Therapists in Woodcliff Lake, NJ

Photo of Diane M Noah, Clinical Social Work/Therapist, MSW, LCSW
Diane M Noah
Clinical Social Work/Therapist, MSW, LCSW
Woodcliff Lake, NJ 07677
Not accepting new clients
Making the decision to explore therapy is a step towards change. Perhaps you are struggling with a particular issue or problem, or you are looking at the possibility of a situation in your life being different. The relationship between client and therapist is unique, and I believe in a collaborative approach building trust through honest communication. The right connection with a therapist is essential. I am deeply committed to the individuals and families with whom I work, and to the process of effecting the desired change.
Making the decision to explore therapy is a step towards change. Perhaps you are struggling with a particular issue or problem, or you are looking at the possibility of a situation in your life being different. The relationship between client and therapist is unique, and I believe in a collaborative approach building trust through honest communication. The right connection with a therapist is essential. I am deeply committed to the individuals and families with whom I work, and to the process of effecting the desired change.
(862) 621-2452 View (862) 621-2452
Photo of John Tarpinian, Psychologist, EdD
John Tarpinian
Psychologist, EdD
Woodcliff Lake, NJ 07677
I treat a wide range of emotional/behavior disorders of adults and adolescents. These include anxiety and panic attacks, depression and learned helplessness, as well as alcohol and substance abuse. I also specialize in treating self-esteem issues that revolve around self-doubt, and, feelings of worthlessness and inadequacy. The aim of our therapeutic work is to develop healthier behavior patterns and to improve the overall quality of your life on the road to becoming a more productive person.
I treat a wide range of emotional/behavior disorders of adults and adolescents. These include anxiety and panic attacks, depression and learned helplessness, as well as alcohol and substance abuse. I also specialize in treating self-esteem issues that revolve around self-doubt, and, feelings of worthlessness and inadequacy. The aim of our therapeutic work is to develop healthier behavior patterns and to improve the overall quality of your life on the road to becoming a more productive person.
(201) 870-4078 View (201) 870-4078
Photo of Marissa Rogers, Licensed Social Worker
Marissa Rogers
Licensed Social Worker
1 Endorsed
Woodcliff Lake, NJ 07677
I'm accepting new clients with immediate openings! I am a Licensed Social Worker with a passion for supporting clients as they navigate through all stages of life. My goal is to help clients grow through life's challenges with confidence and grace. I specialize in the treatment of children/teens aged 5-17 and young adults. I enjoy working collaboratively with my clients as they overcome depression, anxiety, trauma/PTSD, behavioral issues, life transitions, stress, poor body image, and more. Although therapy can be tough, I promise we'll find joy and laughter along the way. You never have to go through mental health struggles alone!
I'm accepting new clients with immediate openings! I am a Licensed Social Worker with a passion for supporting clients as they navigate through all stages of life. My goal is to help clients grow through life's challenges with confidence and grace. I specialize in the treatment of children/teens aged 5-17 and young adults. I enjoy working collaboratively with my clients as they overcome depression, anxiety, trauma/PTSD, behavioral issues, life transitions, stress, poor body image, and more. Although therapy can be tough, I promise we'll find joy and laughter along the way. You never have to go through mental health struggles alone!
(551) 382-4578 View (551) 382-4578
Photo of Christine Culbreth, Licensed Professional Counselor, MS, LPC
Christine Culbreth
Licensed Professional Counselor, MS, LPC
Woodcliff Lake, NJ 07677
Christine is a Licensed Associate Counselor, who has been practicing since 2013. She graduated from Seton Hall University with a Master's degree in Professional Counseling. Christine believes in a person-centered approach to therapy, an empathetic approach that empowers and motivates individuals to reach their potential. Christine also strongly believes in a mindfulness-based approach, encouraging clients to experience themselves and their feelings in the present. She often utilizes mindfulness-based CBT to address anxiety, depression, and other mood disorders.
Christine is a Licensed Associate Counselor, who has been practicing since 2013. She graduated from Seton Hall University with a Master's degree in Professional Counseling. Christine believes in a person-centered approach to therapy, an empathetic approach that empowers and motivates individuals to reach their potential. Christine also strongly believes in a mindfulness-based approach, encouraging clients to experience themselves and their feelings in the present. She often utilizes mindfulness-based CBT to address anxiety, depression, and other mood disorders.
