Therapists in Vandalia, OH

Photo of Dr. Skip Carter, Licensed Professional Counselor, PhD, BS, MA, MS, LPC
Dr. Skip Carter
Licensed Professional Counselor, PhD, BS, MA, MS, LPC
Vandalia, OH 45377
I am a clinical mental health therapist specializing in Sexual Health, Sex Education, and General Mental Health Issues. I conduct adult individual, group, and couples therapy. I am a Cognitive Behavioral Therapist (CBT), which means that one’s thoughts evoke emotions that drives one’s behaviors. Therapy focuses on a person’s thoughts, presumptions, cognitive distortions, emotion regulation, and behavioral changes. I am passionate about working with clients and am an empathetic therapist who enjoys working collaboratively to help his clients reach mental peace and creates a relaxed atmosphere that allows clients to feel safe.
I am a clinical mental health therapist specializing in Sexual Health, Sex Education, and General Mental Health Issues. I conduct adult individual, group, and couples therapy. I am a Cognitive Behavioral Therapist (CBT), which means that one’s thoughts evoke emotions that drives one’s behaviors. Therapy focuses on a person’s thoughts, presumptions, cognitive distortions, emotion regulation, and behavioral changes. I am passionate about working with clients and am an empathetic therapist who enjoys working collaboratively to help his clients reach mental peace and creates a relaxed atmosphere that allows clients to feel safe.
(937) 882-5250 View (937) 882-5250
Photo of Charlotte Denyelle Harris, Licensed Professional Counselor, RN, LPC, NCC
Charlotte Denyelle Harris
Licensed Professional Counselor, RN, LPC, NCC
Vandalia, OH 45377
As a Registered Nurse for the past 28 years, I have had the unique opportunity to care for patients in various stages of their physical, emotional, and mental health. It has been my calling to walk with patients as they navigate through difficult times. Unfortunately, people of color have been subjected to systemic disenfranchisement and social injustice, which has often resulted in trauma. As a therapist, I understand how this trauma can affect you mentally, spiritually, and emotionally. My goal is to accompany you on your journey, to help you unravel life's complexities, and empower you to be your best self.
As a Registered Nurse for the past 28 years, I have had the unique opportunity to care for patients in various stages of their physical, emotional, and mental health. It has been my calling to walk with patients as they navigate through difficult times. Unfortunately, people of color have been subjected to systemic disenfranchisement and social injustice, which has often resulted in trauma. As a therapist, I understand how this trauma can affect you mentally, spiritually, and emotionally. My goal is to accompany you on your journey, to help you unravel life's complexities, and empower you to be your best self.
(937) 898-4942 View (937) 898-4942
Photo of Elizabeth Long-Hicks - Ray of Light Counseling , Counselor, LPCC-S
Ray of Light Counseling
Counselor, LPCC-S
Vandalia, OH 45377
If you’re looking for high quality and personalized mental health therapy services, you’ve come to the right place. At Ray of Light Counseling we’ll give you the attention and personal service you’ll come to expect and enjoy. ​ We offer the best quality therapists you can find. We are all licensed in the state of Ohio and are current Licensed Professional Clinical Counselors, Licensed Professional Counselors, Independent Marriage and Family Therapists and Licensed Independent Social Workers.
If you’re looking for high quality and personalized mental health therapy services, you’ve come to the right place. At Ray of Light Counseling we’ll give you the attention and personal service you’ll come to expect and enjoy. ​ We offer the best quality therapists you can find. We are all licensed in the state of Ohio and are current Licensed Professional Clinical Counselors, Licensed Professional Counselors, Independent Marriage and Family Therapists and Licensed Independent Social Workers.
(937) 314-1659 View (937) 314-1659
Photo of Sarah Byram, Licensed Professional Clinical Counselor, MSEd, , LPCC
Sarah Byram
Licensed Professional Clinical Counselor, MSEd, , LPCC
2 Endorsed
Vandalia, OH 45377
Waitlist for new clients
