Therapists in Syracuse, NY

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Photo of Tara Ammersen, Clinical Social Work/Therapist in Syracuse, NY
Tara Ammersen
Clinical Social Work/Therapist, LCSW, LICSW, CMIP, CCTP
Verified Verified
1 Endorsed
Syracuse, NY 13219  (Online Only)
Whatever the path may be that brought you here, I am ready to listen with an open mind. Whether you are struggling with discontentment in your life, relationships, transitioning careers, seeking balance, or looking to better manage everyday stress, I am here to guide you through the process. Collaboratively, we will work towards balance with your individualized goals as our priority. In today's world especially, meeting virtually via Telehealth can provide a safe, secure, and convenient method to meet the needs of your busy and demanding daily life.
Whatever the path may be that brought you here, I am ready to listen with an open mind. Whether you are struggling with discontentment in your life, relationships, transitioning careers, seeking balance, or looking to better manage everyday stress, I am here to guide you through the process. Collaboratively, we will work towards balance with your individualized goals as our priority. In today's world especially, meeting virtually via Telehealth can provide a safe, secure, and convenient method to meet the needs of your busy and demanding daily life.
(315) 847-4784 View (315) 847-4784
Photo of Staceyann Reid, Counselor in Syracuse, NY
Staceyann Reid
Counselor, PhD, LMHC, RPT
Verified Verified
1 Endorsed
Syracuse, NY 13212
There are times throughout one’s life where we come up against seemingly overwhelming challenges that may leave us feeling lost, scared, and alone. My goal as a therapist is to offer a compassionate space that will allow you to navigate through and overcome these challenges. In doing so, I believe that together we will be able to create positive changes that will lead to growth and healing.
There are times throughout one’s life where we come up against seemingly overwhelming challenges that may leave us feeling lost, scared, and alone. My goal as a therapist is to offer a compassionate space that will allow you to navigate through and overcome these challenges. In doing so, I believe that together we will be able to create positive changes that will lead to growth and healing.
(315) 610-8475 View (315) 610-8475
Photo of Shiann Brown, Clinical Social Work/Therapist in Syracuse, NY
Shiann Brown
Clinical Social Work/Therapist, LMSW, CASAC-t
Verified Verified
Syracuse, NY 13207  (Online Only)
Navigating life’s journey can be challenging at times for all of us and yet we are here to learn the lessons that are often unique to our own experiences. If you too are now aware of the need to tap into the power of self-knowledge so that you can live a life that helps you find purpose, fulfillment, confidence and competence, your decision to seek therapy is a natural step in the right direction. My role as a therapist is to assist in the process of helping you heal from the emotional “dis-ease” that can be part of the human experience.
Navigating life’s journey can be challenging at times for all of us and yet we are here to learn the lessons that are often unique to our own experiences. If you too are now aware of the need to tap into the power of self-knowledge so that you can live a life that helps you find purpose, fulfillment, confidence and competence, your decision to seek therapy is a natural step in the right direction. My role as a therapist is to assist in the process of helping you heal from the emotional “dis-ease” that can be part of the human experience.
(315) 279-3004 View (315) 279-3004
Photo of Max Malikow, Counselor in Syracuse, NY
Max Malikow
Counselor, LMHC
Verified Verified
Syracuse, NY 13203
2,500 years ago Socrates said, "The unexamined life is not worth living." He believed a good life requires an understanding of why we think, act, and feel as we do. Since relationship is part of psychotherapy, the personalities and philosophies of life of the client and therapist must be compatible. I am well-suited for clients who are curious about human behavior - their own as well as that of others. Before there were psychologists, the issues of life were addressed by philosophers. Thoroughly examining life includes considering ancient wisdom and spiritual reality as well as psychology (the science of mind and behavior).
2,500 years ago Socrates said, "The unexamined life is not worth living." He believed a good life requires an understanding of why we think, act, and feel as we do. Since relationship is part of psychotherapy, the personalities and philosophies of life of the client and therapist must be compatible. I am well-suited for clients who are curious about human behavior - their own as well as that of others. Before there were psychologists, the issues of life were addressed by philosophers. Thoroughly examining life includes considering ancient wisdom and spiritual reality as well as psychology (the science of mind and behavior).
(315) 474-4357 View (315) 474-4357
Photo of Leanne Nagle, Pre-Licensed Professional in Syracuse, NY
Leanne Nagle
Pre-Licensed Professional, MA, LPMFT
Verified Verified
1 Endorsed
Syracuse, NY 13214
I believe that every therapeutic relationship should be a collaborative experience. I work to provide a comfortable atmosphere to explore the challenges you may experience in your life journey. My experience as a couple and family therapist allows me to navigate the systems that are most important to you, whether it is through couple, family, or individual sessions.
