Therapists in Richmond, VA

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Photo of Misty Brown Pearson, Licensed Professional Counselor in Richmond, VA
Misty Brown Pearson
Licensed Professional Counselor, MEd, LPC, LCMHC
Verified Verified
Richmond, VA 23225  (Online Only)
Are you struggling with issues related to depression, anxiety and low self-worth? Do you want to rediscover your inner strength and passion for life? If so, I'm here to guide you through your journey towards holistic wellness. My personalized approach takes into account your unique needs and goals. Together, we'll identify your strengths and address any obstacles that are holding you back from living your best life. You don't have to go through this alone - my person-centered approach means that you'll have a supportive therapist by your side every step of the way.
Are you struggling with issues related to depression, anxiety and low self-worth? Do you want to rediscover your inner strength and passion for life? If so, I'm here to guide you through your journey towards holistic wellness. My personalized approach takes into account your unique needs and goals. Together, we'll identify your strengths and address any obstacles that are holding you back from living your best life. You don't have to go through this alone - my person-centered approach means that you'll have a supportive therapist by your side every step of the way.
(803) 805-8557 View (803) 805-8557
Photo of Tia Lukanova, Supervisee in Clinical Social Work in Richmond, VA
Tia Lukanova
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Richmond, VA 23220
Accepting NEW clients! Do you find yourself numbing your pain by keeping yourself busy? Putting your needs to the side? You may look for ways to escape, but at the end of the day, you're feeling more isolated and disconnected from others, as well as from yourself. If you are tired of running away, or feel stuck or if you are at a major crossroads in your life, you have come to the right place. Schedule a free 15-minute phone consultation and start your journey towards feeling more joy and connection.
Accepting NEW clients! Do you find yourself numbing your pain by keeping yourself busy? Putting your needs to the side? You may look for ways to escape, but at the end of the day, you're feeling more isolated and disconnected from others, as well as from yourself. If you are tired of running away, or feel stuck or if you are at a major crossroads in your life, you have come to the right place. Schedule a free 15-minute phone consultation and start your journey towards feeling more joy and connection.
(804) 391-8949 View (804) 391-8949
Photo of Christopher Adcock, Clinical Social Work/Therapist in Richmond, VA
Christopher Adcock
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Christopher "C.J." Adcock is a Licensed Clinical Social Worker (LCSW) who has over 5 years of experience providing social work therapeutic interventions to assist with those struggling with life’s challenges. C.J. has experience working with individuals in all walks of life from the emergency room to retirement communities, including those struggling with anxiety/depression, grief/bereavement, trauma, and caregiving for those with Alzheimer’s/dementia. C.J. completed his Master of Social Work (MSW) at Virginia Commonwealth University and was trained as a clinician at MCV/VCU Health.
Christopher "C.J." Adcock is a Licensed Clinical Social Worker (LCSW) who has over 5 years of experience providing social work therapeutic interventions to assist with those struggling with life’s challenges. C.J. has experience working with individuals in all walks of life from the emergency room to retirement communities, including those struggling with anxiety/depression, grief/bereavement, trauma, and caregiving for those with Alzheimer’s/dementia. C.J. completed his Master of Social Work (MSW) at Virginia Commonwealth University and was trained as a clinician at MCV/VCU Health.
(804) 635-3518 View (804) 635-3518
Photo of Jennifer Rose (Miller) in Richmond, VA
Jennifer Rose (Miller)
MA
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Not accepting new clients
Do you feel like you’re just trying to catch your breath or don’t know which way to turn? My passion is supporting individuals regain a sense of calm and direction. Hi, I'm Jen and I’m here to help you find peace in the moment so you can thrive in your pursuits. I work with clients in managing anxious and depressive states that come with experiencing trauma and major life transitions. Life can feel overwhelming when faced with: new responsibilities as a young adult, becoming a parent, re-entering the workforce or switching careers, ending a relationship, or grieving loss. Together we can embrace the overwhelm and find your compass.
Do you feel like you’re just trying to catch your breath or don’t know which way to turn? My passion is supporting individuals regain a sense of calm and direction. Hi, I'm Jen and I’m here to help you find peace in the moment so you can thrive in your pursuits. I work with clients in managing anxious and depressive states that come with experiencing trauma and major life transitions. Life can feel overwhelming when faced with: new responsibilities as a young adult, becoming a parent, re-entering the workforce or switching careers, ending a relationship, or grieving loss. Together we can embrace the overwhelm and find your compass.
