Therapists in Brooklyn, NY

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Photo of Elisabeth (Lisa) Youngclaus, Clinical Social Work/Therapist in Brooklyn, NY
Elisabeth (Lisa) Youngclaus
Clinical Social Work/Therapist, LCSW, SEP, JD
Verified
4 Endorsed
Brooklyn, NY 11201
Therapy offers profound ways of responding more effectively to life's challenges: understanding and managing mental health symptoms and developing healthier, more adaptive coping strategies when facing problems; tools for resolving difficulties and finding more fulfillment in relationships; the possibility of working through past and present trauma, grief and loss; and the opportunity to recognize how our thoughts, beliefs and behaviors affect our relationships to ourselves and others and how self-awareness creates the possibility of change and new experiences. I work with individual adults and adolescents, as well as couples.
Therapy offers profound ways of responding more effectively to life's challenges: understanding and managing mental health symptoms and developing healthier, more adaptive coping strategies when facing problems; tools for resolving difficulties and finding more fulfillment in relationships; the possibility of working through past and present trauma, grief and loss; and the opportunity to recognize how our thoughts, beliefs and behaviors affect our relationships to ourselves and others and how self-awareness creates the possibility of change and new experiences. I work with individual adults and adolescents, as well as couples.
(646) 798-2919 View (646) 798-2919
Photo of Gabrielle Lind, Clinical Social Work/Therapist in Brooklyn, NY
Gabrielle Lind
Clinical Social Work/Therapist, LCSW, PMH-C
Verified
1 Endorsed
Brooklyn, NY 11217  (Online Only)
I approach therapy with an eye toward your strengths. I believe we all have an inherent drive toward growth and change - toward a life of greater authenticity, fulfillment, and well-being.
I approach therapy with an eye toward your strengths. I believe we all have an inherent drive toward growth and change - toward a life of greater authenticity, fulfillment, and well-being.
(845) 714-0799 View (845) 714-0799
Photo of Soraya Palmer, Clinical Social Work/Therapist in Brooklyn, NY
Soraya Palmer
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Brooklyn, NY 11238  (Online Only)
I hold a strong commitment to using holistic approaches to healing. Through my extensive clinical work with trauma survivors and background working with young people, I know that talk therapy is not always the most effective method for processing and healing from trauma. I employ therapeutic techniques from Trauma-based Cognitive Processing Therapy, Motivational Interviewing, and somatic modalities to support my clients. As a published author, I often incorporate creative modalities into my therapeutic practice such as creative writing activities, drawing, and clay. Let's work together to figure out which methods work best for you.
I hold a strong commitment to using holistic approaches to healing. Through my extensive clinical work with trauma survivors and background working with young people, I know that talk therapy is not always the most effective method for processing and healing from trauma. I employ therapeutic techniques from Trauma-based Cognitive Processing Therapy, Motivational Interviewing, and somatic modalities to support my clients. As a published author, I often incorporate creative modalities into my therapeutic practice such as creative writing activities, drawing, and clay. Let's work together to figure out which methods work best for you.
(646) 604-2739 View (646) 604-2739
Photo of David Brand, Ph.D. Psychologist, Psychologist in Brooklyn, NY
David Brand, Ph.D. Psychologist
Psychologist, PhD
Verified
Brooklyn, NY 11217
I've been in practice for decades, helping adolescents, grown-ups, and couples during that time. People come to me with all kinds of issues, and we've worked closely together to find solutions, whether that involves learning new ways to look at relationship difficulties, or methods for regulating problematic emotions, to career-related struggles and just getting rid of bad habits. I have exceptional training and vast experience.
I've been in practice for decades, helping adolescents, grown-ups, and couples during that time. People come to me with all kinds of issues, and we've worked closely together to find solutions, whether that involves learning new ways to look at relationship difficulties, or methods for regulating problematic emotions, to career-related struggles and just getting rid of bad habits. I have exceptional training and vast experience.
(917) 767-5879 View (917) 767-5879
Photo of Haley Kastner, Clinical Social Work/Therapist in Brooklyn, NY
Haley Kastner
