Therapists in Pittsburgh, PA

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Photo of Eliza Fixler in Pittsburgh, PA
Eliza Fixler
LSW
Verified Verified
Pittsburgh, PA 15217  (Online Only)
I am an LSW clinician with experience working with adolescents, teens, and adults with a variety of mental health concerns. Common areas of focus in my sessions include symptoms of OCD, phobias, panic disorder and other anxiety disorders, PTSD, depression, and grief. I am also passionate about working with clients experiencing relationship conflict, communication issues, and destabilizing life transitions. I am allied with the trans and nonbinary communities. I enjoy working with clients to explore social and medical transitions, and can write surgery referral letters for gender affirming surgeries.
I am an LSW clinician with experience working with adolescents, teens, and adults with a variety of mental health concerns. Common areas of focus in my sessions include symptoms of OCD, phobias, panic disorder and other anxiety disorders, PTSD, depression, and grief. I am also passionate about working with clients experiencing relationship conflict, communication issues, and destabilizing life transitions. I am allied with the trans and nonbinary communities. I enjoy working with clients to explore social and medical transitions, and can write surgery referral letters for gender affirming surgeries.
(412) 910-2361 View (412) 910-2361
Photo of Terri Fessler LCSW , Clinical Social Work/Therapist in Pittsburgh, PA
Terri Fessler LCSW
Clinical Social Work/Therapist, LCSW, Reiki
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Not accepting new clients
I believe each of us has a gift of Self to unwrap and embrace along life's journey, especially when we've lived through a life threatening event or a series of chronic traumas. I know first hand how impossible connecting to ourselves can seem afterward. We grieve the loss of a sense of safety and often believe that our identity has changed to what has happened to us. We fear life will always be tarnished and feel set apart by our shame. Through my own life journey and my experiences as a Trauma therapist I have witnessed the reclaiming of Self that arises from the ashes of violence when healing begins to happen!
I believe each of us has a gift of Self to unwrap and embrace along life's journey, especially when we've lived through a life threatening event or a series of chronic traumas. I know first hand how impossible connecting to ourselves can seem afterward. We grieve the loss of a sense of safety and often believe that our identity has changed to what has happened to us. We fear life will always be tarnished and feel set apart by our shame. Through my own life journey and my experiences as a Trauma therapist I have witnessed the reclaiming of Self that arises from the ashes of violence when healing begins to happen!
(412) 567-9375 View (412) 567-9375
Photo of Sheray Anthony, Licensed Professional Counselor in Pittsburgh, PA
Sheray Anthony
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15203
I enjoy working with young adults going through transitions and adjustment issues. These young adults may struggle with moving forward due to unresolved childhood trauma, or an individual may struggle to establish better boundaries within their interpersonal/intimate relationships, or even an individual struggling to meet their goals due to a substance use disorder they are facing. I enjoy working with these individuals, especially if they have moderate-high motivation, but I am also willing to assist patients in the population who are struggling with motivation altogether.
I enjoy working with young adults going through transitions and adjustment issues. These young adults may struggle with moving forward due to unresolved childhood trauma, or an individual may struggle to establish better boundaries within their interpersonal/intimate relationships, or even an individual struggling to meet their goals due to a substance use disorder they are facing. I enjoy working with these individuals, especially if they have moderate-high motivation, but I am also willing to assist patients in the population who are struggling with motivation altogether.
(412) 998-7508 View (412) 998-7508
Photo of Christopher Moncadaleiden, Licensed Professional Counselor in Pittsburgh, PA
Christopher Moncadaleiden
Licensed Professional Counselor, LPC, NCC, CAADC
Verified Verified
1 Endorsed
Pittsburgh, PA 15238
The world is often overwhelming leaving a lot of us disconnected from ourselves, others, and any sense of meaning. Therapy can be a helpful process to alleviate this suffering and reconnect. While my role is dependent on your needs, I often find myself highlighting themes of self-compassion, trust, and autonomy. Feel free to reach out to see if we are a good fit.
The world is often overwhelming leaving a lot of us disconnected from ourselves, others, and any sense of meaning. Therapy can be a helpful process to alleviate this suffering and reconnect. While my role is dependent on your needs, I often find myself highlighting themes of self-compassion, trust, and autonomy. Feel free to reach out to see if we are a good fit.
(412) 561-9671 View (412) 561-9671
Photo of Mary C Ringgold in Pittsburgh, PA
Mary C Ringgold
MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
(878) 217-0628 View (878) 217-0628
Photo of Teresa I. Otoya-Mcadams, Licensed Professional Counselor in Pittsburgh, PA
Teresa I. Otoya-Mcadams
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15213
Hello! Welcome to your healing Journey. My name is Teresa and I have been in practice for almost 20 years. I believe in the importance of creating a therapeutic alliance where clients feel safe and free to explore and learn about themselves without fear of judgment. I understand that at times it can be difficult to take the first step and look for professional help, my personal stance is to empower my clients and guide them so they can find their own answers. I have worked with individuals and families from multiple backgrounds and age groups. I specialize in PTSD, anxiety, depression and life transitions.
