Therapists in Pittsburgh, PA

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Photo of Jess Levick, Clinical Social Work/Therapist, LCSW
Jess Levick
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsburgh, PA 15208
Waitlist for new clients
We are wired for growth, for healing, and for connection. All of us have an in-built, innate capacity to weather changes, recover from/with pain and loss, and find balance and meaning in our worlds amidst difficulty and change. And still, we can encounter real barriers to living in connection with our strengths. Sometimes habitual thoughts, painful emotions, ineffective patterns of behavior, or stressors, losses and traumas that we meet without the support or stability needed to move through - such challenges can leave us depleted and distrustful of our own capacity for well-being and connection.
We are wired for growth, for healing, and for connection. All of us have an in-built, innate capacity to weather changes, recover from/with pain and loss, and find balance and meaning in our worlds amidst difficulty and change. And still, we can encounter real barriers to living in connection with our strengths. Sometimes habitual thoughts, painful emotions, ineffective patterns of behavior, or stressors, losses and traumas that we meet without the support or stability needed to move through - such challenges can leave us depleted and distrustful of our own capacity for well-being and connection.
(878) 213-4684 View (878) 213-4684
Photo of Catherine Ferguson, Licensed Professional Counselor, MA, LPC, LCPC, CCTP-1
Catherine Ferguson
Licensed Professional Counselor, MA, LPC, LCPC, CCTP-1
1 Endorsed
Pittsburgh, PA 15234
Not accepting new clients
I believe therapy is most effective when the clinician presents themselves as the client does-a person with a unique past and personality. When you take out a therapist’s humanity and lived experience, there is no true therapeutic connection and trust from the client. I strive to be both a person and therapist through my conversational, authentic, and collaborative style. I am knowledgeable in serving those with symptoms of trauma, anxiety, BPD, Bipolar Disorder, somatic complaints, dissociation, attachment issues, and psychosis. I also have extensive experience working with Veterans/Service Members and the Senior population.
I believe therapy is most effective when the clinician presents themselves as the client does-a person with a unique past and personality. When you take out a therapist’s humanity and lived experience, there is no true therapeutic connection and trust from the client. I strive to be both a person and therapist through my conversational, authentic, and collaborative style. I am knowledgeable in serving those with symptoms of trauma, anxiety, BPD, Bipolar Disorder, somatic complaints, dissociation, attachment issues, and psychosis. I also have extensive experience working with Veterans/Service Members and the Senior population.
(412) 547-5786 View (412) 547-5786
Photo of Mariah Hartman, MEd, NCC
Mariah Hartman
Verified Verified
Pittsburgh, PA 15238
I approach therapy with a person-centered lens, providing care that is respectful and responsive to each individual. Everyone's journey is unique to them and should be treated as such. It is my desire to make my clients feel seen and heard.
I approach therapy with a person-centered lens, providing care that is respectful and responsive to each individual. Everyone's journey is unique to them and should be treated as such. It is my desire to make my clients feel seen and heard.
(412) 830-0757 View (412) 830-0757
Photo of Cait Schieneman, Pre-Licensed Professional, MSCP
Cait Schieneman
Pre-Licensed Professional, MSCP
Pittsburgh, PA 15201
I help clients situate themselves within broader social and political systems while building or maintaining a healthy, joyous connection to self, culture, and community. My approach to mental health is holistic where we can incorporate somatic movements and faith-based interventions into our work together for a variety of mental health challenges for people of all backgrounds. I have been practicing as an embodiment coach and yoga teacher in Pittsburgh since 2020, graduated with my MSCP from Chatham University in 2024, and now work under supervision in two local private practices as an LAPC.
I help clients situate themselves within broader social and political systems while building or maintaining a healthy, joyous connection to self, culture, and community. My approach to mental health is holistic where we can incorporate somatic movements and faith-based interventions into our work together for a variety of mental health challenges for people of all backgrounds. I have been practicing as an embodiment coach and yoga teacher in Pittsburgh since 2020, graduated with my MSCP from Chatham University in 2024, and now work under supervision in two local private practices as an LAPC.
