Therapists in Columbus, OH

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Photo of Faith Lewis, Clinical Social Work/Therapist
Faith Lewis
Clinical Social Work/Therapist
Columbus, OH 43240
She is an independently licensed social worker, experienced with working with individuals and families. She works with clients to build a trusting relationship with her clients, so that together they can find the most effective approach, using the client’s own unique strengths and talents to find realistic solutions to their problems. Utilizing a client-centered approach, she helps clients get “unstuck” using a variety of techniques and skills from recognized therapeutic modalities, including Cognitive Behavior Therapy, Solution-Focused Therapy, Narrative Therapy, Mindfulness, Strengths-Based Behavioral Therapy.
She is an independently licensed social worker, experienced with working with individuals and families. She works with clients to build a trusting relationship with her clients, so that together they can find the most effective approach, using the client’s own unique strengths and talents to find realistic solutions to their problems. Utilizing a client-centered approach, she helps clients get “unstuck” using a variety of techniques and skills from recognized therapeutic modalities, including Cognitive Behavior Therapy, Solution-Focused Therapy, Narrative Therapy, Mindfulness, Strengths-Based Behavioral Therapy.
(234) 595-3706 View (234) 595-3706
Photo of Jason Tackett, Counselor, LPCC
Jason Tackett
Counselor, LPCC
Online Only
“Walking one another home” reflects my approach to the work clients and I do together. I see home as the place where a journey begins and ends - and as a place we can access within ourselves along the way. Home is where our knowing resides, where our power source lives, where our healing center operates, and where our resources listen for their invitation to be shared in service of the whole. I support clients in exploring how they use their energy in relationship with self, others, work, and life, and in reflecting honestly on what is or isn’t serving them. I am a collaborative spirit in support of finding one’s own path through.
“Walking one another home” reflects my approach to the work clients and I do together. I see home as the place where a journey begins and ends - and as a place we can access within ourselves along the way. Home is where our knowing resides, where our power source lives, where our healing center operates, and where our resources listen for their invitation to be shared in service of the whole. I support clients in exploring how they use their energy in relationship with self, others, work, and life, and in reflecting honestly on what is or isn’t serving them. I am a collaborative spirit in support of finding one’s own path through.
(614) 956-3071 View (614) 956-3071
Photo of Katherine Bearer, Counselor, LPCC-S
Katherine Bearer
Counselor, LPCC-S
5 Endorsed
Online Only
Therapy is an exciting and challenging journey. I believe that you already have the skills to help you along the way, and my role is to help you strengthen those skills and add more to your toolbox. I am passionate about growth and healing, and I have experience with several different types of therapy we may use in session.
Therapy is an exciting and challenging journey. I believe that you already have the skills to help you along the way, and my role is to help you strengthen those skills and add more to your toolbox. I am passionate about growth and healing, and I have experience with several different types of therapy we may use in session.
(614) 916-9264 View (614) 916-9264
Photo of Maxine D. Sims, Licensed Professional Clinical Counselor, MSEd, LPC
Maxine D. Sims
Licensed Professional Clinical Counselor, MSEd, LPC
Columbus, OH 43215
"Pain is inevitable, suffering is optional." ~Haruki Murakami.. Interpretations of events throughout our lives plays a fundamental role in our level of satisfaction in life. Understanding perspective, which shapes our view of the world, is essential in the change process. Because of this understanding I use an eclectic approach to counseling with an emphasis on Cognitive Restructuring to help my clients navigate through life's ups and downs. Working in several different areas of mental health including community mental health, substance abuse, and home- based family counseling has given me the opportunity to work with individuals and families from diverse populations and socioeconomic statuses.
"Pain is inevitable, suffering is optional." ~Haruki Murakami.. Interpretations of events throughout our lives plays a fundamental role in our level of satisfaction in life. Understanding perspective, which shapes our view of the world, is essential in the change process. Because of this understanding I use an eclectic approach to counseling with an emphasis on Cognitive Restructuring to help my clients navigate through life's ups and downs. Working in several different areas of mental health including community mental health, substance abuse, and home- based family counseling has given me the opportunity to work with individuals and families from diverse populations and socioeconomic statuses.
