Therapists in Little Italy, New York, NY

Photo of Sam Fortune, LCSW, Clinical Social Work/Therapist
Sam Fortune
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Italy, New York, NY 10013  (Online Only)
Life can be overwhelming with complex and unexpected stressors occurring everyday. It can also feel isolating and overwhelming when you feel like no one understands you or find someone to talk to about your struggles. While reaching out for help can be scary and even somewhat intimidating, it can lead you on a new path in finding yourself in a rewarding experience.
Life can be overwhelming with complex and unexpected stressors occurring everyday. It can also feel isolating and overwhelming when you feel like no one understands you or find someone to talk to about your struggles. While reaching out for help can be scary and even somewhat intimidating, it can lead you on a new path in finding yourself in a rewarding experience.
(347) 851-1059 View (347) 851-1059
Photo of Laura Isherwood, LCSW, Clinical Social Work/Therapist
Laura Isherwood
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Italy, New York, NY 10013  (Online Only)
In the face of life's unexpected and expected challenges, including issues related to communication, relationships, loneliness, loss, anxiety, or depression, I strive to create a judgment-free space. Struggles that once felt manageable might now seem overwhelming. My aim is to facilitate genuine self-expression, identifying your unique strengths and areas for growth. I firmly believe that every individual possesses inherent coping abilities and resilience. It is my passion to support others in learning how to tolerate and grow from life’s challenges.
In the face of life's unexpected and expected challenges, including issues related to communication, relationships, loneliness, loss, anxiety, or depression, I strive to create a judgment-free space. Struggles that once felt manageable might now seem overwhelming. My aim is to facilitate genuine self-expression, identifying your unique strengths and areas for growth. I firmly believe that every individual possesses inherent coping abilities and resilience. It is my passion to support others in learning how to tolerate and grow from life’s challenges.
(332) 378-1353 View (332) 378-1353
Photo of Casey Leopold, L, M, S, W, Clinical Social Work/Therapist
Casey Leopold
Clinical Social Work/Therapist, L, M, S, W
Verified Verified
1 Endorsed
Little Italy, New York, NY 10013  (Online Only)
I work with individuals navigating the intricacies of the human experience to help them cope with emotions that impact relationships with the self and others. My practice specializes in supporting individuals facing anxiety, depression, grief/loss, chronic illness, life transitions, and pregnancy/postpartum support.
I work with individuals navigating the intricacies of the human experience to help them cope with emotions that impact relationships with the self and others. My practice specializes in supporting individuals facing anxiety, depression, grief/loss, chronic illness, life transitions, and pregnancy/postpartum support.
(516) 614-3783 View (516) 614-3783
Photo of Stephanie Condra, MPS, ATR-BC, LCAT, LPAT, Art Therapist
Stephanie Condra
Art Therapist, MPS, ATR-BC, LCAT, LPAT
Verified Verified
Little Italy, New York, NY 10013  (Online Only)
You deserve great care, where all your experiences are welcome. I have been in practice for over 10 years and worked with thousands of patients across presenting issues and demographics. I know that sometimes taking the step to getting support and help in therapy seems overwhelming and I celebrate you for being here! I also know that the experiences you've had leading up to exploring therapy have likely been even more overwhelming, and that you deserve to feel relief, comfort, and care for and from yourself. I specialize in working with grief, loss, transition, and relational traumas which have disrupted your sense of self and joy.
You deserve great care, where all your experiences are welcome. I have been in practice for over 10 years and worked with thousands of patients across presenting issues and demographics. I know that sometimes taking the step to getting support and help in therapy seems overwhelming and I celebrate you for being here! I also know that the experiences you've had leading up to exploring therapy have likely been even more overwhelming, and that you deserve to feel relief, comfort, and care for and from yourself. I specialize in working with grief, loss, transition, and relational traumas which have disrupted your sense of self and joy.
(347) 695-4797 View (347) 695-4797
Photo of Dr. Kirsten Lentz, PhD, LCSW, Clinical Social Work/Therapist
Dr. Kirsten Lentz
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Little Italy, New York, NY 10012
Psychotherapy alleviates suffering and expands your capacity to live a fulfilling life. It helps you to build stronger relationships, find satisfaction in work, be more creative, and achieve your goals - whatever they may be. Good psychotherapy works through collaboration; we work together to understand your experiences, memories and relationships in order to create openings for change. My practice is diverse across race, nationality, ethnicity, gender, sexuality and age. I believe that therapists must be sensitive to social issues and must bring into treatment an understanding of the suffering and trauma caused by marginalization.
