Therapists in Lancaster, PA

Photo of Emily Tangert, Licensed Professional Counselor in Lancaster, PA
Emily Tangert
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
3 Endorsed
Lancaster, PA 17603
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional highs and lows can be distressing, especially if influenced by trauma. Managing emotions like anxiety, sadness, shame, and anger may impact relationships, fostering feelings of inadequacy and isolation.
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional highs and lows can be distressing, especially if influenced by trauma. Managing emotions like anxiety, sadness, shame, and anger may impact relationships, fostering feelings of inadequacy and isolation.
(717) 613-6687 View (717) 613-6687
Photo of Andrea Graybill, Clinical Social Work/Therapist in Lancaster, PA
Andrea Graybill
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lancaster, PA 17601
I believe that in order for us to be our best selves, we need connection with one another. I strive to help individuals find value and connection with others through healthy relationships. Asking for help in personal and painful situations is a vulnerable and humbling experience. Through the use of a variety of approaches, I seek to help individuals feel accepted, hopeful and not alone in their situation.
I believe that in order for us to be our best selves, we need connection with one another. I strive to help individuals find value and connection with others through healthy relationships. Asking for help in personal and painful situations is a vulnerable and humbling experience. Through the use of a variety of approaches, I seek to help individuals feel accepted, hopeful and not alone in their situation.
(717) 973-8312 View (717) 973-8312
Photo of Susan Leonor Cabouli, Psychologist in Lancaster, PA
Susan Leonor Cabouli
Psychologist, PhD
Verified Verified
1 Endorsed
Lancaster, PA 17603
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
I have 32 years of experience as a psychotherapist in helping adults and teenagers with anxiety, depression, grief, unresolved trauma and abuse, limited self awareness and acceptance, and problems in navigating life changes and transitions. I have advanced training and experience in helping people recover from eating disorders. If you are a member of Overeaters Anonymous, welcome! I am also trained in integrating psychological and Christian spiritual health.
(717) 259-2730 View (717) 259-2730
Photo of Colleen Madrigale, Clinical Social Work/Therapist in Lancaster, PA
Colleen Madrigale
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Lancaster, PA 17601
Not accepting new clients
Hi, I’m Colleen! I’m a Licensed Clinical Social Worker (LCSW) and psychotherapist specializing in Dialectical Behavioral Therapy and Person-Centered Therapy. I have used DBT-informed interventions to help a diverse range of clients build trusting relationships with themselves and cope with difficult emotions. I am especially passionate about providing an affirming therapeutic space for LGBTQIA+ individuals. Whether you are seeking support with anxiety/depression, grief/loss, trauma or simply need guidance during a difficult stage of life, I hope to collaborate with you in building a treatment plan that reflects your unique goals.
Hi, I’m Colleen! I’m a Licensed Clinical Social Worker (LCSW) and psychotherapist specializing in Dialectical Behavioral Therapy and Person-Centered Therapy. I have used DBT-informed interventions to help a diverse range of clients build trusting relationships with themselves and cope with difficult emotions. I am especially passionate about providing an affirming therapeutic space for LGBTQIA+ individuals. Whether you are seeking support with anxiety/depression, grief/loss, trauma or simply need guidance during a difficult stage of life, I hope to collaborate with you in building a treatment plan that reflects your unique goals.
(717) 971-4788 View (717) 971-4788
Photo of Yanina M. Marti-Ramirez, Clinical Social Work/Therapist in Lancaster, PA
Yanina M. Marti-Ramirez
Clinical Social Work/Therapist, MSW, LCSW, CCTP-II, RPT
Verified Verified
Lancaster, PA 17601
Have you been thinking lately about alternatives to deal with your past trauma? A current life situation left you feeling stuck? Do you need additional help to overcome anxiety, stress, or deep sadness? Then, there is a possibility that you are feeling ready to begin your healing journey. Because all life experiences are different, we offer a welcoming and non-judgmental environment that assists you in healing at your own pace. In addition, you, a family member, or a friend can benefit from our evidence-based therapies with a person-centered approach.
Have you been thinking lately about alternatives to deal with your past trauma? A current life situation left you feeling stuck? Do you need additional help to overcome anxiety, stress, or deep sadness? Then, there is a possibility that you are feeling ready to begin your healing journey. Because all life experiences are different, we offer a welcoming and non-judgmental environment that assists you in healing at your own pace. In addition, you, a family member, or a friend can benefit from our evidence-based therapies with a person-centered approach.