I believe that every therapeutic relationship should be a collaborative experience. I work to provide a comfortable atmosphere to explore the challenges you may experience in your life journey. My experience as a couple and family therapist allows me to navigate the systems that are most important to you, whether it is through couple, family, or individual sessions.
(315) 219-4159 View (315) 219-4159
Photo of Pertrina Works, Clinical Social Work/Therapist in Syracuse, NY
Pertrina Works
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13214  (Online Only)
Hello, My name is Pertina and I am a Licensed Clinical Social Worker. I would like to take the time to introduce myself to you. I have my Masters in Social Work from Syracuse University. My experience ranges from working with individuals diagnosed with Depression, Anxiety, Stress Management and Relationship Conflicts. I am a lifelong learner and believe that staying up to date with different Evidenced Based Treatment models to ensure you are receiving the best.
Hello, My name is Pertina and I am a Licensed Clinical Social Worker. I would like to take the time to introduce myself to you. I have my Masters in Social Work from Syracuse University. My experience ranges from working with individuals diagnosed with Depression, Anxiety, Stress Management and Relationship Conflicts. I am a lifelong learner and believe that staying up to date with different Evidenced Based Treatment models to ensure you are receiving the best.
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Photo of Sameerah Owens, Clinical Social Work/Therapist in Syracuse, NY
Sameerah Owens
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Syracuse, NY 13201
I work with individuals from all walks of life and all ages to assist them in creating the changes they want in their lives and relationships with themselves and others. I believe that each client is unique and deserves treatment that is based on love and kindness and honors that uniqueness.Our faith is the vehicle that can bring us closer to those changes and help us find meaning and fulfillment. Areas of particular focus in my practice include trauma, learning disabilities, parent-child issues, athletic performance problems, and navigating life transitions a longtime athlete and coach; I’m experienced in the challenges of athletes
I work with individuals from all walks of life and all ages to assist them in creating the changes they want in their lives and relationships with themselves and others. I believe that each client is unique and deserves treatment that is based on love and kindness and honors that uniqueness.Our faith is the vehicle that can bring us closer to those changes and help us find meaning and fulfillment. Areas of particular focus in my practice include trauma, learning disabilities, parent-child issues, athletic performance problems, and navigating life transitions a longtime athlete and coach; I’m experienced in the challenges of athletes
(315) 776-7341 View (315) 776-7341
Photo of Christine Hudson, Counselor in Syracuse, NY
Christine Hudson
Counselor, LMHC, NCC, CCTP
Verified Verified
2 Endorsed
Syracuse, NY 13219
It is no secret, life is overwhelming and sometimes we need help finding the balance. I take an eclectic approach to my work with clients. I’ve been trained and educated in many treatment modalities, and it is essential we build a plan together that is personalized and targeted for your needs. My goal is to provide a safe and confidential space where you can feel comfortable being your authentic self, and receive the support you need non-judgmentally. You can grow to your fullest potential when you have the right support and tools.
It is no secret, life is overwhelming and sometimes we need help finding the balance. I take an eclectic approach to my work with clients. I’ve been trained and educated in many treatment modalities, and it is essential we build a plan together that is personalized and targeted for your needs. My goal is to provide a safe and confidential space where you can feel comfortable being your authentic self, and receive the support you need non-judgmentally. You can grow to your fullest potential when you have the right support and tools.
(315) 302-1831 View (315) 302-1831
Photo of James F. Lewis, Counselor in Syracuse, NY
James F. Lewis
Counselor, MS, LMHC, CASAC
Verified Verified
Syracuse, NY 13219
Welcome to my counseling site called Christian Based Counseling Services. As a Christian and a Licensed Mental Health Counselor, it is my intent to use clinical and spiritual beliefs, attitudes and practices to support, encourage, as well as strengthen the client through a caring, professional relationship. As part of our ongoing therapeutic work and discovery, it is my goal to guide the client in identifying unhealthy and dysfunctional beliefs, attitudes and behaviors and be transformed with healthy, realistic and spiritually based truths which will enable you to grow individually and within your relationships with others.
Welcome to my counseling site called Christian Based Counseling Services. As a Christian and a Licensed Mental Health Counselor, it is my intent to use clinical and spiritual beliefs, attitudes and practices to support, encourage, as well as strengthen the client through a caring, professional relationship. As part of our ongoing therapeutic work and discovery, it is my goal to guide the client in identifying unhealthy and dysfunctional beliefs, attitudes and behaviors and be transformed with healthy, realistic and spiritually based truths which will enable you to grow individually and within your relationships with others.
(315) 245-8428 View (315) 245-8428
Photo of Brianna Gomez, Marriage & Family Therapist in Syracuse, NY
Brianna Gomez
Marriage & Family Therapist, AAMFT, LMFT
Verified Verified
4 Endorsed
Syracuse, NY 13224  (Online Only)
Strength and growth come only through continuous effort and struggle." Napoleon Hill. Every journey of life has highs and lows. The fluctuation of those experiences are what mold us into the people we are meant to become. Although we are each on our own journey, life isn't meant to be traveled alone. Having others around us for guidance and companionship is a natural need.
