Therapists in Chagrin Falls, OH

Photo of Samantha Mechling, Clinical Social Work/Therapist in Chagrin Falls, OH
Samantha Mechling
Clinical Social Work/Therapist, LSW, MSW
Verified
1 Endorsed
Chagrin Falls, OH 44022  (Online Only)
You know you want a change, but you don't know where to start? Or maybe you know what to do, but something inside seems to be working against you and you just can't make the changes you want? It's hard to feel like you can't talk to anyone about what's going on in fear of being judged. You're not alone! My clients are tired of feeling sad, anxious, angry, confused and tired, and they are motivated to make a change. If you want to be heard and to feel understood, and you want to learn the skills to meet your goals, be your best self and start living again, you're in the right place.
You know you want a change, but you don't know where to start? Or maybe you know what to do, but something inside seems to be working against you and you just can't make the changes you want? It's hard to feel like you can't talk to anyone about what's going on in fear of being judged. You're not alone! My clients are tired of feeling sad, anxious, angry, confused and tired, and they are motivated to make a change. If you want to be heard and to feel understood, and you want to learn the skills to meet your goals, be your best self and start living again, you're in the right place.
(440) 305-5267 View (440) 305-5267
Photo of Beth Gracey, Clinical Social Work/Therapist in Chagrin Falls, OH
Beth Gracey
Clinical Social Work/Therapist, LISW-S
Verified
Chagrin Falls, OH 44023
Beth Gracey has over 25 years of experience working with children, adolescents, adults, and families as an independently licensed social worker. She graduated from Case Western Reserve University with a Master's degree in Social Work. She has been the Children's Program Coordinator at the County of Summit Alcohol, Drug Addiction, and Mental Health Services Board for over 10 years. She serves as co-chair of the Summit County Youth Suicide Prevention Committee, and Summit County Trauma Informed Care Coalition. She is a Level One Certified Trauma Practitioner and certified perinatal mood disorder specialist.
Beth Gracey has over 25 years of experience working with children, adolescents, adults, and families as an independently licensed social worker. She graduated from Case Western Reserve University with a Master's degree in Social Work. She has been the Children's Program Coordinator at the County of Summit Alcohol, Drug Addiction, and Mental Health Services Board for over 10 years. She serves as co-chair of the Summit County Youth Suicide Prevention Committee, and Summit County Trauma Informed Care Coalition. She is a Level One Certified Trauma Practitioner and certified perinatal mood disorder specialist.
(440) 517-4466 View (440) 517-4466
Photo of Saul Tucker, Clinical Social Work/Therapist in Chagrin Falls, OH
Saul Tucker
Clinical Social Work/Therapist, LSW
Verified
Chagrin Falls, OH 44022
I am both a Licensed Social Worker and a Certified Life Coach. The main focus of my practice is supporting neuro-diverse clients and their families. This includes, but is not limited to, ADHD and Autism.
I am both a Licensed Social Worker and a Certified Life Coach. The main focus of my practice is supporting neuro-diverse clients and their families. This includes, but is not limited to, ADHD and Autism.
(440) 762-6126 View (440) 762-6126
Photo of Aminah Brahim-Jimenez, Clinical Social Work/Therapist in Chagrin Falls, OH
Aminah Brahim-Jimenez
Clinical Social Work/Therapist, LISW-S
Verified
Chagrin Falls, OH 44023
I have a master's degree from Case Western Reserve University and I am a supervising licensed independent social worker with over 20 years of experience. I have worked with children, adolescents, and adults in many settings including hospitals, schools, childcare centers, juvenile detention centers, adolescent residential treatment facilities, and outpatient community mental health centers. I especially love working with children and their families, assisting those as young as three years of age.
I have a master's degree from Case Western Reserve University and I am a supervising licensed independent social worker with over 20 years of experience. I have worked with children, adolescents, and adults in many settings including hospitals, schools, childcare centers, juvenile detention centers, adolescent residential treatment facilities, and outpatient community mental health centers. I especially love working with children and their families, assisting those as young as three years of age.
(440) 389-3071 View (440) 389-3071
Photo of Roseann D'Agati, Clinical Social Work/Therapist in Chagrin Falls, OH
Roseann D'Agati
Clinical Social Work/Therapist, LISW-S
Verified
Chagrin Falls, OH 44023
My goal as a therapist is to provide you with a safe, comfortable, and friendly environment to work through your individual or family challenges. I aim to help you navigate the complex world that we live in. Whether the challenges you and your family face are related to the current stressors in your life, or past trauma you have experienced, I will work with you to identify the core issue and obtain the skills needed to help you develop a healthy and rewarding life. My primary focus is currently working with children, adolescents, young adults, and families, but I also have experience working with adults.