(717) 229-9324 View (717) 229-9324
Photo of Taylor Ohrum, Clinical Social Work/Therapist in Lancaster, PA
Taylor Ohrum
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17603
Hi, I’m Taylor! I’m a Licensed Clinical Social Worker (LCSW) in the state of Pennsylvania. If your child or teen struggles with difficulties such as anxiety, depression, trauma, ADHD, ODD, life changes/adjustments, school stressors or self-esteem, I can help! I believe that everyone is the expert of their own lives, but we can all benefit from additional guidance and support for dealing with challenges we may face. My goal as a therapist is to make those I work with feel valued, understood, and empowered.
Hi, I’m Taylor! I’m a Licensed Clinical Social Worker (LCSW) in the state of Pennsylvania. If your child or teen struggles with difficulties such as anxiety, depression, trauma, ADHD, ODD, life changes/adjustments, school stressors or self-esteem, I can help! I believe that everyone is the expert of their own lives, but we can all benefit from additional guidance and support for dealing with challenges we may face. My goal as a therapist is to make those I work with feel valued, understood, and empowered.
(223) 332-4560 View (223) 332-4560
Photo of Kari Richards, Clinical Social Work/Therapist in Lancaster, PA
Kari Richards
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lancaster, PA 17601
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
(717) 837-5791 View (717) 837-5791
Photo of Dr. Sarah Haas, Psychologist in Lancaster, PA
Dr. Sarah Haas
Psychologist, PhD
Verified Verified
4 Endorsed
Lancaster, PA 17601
As a parent and a psychologist, the multiple demands placed on parents and kids can make it difficult to get through the day. I am always in awe of my clients' ability to navigate these challenges and make changes to help improve their child's behavior, emotion regulation, and relationships. I specialize in ADHD and Anxiety in toddlers, children, teens, and adults, and provide evidence-based therapy and evaluations in these areas. I also provide evidence-based ADHD evaluations for adults. Please keep advocating for your and your child's well-being - they deserve it. Get to know me better at CenterForActiveMinds.com.
As a parent and a psychologist, the multiple demands placed on parents and kids can make it difficult to get through the day. I am always in awe of my clients' ability to navigate these challenges and make changes to help improve their child's behavior, emotion regulation, and relationships. I specialize in ADHD and Anxiety in toddlers, children, teens, and adults, and provide evidence-based therapy and evaluations in these areas. I also provide evidence-based ADHD evaluations for adults. Please keep advocating for your and your child's well-being - they deserve it. Get to know me better at CenterForActiveMinds.com.
(717) 879-9797 View (717) 879-9797
Photo of Kathleen Bonnici, Licensed Professional Counselor in Lancaster, PA
Kathleen Bonnici
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17603
Do you often feel weighed down by feelings of anxiety, stress, or depression? Do you find it difficult to manage your relationships with your family members or significant other? Life can be challenging, but change is possible and attainable with support and guidance. Together we will work on strategies that allow you to address the root causes of your difficulties, and use coping skills to help build meaningful relationships and social connections.
Do you often feel weighed down by feelings of anxiety, stress, or depression? Do you find it difficult to manage your relationships with your family members or significant other? Life can be challenging, but change is possible and attainable with support and guidance. Together we will work on strategies that allow you to address the root causes of your difficulties, and use coping skills to help build meaningful relationships and social connections.
(717) 527-6061 View (717) 527-6061
Photo of Adam Hultstrand (Individual And Dbt Group Openings), Pre-Licensed Professional in Lancaster, PA
Adam Hultstrand (Individual And Dbt Group Openings)
Pre-Licensed Professional, MDiv, MA
Verified Verified
2 Endorsed
Lancaster, PA 17601
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
(717) 837-5266 View (717) 837-5266
Photo of Angelica Badillo, Clinical Social Work/Therapist in Lancaster, PA
Angelica Badillo
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Lancaster, PA 17601  (Online Only)
What sets the identity of my sessions is their structure and strategy. While I believe in having client centered treatment, I've often felt as though the therapist/client relationship requires strategy and tangible advancement that can be noted by the client. What this means is that using psycho education to identify thought or behavior patterns is often used as well as guided conversations to further explore the nature of distressed mental health symptoms. My previous experience includes: Adult counseling with a focus on Anxiety based disorders, Family counseling, Reunification counseling, Drug/Alcohol counseling
What sets the identity of my sessions is their structure and strategy. While I believe in having client centered treatment, I've often felt as though the therapist/client relationship requires strategy and tangible advancement that can be noted by the client. What this means is that using psycho education to identify thought or behavior patterns is often used as well as guided conversations to further explore the nature of distressed mental health symptoms. My previous experience includes: Adult counseling with a focus on Anxiety based disorders, Family counseling, Reunification counseling, Drug/Alcohol counseling
(570) 630-2295 View (570) 630-2295
Photo of Christina Miles, Licensed Professional Counselor in Lancaster, PA
Christina Miles
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Lancaster, PA 17603
We are excited to announce that we will have an office in March of 2024. "If we are to strive as human beings to gain more wisdom, more kindness and more compassion, we must have the intention to grow as a lotus and open each petal one by one" -Goldie Hawn. In my experience, the acceptance of information can stretch the mind beyond it’s previous dimensions and can feel very challenging. However, overcoming these growing pains can make life purposeful.
