Therapists in Penfield, NY

Photo of Gayle Alesi, Clinical Social Work/Therapist, LCSW-R
Gayle Alesi
Clinical Social Work/Therapist, LCSW-R
Penfield, NY 14526
Waitlist for new clients
With over 20 years of experience as a Licensed Clinical Social Worker, my passion has always been to support and empower my clients in effectively dealing with life's challenges. I am committed to identifying and enhancing personal strengths and guiding each individual toward growth whether they are struggling with anxiety, depression, trauma, life transitions, grief, or relationship issues. My therapeutic approach is compassionate, solution focused and strength based.
With over 20 years of experience as a Licensed Clinical Social Worker, my passion has always been to support and empower my clients in effectively dealing with life's challenges. I am committed to identifying and enhancing personal strengths and guiding each individual toward growth whether they are struggling with anxiety, depression, trauma, life transitions, grief, or relationship issues. My therapeutic approach is compassionate, solution focused and strength based.
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Photo of Mackenzie Strong, MHC-LP
Mackenzie Strong
Verified Verified
3 Endorsed
Penfield, NY 14526
I specialize in supporting clients through complex trauma, life transitions, and challenges with communication and boundaries. My approach is trauma-informed and identity-affirming, creating a safe and nonjudgmental space for you to explore your experiences and move toward healing. Whether you're looking for short-term guidance or ongoing support, I’m here to help you navigate your path and foster the growth that feels meaningful to you.
I specialize in supporting clients through complex trauma, life transitions, and challenges with communication and boundaries. My approach is trauma-informed and identity-affirming, creating a safe and nonjudgmental space for you to explore your experiences and move toward healing. Whether you're looking for short-term guidance or ongoing support, I’m here to help you navigate your path and foster the growth that feels meaningful to you.
(585) 542-7391 View (585) 542-7391
Photo of Lynne Hurlbut, Clinical Social Work/Therapist, LCSW
Lynne Hurlbut
Clinical Social Work/Therapist, LCSW
Penfield, NY 14526
With 17 years of experience as a Licensed Clinical Social Worker (LCSW), I specialize in supporting children, young adults, and their families. My clinical practice is dedicated to helping young individuals and their caregivers navigate emotional, behavioral, and social challenges. Whether your child or young adult is struggling with anxiety, depression, trauma, or school-related issues, I offer a safe and supportive environment where they can explore their feelings and develop healthy coping strategies.
With 17 years of experience as a Licensed Clinical Social Worker (LCSW), I specialize in supporting children, young adults, and their families. My clinical practice is dedicated to helping young individuals and their caregivers navigate emotional, behavioral, and social challenges. Whether your child or young adult is struggling with anxiety, depression, trauma, or school-related issues, I offer a safe and supportive environment where they can explore their feelings and develop healthy coping strategies.
(585) 541-3022 View (585) 541-3022
Photo of Yvette K Brindle-Decancq, Counselor, LMHC, CBC
Yvette K Brindle-Decancq
Counselor, LMHC, CBC
Penfield, NY 14526
You want care that’s practical and relevant to real life. I work with individuals, couples, and parents/supports navigating anxiety, trauma-related stress, and ADHD—often affecting focus, self-esteem, relationships, and the tasks of everyday life. Together we set clear goals, map patterns, and build skills you can use right away. I use Cognitive Behavioral Therapy (CBT) to test unhelpful thoughts and habits, and DISC profiling through PeopleKeys to highlight strengths, stress styles, and communication awareness.
You want care that’s practical and relevant to real life. I work with individuals, couples, and parents/supports navigating anxiety, trauma-related stress, and ADHD—often affecting focus, self-esteem, relationships, and the tasks of everyday life. Together we set clear goals, map patterns, and build skills you can use right away. I use Cognitive Behavioral Therapy (CBT) to test unhelpful thoughts and habits, and DISC profiling through PeopleKeys to highlight strengths, stress styles, and communication awareness.
(585) 577-5770 View (585) 577-5770
Photo of James Drooz, Licensed Mental Health Counselor, LMHC, MS
James Drooz
Licensed Mental Health Counselor, LMHC, MS
Online Only
Welcome! I am a white, queer, trans nonbinary therapist licensed in NY & RI. I bring both lived experience & learnings/unlearnings to my work with folks in the LGBTQIA2S+ community, who are neurodivergent, navigating complex trauma, spoonies, as well as people who work in healing professions. I endeavor to provide an affirming therapeutic space where experiences can be processed, meaningful connection with self & others nurtured, & life stressors, emotions & identities explored. My practice is relational, culturally responsive, attuned and rooted in harm-reduction, trauma-informed, justice & collective liberation-oriented values.