(703) 705-7901 View (703) 705-7901
Photo of Alan Kleinkopf, Psychologist in Richmond, VA
Alan Kleinkopf
Psychologist, PsyD
Verified Verified
Richmond, VA 23226
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
(804) 424-5526 View (804) 424-5526
Photo of Andrew Smith, Clinical Social Work/Therapist in Richmond, VA
Andrew Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Andy Smith is a Licensed Clinical Social Worker in the state of Virginia who has over 10 years of experience working to empower children, adolescents, adults, and families to better face and cope with depression, anxiety, family conflict, and trauma. Andy completed both his Bachelor of Science in Creative Advertising with a minor in Psychology and his Master of Social Work from Virginia Commonwealth University in Richmond, VA.
Andy Smith is a Licensed Clinical Social Worker in the state of Virginia who has over 10 years of experience working to empower children, adolescents, adults, and families to better face and cope with depression, anxiety, family conflict, and trauma. Andy completed both his Bachelor of Science in Creative Advertising with a minor in Psychology and his Master of Social Work from Virginia Commonwealth University in Richmond, VA.
(804) 390-8114 View (804) 390-8114
Photo of Brittany Smith, Marriage & Family Therapist in Richmond, VA
Brittany Smith
Marriage & Family Therapist, LMFT
Verified Verified
Richmond, VA 23225  (Online Only)
Hey, I’m Brittany! Do you feel anxiety, grief, or unsure by life changes and transitions? Are you struggling in relationships with your spouse, friends, or family? Do you find it difficult to set boundaries or use assertive communication? I help individuals manage symptoms of anxiety, grief, and depression caused by life transitions.
Hey, I’m Brittany! Do you feel anxiety, grief, or unsure by life changes and transitions? Are you struggling in relationships with your spouse, friends, or family? Do you find it difficult to set boundaries or use assertive communication? I help individuals manage symptoms of anxiety, grief, and depression caused by life transitions.
(804) 575-7595 View (804) 575-7595
Photo of Enhancing Your Walk, LLC, Clinical Social Work/Therapist in Richmond, VA
Enhancing Your Walk, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi there, I am Tracy, How do you feel right now? What is the quality of your life? Are you experiencing pain or discomfort in your life? Do you feel like your life is out of control, and you cannot make sense of it? What do you believe you need to do to gain inner strength and create the happier, more confident life you deserve? Being honest about where you stand is a good start. If you are looking for a change, hoping to turn something negative into something more positive. There is hope! With your commitment, you can shift from the burdens you are experiencing and feel inspired about living life.
Hi there, I am Tracy, How do you feel right now? What is the quality of your life? Are you experiencing pain or discomfort in your life? Do you feel like your life is out of control, and you cannot make sense of it? What do you believe you need to do to gain inner strength and create the happier, more confident life you deserve? Being honest about where you stand is a good start. If you are looking for a change, hoping to turn something negative into something more positive. There is hope! With your commitment, you can shift from the burdens you are experiencing and feel inspired about living life.
(301) 825-5072 View (301) 825-5072
Photo of Martha Gizachew, Qualified Mental Health Professional in Richmond, VA
Martha Gizachew
Qualified Mental Health Professional, QMHP-A, QDDP
Verified Verified
1 Endorsed
Richmond, VA 23226
My name is Martha Gizachew, and I was born and raised in Ethiopia before moving to the United States at an early age. My upbringing and experiences called me to counseling, and I provide services in the state of Virginia in my development as a counselor with Virginia State University. My decision to practice in psychology was driven by first and secondhand experiences of discrimination, colorism, and other mistreatments of vulnerable populations. As a counselor, I am dedicated to being part of the solution for the common and uncommon effects of trauma, discrimination, religious persecution, and other situations of intolerance.
My name is Martha Gizachew, and I was born and raised in Ethiopia before moving to the United States at an early age. My upbringing and experiences called me to counseling, and I provide services in the state of Virginia in my development as a counselor with Virginia State University. My decision to practice in psychology was driven by first and secondhand experiences of discrimination, colorism, and other mistreatments of vulnerable populations. As a counselor, I am dedicated to being part of the solution for the common and uncommon effects of trauma, discrimination, religious persecution, and other situations of intolerance.
