Therapists in Pittsford, NY

Photo of Sara Tucker, Counselor, MS, LMHC
Sara Tucker
Counselor, MS, LMHC
1 Endorsed
Pittsford, NY 14534
Hello and welcome. Life can be stressful and difficult to cope with at times. Throughout my 20 years of experience as a therapist, my strengths are in working with teens, young adults and families on goals to address stressors and emotional challenges. Deciding to engage in therapy can be intimidating. However learning evidence based strategies, in a calm and non judgmental environment, can help to better manage anxiety, depression, stress, parenting struggles, life transitions, and interpersonal stressors. These changes can be rewarding and life changing.
Hello and welcome. Life can be stressful and difficult to cope with at times. Throughout my 20 years of experience as a therapist, my strengths are in working with teens, young adults and families on goals to address stressors and emotional challenges. Deciding to engage in therapy can be intimidating. However learning evidence based strategies, in a calm and non judgmental environment, can help to better manage anxiety, depression, stress, parenting struggles, life transitions, and interpersonal stressors. These changes can be rewarding and life changing.
(585) 207-3692 View (585) 207-3692
Photo of Lily Uribe, Psychologist, PhD
Lily Uribe
Psychologist, PhD
6 Endorsed
Pittsford, NY 14534
I strongly believe in the power of therapy, whether you are struggling with your mental wellbeing, or are simply at one of the challenging, confusing, or painful moments in life that we all experience. I help my clients use therapy as a safe and attuned space in which we can identify and explore their thoughts and emotions, and together untangle how these things are connected to deeper emotional needs, concerns, and goals.
I strongly believe in the power of therapy, whether you are struggling with your mental wellbeing, or are simply at one of the challenging, confusing, or painful moments in life that we all experience. I help my clients use therapy as a safe and attuned space in which we can identify and explore their thoughts and emotions, and together untangle how these things are connected to deeper emotional needs, concerns, and goals.
(585) 572-8255 View (585) 572-8255
Photo of Abigail Savage, Psychologist, PsyD
Abigail Savage
Psychologist, PsyD
1 Endorsed
Pittsford, NY 14534
My goal is to help my clients find fulfilling, meaningful, and healthy lives. Many times personal history, life stressors, relationships, physical health, among others can interfere with finding peace and well-being in our daily lives. Seeking therapy can be a helpful tool in managing these difficulties and creating lasting change. My treatment approach is collaborative in nature and centered around the individual client’s unique goals. My mission is to help guide the client in building awareness and finding opportunities for growth in the areas of their life interfering with finding fulfillment.
My goal is to help my clients find fulfilling, meaningful, and healthy lives. Many times personal history, life stressors, relationships, physical health, among others can interfere with finding peace and well-being in our daily lives. Seeking therapy can be a helpful tool in managing these difficulties and creating lasting change. My treatment approach is collaborative in nature and centered around the individual client’s unique goals. My mission is to help guide the client in building awareness and finding opportunities for growth in the areas of their life interfering with finding fulfillment.
(585) 312-3325 View (585) 312-3325
Photo of Melissa W Collins, Marriage & Family Therapist, MS, LMFT
Melissa W Collins
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Pittsford, NY 14534
I believe in the importance of relationships; the relationship you have with yourself and your relationship with others. I work alongside individuals who are on their journey to strengthen their emotional well being, lessen anxiety, obtain insight into triggers/behaviors and unlearn old ways of thinking with new ways of being. I work with couples looking to improve communication, emotional/sexual intimacy, express needs and love languages, rebuild trust, and adjust to parenthood. I help clients identify and process emotions and navigate life transitions, such as building a family, grief and loss, career changes, and relationships.
I believe in the importance of relationships; the relationship you have with yourself and your relationship with others. I work alongside individuals who are on their journey to strengthen their emotional well being, lessen anxiety, obtain insight into triggers/behaviors and unlearn old ways of thinking with new ways of being. I work with couples looking to improve communication, emotional/sexual intimacy, express needs and love languages, rebuild trust, and adjust to parenthood. I help clients identify and process emotions and navigate life transitions, such as building a family, grief and loss, career changes, and relationships.
(585) 332-4837 View (585) 332-4837
Photo of Patricia P Schultz - Pati Schultz, Psychologist, PhD
Pati Schultz
Psychologist, PhD
1 Endorsed
Pittsford, NY 14534
Not accepting new clients
