Therapists in Amesbury, MA

Photo of Sara Jenike, Counselor in Amesbury, MA
Sara Jenike
Counselor, LMHC
Verified Verified
Amesbury, MA 01913
Not accepting new clients
I'm a therapist with 14 years of experience working mostly with adolescents and adults. I have specific training in treating substance use challenges. I enjoy working with teenage clients struggling with healthy decision making, as well as adults working to manage substance use, life transitions, and/or depression, anxiety, and trauma.
I'm a therapist with 14 years of experience working mostly with adolescents and adults. I have specific training in treating substance use challenges. I enjoy working with teenage clients struggling with healthy decision making, as well as adults working to manage substance use, life transitions, and/or depression, anxiety, and trauma.
(978) 487-5062 View (978) 487-5062
Photo of Karrah Briley, Clinical Social Work/Therapist in Amesbury, MA
Karrah Briley
Clinical Social Work/Therapist, LICSW
Verified Verified
Amesbury, MA 01913
My therapeutic approach is grounded in the belief that people will do well when they can. The first step is getting to know you through the lens of empathy. It's my job to ask questions and work hard to get a sense of your experience, what it's like to stand in your shoes. Solutions and strategies are how we make the change. However, it can feel daunting and easier to just avoid. Accountability makes change. In my practice accountability means that you always have someone in your corner cheering you on, helping you identify small incremental actions and gently pushing you to follow through and create the change you are looking for.
My therapeutic approach is grounded in the belief that people will do well when they can. The first step is getting to know you through the lens of empathy. It's my job to ask questions and work hard to get a sense of your experience, what it's like to stand in your shoes. Solutions and strategies are how we make the change. However, it can feel daunting and easier to just avoid. Accountability makes change. In my practice accountability means that you always have someone in your corner cheering you on, helping you identify small incremental actions and gently pushing you to follow through and create the change you are looking for.
(978) 792-4213 View (978) 792-4213
Photo of Rachel Eileen Jenner, Clinical Social Work/Therapist in Amesbury, MA
Rachel Eileen Jenner
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Amesbury, MA 01913  (Online Only)
Waitlist for new clients
Welcome! I’m glad you’re here. I prioritize empathy and strengths in my therapeutic approach. My experience includes working with children, adolescents, and adults in individual therapy, family therapy, group therapy, and crisis management. I use a trauma-informed approach to support those experiencing depression, anxiety, traumatizing events, family conflict, life stressors, and other challenges. Using a person-centered approach, I create a welcoming, safe space to explore emotions and past and present challenges. My goal is to support you in building coping and resiliency so that I can partner with you in your journey to healing.
Welcome! I’m glad you’re here. I prioritize empathy and strengths in my therapeutic approach. My experience includes working with children, adolescents, and adults in individual therapy, family therapy, group therapy, and crisis management. I use a trauma-informed approach to support those experiencing depression, anxiety, traumatizing events, family conflict, life stressors, and other challenges. Using a person-centered approach, I create a welcoming, safe space to explore emotions and past and present challenges. My goal is to support you in building coping and resiliency so that I can partner with you in your journey to healing.
(978) 528-4951 View (978) 528-4951
Photo of Josie Tommasino in Amesbury, MA
Josie Tommasino
MA
Verified Verified
Amesbury, MA 01913
Not accepting new clients
As a Depth & Soul Guided Psychotherapist, I am honored to support you or your child on the journey toward healing. My style is progressive, intuitive, and grounded in education and theory. I use an integrative approach, with an emphasis on humanistic, psychodynamic, and existential practice. In my room we dive deeper and let the interplay of freedom, form, and spirit guide us.  We reflect gently on your experiences and allow the unconscious to roam freely into the realm of the conscious.  We make meaning as we gaze with curiosity at the unwanted patterns that arise in your life, from whence they came, and how you may overcome them.
As a Depth & Soul Guided Psychotherapist, I am honored to support you or your child on the journey toward healing. My style is progressive, intuitive, and grounded in education and theory. I use an integrative approach, with an emphasis on humanistic, psychodynamic, and existential practice. In my room we dive deeper and let the interplay of freedom, form, and spirit guide us.  We reflect gently on your experiences and allow the unconscious to roam freely into the realm of the conscious.  We make meaning as we gaze with curiosity at the unwanted patterns that arise in your life, from whence they came, and how you may overcome them.
