Therapists in Chestnut Ridge, NY

Photo of undefined - All Lifespan Development E. Martin Walker, PhD, Psychologist
All Lifespan Development E. Martin Walker
Psychologist, PhD
Verified Verified
Chestnut Ridge, NY 10977
Serving Bergen/Rockland Counties and Manhattan, I bring 30 years as a psychotherapist, 25 years as a family and couples therapist, and 20 years of practicing behavioral and physical rehabilitation medicine and years of contemplative and body art practices (YTT200) to a psychology practice that incorporates evidenced-based treatments with contemporary psychoanalytic practices and body/mind perspectives. Therapy works with mind, body, and between ourselves and others in a relationship that frees the creative potential for healing, discovering new inspiration for transforming self, work and relationships.
Serving Bergen/Rockland Counties and Manhattan, I bring 30 years as a psychotherapist, 25 years as a family and couples therapist, and 20 years of practicing behavioral and physical rehabilitation medicine and years of contemplative and body art practices (YTT200) to a psychology practice that incorporates evidenced-based treatments with contemporary psychoanalytic practices and body/mind perspectives. Therapy works with mind, body, and between ourselves and others in a relationship that frees the creative potential for healing, discovering new inspiration for transforming self, work and relationships.
(917) 746-3823 View (917) 746-3823
Photo of Tzipora Shub, LCSW, Clinical Social Work/Therapist
Tzipora Shub
Clinical Social Work/Therapist, LCSW
Verified Verified
Chestnut Ridge, NY 10977
Navigating life's ups and downs can be challenging for anyone. People deal with many stresses, difficult relationships, career and financial difficulties, as well as difficult emotions including anxiety, sadness, shame, negativity and anger, just to name a few. Seeking therapy as a way to help address life's difficulties is a sign of strength. I respect that strength in my clients and feel privileged to work with them in navigating the challenges that bring them to therapy at this time. I look forward to speaking to you and learning how I can be helpful to you in your journey. I recently opened a second office in Monsey, NY.
Navigating life's ups and downs can be challenging for anyone. People deal with many stresses, difficult relationships, career and financial difficulties, as well as difficult emotions including anxiety, sadness, shame, negativity and anger, just to name a few. Seeking therapy as a way to help address life's difficulties is a sign of strength. I respect that strength in my clients and feel privileged to work with them in navigating the challenges that bring them to therapy at this time. I look forward to speaking to you and learning how I can be helpful to you in your journey. I recently opened a second office in Monsey, NY.
(347) 382-7814 View (347) 382-7814
Photo of Daniel Tepfer, PsyD, Psychologist
Daniel Tepfer
Psychologist, PsyD
Verified Verified
Chestnut Ridge, NY 10977
Has your child been struggling with emotional dysregulation and behavioral outbursts? As a parent, do you wish to have a more positive and trusting relationship with your child? I help children become more aware of the effect that their emotions have on themselves and others and give them tools to cope with these emotions. My practice also focuses on building healthy attachment between parent and child through play and talk therapy. In addition to therapy, I conduct psycho-educational evaluations to help parents and schools understand the cognitive, academic, behavior, and emotional needs of children.
Has your child been struggling with emotional dysregulation and behavioral outbursts? As a parent, do you wish to have a more positive and trusting relationship with your child? I help children become more aware of the effect that their emotions have on themselves and others and give them tools to cope with these emotions. My practice also focuses on building healthy attachment between parent and child through play and talk therapy. In addition to therapy, I conduct psycho-educational evaluations to help parents and schools understand the cognitive, academic, behavior, and emotional needs of children.
(845) 867-2649 View (845) 867-2649
Photo of Suri Walles, LCSW, Clinical Social Work/Therapist
Suri Walles
Clinical Social Work/Therapist, LCSW
Verified Verified
Chestnut Ridge, NY 10977
For over a decade, I have been treating adolescents and young adults struggling with anxiety, depression, trauma, loss, adjustment issues and relationship difficulties. I take an individualized approach, guiding each client to discover and utilize her strengths and internal resources in the healing process. I assist my clients in identifying and overcoming their own barriers to being happier and calmer. I also use a skills-based approach to provide my clients with new resources to help them more effectively navigate daily life and relationships.
For over a decade, I have been treating adolescents and young adults struggling with anxiety, depression, trauma, loss, adjustment issues and relationship difficulties. I take an individualized approach, guiding each client to discover and utilize her strengths and internal resources in the healing process. I assist my clients in identifying and overcoming their own barriers to being happier and calmer. I also use a skills-based approach to provide my clients with new resources to help them more effectively navigate daily life and relationships.
(973) 310-6747 View (973) 310-6747
Photo of Dr. Robin Nemeroff, PhD, Psychologist
Dr. Robin Nemeroff
Psychologist, PhD
Verified Verified
Chestnut Ridge, NY 10977  (Online Only)
Dr. Nemeroff is a licensed psychologist specializing in stress-management, anxiety issues and depression. She is trained in psychodynamic psychotherapy, cognitive-behavioral therapy, mindfulness techniques, and mind-body approaches to healing, so she is able to be flexible in her approach to working with you and offer you the most effective treatments available. Dr. Nemeroff received her Ph.D. in Clinical Psychology from Columbia University (1999), her pre-doctoral internship training at Montefiore Medical Center, Albert Einstein College of Medicine (1999), and her post-doctoral training at Weil Medical College, Cornell University (2000).
Dr. Nemeroff is a licensed psychologist specializing in stress-management, anxiety issues and depression. She is trained in psychodynamic psychotherapy, cognitive-behavioral therapy, mindfulness techniques, and mind-body approaches to healing, so she is able to be flexible in her approach to working with you and offer you the most effective treatments available. Dr. Nemeroff received her Ph.D. in Clinical Psychology from Columbia University (1999), her pre-doctoral internship training at Montefiore Medical Center, Albert Einstein College of Medicine (1999), and her post-doctoral training at Weil Medical College, Cornell University (2000).
(646) 759-2750 View (646) 759-2750

