Therapists in Cuba, NY

Photo of Stacey Farris, Counselor in Cuba, NY
Stacey Farris
Counselor, MSEd, LMHC
Verified Verified
1 Endorsed
Cuba, NY 14727
Is life kicking the crap out of you? Are you walking around constantly anticipating the worst-case scenario? Do you feel like you’re just scraping by or living in “survival mode”? Are your relationships suffering because of your mood? Does it feel like a struggle to work, eat, sleep or even function? If any of that resonates with you, counseling can be a proactive step towards resolution. None of us want to simply "get by." I'm here as a well-seasoned guide to help you sort through what is holding you back, break through any pesky old patterns and to get back to living a life that feels a bit more sparkly! Woohoo!
Is life kicking the crap out of you? Are you walking around constantly anticipating the worst-case scenario? Do you feel like you’re just scraping by or living in “survival mode”? Are your relationships suffering because of your mood? Does it feel like a struggle to work, eat, sleep or even function? If any of that resonates with you, counseling can be a proactive step towards resolution. None of us want to simply "get by." I'm here as a well-seasoned guide to help you sort through what is holding you back, break through any pesky old patterns and to get back to living a life that feels a bit more sparkly! Woohoo!
(585) 382-1712 View (585) 382-1712
Photo of Dawn Kelley-Cowher, Counselor in Cuba, NY
Dawn Kelley-Cowher
Counselor, LMHC
Verified Verified
Cuba, NY 14727
I strive to provide a safe, non-judgmental space for empathetic communication. I encourage respectful, but compassionate boundaries to build trust, while also being comforted with therapeutic listening skills and the confidence to best support my clients. I have experience with assessment and utilize evidence-based treatment practices and person-centered approach to care. I assist individuals with relationship issues, anxiety, grief, crisis intervention including suicide prevention, disaster and trauma counseling, and I strive to facilitate the maximum use of treatment to allow the highest level of independence possible.
I strive to provide a safe, non-judgmental space for empathetic communication. I encourage respectful, but compassionate boundaries to build trust, while also being comforted with therapeutic listening skills and the confidence to best support my clients. I have experience with assessment and utilize evidence-based treatment practices and person-centered approach to care. I assist individuals with relationship issues, anxiety, grief, crisis intervention including suicide prevention, disaster and trauma counseling, and I strive to facilitate the maximum use of treatment to allow the highest level of independence possible.
(585) 536-1967 View (585) 536-1967
Photo of Gabrielle L Brainard, Clinical Social Work/Therapist in Cuba, NY
Gabrielle L Brainard
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Cuba, NY 14727  (Online Only)
Hello, I am an experienced Trauma Therapist trained in EMDR and Progressive Counting (PC). Eye Movement Desensitization and Reprocessing (EMDR) therapy is a unique mind-body based intervention most known for treating PTSD, generalized anxiety, depression, and performance anxiety. PC is a psychotherapy procedure for resolving trauma or loss memories via memory reconsolidation. I offer 100% virtual sessions. EMDR is a treatment approach to help people recover from traumatic memories or difficult life events. PC is aimed at resolving traumatic memories. Both are effective, efficient treatments; treatment lasts on average 3-6 months.
Hello, I am an experienced Trauma Therapist trained in EMDR and Progressive Counting (PC). Eye Movement Desensitization and Reprocessing (EMDR) therapy is a unique mind-body based intervention most known for treating PTSD, generalized anxiety, depression, and performance anxiety. PC is a psychotherapy procedure for resolving trauma or loss memories via memory reconsolidation. I offer 100% virtual sessions. EMDR is a treatment approach to help people recover from traumatic memories or difficult life events. PC is aimed at resolving traumatic memories. Both are effective, efficient treatments; treatment lasts on average 3-6 months.
(585) 440-9171 View (585) 440-9171
Photo of Clark Counseling Services, Clinical Social Work/Therapist in Cuba, NY
Clark Counseling Services
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cuba, NY 14727  (Online Only)
I have been working in the field for over 25 years. I have enjoyed helping people from all walks of life and age groups. I am a good listener and have lots of helpful information to assist people with reaching their goals and making self-improvements. It is important to build comfort and trust with your therapist. I would like to touch base with you and make sure we are a good fit. Some people need to explore issues and some need to skill build. Wherever you are at is where we will start.