(412) 435-9086 View (412) 435-9086
Photo of Maria Ximena Cortada, Clinical Social Work/Therapist, LCSW
Maria Ximena Cortada
Clinical Social Work/Therapist, LCSW
Online Only
Hi, my name is Maria Ximena, a licensed psychotherapist, that's passionate about improving the lives of others by fostering mental health well-being. If you're seeking a therapist that works with you side by side, focusing on your strengths while intervening in areas that need attention, then you are in the right place.
Hi, my name is Maria Ximena, a licensed psychotherapist, that's passionate about improving the lives of others by fostering mental health well-being. If you're seeking a therapist that works with you side by side, focusing on your strengths while intervening in areas that need attention, then you are in the right place.
(484) 739-8277 View (484) 739-8277
Photo of Dr. Stephanie Marasti-Georg - Marasti-Georg Psychological, Psychologist, PsyD
Marasti-Georg Psychological
Psychologist, PsyD
Pittsburgh, PA 15217
Waitlist for new clients
Accepting new clients August 2025-We offer therapy to a diverse clientele, tailoring a personalized plan for each client which can include relational, mindfulness- based, humanistic, and existential approaches. Sometimes patterns in life contribute to feeling stuck, unfulfilled, or inauthentic. Our goal is to help you identify and overcome such barriers, and live your best life while fostering healthy relationships. Our doctoral-level therapists offer both virtual and in-person therapy, and while we are Pittsburgh-based, we are not limited to seeing local clients only.
Accepting new clients August 2025-We offer therapy to a diverse clientele, tailoring a personalized plan for each client which can include relational, mindfulness- based, humanistic, and existential approaches. Sometimes patterns in life contribute to feeling stuck, unfulfilled, or inauthentic. Our goal is to help you identify and overcome such barriers, and live your best life while fostering healthy relationships. Our doctoral-level therapists offer both virtual and in-person therapy, and while we are Pittsburgh-based, we are not limited to seeing local clients only.
(412) 776-0549 View (412) 776-0549
Photo of Darby Testa, Clinical Social Work/Therapist, LCSW
Darby Testa
Clinical Social Work/Therapist, LCSW
Online Only
I am Darby Testa, a Licensed Clinical Social Worker (LCSW) in Pennsylvania. With 10 years of direct care and supervisory experience, I have worked to promote social justice for individuals and care systems. I have extensive training and experience working with teens, adults, and seniors affected by chronic health conditions, sleep disorders, mood disorders, dysfunctional relationships, and coping challenges. I approach my work with an open mind, non-judgmental attitude, and compassion, and I will help you identify your goals from our very first session.
I am Darby Testa, a Licensed Clinical Social Worker (LCSW) in Pennsylvania. With 10 years of direct care and supervisory experience, I have worked to promote social justice for individuals and care systems. I have extensive training and experience working with teens, adults, and seniors affected by chronic health conditions, sleep disorders, mood disorders, dysfunctional relationships, and coping challenges. I approach my work with an open mind, non-judgmental attitude, and compassion, and I will help you identify your goals from our very first session.
(412) 900-5061 View (412) 900-5061
Photo of Gara O'Neil, Licensed Professional Counselor, LPC, NCC
Gara O'Neil
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Pittsburgh, PA 15237
Life can be a roller coaster of events and emotions. At times this can be hard to navigate when it comes to your personal journey and my mission is to help you get to your destination. Being a busy mother of three with full time work, I can understand how busy life can be and the obstacles that may be in your way. I want you to be able to succeed and be where you want to be in your life. I would be more than happy to help be a part of this journey with you.
Life can be a roller coaster of events and emotions. At times this can be hard to navigate when it comes to your personal journey and my mission is to help you get to your destination. Being a busy mother of three with full time work, I can understand how busy life can be and the obstacles that may be in your way. I want you to be able to succeed and be where you want to be in your life. I would be more than happy to help be a part of this journey with you.
(412) 618-1919 View (412) 618-1919
Photo of James Picinotti, Pre-Licensed Professional, LAPC
James Picinotti
Pre-Licensed Professional, LAPC
2 Endorsed
Pittsburgh, PA 15217
Waitlist for new clients
My experience is primarily in crisis work focusing on a wide variety of concerns, often related to trauma, stress, financial instability, and relationship conflict. I have worked with clients of all ages, from 5 years old to 80+ both out in the community and within the therapy office. I am passionate about working with eating and body image concerns, OCD and related anxiety disorders, and borderline personality disorder. When working with me I foster a collaborative environment in which I tailor my approach to your needs and assist you with finding what works.