(614) 940-4868 View (614) 940-4868
Photo of Marshall L. Myers, Counselor, LPCC-S
Marshall L. Myers
Counselor, LPCC-S
Columbus, OH 43221
My name is Marshall, and I am a Licensed Professional Clinical Counselor with Supervision Designation (LPPC-S) in Ohio, and originally from Sandwich, MA. I moved to Steubenville, OH and received my master’s degree at Franciscan University of Steubenville in May of 2019; I have been in the Columbus, Ohio area for about 6 years. I am engaged to my future wife, Agnes. I recently ended therapy services at Serenity BHS to branch into private practice. I specialize in CBT, DBT, and EMDR therapy as a primary source. I practice marriage and individual counseling for depression, anxiety, PTSD, personality difficulties, and more.
My name is Marshall, and I am a Licensed Professional Clinical Counselor with Supervision Designation (LPPC-S) in Ohio, and originally from Sandwich, MA. I moved to Steubenville, OH and received my master’s degree at Franciscan University of Steubenville in May of 2019; I have been in the Columbus, Ohio area for about 6 years. I am engaged to my future wife, Agnes. I recently ended therapy services at Serenity BHS to branch into private practice. I specialize in CBT, DBT, and EMDR therapy as a primary source. I practice marriage and individual counseling for depression, anxiety, PTSD, personality difficulties, and more.
(740) 499-7524 View (740) 499-7524
Photo of John K Lodge, Psychologist, PsyD
John K Lodge
Psychologist, PsyD
Columbus, OH 43221
I have worked in outpatient clinics, community mental health centers, and college counseling. I have experience working with adults, children, and adolescents in individual, family, and group-based therapy. I also have experience conducting comprehensive psychological assessments for a wide range of behavioral and psychological issues. My clinical interests include mood and anxiety disorders, trauma, adjustment and relationship difficulties, stress and anger management, behavioral pain management, employee-assistance programs (EAPs), psychological assessment, and working with individuals of diverse multicultural backgrounds.
I have worked in outpatient clinics, community mental health centers, and college counseling. I have experience working with adults, children, and adolescents in individual, family, and group-based therapy. I also have experience conducting comprehensive psychological assessments for a wide range of behavioral and psychological issues. My clinical interests include mood and anxiety disorders, trauma, adjustment and relationship difficulties, stress and anger management, behavioral pain management, employee-assistance programs (EAPs), psychological assessment, and working with individuals of diverse multicultural backgrounds.
(937) 528-1061 View (937) 528-1061
Photo of Amy J. Hohman, Clinical Social Work/Therapist, MSW, LISW-S, CCTP
Amy J. Hohman
Clinical Social Work/Therapist, MSW, LISW-S, CCTP
Online Only
“In order to be irreplaceable, one must always be different.” -Coco Chanel We all have different life experiences, beliefs, values, strengths, challenges, obstacles, levels of support, etc. I utilize an integrative approach that allows me to work with you to tailor treatment to meet your unique needs. Therapeutic techniques can be integrated from Solution-Focused, Strengths-Based, Culturally Sensitive, Cognitive Behavioral, Acceptance and Commitment, Psychodynamic, Eye Movement Desensitization and Restructuring (EMDR), Internal Family Systems (IFS), Motivational Interviewing, and Positive Psychology.
“In order to be irreplaceable, one must always be different.” -Coco Chanel We all have different life experiences, beliefs, values, strengths, challenges, obstacles, levels of support, etc. I utilize an integrative approach that allows me to work with you to tailor treatment to meet your unique needs. Therapeutic techniques can be integrated from Solution-Focused, Strengths-Based, Culturally Sensitive, Cognitive Behavioral, Acceptance and Commitment, Psychodynamic, Eye Movement Desensitization and Restructuring (EMDR), Internal Family Systems (IFS), Motivational Interviewing, and Positive Psychology.
(614) 963-3963 View (614) 963-3963
Photo of Jeffrey M Glitt, Clinical Social Work/Therapist, MSW, LISW
Jeffrey M Glitt
Clinical Social Work/Therapist, MSW, LISW
Columbus, OH 43209
I lead my sessions with openness, kindness, and empathy while creating a safe and judgment-free space for clients to share their life experiences, concerns, and goals. A firm believer in the power of collaboration, I work alongside clients to create personalized treatment plans that honor their individual needs, strengths, and goals. I takes an integrative approach, incorporating mindfulness, self-compassion, and resilience-building techniques to help clients overcome challenges and lead fulfilling, empowered lives. I have professional experience working with teens, young adults, adults, and LGBTQIA+ individuals/couples.