I have been working in the field for over 25 years. I have enjoyed helping people from all walks of life and age groups. I am a good listener and have lots of helpful information to assist people with reaching their goals and making self-improvements. It is important to build comfort and trust with your therapist. I would like to touch base with you and make sure we are a good fit. Some people need to explore issues and some need to skill build. Wherever you are at is where we will start.
(585) 536-1632 View (585) 536-1632
Photo of Jeanine Rose, Counselor in Cuba, NY
Jeanine Rose
Counselor, BSW, MSEd, LMHC
Verified Verified
Cuba, NY 14727
I approach each session with an open mind and without judgment. Creating a supportive space is very important to my work with clients and allows each session to count . I have worked with people from all walks of life and all levels of emotional and mental wellness. Over the last 14 years, most of my sessions included Solution Focused and Cognitive Behavior approaches, however I select the most appropriate clinical approach for each of my clients.
I approach each session with an open mind and without judgment. Creating a supportive space is very important to my work with clients and allows each session to count . I have worked with people from all walks of life and all levels of emotional and mental wellness. Over the last 14 years, most of my sessions included Solution Focused and Cognitive Behavior approaches, however I select the most appropriate clinical approach for each of my clients.
(585) 534-3580 View (585) 534-3580
Photo of James Hunter in Cuba, NY
James Hunter
LMHC
Verified Verified
1 Endorsed
Cuba, NY 14727
I'm an old guy. I have the skills and ability to work with a wide range of people and a wide range of problems.
I'm an old guy. I have the skills and ability to work with a wide range of people and a wide range of problems.
(716) 261-3911 View (716) 261-3911
Photo of Sarah Michelle VanSkiver, Counselor in Cuba, NY
Sarah Michelle VanSkiver
Counselor, LMHC, CAS, MSEd
Verified Verified
2 Endorsed
Cuba, NY 14727
Hi there, and congratulations on taking the first step on your journey to wellness! Whether you are experiencing an anxiety you just cannot seem to shake, confusion about what direction to go in life, difficulty managing anger, having relationship/intimacy issues, trying to let go of an unhealthy habit, or maybe you just need an open-minded individual in your corner; I would be honored to be on your side and assist you along the way. Together, we can work to promote growth and reach your goals.
Hi there, and congratulations on taking the first step on your journey to wellness! Whether you are experiencing an anxiety you just cannot seem to shake, confusion about what direction to go in life, difficulty managing anger, having relationship/intimacy issues, trying to let go of an unhealthy habit, or maybe you just need an open-minded individual in your corner; I would be honored to be on your side and assist you along the way. Together, we can work to promote growth and reach your goals.
(585) 566-1911 View (585) 566-1911
Photo of Kristen L Shaffer, Counselor in Cuba, NY
Kristen L Shaffer
Counselor, LMHC, MSEd
Verified Verified
3 Endorsed
Cuba, NY 14727
Greetings! Thank you for taking the time to view my profile and congratulations to you on making this crucial step towards your wellness. I am a locally based therapist with approximately 12 years of experience. I have had the pleasure of working with patients from all walks of life and it's been an invaluable experience. I have specialized training in trauma treatment (EMDR and PC) and suicide prevention. I am highly adept at working with those struggling with anxiety, trauma and mood disorders. I utilize a wide range of modalities in my practice, but tend to lean towards psychoeducational, mindfulness based and trauma therapies.
Greetings! Thank you for taking the time to view my profile and congratulations to you on making this crucial step towards your wellness. I am a locally based therapist with approximately 12 years of experience. I have had the pleasure of working with patients from all walks of life and it's been an invaluable experience. I have specialized training in trauma treatment (EMDR and PC) and suicide prevention. I am highly adept at working with those struggling with anxiety, trauma and mood disorders. I utilize a wide range of modalities in my practice, but tend to lean towards psychoeducational, mindfulness based and trauma therapies.
(585) 378-4648 View (585) 378-4648