Waitlist for new clients. Not currently accepting couples. Specialties: Anxiety, Depression, Couples / Relationships / Blended Families, Life Transitions, Shame/Guilt and Grief. As a masters level licensed counselor with ten years of experience, I feel called and equipped to be a guiding light to those seeking healing and health. My approach is warm, educational and centered on you. I have experience in Christian counseling, community mental health, cognitive behavioral therapy, strengths based therapy, couples therapy and positive psychology.
Waitlist for new clients. Not currently accepting couples. Specialties: Anxiety, Depression, Couples / Relationships / Blended Families, Life Transitions, Shame/Guilt and Grief. As a masters level licensed counselor with ten years of experience, I feel called and equipped to be a guiding light to those seeking healing and health. My approach is warm, educational and centered on you. I have experience in Christian counseling, community mental health, cognitive behavioral therapy, strengths based therapy, couples therapy and positive psychology.
(937) 888-3784 View (937) 888-3784
Photo of Paula Long, Clinical Social Work/Therapist, LISW-S, DARTT
Paula Long
Clinical Social Work/Therapist, LISW-S, DARTT
1 Endorsed
Vandalia, OH 45377
Not accepting new clients
Anxiety, shame, depression, substance use, and relationship stress are some of the most common impacts of trauma. Whether this came from childhood abuse or neglect or a traumatic event in your adult life, you may be left feeling insecure, sad, fearful, angry, unloved, and unworthy. You may feel there is no one who would understand or who could help you. I want you to know that you are not alone and there is help available! I would be honored to come along side you during your journey to find peace and healing. I will provide a compassionate, empathetic space to listen to your story. Every story matters!
Anxiety, shame, depression, substance use, and relationship stress are some of the most common impacts of trauma. Whether this came from childhood abuse or neglect or a traumatic event in your adult life, you may be left feeling insecure, sad, fearful, angry, unloved, and unworthy. You may feel there is no one who would understand or who could help you. I want you to know that you are not alone and there is help available! I would be honored to come along side you during your journey to find peace and healing. I will provide a compassionate, empathetic space to listen to your story. Every story matters!
(937) 807-4327 View (937) 807-4327
Photo of Dr. Alicia Ottati, Psychologist, PhD
Dr. Alicia Ottati
Psychologist, PhD
Online Only
Not accepting new clients
Hello! After retiring from the military in 2021, I transitioned to private practice offering evidence-based psychotherapy by video. I really enjoy clinical work and getting to know the clients I'm working with. I specialize in treating trauma, mood, and LGBTQ+ issues. I work with adults, older adults, and military/veterans in any of the PSYPACT participating states.
Hello! After retiring from the military in 2021, I transitioned to private practice offering evidence-based psychotherapy by video. I really enjoy clinical work and getting to know the clients I'm working with. I specialize in treating trauma, mood, and LGBTQ+ issues. I work with adults, older adults, and military/veterans in any of the PSYPACT participating states.
(937) 821-6757 View (937) 821-6757
Photo of John Seebock, Clinical Social Work/Therapist, MSEd, MSW, LISW
John Seebock
Clinical Social Work/Therapist, MSEd, MSW, LISW
1 Endorsed
Vandalia, OH 45377
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
(937) 826-3271 View (937) 826-3271
Photo of Brandy Finfrock, Licensed Professional Clinical Counselor , LPCC
Brandy Finfrock
Licensed Professional Clinical Counselor , LPCC
Online Only
I am licensed in Ohio with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self-esteem, and confidence, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am licensed in Ohio with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self-esteem, and confidence, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(937) 709-5023 View (937) 709-5023
Photo of Carla Urbanas, Counselor, MS, LPCC-S, LICDC
Carla Urbanas
Counselor, MS, LPCC-S, LICDC
2 Endorsed
Vandalia, OH 45377
Life can be difficult at times. If you are in need of someone to listen and help you get through the hard parts of life, please call us. It can really help if you have someone to listen and give new perspectives when you get stuck or are struggling with a problem in your life. We have the best therapists in the area and have a strong reputation for quality and professional care.
