Therapists in Fulton County, NY

View cities in Fulton County
Photo of Southern Adirondack Counseling Services, Counselor in Fulton County, NY
Southern Adirondack Counseling Services
Counselor, LMHC, LPC, NCC, MA
Verified Verified
Mayfield, NY 12117  (Online Only)
We do not take insurance at this time. Text or email is the easiest form of contact to respond to during the workday. Currently offering tele-therapy only. I have a passion and enthusiasm for guiding clients through the journey of finding balance and happiness in their life through solutions-based therapy. I have had the privilege of working with Active Duty military, Veterans and First Responders for over 10 years through my work and volunteerism as a Mental Health Evaluator. I know how stress, anxiety, and the unknown can affect a person and their family.
We do not take insurance at this time. Text or email is the easiest form of contact to respond to during the workday. Currently offering tele-therapy only. I have a passion and enthusiasm for guiding clients through the journey of finding balance and happiness in their life through solutions-based therapy. I have had the privilege of working with Active Duty military, Veterans and First Responders for over 10 years through my work and volunteerism as a Mental Health Evaluator. I know how stress, anxiety, and the unknown can affect a person and their family.
(518) 519-3783 View (518) 519-3783
Photo of Beth Blaha, Psychologist in Fulton County, NY
Beth Blaha
Psychologist, PsyD
Verified Verified
Gloversville, NY 12078  (Online Only)
My ideal client is one who does not yet recognize the extent of their power and choices available to them. One who has a sense of humor and is ready to try out new ways of being, trying on new ways of seeing themselves and the world.
My ideal client is one who does not yet recognize the extent of their power and choices available to them. One who has a sense of humor and is ready to try out new ways of being, trying on new ways of seeing themselves and the world.
(838) 202-6198 View (838) 202-6198
Photo of Jaydene Albert, Clinical Social Work/Therapist in Fulton County, NY
Jaydene Albert
Clinical Social Work/Therapist, RN, , LCSW-R
Verified Verified
Gloversville, NY 12078  (Online Only)
I am a Licensed Clinical Social Worker and Registered Nurse with over 40 years of experience. My specialties include, depression, anxiety, trauma, dependency, co-dependency, medical illnesses and life challenges, due to these issues. You may have tried to figure out how to move forward in your life and feel stuck. If you are open to change, by learning new skills, or wanting to learn more about the decisions you have made thus far, then exploring new ways of thinking and behaving are ideas to practice in a warm, supportive environment.
I am a Licensed Clinical Social Worker and Registered Nurse with over 40 years of experience. My specialties include, depression, anxiety, trauma, dependency, co-dependency, medical illnesses and life challenges, due to these issues. You may have tried to figure out how to move forward in your life and feel stuck. If you are open to change, by learning new skills, or wanting to learn more about the decisions you have made thus far, then exploring new ways of thinking and behaving are ideas to practice in a warm, supportive environment.
(518) 839-2404 View (518) 839-2404
Photo of Cynthia L Aronson, Clinical Social Work/Therapist in Fulton County, NY
Cynthia L Aronson
Clinical Social Work/Therapist, LCSWR
Verified Verified
Johnstown, NY 12095
Offer client focused approach to help persons find their resilience again through use of technique, compassion, identifying patterns which contribute to the difficulties and establishing healthier ones. Focus on positive coping skills, problem solving, goal setting and stress management. Experienced with anxiety/depression, trauma, family issues, work related stress, relationship interactions, addiction and mental health difficulties, grief and loss. I have worked in two federally qualified health centers using integrated approaches to assist people in reaching better health outcomes and managing chronic conditions.
Offer client focused approach to help persons find their resilience again through use of technique, compassion, identifying patterns which contribute to the difficulties and establishing healthier ones. Focus on positive coping skills, problem solving, goal setting and stress management. Experienced with anxiety/depression, trauma, family issues, work related stress, relationship interactions, addiction and mental health difficulties, grief and loss. I have worked in two federally qualified health centers using integrated approaches to assist people in reaching better health outcomes and managing chronic conditions.
(518) 990-8069 View (518) 990-8069
Photo of Cynthia Forker, Clinical Social Work/Therapist in Fulton County, NY
Cynthia Forker
Clinical Social Work/Therapist, LCSWR
Verified Verified
Gloversville, NY 12078
I am a therapist of 30 years, who enjoys assisting people develop insight and practical strategies to improve the quality of their relationship with themselves and with those they spend majority of their time with. I have worked with children, adolescents , adults, couples , families and groups and can adapt my methods to meet many needs. I provide other professionals supervision and training to enhance client care. I am equipped to assist you with trauma, lossand depression. I have raised a family of my own, lived rurally, in cities and internationally enabling me to develop a broad understanding of our universal human condition.