Welcome! I am a white, queer, trans nonbinary therapist licensed in NY & RI. I bring both lived experience & learnings/unlearnings to my work with folks in the LGBTQIA2S+ community, who are neurodivergent, navigating complex trauma, spoonies, as well as people who work in healing professions. I endeavor to provide an affirming therapeutic space where experiences can be processed, meaningful connection with self & others nurtured, & life stressors, emotions & identities explored. My practice is relational, culturally responsive, attuned and rooted in harm-reduction, trauma-informed, justice & collective liberation-oriented values.
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Photo of Erin Triola, Creative Arts Therapist, LCAT, MT-BC, CCTP
Erin Triola
Creative Arts Therapist, LCAT, MT-BC, CCTP
1 Endorsed
Penfield, NY 14526
Are you or your child struggling with anxiety, depression, stress management, ADHD, oppositional defiance, or trauma? I am here to help individuals achieve mental wellness and overcome challenges in their lives. I offer an integrated therapeutic approach based on the specific needs of the client. This allows those seeking help to explore a range of issues. Sessions are client-focused, using a variety of strength-based, mindfulness-based, and person-centered approaches, along with Internal Family Systems (IFS), Play Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) strategies.
Are you or your child struggling with anxiety, depression, stress management, ADHD, oppositional defiance, or trauma? I am here to help individuals achieve mental wellness and overcome challenges in their lives. I offer an integrated therapeutic approach based on the specific needs of the client. This allows those seeking help to explore a range of issues. Sessions are client-focused, using a variety of strength-based, mindfulness-based, and person-centered approaches, along with Internal Family Systems (IFS), Play Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) strategies.
(585) 597-7435 View (585) 597-7435
Photo of Lisa Tyler, Counselor, LMHC
Lisa Tyler
Counselor, LMHC
Penfield, NY 14526
Waitlist for new clients
Do you feel lost, alone or unmotivated? Are you feeling stuck? Perhaps overwhelmed and disconnected? Like you are just surviving? Life doesn't always turn out the way we planned or envisioned for ourselves. Sometimes we go down paths or take turns that we did not expect. This can bring on a range of emotions that we are not prepared for. This is normal, and you are not alone. My goal is to provide a safe space to process these feelings, find balance and manage the stressors that arise in life.
Do you feel lost, alone or unmotivated? Are you feeling stuck? Perhaps overwhelmed and disconnected? Like you are just surviving? Life doesn't always turn out the way we planned or envisioned for ourselves. Sometimes we go down paths or take turns that we did not expect. This can bring on a range of emotions that we are not prepared for. This is normal, and you are not alone. My goal is to provide a safe space to process these feelings, find balance and manage the stressors that arise in life.
(585) 326-8627 View (585) 326-8627
Photo of Joe Aquino, Counselor, MS, LMHC
Joe Aquino
Counselor, MS, LMHC
4 Endorsed
Penfield, NY 14526
Do you feel like you're doing it all on your own and it's just too much? I've been there... and I think we can all relate to that on some level. So you're thinking you may be ready to try something different? Looking here is a big place to start! We all can face personal struggles that are so intense, we begin to feel as though they will never end. Stepping outside of our comfort zone when reaching out for help may be the first and hardest step in the process. In my practice, I want to provide you that safe place to begin feeling comfortable in uncomfortable moments.
Do you feel like you're doing it all on your own and it's just too much? I've been there... and I think we can all relate to that on some level. So you're thinking you may be ready to try something different? Looking here is a big place to start! We all can face personal struggles that are so intense, we begin to feel as though they will never end. Stepping outside of our comfort zone when reaching out for help may be the first and hardest step in the process. In my practice, I want to provide you that safe place to begin feeling comfortable in uncomfortable moments.
(585) 535-9060 View (585) 535-9060
Photo of Robert S Nyumah, Marriage & Family Therapist, MS, LMFT
Robert S Nyumah
Marriage & Family Therapist, MS, LMFT
4 Endorsed
Online Only