Psychotherapy alleviates suffering and expands your capacity to live a fulfilling life. It helps you to build stronger relationships, find satisfaction in work, be more creative, and achieve your goals - whatever they may be. Good psychotherapy works through collaboration; we work together to understand your experiences, memories and relationships in order to create openings for change. My practice is diverse across race, nationality, ethnicity, gender, sexuality and age. I believe that therapists must be sensitive to social issues and must bring into treatment an understanding of the suffering and trauma caused by marginalization.
(646) 600-5250 View (646) 600-5250
Photo of Dr. Sandy Thompson, PhD, Psychologist
Dr. Sandy Thompson
Psychologist, PhD
Verified Verified
3 Endorsed
Little Italy, New York, NY 10012
Feeling overwhelmed by the pressure to please everyone? Tired of feeling that nothing you do is good enough, no matter how hard you try? Trained at Columbia University with over a decade of experience, I specialize in cognitive behavioral therapies to help you navigate these challenges. As a licensed clinical psychologist, I offer a warm and direct approach tailored to help women address anxiety, stress, mood, and relationship issues. I am particularly passionate about helping women who struggle with people-pleasing tendencies, boundary setting, feelings of inadequacy, and burnout.
Feeling overwhelmed by the pressure to please everyone? Tired of feeling that nothing you do is good enough, no matter how hard you try? Trained at Columbia University with over a decade of experience, I specialize in cognitive behavioral therapies to help you navigate these challenges. As a licensed clinical psychologist, I offer a warm and direct approach tailored to help women address anxiety, stress, mood, and relationship issues. I am particularly passionate about helping women who struggle with people-pleasing tendencies, boundary setting, feelings of inadequacy, and burnout.
(212) 473-4765 x708 View (212) 473-4765 x708
Photo of Gillian Murphy - Gillian Murphy, Ph.D., LCSW, PhD, Clinical Social Work/Therapist
Gillian Murphy, Ph.D.
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
1 Endorsed
Little Italy, New York, NY 10012
I am a NY, NJ, and CT licensed clinical social worker and psychotherapist. I was born and raised in Ireland and received my BA in Psychology from University College Dublin. After coming to the US, I received both my MSW and Ph.D. from Columbia University School of Social Work. I am trained in CBT and DBT, both evidence-based approaches to the treatment of a range of mental health concerns. These therapeutic approaches provide flexible frameworks through which to view presenting issues and are practical and skill-based which allow for gains to be carried forward long after therapy has finished.
I am a NY, NJ, and CT licensed clinical social worker and psychotherapist. I was born and raised in Ireland and received my BA in Psychology from University College Dublin. After coming to the US, I received both my MSW and Ph.D. from Columbia University School of Social Work. I am trained in CBT and DBT, both evidence-based approaches to the treatment of a range of mental health concerns. These therapeutic approaches provide flexible frameworks through which to view presenting issues and are practical and skill-based which allow for gains to be carried forward long after therapy has finished.
(347) 609-7880 View (347) 609-7880
Photo of Vincent Passarelli, PsyD, Psychologist
Vincent Passarelli
Psychologist, PsyD
Verified Verified
Little Italy, New York, NY 10012
I am a licensed clinical psychologist specializing in psychotherapy to help individuals with anxiety, depression, relationship communication, difficulty coping after an event, and life transitions. The therapy is based in cognitive behavioral therapy (CBT) yet is individualized to help you achieve your short and long term goals. This can include: Decreasing anxiety, depression, impulsive feelings and/or helping with experiences related to loss; Enhancing decision-making, focus and problem-solving; and Increasing your confidence and communication with others.
I am a licensed clinical psychologist specializing in psychotherapy to help individuals with anxiety, depression, relationship communication, difficulty coping after an event, and life transitions. The therapy is based in cognitive behavioral therapy (CBT) yet is individualized to help you achieve your short and long term goals. This can include: Decreasing anxiety, depression, impulsive feelings and/or helping with experiences related to loss; Enhancing decision-making, focus and problem-solving; and Increasing your confidence and communication with others.
(646) 759-1090 View (646) 759-1090
Photo of Claire Hapke, PsyD, Marriage & Family Therapist
Claire Hapke
Marriage & Family Therapist, PsyD
Verified Verified