My experience is primarily in crisis work focusing on a wide variety of concerns, often related to trauma, stress, financial instability, and relationship conflict. I have worked with clients of all ages, from 5 years old to 80+ both out in the community and within the therapy office. I am passionate about working with eating and body image concerns, OCD and related anxiety disorders, and borderline personality disorder. When working with me I foster a collaborative environment in which I tailor my approach to your needs and assist you with finding what works.
(412) 307-8691 View (412) 307-8691
Photo of Robin Freyberg, Clinical Social Work/Therapist, PhD, LCSW, PMH-C
Robin Freyberg
Clinical Social Work/Therapist, PhD, LCSW, PMH-C
2 Endorsed
Online Only
Waitlist for new clients
Do you often find that you end up last on your priority list? Do you put everyone's needs before yours and find that there's nothing left at the end of the day? Maybe you've told yourself that you can keep putting your feelings to the side. As women, we sometimes believe that we should be able to manage it all and do it on our own. Whether you're struggling with depression or anxiety, family transitions during pregnancy or postpartum, or just trying to have more supportive, and fulfilling relationships, I'm here to help. You don't have to carry it alone anymore.
Do you often find that you end up last on your priority list? Do you put everyone's needs before yours and find that there's nothing left at the end of the day? Maybe you've told yourself that you can keep putting your feelings to the side. As women, we sometimes believe that we should be able to manage it all and do it on our own. Whether you're struggling with depression or anxiety, family transitions during pregnancy or postpartum, or just trying to have more supportive, and fulfilling relationships, I'm here to help. You don't have to carry it alone anymore.
(412) 530-4413 View (412) 530-4413
Photo of Amy Gamble-Moore, Clinical Social Work/Therapist, LCSW
Amy Gamble-Moore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Pittsburgh, PA 15217
Have you been feeling lonely, disconnected or not like yourself? Maybe there are issues from the past that you haven't dealt with that you would like to heal without feeling overwhelmed. Possibly you feel swept away by your emotions and don't know how to get them under control. Perhaps you are feeling stuck, frustrated or tired. Oftentimes these issues can lead to anxiety, depression, or other mental health issues. My specialty is in helping you identify & address the root issues, develop the skills to deal with those issues, while getting in better relationship with yourself.
Have you been feeling lonely, disconnected or not like yourself? Maybe there are issues from the past that you haven't dealt with that you would like to heal without feeling overwhelmed. Possibly you feel swept away by your emotions and don't know how to get them under control. Perhaps you are feeling stuck, frustrated or tired. Oftentimes these issues can lead to anxiety, depression, or other mental health issues. My specialty is in helping you identify & address the root issues, develop the skills to deal with those issues, while getting in better relationship with yourself.
(412) 285-1402 View (412) 285-1402
Photo of Jose Guzman-Corrales, LAPC, ATR-P, MA
Jose Guzman-Corrales
Verified Verified
Pittsburgh, PA 15232
Seeking help requires courage and strength, and I applaud you for the steps you have already taken in your journey. The demands of life are vast, but I believe they can feel a little lighter with a supportive, affirming presence by your side. I am committed to providing a compassionate, accepting, collaborative, and empowering space for you. I firmly believe each person possess an incredible capacity for enhancing their well-being, and I am honored to accompany you on your journey of healing and personal growth.
Seeking help requires courage and strength, and I applaud you for the steps you have already taken in your journey. The demands of life are vast, but I believe they can feel a little lighter with a supportive, affirming presence by your side. I am committed to providing a compassionate, accepting, collaborative, and empowering space for you. I firmly believe each person possess an incredible capacity for enhancing their well-being, and I am honored to accompany you on your journey of healing and personal growth.
(412) 545-6310 View (412) 545-6310
Photo of Jamie L. Sousa, Counselor, LMHC, LPC, NCC, CTRS-BH, EMDR
Jamie L. Sousa
Counselor, LMHC, LPC, NCC, CTRS-BH, EMDR
1 Endorsed
Pittsburgh, PA 15237
I am a highly skilled therapist who is passionate about helping clients resolve complex trauma, manage or improve addictive behavior, and improve family relationships. Whether you are exploring curiosity or are struggling to find hope, I will meet you where you are. The bond that I develop with my clients is my first priority.