I am a licensed Clinical Psychologist whose approach to therapy is collaborative, non-judgmental, direct, and warm. I strive to create a space you can better understand yourself, your emotions, your interpersonal relationships and, consequently, live a more fulfilling life. I work with adults who are experiencing emotional distress (such as anxiety and depression), grief and loss, relationship issues, or going through life changes (e.g., dislocation, career decisions, starting college). I have interest and experience with identity-based work (e.g., sexual orientation) and parenting.
I am a licensed Clinical Psychologist whose approach to therapy is collaborative, non-judgmental, direct, and warm. I strive to create a space you can better understand yourself, your emotions, your interpersonal relationships and, consequently, live a more fulfilling life. I work with adults who are experiencing emotional distress (such as anxiety and depression), grief and loss, relationship issues, or going through life changes (e.g., dislocation, career decisions, starting college). I have interest and experience with identity-based work (e.g., sexual orientation) and parenting.
(585) 632-6994 View (585) 632-6994
Photo of Ângela Richeson, Clinical Social Work/Therapist, LCSW
Ângela Richeson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsford, NY 14534
Waitlist for new clients
You’ve reached a point where it has become too difficult to manage all the worry, sadness, and the stress alone. Maybe you've been trying to adjust to recent transitions such as divorce, career decisions, becoming a parent, starting college, or health issues. You might have tried strategies to cope but you feel stuck in the same patterns and they are impacting your ability to find joy in your relationships and life. You are ready for a change and decided it’s time to seek a supportive space to process the challenges you’ve been experiencing.
You’ve reached a point where it has become too difficult to manage all the worry, sadness, and the stress alone. Maybe you've been trying to adjust to recent transitions such as divorce, career decisions, becoming a parent, starting college, or health issues. You might have tried strategies to cope but you feel stuck in the same patterns and they are impacting your ability to find joy in your relationships and life. You are ready for a change and decided it’s time to seek a supportive space to process the challenges you’ve been experiencing.
(585) 378-5989 View (585) 378-5989
Photo of Katie Park, Clinical Social Work/Therapist, LCSW, MPA
Katie Park
Clinical Social Work/Therapist, LCSW, MPA
Pittsford, NY 14534
Are you struggling with emotional or social challenges? Whether it’s navigating anxiety, depression, trauma, or family conflict, children and adults deserve support. With a compassionate approach, I provide a safe, nurturing space for my clients to work through these difficulties in a warm, cozy office with calming decor. I encourage you to collaborate with me. I want to help you achieve your goals. I specialize in a combination of parts-work (IFS), DBT, and play therapy for teens & children. I have a massive collection of fidgets, 3 different types of UNO, card shufflers, art supplies, and loads of 3D puzzles for all ages!
Are you struggling with emotional or social challenges? Whether it’s navigating anxiety, depression, trauma, or family conflict, children and adults deserve support. With a compassionate approach, I provide a safe, nurturing space for my clients to work through these difficulties in a warm, cozy office with calming decor. I encourage you to collaborate with me. I want to help you achieve your goals. I specialize in a combination of parts-work (IFS), DBT, and play therapy for teens & children. I have a massive collection of fidgets, 3 different types of UNO, card shufflers, art supplies, and loads of 3D puzzles for all ages!
(585) 648-0966 View (585) 648-0966
Photo of Corinna Hayes, Counselor, LMHC-D
Corinna Hayes
Counselor, LMHC-D
2 Endorsed
Pittsford, NY 14534
Waitlist for new clients
If you are looking for a genuine & engaged person to be your ally & guide as you bravely take this step, know that I am passionate about helping my clients face & process their current struggles to find growth on the other side. Know that, in my work- while coping skills are important- I provide more than quick "fixes." I truly want to work to know & understand you more profoundly. I want you to experience that you are really seen, heard, understood, & validated. And I want to teach you to see, hear, understand, & validate yourself!
If you are looking for a genuine & engaged person to be your ally & guide as you bravely take this step, know that I am passionate about helping my clients face & process their current struggles to find growth on the other side. Know that, in my work- while coping skills are important- I provide more than quick "fixes." I truly want to work to know & understand you more profoundly. I want you to experience that you are really seen, heard, understood, & validated. And I want to teach you to see, hear, understand, & validate yourself!
(585) 517-1454 View (585) 517-1454
Photo of Amanda Gaboriault, Marriage & Family Therapist, LMFT
Amanda Gaboriault
Marriage & Family Therapist, LMFT