I lead my sessions with openness, kindness, and empathy while creating a safe and judgment-free space for clients to share their life experiences, concerns, and goals. A firm believer in the power of collaboration, I work alongside clients to create personalized treatment plans that honor their individual needs, strengths, and goals. I takes an integrative approach, incorporating mindfulness, self-compassion, and resilience-building techniques to help clients overcome challenges and lead fulfilling, empowered lives. I have professional experience working with teens, young adults, adults, and LGBTQIA+ individuals/couples.
(380) 233-5743 View (380) 233-5743
Photo of Emma Altomonte, Clinical Social Work/Therapist, MSW, LISW-S
Emma Altomonte
Clinical Social Work/Therapist, MSW, LISW-S
Online Only
My ideal clients are individuals feeling overwhelmed, stuck, disconnected from themselves, or carrying unresolved trauma. I especially enjoy working with LGBTQ+ individuals, survivors of childhood trauma or sexual violence, women navigating life transitions or relationship challenges, and those struggling with anxiety, depression, PTSD/CPTSD, codependency, or religious trauma. I provide a compassionate, collaborative space where clients can process experiences, build healthier coping skills, strengthen self-trust, and create meaningful, lasting change at a pace that feels authentic and manageable for them.
My ideal clients are individuals feeling overwhelmed, stuck, disconnected from themselves, or carrying unresolved trauma. I especially enjoy working with LGBTQ+ individuals, survivors of childhood trauma or sexual violence, women navigating life transitions or relationship challenges, and those struggling with anxiety, depression, PTSD/CPTSD, codependency, or religious trauma. I provide a compassionate, collaborative space where clients can process experiences, build healthier coping skills, strengthen self-trust, and create meaningful, lasting change at a pace that feels authentic and manageable for them.
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Photo of Amanda Naso, Counselor
Amanda Naso
Counselor
Online Only
Hello, I'm Amanda. I've been dedicated to the mental health field since 2013, and before that, I worked in special education. My journey in mental health has taken me through various areas, including employment counseling, child and family counseling, criminal justice counseling, and crisis therapy. I primarily work with individuals experiencing substance use struggles, relationship issues, anxiety disorders (such as PTSD, generalized anxiety, and panic disorder), depression, severe mental illness, self-harm, suicidal ideation, and personality disorders.
Hello, I'm Amanda. I've been dedicated to the mental health field since 2013, and before that, I worked in special education. My journey in mental health has taken me through various areas, including employment counseling, child and family counseling, criminal justice counseling, and crisis therapy. I primarily work with individuals experiencing substance use struggles, relationship issues, anxiety disorders (such as PTSD, generalized anxiety, and panic disorder), depression, severe mental illness, self-harm, suicidal ideation, and personality disorders.
(440) 588-3385 View (440) 588-3385
Photo of David Root, Clinical Social Work/Therapist, LISW-S
David Root
Clinical Social Work/Therapist, LISW-S
Columbus, OH 43235
I am a seasoned therapist and have experience working successfully with clients of all ages. I specialize in working with kids (10+), teens, and young adults experiencing a wide range of concerns, including depression, anxiety, grief/loss, trauma recovery, and behavioral challenges.
I am a seasoned therapist and have experience working successfully with clients of all ages. I specialize in working with kids (10+), teens, and young adults experiencing a wide range of concerns, including depression, anxiety, grief/loss, trauma recovery, and behavioral challenges.
(614) 639-3063 View (614) 639-3063
Photo of Nicole Parish, Licensed Professional Clinical Counselor, MA, LPCC
Nicole Parish
Licensed Professional Clinical Counselor, MA, LPCC
Online Only
Hello! My goal as a therapist is to provide a supportive, collaborative, and curious space where you can talk through whatever's on your mind. I will walk alongside you and provide perspectives and reflections as you decide what paths to take. This is your space, and I want to make sure we are always working towards goals that are important to you. We can identify and utilize the strengths, values, and skills you already have to navigate life's challenges. While working together, I hope to help you feel heard, understood, and confident in your own abilities. I look forward to connecting and working together.