We are excited to announce that we will have an office in March of 2024. "If we are to strive as human beings to gain more wisdom, more kindness and more compassion, we must have the intention to grow as a lotus and open each petal one by one" -Goldie Hawn. In my experience, the acceptance of information can stretch the mind beyond it’s previous dimensions and can feel very challenging. However, overcoming these growing pains can make life purposeful.
(717) 973-6998 x103 View (717) 973-6998 x103
Photo of Aurora Gonzalez, Licensed Professional Counselor in Lancaster, PA
Aurora Gonzalez
Licensed Professional Counselor, MS, LPC, CAADC
Verified Verified
Lancaster, PA 17601  (Online Only)
I specialize in helping individuals achieve their Best Self. Be it in healing from trauma, managing anxiety, depression, and mood disorders, or dealing with life challenges such as addiction, relationship issues, divorce, and grief- my goal is to help you be your Best You through everything. I have over 22 years of experience in counseling and helping others explore their past, live better in the present, and face the future with renewed hope. Working on you while managing life's challenges gives us all the opportunity to live our most authentic life.
I specialize in helping individuals achieve their Best Self. Be it in healing from trauma, managing anxiety, depression, and mood disorders, or dealing with life challenges such as addiction, relationship issues, divorce, and grief- my goal is to help you be your Best You through everything. I have over 22 years of experience in counseling and helping others explore their past, live better in the present, and face the future with renewed hope. Working on you while managing life's challenges gives us all the opportunity to live our most authentic life.
(717) 483-7103 View (717) 483-7103
Photo of Hannah Avers, Clinical Social Work/Therapist in Lancaster, PA
Hannah Avers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
Lancaster, PA 17601
I believe that healing and change are possible and my goal is to provide a warm and safe therapeutic environment to help assist you on your journey. I utilize a strengths-based and holistic approach in my work and believe that therapy should be a collaborative process where we are working together to find solutions to the struggles you are facing. I enjoy seeing diverse populations and have worked extensively with women, young adults, teenagers, and survivors of trauma and domestic violence.
I believe that healing and change are possible and my goal is to provide a warm and safe therapeutic environment to help assist you on your journey. I utilize a strengths-based and holistic approach in my work and believe that therapy should be a collaborative process where we are working together to find solutions to the struggles you are facing. I enjoy seeing diverse populations and have worked extensively with women, young adults, teenagers, and survivors of trauma and domestic violence.
(717) 308-5263 View (717) 308-5263
Photo of John Gordon Smith, Pastoral Counselor in Lancaster, PA
John Gordon Smith
Pastoral Counselor, DMin, PhD, CSC
Verified Verified
Lancaster, PA 17602  (Online Only)
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire and deserve.
Are you seeking help to navigate your grief journey, recover from shame, practice forgiveness, address aging concerns, strengthen your relationship, or resolve sexual desire, arousal, or orgasmic issues? By sourcing help for any of these concerns, you have taken a bold step on your path to achieving the change you seek. By choosing me to help you achieve this change, you have found a caring, compassionate, competent, and committed counselor who will work with you to achieve the change you desire and deserve.
(717) 937-1866 View (717) 937-1866
Photo of Roberto Wingfield, Pre-Licensed Professional in Lancaster, PA
Roberto Wingfield
Pre-Licensed Professional
Verified Verified
Lancaster, PA 17603
My goal is to offer a safe space where you're heard and understood without judgement. With a background in trauma-informed care, I'm here to help you navigate the challenges life has thrown your way. Whether you're dealing with trauma, anxiety, stress, or identity issues, I'm here to support you. I will always partner with your goals as an individual or as a family with an active treatment approach, meeting you where you are in life.