My goal as a therapist is to provide you with a safe, comfortable, and friendly environment to work through your individual or family challenges. I aim to help you navigate the complex world that we live in. Whether the challenges you and your family face are related to the current stressors in your life, or past trauma you have experienced, I will work with you to identify the core issue and obtain the skills needed to help you develop a healthy and rewarding life. My primary focus is currently working with children, adolescents, young adults, and families, but I also have experience working with adults.
(440) 530-9441 View (440) 530-9441
Photo of Jenny Eish, Licensed Professional Counselor in Chagrin Falls, OH
Jenny Eish
Licensed Professional Counselor, LPC, R-DMT
Verified
Chagrin Falls, OH 44022  (Online Only)
The struggles we face as we travel through life may leave us feeling like a piece of the self has been cracked, chipped away, covered up, or like shadows have formed within one’s self. In relationships it may feel like there is something wrong, but difficult to pinpoint what. Whatever brought you here, you have taken the first step, moving towards becoming more whole and changing your life for the better. Through a collaborative approach, my goal is to help you put the pieces together in a way that feels best to you, so that you may move forward in your life towards a happier and more fulfilling future.
The struggles we face as we travel through life may leave us feeling like a piece of the self has been cracked, chipped away, covered up, or like shadows have formed within one’s self. In relationships it may feel like there is something wrong, but difficult to pinpoint what. Whatever brought you here, you have taken the first step, moving towards becoming more whole and changing your life for the better. Through a collaborative approach, my goal is to help you put the pieces together in a way that feels best to you, so that you may move forward in your life towards a happier and more fulfilling future.
(440) 271-8512 View (440) 271-8512
Photo of Michael Guyer, Counselor in Chagrin Falls, OH
Michael Guyer
Counselor, LPCC, NCC
Verified
Chagrin Falls, OH 44022
The goal in life is to express ones abilities and unique personality characteristics in a way that achieves fulfillment over the lifespan. Sometimes that entails seeking assistance to promote that journey if/when the individual believes they are not achieving progress. Whether it's developmental, school and career building, or family and relationship issues over the lifespan one can feel stuck and need the services of a professional. Don't let procrastination or other circumstances deprive you of a life where you have not fulfilled your goals and ambitions.
The goal in life is to express ones abilities and unique personality characteristics in a way that achieves fulfillment over the lifespan. Sometimes that entails seeking assistance to promote that journey if/when the individual believes they are not achieving progress. Whether it's developmental, school and career building, or family and relationship issues over the lifespan one can feel stuck and need the services of a professional. Don't let procrastination or other circumstances deprive you of a life where you have not fulfilled your goals and ambitions.
(440) 510-3452 View (440) 510-3452
Photo of Wendy Weil, Licensed Professional Clinical Counselor in Chagrin Falls, OH
Wendy Weil
Licensed Professional Clinical Counselor, LPCC-S
Verified
Chagrin Falls, OH 44022
Waitlist for new clients
Welcome. I’m here to guide you through your personal challenges. I work with adults and couples seeking support and positive change. My goal is for you to feel “truly seen” and supported by me your therapist as you share, discover and face fears to get yourself to a better place. I work with mood disorders, anxiety, stress, divorce, trauma, neglect, domestic violence, life confusion, medical conditions and grief.
Welcome. I’m here to guide you through your personal challenges. I work with adults and couples seeking support and positive change. My goal is for you to feel “truly seen” and supported by me your therapist as you share, discover and face fears to get yourself to a better place. I work with mood disorders, anxiety, stress, divorce, trauma, neglect, domestic violence, life confusion, medical conditions and grief.
(440) 271-8018 View (440) 271-8018
Photo of Deanna Morphy, Counselor in Chagrin Falls, OH
Deanna Morphy
Counselor, LPCC-S
Verified
Chagrin Falls, OH 44023
Deanna Morphy is a licensed professional clinical counselor. She completed her master's degree at Geneva College. She has experience working with adults who struggle with alcoholism or addiction, in both inpatient and outpatient settings. Deanna has provided both individual and group therapy to those clients, as well as individuals coping with depression and anxiety. She also has experience working with physicians and their clients who are taking a maintenance medication such as Suboxone, Naltrexone, and Methadone. She has also provided couples and family counseling.
