Therapists in New York, NY

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Photo of Zac Mordechai Levovitz, Clinical Social Work/Therapist, LMSW
Zac Mordechai Levovitz
Clinical Social Work/Therapist, LMSW
New York, NY 10019
With over 15 years of clinical experience with all ages, I have worked extensively with clients facing moments of transition, such as exploring identity, leaving restrictive environments, or coping with familial or societal rejection. I specialize in working with queer folk, poly/non-monogamous relationships, artists, performers, trans/nonbinary youth, their parents, & individuals navigating religious and cultural complexities. I offer in-person Ketamine and psychedelic therapy. My clients are highly accomplished professionals, families, & couples who seek clarity, connection, & resilience in the face of life’s challenges.
With over 15 years of clinical experience with all ages, I have worked extensively with clients facing moments of transition, such as exploring identity, leaving restrictive environments, or coping with familial or societal rejection. I specialize in working with queer folk, poly/non-monogamous relationships, artists, performers, trans/nonbinary youth, their parents, & individuals navigating religious and cultural complexities. I offer in-person Ketamine and psychedelic therapy. My clients are highly accomplished professionals, families, & couples who seek clarity, connection, & resilience in the face of life’s challenges.
(929) 346-0377 View (929) 346-0377
Photo of Alyssa Sanchez, Clinical Social Work/Therapist, LCSW
Alyssa Sanchez
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I am a bilingual Licensed Clinical Social Worker with over a decade of experience in the mental health field. Throughout my career, I have had the opportunity to work with diverse populations while maintaining a strong commitment to supporting emotional well-being. I specialize in working with adults and adolescents facing challenges related to ADHD, anxiety, depression, and the everyday struggles life can bring. My approach is collaborative and compassionate. We’ll work together to create personalized coping strategies, build resilience, and set meaningful, achievable goals to help you move forward with confidence.
I am a bilingual Licensed Clinical Social Worker with over a decade of experience in the mental health field. Throughout my career, I have had the opportunity to work with diverse populations while maintaining a strong commitment to supporting emotional well-being. I specialize in working with adults and adolescents facing challenges related to ADHD, anxiety, depression, and the everyday struggles life can bring. My approach is collaborative and compassionate. We’ll work together to create personalized coping strategies, build resilience, and set meaningful, achievable goals to help you move forward with confidence.
(929) 470-3721 View (929) 470-3721
Photo of Gavin Kenny, Psychologist, PsyD
Gavin Kenny
Psychologist, PsyD
2 Endorsed
New York, NY 10011
I take a collaborative, highly individualized approach to treatment that is warm and empathic. My approach is primarily psychodynamic, but I am also adept at utilizing integrative techniques from cognitive, humanistic, and experiential modalities when warranted. My work is informed by my training and experience at some of the nation's finest institutions, including Columbia University Medical Center, New York University, Rutgers University, and the National Institute for the Psychotherapies.
I take a collaborative, highly individualized approach to treatment that is warm and empathic. My approach is primarily psychodynamic, but I am also adept at utilizing integrative techniques from cognitive, humanistic, and experiential modalities when warranted. My work is informed by my training and experience at some of the nation's finest institutions, including Columbia University Medical Center, New York University, Rutgers University, and the National Institute for the Psychotherapies.
(347) 514-9828 View (347) 514-9828
Photo of Gudrun Opitz, Psychologist, PhD
Gudrun Opitz
Psychologist, PhD
New York, NY 10025
Feeling stuck? Find yourself having the same problems at work or in your personal relationships? Perhaps you can even identify specific ways you're sabotaging yourself... You are not alone. As part of development, we learn adaptive as well as maladaptive ways of coping; which can be frustrating and feel hopeless, but your life doesn't have to stay this way. With focused effort and collaboration, we can work to understand how your life got to this point and what you can do to make things better. Psychotherapy is about increasing awareness which leads to freedom.