5 Endorsed
Little Italy, New York, NY 10012
I support individuals struggling with depression, anxiety, trauma, and big life transitions. I specialize in working with people in their 20s and 30s who are trying to figure out who they want to be in the world. This time can bring big decisions regarding career, relationship, and family. Often called a quarter-life crisis, it is often hard for us to maintain that strength amid uncertainty, self-doubt, and fear. I help clients experiencing a quarter-life crisis to explore problem areas and harness their inner strength and resilience.
I support individuals struggling with depression, anxiety, trauma, and big life transitions. I specialize in working with people in their 20s and 30s who are trying to figure out who they want to be in the world. This time can bring big decisions regarding career, relationship, and family. Often called a quarter-life crisis, it is often hard for us to maintain that strength amid uncertainty, self-doubt, and fear. I help clients experiencing a quarter-life crisis to explore problem areas and harness their inner strength and resilience.
(310) 879-5903 View (310) 879-5903
Photo of Emma Boruchov, MHC-LP, Pre-Licensed Professional
Emma Boruchov
Pre-Licensed Professional, MHC-LP
Verified Verified
1 Endorsed
Little Italy, New York, NY 10012  (Online Only)
My goal is to lead clients toward a fulfilling and balanced life. I achieve this by creating a therapeutic space that is safe, empathetic, and free of judgment. As a Jewish woman with a blended family, I bring a deep understanding of the complexities that come with diverse family dynamics. My personal experiences enrich my empathy and insight, particularly for those navigating similar life transitions. I specialize in working with neurodivergent individuals, recognizing the unique strengths and challenges they bring. Whether you are a teenager or an adult, my aim is to support you through any struggles you may be facing.
My goal is to lead clients toward a fulfilling and balanced life. I achieve this by creating a therapeutic space that is safe, empathetic, and free of judgment. As a Jewish woman with a blended family, I bring a deep understanding of the complexities that come with diverse family dynamics. My personal experiences enrich my empathy and insight, particularly for those navigating similar life transitions. I specialize in working with neurodivergent individuals, recognizing the unique strengths and challenges they bring. Whether you are a teenager or an adult, my aim is to support you through any struggles you may be facing.
(914) 350-5271 View (914) 350-5271
Photo of Emma Gonzalez, LMSW, Clinical Social Work/Therapist
Emma Gonzalez
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Little Italy, New York, NY 10012  (Online Only)
Not accepting new clients
I begin each therapeutic relationship with the statement, “You are the expert of your life”, to assure you that you deserve to be heard, understood, and validated. If you currently need additional support dealing with your day-to-day responsibilities, past experiences, or just feeling overwhelmed I hope to create a space for you to feel empowered to navigate your stressors. Whether this is your first time seeking therapy or re-engaging, I want to support you through your therapeutic journey. My goal as your therapist is to support you so you can experience healing, growth, and peace.
I begin each therapeutic relationship with the statement, “You are the expert of your life”, to assure you that you deserve to be heard, understood, and validated. If you currently need additional support dealing with your day-to-day responsibilities, past experiences, or just feeling overwhelmed I hope to create a space for you to feel empowered to navigate your stressors. Whether this is your first time seeking therapy or re-engaging, I want to support you through your therapeutic journey. My goal as your therapist is to support you so you can experience healing, growth, and peace.
(929) 264-5144 View (929) 264-5144
Photo of Rachel McDavid, LMFT, Marriage & Family Therapist
Rachel McDavid
Marriage & Family Therapist, LMFT
Verified Verified
Little Italy, New York, NY 10013  (Online Only)
Waitlist for new clients
I take a collaborative approach with clients and their processes because I believe each person has an understanding of what works for them. I work with individuals, couples, families, friends and coworkers struggling with a variety of issues as well as anger and anxiety. Couples counseling: I can help you develop tools to create more understanding, and compassion for each other.
I take a collaborative approach with clients and their processes because I believe each person has an understanding of what works for them. I work with individuals, couples, families, friends and coworkers struggling with a variety of issues as well as anger and anxiety. Couples counseling: I can help you develop tools to create more understanding, and compassion for each other.
(646) 600-9259 View (646) 600-9259
Photo of Molly Blann, LMSW
Molly Blann
Licensed Master Social Worker, LMSW
Verified Verified
Little Italy, New York, NY 10012  (Online Only)