I am a therapist of 30 years, who enjoys assisting people develop insight and practical strategies to improve the quality of their relationship with themselves and with those they spend majority of their time with. I have worked with children, adolescents , adults, couples , families and groups and can adapt my methods to meet many needs. I provide other professionals supervision and training to enhance client care. I am equipped to assist you with trauma, lossand depression. I have raised a family of my own, lived rurally, in cities and internationally enabling me to develop a broad understanding of our universal human condition.
(855) 808-6965 View (855) 808-6965
Photo of Elaf Z. Gassmalla in Fulton County, NY
Elaf Z. Gassmalla
MSci, MHC-LP, CASAC
Verified Verified
1 Endorsed
Gloversville, NY 12078  (Online Only)
Are you feeling overwhelmed dealing with uncertainty? Anxious or Depressed? Are you coping with a major life transition? I have worked with individuals who struggle with co-occurring disorders; substance use diagnoses, depression, and anxiety. Along with crisis interventions. When working with other individuals I utilize my active listening skills, displaying compassion and empathy.
Are you feeling overwhelmed dealing with uncertainty? Anxious or Depressed? Are you coping with a major life transition? I have worked with individuals who struggle with co-occurring disorders; substance use diagnoses, depression, and anxiety. Along with crisis interventions. When working with other individuals I utilize my active listening skills, displaying compassion and empathy.
(518) 535-3896 x101 View (518) 535-3896 x101
Photo of Changing Perspectives Therapy, Clinical Social Work/Therapist in Fulton County, NY
Changing Perspectives Therapy
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
Gloversville, NY 12078  (Online Only)
We are a small group of independent therapists who have joined together to assist you in gaining empowerment and making decisions aligned with your authentic self. Some of us come with a desire to end deep emotional suffering, others to resolve issues in life whether it is work/school related, family dynamics, or difficulties with interpersonal relationships. Others turn to therapy out of wanting to have a deeper understanding of ourselves and our engagement in repetitive behaviors and viscous cycles that keep us stuck in old patterns, “dysfunctional comfort”.
We are a small group of independent therapists who have joined together to assist you in gaining empowerment and making decisions aligned with your authentic self. Some of us come with a desire to end deep emotional suffering, others to resolve issues in life whether it is work/school related, family dynamics, or difficulties with interpersonal relationships. Others turn to therapy out of wanting to have a deeper understanding of ourselves and our engagement in repetitive behaviors and viscous cycles that keep us stuck in old patterns, “dysfunctional comfort”.
(518) 851-8143 View (518) 851-8143
Photo of Daniel Mossel, Counselor in Fulton County, NY
Daniel Mossel
Counselor, LMHC
Verified Verified
Gloversville, NY 12078  (Online Only)
As part of my counseling, I work with students and professionals who want to try modern therapy. Many of my clients want to overcome the stress of significant life changes that have challenged their beliefs about themselves and others. I emphasize choice and collaboration over "knowing what is best for you." I enjoy working with individuals that struggle with indecisiveness, especially when it comes to overthinking what others might think of you. I work well with clients that would like to how to understand their inner critic and respond to those beliefs about whether you are "worth it" a helpful manner.
As part of my counseling, I work with students and professionals who want to try modern therapy. Many of my clients want to overcome the stress of significant life changes that have challenged their beliefs about themselves and others. I emphasize choice and collaboration over "knowing what is best for you." I enjoy working with individuals that struggle with indecisiveness, especially when it comes to overthinking what others might think of you. I work well with clients that would like to how to understand their inner critic and respond to those beliefs about whether you are "worth it" a helpful manner.
(518) 240-9099 View (518) 240-9099
Photo of Melissa J Jackson, Psychologist in Fulton County, NY
Melissa J Jackson
Psychologist, PhD
Verified Verified
Gloversville, NY 12078
Waitlist for new clients
Whether you are seeking help for yourself, your teen, or your family, you've come to the right place. If you are ready to make some changes and figure out the core of what is causing the distress, disruption, or unease, we can work together to figure out the best ways to help you (or your teen) move forward in a healthy way. So many times, we spin in circles trying to figure out which direction to go.  People get caught in their own heads, so it's hard to make sense of all of the thoughts/feelings. You no longer need to be trapped in that cycle alone. We can work together to pick out the pieces that will help you create balance.
Whether you are seeking help for yourself, your teen, or your family, you've come to the right place. If you are ready to make some changes and figure out the core of what is causing the distress, disruption, or unease, we can work together to figure out the best ways to help you (or your teen) move forward in a healthy way. So many times, we spin in circles trying to figure out which direction to go.  People get caught in their own heads, so it's hard to make sense of all of the thoughts/feelings. You no longer need to be trapped in that cycle alone. We can work together to pick out the pieces that will help you create balance.
