Therapists in Audubon, PA

Photo of Susan LeBoutillier, Drug & Alcohol Counselor, MA, CADC
Susan LeBoutillier
Drug & Alcohol Counselor, MA, CADC
Audubon, PA 19403
Would you like to reach for your highest potential? I passionately love working with people who have an innate desire to better themselves and their lives. People who are looking for direction, possibly a little bit of hope, suggestions, encouragement and support on setting goals for their personal journey. My intention, utilizing a holistic approach, is to create and develop a relationship with each individual. Developing trust that can honor, guide and help transform each client. In providing a safe & supportive environment I consider it a privilege to hold space, validate, witness your experiences and encourage you.
Would you like to reach for your highest potential? I passionately love working with people who have an innate desire to better themselves and their lives. People who are looking for direction, possibly a little bit of hope, suggestions, encouragement and support on setting goals for their personal journey. My intention, utilizing a holistic approach, is to create and develop a relationship with each individual. Developing trust that can honor, guide and help transform each client. In providing a safe & supportive environment I consider it a privilege to hold space, validate, witness your experiences and encourage you.
(610) 365-4347 View (610) 365-4347
Photo of Lindsay A. Phillips, Psychologist, PsyD, ABPP
Lindsay A. Phillips
Psychologist, PsyD, ABPP
2 Endorsed
Online Only
Therapy is a collaborative, supportive process. Individuals I see often wish to feel better, decrease stress, improve coping, improve relationships, work through transitions and/or difficult experiences, manage work/life balance, & feel better about themselves. Couples I see work to decrease conflict, improve communication, and gain a better understanding of each other. I also see families with adult children and provide family psychoeducation for mental illness. I am active in my profession and complete ongoing training to stay abreast of the best ways to assist people in achieving goals and improving their lives and relationships.
Therapy is a collaborative, supportive process. Individuals I see often wish to feel better, decrease stress, improve coping, improve relationships, work through transitions and/or difficult experiences, manage work/life balance, & feel better about themselves. Couples I see work to decrease conflict, improve communication, and gain a better understanding of each other. I also see families with adult children and provide family psychoeducation for mental illness. I am active in my profession and complete ongoing training to stay abreast of the best ways to assist people in achieving goals and improving their lives and relationships.
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Photo of Brianna Lowry, Pre-Licensed Professional, MS, NCC
Brianna Lowry
Pre-Licensed Professional, MS, NCC
1 Endorsed
Audubon, PA 19403
When life feels overwhelming, it can be hard to imagine a way forward. Whether you’re navigating the pain of grief, the lasting effects of trauma, or experiencing self-doubt, these struggles can leave you feeling disconnected from yourself and others. In this space, you’ll find a compassionate, grounded presence to support you through life’s most challenging moments. Together, we’ll create a path toward healing that allows you to reconnect with your true sense of self, build a life that feels authentic and fulfilling, and welcome yourself home to yourself.
When life feels overwhelming, it can be hard to imagine a way forward. Whether you’re navigating the pain of grief, the lasting effects of trauma, or experiencing self-doubt, these struggles can leave you feeling disconnected from yourself and others. In this space, you’ll find a compassionate, grounded presence to support you through life’s most challenging moments. Together, we’ll create a path toward healing that allows you to reconnect with your true sense of self, build a life that feels authentic and fulfilling, and welcome yourself home to yourself.
(484) 600-6701 View (484) 600-6701
Photo of Marisa M Palencar, Associate Professional Counselor, MA, LAPC
Marisa M Palencar
Associate Professional Counselor, MA, LAPC
1 Endorsed
Audubon, PA 19403
Therapy isn’t about being ‘broken’—it’s about getting support and tools to navigate life’s challenges. You don’t have to handle it alone! Children: Sometimes, you might feel upset, scared, or even angry—and that’s okay! It’s important to talk about big feelings. Therapists are great listeners and help you understand your emotions. Teens: Being a teenager is tough-juggling school, relationships, and figuring out who you are. It’s okay to feel lost or overwhelmed. Therapy can help you understand yourself better. Adults: Life can feel overwhelming with work, family, and responsibilities. There is help to guide you and regain peace