As a therapist I show up with compassion, curiosity, and without an agenda-you are the expert on your experience, and we will work together to build space for you to feel seen and find increased empowerment and ease in your life. I've worked with clients of all ages and have particular interest in working with people who may be struggling to express themselves, feel heard, age with dignity, manage caregiving responsibilities, or process grief or past trauma.
As a therapist I show up with compassion, curiosity, and without an agenda-you are the expert on your experience, and we will work together to build space for you to feel seen and find increased empowerment and ease in your life. I've worked with clients of all ages and have particular interest in working with people who may be struggling to express themselves, feel heard, age with dignity, manage caregiving responsibilities, or process grief or past trauma.
(718) 808-6426 View (718) 808-6426
Photo of Safi Lynch Wilson, LCSW, Clinical Social Work/Therapist
Safi Lynch Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Italy, New York, NY 10013  (Online Only)
Do you find yourself struggling with depression, anxiety, or constantly feeling “stuck”? Are you tired of feeling sad, lonely, and not having people who truly understand your struggles? Did you grow up in a community that stigmatized mental health and discouraged seeking support outside of your home or religion? Are you worried that someone might judge or consider you “weak” if you ask for help? Let me reassure you that there is absolutely nothing wrong with you, and you are not weak. There is no shame in seeking support. There is no shame in wanting a better life for yourself. There is certainly no shame in seeking happiness.
Do you find yourself struggling with depression, anxiety, or constantly feeling “stuck”? Are you tired of feeling sad, lonely, and not having people who truly understand your struggles? Did you grow up in a community that stigmatized mental health and discouraged seeking support outside of your home or religion? Are you worried that someone might judge or consider you “weak” if you ask for help? Let me reassure you that there is absolutely nothing wrong with you, and you are not weak. There is no shame in seeking support. There is no shame in wanting a better life for yourself. There is certainly no shame in seeking happiness.
(347) 508-6641 View (347) 508-6641
Photo of Alon Andrews, MSEd, MHC, LP, Pre-Licensed Professional
Alon Andrews
Pre-Licensed Professional, MSEd, MHC, LP
Verified Verified
Little Italy, New York, NY 10013
Are you searching for a compassionate and dedicated psychotherapist who can help guide you through life's challenges? Look no further. I am currently accepting new clients and would be honored to accompany you on your journey towards healing and personal growth. Are there specific issues, concerns, or questions weighing on your mind? Together, we can explore and address them in a safe and non-judgmental environment. Whether you seek support in navigating relationships, managing stress, or coping with trauma, I am here to provide the guidance and tools you need to thrive.
Are you searching for a compassionate and dedicated psychotherapist who can help guide you through life's challenges? Look no further. I am currently accepting new clients and would be honored to accompany you on your journey towards healing and personal growth. Are there specific issues, concerns, or questions weighing on your mind? Together, we can explore and address them in a safe and non-judgmental environment. Whether you seek support in navigating relationships, managing stress, or coping with trauma, I am here to provide the guidance and tools you need to thrive.
(516) 518-6805 View (516) 518-6805
Photo of Ifat Knaan-Kostman, PhD, Psychologist
Ifat Knaan-Kostman
Psychologist, PhD
Verified Verified
1 Endorsed
Little Italy, New York, NY 10012
I believe that therapy can not only alleviate specific hardships or teach more compassionate self-care, but that therapy can be emotionally transformative. I practice this belief with rigor, I believe my role is to provide a supportive, yet challenging environment that fosters emotional well-being, new insights, and change. I am an active participant in the therapy session. Together we will be able to set therapeutic goals and follow a clear path to achieve them. I hold emotions and affect in the highest regard and pay particular attention to non-verbal communications.
I believe that therapy can not only alleviate specific hardships or teach more compassionate self-care, but that therapy can be emotionally transformative. I practice this belief with rigor, I believe my role is to provide a supportive, yet challenging environment that fosters emotional well-being, new insights, and change. I am an active participant in the therapy session. Together we will be able to set therapeutic goals and follow a clear path to achieve them. I hold emotions and affect in the highest regard and pay particular attention to non-verbal communications.
(917) 934-3977 View (917) 934-3977
Photo of Ashley Mix, LMHC, Counselor
Ashley Mix
Counselor, LMHC
Verified Verified