Hello! My goal as a therapist is to provide a supportive, collaborative, and curious space where you can talk through whatever's on your mind. I will walk alongside you and provide perspectives and reflections as you decide what paths to take. This is your space, and I want to make sure we are always working towards goals that are important to you. We can identify and utilize the strengths, values, and skills you already have to navigate life's challenges. While working together, I hope to help you feel heard, understood, and confident in your own abilities. I look forward to connecting and working together.
(513) 848-4194 View (513) 848-4194
Photo of Susan Burkhart, Licensed Independent Social Worker, LISW
Susan Burkhart
Licensed Independent Social Worker, LISW
Columbus, OH 43215
Susan is an independently licensed clinical social worker with supervisory designation (LISW-S) in the state of Ohio. She has worked in the mental health field for nearly 30 years, holding space for individuals across the lifespan and from a wide range of backgrounds. She considers it both a privilege and an honor to walk alongside clients as they explore, heal, and grow.
Susan is an independently licensed clinical social worker with supervisory designation (LISW-S) in the state of Ohio. She has worked in the mental health field for nearly 30 years, holding space for individuals across the lifespan and from a wide range of backgrounds. She considers it both a privilege and an honor to walk alongside clients as they explore, heal, and grow.
(614) 674-6076 View (614) 674-6076
Photo of Aubrey Dollings, Licensed Professional Counselor, M.Ed., LPC, LMHC
Aubrey Dollings
Licensed Professional Counselor, M.Ed., LPC, LMHC
1 Endorsed
Online Only
Looking for therapy for yourself, your child, or your family can feel overwhelming, but you do not have to figure it out alone. I work with individuals, children, and families navigating anxiety, trauma, chronic stress, big emotions, behavioral concerns, family conflict, relationship challenges, and parenting stress. I offer a safe, supportive, and nonjudgmental space where you can feel heard and understood. Together, we build coping skills, improve emotional regulation, strengthen communication, and create more connection, confidence, and hope.
Looking for therapy for yourself, your child, or your family can feel overwhelming, but you do not have to figure it out alone. I work with individuals, children, and families navigating anxiety, trauma, chronic stress, big emotions, behavioral concerns, family conflict, relationship challenges, and parenting stress. I offer a safe, supportive, and nonjudgmental space where you can feel heard and understood. Together, we build coping skills, improve emotional regulation, strengthen communication, and create more connection, confidence, and hope.
(740) 518-3350 View (740) 518-3350
Photo of Dr. Jaclyn Hillis-Mascia, Psychologist, Psy.D.
Dr. Jaclyn Hillis-Mascia
Psychologist, Psy.D.
1 Endorsed
Columbus, OH 43212
You may be here because something inside you feels different—your thoughts feel louder or more jumbled than usual, your emotions feel intense or confusing, or your sense of reality feels shaky or hard to trust. You might be having experiences you don’t know how to talk about, or you’ve tried to explain them before and felt dismissed. You deserve a non-judgmental space to help sort through your life story. My approach helps you reflect on your thoughts, emotions, and relationships with more clarity and confidence. I help you explore your inner world and reconnect with the parts of yourself that matter the most.
You may be here because something inside you feels different—your thoughts feel louder or more jumbled than usual, your emotions feel intense or confusing, or your sense of reality feels shaky or hard to trust. You might be having experiences you don’t know how to talk about, or you’ve tried to explain them before and felt dismissed. You deserve a non-judgmental space to help sort through your life story. My approach helps you reflect on your thoughts, emotions, and relationships with more clarity and confidence. I help you explore your inner world and reconnect with the parts of yourself that matter the most.
(614) 768-6371 View (614) 768-6371
Photo of Sherri Behr, Clinical Social Work/Therapist, MSW, LISW-S
Sherri Behr
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
Online Only
You aren't alone. If you're feeling overwhelmed, sad, isolated, frustrated, or angry, I can help. I have a lifetime of experience in working with older adolescents, couples, and adults of all ages.
You aren't alone. If you're feeling overwhelmed, sad, isolated, frustrated, or angry, I can help. I have a lifetime of experience in working with older adolescents, couples, and adults of all ages.
(614) 636-4130 View (614) 636-4130
Photo of Loren Ragland, Clinical Social Work/Therapist, LISW-S
Loren Ragland
Clinical Social Work/Therapist, LISW-S
1 Endorsed
Columbus, OH 43214
I have experience serving adult clients at each level of care, including community mental health, psychiatric facilities, Partial Hospitalization (PHP), Intensive Outpatient Programs (IOP), as well as private practice. My therapeutic experience includes, but is not limited to working with trauma, anxiety disorders, mood disorders, relationship issues, life transitions, and college mental health. Additionally, I have worked with various cultures and socioeconomic statuses.