You're exhausted from the same arguments that go nowhere. One of you shuts down, the other purses. Maybe there was infidelity, or you've just drifted so far apart you're living like roommates. You want your relationship back, the connection, the safety, the intimacy. Or maybe you're the burnt-out professional carrying everyone else's expectations with no space to fall apart yourself. You're straddling cultures, navigating identity and belonging, dealing with family pressures. You're done with surface fixes and want deep understanding of why you keep getting triggered, why connection feels dangerous even when you desperately want it.
You're exhausted from the same arguments that go nowhere. One of you shuts down, the other purses. Maybe there was infidelity, or you've just drifted so far apart you're living like roommates. You want your relationship back, the connection, the safety, the intimacy. Or maybe you're the burnt-out professional carrying everyone else's expectations with no space to fall apart yourself. You're straddling cultures, navigating identity and belonging, dealing with family pressures. You're done with surface fixes and want deep understanding of why you keep getting triggered, why connection feels dangerous even when you desperately want it.
(585) 684-8021 View (585) 684-8021
Photo of Miranda Alteri, Counselor, LMHC
Miranda Alteri
Counselor, LMHC
1 Endorsed
Penfield, NY 14526
Whether you're looking to address a specific issue or simply feeling like you're in a "funk," you deserve someone dedicated to helping you feel better. I enjoy working with people who desire to improve their mental health and wellness. I see the value in helping my clients understand how their life experiences impact their current perceptions, relationships, thoughts, and feelings. I focus on assisting clients in harnessing their strengths, overcoming barriers, and continuing to grow.
Whether you're looking to address a specific issue or simply feeling like you're in a "funk," you deserve someone dedicated to helping you feel better. I enjoy working with people who desire to improve their mental health and wellness. I see the value in helping my clients understand how their life experiences impact their current perceptions, relationships, thoughts, and feelings. I focus on assisting clients in harnessing their strengths, overcoming barriers, and continuing to grow.
(585) 774-4373 View (585) 774-4373
Photo of Naomi Smith, Counselor, LMHC
Naomi Smith
Counselor, LMHC
1 Endorsed
Online Only
Waitlist for new clients
Trauma isn't always obvious. The small traumas we experience throughout life can build up inside of us, creating an underlying sense of discomfort, insecurity, and helplessness. It devalues our self-worth and self-esteem. It creates conflict in our relationships. It exacerbates the stress we already encounter on a day-to-day basis. I help my clients navigate the vulnerable experience of telling their story, processing their hurt, and journeying towards positive change and growth. Healing may not come easily; but it is possible with support, compassion, and determination.
Trauma isn't always obvious. The small traumas we experience throughout life can build up inside of us, creating an underlying sense of discomfort, insecurity, and helplessness. It devalues our self-worth and self-esteem. It creates conflict in our relationships. It exacerbates the stress we already encounter on a day-to-day basis. I help my clients navigate the vulnerable experience of telling their story, processing their hurt, and journeying towards positive change and growth. Healing may not come easily; but it is possible with support, compassion, and determination.
(585) 302-2813 View (585) 302-2813
Photo of Ashley Cara, Counselor, Ashley Cara, LMHC
Ashley Cara
Counselor, Ashley Cara, LMHC
Penfield, NY 14526
My work with clients involves creating a space to explore the issues and experiences that have influenced and affected clients. My client experience typically focuses on individuals with depression, anxiety, history of trauma, and interpersonal distress. I engage clients in discussion and exploration to help build deeper understanding of the patterns that are present and how these can be altered. We focus on individual goals and work at a pace and style that is appropriate to the individual.
My work with clients involves creating a space to explore the issues and experiences that have influenced and affected clients. My client experience typically focuses on individuals with depression, anxiety, history of trauma, and interpersonal distress. I engage clients in discussion and exploration to help build deeper understanding of the patterns that are present and how these can be altered. We focus on individual goals and work at a pace and style that is appropriate to the individual.
(585) 699-1823 View (585) 699-1823
Photo of Jason McKinney, Clinical Social Work/Therapist, PhD, LCSW-R
Jason McKinney
Clinical Social Work/Therapist, PhD, LCSW-R
Online Only
Dr. Jason McKinney is both a researcher and therapist with extensive experience with children, adolescents, and adults of all ages. His research interest is in the developing self across the life span, from early childhood to older adulthood, and has spent nearly two decades researching identity development. Dr. McKinney's practice has addressed various needs including: anxiety, depression, stress, anger management, coping skills, family conflict, trauma treatment, parent-training, and identity. Dr. McKinney also serves those who serve, including fire and rescue, police, active military, and veterans.