(518) 900-3553 View (518) 900-3553
Photo of Patricia A Huber, Clinical Social Work/Therapist in Fulton County, NY
Patricia A Huber
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Broadalbin, NY 12025  (Online Only)
Waitlist for new clients
Having completed my degree from the State University of New York at Albany in 1999, I now work as a Licensed Clinical Social Worker with a wealth of experience in individual and group psychotherapy, program development, management, and clinical supervision. My areas of interest include the use of technology in social work and implementing a strength-based approach toward recovery. I utilize Cognitive Behavioral Techniques to facilitate a shift toward more realistic thinking patterns. I firmly believe in forming a collaborative partnership with my clients to guide them on their journey toward recovery. Your journey starts here.
Having completed my degree from the State University of New York at Albany in 1999, I now work as a Licensed Clinical Social Worker with a wealth of experience in individual and group psychotherapy, program development, management, and clinical supervision. My areas of interest include the use of technology in social work and implementing a strength-based approach toward recovery. I utilize Cognitive Behavioral Techniques to facilitate a shift toward more realistic thinking patterns. I firmly believe in forming a collaborative partnership with my clients to guide them on their journey toward recovery. Your journey starts here.
(518) 245-3257 View (518) 245-3257
Photo of Dr Donna Riley Office of LCSW, PLLC, Clinical Social Work/Therapist in Fulton County, NY
Dr Donna Riley Office of LCSW, PLLC
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Johnstown, NY 12095
Dr. Donna Riley Office of Licensed Clinical Social Work, PLLC, is a group of independent clinical social workers serving the mental, emotional, and spiritual needs of Long Islanders under the umbrella of Dr. Donna Riley Office of Licensed Clinical Social Work, PLLC. Our independent social workers have a client-centered approach with an empathic presence that creates a safe space for individuals, couples, groups, and families. We believe every person can live a happy, healthy life. Every individual possesses innate strengths to overcome adversity, trauma, and stress.
Dr. Donna Riley Office of Licensed Clinical Social Work, PLLC, is a group of independent clinical social workers serving the mental, emotional, and spiritual needs of Long Islanders under the umbrella of Dr. Donna Riley Office of Licensed Clinical Social Work, PLLC. Our independent social workers have a client-centered approach with an empathic presence that creates a safe space for individuals, couples, groups, and families. We believe every person can live a happy, healthy life. Every individual possesses innate strengths to overcome adversity, trauma, and stress.
(631) 616-8833 View (631) 616-8833
Photo of Cynthia Alexander, Mental Health Counselor in Fulton County, NY
Cynthia Alexander
Mental Health Counselor, LMHC, CASAC
Verified Verified
Johnstown, NY 12095  (Online Only)
Waitlist for new clients
There are times in our lives when we struggle to cope with life stressors and transitions. Seeking therapy is an important first step in helping you overcome obstacles and personal challenges. Working with a therapist you trust can help you identify goals, find solutions to problems, improve communication, and develop healthy coping strategies. Achieving and maintaining optimal mental health can lessen emotional turmoil, strengthen self-esteem, and make life more manageable.
There are times in our lives when we struggle to cope with life stressors and transitions. Seeking therapy is an important first step in helping you overcome obstacles and personal challenges. Working with a therapist you trust can help you identify goals, find solutions to problems, improve communication, and develop healthy coping strategies. Achieving and maintaining optimal mental health can lessen emotional turmoil, strengthen self-esteem, and make life more manageable.
(315) 659-9673 View (315) 659-9673
Photo of Amanda Wilson, Counselor in Fulton County, NY
Amanda Wilson
Counselor, LMHC
Verified Verified
Johnstown, NY 12095
Have you been struggling with depression or anxiety in your life and need someone to talk to? Therapy can be a safe place to work through any struggles you might be having. I have spent the last 14 years helping various adults and children overcome barriers and help achieve the goals they have set for themselves. I also offer both in person and telehealth appointments depending on each person's preference.
Have you been struggling with depression or anxiety in your life and need someone to talk to? Therapy can be a safe place to work through any struggles you might be having. I have spent the last 14 years helping various adults and children overcome barriers and help achieve the goals they have set for themselves. I also offer both in person and telehealth appointments depending on each person's preference.
(518) 765-7358 View (518) 765-7358
Photo of Clearwater Counseling Associates, Clinical Social Work/Therapist in Fulton County, NY
Clearwater Counseling Associates
Clinical Social Work/Therapist
Verified Verified
Gloversville, NY 12078
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
(347) 650-2616 View (347) 650-2616