(978) 981-4327 View (978) 981-4327
Photo of Carol A Bernstein, Clinical Social Work/Therapist in Amesbury, MA
Carol A Bernstein
Clinical Social Work/Therapist, LICSW, MEd
Verified Verified
Amesbury, MA 01913
We all have a life to live, an unfolding story to tell, and crossroads to navigate. At times our journey follows a winding path that calls for realignment with purpose. Therapy can assist us in righting our path and bridging healthy connectedness to ourselves and to others, wherever we are in our personal or professional lives. Taking time with intention to devote to self healing is transformational. Leaving behind old patterns of thoughts and behaviors frees us to experience positive and new growth.
We all have a life to live, an unfolding story to tell, and crossroads to navigate. At times our journey follows a winding path that calls for realignment with purpose. Therapy can assist us in righting our path and bridging healthy connectedness to ourselves and to others, wherever we are in our personal or professional lives. Taking time with intention to devote to self healing is transformational. Leaving behind old patterns of thoughts and behaviors frees us to experience positive and new growth.
(978) 598-3016 View (978) 598-3016
Photo of Paul W Staten, Clinical Social Work/Therapist in Amesbury, MA
Paul W Staten
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
Your willingness to ask for help is the first step in feeling better about yourself and improving your ability to meet life challenges. In a non-judgmental and respectful setting I can help you to learn the skills and obtain the insights about yourself to make the changes you want. We can make those changes happen.
Your willingness to ask for help is the first step in feeling better about yourself and improving your ability to meet life challenges. In a non-judgmental and respectful setting I can help you to learn the skills and obtain the insights about yourself to make the changes you want. We can make those changes happen.
(351) 777-1498 View (351) 777-1498
Photo of Margaret M. Cesati, Counselor in Amesbury, MA
Margaret M. Cesati
Counselor, LMHC, CADC
Verified Verified
1 Endorsed
Amesbury, MA 01913
As a licensed clinician, I believe in two fundamental truths. The first being "I believe in the possibility of change" and the second "I create a safe space to make that change". These beliefs help people heal and recover. As we develop in life, we all face transition and change. Some of these waters are difficult to navigate through and few of us can do so without a guide or support. I will support you so that you can see a clear path to your desired goals. "The purposes of a person's heart are deep waters, but one who has insight draws them out. " Prov 20:5
As a licensed clinician, I believe in two fundamental truths. The first being "I believe in the possibility of change" and the second "I create a safe space to make that change". These beliefs help people heal and recover. As we develop in life, we all face transition and change. Some of these waters are difficult to navigate through and few of us can do so without a guide or support. I will support you so that you can see a clear path to your desired goals. "The purposes of a person's heart are deep waters, but one who has insight draws them out. " Prov 20:5
(978) 792-2260 View (978) 792-2260
Photo of Erin Santosuosso, Clinical Social Work/Therapist in Amesbury, MA
Erin Santosuosso
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
Amesbury, MA 01913  (Online Only)
Not accepting new clients
Welcome! I am a licensed clinical social worker (LICSW) and have a private practice on the North Shore of Massachusetts. I specialize in perinatal mental health and trauma and am trained and certified by Postpartum Support International. I am committed to supporting you during pregnancy and the postpartum period as you navigate new challenges, fears, and overwhelm. Having a baby undoubtedly changes your world. I am here to offer support, education, and relief.
Welcome! I am a licensed clinical social worker (LICSW) and have a private practice on the North Shore of Massachusetts. I specialize in perinatal mental health and trauma and am trained and certified by Postpartum Support International. I am committed to supporting you during pregnancy and the postpartum period as you navigate new challenges, fears, and overwhelm. Having a baby undoubtedly changes your world. I am here to offer support, education, and relief.
(978) 643-1887 View (978) 643-1887
Photo of Mark Bezanson, Licsw, Clinical Social Work/Therapist in Amesbury, MA
Mark Bezanson, Licsw
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Amesbury, MA 01913  (Online Only)