Life can be difficult at times. If you are in need of someone to listen and help you get through the hard parts of life, please call us. It can really help if you have someone to listen and give new perspectives when you get stuck or are struggling with a problem in your life. We have the best therapists in the area and have a strong reputation for quality and professional care.
(937) 719-0612 View (937) 719-0612
Photo of Amanda N Jones, Licensed Professional Clinical Counselor , MSEd, LPCC
Amanda N Jones
Licensed Professional Clinical Counselor , MSEd, LPCC
Online Only
Are you ready to meet the authentic healed version of yourself? Whether you are suffering from life stressors, identity/self-esteem issues, or looking for support processing and coping with symptoms associated with a deeper mental health issue, I am honored to provide that safe space for you. I seek to provide a trauma-informed, integrated holistic approach to therapy for humans across the lifespan. I have experience working with issues such as trauma, anxiety and mood disorders, psychosis, life transitions, peer and family conflicts, to name a few.
Are you ready to meet the authentic healed version of yourself? Whether you are suffering from life stressors, identity/self-esteem issues, or looking for support processing and coping with symptoms associated with a deeper mental health issue, I am honored to provide that safe space for you. I seek to provide a trauma-informed, integrated holistic approach to therapy for humans across the lifespan. I have experience working with issues such as trauma, anxiety and mood disorders, psychosis, life transitions, peer and family conflicts, to name a few.
(937) 915-3899 View (937) 915-3899
Photo of Brenda Haney - Clearing Path's Therapeutic Services, Ltd., Clinical Social Work/Therapist
Clearing Path's Therapeutic Services, Ltd.
Clinical Social Work/Therapist
Serves Area
We are dedicated and professional Therapist/Counselors/Psychiatrist providing confidential services to individuals, couples, families, teens and groups. We specialize in mood disorders, substance abuse, women's issues, anger, ADHD, domestic violence, conduct disorders, PTSD, LGBT issues,and physical abuse,etc.
We are dedicated and professional Therapist/Counselors/Psychiatrist providing confidential services to individuals, couples, families, teens and groups. We specialize in mood disorders, substance abuse, women's issues, anger, ADHD, domestic violence, conduct disorders, PTSD, LGBT issues,and physical abuse,etc.
(937) 731-3151 View (937) 731-3151
Photo of Jordan North, Licensed Professional Counselor, LPC, LSC
Jordan North
Licensed Professional Counselor, LPC, LSC
Serves Area
Hey lovely people! My name is Jordan and I work with adolescents, young adults, and adults navigating anxiety, relationship challenges, life transitions, and questions surrounding identity. Day to day life can sometimes present a challenge and many feel stuck, overwhelmed, disconnected, or unsure of who they are or where they’re headed. My role is to provide a space to help clients better understand their experiences, recognize patterns that may no longer serve, and build on strengths. Together, we’ll develop practical tools and deeper insight to help you move toward a life that feels more authentic, connected, and meaningful.
Hey lovely people! My name is Jordan and I work with adolescents, young adults, and adults navigating anxiety, relationship challenges, life transitions, and questions surrounding identity. Day to day life can sometimes present a challenge and many feel stuck, overwhelmed, disconnected, or unsure of who they are or where they’re headed. My role is to provide a space to help clients better understand their experiences, recognize patterns that may no longer serve, and build on strengths. Together, we’ll develop practical tools and deeper insight to help you move toward a life that feels more authentic, connected, and meaningful.
(937) 582-8160 View (937) 582-8160
Photo of Denise Hawkins, Licensed Professional Clinical Counselor, MS, LPCC
Denise Hawkins
Licensed Professional Clinical Counselor, MS, LPCC
Serves Area
Hello! If anxiety or panic has started shrinking your world, you don't have to navigate it alone. I specialize in helping clients break the exhausting cycle of panic disorder, agoraphobia, social anxiety and specific phobias. My approach is highly practical, action-oriented, and structured. I focus on time-limited sessions centered around Cognitive Behavior Therapy (CBT) and Exposure Therapy, which is regarded as the gold standard treatment to confront and overcome fears. Typical treatment consists of 8 to 15 sessions to achieve lasting anxiety reduction.