Deanna Morphy is a licensed professional clinical counselor. She completed her master's degree at Geneva College. She has experience working with adults who struggle with alcoholism or addiction, in both inpatient and outpatient settings. Deanna has provided both individual and group therapy to those clients, as well as individuals coping with depression and anxiety. She also has experience working with physicians and their clients who are taking a maintenance medication such as Suboxone, Naltrexone, and Methadone. She has also provided couples and family counseling.
(440) 703-6828 View (440) 703-6828
Photo of Carly Koller, Licensed Professional Counselor in Chagrin Falls, OH
Carly Koller
Licensed Professional Counselor, MA, LPC
Verified
2 Endorsed
Chagrin Falls, OH 44023  (Online Only)
“The happiness of your life depends upon the quality of your thoughts” Marcus Aurelius How we think affects how we feel and therefore how we tend to behave. It is my belief that the counseling experience is all about self exploration, growth and gaining new perspective and ways of thinking. I truly enjoy providing and sharing safe and comfortable spaces with individuals, couples, families and groups. I welcome any and all individuals age 14 and older no matter what challenges you are facing.
“The happiness of your life depends upon the quality of your thoughts” Marcus Aurelius How we think affects how we feel and therefore how we tend to behave. It is my belief that the counseling experience is all about self exploration, growth and gaining new perspective and ways of thinking. I truly enjoy providing and sharing safe and comfortable spaces with individuals, couples, families and groups. I welcome any and all individuals age 14 and older no matter what challenges you are facing.
(440) 809-8306 View (440) 809-8306
Photo of Matthew McKinley, Licensed Professional Clinical Counselor in Chagrin Falls, OH
Matthew McKinley
Licensed Professional Clinical Counselor, MA, LPCC
Verified
Chagrin Falls, OH 44022  (Online Only)
I am an independently Licensed Professional Clinical Counselor in the state of Ohio with over 5-years of experience working in the mental health field. I consider psychology, mental health, and the inner-experience as a life-long passion of mine and strive to keep improving in my knowledge and therapeutic application. I am founded in and pay respect to the natural healing that comes from genuine human connection. My aim is to create a non-judgmental and secure atmosphere in counseling that is driven by mutual respect and a shared curiosity between myself and clients.
I am an independently Licensed Professional Clinical Counselor in the state of Ohio with over 5-years of experience working in the mental health field. I consider psychology, mental health, and the inner-experience as a life-long passion of mine and strive to keep improving in my knowledge and therapeutic application. I am founded in and pay respect to the natural healing that comes from genuine human connection. My aim is to create a non-judgmental and secure atmosphere in counseling that is driven by mutual respect and a shared curiosity between myself and clients.
(440) 271-5979 View (440) 271-5979
Photo of Haley Wheeler, Clinical Social Work/Therapist in Chagrin Falls, OH
Haley Wheeler
Clinical Social Work/Therapist, LCSW, LISW
Verified
Chagrin Falls, OH 44022  (Online Only)
Hi, I'm Haley. I see you're grappling with ADHD, anxiety, depression, and the complexities of everyday life. I'm here to offer specialized support, especially for ADHD, anxiety, depression, maternal mental health and life transitions. Let's embark on a journey together, exploring your goals, challenges, and strengths in a safe and supportive space. My therapeutic toolbox includes CBT, mindfulness, and psychodynamic therapy, tailored to your unique needs. Together, we'll navigate towards healing and growth.
Hi, I'm Haley. I see you're grappling with ADHD, anxiety, depression, and the complexities of everyday life. I'm here to offer specialized support, especially for ADHD, anxiety, depression, maternal mental health and life transitions. Let's embark on a journey together, exploring your goals, challenges, and strengths in a safe and supportive space. My therapeutic toolbox includes CBT, mindfulness, and psychodynamic therapy, tailored to your unique needs. Together, we'll navigate towards healing and growth.
(440) 530-6437 View (440) 530-6437
Photo of Kelly Armstrong, Licensed Professional Clinical Counselor in Chagrin Falls, OH
Kelly Armstrong
Licensed Professional Clinical Counselor, LPCC, ATR, CMP, EMDR tr
Verified
1 Endorsed
Chagrin Falls, OH 44022
Not accepting new clients