1 Endorsed
Pittsford, NY 14534
Not accepting new clients
Find peace from within. That's my motto when working with clients and walking beside them during the most difficult moments in life. Life is often unfair and terrible things happen to us. However, we are still responsible for remedying these situations and creating our own happiness. I believe that you are capable of achieving inner peace and calm through processing your experiences and receiving honest empathy and feedback. I am here to help you take control of your life. Taking control of your life might mean making difficult decisions such as cutting out unhealthy thoughts, behaviors, and even people.
Find peace from within. That's my motto when working with clients and walking beside them during the most difficult moments in life. Life is often unfair and terrible things happen to us. However, we are still responsible for remedying these situations and creating our own happiness. I believe that you are capable of achieving inner peace and calm through processing your experiences and receiving honest empathy and feedback. I am here to help you take control of your life. Taking control of your life might mean making difficult decisions such as cutting out unhealthy thoughts, behaviors, and even people.
(585) 296-4091 View (585) 296-4091
Photo of Kyle Lang, Art Therapist, LCAT
Kyle Lang
Art Therapist, LCAT
1 Endorsed
Pittsford, NY 14534
Hello there! I work with folks who want to improve emotional regulation in order to better cope with big feelings like anxiety, anger, and frustration, and who want to improve relationship dynamics with family and friends. The world is bright, loud, and there always seem to be people telling you what to do. For those who have experienced trauma or who are neurodivergent (autism and ADHD) this can lead to ongoing states of overwhelm, burnout, and meltdown. Using trauma-informed, strength-based, and narrative practices I can help you understand how the stories you tell about yourself and the world impact your thoughts and feelings.
Hello there! I work with folks who want to improve emotional regulation in order to better cope with big feelings like anxiety, anger, and frustration, and who want to improve relationship dynamics with family and friends. The world is bright, loud, and there always seem to be people telling you what to do. For those who have experienced trauma or who are neurodivergent (autism and ADHD) this can lead to ongoing states of overwhelm, burnout, and meltdown. Using trauma-informed, strength-based, and narrative practices I can help you understand how the stories you tell about yourself and the world impact your thoughts and feelings.
(585) 632-4634 x1 View (585) 632-4634 x1
Photo of Larissa DeNero, Counselor, LMHC, MS CTRS
Larissa DeNero
Counselor, LMHC, MS CTRS
2 Endorsed
Pittsford, NY 14534
Not accepting new clients
Are you struggling to make sense of the million things life throws at you? Feeling overwhelmed? Want to understand and connect with yourself more deeply? I am here to support you. Life is hard, especially these days. Experiences, both past and present, shape how we perceive ourselves and the world around us. I believe it is important to honor all of your experiences, good or not so good, and utilize what you have learned to help you recognize the existing strengths and skills you possess. Together we will explore new perspectives and coping skills to help you achieve your goals.
Are you struggling to make sense of the million things life throws at you? Feeling overwhelmed? Want to understand and connect with yourself more deeply? I am here to support you. Life is hard, especially these days. Experiences, both past and present, shape how we perceive ourselves and the world around us. I believe it is important to honor all of your experiences, good or not so good, and utilize what you have learned to help you recognize the existing strengths and skills you possess. Together we will explore new perspectives and coping skills to help you achieve your goals.
(585) 598-4116 View (585) 598-4116
Photo of Kelsey Krueger, Counselor, LMHC, MS
Kelsey Krueger
Counselor, LMHC, MS
Pittsford, NY 14534
As a therapist, I offer a warm space for collaboration. Let's explore what matters to you, and the experiences that have shaped your current world. I believe that our views of ourselves/others can be negatively shaped by our environments, such as an unhealthy family member or pattern of failure/loss. I'd like to help you let go of negative beliefs and emotions you've held on to over the years, and make room for others that help you more effectively make movement toward your goals. I am dual-licensed in NY and IN and can serve individuals in either state virtually!
As a therapist, I offer a warm space for collaboration. Let's explore what matters to you, and the experiences that have shaped your current world. I believe that our views of ourselves/others can be negatively shaped by our environments, such as an unhealthy family member or pattern of failure/loss. I'd like to help you let go of negative beliefs and emotions you've held on to over the years, and make room for others that help you more effectively make movement toward your goals. I am dual-licensed in NY and IN and can serve individuals in either state virtually!