I especially love helping teens/ young adults (and their parents) with developing their independence. I'm excited to help individuals and families enjoy their lives more either by improving relationships, better managing their stage of life tasks, and also while dealing with difficult problems including Relationship/ Marital issues, Family Conflicts, Affairs, Sex addiction, Co-parenting, "Growing Up" issues, Adjusting to Divorce, Gay & Lesbian & Gender (Transgender) issues, Substance Abuse, Grief, Violence and Anger Management including Probation & Diversion involvement.
I especially love helping teens/ young adults (and their parents) with developing their independence. I'm excited to help individuals and families enjoy their lives more either by improving relationships, better managing their stage of life tasks, and also while dealing with difficult problems including Relationship/ Marital issues, Family Conflicts, Affairs, Sex addiction, Co-parenting, "Growing Up" issues, Adjusting to Divorce, Gay & Lesbian & Gender (Transgender) issues, Substance Abuse, Grief, Violence and Anger Management including Probation & Diversion involvement.
(978) 705-6097 View (978) 705-6097
Photo of Golden Hour Counseling, LLC, Counselor in Amesbury, MA
Golden Hour Counseling, LLC
Counselor, LMHC, MA, SAC, RYT
Verified Verified
2 Endorsed
Amesbury, MA 01913
Hello and welcome to our page! Golden Hour Counseling, LLC is accepting children, teens, and adult-age clients! Services include but are not limited to individual counseling, couples counseling, and family counseling. License Supervision, public or private school advocacy, and coaching services are also available upon request. Our goal is to provide more access to mental health care to individuals within our community. All clinicians at Golden Hour Counseling are NPI providers, where clients can seek medical reimbursement for services paid after the fact. This reimbursement is dependent on the insurance company.
Hello and welcome to our page! Golden Hour Counseling, LLC is accepting children, teens, and adult-age clients! Services include but are not limited to individual counseling, couples counseling, and family counseling. License Supervision, public or private school advocacy, and coaching services are also available upon request. Our goal is to provide more access to mental health care to individuals within our community. All clinicians at Golden Hour Counseling are NPI providers, where clients can seek medical reimbursement for services paid after the fact. This reimbursement is dependent on the insurance company.
(774) 273-9185 View (774) 273-9185
Photo of Donna Anne Levin, Clinical Social Work/Therapist in Amesbury, MA
Donna Anne Levin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913
CONGRATULATIONS! I want to applaud you on having the courage and strength it takes to reach out when you are struggling and likely feeling the most vulnerable. I know how difficult it can be to ask for help, especially when you may be feeling anxious, angry, depressed, overwhelmed, lonely, misunderstood, or impacted by trauma. I aim to provide a safe, supportive and reassuring space where we can work together to alleviate your suffering and begin your healing. I have an active, non-judgmental approach to the therapy process and have found that honesty, curiosity, creativity, and humor can be very helpful in overcoming challenges.
CONGRATULATIONS! I want to applaud you on having the courage and strength it takes to reach out when you are struggling and likely feeling the most vulnerable. I know how difficult it can be to ask for help, especially when you may be feeling anxious, angry, depressed, overwhelmed, lonely, misunderstood, or impacted by trauma. I aim to provide a safe, supportive and reassuring space where we can work together to alleviate your suffering and begin your healing. I have an active, non-judgmental approach to the therapy process and have found that honesty, curiosity, creativity, and humor can be very helpful in overcoming challenges.
(978) 307-6678 View (978) 307-6678
Photo of Madeline Elizabeth Seavey, Pre-Licensed Professional in Amesbury, MA
Madeline Elizabeth Seavey
Pre-Licensed Professional
Verified Verified
1 Endorsed
Amesbury, MA 01913
Hi! My name is Madeline Seavey. I am a mentor who is currently accepting children and teens struggling with anxiety, depression, low confidence, academic struggles, and unhealthy relationships. As your mentor, my goal is to help children acclimate to a post-pandemic environment so they may thrive as they develop into independent and successful adults.
Hi! My name is Madeline Seavey. I am a mentor who is currently accepting children and teens struggling with anxiety, depression, low confidence, academic struggles, and unhealthy relationships. As your mentor, my goal is to help children acclimate to a post-pandemic environment so they may thrive as they develop into independent and successful adults.
(978) 404-7510 View (978) 404-7510
Photo of Edward McKinley, Clinical Social Work/Therapist in Amesbury, MA
Edward McKinley
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Amesbury, MA 01913  (Online Only)
Waitlist for new clients