(804) 465-9952 View (804) 465-9952
Photo of Christin Collier, Clinical Social Work/Therapist in Richmond, VA
Christin Collier
Clinical Social Work/Therapist, LICSW
Verified Verified
Richmond, VA 23230  (Online Only)
Christin A. Collier is a Licensed Clinical Social Worker (LCSW) who specializes in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career issues, and adjustment concerns. Christin has over 7 years of experience in the mental health field, counseling individuals who have experienced trauma, depression, family concerns, anxiety, bipolar disorder, and adjustment concerns. She has provided counseling in a variety of settings including inpatient detoxification, intensive outpatient, outpatient group therapy, family, and individual therapy.
Christin A. Collier is a Licensed Clinical Social Worker (LCSW) who specializes in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career issues, and adjustment concerns. Christin has over 7 years of experience in the mental health field, counseling individuals who have experienced trauma, depression, family concerns, anxiety, bipolar disorder, and adjustment concerns. She has provided counseling in a variety of settings including inpatient detoxification, intensive outpatient, outpatient group therapy, family, and individual therapy.
(804) 587-7378 View (804) 587-7378
Photo of Justin Huerkamp, Licensed Professional Counselor in Richmond, VA
Justin Huerkamp
Licensed Professional Counselor, LPC, CSOTP
Verified Verified
Richmond, VA 23219
Not accepting new clients
Looking for help is the first step. Whether you have experienced a traumatic event or events in the distant past or more recently or have feelings of being sad and depressed or anxious. It could be that you are in a difficult time in your life or that you are ready for a time of growth. I believe that everyone has the capability to heal and to grow. Every individual, couple, and family are different and I customize my therapeutic plan for your individual needs.
Looking for help is the first step. Whether you have experienced a traumatic event or events in the distant past or more recently or have feelings of being sad and depressed or anxious. It could be that you are in a difficult time in your life or that you are ready for a time of growth. I believe that everyone has the capability to heal and to grow. Every individual, couple, and family are different and I customize my therapeutic plan for your individual needs.
(804) 298-7616 View (804) 298-7616
Photo of Paula Cooks, Licensed Professional Counselor in Richmond, VA
Paula Cooks
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
I am Dr. Paula Cooks; I am a Christian that believes in the holistic approach to managing the mental health needs of my clients. I use humanistic and existential therapeutic modalities. I believe that the individual, couple, or family has the unconscious resolution to aid in returning to homeostasis. My focus is on managing and improving the mental health status of individuals, families, and couples seeking relief from environmental, situational, and life stressors.
I am Dr. Paula Cooks; I am a Christian that believes in the holistic approach to managing the mental health needs of my clients. I use humanistic and existential therapeutic modalities. I believe that the individual, couple, or family has the unconscious resolution to aid in returning to homeostasis. My focus is on managing and improving the mental health status of individuals, families, and couples seeking relief from environmental, situational, and life stressors.
(804) 531-4284 View (804) 531-4284
Photo of Michelle Gorden, Licensed Professional Counselor in Richmond, VA
Michelle Gorden
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
Hi, I'm Michelle Gorden, a Licensed Professional Counselor (LPC) in Virginia and a Nationally Certified Counselor (NCC). I specialize in treating mood disorders, trauma, and PTSD. My background is diverse and supports my ability to help my clients reach their highest potential. I strive to work collaboratively with each client in a non-judgmental space to improve overall happiness and well-being. Counseling can help you with many stressors in life such as anxiety, depression, grief, eating disorders, family conflict, and self-exploration.
Hi, I'm Michelle Gorden, a Licensed Professional Counselor (LPC) in Virginia and a Nationally Certified Counselor (NCC). I specialize in treating mood disorders, trauma, and PTSD. My background is diverse and supports my ability to help my clients reach their highest potential. I strive to work collaboratively with each client in a non-judgmental space to improve overall happiness and well-being. Counseling can help you with many stressors in life such as anxiety, depression, grief, eating disorders, family conflict, and self-exploration.
(804) 429-1007 View (804) 429-1007
Photo of Tiffany J Brown, Pre-Licensed Professional in Richmond, VA
Tiffany J Brown
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Tiffany Brown a Resident in Counseling (RIC) with over 11 years of experience in the mental health field. She has a passion for assisting adults and couples with navigating life's challenges. Tiffany specializes in treating stress, depression, anxiety, relationship issues, grief, criminal justice system issues, and life transitions.
Tiffany Brown a Resident in Counseling (RIC) with over 11 years of experience in the mental health field. She has a passion for assisting adults and couples with navigating life's challenges. Tiffany specializes in treating stress, depression, anxiety, relationship issues, grief, criminal justice system issues, and life transitions.