Therapy isn’t about being ‘broken’—it’s about getting support and tools to navigate life’s challenges. You don’t have to handle it alone! Children: Sometimes, you might feel upset, scared, or even angry—and that’s okay! It’s important to talk about big feelings. Therapists are great listeners and help you understand your emotions. Teens: Being a teenager is tough-juggling school, relationships, and figuring out who you are. It’s okay to feel lost or overwhelmed. Therapy can help you understand yourself better. Adults: Life can feel overwhelming with work, family, and responsibilities. There is help to guide you and regain peace
(484) 749-0391 View (484) 749-0391
Photo of Jillian Sharp, Clinical Social Work/Therapist, LCSW, RPT
Jillian Sharp
Clinical Social Work/Therapist, LCSW, RPT
Online Only
Many clients have told me that they were nervous to start therapy but they are so glad they did. I practice a person centered approach where we explore your struggles & thoughts and feelings without judgement. I believe in connecting on a human level; in building trust through listening, deep understanding, and humor. Together, we will identify and work to change the things holding you back. We will discuss healthier ways to cope, communicate, and increase self esteem. If you have been struggling with anxiety, depression, relationship conflicts, insecurities, major life changes, or family dynamics, I'd love to help you thrive.
Many clients have told me that they were nervous to start therapy but they are so glad they did. I practice a person centered approach where we explore your struggles & thoughts and feelings without judgement. I believe in connecting on a human level; in building trust through listening, deep understanding, and humor. Together, we will identify and work to change the things holding you back. We will discuss healthier ways to cope, communicate, and increase self esteem. If you have been struggling with anxiety, depression, relationship conflicts, insecurities, major life changes, or family dynamics, I'd love to help you thrive.
(215) 515-8045 View (215) 515-8045
Photo of Kellyn Wright, Marriage & Family Therapist, MFT, LMFT
Kellyn Wright
Marriage & Family Therapist, MFT, LMFT
Audubon, PA 19403
Are you feeling lost in your relationship with your family? Has the spark in your relationship faded, and communication is no longer there? I help parents understand their kids, support individuals in managing stress, and work with couples to build stronger connections. Together, we'll work to understand what's going on, develop new skills, and build healthier connections with yourself and others. I work with people ages 11+ to improve relationships and day to day happiness.
Are you feeling lost in your relationship with your family? Has the spark in your relationship faded, and communication is no longer there? I help parents understand their kids, support individuals in managing stress, and work with couples to build stronger connections. Together, we'll work to understand what's going on, develop new skills, and build healthier connections with yourself and others. I work with people ages 11+ to improve relationships and day to day happiness.
(484) 572-3416 View (484) 572-3416
Photo of Jd Edgard, Licensed Professional Counselor, MA, LPC
Jd Edgard
Licensed Professional Counselor, MA, LPC
Audubon, PA 19403
Sometimes, Life can feel overwhelming and you find yourself at a loss on what to do next. Whether you’re a parent seeking guidance on how to support your child/teen or a young person looking for a safe space to express yourself, I’m here to help. I specialize in fostering healthy communication, managing stress and anxiety, and addressing behavioral or emotional concerns that may arise during this crucial stage of life.
Sometimes, Life can feel overwhelming and you find yourself at a loss on what to do next. Whether you’re a parent seeking guidance on how to support your child/teen or a young person looking for a safe space to express yourself, I’m here to help. I specialize in fostering healthy communication, managing stress and anxiety, and addressing behavioral or emotional concerns that may arise during this crucial stage of life.
(484) 559-6606 View (484) 559-6606
Photo of Emily Gatto, Clinical Social Work/Therapist, LCSW
Emily Gatto
Clinical Social Work/Therapist, LCSW
1 Endorsed
Audubon, PA 19403
Feeling stuck or unsure about your next step? Whether you're a parent concerned about your child or an adult navigating life’s challenges, I’m here to help. Together, we’ll uncover practical ways to make life smoother and strengthen your relationships. Do you want to approach each day with more calm? Support your child without feeling overwhelmed? Heal from trauma that’s been holding you back? Let’s work together to create meaningful, positive change.
Feeling stuck or unsure about your next step? Whether you're a parent concerned about your child or an adult navigating life’s challenges, I’m here to help. Together, we’ll uncover practical ways to make life smoother and strengthen your relationships. Do you want to approach each day with more calm? Support your child without feeling overwhelmed? Heal from trauma that’s been holding you back? Let’s work together to create meaningful, positive change.