Strength and growth come only through continuous effort and struggle." Napoleon Hill. Every journey of life has highs and lows. The fluctuation of those experiences are what mold us into the people we are meant to become. Although we are each on our own journey, life isn't meant to be traveled alone. Having others around us for guidance and companionship is a natural need.
(315) 800-0011 View (315) 800-0011
Photo of T. Johnson, Marriage & Family Therapist in Syracuse, NY
T. Johnson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Syracuse, NY 13212  (Online Only)
Accepting Clients! My goal is to support you by providing a safe, accepting environment for self-exploration. Through a relational and trauma-informed approach, I am committed to affirming the experiences and journeys of everyone I work with by providing the spaces necessary to work towards positive change. I specialize in work focused on gender identity, sexual orientation, and identity intersections. My practice is driven by the belief that no one should ever feel “less than" because of their gender identity/expression, sexuality, or any other attribute of their personhood.
Accepting Clients! My goal is to support you by providing a safe, accepting environment for self-exploration. Through a relational and trauma-informed approach, I am committed to affirming the experiences and journeys of everyone I work with by providing the spaces necessary to work towards positive change. I specialize in work focused on gender identity, sexual orientation, and identity intersections. My practice is driven by the belief that no one should ever feel “less than" because of their gender identity/expression, sexuality, or any other attribute of their personhood.
(315) 929-2335 View (315) 929-2335
Photo of Evoke: Individual, Marriage, and Family Therapy, Marriage & Family Therapist in Syracuse, NY
Evoke: Individual, Marriage, and Family Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Syracuse, NY 13206
Not accepting new clients
There is hope! With a varied and vast personal and educational background my strength, first and foremost, is connecting with my clients. I am truly honored by the opportunity to walk with my clients through to the other side of their personal healing. As we collaborate on how to reach your goals, with hope and compassion you CAN experience greater peace, joy, and improved mental health! Some focus areas include Couples and Families in distress, Special Needs individuals /Families, Children/Adolescents, Couples surviving sexual betrayal, and relief from Anxiety/Depression.
There is hope! With a varied and vast personal and educational background my strength, first and foremost, is connecting with my clients. I am truly honored by the opportunity to walk with my clients through to the other side of their personal healing. As we collaborate on how to reach your goals, with hope and compassion you CAN experience greater peace, joy, and improved mental health! Some focus areas include Couples and Families in distress, Special Needs individuals /Families, Children/Adolescents, Couples surviving sexual betrayal, and relief from Anxiety/Depression.
(315) 285-4350 View (315) 285-4350
Photo of Emily Lavin, Marriage & Family Therapist in Syracuse, NY
Emily Lavin
Marriage & Family Therapist, LMFT
Verified Verified
Syracuse, NY 13214
Are you encountering life's challenges and seeking compassionate support to navigate them? I specialize in aiding individuals, couples, and families, with a focus on adolescents and adults. Whether you're contending with transitions, anxiety, depression, self-esteem hurdles, relationship issues, trauma, stress, women’s concerns, or other difficulties, I am here to provide attentive listening and help you uncover your strengths and barriers to growth.
Are you encountering life's challenges and seeking compassionate support to navigate them? I specialize in aiding individuals, couples, and families, with a focus on adolescents and adults. Whether you're contending with transitions, anxiety, depression, self-esteem hurdles, relationship issues, trauma, stress, women’s concerns, or other difficulties, I am here to provide attentive listening and help you uncover your strengths and barriers to growth.
(315) 998-3565 View (315) 998-3565
Photo of Dr. Clare Campbell, Psychologist in Syracuse, NY
Dr. Clare Campbell
Psychologist, PhD
Verified Verified
1 Endorsed
Syracuse, NY 13206  (Online Only)
Not accepting new clients
I specialize in psychotherapy for young professionals experiencing stress, anxiety, depression, and/or chronic pain as well as other chronic illness. I am a licensed clinical psychologist, providing video-based psychotherapy (telehealth) for clients throughout New York state and in Austin, TX. I work well with clients who travel regularly (e.g., consultants, digital nomads), as I am licensed in 38 states in addition to NY and TX. More information can be found on my website: www.clarecampbellphd.com.
I specialize in psychotherapy for young professionals experiencing stress, anxiety, depression, and/or chronic pain as well as other chronic illness. I am a licensed clinical psychologist, providing video-based psychotherapy (telehealth) for clients throughout New York state and in Austin, TX. I work well with clients who travel regularly (e.g., consultants, digital nomads), as I am licensed in 38 states in addition to NY and TX. More information can be found on my website: www.clarecampbellphd.com.