(551) 356-8056 View (551) 356-8056
Photo of Tamsen Adams-Gallagher, Clinical Social Work/Therapist, MSW, LCSW
Tamsen Adams-Gallagher
Clinical Social Work/Therapist, MSW, LCSW
Woodcliff Lake, NJ 07677
Tamsen Adams-Gallagher is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2001. She has a Master’s Degree in Social Work from Fordham University. Tamsen believes in meeting the client where they are, aligning with them and supporting their goals in treatment through a strengths-based perspective. She utilizes creative techniques to help clients engage in meaningful work. This may include cognitive behavioral therapy, the use of mindfulness and grounding, art and play therapy as well as nature-based work.
Tamsen Adams-Gallagher is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2001. She has a Master’s Degree in Social Work from Fordham University. Tamsen believes in meeting the client where they are, aligning with them and supporting their goals in treatment through a strengths-based perspective. She utilizes creative techniques to help clients engage in meaningful work. This may include cognitive behavioral therapy, the use of mindfulness and grounding, art and play therapy as well as nature-based work.
(201) 494-2489 View (201) 494-2489
Photo of Hannah Debbie Akerman, Clinical Social Work/Therapist, PhD, LCSW
Hannah Debbie Akerman
Clinical Social Work/Therapist, PhD, LCSW
Woodcliff Lake, NJ 07677
I believe in the uniqueness and strength of every human being and the interminable human spirit. Every individual has the innate right to feel safe, to feel loved and to feel validated. There are times when we feel that we are trapped, where hope does not appear, and the future is bleak. The steps to healing, to fulfillment, to leading the life that we want is within us. Together, therapist and client hold up the proverbial mirror, see what faces us and work on attainable goals designed to increase serenity, self- satisfaction and live the life we envision.
I believe in the uniqueness and strength of every human being and the interminable human spirit. Every individual has the innate right to feel safe, to feel loved and to feel validated. There are times when we feel that we are trapped, where hope does not appear, and the future is bleak. The steps to healing, to fulfillment, to leading the life that we want is within us. Together, therapist and client hold up the proverbial mirror, see what faces us and work on attainable goals designed to increase serenity, self- satisfaction and live the life we envision.
(845) 253-4844 View (845) 253-4844
Photo of Erin Asquith, Clinical Social Work/Therapist, LCSW
Erin Asquith
Clinical Social Work/Therapist, LCSW
4 Endorsed
Woodcliff Lake, NJ 07677
Relationships are hard. Feeling like you & your partner are too busy, with no time for each other. That you've grown apart, almost like roommates. Intimacy barely existent. Having the same, unresolved arguments. Uncertain about where your relationship stands. Divorce keeps popping up in your mind. Looking for hope, a new route for your relationship(s) - rebuilding, reconnecting or separating/divorce or an open relationship. It's scary to embark on individual or couple's therapy, but you're ready to work & create change.
Relationships are hard. Feeling like you & your partner are too busy, with no time for each other. That you've grown apart, almost like roommates. Intimacy barely existent. Having the same, unresolved arguments. Uncertain about where your relationship stands. Divorce keeps popping up in your mind. Looking for hope, a new route for your relationship(s) - rebuilding, reconnecting or separating/divorce or an open relationship. It's scary to embark on individual or couple's therapy, but you're ready to work & create change.
(347) 848-1935 View (347) 848-1935
Photo of Jennifer Gerardi, Licensed Professional Counselor, MS, LPC
Jennifer Gerardi
Licensed Professional Counselor, MS, LPC
Woodcliff Lake, NJ 07677
Jennifer Keogh is a Licensed Professional Counselor in New Jersey with 5 years of experience. She received her Master in Mental Health Counseling and Bachelor in Psychology and Health Studies from Monmouth University. Her professional experience working at a community mental health center has provided the opportunity to work with a diverse population with a wide variety of mental health diagnoses. Jennifer believes in meeting the client where they are in their journey and tailors her therapeutic approach to be collaborative.
Jennifer Keogh is a Licensed Professional Counselor in New Jersey with 5 years of experience. She received her Master in Mental Health Counseling and Bachelor in Psychology and Health Studies from Monmouth University. Her professional experience working at a community mental health center has provided the opportunity to work with a diverse population with a wide variety of mental health diagnoses. Jennifer believes in meeting the client where they are in their journey and tailors her therapeutic approach to be collaborative.