More Therapists Nearby

Photo of Dr. Yishai Barkhordari, PhD, Psychologist
Dr. Yishai Barkhordari
Psychologist, PhD
Verified Verified
4 Endorsed
Nanuet, NY 10954  (Online Only)
The marriage feels "meh." Your love and commitment are strong, but something is off. Talking about it hasn't helped. It just leads to more arguing, pain, and resentment. It feels like things are getting worse. You both desperately want to fix it. Because as much as you love each other, you can't sign up to keep doing this for the next decade and beyond. Something has to change. And in your bones, you know it can be how you are in your marriage. It’s time to renew your relationship.
The marriage feels "meh." Your love and commitment are strong, but something is off. Talking about it hasn't helped. It just leads to more arguing, pain, and resentment. It feels like things are getting worse. You both desperately want to fix it. Because as much as you love each other, you can't sign up to keep doing this for the next decade and beyond. Something has to change. And in your bones, you know it can be how you are in your marriage. It’s time to renew your relationship.
(845) 516-6335 View (845) 516-6335
Photo of Lisa Moise
Lisa Moise
Verified Verified
1 Endorsed
Suffern, NY 10901  (Online Only)
Imagine seeking support and guidance through life's challenges, whether it's anxiety, depression, grief, or relationship issues. Picture a safe, non-judgmental space where you can explore your feelings and build coping skills. Whether you're a child dealing with school issues, a teen grappling with self-esteem, or an adult facing career dilemmas, the goal is to find balance, healing, and purpose. Together, we can create a personalized path to well-being, overcoming obstacles to lead a more fulfilling life.
Imagine seeking support and guidance through life's challenges, whether it's anxiety, depression, grief, or relationship issues. Picture a safe, non-judgmental space where you can explore your feelings and build coping skills. Whether you're a child dealing with school issues, a teen grappling with self-esteem, or an adult facing career dilemmas, the goal is to find balance, healing, and purpose. Together, we can create a personalized path to well-being, overcoming obstacles to lead a more fulfilling life.
(845) 470-3359 View (845) 470-3359
Photo of undefined - LCSW of the Hudson Valley, PC, LCSW, LCSW-R, Clinical Social Work/Therapist
LCSW of the Hudson Valley, PC
Clinical Social Work/Therapist, LCSW, LCSW-R
Verified Verified
Nanuet, NY 10954  (Online Only)
As a group, we are here to provide support and guidance for various issues ranging from anxiety, depression, ADHD, marital issues, and many other concerns. Clinicians use solution focused/short term therapy, traditional psychotherapy, elements of DBT, CBT, and behavioral therapy approaches. Our clinicians use a variety of techniques to create individualized treatment to best serve our clients. Clients are invited to discuss their needs, interests, and what they desire in a clinician to help support a solid therapeutic relationship. We also provide professional services for social workers.
As a group, we are here to provide support and guidance for various issues ranging from anxiety, depression, ADHD, marital issues, and many other concerns. Clinicians use solution focused/short term therapy, traditional psychotherapy, elements of DBT, CBT, and behavioral therapy approaches. Our clinicians use a variety of techniques to create individualized treatment to best serve our clients. Clients are invited to discuss their needs, interests, and what they desire in a clinician to help support a solid therapeutic relationship. We also provide professional services for social workers.
(845) 241-3980 View (845) 241-3980
Photo of Gabrielle Hamilton, LCSW-R, Clinical Social Work/Therapist
Gabrielle Hamilton
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Spring Valley, NY 10977
Not accepting new clients
I believe that sharing your thoughts and feelings with me in my safe and confidential office will help you to feel better. I have worked in the field for almost 30 years in crisis teams, mental health clinics, schools, domestic violence programs, and geriatric services. I am non-judgmental and happy to help you recover from crisis, bereavement (grief or loss), the stress of long-term debilitating illness, ongoing anxiety or fear, mood disorders, and school related issues.