Feeling stuck? Find yourself having the same problems at work or in your personal relationships? Perhaps you can even identify specific ways you're sabotaging yourself... You are not alone. As part of development, we learn adaptive as well as maladaptive ways of coping; which can be frustrating and feel hopeless, but your life doesn't have to stay this way. With focused effort and collaboration, we can work to understand how your life got to this point and what you can do to make things better. Psychotherapy is about increasing awareness which leads to freedom.
(646) 791-4170 View (646) 791-4170
Photo of Jennifer Batelic, Mental Health Counselor, LMHC-D, LPC(CT), CASAC-G
Jennifer Batelic
Mental Health Counselor, LMHC-D, LPC(CT), CASAC-G
1 Endorsed
New York, NY 10011
You may be someone who appears to be functioning on the outside—managing work, relationships, and daily responsibilities—while internally feeling overwhelmed, stuck, disconnected, or emotionally exhausted. I specialize in working with adults navigating trauma, anxiety, depression, relationship challenges, and unhealthy coping patterns, including substance use. I offer in-person sessions in Manhattan's Flatiron District, as well as secure telehealth throughout New York, Connecticut, Vermont, and Florida.
You may be someone who appears to be functioning on the outside—managing work, relationships, and daily responsibilities—while internally feeling overwhelmed, stuck, disconnected, or emotionally exhausted. I specialize in working with adults navigating trauma, anxiety, depression, relationship challenges, and unhealthy coping patterns, including substance use. I offer in-person sessions in Manhattan's Flatiron District, as well as secure telehealth throughout New York, Connecticut, Vermont, and Florida.
(929) 416-4038 View (929) 416-4038
Nikki Weishoff
Psychologist, PsyD
New York, NY 10001
I am a clinical psychologist licensed in both NY and NJ and would be grateful to assist you in navigating the obstacles that impede you from achieving your goals. I emphasize warmth, gratitude, and empathy in my practice, and hold space to collaborate, gently challenge one another, and examine relationships (including ours). I work psychodynamically and relationally to understand the root source of your concerns beyond presenting symptoms, and help you develop and enhance adaptive coping skills from there.
I am a clinical psychologist licensed in both NY and NJ and would be grateful to assist you in navigating the obstacles that impede you from achieving your goals. I emphasize warmth, gratitude, and empathy in my practice, and hold space to collaborate, gently challenge one another, and examine relationships (including ours). I work psychodynamically and relationally to understand the root source of your concerns beyond presenting symptoms, and help you develop and enhance adaptive coping skills from there.
(332) 244-3743 View (332) 244-3743
Photo of Michelle Sung, Licensed Master Social Worker, LMSW
Michelle Sung
Licensed Master Social Worker, LMSW
New York, NY 10165
I approach therapy with warmth, curiosity, and a deep belief that everyone is worthy of support—especially when life feels overwhelming or unclear. In our work together, I offer a collaborative space to explore your experiences, understand how past dynamics shape the present, and begin to build a more compassionate relationship with yourself. My approach is rooted in emotionally focused therapy, attachment theory, and psychodynamic frameworks. I support clients navigating anxiety, shame, relationship challenges, and life transitions with care and attunement.
I approach therapy with warmth, curiosity, and a deep belief that everyone is worthy of support—especially when life feels overwhelming or unclear. In our work together, I offer a collaborative space to explore your experiences, understand how past dynamics shape the present, and begin to build a more compassionate relationship with yourself. My approach is rooted in emotionally focused therapy, attachment theory, and psychodynamic frameworks. I support clients navigating anxiety, shame, relationship challenges, and life transitions with care and attunement.
(646) 891-4572 View (646) 891-4572
Photo of Ruth A Lippin, LCSW, JD
Ruth A Lippin
Verified Verified
2 Endorsed
New York, NY 10023
Ruth Lippin has been successfully treating children, adolescents, and adults struggling with anxiety and OCD, on the Upper West Side of Manhattan, for over 25 years. At Conquer Anxiety & OCD, Ruth has created a personalized, boutique practice where she uses cognitive behavioral therapy (CBT), exposure and response prevention (ERP), acceptance and commitment (ACT) therapy and mindfulness to achieve your goals. Ruth also helps people during life transitions that often cause a significant amount of distress and anxiety.