Hello! If anxiety or panic has started shrinking your world, you don't have to navigate it alone. I specialize in helping clients break the exhausting cycle of panic disorder, agoraphobia, social anxiety and specific phobias. My approach is highly practical, action-oriented, and structured. I focus on time-limited sessions centered around Cognitive Behavior Therapy (CBT) and Exposure Therapy, which is regarded as the gold standard treatment to confront and overcome fears. Typical treatment consists of 8 to 15 sessions to achieve lasting anxiety reduction.
(937) 807-4390 View (937) 807-4390
Photo of Cyndi Swafford, Clinical Social Work/Therapist, MSW, LSW
Cyndi Swafford
Clinical Social Work/Therapist, MSW, LSW
1 Endorsed
Serves Area
You might be managing stress, trauma, or relationship challenges while trying to hold everything together. You want better communication, stronger boundaries, and greater emotional balance. You’re looking for support that feels safe, collaborative, and practical—where insight and skill-building help you move forward with confidence. Whether you’re navigating anxiety, trauma, relational conflict, or stress that feels “in the body,” our work will focus on strengthening your regulation capacity, expanding awareness of internal experience, and fostering a supportive therapeutic relationship to help you feel more grounded and present.
You might be managing stress, trauma, or relationship challenges while trying to hold everything together. You want better communication, stronger boundaries, and greater emotional balance. You’re looking for support that feels safe, collaborative, and practical—where insight and skill-building help you move forward with confidence. Whether you’re navigating anxiety, trauma, relational conflict, or stress that feels “in the body,” our work will focus on strengthening your regulation capacity, expanding awareness of internal experience, and fostering a supportive therapeutic relationship to help you feel more grounded and present.
(937) 499-3407 View (937) 499-3407
Photo of Erika Fontana, Clinical Social Work/Therapist, MSW, LISW-S
Erika Fontana
Clinical Social Work/Therapist, MSW, LISW-S
Serves Area
Not accepting new clients
I am currently unable to accept new clients. Clients with more immediate needs are welcome to contact my office to see if another provider is available. In my experience, clients who have experienced trauma often don’t feel heard and find the world extremely overwhelming. It can often feel like life will never get better but healing is possible. Our life experiences don’t have to define us and we don’t have to remain stuck in symptoms of PTSD, depression, anxiety or use substances to cover up the pain from all of these issues. Again, healing is possible.
I am currently unable to accept new clients. Clients with more immediate needs are welcome to contact my office to see if another provider is available. In my experience, clients who have experienced trauma often don’t feel heard and find the world extremely overwhelming. It can often feel like life will never get better but healing is possible. Our life experiences don’t have to define us and we don’t have to remain stuck in symptoms of PTSD, depression, anxiety or use substances to cover up the pain from all of these issues. Again, healing is possible.
(937) 468-3761 View (937) 468-3761
Photo of Robert Nathan Adams, Counselor, MS, LPCC
Robert Nathan Adams
Counselor, MS, LPCC
Serves Area
Nate works with individuals ages 13 and up and enjoys supporting a diverse range of clients. He believes that working with people from different backgrounds and life experiences keeps him mindful of diversity and fosters a well-rounded, inclusive perspective in his practice. By creating a welcoming and adaptable therapeutic environment, he helps clients feel seen, heard, and empowered in their personal growth journey. Rooted in the principles of a growth mindset, Nate empowers clients to see setbacks as opportunities for learning and transformation. He helps individuals break free from limiting patterns and build resilience.
