and up-to-date psychological treatments. Please click on our website to meet our counseling team and view their professional biographies. Our goal is: Moving Lives Forward!
Welcome to our Counseling Services website! Our mental-health professionals, situated in offices throughout the State of New Hampshire, offer a comprehensive, integrated continuum of quality care for people struggling with a range of life issues. Our clients come from all faith traditions and from every walk of life, and our practice is exercised with the highest ethical standards and up-to-date psychological treatments. Please click on our website to meet our counseling team and view their professional biographies. Our goal is: Moving Lives Forward!
(603) 444-7727 View (603) 444-7727
Photo of Anthony Saddy, MS, Pre-Licensed Professional
Anthony Saddy
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Littleton, NH 03561  (Online Only)
Hi, I'm Anthony! Struggling with trauma, anxiety, or depression can often feel like an isolating journey, but you don't have to walk it alone. Imagine a space where you're supported in finding meaning and purpose, where your well-being is the priority. As a behavioral and mental health specialist, my role is to guide you towards a life of quality and fulfillment. I am here to assist you in your journey toward total wellness and inner harmony, helping you evolve and embrace a balanced, empowered life.
Hi, I'm Anthony! Struggling with trauma, anxiety, or depression can often feel like an isolating journey, but you don't have to walk it alone. Imagine a space where you're supported in finding meaning and purpose, where your well-being is the priority. As a behavioral and mental health specialist, my role is to guide you towards a life of quality and fulfillment. I am here to assist you in your journey toward total wellness and inner harmony, helping you evolve and embrace a balanced, empowered life.
(603) 326-4994 View (603) 326-4994
Photo of Karen Roy, MS, LCMHC, Counselor
Karen Roy
Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Littleton, NH 03561
Not accepting new clients
My passion is relationships; creating and building positive, lasting, healthy and satisfying relationships. I work with couples, mothers, families, young adults and adults to connect and rebuild trust with themselves and others, creating positive lasting change. I work from the belief that the client/therapist relationship is enormously important, allowing for a sincere and genuine therapeutic relationship to exist. I believe we all want to live "authentic" lives and my approach encourages clients to have the courage to be that person. I focus on a holistic approach working with the mind, body and soul to heal negative patterns of anxiety, depression, stress, and trauma.
My passion is relationships; creating and building positive, lasting, healthy and satisfying relationships. I work with couples, mothers, families, young adults and adults to connect and rebuild trust with themselves and others, creating positive lasting change. I work from the belief that the client/therapist relationship is enormously important, allowing for a sincere and genuine therapeutic relationship to exist. I believe we all want to live "authentic" lives and my approach encourages clients to have the courage to be that person. I focus on a holistic approach working with the mind, body and soul to heal negative patterns of anxiety, depression, stress, and trauma.
(802) 557-0059 View (802) 557-0059
Photo of Gary Swenson, JD, MA, Licensed Psychoanalyst
Gary Swenson
Licensed Psychoanalyst, JD, MA
Verified Verified
Littleton, NH 03561  (Online Only)
Are you trying to deal with issues such as anger, anxiety, depression, compulsions, or flashbacks from trauma? These are all symptoms that have important meanings. I can help you understand the meaning of these symptoms and assist you in opening the door to more positive self-esteem and life experience. I practice Jungian psychotherapy and analysis as a certified Vermont psychoanalyst. Earlier in my career I have been a practicing corporate attorney, business executive, and CPA.
Are you trying to deal with issues such as anger, anxiety, depression, compulsions, or flashbacks from trauma? These are all symptoms that have important meanings. I can help you understand the meaning of these symptoms and assist you in opening the door to more positive self-esteem and life experience. I practice Jungian psychotherapy and analysis as a certified Vermont psychoanalyst. Earlier in my career I have been a practicing corporate attorney, business executive, and CPA.
(802) 882-6223 View (802) 882-6223
Photo of Thomas F Higgins, EdD, LCMHC, Counselor
Thomas F Higgins
Counselor, EdD, LCMHC
Verified Verified
Littleton, NH 03561
I believe it is important for individuals who are struggling with difficult choices to be allowed to take the time to explore how they have arrived at their current impasse. Individuals frequently have difficulty with avoidance and procrastination which can lead to frustration and emotional fatigue. This can drain away creative energy needed for change to occur. Every individual is capable of emotional growth if they can give themselves permission to examine old defenses and unproductive patterns of behavior. Insight into these psychological habits can lead to more alternatives regarding future choices and decisions.
I believe it is important for individuals who are struggling with difficult choices to be allowed to take the time to explore how they have arrived at their current impasse. Individuals frequently have difficulty with avoidance and procrastination which can lead to frustration and emotional fatigue. This can drain away creative energy needed for change to occur. Every individual is capable of emotional growth if they can give themselves permission to examine old defenses and unproductive patterns of behavior. Insight into these psychological habits can lead to more alternatives regarding future choices and decisions.
(603) 446-6207 View (603) 446-6207
Photo of Kristi Zola, MS, LCMHC, Counselor
Kristi Zola
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Littleton, NH 03561
Do you have past trauma that you still carry around despite your best efforts to cope? This trauma could be a single event, years of smaller incidents, a negative self- statement that's been with you forever, or a loss of some kind. Sometimes talk therapy doesn't actually solve the core issue and you continue to have overwhelming feelings when it comes up for you. I use a combination of EMDR and Brainspotting to work on these core issues. This can be done as a stand-alone therapy or as an adjunct to talk therapy.