(201) 855-3810 View (201) 855-3810
Photo of LeighAnn Albanese, Licensed Professional Counselor, MA, LPC
LeighAnn Albanese
Licensed Professional Counselor, MA, LPC
Woodcliff Lake, NJ 07677
Hello and welcome I received my Master of Arts in Clinical and Counseling Psychology from William Paterson University. I am a Licensed Professional Counselor in the state of New Jersey and have trauma certifications. My experience includes both individual and group treatment.
Hello and welcome I received my Master of Arts in Clinical and Counseling Psychology from William Paterson University. I am a Licensed Professional Counselor in the state of New Jersey and have trauma certifications. My experience includes both individual and group treatment.
(551) 303-6154 View (551) 303-6154
Photo of Courtney Bertelle, Counselor, LAC
Courtney Bertelle
Counselor, LAC
Woodcliff Lake, NJ 07677
Courtney M. Bertelle is a dedicated therapist with LifeStance Health, providing compassionate and evidence-based care to individuals, couples, and families across New Jersey. She helps clients navigate life’s challenges with warmth, empathy, and practical strategies for growth. Courtney works with teens, adults, and seniors, creating a supportive environment where clients can explore their emotions, strengthen relationships, and develop effective tools to improve their mental health and overall well-being.
Courtney M. Bertelle is a dedicated therapist with LifeStance Health, providing compassionate and evidence-based care to individuals, couples, and families across New Jersey. She helps clients navigate life’s challenges with warmth, empathy, and practical strategies for growth. Courtney works with teens, adults, and seniors, creating a supportive environment where clients can explore their emotions, strengthen relationships, and develop effective tools to improve their mental health and overall well-being.
(201) 597-5638 View (201) 597-5638
Photo of Maggie Franzetti, Clinical Social Work/Therapist, MSW, LCSW
Maggie Franzetti
Clinical Social Work/Therapist, MSW, LCSW
Online Only
The complexities of our worlds create numerous opportunities for us to experience overwhelm. All stressors, regardless of intensity, can leave us feeling powerless as they accumulate. This is especially true for children and adolescents, who are more susceptible to experiencing negative emotions. My role as a therapist is to help individuals identify their stressors, understand how these stressors impact their overall well-being, and learn how to cope. I am passionate about supporting clients in accepting their lives as they presently exist and empowering them to achieve the lives they hope to live.
The complexities of our worlds create numerous opportunities for us to experience overwhelm. All stressors, regardless of intensity, can leave us feeling powerless as they accumulate. This is especially true for children and adolescents, who are more susceptible to experiencing negative emotions. My role as a therapist is to help individuals identify their stressors, understand how these stressors impact their overall well-being, and learn how to cope. I am passionate about supporting clients in accepting their lives as they presently exist and empowering them to achieve the lives they hope to live.
(551) 239-9880 View (551) 239-9880
Photo of Karin Williams, Clinical Social Work/Therapist, MSW, LCSW
Karin Williams
Clinical Social Work/Therapist, MSW, LCSW
Woodcliff Lake, NJ 07677
Karin Williams, LCSW, is a dedicated therapist at LifeStance Health, offering empathetic, client-centered care to individuals across New Jersey. She creates a safe and nonjudgmental environment, fostering therapeutic relationships that rekindle hope and help clients recognize their own strengths. Serving adults and seniors ages 22 years old and up. Karin is committed to guiding her clients through their unique mental health journeys. Karin is particularly passionate about treating Adult ADHD, Anxiety, and Depression.
Karin Williams, LCSW, is a dedicated therapist at LifeStance Health, offering empathetic, client-centered care to individuals across New Jersey. She creates a safe and nonjudgmental environment, fostering therapeutic relationships that rekindle hope and help clients recognize their own strengths. Serving adults and seniors ages 22 years old and up. Karin is committed to guiding her clients through their unique mental health journeys. Karin is particularly passionate about treating Adult ADHD, Anxiety, and Depression.
(551) 210-4687 View (551) 210-4687
Photo of Lindsay Lederman, Art Therapist, ATR-BC, LPAT, LCAT, CLAT
Lindsay Lederman
Art Therapist, ATR-BC, LPAT, LCAT, CLAT
1 Endorsed
Woodcliff Lake, NJ 07677
Reach out to me if you are ready to break your old cycles and practice new skills so that you can find the confidence and strength to live the life you've always wanted. I specialize in working with mid-life adults who want to make changes or are going through transitions, but are finding themselves stuck in decision making or repeating old patterns that are getting in their way.