Online Therapists

Photo of Julianne Patterson, Clinical Social Work/Therapist in Fulton County, NY
Julianne Patterson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Troy, NY 12180  (Online Only)
Are you experiencing frequent conflicts and arguments about the same things, but nothing ever seems to get resolved? Do you feel the harder you try to make things better, the worse it seems to get? When people feel they are underappreciated, misunderstood, or blamed for things that don't feel are their fault, people stop listening and can become stuck pointing fingers and assigning blame. No one is changing behaviors or focused on solutions. All you know is you feel stuck, scared and realize that your family relationships are in trouble and need help.
Are you experiencing frequent conflicts and arguments about the same things, but nothing ever seems to get resolved? Do you feel the harder you try to make things better, the worse it seems to get? When people feel they are underappreciated, misunderstood, or blamed for things that don't feel are their fault, people stop listening and can become stuck pointing fingers and assigning blame. No one is changing behaviors or focused on solutions. All you know is you feel stuck, scared and realize that your family relationships are in trouble and need help.
(518) 849-8559 View (518) 849-8559
Photo of Courtney L Butler, Clinical Social Work/Therapist in Fulton County, NY
Courtney L Butler
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12208  (Online Only)
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
(518) 310-4583 View (518) 310-4583
Photo of Stephanne Pleshette, Clinical Social Work/Therapist in Fulton County, NY
Stephanne Pleshette
Clinical Social Work/Therapist, LCSW
Verified Verified
Ruby, NY 12475  (Online Only)
I have been an individual and family/couples therapist for more than 25 years - It is reassuring to see all the changes that have developed over time. There are so many options for people including brief consultations as well as video sessions. I think people today are more comfortable creating good smart relationships with therapists and are seeking out a good fit. The internet helps with this. For me, a good fit would be someone who is ready for work, has an open mind, and is curious about themselves and interested in making change. I am a clinician who is direct and fairly straIght forward as well as supportive and kind.
I have been an individual and family/couples therapist for more than 25 years - It is reassuring to see all the changes that have developed over time. There are so many options for people including brief consultations as well as video sessions. I think people today are more comfortable creating good smart relationships with therapists and are seeking out a good fit. The internet helps with this. For me, a good fit would be someone who is ready for work, has an open mind, and is curious about themselves and interested in making change. I am a clinician who is direct and fairly straIght forward as well as supportive and kind.
(518) 765-1108 View (518) 765-1108
Photo of Agnes Timberger, Clinical Social Work/Therapist in Fulton County, NY
Agnes Timberger
Clinical Social Work/Therapist, MSW, CSW, LCSW
Verified Verified
1 Endorsed
New York, NY 10025  (Online Only)
I specialize working with adults who struggle with anxiety, depression, past or present disturbing experiences, helping them thrive, grow, develop coping skills in life transitions, improve relationships with family, adult children, friends, bosses, coworkers. I am a seasoned (30+ years) therapist who provides a compassionate, non judgmental, understanding, Christian ear attentive to your struggles and uses research proven, evidence based wholistic methods, CBT, solution focused, motivational positive self talk.