People come to me looking for a better life experience. I believe that we all have inside of us the knowledge we need to meet all our needs, but sometimes accessing that knowledge can be a challenge. Often we repeat self defeating behaviors we have learned that once helped us cope with fears and anxiety, but are no longer working. I have helped many people identify behaviors and beliefs that stand between them and their dreams. Once you have learned to move past them, we will design and execute a vision that fulfills your spirit.
People come to me looking for a better life experience. I believe that we all have inside of us the knowledge we need to meet all our needs, but sometimes accessing that knowledge can be a challenge. Often we repeat self defeating behaviors we have learned that once helped us cope with fears and anxiety, but are no longer working. I have helped many people identify behaviors and beliefs that stand between them and their dreams. Once you have learned to move past them, we will design and execute a vision that fulfills your spirit.
(603) 319-1891 View (603) 319-1891
Photo of Kacie Biddle, Counselor in Amesbury, MA
Kacie Biddle
Counselor, MS, LMHC, LCMHC
Verified Verified
Amesbury, MA 01913  (Online Only)
Do you have daytime weekday availability? In your initial email, please include your insurance & availability. Are you a young adult, living in either MA or NH, who is trying to figure out which way to go as life pulls you in all sorts of directions? If you need support improving your mood, exploring your identity, setting & working towards goals, navigating relationships, and/or building healthy habits, there is a good chance that I can help.
Do you have daytime weekday availability? In your initial email, please include your insurance & availability. Are you a young adult, living in either MA or NH, who is trying to figure out which way to go as life pulls you in all sorts of directions? If you need support improving your mood, exploring your identity, setting & working towards goals, navigating relationships, and/or building healthy habits, there is a good chance that I can help.
(978) 378-5025 View (978) 378-5025
Photo of Carrie H Kelley, Clinical Social Work/Therapist in Amesbury, MA
Carrie H Kelley
Clinical Social Work/Therapist, MSW, LICSW, BCD
Verified Verified
Amesbury, MA 01913
Starting is often the hardest part. We all want to have someone listen to us; someone to understand where we have been, where we want to go & help us find a way to get there. No judgement here, just honest conversation to help you help yourself. Sometimes life takes alternate paths & we could all use a little GPS from time to time. I'm a firm believer that people need people and that we are all in this life together. Let's explore ways to get you to, or back to, the version of yourself that you want to be. Something or someone has driven you to Psychology Today. You don't have to continue feeling this way.
Starting is often the hardest part. We all want to have someone listen to us; someone to understand where we have been, where we want to go & help us find a way to get there. No judgement here, just honest conversation to help you help yourself. Sometimes life takes alternate paths & we could all use a little GPS from time to time. I'm a firm believer that people need people and that we are all in this life together. Let's explore ways to get you to, or back to, the version of yourself that you want to be. Something or someone has driven you to Psychology Today. You don't have to continue feeling this way.
(781) 412-7048 View (781) 412-7048
Photo of Katrina Kotler, Counselor in Amesbury, MA
Katrina Kotler
Counselor, LMHC
Verified Verified
1 Endorsed
Amesbury, MA 01913  (Online Only)
In order to feel better, it is essential to be comfortable with your therapist. I am down to earth and have a good sense of humor which can help make my office a place where it is easier to talk about difficult issues. Therapy is sometimes scary and it can be a lot of work to make changes in your life. I want to make it easier for you find new ways to solve problems, manage mental health issues and life stressors, and cope with difficult people and relationships in your life.
In order to feel better, it is essential to be comfortable with your therapist. I am down to earth and have a good sense of humor which can help make my office a place where it is easier to talk about difficult issues. Therapy is sometimes scary and it can be a lot of work to make changes in your life. I want to make it easier for you find new ways to solve problems, manage mental health issues and life stressors, and cope with difficult people and relationships in your life.
(978) 451-4845 View (978) 451-4845
Photo of Kael Brooks, Clinical Social Work/Therapist in Amesbury, MA
Kael Brooks
Clinical Social Work/Therapist, LICSW, LADC-1
Verified Verified
Amesbury, MA 01913  (Online Only)