I have experience serving adult clients at each level of care, including community mental health, psychiatric facilities, Partial Hospitalization (PHP), Intensive Outpatient Programs (IOP), as well as private practice. My therapeutic experience includes, but is not limited to working with trauma, anxiety disorders, mood disorders, relationship issues, life transitions, and college mental health. Additionally, I have worked with various cultures and socioeconomic statuses.
(614) 902-3902 View (614) 902-3902
Photo of Daniel Amparbeng, Counselor, PhD, LPCC-S, NCC
Daniel Amparbeng
Counselor, PhD, LPCC-S, NCC
Columbus, OH 43220
As we cope with the challenges in life, we might get stuck sometimes, and asking for help is a huge positive step! As a Licensed Professional Clinical Counselor, I take pride in my ability to work with clients to cope with life's stressors to accomplish mental health, wellness, education, and career goals. I utilize client-centered interpersonal relationship in which both my clients and I collaborate to develop strategies and potential solutions to cope and overcome obstacles and personal challenges. I am committed to providing a safe and conducive environment free of judgements to help my clients explore and process their issues.
As we cope with the challenges in life, we might get stuck sometimes, and asking for help is a huge positive step! As a Licensed Professional Clinical Counselor, I take pride in my ability to work with clients to cope with life's stressors to accomplish mental health, wellness, education, and career goals. I utilize client-centered interpersonal relationship in which both my clients and I collaborate to develop strategies and potential solutions to cope and overcome obstacles and personal challenges. I am committed to providing a safe and conducive environment free of judgements to help my clients explore and process their issues.
(614) 714-3793 View (614) 714-3793
Photo of Tiffany D Hayes, Clinical Social Work/Therapist, MSW, LISW-S
Tiffany D Hayes
Clinical Social Work/Therapist, MSW, LISW-S
1 Endorsed
Columbus, OH 43235
I consider myself an eclectic therapist who uses a multitude of therapies to create the best fit for each client. Including but not limited to EMDR, IFS informed EMDR, DBT, CBT, solution focused and somatic therapy. I am trauma focused and I believe that no trauma is too small. My goal is to help each of my clients work through their traumas, embrace their strengths and become an empowered and confident person. I do have a therapy dog in training named Mollie.
I consider myself an eclectic therapist who uses a multitude of therapies to create the best fit for each client. Including but not limited to EMDR, IFS informed EMDR, DBT, CBT, solution focused and somatic therapy. I am trauma focused and I believe that no trauma is too small. My goal is to help each of my clients work through their traumas, embrace their strengths and become an empowered and confident person. I do have a therapy dog in training named Mollie.
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Photo of Kristi Todd, Pre-Licensed Professional, CT
Kristi Todd
Pre-Licensed Professional, CT
Columbus, OH 43220
I work with individuals and couples. Bringing a strong relational focus, I support clients processing trauma, life transitions, identity concerns, faith-related issues, boundary challenges, and marriage concerns. I strive to create a counseling space that is warm, thoughtful, and safe—one where clients feel seen, heard, and supported as they work toward growth and healing. Others have described my approach as insightful, discerning, and easy to open up to, with a relational style that helps clients gain clarity and perspective.
I work with individuals and couples. Bringing a strong relational focus, I support clients processing trauma, life transitions, identity concerns, faith-related issues, boundary challenges, and marriage concerns. I strive to create a counseling space that is warm, thoughtful, and safe—one where clients feel seen, heard, and supported as they work toward growth and healing. Others have described my approach as insightful, discerning, and easy to open up to, with a relational style that helps clients gain clarity and perspective.
(740) 730-1389 x833 View (740) 730-1389 x833

See more therapy options for Columbus

How does your Therapist compare?

Number of Therapists in Columbus, OH

2,000+

Average cost per session

$138

Therapists in Columbus, OH who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
86% Depression
73% Trauma and PTSD
73% Complex PTSD

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
71% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH

How Therapists in Columbus, OH see their clients

53% In Person and Online
47% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus?

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.