Dr. Jason McKinney is both a researcher and therapist with extensive experience with children, adolescents, and adults of all ages. His research interest is in the developing self across the life span, from early childhood to older adulthood, and has spent nearly two decades researching identity development. Dr. McKinney's practice has addressed various needs including: anxiety, depression, stress, anger management, coping skills, family conflict, trauma treatment, parent-training, and identity. Dr. McKinney also serves those who serve, including fire and rescue, police, active military, and veterans.
(585) 460-1484 View (585) 460-1484
Photo of Kristin M Ferri - Renew Mental Health Counseling, Counselor, LMHC, NCC
Renew Mental Health Counseling
Counselor, LMHC, NCC
5 Endorsed
Penfield, NY 14526
Feeling overwhelmed is an understatement and discouragement is all too familiar. Life is hard! Your relationship is falling apart and you have no idea where to begin to keep it from crumbling to pieces. You just wish your spouse would change. You wish they would just accept you for who you are. If only they listened to you and loved you like you need them to. The hamster wheel keeps turning and the same conflicts keep surfacing. You've tried over and over again to change but you just end up right where you started. Will it ever get better?
Feeling overwhelmed is an understatement and discouragement is all too familiar. Life is hard! Your relationship is falling apart and you have no idea where to begin to keep it from crumbling to pieces. You just wish your spouse would change. You wish they would just accept you for who you are. If only they listened to you and loved you like you need them to. The hamster wheel keeps turning and the same conflicts keep surfacing. You've tried over and over again to change but you just end up right where you started. Will it ever get better?
(585) 229-6788 View (585) 229-6788
Photo of Jenna Rivera, Licensed Mental Health Counselor, LMHC
Jenna Rivera
Licensed Mental Health Counselor, LMHC
3 Endorsed
Penfield, NY 14526
Adulting can feel really tough! Life may seem overwhelming or even hopeless at times. You might struggle with sadness, anxiety, or experience moments of task paralysis. There are times when stress and conflict feel all-consuming. It’s terrifying to think you’re facing these challenges alone, and the weight of them can leave you feeling stuck, unmotivated, or unsure of how to move forward. But you deserve to feel whole, fulfilled, and free from the pain. You’re not alone, and there’s always a path to healing.
Adulting can feel really tough! Life may seem overwhelming or even hopeless at times. You might struggle with sadness, anxiety, or experience moments of task paralysis. There are times when stress and conflict feel all-consuming. It’s terrifying to think you’re facing these challenges alone, and the weight of them can leave you feeling stuck, unmotivated, or unsure of how to move forward. But you deserve to feel whole, fulfilled, and free from the pain. You’re not alone, and there’s always a path to healing.
(585) 699-1876 View (585) 699-1876
Photo of Elizabeth Peterson, Pre-Licensed Professional, MHC-LP
Elizabeth Peterson
Pre-Licensed Professional, MHC-LP
5 Endorsed
Penfield, NY 14526
Support for the messy, overwhelming, and confusing parts of growing up. Growing up today is hard! Whether you’re the parent of a child who’s struggling or a teen/young adult feeling overwhelmed, you’re in the right place. I help kids, teens, and young adults work through anxiety, school stress, friendship challenges, family conflict, self-esteem concerns, and the “big feelings” that can get in the way of daily life. My goal is to create a space where you (or your child) feel safe, understood, and genuinely supported.
Support for the messy, overwhelming, and confusing parts of growing up. Growing up today is hard! Whether you’re the parent of a child who’s struggling or a teen/young adult feeling overwhelmed, you’re in the right place. I help kids, teens, and young adults work through anxiety, school stress, friendship challenges, family conflict, self-esteem concerns, and the “big feelings” that can get in the way of daily life. My goal is to create a space where you (or your child) feel safe, understood, and genuinely supported.
(585) 648-1485 View (585) 648-1485
Photo of Molly Muha, Counselor, LMHC
Molly Muha
Counselor, LMHC
Penfield, NY 14526
Every person has a story that deserves to be heard with care, curiosity, and respect. In our work together, I take the time to truly understand your experiences so that each session feels supportive, intentional, and grounded in what you need. I specialize in working with adolescents and adults who are navigating eating disorder recovery, body image concerns, women’s health, and major life transitions. Much of my work involves supporting women through the emotional shifts of pregnancy, postpartum, and motherhood, as well as helping teen girls and young adults move through the challenges of identity, relationships, academic stress,