I believe that sharing your thoughts and feelings with me in my safe and confidential office will help you to feel better. I have worked in the field for almost 30 years in crisis teams, mental health clinics, schools, domestic violence programs, and geriatric services. I am non-judgmental and happy to help you recover from crisis, bereavement (grief or loss), the stress of long-term debilitating illness, ongoing anxiety or fear, mood disorders, and school related issues.
(914) 219-0308 View (914) 219-0308
Photo of Anita Horvath, MS, MA, MFT
Anita Horvath
MS, MA, MFT
Verified Verified
1 Endorsed
Spring Valley, NY 10977  (Online Only)
My focus is on marriage & family therapy and maternal/perinatal support. As we journey through marriage and parenthood, we often encounter difficult experiences that leave us feeling stuck in stress, regret and confusion. Birth trauma, postpartum depression, overwhelming identity shifts and relationship problems are a few examples. Sometimes we need extra support to get through these. Contemporary culture doesn’t prioritize mothers or value marriage, contributes to mental health issues among children, and leaves families isolated and unsupported. It makes sense to feel like you need extra support. It takes courage to ask for it.
My focus is on marriage & family therapy and maternal/perinatal support. As we journey through marriage and parenthood, we often encounter difficult experiences that leave us feeling stuck in stress, regret and confusion. Birth trauma, postpartum depression, overwhelming identity shifts and relationship problems are a few examples. Sometimes we need extra support to get through these. Contemporary culture doesn’t prioritize mothers or value marriage, contributes to mental health issues among children, and leaves families isolated and unsupported. It makes sense to feel like you need extra support. It takes courage to ask for it.
(518) 351-7688 View (518) 351-7688
Photo of Cami Presha, LMHC, Counselor
Cami Presha
Counselor, LMHC
Verified Verified
Nanuet, NY 10954
Listen, not to respond, but to understand are words I live by both professionally and personally. I create a safe space for my clients to express their inner most thoughts and feelings- without judgement- and a desire to help them process their lived experience. My clients come from all walks of life and face a wide spectrum of life stressors, including: depression, anxiety, trauma, relationship issues, and other mental health challenges. Together we explore patterns of behavior, where they come from, and how to make changes to grow towards a more authentic existence with deeper self-awareness & acceptance.
Listen, not to respond, but to understand are words I live by both professionally and personally. I create a safe space for my clients to express their inner most thoughts and feelings- without judgement- and a desire to help them process their lived experience. My clients come from all walks of life and face a wide spectrum of life stressors, including: depression, anxiety, trauma, relationship issues, and other mental health challenges. Together we explore patterns of behavior, where they come from, and how to make changes to grow towards a more authentic existence with deeper self-awareness & acceptance.
(845) 261-7284 View (845) 261-7284
Photo of Dr. Jonathan Keigher, PhD, Psychologist
Dr. Jonathan Keigher
Psychologist, PhD
Verified Verified
1 Endorsed
Nanuet, NY 10954
My goal as a psychologist is to help you feel better, quickly, applying proven therapeutic methods in a warm and caring atmosphere. I am solution oriented so you will not spend years in therapy. Most patients are in treatment for a few months. At the same time, I work to produce long-term, sustainable change in my patients. I help my clients progress toward their goals in a warm, supportive and affirming environment. Just as each person's needs, experiences, and strengths are unique, I tailor my services to each individual and help uncover past and present factors that impact functioning.