Hello! Welcome to your healing Journey. My name is Teresa and I have been in practice for almost 20 years. I believe in the importance of creating a therapeutic alliance where clients feel safe and free to explore and learn about themselves without fear of judgment. I understand that at times it can be difficult to take the first step and look for professional help, my personal stance is to empower my clients and guide them so they can find their own answers. I have worked with individuals and families from multiple backgrounds and age groups. I specialize in PTSD, anxiety, depression and life transitions.
(412) 899-2714 View (412) 899-2714
Photo of Elise Klavon, Pre-Licensed Professional in Pittsburgh, PA
Elise Klavon
Pre-Licensed Professional, MS
Verified Verified
Pittsburgh, PA 15232
I have been interested in helping people achieve peace and tranquility all my life. My great passion as a therapist is to bring healing through different therapeutic techniques. I most often utilize modalities including CBT, DBT, and Motivational Interviewing in treatment. I received a Master’s in Science from Carlow University and am currently working towards my licensure in pursuit of achieving the title of a Licensed Professional Counselor. It has been a lifelong goal of mine to help people gain insight into challenging aspects of their life.
I have been interested in helping people achieve peace and tranquility all my life. My great passion as a therapist is to bring healing through different therapeutic techniques. I most often utilize modalities including CBT, DBT, and Motivational Interviewing in treatment. I received a Master’s in Science from Carlow University and am currently working towards my licensure in pursuit of achieving the title of a Licensed Professional Counselor. It has been a lifelong goal of mine to help people gain insight into challenging aspects of their life.
(412) 850-2375 x005 View (412) 850-2375 x005
Photo of Rachel Kolman, Clinical Social Work/Therapist in Pittsburgh, PA
Rachel Kolman
Clinical Social Work/Therapist, LMSW
Verified Verified
Pittsburgh, PA 15203
It can be overwhelming to grapple with anxiety, depression, relationship struggles, and the countless stressors that come with everyday life. If you're yearning for relief, clarity, and empowerment, I'm here to walk alongside you on your journey. My practice is founded on the principles of compassion, understanding, and respect for your unique experiences and perspectives. Together, we can explore the underlying factors contributing to your distress, develop coping strategies tailored to your needs, and work towards creating positive changes in your life.
It can be overwhelming to grapple with anxiety, depression, relationship struggles, and the countless stressors that come with everyday life. If you're yearning for relief, clarity, and empowerment, I'm here to walk alongside you on your journey. My practice is founded on the principles of compassion, understanding, and respect for your unique experiences and perspectives. Together, we can explore the underlying factors contributing to your distress, develop coping strategies tailored to your needs, and work towards creating positive changes in your life.
(412) 547-8095 View (412) 547-8095
Photo of James W Ellermeyer, Licensed Professional Counselor in Pittsburgh, PA
James W Ellermeyer
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
Pittsburgh, PA 15206
Using a mindfulness-based cognitive approach, I help people deal with self-concept, self-esteem, identity formation and develop the ability to make conscious choices. I deal with bipolar disorder, borderline personality disorder, anxiety, and depression. I have been successful with my own full impact mindfulness technique in dealing with disassociation and psychosis, PTSD and trauma.
Using a mindfulness-based cognitive approach, I help people deal with self-concept, self-esteem, identity formation and develop the ability to make conscious choices. I deal with bipolar disorder, borderline personality disorder, anxiety, and depression. I have been successful with my own full impact mindfulness technique in dealing with disassociation and psychosis, PTSD and trauma.
(412) 419-0972 View (412) 419-0972
Photo of Valerie Bojarski, Counselor in Pittsburgh, PA
Valerie Bojarski
Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15238
Fred Rogers says, "Anything that's human is mentionable, and anything that is mentionable can be more manageable. When we talk about our feelings, they become less overwhelming, less upsetting, and less scary." I would love to work with you if you are ready to make your problems mentionable, and together we can work towards making them manageable.
Fred Rogers says, "Anything that's human is mentionable, and anything that is mentionable can be more manageable. When we talk about our feelings, they become less overwhelming, less upsetting, and less scary." I would love to work with you if you are ready to make your problems mentionable, and together we can work towards making them manageable.