Ruth Lippin has been successfully treating children, adolescents, and adults struggling with anxiety and OCD, on the Upper West Side of Manhattan, for over 25 years. At Conquer Anxiety & OCD, Ruth has created a personalized, boutique practice where she uses cognitive behavioral therapy (CBT), exposure and response prevention (ERP), acceptance and commitment (ACT) therapy and mindfulness to achieve your goals. Ruth also helps people during life transitions that often cause a significant amount of distress and anxiety.
(646) 600-8214 View (646) 600-8214
Photo of Sarah Bees Nathan, Clinical Social Work/Therapist, LCSW
Sarah Bees Nathan
Clinical Social Work/Therapist, LCSW
Online Only
Feeling "stuck"? Dissatisfied in your relationships? Struggling with uncertainty? In a period of transition of adjustment? Perhaps old patterns of behavior are no longer serving you now. There is no issue too big or too small. While infinitely diverse and complex, we all seek to be understood. Therapy is a dynamic journey of self-discovery and personal growth toward living an intentional, authentic, and more satisfying life in the face of the inevitable ebbs and flow of life. We will partner together to explore dynamics of the past, develop insight in the present, and access your innate capacities for changing your future.
Feeling "stuck"? Dissatisfied in your relationships? Struggling with uncertainty? In a period of transition of adjustment? Perhaps old patterns of behavior are no longer serving you now. There is no issue too big or too small. While infinitely diverse and complex, we all seek to be understood. Therapy is a dynamic journey of self-discovery and personal growth toward living an intentional, authentic, and more satisfying life in the face of the inevitable ebbs and flow of life. We will partner together to explore dynamics of the past, develop insight in the present, and access your innate capacities for changing your future.
(347) 514-6418 View (347) 514-6418
Photo of Aramis Grant, LPMFT
Aramis Grant
Verified Verified
1 Endorsed
Online Only
I work with individuals and couples who want to feel more connected, understood, and confident in their relationships and in themselves. Whether you are navigating challenges in a partnership, improving communication, or exploring personal goals, I provide a supportive and practical space to focus on what matters most to you. I specialize in goal-oriented, focused work to help clients create meaningful and targeted change. At the same time, I understand that life is ongoing and many challenges take time. I am flexible and adaptable, and I continue working with clients for as long as they need support to grow and reach their goals.
I work with individuals and couples who want to feel more connected, understood, and confident in their relationships and in themselves. Whether you are navigating challenges in a partnership, improving communication, or exploring personal goals, I provide a supportive and practical space to focus on what matters most to you. I specialize in goal-oriented, focused work to help clients create meaningful and targeted change. At the same time, I understand that life is ongoing and many challenges take time. I am flexible and adaptable, and I continue working with clients for as long as they need support to grow and reach their goals.
(929) 207-5573 View (929) 207-5573
Photo of Jessie Adam, Pre-Licensed Professional, MHC-I
Jessie Adam
Pre-Licensed Professional, MHC-I
New York, NY 10012
I’m Jessie, and my therapy journey began with a deep desire to walk alongside others through the complexities of life. I know what it’s like to carry the weight of others' expectations while slowly losing sight of your own needs, voice, and identity. I believe that we all deserve support as we navigate life’s challenges—not just to survive them, but to grow and move forward with greater self-awareness and confidence. Whether you're facing anxiety, relationship struggles, burnout, or a desire for deeper self-understanding, I’m here to support you.
I’m Jessie, and my therapy journey began with a deep desire to walk alongside others through the complexities of life. I know what it’s like to carry the weight of others' expectations while slowly losing sight of your own needs, voice, and identity. I believe that we all deserve support as we navigate life’s challenges—not just to survive them, but to grow and move forward with greater self-awareness and confidence. Whether you're facing anxiety, relationship struggles, burnout, or a desire for deeper self-understanding, I’m here to support you.