Clinical Social Work/Therapist, LCSW
Verified
Brooklyn, NY 11201
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
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Photo of Maria P. Ochoa, Counselor in Brooklyn, NY
Maria P. Ochoa
Counselor, MA, LMHC
Verified
1 Endorsed
Brooklyn, NY 11201
Are you seeking change and transformation in your life? Want to experience more satisfaction in your relationships? feeling better about your self? I can help. I've been helping professional women feeling stuck in their Relationships and/or career, to connect with themselves and promote positive changes. I facilitate a safe nurturing space for you to develop authentic confidence in your life to make the transitions and changes that are important for you . Whether your wish to experience deep-meaningful Relationships in your life, and/or move in the direction of your true calling/career, I'll be honor to support you.
Are you seeking change and transformation in your life? Want to experience more satisfaction in your relationships? feeling better about your self? I can help. I've been helping professional women feeling stuck in their Relationships and/or career, to connect with themselves and promote positive changes. I facilitate a safe nurturing space for you to develop authentic confidence in your life to make the transitions and changes that are important for you . Whether your wish to experience deep-meaningful Relationships in your life, and/or move in the direction of your true calling/career, I'll be honor to support you.
(929) 338-6052 View (929) 338-6052
Photo of Eve Mugar, Clinical Social Work/Therapist in Brooklyn, NY
Eve Mugar
Clinical Social Work/Therapist
Verified
1 Endorsed
Brooklyn, NY 11211  (Online Only)
On a daily basis many of us feel overwhelmed, stressed, fearful of what the future holds and weighed down by the past. I am here to guide you in a process of uncovering the inner resources that will allow you to ride the waves of life with confidence, ease and flexibility. The journey begins with a willingness to look inside and compassionately witness the stories that have shaped you.
On a daily basis many of us feel overwhelmed, stressed, fearful of what the future holds and weighed down by the past. I am here to guide you in a process of uncovering the inner resources that will allow you to ride the waves of life with confidence, ease and flexibility. The journey begins with a willingness to look inside and compassionately witness the stories that have shaped you.
(978) 704-1225 View (978) 704-1225
Photo of Oluwatosin Akindele, Clinical Social Work/Therapist in Brooklyn, NY
Oluwatosin Akindele
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Brooklyn, NY 11205  (Online Only)
Hi! My name is Oluwatosin Akindele, Tosin for short. Thank you for allowing yourself to embark on the healing process. Surviving any sort of traumatic experience always has long lasting residual effects on us and the people we cherish. Do remember, whatever it is that you may be feeling, no matter how difficult and debilitating it may seem, it is absolutely normal.
Hi! My name is Oluwatosin Akindele, Tosin for short. Thank you for allowing yourself to embark on the healing process. Surviving any sort of traumatic experience always has long lasting residual effects on us and the people we cherish. Do remember, whatever it is that you may be feeling, no matter how difficult and debilitating it may seem, it is absolutely normal.
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Photo of Caini Deng - Jamron Counseling in Brooklyn, NY
Caini Deng - Jamron Counseling
MA
Verified
1 Endorsed
Brooklyn, NY 11211
My number one priority is offer you a non-judgmental and a safe space . The safer you feel, the more we can learn to trust each other- and the further we can go together on the journey toward the life you want. I use a strengths-based approach to help you find peace - that means I’ll always be looking for things you’re doing right, not things you’re doing wrong. I will help you find your own strength and cultivate resilience through the ups and downs of life.
My number one priority is offer you a non-judgmental and a safe space . The safer you feel, the more we can learn to trust each other- and the further we can go together on the journey toward the life you want. I use a strengths-based approach to help you find peace - that means I’ll always be looking for things you’re doing right, not things you’re doing wrong. I will help you find your own strength and cultivate resilience through the ups and downs of life.
(347) 762-9774 View (347) 762-9774
Photo of Kristin Moore, Clinical Social Work/Therapist in Brooklyn, NY
Kristin Moore
Clinical Social Work/Therapist, LCSW
Verified
Brooklyn, NY 11215  (Online Only)