Are you feeling overwhelmed, restless and not sure how to get back in sync with life? Have you experienced considerable loss? What about your important relationships, are they strained or in conflict? These struggles may indicate that it’s time to seek professional help with someone who can journey with you and provide experienced guidance and support. Someone that can provide a safe space to explore the unhealthy patterns and dynamics impacting your life, preventing you from moving forward and being a more joy-filled person.
Are you feeling overwhelmed, restless and not sure how to get back in sync with life? Have you experienced considerable loss? What about your important relationships, are they strained or in conflict? These struggles may indicate that it’s time to seek professional help with someone who can journey with you and provide experienced guidance and support. Someone that can provide a safe space to explore the unhealthy patterns and dynamics impacting your life, preventing you from moving forward and being a more joy-filled person.
(216) 446-6727 View (216) 446-6727
Photo of Brian Dewyre, Counselor in Chagrin Falls, OH
Brian Dewyre
Counselor, PCC-S
Verified
1 Endorsed
Chagrin Falls, OH 44022
When I entered the counseling profession over twenty-five years ago, my desire was to help people adjust to some of life's challenges and setbacks, while finding meaning and purpose. The therapeutic relationship is a safe venue in which one’s goals, whether life coaching, healing and recovery, improving relationships, or enhancing life satisfaction can be realized. My excitement for assisting people to develop meaningful goals for fulfillment in their life situation remains a passion. I work with children, adolescents, adults of all ages, and families to improve the quality of their lives.
When I entered the counseling profession over twenty-five years ago, my desire was to help people adjust to some of life's challenges and setbacks, while finding meaning and purpose. The therapeutic relationship is a safe venue in which one’s goals, whether life coaching, healing and recovery, improving relationships, or enhancing life satisfaction can be realized. My excitement for assisting people to develop meaningful goals for fulfillment in their life situation remains a passion. I work with children, adolescents, adults of all ages, and families to improve the quality of their lives.
(440) 287-7448 View (440) 287-7448
Photo of Victoriya Reich, Clinical Social Work/Therapist in Chagrin Falls, OH
Victoriya Reich
Clinical Social Work/Therapist, MA, LCDCIII, LISW-S
Verified
1 Endorsed
Chagrin Falls, OH 44022
My clients are empowered to navigate their mental health issues and strive for improvement in their daily lives. They are curious and open-minded, wanting to incorporate various skills and interventions as they create personal goals and strive to meet them. As they gain control over their livelihood, they are able to utilize learned skills and focus on their future.
My clients are empowered to navigate their mental health issues and strive for improvement in their daily lives. They are curious and open-minded, wanting to incorporate various skills and interventions as they create personal goals and strive to meet them. As they gain control over their livelihood, they are able to utilize learned skills and focus on their future.
(440) 379-8548 View (440) 379-8548
Photo of Jennifer Emch, Counselor in Chagrin Falls, OH
Jennifer Emch
Counselor, MEd, LPCC-S
Verified
4 Endorsed
Chagrin Falls, OH 44022
Not accepting new clients
Thank you for your interest in my professional profile. I offer in-person services within the mind/body/spirit continuum with a clinical focus in working with trauma. My clinical counseling services focus on combining mind/body modalities along with other evidence-based interventions such as EMDR, Hypnosis and MBSR. Ubuntu Wellness has locations in both Chardon and Chagrin Falls. In addition to my in-person offerings in Ohio, I am also licensed to provide telehealth services to residents of Vermont.
Thank you for your interest in my professional profile. I offer in-person services within the mind/body/spirit continuum with a clinical focus in working with trauma. My clinical counseling services focus on combining mind/body modalities along with other evidence-based interventions such as EMDR, Hypnosis and MBSR. Ubuntu Wellness has locations in both Chardon and Chagrin Falls. In addition to my in-person offerings in Ohio, I am also licensed to provide telehealth services to residents of Vermont.
(440) 565-2475 View (440) 565-2475
Photo of Judith Garncarek, Clinical Social Work/Therapist in Chagrin Falls, OH
Judith Garncarek
Clinical Social Work/Therapist, LISW, ACHT
Verified
1 Endorsed
Chagrin Falls, OH 44022  (Online Only)
I support and guide Clients in their quest to release old patterns of behaviors that they recognize as no longer serving them. If you are looking for emotional growth, increased awareness, and the ability to release unwanted behaviors then lets begin. I will help you building an emotional vocabulary to understand deep feelings of sadness, grief, disappointment, regret, shame, anger, overwhelmed, loneliness, and many other emotions. This is where the journey begins to an increased freedom from past pain and suffering.