Do you have past trauma that you still carry around despite your best efforts to cope? This trauma could be a single event, years of smaller incidents, a negative self- statement that's been with you forever, or a loss of some kind. Sometimes talk therapy doesn't actually solve the core issue and you continue to have overwhelming feelings when it comes up for you. I use a combination of EMDR and Brainspotting to work on these core issues. This can be done as a stand-alone therapy or as an adjunct to talk therapy.
(802) 458-0092 View (802) 458-0092
Photo of Nikki Brant, LCMHC, Counselor
Nikki Brant
Counselor, LCMHC
Verified Verified
Littleton, NH 03561  (Online Only)
My approach to therapy is based around the belief that people do not fit easily into boxes. It is my job to be adaptable. No matter what difficulties you are facing in life you know yourself best and my role is to support you getting to that end state you desire. I have worked with clients of all ages and many backgrounds. I will work with you to develop a plan of action and support you on your journey to get to that place where you can find genuine peace.
My approach to therapy is based around the belief that people do not fit easily into boxes. It is my job to be adaptable. No matter what difficulties you are facing in life you know yourself best and my role is to support you getting to that end state you desire. I have worked with clients of all ages and many backgrounds. I will work with you to develop a plan of action and support you on your journey to get to that place where you can find genuine peace.
(603) 691-3980 View (603) 691-3980
Photo of Shawna Delworth, LCMHC, MLADC, ADS, Counselor
Shawna Delworth
Counselor, LCMHC, MLADC, ADS
Verified Verified
Littleton, NH 03561
(Currently Not Accepting New Clients) I provide counseling to people with a range of concerns, including depression, anxiety, chronic pain, PTSD and substance use. I work with clients who are age 14 and older, I enjoy working with people of all ages. My interest in non-invasive techniques and complimentary treatments would likely be attractive to patients with similar interests. I believe that patients have the ability heal their own struggles and my role is to provide support and guidance to patients as they go through this journey.
(Currently Not Accepting New Clients) I provide counseling to people with a range of concerns, including depression, anxiety, chronic pain, PTSD and substance use. I work with clients who are age 14 and older, I enjoy working with people of all ages. My interest in non-invasive techniques and complimentary treatments would likely be attractive to patients with similar interests. I believe that patients have the ability heal their own struggles and my role is to provide support and guidance to patients as they go through this journey.
(833) 590-0097 View (833) 590-0097
Photo of Nikki Cooke, LICSW-C
Nikki Cooke
LICSW-C
Verified Verified
1 Endorsed
Littleton, NH 03561  (Online Only)
Are you grappling with anxiety, depression, or trauma-related challenges? Nikki's holistic, evidence-based approach interweaves traditional psychotherapy with innovative modalities like mindfulness, tailored to adults facing emotional and psychological difficulties. Her spiritual, solution-focused therapy offers a beacon of hope, guiding you toward a balanced, fulfilling life.
Are you grappling with anxiety, depression, or trauma-related challenges? Nikki's holistic, evidence-based approach interweaves traditional psychotherapy with innovative modalities like mindfulness, tailored to adults facing emotional and psychological difficulties. Her spiritual, solution-focused therapy offers a beacon of hope, guiding you toward a balanced, fulfilling life.
(603) 945-8535 View (603) 945-8535
Photo of Michelle Foraker, LMHC-QS, LPC, LCMHC, Counselor
Michelle Foraker
Counselor, LMHC-QS, LPC, LCMHC
Verified Verified
Littleton, NH 03561  (Online Only)
Licensed in Florida, Georgia, New Hampshire, Wisconsin, Tennessee, and South Carolina. I have discovered that virtual counseling and coaching is just as effective as in person and is extremely convenient. We are able to maintain a personal, intimate setting. You will receive a warm, compassionate, non-judgmental, and safe space to explore and implement solutions. You will be provided with options to build on your personal strengths and make improvements in your life. I have been providing services to a variety of people and appreciate the opportunity to be a part of assisting you on your journey to achieve your dreams and goals.
Licensed in Florida, Georgia, New Hampshire, Wisconsin, Tennessee, and South Carolina. I have discovered that virtual counseling and coaching is just as effective as in person and is extremely convenient. We are able to maintain a personal, intimate setting. You will receive a warm, compassionate, non-judgmental, and safe space to explore and implement solutions. You will be provided with options to build on your personal strengths and make improvements in your life. I have been providing services to a variety of people and appreciate the opportunity to be a part of assisting you on your journey to achieve your dreams and goals.
(904) 449-7710 View (904) 449-7710
Photo of Jeannette Hook, LCMHC, MLADC, Counselor
Jeannette Hook
Counselor, LCMHC, MLADC
Verified Verified
1 Endorsed
Littleton, NH 03561  (Online Only)
Depression, anxiety, trauma and substance use can leave you feeling lost and alone. As an experienced and passionate licensed mental health counselor and master licensed alcohol and drug counselor, I understand the challenges and fears you may be facing. My approach combines motivational interviewing and cognitive behavioral therapy, anchored in a person-centered, solution-focused framework. Whether you're seeking individual or couples support, I'm here to guide you toward recovery and empowerment. Let's work together to find the path that leads you back to yourself. Reach out today to start your healing journey.
Depression, anxiety, trauma and substance use can leave you feeling lost and alone. As an experienced and passionate licensed mental health counselor and master licensed alcohol and drug counselor, I understand the challenges and fears you may be facing. My approach combines motivational interviewing and cognitive behavioral therapy, anchored in a person-centered, solution-focused framework. Whether you're seeking individual or couples support, I'm here to guide you toward recovery and empowerment. Let's work together to find the path that leads you back to yourself. Reach out today to start your healing journey.
(603) 605-8495 View (603) 605-8495