3 Endorsed
Little Italy, New York, NY 10013  (Online Only)
Therapy can be life-changing. Through openness and commitment to the therapeutic process, you can increase confidence in overcoming challenges, find purpose and fulfillment, and develop a better connection to yourself and others. I want to help you identify and understand thoughts, emotions, and behaviors that impact your experience with life and work to set realistic goals to attain.
Therapy can be life-changing. Through openness and commitment to the therapeutic process, you can increase confidence in overcoming challenges, find purpose and fulfillment, and develop a better connection to yourself and others. I want to help you identify and understand thoughts, emotions, and behaviors that impact your experience with life and work to set realistic goals to attain.
(347) 970-2875 View (347) 970-2875
Photo of Joanna Weislogel, LMHC, LPC, LCADC, Counselor
Joanna Weislogel
Counselor, LMHC, LPC, LCADC
Verified Verified
Little Italy, New York, NY 10012
I believe we each have a core part of ourselves that is wise, confident, and desiring of secure connection with others. Single event or repeated traumatic experiences can distance us from this core part and we can find ourselves using coping mechanisms, such as excessive substance use and other self-harming behaviors, that no longer serve us or our relationships. Identifying the needs we are desperately trying to meet and exploring alternate ways to meet them can disrupt the cycle that keeps us feeling defeated and lead us towards more fulfilling relationships with ourselves and those we care about.
I believe we each have a core part of ourselves that is wise, confident, and desiring of secure connection with others. Single event or repeated traumatic experiences can distance us from this core part and we can find ourselves using coping mechanisms, such as excessive substance use and other self-harming behaviors, that no longer serve us or our relationships. Identifying the needs we are desperately trying to meet and exploring alternate ways to meet them can disrupt the cycle that keeps us feeling defeated and lead us towards more fulfilling relationships with ourselves and those we care about.
(718) 550-8117 View (718) 550-8117
Photo of Michelle Back, LMSW, Clinical Social Work/Therapist
Michelle Back
Clinical Social Work/Therapist, LMSW
Verified Verified
Little Italy, New York, NY 10013  (Online Only)
My goal is to provide you the support and attention you deserve, with a kind intention in our space. Through your shared stories, we will face your life challenges together, and acknowledge positive strengths you hold, as well as negative beliefs that may hold you back. Many of my clients seek support for anxiety, depression, emotional regulation, childhood trauma, ptsd, grief, identity crises, low self-esteem, and more. Together, we will address your needs and explore your past, your present, and set you up for a future you are comfortable and confident with.
My goal is to provide you the support and attention you deserve, with a kind intention in our space. Through your shared stories, we will face your life challenges together, and acknowledge positive strengths you hold, as well as negative beliefs that may hold you back. Many of my clients seek support for anxiety, depression, emotional regulation, childhood trauma, ptsd, grief, identity crises, low self-esteem, and more. Together, we will address your needs and explore your past, your present, and set you up for a future you are comfortable and confident with.
(646) 350-3698 View (646) 350-3698
Photo of Bryan Stuart, PsyD, Psychologist
Bryan Stuart
Psychologist, PsyD
Verified Verified
Little Italy, New York, NY 10012
With over 20 years of experience helping patients explore issues related to relationships, family, parenting, and career, my goal is to engage in a way that allows for lasting changes. We all get stuck, and at times experience feelings of depression, self-doubt, or anxiety. I work to help you understand the sources of those feelings, and to transform these insights into action.
With over 20 years of experience helping patients explore issues related to relationships, family, parenting, and career, my goal is to engage in a way that allows for lasting changes. We all get stuck, and at times experience feelings of depression, self-doubt, or anxiety. I work to help you understand the sources of those feelings, and to transform these insights into action.
(347) 946-6003 View (347) 946-6003
1

See more therapy options for Little Italy, New York

How does your Therapist compare?

Number of Therapists in Little Italy, New York, NY

50+

Average cost per session

$182

Therapists in Little Italy, New York, NY who prioritize treating:

98% Anxiety
91% Depression
85% Relationship Issues
85% Self Esteem
76% Stress
74% Life Transitions
70% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
79% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Little Italy, New York, NY see their clients

57% Online Only
43% In Person and Online

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Little Italy, 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.