More Therapists Nearby

Photo of Amy Mann Counseling, Counselor in Cuba, NY
Amy Mann Counseling
Counselor, LMHC, MSEd
Verified Verified
Bolivar, NY 14715  (Online Only)
Our thoughts and experiences affect the way we view ourselves and the world. From the first session with a therapist, individuals should feel listened to and have increased hope for recovery. Addressing mental health issues can be overwhelming and scary, so I work with individuals to create a calming, safe, and trusting environment in the journey toward healing. One of the best decisions you can make is reaching out for help when you feel lost. I will be the guide to help you navigate your way and to help you find your strength. You are not alone.
Our thoughts and experiences affect the way we view ourselves and the world. From the first session with a therapist, individuals should feel listened to and have increased hope for recovery. Addressing mental health issues can be overwhelming and scary, so I work with individuals to create a calming, safe, and trusting environment in the journey toward healing. One of the best decisions you can make is reaching out for help when you feel lost. I will be the guide to help you navigate your way and to help you find your strength. You are not alone.
(585) 479-3064 View (585) 479-3064
Photo of Chris Sanchirico, Counselor in Cuba, NY
Chris Sanchirico
Counselor, LMHC, MSEd
Verified Verified
Olean, NY 14760  (Online Only)
Life is tough. Pain, both physical and mental, can overwhelm us, and we can lose all hope. But, there is always hope, always strength, always acceptance. If you feel overwhelmed and in pain, then its time to get to work. Together we can navigate through the suffering, heal wounds, experience growth, and find wisdom and meaning everywhere.
Life is tough. Pain, both physical and mental, can overwhelm us, and we can lose all hope. But, there is always hope, always strength, always acceptance. If you feel overwhelmed and in pain, then its time to get to work. Together we can navigate through the suffering, heal wounds, experience growth, and find wisdom and meaning everywhere.
(646) 825-6503 View (646) 825-6503