More Therapists Nearby

Photo of Linda Goldstein, LICSW, Clinical Social Work/Therapist
Linda Goldstein
Clinical Social Work/Therapist, LICSW
Verified Verified
Bethlehem, NH 03574  (Online Only)
I have been working as a therapist and clinical supervisor for more than thirty years. I love helping people discover their hidden skills, strengths and values which may have become lost in life’s struggles. Whatever the issue, my job is to assist you in realizing you have the capacity to untangle and manage whatever brings you to my office. My approach involves separating the person from the problem; helping people manage the kinds of negative thoughts we all have which can increase stress, tell us bad things about ourselves, or convince us to do things that are not in our best interest.
I have been working as a therapist and clinical supervisor for more than thirty years. I love helping people discover their hidden skills, strengths and values which may have become lost in life’s struggles. Whatever the issue, my job is to assist you in realizing you have the capacity to untangle and manage whatever brings you to my office. My approach involves separating the person from the problem; helping people manage the kinds of negative thoughts we all have which can increase stress, tell us bad things about ourselves, or convince us to do things that are not in our best interest.
(351) 300-4499 View (351) 300-4499
Photo of L. Roen Prowe
L. Roen Prowe
Verified Verified
Franconia, NH 03580
My work centers on helping clients confront, relate to, and manage the interplay between their feelings, actions, and sense of self. This understanding shapes my therapeutic approach, grounded not in a quest for temporary happiness or conventional success but in exploring and affirming our values, emotions, and unique way of being. Through simple exercises, journaling, and thoughtful conversation, we journey together toward a deeper self-awareness and coherence of being.
My work centers on helping clients confront, relate to, and manage the interplay between their feelings, actions, and sense of self. This understanding shapes my therapeutic approach, grounded not in a quest for temporary happiness or conventional success but in exploring and affirming our values, emotions, and unique way of being. Through simple exercises, journaling, and thoughtful conversation, we journey together toward a deeper self-awareness and coherence of being.
(802) 736-7797 View (802) 736-7797
Photo of Meredith Anna Ball, LICSW, LCSW, PMH-C, BC-TMH, Clinical Social Work/Therapist
Meredith Anna Ball
Clinical Social Work/Therapist, LICSW, LCSW, PMH-C, BC-TMH
Verified Verified
Bethlehem, NH 03574
Are you a mother in a new season of life? I see you. Are you a new mother who believed having a baby would be bliss and now needs a space to understand the emotional overwhelm? I see you. Are you a mother who wishes there was a manual for how to rewrite your life as your child leaves home? I see you. Are you a mother who simply needs to feel at home in your own being again? I see you.
Are you a mother in a new season of life? I see you. Are you a new mother who believed having a baby would be bliss and now needs a space to understand the emotional overwhelm? I see you. Are you a mother who wishes there was a manual for how to rewrite your life as your child leaves home? I see you. Are you a mother who simply needs to feel at home in your own being again? I see you.
(603) 825-6674 View (603) 825-6674
Photo of Heidi Behrendt, MSW, LICSW, LADC, Clinical Social Work/Therapist
Heidi Behrendt
Clinical Social Work/Therapist, MSW, LICSW, LADC
Verified Verified
1 Endorsed
Franconia, NH 03580
Your wellness matters! I believe in the power of each individual to face adversity and heal. If you are struggling with depression, grief, trauma/PTSD, anxiety, mood disturbances, and adjustment difficulties to the many transitions we make throughout our life span- I would be honored to help you on your wellness journey. I am skilled in a variety of therapy treatment modalities and tailor the use of these approaches and skills to each clients' unique needs. Your body and mind strive to move toward balance, healing and wellness, I like to assist my clients with this process as a collaborator in your wellness journey .
Your wellness matters! I believe in the power of each individual to face adversity and heal. If you are struggling with depression, grief, trauma/PTSD, anxiety, mood disturbances, and adjustment difficulties to the many transitions we make throughout our life span- I would be honored to help you on your wellness journey. I am skilled in a variety of therapy treatment modalities and tailor the use of these approaches and skills to each clients' unique needs. Your body and mind strive to move toward balance, healing and wellness, I like to assist my clients with this process as a collaborator in your wellness journey .
(802) 673-5971 View (802) 673-5971