(484) 255-8433 View (484) 255-8433
Photo of Olena Dart, Clinical Social Work/Therapist, MSW, LCSW
Olena Dart
Clinical Social Work/Therapist, MSW, LCSW
Audubon, PA 19403
I know that life changes can be unsettling, you may be feeling complicated emotions or you may find yourself repeating behaviors that don’t get you where you want to be. I am confident, together, we can affect a positive change within only a few sessions. I work with everyday people. Parents, adolescents, client with chronic pain, even immigrants like myself before becoming a US citizen. You are welcome here. Let’s right the wheel, and take control.
I know that life changes can be unsettling, you may be feeling complicated emotions or you may find yourself repeating behaviors that don’t get you where you want to be. I am confident, together, we can affect a positive change within only a few sessions. I work with everyday people. Parents, adolescents, client with chronic pain, even immigrants like myself before becoming a US citizen. You are welcome here. Let’s right the wheel, and take control.
(484) 202-6250 View (484) 202-6250
Photo of Andrew Sher, Licensed Professional Counselor, LPC
Andrew Sher
Licensed Professional Counselor, LPC
Online Only
I'd like to help you get unstuck. You may have found yourself in a pattern of avoidance, overthinking, and isolation. If you have been struggling with these things, or have been formally diagnosed with Obsessive Compulsive Disorder, Anxiety Disorders, and/or Depression, you may desperately want to break free from these cycles but do not know where to begin or how to start. Too much of your time and energy has been lost, and you have been taken away from living life to the fullest.
I'd like to help you get unstuck. You may have found yourself in a pattern of avoidance, overthinking, and isolation. If you have been struggling with these things, or have been formally diagnosed with Obsessive Compulsive Disorder, Anxiety Disorders, and/or Depression, you may desperately want to break free from these cycles but do not know where to begin or how to start. Too much of your time and energy has been lost, and you have been taken away from living life to the fullest.
(484) 601-5618 View (484) 601-5618
Photo of Jessica Sublett, Clinical Social Work/Therapist, LCSW, MSW
Jessica Sublett
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Audubon, PA 19403
Have you noticed changes in your child’s behavior, or have you been feeling emotionally off yourself? Maybe your once-cheerful child is now anxious or withdrawn, or you might be struggling to cope with your own stress, anxiety, or overwhelming emotions. Life’s challenges affect us all, but you don’t have to face them alone. Whether you’re seeking support for yourself or your child, I’m here to listen without judgment and help guide you toward healing. Together, we’ll focus on fostering resilience and understanding, empowering you to navigate life’s challenges with confidence and support.
Have you noticed changes in your child’s behavior, or have you been feeling emotionally off yourself? Maybe your once-cheerful child is now anxious or withdrawn, or you might be struggling to cope with your own stress, anxiety, or overwhelming emotions. Life’s challenges affect us all, but you don’t have to face them alone. Whether you’re seeking support for yourself or your child, I’m here to listen without judgment and help guide you toward healing. Together, we’ll focus on fostering resilience and understanding, empowering you to navigate life’s challenges with confidence and support.
(610) 850-8009 View (610) 850-8009
Photo of Dolores E Littleton, Marriage & Family Therapist, MDiv, DMin, LMFT
Dolores E Littleton
Marriage & Family Therapist, MDiv, DMin, LMFT
Audubon, PA 19403
The Rev. Dr Dolores (Dee) E. Littleton is a compassionate, empathic, and engaging therapist whose approach is collaborative and supportive while challenging clients to meet their therapeutic goals. She believes in the importance of fostering a safe, secure environment in which clients feel comfortable sharing their vulnerabilities. She loves to collaborate with clients to utilize their strengths in order to best guide them through the unique challenges they are facing. Dee takes a systemic approach to her work with individuals, couples, and families.
The Rev. Dr Dolores (Dee) E. Littleton is a compassionate, empathic, and engaging therapist whose approach is collaborative and supportive while challenging clients to meet their therapeutic goals. She believes in the importance of fostering a safe, secure environment in which clients feel comfortable sharing their vulnerabilities. She loves to collaborate with clients to utilize their strengths in order to best guide them through the unique challenges they are facing. Dee takes a systemic approach to her work with individuals, couples, and families.
(484) 291-5025 View (484) 291-5025
Photo of Tamara Gray-Phillips, Marriage & Family Therapist, MSMFT, LMFT
Tamara Gray-Phillips
Marriage & Family Therapist, MSMFT, LMFT
4 Endorsed
Audubon, PA 19403