While trained in multiple therapy modes, I focus on collaborative, interactive cognitive work to start and retain a deep change from negative thinking to clarity. What is in need of change, and why? What are steps that can create energy, courage, growth- without disruption? What is the right pace of change and are we on target? I see therapy as emotional "detective work" whose aim is freedom and satisfaction. Discovering possibilities and practicing changes, step by step, leads on to emotional recovery- and freedom, whether from anxiety, depression, relationship difficulty, low self-esteem, addiction, or underemployment.
While trained in multiple therapy modes, I focus on collaborative, interactive cognitive work to start and retain a deep change from negative thinking to clarity. What is in need of change, and why? What are steps that can create energy, courage, growth- without disruption? What is the right pace of change and are we on target? I see therapy as emotional "detective work" whose aim is freedom and satisfaction. Discovering possibilities and practicing changes, step by step, leads on to emotional recovery- and freedom, whether from anxiety, depression, relationship difficulty, low self-esteem, addiction, or underemployment.
(917) 473-9273 View (917) 473-9273
Photo of Shlomo Steven Lieberman, Clinical Social Work/Therapist in Brooklyn, NY
Shlomo Steven Lieberman
Clinical Social Work/Therapist, LCSW
Verified
Brooklyn, NY 11229
I am a caring professional who believes that no one solution or one theory works with everyone. With that in mind I expanded my practice,with a select group of therapists to join Lieberman Clinical Services. These therapists have their own unique style, therefore potential clients have the benefit of a therapist that will best fit their needs.Therapy is a unique confidential relationship you and I develop. Together we explore your relationships and other situations in your life. This exploration leads to insights and understanding, giving you an ability to change your reactions, behaviors, and decisions creating a healthier and more fulfilling life.
I am a caring professional who believes that no one solution or one theory works with everyone. With that in mind I expanded my practice,with a select group of therapists to join Lieberman Clinical Services. These therapists have their own unique style, therefore potential clients have the benefit of a therapist that will best fit their needs.Therapy is a unique confidential relationship you and I develop. Together we explore your relationships and other situations in your life. This exploration leads to insights and understanding, giving you an ability to change your reactions, behaviors, and decisions creating a healthier and more fulfilling life.
(929) 533-1855 View (929) 533-1855
Photo of Amy Stricoff, Clinical Social Work/Therapist in Brooklyn, NY
Amy Stricoff
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Brooklyn, NY 11201
Not accepting new clients
I am a private practitioner who has worked with children, teens and young adults in New York City for the past 10 years. Feeling heard and supported and being understood by your therapist is a critical component of mental health care. I provide compassionate and empathic care to children, teens and young adults. My clients come to me with anxiety and depressive symptoms, family dynamics issues and often while in the midst of a transition. Clients who have completed treatment leave with new coping skills, a renewed sense of confidence and fresh perspectives on their lives.
I am a private practitioner who has worked with children, teens and young adults in New York City for the past 10 years. Feeling heard and supported and being understood by your therapist is a critical component of mental health care. I provide compassionate and empathic care to children, teens and young adults. My clients come to me with anxiety and depressive symptoms, family dynamics issues and often while in the midst of a transition. Clients who have completed treatment leave with new coping skills, a renewed sense of confidence and fresh perspectives on their lives.
(845) 250-5997 View (845) 250-5997
Photo of Nicole Gorden in Brooklyn, NY
Nicole Gorden
MS, BCBA, LBA
Verified
Brooklyn, NY 11213
Hi! My name is Nikki and I am a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst (LBA) in NYC. I've worked with children with Autism and other special needs for over 13 years. I am enthusiastic, reliable, creative, and passionate about children and their growth. I would love to meet all your wonderful loved ones.
Hi! My name is Nikki and I am a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst (LBA) in NYC. I've worked with children with Autism and other special needs for over 13 years. I am enthusiastic, reliable, creative, and passionate about children and their growth. I would love to meet all your wonderful loved ones.