Online Therapists

Photo of Sophie Luppold, MSW, Pre-Licensed Professional
Sophie Luppold
Pre-Licensed Professional, MSW
Verified Verified
Manchester, NH 03101
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
(603) 803-4127 View (603) 803-4127
Photo of Sarah Bartley, MSW, LCSW, Clinical Social Work/Therapist
Sarah Bartley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
People often come to me stuck in past traumas, unhelpful patterns or survival mode. You might struggle with people-pleasing, numbing, or toxic relationships. Maybe you seek a compassionate space to talk about things you can't talk about anywhere else. I work with people wanting to understand and change the perplexing, harmful, or debilitating ways their mind and body react. My passion is helping people to feel more confident, empowered, in control and present. If you're looking to free yourself from past traumas and shame, to feel clearer and more content, we might be a good fit.
People often come to me stuck in past traumas, unhelpful patterns or survival mode. You might struggle with people-pleasing, numbing, or toxic relationships. Maybe you seek a compassionate space to talk about things you can't talk about anywhere else. I work with people wanting to understand and change the perplexing, harmful, or debilitating ways their mind and body react. My passion is helping people to feel more confident, empowered, in control and present. If you're looking to free yourself from past traumas and shame, to feel clearer and more content, we might be a good fit.
(954) 287-4811 View (954) 287-4811
Photo of Ramsay Dean, LICSW, Clinical Social Work/Therapist
Ramsay Dean
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
Are you grappling with depression, anxiety, or navigating challenges in areas like finances, relationships, employment, grief, or aspects related to your sexuality or gender identity? If so, I offer a therapeutic approach that equips you with practical and effective skills for your daily life. These tools are crafted to enhance your well-being and empower you to achieve your personal goals. I can guide you in understanding and addressing negative thought patterns and behaviors, leading you towards transforming them for a more joyful and fulfilling life.
Are you grappling with depression, anxiety, or navigating challenges in areas like finances, relationships, employment, grief, or aspects related to your sexuality or gender identity? If so, I offer a therapeutic approach that equips you with practical and effective skills for your daily life. These tools are crafted to enhance your well-being and empower you to achieve your personal goals. I can guide you in understanding and addressing negative thought patterns and behaviors, leading you towards transforming them for a more joyful and fulfilling life.
(866) 733-2413 View (866) 733-2413

See more therapy options for Littleton

How does your Therapist compare?

Number of Therapists in Littleton, NH

10+

Average cost per session

$122

Therapists in Littleton, NH who prioritize treating:

100% Anxiety
100% Self Esteem
92% Depression
77% Coping Skills
77% Stress
69% Relationship Issues
69% Peer Relationships

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in Littleton, NH see their clients

54% In Person and Online
46% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Littleton?

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.