(412) 528-6221 View (412) 528-6221
Photo of Healing Together, Licensed Professional Counselor in Pittsburgh, PA
Healing Together
Licensed Professional Counselor, MS, LPC, NCE
Verified Verified
Pittsburgh, PA 15219
Waitlist for new clients
Healing Together offers therapy for individuals and families. Our practice specializes in solution-focused work, cognitive behavior therapy, anxiety and trauma therapies and mindfulness-based stress reduction. We offer coaching in life, work transitions, finances, and spirituality. We work with individuals and couples experiencing relational and communication difficulties as well. We also offer faith-based counseling for the many client who wish to incorporate their faith into therapy.
Healing Together offers therapy for individuals and families. Our practice specializes in solution-focused work, cognitive behavior therapy, anxiety and trauma therapies and mindfulness-based stress reduction. We offer coaching in life, work transitions, finances, and spirituality. We work with individuals and couples experiencing relational and communication difficulties as well. We also offer faith-based counseling for the many client who wish to incorporate their faith into therapy.
(412) 910-2949 View (412) 910-2949
Photo of Rachel Rudel, Licensed Professional Counselor in Pittsburgh, PA
Rachel Rudel
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15206
Hello! My name is Rachel Rudel, and I am a Licensed Professional Counselor and Registered Drama Therapist. I know that processing thoughts and emotions related to life stressors can be overwhelming and confusing. The practice of therapy creates a safe space to broaden your coping skills so that you don’t have to do it alone! You can count on me to be warm, empathic and point out your strengths as you navigate making changes in your life. I treat teens and adults who are struggling with anxiety, depression, trauma, and life transitions. I look forward to connecting and I can't wait to help you create the life you desire.
Hello! My name is Rachel Rudel, and I am a Licensed Professional Counselor and Registered Drama Therapist. I know that processing thoughts and emotions related to life stressors can be overwhelming and confusing. The practice of therapy creates a safe space to broaden your coping skills so that you don’t have to do it alone! You can count on me to be warm, empathic and point out your strengths as you navigate making changes in your life. I treat teens and adults who are struggling with anxiety, depression, trauma, and life transitions. I look forward to connecting and I can't wait to help you create the life you desire.
(412) 415-7560 View (412) 415-7560
Photo of Kat Nicholson, Pre-Licensed Professional in Pittsburgh, PA
Kat Nicholson
Pre-Licensed Professional, MS, NBCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15218  (Online Only)
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
My therapeutic approach focuses on addressing the ways external factors, namely the client’s environment, experiences, relationships and prior traumas have contributed to their current state. Given the world we live in I bring considerable attention to the ways that systems of oppression play a role in the client’s wellbeing. I believe that having an understanding of how these factors are impacting our mental health is integral to healing. As we work on building this awareness we can start making intentional choices more in line with the lives we would like to be living.
(412) 534-6037 View (412) 534-6037
Photo of Andrew Dyer, Licensed Professional Counselor in Pittsburgh, PA
Andrew Dyer
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15203
Are you experiencing depression/anxiety, career issues, substance use issues, relationship issues, and familial issues? Your needs may include identifying and implementing new ways of coping, exploring career options, finding a treatment facility, or acquiring new insights regarding your spouse/family member. A client would work with me to address areas in their life that are contributing to stressors.
Are you experiencing depression/anxiety, career issues, substance use issues, relationship issues, and familial issues? Your needs may include identifying and implementing new ways of coping, exploring career options, finding a treatment facility, or acquiring new insights regarding your spouse/family member. A client would work with me to address areas in their life that are contributing to stressors.
(412) 753-7459 View (412) 753-7459
Photo of Denise C Haver, Licensed Professional Counselor in Pittsburgh, PA
Denise C Haver
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Pittsburgh, PA 15237
I believe therapy is the process of getting to know and like yourself better. By looking inward, we discover how we support or undermine ourselves with thoughts, feelings, habitual body patterns and behaviors born out of pain and trauma. We start to distinguish our authentic self from who we think we need to be. When we have more information about ourself and more freedom to be authentic, we can then begin to make changes to better support ourself and create a life that is fulfilling.
I believe therapy is the process of getting to know and like yourself better. By looking inward, we discover how we support or undermine ourselves with thoughts, feelings, habitual body patterns and behaviors born out of pain and trauma. We start to distinguish our authentic self from who we think we need to be. When we have more information about ourself and more freedom to be authentic, we can then begin to make changes to better support ourself and create a life that is fulfilling.
(412) 339-1430 View (412) 339-1430
Photo of Erin Lafferty, Licensed Professional Counselor in Pittsburgh, PA
Erin Lafferty
Licensed Professional Counselor, LPC, NCC
Verified Verified
Pittsburgh, PA 15206
Not accepting new clients
Anxiety can be debilitating. You may find that you’re constantly worrying, on edge, or fearing that something bad might happen. You feel as if you can’t seem to get your mind to calm down, to take a break, to relax. You may feel badly about yourself, and notice you’re criticizing yourself more often. You might even become fearful of your anxiety, furthering this vicious cycle. Some might be able to pinpoint these feelings to something specific, while others may have a difficult time figuring out where this feeling came from, and why it won’t go away. Either way, anxiety leaves you feeling drained, exhausted, and out of control.