(804) 361-9874 View (804) 361-9874
Photo of Shannon Fowler, Psychologist in Richmond, VA
Shannon Fowler
Psychologist, LCP
Verified Verified
Richmond, VA 23224
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
(804) 676-6480 View (804) 676-6480
Photo of Sarah Earp, Clinical Social Work/Therapist in Richmond, VA
Sarah Earp
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
(804) 587-7384 View (804) 587-7384
Photo of Tesha Thornton, Licensed Professional Counselor in Richmond, VA
Tesha Thornton
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Greetings! My name is Tesha Thornton, and I am a Licensed Professional Counselor offering therapy services virtually for clients residing in Virginia. I have been in the field of mental health for 20 years. My experience is extremely broad as I have held positions providing individual and family counseling services within juvenile detention centers, crisis intervention services for several Virginia localities, emergency room assessments, and court liaison services for foster care children.
Greetings! My name is Tesha Thornton, and I am a Licensed Professional Counselor offering therapy services virtually for clients residing in Virginia. I have been in the field of mental health for 20 years. My experience is extremely broad as I have held positions providing individual and family counseling services within juvenile detention centers, crisis intervention services for several Virginia localities, emergency room assessments, and court liaison services for foster care children.
(804) 220-8462 View (804) 220-8462
Photo of Tori Rogalski, Clinical Social Work/Therapist in Richmond, VA
Tori Rogalski
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Richmond, VA 23225  (Online Only)
We can think of the therapeutic process as a sort of metamorphosis. Like the caterpillar transforms into a butterfly, we all enter the world with everything we need within us to become our very best selves. However, in order to make that transformation possible, we each require a safe and supportive space to grow. Unfortunately, many of us never had the opportunity to experience that space. This could be due to growing up with unavailable or abusive attachment figures, taking on adult roles at an early age, experiencing isolation and rejection from our peers, etc. This is where therapy can come in - acting as a sort of cocoon.
We can think of the therapeutic process as a sort of metamorphosis. Like the caterpillar transforms into a butterfly, we all enter the world with everything we need within us to become our very best selves. However, in order to make that transformation possible, we each require a safe and supportive space to grow. Unfortunately, many of us never had the opportunity to experience that space. This could be due to growing up with unavailable or abusive attachment figures, taking on adult roles at an early age, experiencing isolation and rejection from our peers, etc. This is where therapy can come in - acting as a sort of cocoon.
(804) 395-6587 View (804) 395-6587
Photo of Lisa Zulawski, Clinical Social Work/Therapist in Richmond, VA
Lisa Zulawski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23225
Are you interested in living more authentically with your core self and working to pursue a life that is more in line with your aspirations and values? Does it feel like your past experiences or beliefs about yourself have made you feel stuck? We all go through experiences in our life that can get in the way of us living into our full potential and I would be honored to walk with you in that process of discovery and healing.
Are you interested in living more authentically with your core self and working to pursue a life that is more in line with your aspirations and values? Does it feel like your past experiences or beliefs about yourself have made you feel stuck? We all go through experiences in our life that can get in the way of us living into our full potential and I would be honored to walk with you in that process of discovery and healing.
(804) 331-6638 View (804) 331-6638
Photo of Mary Catherine Jessee, Licensed Professional Counselor in Richmond, VA
Mary Catherine Jessee
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23224  (Online Only)
Are you feeling dragged down by life's challenges? The Zen proverb 'Let go, or be dragged' reminds us that in order to be free of suffering, we must let go. I am inspired by secular Buddhism and believe that suffering is an innate human experience, not created from life's problems, but from our clinging to "the way things should be" and resisting impermanence and change. I help individuals develop acceptance through mindfulness and other Eastern teachings to provide them with freedom to flow with life and equanimity to remain calm even amongst the most chaotic storms.
Are you feeling dragged down by life's challenges? The Zen proverb 'Let go, or be dragged' reminds us that in order to be free of suffering, we must let go. I am inspired by secular Buddhism and believe that suffering is an innate human experience, not created from life's problems, but from our clinging to "the way things should be" and resisting impermanence and change. I help individuals develop acceptance through mindfulness and other Eastern teachings to provide them with freedom to flow with life and equanimity to remain calm even amongst the most chaotic storms.
(804) 474-6437 View (804) 474-6437

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
88% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.