My goal as a psychologist is to help you feel better, quickly, applying proven therapeutic methods in a warm and caring atmosphere. I am solution oriented so you will not spend years in therapy. Most patients are in treatment for a few months. At the same time, I work to produce long-term, sustainable change in my patients. I help my clients progress toward their goals in a warm, supportive and affirming environment. Just as each person's needs, experiences, and strengths are unique, I tailor my services to each individual and help uncover past and present factors that impact functioning.
(646) 783-2761 View (646) 783-2761
Photo of Deborah Birnbaum, LCSW-R, Clinical Social Work/Therapist
Deborah Birnbaum
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New City, NY 10956
I offer a safe, positive, empathetic, and productive clinical environment that emphasizes individual and family needs. My treatment approach offers hopeful solutions without stigma, judgment, or empty labels. I challenge self-deception while encouraging assertiveness, authenticity, and self awareness. My practice specialties include: 1) helping adolescents and adults who struggle with relationship issues, trauma, abuse, grief and loss, life transitions, anxiety, phobias, depression, and work/life balance; 2) couples therapy; and 3) domestic violence education and safety planning.
I offer a safe, positive, empathetic, and productive clinical environment that emphasizes individual and family needs. My treatment approach offers hopeful solutions without stigma, judgment, or empty labels. I challenge self-deception while encouraging assertiveness, authenticity, and self awareness. My practice specialties include: 1) helping adolescents and adults who struggle with relationship issues, trauma, abuse, grief and loss, life transitions, anxiety, phobias, depression, and work/life balance; 2) couples therapy; and 3) domestic violence education and safety planning.
(914) 502-4419 View (914) 502-4419
Photo of Michael Rootman, LISW, MS, Clinical Social Work/Therapist
Michael Rootman
Clinical Social Work/Therapist, LISW, MS
Verified Verified
1 Endorsed
Monsey, NY 10952
I work well with people who feel like they are cycling through repeating patterns in their life, particularly in relationships with their family, at work, or in relationship with their Self. My clients are insightful and brave. They tend to need gentle encouragement to see things slightly differently and develop more security. I use a combination of different types of therapies and techniques, depending on the particular problems someone is struggling with. These techniques help people establish boundaries in their families, behavioral change for harmful habits and addictions, and assertive communication skills.
I work well with people who feel like they are cycling through repeating patterns in their life, particularly in relationships with their family, at work, or in relationship with their Self. My clients are insightful and brave. They tend to need gentle encouragement to see things slightly differently and develop more security. I use a combination of different types of therapies and techniques, depending on the particular problems someone is struggling with. These techniques help people establish boundaries in their families, behavioral change for harmful habits and addictions, and assertive communication skills.
(513) 496-0668 View (513) 496-0668
Photo of undefined - With God\'s Help, LCSW, LLC, LCSW, CASAC, CCTHP, Clinical Social Work/Therapist
With God\'s Help, LCSW, LLC
Clinical Social Work/Therapist, LCSW, CASAC, CCTHP
Verified Verified
Spring Valley, NY 10977  (Online Only)
I work with adults who experience, depression, anxiety, addictions and image related issues. I also work with Christians, both ministry leaders and others who struggle with achieving what their faith promises. I am very comfortable with both short term and long term treatment approaches. I help my clients identify root causes as well as strategies to both manage and overcome those issues.
I work with adults who experience, depression, anxiety, addictions and image related issues. I also work with Christians, both ministry leaders and others who struggle with achieving what their faith promises. I am very comfortable with both short term and long term treatment approaches. I help my clients identify root causes as well as strategies to both manage and overcome those issues.
(845) 244-5755 View (845) 244-5755
Photo of Rachma Friedenberg, LCSW, Clinical Social Work/Therapist