Anxiety can be debilitating. You may find that you’re constantly worrying, on edge, or fearing that something bad might happen. You feel as if you can’t seem to get your mind to calm down, to take a break, to relax. You may feel badly about yourself, and notice you’re criticizing yourself more often. You might even become fearful of your anxiety, furthering this vicious cycle. Some might be able to pinpoint these feelings to something specific, while others may have a difficult time figuring out where this feeling came from, and why it won’t go away. Either way, anxiety leaves you feeling drained, exhausted, and out of control.
(412) 413-9130 View (412) 413-9130
Photo of Mara Krotec Baginski, Clinical Social Work/Therapist in Pittsburgh, PA
Mara Krotec Baginski
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15238
Not accepting new clients
NOTE: I am not accepting patients currently. Reaching out for help to work through life’s challenges can certainly be scary. I am here to help you feel more comfortable while facing these challenges. I have been a therapist for 15+ years and bring many years of clinical and personal life experience to my practice. I personally have been affected by grief/loss and the challenges of caregiving which led me to help others. I use a practical and empathetic approach to therapy while helping people reach their goals.
NOTE: I am not accepting patients currently. Reaching out for help to work through life’s challenges can certainly be scary. I am here to help you feel more comfortable while facing these challenges. I have been a therapist for 15+ years and bring many years of clinical and personal life experience to my practice. I personally have been affected by grief/loss and the challenges of caregiving which led me to help others. I use a practical and empathetic approach to therapy while helping people reach their goals.
(412) 214-7251 View (412) 214-7251
Photo of Yodit Betru, Clinical Social Work/Therapist in Pittsburgh, PA
Yodit Betru
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Pittsburgh, PA 15217
I am a licensed clinical social worker with expertise in addressing and treating mental health conditions. Additionally, I serve as a professor at one of the top schools of social work in the country. I hold a Bachelor of Arts and Master of Social Work from the University of Oklahoma and a doctoral degree from the University of Pennsylvania. With 17 years of experience working with individuals and families, I specialize in trauma, racialized stress, and stressors that impact your connection with your family and significant relationships.
I am a licensed clinical social worker with expertise in addressing and treating mental health conditions. Additionally, I serve as a professor at one of the top schools of social work in the country. I hold a Bachelor of Arts and Master of Social Work from the University of Oklahoma and a doctoral degree from the University of Pennsylvania. With 17 years of experience working with individuals and families, I specialize in trauma, racialized stress, and stressors that impact your connection with your family and significant relationships.
(412) 274-7317 View (412) 274-7317
Photo of Kim Weiner, Psychologist in Pittsburgh, PA
Kim Weiner
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15213  (Online Only)
Waitlist for new clients
I am a licensed psychologist at Allegheny Mental Health Associates (AMHA), PC. with over 30 yrs of experience working with adults (18+) who encounter anxiety, depression, or relationship problems. I can help if you feel stressed and find it hard to be the person you want to be. I consider myself an integrative therapist and use a variety of therapeutic skills and techniques to best individualize treatment. My focus is to help you to discover, or recover, your sense of purpose and vitality, to enable you to re-connect with what matters most to you and teach you ways to relate to your life experiences with skill, insight and wisdom.
I am a licensed psychologist at Allegheny Mental Health Associates (AMHA), PC. with over 30 yrs of experience working with adults (18+) who encounter anxiety, depression, or relationship problems. I can help if you feel stressed and find it hard to be the person you want to be. I consider myself an integrative therapist and use a variety of therapeutic skills and techniques to best individualize treatment. My focus is to help you to discover, or recover, your sense of purpose and vitality, to enable you to re-connect with what matters most to you and teach you ways to relate to your life experiences with skill, insight and wisdom.
(412) 899-2510 View (412) 899-2510
Photo of Mikael Ferm, Clinical Social Work/Therapist in Pittsburgh, PA
Mikael Ferm
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15218  (Online Only)
Clients often describe me as authentic, determined, and insightful. My therapeutic approach is conversational and casual with a clear direction and purpose. I offer direct solutions and evidence-based techniques to help you solve your problems, or we can dive deeper and explore the roots behind your troubles and true self. We will likely do both!
Clients often describe me as authentic, determined, and insightful. My therapeutic approach is conversational and casual with a clear direction and purpose. I offer direct solutions and evidence-based techniques to help you solve your problems, or we can dive deeper and explore the roots behind your troubles and true self. We will likely do both!
(412) 991-2030 View (412) 991-2030

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

59% In Person and Online
41% 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.