Licensed in PA, Delaware, and NJ. I pursue a therapeutic framework that supports setting goals and strategies for productive therapeutic work. I enjoy counseling individuals, couples, and families. I am committed to compassionately working with clients who may experience depression, anxiety, mood disorders, marital and relational issues, and difficult family dynamics. I also help clients who need assistance in life coaching, communication, and conflict resolution. I create a safe haven that encompasses transparency, non-judgment, and acceptance, while empowering you to achieve goals with desirable results.
Licensed in PA, Delaware, and NJ. I pursue a therapeutic framework that supports setting goals and strategies for productive therapeutic work. I enjoy counseling individuals, couples, and families. I am committed to compassionately working with clients who may experience depression, anxiety, mood disorders, marital and relational issues, and difficult family dynamics. I also help clients who need assistance in life coaching, communication, and conflict resolution. I create a safe haven that encompasses transparency, non-judgment, and acceptance, while empowering you to achieve goals with desirable results.
(484) 712-2974 View (484) 712-2974
Photo of Heather Kramer Almquist, Licensed Professional Counselor, LPC, NCC, CCMHC, ACS, CDWF
Heather Kramer Almquist
Licensed Professional Counselor, LPC, NCC, CCMHC, ACS, CDWF
2 Endorsed
Audubon, PA 19403
Hello there! Are you feeling stuck in the same pain, the same repeated patterns? Are you struggling to feel truly connected and safe in your relationships? You're not alone, & help is available. With nearly 20 years of experience, I specialize in helping individuals find lasting change and healing. My approach is grounded in psychodynamic therapy, delving into unconscious motivations and conflicts shaping thoughts, feelings, and behaviors. By addressing emotional core experiences, we unveil the root causes of struggles and cultivate new ways to navigate life and connect with others.
Hello there! Are you feeling stuck in the same pain, the same repeated patterns? Are you struggling to feel truly connected and safe in your relationships? You're not alone, & help is available. With nearly 20 years of experience, I specialize in helping individuals find lasting change and healing. My approach is grounded in psychodynamic therapy, delving into unconscious motivations and conflicts shaping thoughts, feelings, and behaviors. By addressing emotional core experiences, we unveil the root causes of struggles and cultivate new ways to navigate life and connect with others.
(610) 850-8009 View (610) 850-8009
Photo of Jessica Brooke Savaiano, Psychologist, PsyD, NCSP, BCBA, LBS, RYT
Jessica Brooke Savaiano
Psychologist, PsyD, NCSP, BCBA, LBS, RYT
Audubon, PA 19403
I am a licensed psychologist and work primarily with individuals who struggle with cognitive, learning, executive functioning, social, emotional, and behavioral issues, including neurodevelopmental disorders.
I am a licensed psychologist and work primarily with individuals who struggle with cognitive, learning, executive functioning, social, emotional, and behavioral issues, including neurodevelopmental disorders.
(215) 584-4931 View (215) 584-4931
Photo of Oriana Kramer Almquist, Licensed Professional Counselor, LPC, MA
Oriana Kramer Almquist
Licensed Professional Counselor, LPC, MA
Audubon, PA 19403
Are you struggling with deeply painful emotions? You deserve a space where you feel safe being vulnerable to process the challenging and unexpected parts of life. I believe that the best setting for therapy is one that cultivates an environment of authentic care, establishing a trusting relationship where new depth and insight can be reached. I will always meet you where you are in your life and journey, providing you with a trauma-informed approach to healing that works at your own pace.
Are you struggling with deeply painful emotions? You deserve a space where you feel safe being vulnerable to process the challenging and unexpected parts of life. I believe that the best setting for therapy is one that cultivates an environment of authentic care, establishing a trusting relationship where new depth and insight can be reached. I will always meet you where you are in your life and journey, providing you with a trauma-informed approach to healing that works at your own pace.
(610) 850-8009 View (610) 850-8009
CM Counsel King of Prussia
Psychologist, PhD
Serves Area
CM Counsel is a behavioral health practice of licensed psychiatrists, nurse practitioners, psychologists, clinical social workers and counselors providing compassionate and comprehensive care for adults, children, adolescents, families and couples. To meet your scheduling needs, we are committed to providing timely appointments by offering virtual and evening, weekend and daytime hours at our offices in Plymouth Meeting, Exton, and King of Prussia. CM Counsel accepts most insurance plans. Our staff is highly qualified to help you and your family effectively resolve any obstacles to your emotional well-being and peace of m