Reach out to me if you are ready to break your old cycles and practice new skills so that you can find the confidence and strength to live the life you've always wanted. I specialize in working with mid-life adults who want to make changes or are going through transitions, but are finding themselves stuck in decision making or repeating old patterns that are getting in their way.
(551) 230-6495 View (551) 230-6495
Photo of Jacqueline Marie Frey, Clinical Social Work/Therapist, LCSW, MSW
Jacqueline Marie Frey
Clinical Social Work/Therapist, LCSW, MSW
Online Only
Live The Life YOU Love! It may sound cliché, but my goal for everyone of my clients is for you to be the architect of your own life. A lot of us fall into our lives or we wake up one day and wonder, “How did I get here?” Well I am here to help you live with intention, that includes making conscious choices to propel your life, go after your dreams or even get out of your own head. A lot of times we may have some obstacles such as past trauma, negative thought patterns or unhealthy relationships that have gotten us to this spot, and it is so very hard to break free at times. That is where I come in.
Live The Life YOU Love! It may sound cliché, but my goal for everyone of my clients is for you to be the architect of your own life. A lot of us fall into our lives or we wake up one day and wonder, “How did I get here?” Well I am here to help you live with intention, that includes making conscious choices to propel your life, go after your dreams or even get out of your own head. A lot of times we may have some obstacles such as past trauma, negative thought patterns or unhealthy relationships that have gotten us to this spot, and it is so very hard to break free at times. That is where I come in.
(973) 545-7436 View (973) 545-7436
Photo of Rebecca Stegmann, Licensed Professional Counselor, MA, LPC, NCC
Rebecca Stegmann
Licensed Professional Counselor, MA, LPC, NCC
3 Endorsed
Woodcliff Lake, NJ 07677
As a passionate mental health therapist and the owner of Camellia Counseling, it is an honor for me to support my clients as they grow with care! I provide support as my clients gain insight, improve relationships, and break down their unhealthy cycles. I specialize in treating teenagers and adults who struggle with anxiety, depression, trauma/PTSD, poor body image, and identity/LGBTQ+ issues. I also offer therapy services for clients experiencing major life transitions, relationship conflict, career challenges, and gender dysphoria. I believe counseling should be a collaborative process - we'll always work through this together!
As a passionate mental health therapist and the owner of Camellia Counseling, it is an honor for me to support my clients as they grow with care! I provide support as my clients gain insight, improve relationships, and break down their unhealthy cycles. I specialize in treating teenagers and adults who struggle with anxiety, depression, trauma/PTSD, poor body image, and identity/LGBTQ+ issues. I also offer therapy services for clients experiencing major life transitions, relationship conflict, career challenges, and gender dysphoria. I believe counseling should be a collaborative process - we'll always work through this together!
(551) 203-8756 View (551) 203-8756
Photo of Lia Friedman, Licensed Associate Counselor, MA, LAC
Lia Friedman
Licensed Associate Counselor, MA, LAC
Woodcliff Lake, NJ 07677
Lia Friedman is a Licensed Associate Counselor in New Jersey who has been practicing since 2021. Lia believes that we do not see things as they are, we see them as we are; that although you cannot completely avoid pain in life, you do not need to suffer as a consequence. In other words, our life experiences, including those that have been traumatic, shape how we see and interact with the world. Sometimes we get stuck in the injustice of our experience, but that does not help us heal or move forward. Lia offers a balanced combination of compassion, empathy and challenging with care when needed.
Lia Friedman is a Licensed Associate Counselor in New Jersey who has been practicing since 2021. Lia believes that we do not see things as they are, we see them as we are; that although you cannot completely avoid pain in life, you do not need to suffer as a consequence. In other words, our life experiences, including those that have been traumatic, shape how we see and interact with the world. Sometimes we get stuck in the injustice of our experience, but that does not help us heal or move forward. Lia offers a balanced combination of compassion, empathy and challenging with care when needed.
(551) 292-7398 View (551) 292-7398
Photo of Kimberly Castillo, Licensed Professional Counselor, MA, LPC
Kimberly Castillo
Licensed Professional Counselor, MA, LPC
Woodcliff Lake, NJ 07677