Nate works with individuals ages 13 and up and enjoys supporting a diverse range of clients. He believes that working with people from different backgrounds and life experiences keeps him mindful of diversity and fosters a well-rounded, inclusive perspective in his practice. By creating a welcoming and adaptable therapeutic environment, he helps clients feel seen, heard, and empowered in their personal growth journey. Rooted in the principles of a growth mindset, Nate empowers clients to see setbacks as opportunities for learning and transformation. He helps individuals break free from limiting patterns and build resilience.
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Photo of Dacey M. Spinuzzi, Clinical Social Work/Therapist, LISW, LCDCIII
Dacey M. Spinuzzi
Clinical Social Work/Therapist, LISW, LCDCIII
1 Endorsed
Serves Area
I'm Dacey M. Spinuzzi, and I know life’s ups and downs can leave you feeling overwhelmed but you don’t have to face them alone. Whether you're struggling with anxiety, depression, grief, trauma, substance misuse, or people-pleasing, I'm here to support you. As an LGBTQIA-affirming therapist, I offer a safe, compassionate space where you can be your true self without fear of judgment. Together, we can explore your challenges, build resilience, and help you move toward a life that feels more authentic and fulfilling.
I'm Dacey M. Spinuzzi, and I know life’s ups and downs can leave you feeling overwhelmed but you don’t have to face them alone. Whether you're struggling with anxiety, depression, grief, trauma, substance misuse, or people-pleasing, I'm here to support you. As an LGBTQIA-affirming therapist, I offer a safe, compassionate space where you can be your true self without fear of judgment. Together, we can explore your challenges, build resilience, and help you move toward a life that feels more authentic and fulfilling.
(937) 453-9014 View (937) 453-9014
Photo of Jeffrey Smart, Counselor, LPCC
Jeffrey Smart
Counselor, LPCC
Online Only
I am a Professional Clinical Counselor licensed in the state of Ohio. My focus is on a variety of life issues that impede the unique potential of the individual. My approach to counseling is person-centered / existential and is concerned primarily with a person’s goals, aspirations, and realization of meaning. I view life “problems” not as impediments to attaining goals but as opportunities.
I am a Professional Clinical Counselor licensed in the state of Ohio. My focus is on a variety of life issues that impede the unique potential of the individual. My approach to counseling is person-centered / existential and is concerned primarily with a person’s goals, aspirations, and realization of meaning. I view life “problems” not as impediments to attaining goals but as opportunities.
(440) 641-4826 View (440) 641-4826
Photo of Gregory A Chapman, Licensed Professional Clinical Counselor, MS LPCC
Gregory A Chapman
Licensed Professional Clinical Counselor, MS LPCC
1 Endorsed
Online Only
If you're feeling overwhelmed by trauma, abuse, divorce, or the weight of trying to hold it all together on your own, therapy can help. I work with adults who are struggling with PTSD, stress, anxiety, relationship pain, anger, and major life transitions. You don't have to keep carrying this alone. Healing is possible, and support can help you feel steadier, stronger, and more in control of your next steps.
If you're feeling overwhelmed by trauma, abuse, divorce, or the weight of trying to hold it all together on your own, therapy can help. I work with adults who are struggling with PTSD, stress, anxiety, relationship pain, anger, and major life transitions. You don't have to keep carrying this alone. Healing is possible, and support can help you feel steadier, stronger, and more in control of your next steps.
(937) 641-8938 View (937) 641-8938
Photo of Shay Kahani, Clinical Social Work/Therapist, LCSW, LISW-S, CST
Shay Kahani
Clinical Social Work/Therapist, LCSW, LISW-S, CST
Online Only
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
(216) 616-7446 View (216) 616-7446

See more therapy options for Vandalia

How does your Therapist compare?

Number of Therapists in Vandalia, OH

20+

Average cost per session

$125

Therapists in Vandalia, OH who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
89% Depression
78% Relationship Issues
78% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
85% Optum
80% Anthem

How Therapists in Vandalia, OH see their clients

74% In Person and Online
26% Online Only

Gender breakdown

69% Female
27% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vandalia?

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.