Online Therapists

Photo of Tracey E Reed, Clinical Social Work/Therapist in Cuba, NY
Tracey E Reed
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Irondequoit, NY 14617
People seek out therapy for many different reasons. Unexpected changes in our lives can be overwhelming and stressful. Perhaps you are feeling alone, confused, misunderstood. Maybe you find yourself at a crossroad in your life and don’t know what direction to take. It takes courage to ask for help. Therapy is a pathway for hope, growth and healing. As a therapist for over 20 years, I have worked with a large age range of people with a multitude of mental health disorders. I honor and respect your individuality, life story and the unique circumstances that brought you here. I welcome the opportunity to guide you on this journey.
People seek out therapy for many different reasons. Unexpected changes in our lives can be overwhelming and stressful. Perhaps you are feeling alone, confused, misunderstood. Maybe you find yourself at a crossroad in your life and don’t know what direction to take. It takes courage to ask for help. Therapy is a pathway for hope, growth and healing. As a therapist for over 20 years, I have worked with a large age range of people with a multitude of mental health disorders. I honor and respect your individuality, life story and the unique circumstances that brought you here. I welcome the opportunity to guide you on this journey.
(585) 449-9572 View (585) 449-9572
Photo of Betsy Farkas, Clinical Social Work/Therapist in Cuba, NY
Betsy Farkas
Clinical Social Work/Therapist, LMSW
Verified Verified
Buffalo, NY 14228
Changes in personal and professional relationships, as well as life events, can affect your emotional and physical health. Seeking therapy can be a step in the right direction. For many people, talking with a therapist, who is unbiased, can help them see their problems, triggers and responses to situations and then discover ways to take action! Having worked with people challenged by chronic illness, relationship conflicts, parenting issues and aging problems for over thirty years, I can offer you a safe space to work towards your personal goals.
Changes in personal and professional relationships, as well as life events, can affect your emotional and physical health. Seeking therapy can be a step in the right direction. For many people, talking with a therapist, who is unbiased, can help them see their problems, triggers and responses to situations and then discover ways to take action! Having worked with people challenged by chronic illness, relationship conflicts, parenting issues and aging problems for over thirty years, I can offer you a safe space to work towards your personal goals.
(716) 588-1731 View (716) 588-1731
Photo of Donna Fazekas, Clinical Social Work/Therapist in Cuba, NY
Donna Fazekas
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Hamburg, NY 14075
I have a diversified adult private practice. I have been counseling for over 25 years. I specialize in treating single adults (21 years of age and older), couples, and adults over age 65 who are encountering various problems. I specialize in treating anxiety and depression, grief and loss, change of life/different seasons counseling, senior adult issues, relationship issues, health related issues, divorce recovery, marital issues, co-dependency counseling, health related issues, mindfulness, and meditation. I provide an eclectic approach primarily focusing on cognitive behavioral therapy.
I have a diversified adult private practice. I have been counseling for over 25 years. I specialize in treating single adults (21 years of age and older), couples, and adults over age 65 who are encountering various problems. I specialize in treating anxiety and depression, grief and loss, change of life/different seasons counseling, senior adult issues, relationship issues, health related issues, divorce recovery, marital issues, co-dependency counseling, health related issues, mindfulness, and meditation. I provide an eclectic approach primarily focusing on cognitive behavioral therapy.
(716) 265-6085 View (716) 265-6085
Photo of Molly Kocher, Mental Health Counselor in Cuba, NY
Molly Kocher
Mental Health Counselor, LMHC
Verified Verified
Rochester, NY 14609  (Online Only)
Have you ever found yourself thinking that most things in your life are going well, but there are one or two issues holding your back? Or, have you ever wondered why you think or respond in certain ways? Perhaps you just want things to be "better," even if you're not sure what that would mean. Therapy can be a safe, reliable, and non-judgmental space to explore all of these questions and more. And, as your therapist, I will support you in developing greater insight and self-awareness about who you are and what you want out of life.
Have you ever found yourself thinking that most things in your life are going well, but there are one or two issues holding your back? Or, have you ever wondered why you think or respond in certain ways? Perhaps you just want things to be "better," even if you're not sure what that would mean. Therapy can be a safe, reliable, and non-judgmental space to explore all of these questions and more. And, as your therapist, I will support you in developing greater insight and self-awareness about who you are and what you want out of life.
(585) 566-2982 View (585) 566-2982
Photo of Susan Hart, Clinical Social Work/Therapist in Cuba, NY
Susan Hart
Clinical Social Work/Therapist
Verified Verified
Ithaca, NY 14850
I treat anxiety, depression, narcissism, grief, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
I treat anxiety, depression, narcissism, grief, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(315) 860-0044 View (315) 860-0044
Photo of Marnie Bambara, Clinical Social Work/Therapist in Cuba, NY
Marnie Bambara
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairport, NY 14450  (Online Only)
I truly believe that anyone can benefit from therapy no matter what you are struggling with, celebrating, or conflicted about. I’m committed to helping individuals be their best selves by providing a comforting and safe environment where you can explore anything you are looking for support with. Whatever your life situation is, you don't have to manage it alone. We can unpack it together. My goal as a psychotherapist is to bring out an individual's ability to thrive at their utmost potential. I combine a personalized therapeutic approach with evidence-based practices like cognitive behavioral therapy.