(585) 632-5610 View (585) 632-5610
Photo of Marti Mowers - CAFTACS (Child, Adult, Family Therapy, Consult), Clinical Social Work/Therapist, EdD, LCSW, LMFT
CAFTACS (Child, Adult, Family Therapy, Consult)
Clinical Social Work/Therapist, EdD, LCSW, LMFT
Pittsford, NY 14534
When imagining our ideal client, the word that comes to mind is motivation. At CAFTACS, we have the pleasure of working with a wide range of individuals from various backgrounds seeking support with challenges that are unique to their own lived experiences. The thing that remains the same across all of them is their motivation to show up and help us in best supporting them. You don't need to be 100% ready to go when first stepping through the door; just taking the chance to introduce yourself or your child to us is enough to start an incredible journey around self-growth.
When imagining our ideal client, the word that comes to mind is motivation. At CAFTACS, we have the pleasure of working with a wide range of individuals from various backgrounds seeking support with challenges that are unique to their own lived experiences. The thing that remains the same across all of them is their motivation to show up and help us in best supporting them. You don't need to be 100% ready to go when first stepping through the door; just taking the chance to introduce yourself or your child to us is enough to start an incredible journey around self-growth.
(585) 620-2741 View (585) 620-2741
Photo of Scott Clifton - Rochester Philosophical Counseling, PhD, MA
Rochester Philosophical Counseling
Verified Verified
Pittsford, NY 14534
Do you ever feel like the world is not quite right? Do you struggle to find your place within it? Do you suspect that this lack of “fit” is not due to a psychological problem with you but rather to a lack of a strategy for adjusting to the distorted world itself? If you answered yes to any or all of these questions, I may be able to help.
Do you ever feel like the world is not quite right? Do you struggle to find your place within it? Do you suspect that this lack of “fit” is not due to a psychological problem with you but rather to a lack of a strategy for adjusting to the distorted world itself? If you answered yes to any or all of these questions, I may be able to help.
(585) 575-1638 View (585) 575-1638
Photo of Sophie Shemirani, MHC-LP
Sophie Shemirani
Verified Verified
1 Endorsed
Online Only
I have several years of experience working with young adults with a wide range of mental health concerns, including anxiety, depression, mood disorders, life transitions, and identity-related stressors. Young adulthood can be difficult to navigate. I strive to provide a supportive, collaborative, and grounded therapeutic space as students navigate these transitions. I prioritize keeping my rates affordable, as I believe access to mental health care should be realistic and attainable. This allows those to engage in consistent, ongoing support without the added stress of financial burden. I look forward to connecting with you!
I have several years of experience working with young adults with a wide range of mental health concerns, including anxiety, depression, mood disorders, life transitions, and identity-related stressors. Young adulthood can be difficult to navigate. I strive to provide a supportive, collaborative, and grounded therapeutic space as students navigate these transitions. I prioritize keeping my rates affordable, as I believe access to mental health care should be realistic and attainable. This allows those to engage in consistent, ongoing support without the added stress of financial burden. I look forward to connecting with you!
(585) 866-2719 View (585) 866-2719
Photo of Jaime Mahler, Mental Health Counselor, MS, LMHC-D, CCH
Jaime Mahler
Mental Health Counselor, MS, LMHC-D, CCH
4 Endorsed
Pittsford, NY 14534
You’re highly capable and quietly exhausted. You're "functional" but inside, burned out. Here you'll find a private, specialized therapy experience for late-diagnosed ADHD, AuDHD, and Autistic Adults and Couples who want depth, discretion, and results. I also specialize in Complex Trauma so you can expect trauma informed care. Therapy here is relaxed, conversational & human, not intimidating or clinical. I meet you exactly where you are, without masking or judgment, so you can feel genuinely seen and heard. You’ll leave sessions with practical skills and strategies that actually fit your brain and nervous system.
You’re highly capable and quietly exhausted. You're "functional" but inside, burned out. Here you'll find a private, specialized therapy experience for late-diagnosed ADHD, AuDHD, and Autistic Adults and Couples who want depth, discretion, and results. I also specialize in Complex Trauma so you can expect trauma informed care. Therapy here is relaxed, conversational & human, not intimidating or clinical. I meet you exactly where you are, without masking or judgment, so you can feel genuinely seen and heard. You’ll leave sessions with practical skills and strategies that actually fit your brain and nervous system.
(585) 522-2308 View (585) 522-2308
Photo of Ciera LaCount, LCAT-LP
Ciera LaCount
Verified Verified
1 Endorsed
Pittsford, NY 14534