I specialize working with adults who struggle with anxiety, depression, past or present disturbing experiences, helping them thrive, grow, develop coping skills in life transitions, improve relationships with family, adult children, friends, bosses, coworkers. I am a seasoned (30+ years) therapist who provides a compassionate, non judgmental, understanding, Christian ear attentive to your struggles and uses research proven, evidence based wholistic methods, CBT, solution focused, motivational positive self talk.
(845) 690-4842 View (845) 690-4842
Photo of Jodi N. Rogers, Counselor in Fulton County, NY
Jodi N. Rogers
Counselor, LMHC
Verified Verified
Delmar, NY 12054  (Online Only)
We are all different people with different experiences, needs, and challenges in life. We will partner as a team as I support you in establishing your goals. We will work together to develop best-fit approaches in addressing any emotional issues. I will support you unconditionally as you acquire new tools that boost coping and communication skills, improve self-esteem, and promote changes in unwanted behavior. Therapy can be a source of comfort, a place where you "let go" of stress, and a space that helps you feel energized. The process of therapy can even be "fun" as you strive toward improved mental and emotional well-being.
We are all different people with different experiences, needs, and challenges in life. We will partner as a team as I support you in establishing your goals. We will work together to develop best-fit approaches in addressing any emotional issues. I will support you unconditionally as you acquire new tools that boost coping and communication skills, improve self-esteem, and promote changes in unwanted behavior. Therapy can be a source of comfort, a place where you "let go" of stress, and a space that helps you feel energized. The process of therapy can even be "fun" as you strive toward improved mental and emotional well-being.
(518) 400-5071 View (518) 400-5071
Photo of Sarah Hoefer, Counselor in Fulton County, NY
Sarah Hoefer
Counselor, MS, LMHC
Verified Verified
1 Endorsed
East Syracuse, NY 13057  (Online Only)
Now accepting new clients for EMDR! Are you zoning out on this page right now hoping the answers to your problems will magically materialize? Scrolling on here in the late hours of the evening because your mind just won’t stop racing? (Caught ya, but you’ve come to the right place.) You’ve been dealing with a lot that life has been throwing at you lately and it’s hard to just keep up, let alone feel like yourself. You’re tired of keeping it all locked up in your head, putting on a fake smile for the people in your life day in and day out while you’re ready to explode from the pressure inside.
Now accepting new clients for EMDR! Are you zoning out on this page right now hoping the answers to your problems will magically materialize? Scrolling on here in the late hours of the evening because your mind just won’t stop racing? (Caught ya, but you’ve come to the right place.) You’ve been dealing with a lot that life has been throwing at you lately and it’s hard to just keep up, let alone feel like yourself. You’re tired of keeping it all locked up in your head, putting on a fake smile for the people in your life day in and day out while you’re ready to explode from the pressure inside.
(315) 897-8561 View (315) 897-8561

See more therapy options for Fulton County

How does your Therapist compare?

Number of Therapists in Fulton County, NY

10+

Average cost per session

$100

Therapists in Fulton County, NY who prioritize treating:

93% Depression
93% Anxiety
79% Relationship Issues
64% Grief
64% Coping Skills
57% Trauma and PTSD
57% Self Esteem

Average years in practice

16 Years

Top 3 insurances accepted

83% Empire BlueCross BlueShield
75% Aetna
75% Cigna and Evernorth

How Therapists in Fulton County, NY see their clients

57% Online Only
43% In Person and Online

Gender breakdown

82% Female
9% Male
9% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Fulton County?

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.