Kimberly Castillo, LPC, is a compassionate therapist at LifeStance Health, dedicated to helping clients throughout New Jersey. With a focus on empathetic listening, validation, and unconditional positive regard, she creates a supportive and encouraging environment where clients feel safe to explore their emotions. Kimberly is adept at providing constructive confrontation when necessary, helping clients to face and overcome their challenges. She serves a wide range of clients, including children, adolescents, adults, and seniors. Kimberly specializes in treating ADHD, anxiety, and bipolar disorder.
Kimberly Castillo, LPC, is a compassionate therapist at LifeStance Health, dedicated to helping clients throughout New Jersey. With a focus on empathetic listening, validation, and unconditional positive regard, she creates a supportive and encouraging environment where clients feel safe to explore their emotions. Kimberly is adept at providing constructive confrontation when necessary, helping clients to face and overcome their challenges. She serves a wide range of clients, including children, adolescents, adults, and seniors. Kimberly specializes in treating ADHD, anxiety, and bipolar disorder.
(551) 382-2297 View (551) 382-2297
Photo of Christopher Vilardo, Clinical Social Work/Therapist, MSW, LCSW
Christopher Vilardo
Clinical Social Work/Therapist, MSW, LCSW
Woodcliff Lake, NJ 07677
Chris Vilardo, LCSW, is a dedicated therapist at LifeStance Health, providing compassionate and evidence-based care to adults of all ages across New Jersey. With expertise in managing anxiety, depression, and bipolar disorder, Chris uses a tailored approach to meet each client's unique needs, helping them build resilience and navigate life's challenges. Through individual and family therapy, Chris creates a supportive environment where clients can explore their experiences, gain self-awareness, and develop the skills to lead fulfilling lives.
Chris Vilardo, LCSW, is a dedicated therapist at LifeStance Health, providing compassionate and evidence-based care to adults of all ages across New Jersey. With expertise in managing anxiety, depression, and bipolar disorder, Chris uses a tailored approach to meet each client's unique needs, helping them build resilience and navigate life's challenges. Through individual and family therapy, Chris creates a supportive environment where clients can explore their experiences, gain self-awareness, and develop the skills to lead fulfilling lives.
(551) 321-6084 View (551) 321-6084
Photo of Margaret Olave, Psychologist, PhD
Margaret Olave
Psychologist, PhD
Woodcliff Lake, NJ 07677
ACCEPTING NEW CLIENTS!!! I am a firm believer that our past affects us, but it does not define us. My therapeutic approach is designed to understand where you come from while helping you work toward your future goals. I utilize various therapeutic techniques to engage my clients toward change and an insight-oriented lifepath. I strive to develop a strong therapeutic alliance with all my clients based on trustworthiness and transparency.
ACCEPTING NEW CLIENTS!!! I am a firm believer that our past affects us, but it does not define us. My therapeutic approach is designed to understand where you come from while helping you work toward your future goals. I utilize various therapeutic techniques to engage my clients toward change and an insight-oriented lifepath. I strive to develop a strong therapeutic alliance with all my clients based on trustworthiness and transparency.
(201) 645-4789 View (201) 645-4789
Photo of Stanley M Spergel, Psychologist, PsyD
Stanley M Spergel
Psychologist, PsyD
Woodcliff Lake, NJ 07677
Dr Stanley M. Spergel is a licensed psychologist, certified school psychologist and fellow of the American Orthopsychiatric Association with offices in Teaneck and Woodcliff Lake, New Jersey. He is the founding director of the Family Resource Center and has been in both group and individual private practice since 1981. Dr Spergel specializes in treating children, adolescents and adults using a variety of treatment modalities and has a special interest in hypnotherapy.
Dr Stanley M. Spergel is a licensed psychologist, certified school psychologist and fellow of the American Orthopsychiatric Association with offices in Teaneck and Woodcliff Lake, New Jersey. He is the founding director of the Family Resource Center and has been in both group and individual private practice since 1981. Dr Spergel specializes in treating children, adolescents and adults using a variety of treatment modalities and has a special interest in hypnotherapy.
(201) 391-8778 View (201) 391-8778

See more therapy options for Woodcliff Lake

How does your Therapist compare?

Number of Therapists in Woodcliff Lake, NJ

50+

Average cost per session

$200

Therapists in Woodcliff Lake, NJ who prioritize treating:

95% Depression
95% Anxiety
66% Trauma and PTSD
58% Grief
54% ADHD
54% Life Transitions
49% Relationship Issues

Average years in practice

13 Years

Top 3 insurances accepted

86% Aetna
76% Cigna and Evernorth
70% BlueCross and BlueShield

How Therapists in Woodcliff Lake, NJ see their clients

86% In Person and Online
14% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Woodcliff Lake?

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.