I am a highly skilled therapist who is passionate about helping clients resolve complex trauma, manage or improve addictive behavior, and improve family relationships. Whether you are exploring curiosity or are struggling to find hope, I will meet you where you are. The bond that I develop with my clients is my first priority.
(561) 623-3042 View (561) 623-3042
Photo of Lynn T. Allen, Clinical Social Work/Therapist, LCSW
Lynn T. Allen
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Teletherapy Available! During these uncertain times, connection and self-care are more important than ever. Are you going through times of high emotions and stress? Let me help. You deserve an experienced and competent professional that works with you to explore your situation with respect and compassion. Together, we will get to the heart of the problem and find fresh ways of managing your situation. I collaborate with you to help move you toward healthy change. I have a flexible approach that takes the best parts of different treatments and uses them in a way that fits your needs.
Teletherapy Available! During these uncertain times, connection and self-care are more important than ever. Are you going through times of high emotions and stress? Let me help. You deserve an experienced and competent professional that works with you to explore your situation with respect and compassion. Together, we will get to the heart of the problem and find fresh ways of managing your situation. I collaborate with you to help move you toward healthy change. I have a flexible approach that takes the best parts of different treatments and uses them in a way that fits your needs.
(412) 906-4423 View (412) 906-4423
Photo of Lindsay Mazza, Pre-Licensed Professional, MS
Lindsay Mazza
Pre-Licensed Professional, MS
Pittsburgh, PA 15205
I use a variety of treatments in therapy that include dialectical behavioral therapy (DBT), person-centered therapy, and solution-focused therapy. I want us to work together at your pace to find the best treatment for you and what is going on in your life! I want to work with you on your therapy journey so that you have a safe environment to explore your thoughts, emotions, and behaviors. I want you to be able to feel empowered in your life, heal, build coping skills, and have hope. Let’s make it happen together! I hope we can find a time to meet soon!
I use a variety of treatments in therapy that include dialectical behavioral therapy (DBT), person-centered therapy, and solution-focused therapy. I want us to work together at your pace to find the best treatment for you and what is going on in your life! I want to work with you on your therapy journey so that you have a safe environment to explore your thoughts, emotions, and behaviors. I want you to be able to feel empowered in your life, heal, build coping skills, and have hope. Let’s make it happen together! I hope we can find a time to meet soon!
(412) 899-1366 View (412) 899-1366
Photo of Akira Kirkpatrick, Counselor, LAPC
Akira Kirkpatrick
Counselor, LAPC
Pittsburgh, PA 15235
Hi! My name is Akira Kirkpatrick and I am a licensed associate professional counselor. I received my BS from the University of Pittsburgh in 2020, my MS in Counseling Psychology from Robert Morris University in 2024, and I am currently working on my PhD in Counselor Education and Supervision. I have two years of counseling experience. As an intern, I worked in a private practice setting providing outpatient care to individuals from 9-50+ struggling with ADHD, anxiety, depression, and adjustment disorder. I also work with a nonprofit organization dedicated to helping returning citizens get re-adjusted to life after incarceration.
Hi! My name is Akira Kirkpatrick and I am a licensed associate professional counselor. I received my BS from the University of Pittsburgh in 2020, my MS in Counseling Psychology from Robert Morris University in 2024, and I am currently working on my PhD in Counselor Education and Supervision. I have two years of counseling experience. As an intern, I worked in a private practice setting providing outpatient care to individuals from 9-50+ struggling with ADHD, anxiety, depression, and adjustment disorder. I also work with a nonprofit organization dedicated to helping returning citizens get re-adjusted to life after incarceration.
(412) 754-7947 View (412) 754-7947
Photo of Lauryn Kalka, Clinical Social Work/Therapist, LCSW
Lauryn Kalka
Clinical Social Work/Therapist, LCSW
2 Endorsed
Pittsburgh, PA 15228
I am a Licensed Clinical Social Worker (LCSW) with a wide background in working with children, teens, young adults, and families. I have 15 + years of experience in a variety of settings and capacities including foster care, adoption, residential treatment, wrap around, family preservation, outpatient, and school based mental health. As a therapist I have worked with individuals struggling with trauma, LGBTQ+ needs, self-harm, impulse/attention issues, anxiety/worry, foster care/adoption, and a wide range of other mental health diagnoses and needs.