My goal is to offer a safe space where you're heard and understood without judgement. With a background in trauma-informed care, I'm here to help you navigate the challenges life has thrown your way. Whether you're dealing with trauma, anxiety, stress, or identity issues, I'm here to support you. I will always partner with your goals as an individual or as a family with an active treatment approach, meeting you where you are in life.
(223) 215-4885 View (223) 215-4885
Photo of Arielle Ferry, Licensed Professional Counselor in Lancaster, PA
Arielle Ferry
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
I enjoy working with men, women, and families experiencing mental health issues, substance use, life transitions, or trauma. I also enjoy working with prepartum and postpartum women as they begin motherhood.
I enjoy working with men, women, and families experiencing mental health issues, substance use, life transitions, or trauma. I also enjoy working with prepartum and postpartum women as they begin motherhood.
(717) 864-8208 View (717) 864-8208
Photo of Kathryn R, Maz, PsyD., Psychologist in Lancaster, PA
Kathryn R, Maz, PsyD.
Psychologist, PsyD, CSAT
Verified Verified
1 Endorsed
Lancaster, PA 17603
For over 30 years I have been honored with the experience of helping individuals being held back by addictions, anxiety, depression, or relationship difficulties. I seek to provide a judgement free, in-depth understanding of my clients' journeys provide tools for increasing self esteem, understanding and effectively experiencing emotions, and challenging difficult behavioral patterns. I assist couples in reconciling the hurts of the past and moving towards shared unity and deeper intimacy. Some of the areas I specifically specialize in include: substance abuse, sexual addictions, anger management, self injury and LGBTQIA issues.
For over 30 years I have been honored with the experience of helping individuals being held back by addictions, anxiety, depression, or relationship difficulties. I seek to provide a judgement free, in-depth understanding of my clients' journeys provide tools for increasing self esteem, understanding and effectively experiencing emotions, and challenging difficult behavioral patterns. I assist couples in reconciling the hurts of the past and moving towards shared unity and deeper intimacy. Some of the areas I specifically specialize in include: substance abuse, sexual addictions, anger management, self injury and LGBTQIA issues.
(717) 208-8197 View (717) 208-8197
Photo of Shay (Shaneea) Brown, Clinical Social Work/Therapist in Lancaster, PA
Shay (Shaneea) Brown
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lancaster, PA 17603
Taking the first steps towards improving your mental health can be challenging. I am here to walk alongside you on your journey to mental wellness. Shay Brown is a licensed social worker who earned her master’s degree from Millersville University of Pennsylvania. She has experience working with individuals from diverse cultural backgrounds. Shay provides an inclusive and nonjudgmental environment for adults experiencing life transitions, racial and intergenerational trauma, anxiety, grief and loss, stress management, boundary setting, perinatal challenges, aging, and depression.
Taking the first steps towards improving your mental health can be challenging. I am here to walk alongside you on your journey to mental wellness. Shay Brown is a licensed social worker who earned her master’s degree from Millersville University of Pennsylvania. She has experience working with individuals from diverse cultural backgrounds. Shay provides an inclusive and nonjudgmental environment for adults experiencing life transitions, racial and intergenerational trauma, anxiety, grief and loss, stress management, boundary setting, perinatal challenges, aging, and depression.
(223) 210-6747 View (223) 210-6747
Photo of Julie Simmons, Licensed Professional Counselor in Lancaster, PA
Julie Simmons
Licensed Professional Counselor, MS, LPC
Verified Verified
Lancaster, PA 17603
Waitlist for new clients
Are you / your child having trouble with intense emotions? Are you a teen or young adult struggling with life adjustments and feel like you are trying to find your place within what seems like a chaotic world? Do you or your child have difficulty with anxiety or depression, often caused by school stress or changing family dynamics? Are you a parent that struggles with knowing how to help your child? I can offer support and guidance. I believe a therapeutic relationship and trust is key in counseling, and my goal is to empower and support you to understand that change and growth is possible.
Are you / your child having trouble with intense emotions? Are you a teen or young adult struggling with life adjustments and feel like you are trying to find your place within what seems like a chaotic world? Do you or your child have difficulty with anxiety or depression, often caused by school stress or changing family dynamics? Are you a parent that struggles with knowing how to help your child? I can offer support and guidance. I believe a therapeutic relationship and trust is key in counseling, and my goal is to empower and support you to understand that change and growth is possible.
(717) 864-0769 View (717) 864-0769

How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

92% Anxiety
89% Depression
81% Relationship Issues
79% Self Esteem
72% Stress
69% Trauma and PTSD
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% Highmark
68% BlueCross and BlueShield
60% Capital Blue Cross

How Therapists in Lancaster, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.