Rachma Friedenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Monsey, NY 10952
Navigating life’s journey can be overwhelming and stressful at times, interfering with our peace of mind. I help clients access their inner strength and resources, the keys to ultimate healing. As an experienced therapist, I see every day that just as individuals are unique, life situations and how we experience them are as well. I help empower clients to overcome challenges including anxiety, depression, parenting and relationship issues, trauma, and low self-esteem in a safe, non-judgmental environment. Additionally, I work to understand how these challenges affect each client in order to determine the best therapeutic approach.
Navigating life’s journey can be overwhelming and stressful at times, interfering with our peace of mind. I help clients access their inner strength and resources, the keys to ultimate healing. As an experienced therapist, I see every day that just as individuals are unique, life situations and how we experience them are as well. I help empower clients to overcome challenges including anxiety, depression, parenting and relationship issues, trauma, and low self-esteem in a safe, non-judgmental environment. Additionally, I work to understand how these challenges affect each client in order to determine the best therapeutic approach.
(845) 684-9833 View (845) 684-9833
Photo of Eva Hernandez Adolescents Adults Trans Affirming, LCSW, R, Clinical Social Work/Therapist
Eva Hernandez Adolescents Adults Trans Affirming
Clinical Social Work/Therapist, LCSW, R
Verified Verified
Spring Valley, NY 10977
Therapy is a process towards finding answers, balance in a world full of stresses and responsibilities and how each one fits in the world. Our innate wisdom draws one towards and in search of happiness and emotional well-being.
Therapy is a process towards finding answers, balance in a world full of stresses and responsibilities and how each one fits in the world. Our innate wisdom draws one towards and in search of happiness and emotional well-being.
(845) 723-3717 View (845) 723-3717
Photo of undefined - Dr. Mitch and Lisa Couples/Marriages Workshops, PsyD, MSW, Life, Coach
Dr. Mitch and Lisa Couples/Marriages Workshops
PsyD, MSW, Life, Coach
Verified Verified
Suffern, NY 10901
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(347) 697-4476 View (347) 697-4476
Photo of Eileen Flynn Tucci, LCSW, Clinical Social Work/Therapist
Eileen Flynn Tucci
Clinical Social Work/Therapist, LCSW
Verified Verified
Nanuet, NY 10954
Not accepting new clients
I am a licensed clinical social worker who provides counseling to individuals and families from 18 years of age through senior citizens. I received my masters degree from New York University.
I am a licensed clinical social worker who provides counseling to individuals and families from 18 years of age through senior citizens. I received my masters degree from New York University.
(845) 653-3207 View (845) 653-3207
Photo of Miriam Liebman, LCSW, Clinical Social Work/Therapist
Miriam Liebman
Clinical Social Work/Therapist, LCSW
Verified Verified
Spring Valley, NY 10977
Wether you are dealing with a current challenging situation, or would like to work through your past experiences, my goal is to support you in your personal journey. I provide a safe space for you to turn your focus inward, and connect with your true self.
Wether you are dealing with a current challenging situation, or would like to work through your past experiences, my goal is to support you in your personal journey. I provide a safe space for you to turn your focus inward, and connect with your true self.
(845) 206-4538 View (845) 206-4538

See more therapy options for Chestnut Ridge

How does your Therapist compare?

Number of Therapists in Chestnut Ridge, NY

< 10

Therapists in Chestnut Ridge, NY who prioritize treating:

100% Anxiety
80% Relationship Issues
80% Depression
80% Parenting
60% School Issues
60% Behavioral Issues
60% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
50% BlueCross and BlueShield
50% Oxford

How Therapists in Chestnut Ridge, NY see their clients

80% In Person and Online
20% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Chestnut Ridge?

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.