I am a Licensed Clinical Social Worker (LCSW) with a wide background in working with children, teens, young adults, and families. I have 15 + years of experience in a variety of settings and capacities including foster care, adoption, residential treatment, wrap around, family preservation, outpatient, and school based mental health. As a therapist I have worked with individuals struggling with trauma, LGBTQ+ needs, self-harm, impulse/attention issues, anxiety/worry, foster care/adoption, and a wide range of other mental health diagnoses and needs.
(412) 612-2355 View (412) 612-2355
Photo of Malaysia Dorsett, Clinical Social Work/Therapist, MSW, LCSW
Malaysia Dorsett
Clinical Social Work/Therapist, MSW, LCSW
Pittsburgh, PA 15217
I specialize in helping individuals navigate the deep, often unseen wounds passed down through generations. Whether it’s unspoken family rules, inherited anxiety, or cycles of silence and shame, I help clients uncover the roots of their struggles and build new, empowered paths forward. Generational trauma is real—and healing it is possible. If you’ve ever felt like you’re repeating patterns that don’t feel like your own, you’re not alone. Therapy can help you break the cycle and begin writing a new story for yourself and those who come after you.
I specialize in helping individuals navigate the deep, often unseen wounds passed down through generations. Whether it’s unspoken family rules, inherited anxiety, or cycles of silence and shame, I help clients uncover the roots of their struggles and build new, empowered paths forward. Generational trauma is real—and healing it is possible. If you’ve ever felt like you’re repeating patterns that don’t feel like your own, you’re not alone. Therapy can help you break the cycle and begin writing a new story for yourself and those who come after you.
(412) 556-9108 View (412) 556-9108
Photo of Elizabeth Hammond, Clinical Social Work/Therapist, LCSW
Elizabeth Hammond
Clinical Social Work/Therapist, LCSW
Online Only
Immediate openings - Hello and welcome to my page! I am a therapist who is dedicated to helping individuals overcome mood disorders (depression, bipolar, cyclothymia, etc) but I also specialize in treating suicidal ideation. With over five years of clinical practice, I have developed a deep understanding of the complexities surrounding these conditions and their impact on one's overall well-being. My experience has taught me that no two individuals are the same, and I am committed to tailoring my approach to suit your unique circumstances. I offer a welcoming environment where we will tackle what is going on.
Immediate openings - Hello and welcome to my page! I am a therapist who is dedicated to helping individuals overcome mood disorders (depression, bipolar, cyclothymia, etc) but I also specialize in treating suicidal ideation. With over five years of clinical practice, I have developed a deep understanding of the complexities surrounding these conditions and their impact on one's overall well-being. My experience has taught me that no two individuals are the same, and I am committed to tailoring my approach to suit your unique circumstances. I offer a welcoming environment where we will tackle what is going on.
(412) 790-2191 View (412) 790-2191
Photo of Melissa Alcorn Ferry, Clinical Social Work/Therapist, LCSW
Melissa Alcorn Ferry
Clinical Social Work/Therapist, LCSW
Pittsburgh, PA 15232
I am a Licensed Clinical Social Worker (LCSW) with more than 20 years of experience in the mental health field, and I am energized by helping people reach their goals and potential. I specialize in working with individuals experiencing depression, anxiety, bipolar disorder, trauma, addiction, grief, and life transitions. I earned my Master of Social Work (MSW) from the University of Pittsburgh and have gained extensive experience working in homes, schools, communities, partial hospitalization, and outpatient treatment programs.
I am a Licensed Clinical Social Worker (LCSW) with more than 20 years of experience in the mental health field, and I am energized by helping people reach their goals and potential. I specialize in working with individuals experiencing depression, anxiety, bipolar disorder, trauma, addiction, grief, and life transitions. I earned my Master of Social Work (MSW) from the University of Pittsburgh and have gained extensive experience working in homes, schools, communities, partial hospitalization, and outpatient treatment programs.
(412) 850-4622 View (412) 850-4622

See more therapy options for Pittsburgh

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

2,000+

Average cost per session

$130

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
87% Depression
74% Self Esteem
69% Relationship Issues
69% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
80% Highmark
68% Cigna and Evernorth

How Therapists in Pittsburgh, PA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.