I truly believe that anyone can benefit from therapy no matter what you are struggling with, celebrating, or conflicted about. I’m committed to helping individuals be their best selves by providing a comforting and safe environment where you can explore anything you are looking for support with. Whatever your life situation is, you don't have to manage it alone. We can unpack it together. My goal as a psychotherapist is to bring out an individual's ability to thrive at their utmost potential. I combine a personalized therapeutic approach with evidence-based practices like cognitive behavioral therapy.
(406) 313-8979 View (406) 313-8979
Photo of Couple & Relationship Therapy: An MFT Practice , Marriage & Family Therapist in Cuba, NY
Couple & Relationship Therapy: An MFT Practice
Marriage & Family Therapist, LMFT, SEP
Verified Verified
Buffalo, NY 14203
Making the decision to come to therapy is a difficult & courageous one. We understand this & make every effort to create safety while challenging our clients to create the life they want. We specializing in treating couples who are struggling with communication challenges, sexual concerns, sexual dysfunction, parenting, recovering from affairs (emotional & physical). We have therapists who specialize in kink, nonmonogamy, sexual addiction, eating disorders, and healing from trauma/grief. We know how chaotic people's lives are, so we have availabity seven days a week & have evening hours. We look forward to helping you.
Making the decision to come to therapy is a difficult & courageous one. We understand this & make every effort to create safety while challenging our clients to create the life they want. We specializing in treating couples who are struggling with communication challenges, sexual concerns, sexual dysfunction, parenting, recovering from affairs (emotional & physical). We have therapists who specialize in kink, nonmonogamy, sexual addiction, eating disorders, and healing from trauma/grief. We know how chaotic people's lives are, so we have availabity seven days a week & have evening hours. We look forward to helping you.
(716) 462-5869 View (716) 462-5869
Photo of Julie Cenzi, Counselor in Cuba, NY
Julie Cenzi
Counselor, LBA, BCBA, LMHC
Verified Verified
East Rochester, NY 14445
Are you struggling with your child's behaviors? Do you feel like you've tried everything? I can help. I will work with you and your child to teach new skills to help them meet their needs in a more appropriate manner. I have over 15 years of experience working primarily with dually diagnosed children and adolescents. My expertise lies with those on the Autism Spectrum and those with challenging behavior. I typically use a combination of Applied Behavior Analysis and Cognitive Behavioral Therapy while focusing on strengths and building on those.
Are you struggling with your child's behaviors? Do you feel like you've tried everything? I can help. I will work with you and your child to teach new skills to help them meet their needs in a more appropriate manner. I have over 15 years of experience working primarily with dually diagnosed children and adolescents. My expertise lies with those on the Autism Spectrum and those with challenging behavior. I typically use a combination of Applied Behavior Analysis and Cognitive Behavioral Therapy while focusing on strengths and building on those.
(585) 682-2135 View (585) 682-2135
Photo of Mind Body and Soul Counseling, Pre-Licensed Professional in Cuba, NY
Mind Body and Soul Counseling
Pre-Licensed Professional, MHC-LP
Verified Verified
Fairport, NY 14450  (Online Only)
Hello and Welcome! My name is Stephanie Perez and I am a bilingual mental health counselor, with over a decade of experience working with children, adolescents, and adults. Together we will work on utilizing your own strengths to overcome your daily stressors and obstacles and help guide you to reach your maximum potential. My areas of training include individuals who struggle with anxiety, depression, substance abuse, ADHD, autism spectrum disorders, phobias, panic disorders and anger management.
Hello and Welcome! My name is Stephanie Perez and I am a bilingual mental health counselor, with over a decade of experience working with children, adolescents, and adults. Together we will work on utilizing your own strengths to overcome your daily stressors and obstacles and help guide you to reach your maximum potential. My areas of training include individuals who struggle with anxiety, depression, substance abuse, ADHD, autism spectrum disorders, phobias, panic disorders and anger management.
(585) 676-3745 View (585) 676-3745
Photo of Shawn James, Clinical Social Work/Therapist in Cuba, NY
Shawn James
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Rochester, NY 14607
I believe the therapeutic process is about relationship and connection. I love supporting people through the difficulties of life. In doing so, I love to laugh, joke, connect, be real, and down to earth. I have an audacious and thought provoking approach to treatment. My approach allows me to directly connect with clients in a manner that is comfortable and authentic. Through treatment I provide my clients with healthy challenges, and autonomy in guiding their own treatment. My goal is to provide a safe and supportive environment for clients.
I believe the therapeutic process is about relationship and connection. I love supporting people through the difficulties of life. In doing so, I love to laugh, joke, connect, be real, and down to earth. I have an audacious and thought provoking approach to treatment. My approach allows me to directly connect with clients in a manner that is comfortable and authentic. Through treatment I provide my clients with healthy challenges, and autonomy in guiding their own treatment. My goal is to provide a safe and supportive environment for clients.
(585) 304-1720 View (585) 304-1720

See more therapy options for Cuba

How does your Therapist compare?

Number of Therapists in Cuba, NY

< 10

Therapists in Cuba, NY who prioritize treating:

75% Relationship Issues
75% Depression
75% Anxiety
75% Coping Skills
63% Trauma and PTSD
63% Anger Management
63% Family Conflict

Average years in practice

17 Years

Top 3 insurances accepted

71% Aetna
71% Oxford
57% Cigna and Evernorth

How Therapists in Cuba, NY see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cuba?

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.