CM Counsel is a behavioral health practice of licensed psychiatrists, nurse practitioners, psychologists, clinical social workers and counselors providing compassionate and comprehensive care for adults, children, adolescents, families and couples. To meet your scheduling needs, we are committed to providing timely appointments by offering virtual and evening, weekend and daytime hours at our offices in Plymouth Meeting, Exton, and King of Prussia. CM Counsel accepts most insurance plans. Our staff is highly qualified to help you and your family effectively resolve any obstacles to your emotional well-being and peace of m
(484) 906-6933 View (484) 906-6933
Photo of Catherine Frank - CM Counsel Plymouth Meeting, Psychologist, PhD
CM Counsel Plymouth Meeting
Psychologist, PhD
Serves Area
CM Counsel is a behavioral health practice of licensed psychiatrists, nurse practitioners, psychologists, clinical social workers and counselors providing compassionate and comprehensive care for adults, children, adolescents, families and couples. To meet your scheduling needs, we are committed to providing timely appointments by offering virtual and evening, weekend and daytime hours at our offices in Plymouth Meeting, Exton, and King of Prussia. CM Counsel accepts most insurance plans. Our staff is highly qualified to help you and your family effectively resolve any obstacles to your emotional well-being and peace of mind.
CM Counsel is a behavioral health practice of licensed psychiatrists, nurse practitioners, psychologists, clinical social workers and counselors providing compassionate and comprehensive care for adults, children, adolescents, families and couples. To meet your scheduling needs, we are committed to providing timely appointments by offering virtual and evening, weekend and daytime hours at our offices in Plymouth Meeting, Exton, and King of Prussia. CM Counsel accepts most insurance plans. Our staff is highly qualified to help you and your family effectively resolve any obstacles to your emotional well-being and peace of mind.
(610) 850-9530 View (610) 850-9530
Photo of Meredith R. Munro, Marriage & Family Therapist, LMFT
Meredith R. Munro
Marriage & Family Therapist, LMFT
9 Endorsed
Online Only
Seeking help is a sign of strength and health, not weakness or shame. You have a story and it matters. As an experienced mental health therapist, I feel honored to listen to your story and work together toward change and healing. My style is very warm, supportive, emotions-focused and collaborative. I place the utmost importance on developing a strong, trusting therapeutic relationship. Most often I work with individuals affected by issues of depression, anxiety, trauma, identity/self-esteem, attachment and relationship issues. I also help clients with other challenges including grief, self-harm, and chronic health issues.
Seeking help is a sign of strength and health, not weakness or shame. You have a story and it matters. As an experienced mental health therapist, I feel honored to listen to your story and work together toward change and healing. My style is very warm, supportive, emotions-focused and collaborative. I place the utmost importance on developing a strong, trusting therapeutic relationship. Most often I work with individuals affected by issues of depression, anxiety, trauma, identity/self-esteem, attachment and relationship issues. I also help clients with other challenges including grief, self-harm, and chronic health issues.
(267) 388-4742 View (267) 388-4742
Photo of Emily McCready, Licensed Professional Counselor, LPC
Emily McCready
Licensed Professional Counselor, LPC
3 Endorsed
Serves Area
My ideal client is someone navigating life's challenges, whether coping with anxiety, depression, or life transitions. They seek support to uncover their strengths, build resilience, and create a fulfilling life. Their goals are to feel empowered, understood, and capable of navigating their circumstances, driven by a desire for growth, connection, and personal fulfillment.
My ideal client is someone navigating life's challenges, whether coping with anxiety, depression, or life transitions. They seek support to uncover their strengths, build resilience, and create a fulfilling life. Their goals are to feel empowered, understood, and capable of navigating their circumstances, driven by a desire for growth, connection, and personal fulfillment.
(484) 600-2098 View (484) 600-2098
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How does your Therapist compare?

Number of Therapists in Audubon, PA

20+

Average cost per session

$140

Therapists in Audubon, PA who prioritize treating:

96% Anxiety
92% Depression
83% Trauma and PTSD
79% Relationship Issues
79% Self Esteem
71% Peer Relationships
71% Women's Issues

Average years in practice

16 Years

Top 3 insurances accepted

85% Cigna and Evernorth
69% Aetna
38% Medicare

How Therapists in Audubon, PA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

96% Female
4% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Audubon?

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.