Life can be beautiful but can also feel painful and challenging. It is easy to become distanced from ourselves and overwhelmed by feelings of anxiety, depression and grief. I believe that healing and empowerment come through being seen and witnessed. As your therapist, I will walk alongside you, helping you find the strength and courage to work through life’s challenges. My goal is to help people reconnect with their innate inner strength and learn to live out of a sense of purpose and belonging.
Life can be beautiful but can also feel painful and challenging. It is easy to become distanced from ourselves and overwhelmed by feelings of anxiety, depression and grief. I believe that healing and empowerment come through being seen and witnessed. As your therapist, I will walk alongside you, helping you find the strength and courage to work through life’s challenges. My goal is to help people reconnect with their innate inner strength and learn to live out of a sense of purpose and belonging.
(978) 237-4200 View (978) 237-4200
Photo of Megan Drake Stillman, Counselor in Amesbury, MA
Megan Drake Stillman
Counselor, LMHC
Verified Verified
Amesbury, MA 01913  (Online Only)
You only have one body & accepting it might seem impossible. Many people turn to food, exercise, perfectionism, & anxiety to cope. However, they find themselves caught in an unbreakable cycle of unhappiness. Speaking with a therapist helps you to identify your unhelpful patterns, honor your strengths, create a toolbox of strategies, & learn to talk to yourself with compassion. My specialty is in the treatment of eating disorders, anxiety and body image. Eating disorders rarely exist in isolation. I am experienced in treating co-occurring symptoms including social challenges, family issues, depression, ADHD, & trauma.
You only have one body & accepting it might seem impossible. Many people turn to food, exercise, perfectionism, & anxiety to cope. However, they find themselves caught in an unbreakable cycle of unhappiness. Speaking with a therapist helps you to identify your unhelpful patterns, honor your strengths, create a toolbox of strategies, & learn to talk to yourself with compassion. My specialty is in the treatment of eating disorders, anxiety and body image. Eating disorders rarely exist in isolation. I am experienced in treating co-occurring symptoms including social challenges, family issues, depression, ADHD, & trauma.
(978) 678-9135 View (978) 678-9135
Photo of Dr. Brit Murphy, Psychologist in Amesbury, MA
Dr. Brit Murphy
Psychologist, PsyD
Verified Verified
Amesbury, MA 01913
Everything we do serves a purpose for us at some point in time. However, our goals can change and sometimes our once-useful behaviors become ineffective or even harmful. I often describe dialectical behavior therapy (DBT) as “common sense therapy.” Using familiar concepts, DBT helps people recognize when their behaviors are no longer serving them and teaches how to replace them with skills to more effectively meet their needs/goals.
Everything we do serves a purpose for us at some point in time. However, our goals can change and sometimes our once-useful behaviors become ineffective or even harmful. I often describe dialectical behavior therapy (DBT) as “common sense therapy.” Using familiar concepts, DBT helps people recognize when their behaviors are no longer serving them and teaches how to replace them with skills to more effectively meet their needs/goals.
(978) 678-4084 View (978) 678-4084
Photo of MKL Counseling & Coaching Associates, LLC, Counselor in Amesbury, MA
MKL Counseling & Coaching Associates, LLC
Counselor, MPA, MA, LMHC
Verified Verified
Amesbury, MA 01913  (Online Only)
MKL Counseling and Coaching Associates, LLC provides solution focused counseling to move you from chaos to clarity. Many times a simple adjustment to old problems can have a huge impact on breaking the inertia. Specializing in individuals and couples who are overwhelmed and losing ground, feeling frustrated and disconnected in their marriage or realationships. If you are losing perspective and need to hit the reset button, we can help. Please visit us at http://www.maryklogan.com for more information about how we can help.
MKL Counseling and Coaching Associates, LLC provides solution focused counseling to move you from chaos to clarity. Many times a simple adjustment to old problems can have a huge impact on breaking the inertia. Specializing in individuals and couples who are overwhelmed and losing ground, feeling frustrated and disconnected in their marriage or realationships. If you are losing perspective and need to hit the reset button, we can help. Please visit us at http://www.maryklogan.com for more information about how we can help.
(978) 241-7881 View (978) 241-7881

How does your Therapist compare?

Number of Therapists in Amesbury, MA

100+

Average cost per session

$150

Therapists in Amesbury, MA who prioritize treating:

87% Anxiety
86% Depression
81% Relationship Issues
78% Self Esteem
70% Coping Skills
63% Grief
63% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
65% Harvard Pilgrim

How Therapists in Amesbury, MA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Amesbury?

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.