(848) 999-5796 View (848) 999-5796
Photo of Fort Greene Therapy, Psychologist in Brooklyn, NY
Fort Greene Therapy
Psychologist, MA, PsyD
Verified
3 Endorsed
Brooklyn, NY 11216  (Online Only)
Waitlist for new clients
I know that making the decision to seek a therapist is often a difficult one so I make sure that you have a safe, comforting, and professional place to discuss intimate details of your life with a trained therapist. I don't believe in a one-size-fits-all approach to therapy, rather I see it as collaborative; you and I will work together to help you achieve more peace and happiness in your life.
I know that making the decision to seek a therapist is often a difficult one so I make sure that you have a safe, comforting, and professional place to discuss intimate details of your life with a trained therapist. I don't believe in a one-size-fits-all approach to therapy, rather I see it as collaborative; you and I will work together to help you achieve more peace and happiness in your life.
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Photo of Dr. Patty Carambot, Psychologist in Brooklyn, NY
Dr. Patty Carambot
Psychologist, PhD
Verified
1 Endorsed
Brooklyn, NY 11238
It is my belief that every person requires an empathic, safe, & nonjudgmental environment to grow & flourish personally & interpersonally. My aim is to create an environment that helps clients feel safe, understood & accepted to openly explore the challenges that face them. Feelings of confusion, stagnancy, loss, & self-doubt are all manifestations of the multiple burdens each human being carries of their past, present & future. I like to assist clients to identify & unload these burdens, examine them under a nonjudgmental lens, & take only what is useful to live a more fulfilling, interpersonally effective & self-trusting life.
It is my belief that every person requires an empathic, safe, & nonjudgmental environment to grow & flourish personally & interpersonally. My aim is to create an environment that helps clients feel safe, understood & accepted to openly explore the challenges that face them. Feelings of confusion, stagnancy, loss, & self-doubt are all manifestations of the multiple burdens each human being carries of their past, present & future. I like to assist clients to identify & unload these burdens, examine them under a nonjudgmental lens, & take only what is useful to live a more fulfilling, interpersonally effective & self-trusting life.
(718) 957-8640 View (718) 957-8640
Photo of Kizzy Rodney, Counselor in Brooklyn, NY
Kizzy Rodney
Counselor, LMHC
Verified
Brooklyn, NY 11210  (Online Only)
I am a licensed therapist and a proud graduate of Medaille College, bringing over a decade of experience to the field of mental health. I have honed my skills in aiding individuals affected by a range of challenges, including Anxiety, Mood, Substance Use, Stress and Behavioral Issues. As you embark on your path to healing and growth, it's important to know that I am here as a compassionate and knowledgeable guide committed to providing you with the support needed to navigate life's complexities. In our therapeutic journey together, you can expect a personalized approach tailored to your unique needs.
I am a licensed therapist and a proud graduate of Medaille College, bringing over a decade of experience to the field of mental health. I have honed my skills in aiding individuals affected by a range of challenges, including Anxiety, Mood, Substance Use, Stress and Behavioral Issues. As you embark on your path to healing and growth, it's important to know that I am here as a compassionate and knowledgeable guide committed to providing you with the support needed to navigate life's complexities. In our therapeutic journey together, you can expect a personalized approach tailored to your unique needs.
(718) 504-2890 View (718) 504-2890
Photo of Anthony Georgopoulos in Brooklyn, NY
Anthony Georgopoulos
MHC-LP
Verified
Brooklyn, NY 11235
While interning as a counselor for a high school, I've learn how important it is for individuals to establish trust with someone to the point they feel comfortable enough to confide in. I believe therapy is a place where an individual could experience the safety of divulging their life experiences with a professional counselor who actively listens and validates their personal dilemmas. I hold the belief that everyone's personality and values are different, therefore I will collaborate with you and discover ways to appropriately tailor our sessions together so we could effectively attain your goals.