(347) 830-7238 View (347) 830-7238
Photo of Angelo Boccia Cedeño, Psychologist, PhD
Angelo Boccia Cedeño
Psychologist, PhD
Online Only
I offer video appointments for adults located anywhere in New York State. Whether you've done psychotherapy in the past or this is your first time looking, psychotherapy can be a rewarding experience. We might know what we'd like to change, and other times this might be less clear even though we want something different. Wherever you are on this continuum, I hope I can be of help to you in your search for change. Generally speaking, my style incorporates your talents, abilities, strengths, values, and creative interests - the elements that make you unique and that are not captured by a psychiatric diagnosis - in our work.
I offer video appointments for adults located anywhere in New York State. Whether you've done psychotherapy in the past or this is your first time looking, psychotherapy can be a rewarding experience. We might know what we'd like to change, and other times this might be less clear even though we want something different. Wherever you are on this continuum, I hope I can be of help to you in your search for change. Generally speaking, my style incorporates your talents, abilities, strengths, values, and creative interests - the elements that make you unique and that are not captured by a psychiatric diagnosis - in our work.
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Photo of Lauren Vigilante, Clinical Social Work/Therapist, LCSW
Lauren Vigilante
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed psychotherapist in NYC, working with individuals who have experienced trauma, depression, and anxiety. As a trauma-informed therapist, I strive to create safety and trust within the therapeutic relationship. You are the expert of your life and I am here to work collaboratively with you in healing your mind and body. We will work to remove any unconscious blocks that may be hindering your growth or causing any psychological, emotional, or physical stress.
I am a licensed psychotherapist in NYC, working with individuals who have experienced trauma, depression, and anxiety. As a trauma-informed therapist, I strive to create safety and trust within the therapeutic relationship. You are the expert of your life and I am here to work collaboratively with you in healing your mind and body. We will work to remove any unconscious blocks that may be hindering your growth or causing any psychological, emotional, or physical stress.
(332) 301-3756 View (332) 301-3756
Photo of Jason Duncan, Psychologist, PhD
Jason Duncan
Psychologist, PhD
New York, NY 10023
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of Avery Egerton-Warburton, LMSW
Avery Egerton-Warburton
Verified Verified
9 Endorsed
New York, NY 10010
Lauren is the type of provider who shows up to each session authentically and genuinely. By keeping it real, while also empathizing with her clients' unique perspectives, she facilitates an environment where getting vulnerable can actually feel comfortable, not intimidating. She has an outgoing and warm demeanor that makes it easy for clients to feel instantly connected. Clients have shared that in working with Lauren they have felt truly seen and heard as she has exceptional attention to detail and empathizes with the challenges they are bringing into session.
Lauren is the type of provider who shows up to each session authentically and genuinely. By keeping it real, while also empathizing with her clients' unique perspectives, she facilitates an environment where getting vulnerable can actually feel comfortable, not intimidating. She has an outgoing and warm demeanor that makes it easy for clients to feel instantly connected. Clients have shared that in working with Lauren they have felt truly seen and heard as she has exceptional attention to detail and empathizes with the challenges they are bringing into session.
(332) 249-1748 View (332) 249-1748
Photo of Nicoleen Prince-Burrell, Clinical Social Work/Therapist, LCSW, CFA
Nicoleen Prince-Burrell
Clinical Social Work/Therapist, LCSW, CFA
2 Endorsed
New York, NY 10017
I am a licensed therapist who provides trauma-informed care and specializes in EMDR. I am also a Chartered Financial Analyst who previously spent 20 years working in the financial industry. I understand the intricacies of being a working professional, including coping with workplace dynamics and stress, which can lead to mental health issues and impact other areas of your life. I am here to guide you on your journey to improving your well-being, through self-awareness and acceptance.
I am a licensed therapist who provides trauma-informed care and specializes in EMDR. I am also a Chartered Financial Analyst who previously spent 20 years working in the financial industry. I understand the intricacies of being a working professional, including coping with workplace dynamics and stress, which can lead to mental health issues and impact other areas of your life. I am here to guide you on your journey to improving your well-being, through self-awareness and acceptance.