I support and guide Clients in their quest to release old patterns of behaviors that they recognize as no longer serving them. If you are looking for emotional growth, increased awareness, and the ability to release unwanted behaviors then lets begin. I will help you building an emotional vocabulary to understand deep feelings of sadness, grief, disappointment, regret, shame, anger, overwhelmed, loneliness, and many other emotions. This is where the journey begins to an increased freedom from past pain and suffering.
(234) 231-0537 View (234) 231-0537
Photo of Caritas Treatment Wellness Center, Drug & Alcohol Counselor in Chagrin Falls, OH
Caritas Treatment Wellness Center
Drug & Alcohol Counselor, MEd, LCDC II
Verified
Chagrin Falls, OH 44023
I am a firm believer that ever person has the ability to enter and maintain sobriety. I have been sober for 12+ years and at one point questioned my own abilities to stay sober. I was introduced to counseling because of my own experiences and questions which developed into an intrinsic purpose to maintain my sobriety. I have a personal history that lends to helping others leave the life of active addiction and gain the tools to be sober and fulfilled. Active addiction or recovery presents difficulties which have a solution, I’m here to help in the solution.
I am a firm believer that ever person has the ability to enter and maintain sobriety. I have been sober for 12+ years and at one point questioned my own abilities to stay sober. I was introduced to counseling because of my own experiences and questions which developed into an intrinsic purpose to maintain my sobriety. I have a personal history that lends to helping others leave the life of active addiction and gain the tools to be sober and fulfilled. Active addiction or recovery presents difficulties which have a solution, I’m here to help in the solution.
(440) 337-4244 View (440) 337-4244
Photo of Kathy Chamberlain, Clinical Social Work/Therapist in Chagrin Falls, OH
Kathy Chamberlain
Clinical Social Work/Therapist, MSSA, LISW, LCSW
Verified
Chagrin Falls, OH 44022
My specialty is trauma. I love to journey with people to help them learn how to live free and full lives. Life is filled with many anxieties, trials, traumas and obstacles which can create patterns that hinder us from thriving. When we experience trauma, our brain and body create adaptive or maladaptive patterns to cope with trauma. My goal is to partner with my clients to identify the problems, create effective goals and increase healthy cognitive, emotional and behavioral skills in order to decrease symptoms and develop healthy coping tools. I provide Christian counseling to those seeking support from a faith based perspective.
My specialty is trauma. I love to journey with people to help them learn how to live free and full lives. Life is filled with many anxieties, trials, traumas and obstacles which can create patterns that hinder us from thriving. When we experience trauma, our brain and body create adaptive or maladaptive patterns to cope with trauma. My goal is to partner with my clients to identify the problems, create effective goals and increase healthy cognitive, emotional and behavioral skills in order to decrease symptoms and develop healthy coping tools. I provide Christian counseling to those seeking support from a faith based perspective.
(440) 538-1731 View (440) 538-1731
Photo of Kathleen Davis, Clinical Social Work/Therapist in Chagrin Falls, OH
Kathleen Davis
Clinical Social Work/Therapist, LISW
Verified
Chagrin Falls, OH 44023  (Online Only)
Kathleen Hobson Davis (she/her) is a licensed independent social worker with over 20 years of experience supporting children, adolescents, and the adults who love them. She has enjoyed providing individual, group and family counseling in a variety of settings, including outpatient community mental health, transitional housing, partial hospitalization, pre-K through 12th grade regular and special education programs, and online caregiver support groups.
Kathleen Hobson Davis (she/her) is a licensed independent social worker with over 20 years of experience supporting children, adolescents, and the adults who love them. She has enjoyed providing individual, group and family counseling in a variety of settings, including outpatient community mental health, transitional housing, partial hospitalization, pre-K through 12th grade regular and special education programs, and online caregiver support groups.
(440) 597-3411 View (440) 597-3411

See more therapy options for Chagrin Falls

How does your Therapist compare?

Number of Therapists in Chagrin Falls, OH

100+

Average cost per session

$127

Therapists in Chagrin Falls, OH who prioritize treating:

95% Anxiety
91% Depression
77% Self Esteem
75% Relationship Issues
69% Trauma and PTSD
68% Coping Skills
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

86% Aetna
75% Anthem | Elevance
73% Medical Mutual

How Therapists in Chagrin Falls, OH see their clients

70% In Person and Online
30% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Chagrin Falls?

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.