From the outside your life looks “fine,” so people say you have no reason to feel anxious or depressed. Inside, you feel stuck, numb, or like you’re living on autopilot. You might be LGBTQIA+ or questioning and notice you edit yourself around family, friends, or partners. In my Pittsford office and online, I love working with people who are tired of performing and curious about who they really are. As a queer therapist, I know what it’s like to bend yourself to others’ expectations and then choose something different. You want space to explore your values, gender, and sexuality and build a life that feels like your own.
From the outside your life looks “fine,” so people say you have no reason to feel anxious or depressed. Inside, you feel stuck, numb, or like you’re living on autopilot. You might be LGBTQIA+ or questioning and notice you edit yourself around family, friends, or partners. In my Pittsford office and online, I love working with people who are tired of performing and curious about who they really are. As a queer therapist, I know what it’s like to bend yourself to others’ expectations and then choose something different. You want space to explore your values, gender, and sexuality and build a life that feels like your own.
(585) 634-3007 x1 View (585) 634-3007 x1
Photo of Alex Kober, Counselor, LMHC, CTRS
Alex Kober
Counselor, LMHC, CTRS
3 Endorsed
Pittsford, NY 14534
Not accepting new clients
I am dedicated to providing a safe, collaborative, and supportive space for individuals seeking healing and growth. My approach is rooted in empathy, respect, and collaboration. I understand that each person's journey is unique, and I tailor my therapeutic interventions to meet every client's specific needs and goals. Whether you are struggling with anxiety, depression, trauma, relationship issues, or life transitions, I am here to listen without judgment and help you navigate through challenges.
I am dedicated to providing a safe, collaborative, and supportive space for individuals seeking healing and growth. My approach is rooted in empathy, respect, and collaboration. I understand that each person's journey is unique, and I tailor my therapeutic interventions to meet every client's specific needs and goals. Whether you are struggling with anxiety, depression, trauma, relationship issues, or life transitions, I am here to listen without judgment and help you navigate through challenges.
(585) 378-4046 View (585) 378-4046
Photo of Edna Robinson - Robinson & Robinson Therapy - Edna Robinson, Master Social Work, LMSW
Robinson & Robinson Therapy - Edna Robinson
Master Social Work, LMSW
Online Only
Not accepting new clients
Do you need someone to talk to because life is to tough? Unmanageable? You don’t have to suffer in silence. My goal has always been to empower individuals to work through challenging situations and find the inner strength to overcome life’s hardships or loss. I know it is sometimes difficult to share personal information, but my hope is that I make you feel comfortable, safe and heard. I want to make a difference and if given the opportunity I will navigate this journey with you.
Do you need someone to talk to because life is to tough? Unmanageable? You don’t have to suffer in silence. My goal has always been to empower individuals to work through challenging situations and find the inner strength to overcome life’s hardships or loss. I know it is sometimes difficult to share personal information, but my hope is that I make you feel comfortable, safe and heard. I want to make a difference and if given the opportunity I will navigate this journey with you.
(585) 540-1727 View (585) 540-1727
Photo of Adriana Gulli, Pre-Licensed Professional, PsyD
Adriana Gulli
Pre-Licensed Professional, PsyD
1 Endorsed
Online Only
I am a therapist who works with individuals that are hoping to improve their relationship with themselves and with others. I have experience working with individuals across the lifespan experiencing a variety of difficulties such as anxiety disorders and mood disorders. My area of specialty is with clients who have a history of disordered eating patterns as well as client's who have a history of trauma.
I am a therapist who works with individuals that are hoping to improve their relationship with themselves and with others. I have experience working with individuals across the lifespan experiencing a variety of difficulties such as anxiety disorders and mood disorders. My area of specialty is with clients who have a history of disordered eating patterns as well as client's who have a history of trauma.
(585) 549-3089 View (585) 549-3089

See more therapy options for Pittsford

How does your Therapist compare?

Number of Therapists in Pittsford, NY

300+

Average cost per session

$130

Therapists in Pittsford, NY who prioritize treating:

93% Anxiety
84% Depression
83% Relationship Issues
81% Self Esteem
73% Stress
64% Trauma and PTSD
60% Grief

Average years in practice

14 Years

Top 3 insurances accepted

82% Aetna
53% Excellus BlueCross BlueShield
50% Cigna and Evernorth

How Therapists in Pittsford, NY see their clients

78% In Person and Online
22% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsford?

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.