(646) 849-6799 View (646) 849-6799
Photo of Katherine L Lee - Moon and Arrow Psych, Clinical Social Work/Therapist, LCSW
Moon and Arrow Psych
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Welcome! I am a Licensed Clinical Social Worker, and I integrate astrology as a tool within an evidence-based therapeutic framework and use archetypal systems (like astrology) to help clients better understand themselves. Through depth psychotherapy informed by my training in IFS, combined with symbolic concepts, I help clients navigate complex life transitions and transform persistent relational or emotional patterns. Together, we explore deeper roots of your experiences so that insight becomes meaningful, lasting change.
Welcome! I am a Licensed Clinical Social Worker, and I integrate astrology as a tool within an evidence-based therapeutic framework and use archetypal systems (like astrology) to help clients better understand themselves. Through depth psychotherapy informed by my training in IFS, combined with symbolic concepts, I help clients navigate complex life transitions and transform persistent relational or emotional patterns. Together, we explore deeper roots of your experiences so that insight becomes meaningful, lasting change.
(347) 830-7088 View (347) 830-7088
Photo of George Kingsley, Psychologist, PhD, LCSW
George Kingsley
Psychologist, PhD, LCSW
4 Endorsed
New York, NY 10001
If you are looking for a psychologist your most pressing need is probably relief from psychological discomfort or pain. My initial focus is to help you understand what you are dealing with, what contributes to it and how to address it in a way that leads to feeling better and making lasting emotional change. Another important part of your treatment would be understanding your problems in a way that is not only useful, but that also resonates with your sense of who you are and provides you with a greater understanding of yourself.
If you are looking for a psychologist your most pressing need is probably relief from psychological discomfort or pain. My initial focus is to help you understand what you are dealing with, what contributes to it and how to address it in a way that leads to feeling better and making lasting emotional change. Another important part of your treatment would be understanding your problems in a way that is not only useful, but that also resonates with your sense of who you are and provides you with a greater understanding of yourself.
(917) 725-3189 View (917) 725-3189
Photo of John Rubin, Clinical Social Work/Therapist, LCSW
John Rubin
Clinical Social Work/Therapist, LCSW
Online Only
John is a Licensed Certified Social Worker (LCSW) in the state of New York and received his Master’s Degree in Social Work from Columbia University. John has worked with diverse populations in a variety of settings including community mental health and private practice. He has experience treating adolescents and adults and specializes in anxiety, depression, and ADHD. Clients find that John’s personable disposition and sense of humor creates a supportive and safe environment where issues can be collaboratively explored.
John is a Licensed Certified Social Worker (LCSW) in the state of New York and received his Master’s Degree in Social Work from Columbia University. John has worked with diverse populations in a variety of settings including community mental health and private practice. He has experience treating adolescents and adults and specializes in anxiety, depression, and ADHD. Clients find that John’s personable disposition and sense of humor creates a supportive and safe environment where issues can be collaboratively explored.
(860) 850-1211 View (860) 850-1211
Photo of Tasha Valentino, Marriage & Family Therapist, LMFT
Tasha Valentino
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Tasha Valentino. I am a Licensed Marriage and Family Therapist in the State of New York trained in working with individuals, couples, and families. Are you feeling stressed, discouraged, or lost? My specialization is working with those who want to work towards healing unwanted symptoms. Therapy provides incredible benefits, including emotional support, improved mental health, increased self-awareness, enhanced coping skills and personal growth and self-development.
Hello, my name is Tasha Valentino. I am a Licensed Marriage and Family Therapist in the State of New York trained in working with individuals, couples, and families. Are you feeling stressed, discouraged, or lost? My specialization is working with those who want to work towards healing unwanted symptoms. Therapy provides incredible benefits, including emotional support, improved mental health, increased self-awareness, enhanced coping skills and personal growth and self-development.
(646) 762-5469 View (646) 762-5469

See more therapy options for New York

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
88% Depression
83% Relationship Issues
80% Relationship Anxiety

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
67% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in New York, NY see their clients

55% In Person and Online
45% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.