Every person has a story that deserves to be heard with care, curiosity, and respect. In our work together, I take the time to truly understand your experiences so that each session feels supportive, intentional, and grounded in what you need. I specialize in working with adolescents and adults who are navigating eating disorder recovery, body image concerns, women’s health, and major life transitions. Much of my work involves supporting women through the emotional shifts of pregnancy, postpartum, and motherhood, as well as helping teen girls and young adults move through the challenges of identity, relationships, academic stress,
(585) 207-3891 View (585) 207-3891
Photo of Kimberly Brown-Lupia, Psychologist
Kimberly Brown-Lupia
Psychologist
Penfield, NY 14526
I see children of all ages and abilities struggling with feeding difficulties, including food selectivity, difficulty trying new foods, food refusal, and stress with eating in social situations. I have experience working with children with medical issues that affect their eating (including food allergies and GI disorders). Parents often say they wish they could cook just one family meal, take their child out to eat, or go to just one grocery store. I help parents experiencing stress during mealtimes, shopping, cooking, and offering new foods to their children.
I see children of all ages and abilities struggling with feeding difficulties, including food selectivity, difficulty trying new foods, food refusal, and stress with eating in social situations. I have experience working with children with medical issues that affect their eating (including food allergies and GI disorders). Parents often say they wish they could cook just one family meal, take their child out to eat, or go to just one grocery store. I help parents experiencing stress during mealtimes, shopping, cooking, and offering new foods to their children.
(585) 844-8445 View (585) 844-8445
Photo of Erin M. Thompson, Clinical Social Work/Therapist, LCSW-R
Erin M. Thompson
Clinical Social Work/Therapist, LCSW-R
Penfield, NY 14526
I’m a caring, down-to-earth therapist with years of experience helping adults 18+ heal from trauma and improve relationships. I love exploring new healing modalities and offerings that focus on healing and growth. My space is cozy and judgment-free—think blankets, hot tea, shoes off, feet up. Life is hard, but you don’t have to do it alone. I’m here to help you feel seen, supported, and ready to take on what’s next.
I’m a caring, down-to-earth therapist with years of experience helping adults 18+ heal from trauma and improve relationships. I love exploring new healing modalities and offerings that focus on healing and growth. My space is cozy and judgment-free—think blankets, hot tea, shoes off, feet up. Life is hard, but you don’t have to do it alone. I’m here to help you feel seen, supported, and ready to take on what’s next.
(585) 575-1343 View (585) 575-1343
Photo of Katie Lembo, Counselor, MS, LMHC
Katie Lembo
Counselor, MS, LMHC
1 Endorsed
Online Only
I primarily work with children and adolescents who struggle with anxiety, depression, ADHD, school avoidance, and sports performance challenges. I also provide parenting strategies and techniques through parent-only sessions. I have 2 years of experience working as a mental health counselor, and I have worked for almost a decade supporting children, adolescents and their caregivers as a sports coach, behavior technician, and nanny. I strive to create a safe and nonjudgmental environment for emotions and thoughts to be explored by children, adolescents and their parents and/or guardians.
I primarily work with children and adolescents who struggle with anxiety, depression, ADHD, school avoidance, and sports performance challenges. I also provide parenting strategies and techniques through parent-only sessions. I have 2 years of experience working as a mental health counselor, and I have worked for almost a decade supporting children, adolescents and their caregivers as a sports coach, behavior technician, and nanny. I strive to create a safe and nonjudgmental environment for emotions and thoughts to be explored by children, adolescents and their parents and/or guardians.
(585) 539-8658 View (585) 539-8658

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How does your Therapist compare?

Number of Therapists in Penfield, NY

100+

Average cost per session

$125

Therapists in Penfield, NY who prioritize treating:

90% Anxiety
80% Depression
77% Self Esteem
75% Relationship Issues
72% Stress
71% Coping Skills
70% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

81% Aetna
59% Cigna and Evernorth
53% Excellus BlueCross BlueShield

How Therapists in Penfield, NY see their clients

82% In Person and Online
18% Online Only

Gender breakdown

85% Female
12% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Penfield?

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.