While interning as a counselor for a high school, I've learn how important it is for individuals to establish trust with someone to the point they feel comfortable enough to confide in. I believe therapy is a place where an individual could experience the safety of divulging their life experiences with a professional counselor who actively listens and validates their personal dilemmas. I hold the belief that everyone's personality and values are different, therefore I will collaborate with you and discover ways to appropriately tailor our sessions together so we could effectively attain your goals.
(929) 205-5593 View (929) 205-5593
Photo of Thailan Pham, Clinical Social Work/Therapist in Brooklyn, NY
Thailan Pham
Clinical Social Work/Therapist, LCSW, MA
Verified
4 Endorsed
Brooklyn, NY 11215
Life can be overwhelming. Finding a therapist shouldn't add to that stress. Each one of us deserves access to a safe, judgment-free space. As a therapist, I fiercely defend that space for my clients, and I hope to meet you there with warmth, authenticity, and humor. Having served the diverse population of this city in medical, educational, and non-profit settings, I am sensitive to the complex New York experience while acknowledging that your journey is unique. I offer a trauma-informed, culturally-sensitive approach for adults and young adults struggling with stress, anxiety, or depression.
Life can be overwhelming. Finding a therapist shouldn't add to that stress. Each one of us deserves access to a safe, judgment-free space. As a therapist, I fiercely defend that space for my clients, and I hope to meet you there with warmth, authenticity, and humor. Having served the diverse population of this city in medical, educational, and non-profit settings, I am sensitive to the complex New York experience while acknowledging that your journey is unique. I offer a trauma-informed, culturally-sensitive approach for adults and young adults struggling with stress, anxiety, or depression.
(646) 461-2418 View (646) 461-2418
Photo of Richard A Levine, Psychologist in Brooklyn, NY
Richard A Levine
Psychologist, PhD
Verified
Brooklyn, NY 11215  (Online Only)
Sexual problems are difficult to talk about for most people and can cause great distress. Sex therapy is designed to put people at ease so that they can feel as comfortable as possible talking about these problems and to find practical solutions. Some of the typical problems I work with include specific sexual dysfunctions (e.g., premature ejaculation, erectile dysfunction, difficulties with orgasm) and more general problems such as lack of sexual desire, sexual orientation and gender issues, unusual sexual behaviors, shyness and social inhibition.
Sexual problems are difficult to talk about for most people and can cause great distress. Sex therapy is designed to put people at ease so that they can feel as comfortable as possible talking about these problems and to find practical solutions. Some of the typical problems I work with include specific sexual dysfunctions (e.g., premature ejaculation, erectile dysfunction, difficulties with orgasm) and more general problems such as lack of sexual desire, sexual orientation and gender issues, unusual sexual behaviors, shyness and social inhibition.
(718) 569-7343 View (718) 569-7343
Photo of Christine Atkinson - Jamron Counseling, Art Therapist in Brooklyn, NY
Christine Atkinson - Jamron Counseling
Art Therapist, ATR-BC, LCAT
Verified
6 Endorsed
Brooklyn, NY 11222  (Online Only)
Waitlist for new clients
I believe that everyone has the opportunity to increase their health, comfort, and happiness. I work collaboratively with individuals from diverse backgrounds who seek out counseling for various issues including anxiety, mood, anger and adjustment. I strive towards allowing individuals to redefine themselves. My goal is to create a safe creative space to begin a journey of growth, renewal, and a path towards achieving authenticity.
I believe that everyone has the opportunity to increase their health, comfort, and happiness. I work collaboratively with individuals from diverse backgrounds who seek out counseling for various issues including anxiety, mood, anger and adjustment. I strive towards allowing individuals to redefine themselves. My goal is to create a safe creative space to begin a journey of growth, renewal, and a path towards achieving authenticity.
(929) 395-0818 View (929) 395-0818

See more therapy options for Brooklyn

How does your Therapist compare?

Number of Therapists in Brooklyn, NY

3,000+

Average cost per session

$175

Therapists in Brooklyn, NY who prioritize treating:

94% Anxiety
89% Depression
83% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
65% UnitedHealthcare UHC | UBH
64% Cigna and Evernorth

How Therapists in Brooklyn, NY see their clients

51% In Person and Online
49% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Brooklyn?

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.