(315) 627-6443 View (315) 627-6443
Photo of With Heart With Soul Therapy LCSW, PLLC, Clinical Social Work/Therapist in Syracuse, NY
With Heart With Soul Therapy LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13204  (Online Only)
You are worthy of healing, joy, and a life lived authentically. In our sessions, you will find a guiding hand and a compassionate heart ready to walk alongside you as you navigate the complexities of your inner and outer worlds. If the pressures of perfectionism leave you feeling exhausted, or the weight of others' expectations feels burdensome, let's explore the path of authentic living. In our therapeutic space, you're invited to shed the armor of people-pleasing or codependency and discover the strength within to set boundaries and prioritize your own well-being. Ready to embrace vulnerability, express your truth, and heal?
You are worthy of healing, joy, and a life lived authentically. In our sessions, you will find a guiding hand and a compassionate heart ready to walk alongside you as you navigate the complexities of your inner and outer worlds. If the pressures of perfectionism leave you feeling exhausted, or the weight of others' expectations feels burdensome, let's explore the path of authentic living. In our therapeutic space, you're invited to shed the armor of people-pleasing or codependency and discover the strength within to set boundaries and prioritize your own well-being. Ready to embrace vulnerability, express your truth, and heal?
(315) 897-5584 View (315) 897-5584
Photo of Jackqueline Anne Merulla, Clinical Social Work/Therapist in Syracuse, NY
Jackqueline Anne Merulla
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Syracuse, NY 13206
Are you ready to explore family dynamics and have healthy relationships? Our childhood traumas can follow us into adult relationships making us feel like we have bad luck in relationships or that we pick the wrong friends or romantic partners. Being able to process those past traumas in a safe environment can allow us to set boundaries and pick up on warning signs of people who may not be good for us or possibly even dangerous. Teenagers who are at least 16 years of age are welcome if they are ready to explore family dynamics and are ready to prepare for healthy relationships.
Are you ready to explore family dynamics and have healthy relationships? Our childhood traumas can follow us into adult relationships making us feel like we have bad luck in relationships or that we pick the wrong friends or romantic partners. Being able to process those past traumas in a safe environment can allow us to set boundaries and pick up on warning signs of people who may not be good for us or possibly even dangerous. Teenagers who are at least 16 years of age are welcome if they are ready to explore family dynamics and are ready to prepare for healthy relationships.
(315) 288-7584 View (315) 288-7584
Photo of Virginia Evans, Clinical Social Work/Therapist in Syracuse, NY
Virginia Evans
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13206  (Online Only)
I'm a relational and psychodynamic therapist with 8 years of clinical experience providing counseling to adults from a wide range of cultural, racial, spiritual, and socioeconomic backgrounds. I specialize in trauma, anxiety, and identity issues. I'm committed to helping people learn how to use their inner knowledge and intuition to live more powerful and fulfilling lives. I believe everyone is the expert of their own experience and my job is to help you process those experiences, identify your values, and work towards improving your quality of life - on your terms.
I'm a relational and psychodynamic therapist with 8 years of clinical experience providing counseling to adults from a wide range of cultural, racial, spiritual, and socioeconomic backgrounds. I specialize in trauma, anxiety, and identity issues. I'm committed to helping people learn how to use their inner knowledge and intuition to live more powerful and fulfilling lives. I believe everyone is the expert of their own experience and my job is to help you process those experiences, identify your values, and work towards improving your quality of life - on your terms.
(315) 996-3862 View (315) 996-3862
Photo of Susan Allington, Clinical Social Work/Therapist in Syracuse, NY
Susan Allington
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Syracuse, NY 13206
Are you experiencing feelings of frustration and being overwhelmed by issues in your life? Are you feeling stuck and not sure what can be done? Perhaps there is some fear that things will never change. Situations that can fall under this are parenting, relationships, depression, and anxiety to name just a few.
Are you experiencing feelings of frustration and being overwhelmed by issues in your life? Are you feeling stuck and not sure what can be done? Perhaps there is some fear that things will never change. Situations that can fall under this are parenting, relationships, depression, and anxiety to name just a few.
(315) 314-8707 View (315) 314-8707
Photo of Roberta Devers in Syracuse, NY
Roberta Devers
Verified Verified
Syracuse, NY 13209  (Online Only)
The dark thoughts won't stop; "I really don't even want to be here anymore" or "What's the point?" Ever since the traumatic event, it seems like your mind is no longer your own. Everything feels terrifying and hopeless. It seems that no one really understands. You shift between keeping your struggles from those you love, to trying to share, only to be met with all the wrong responses; "chin up" or "others have it worse", just isn't helpful. You can't help but wonder- "everyone thinks I'm crazy" or "maybe I am crazy." You're so tired of feeling helpless, but you just don't know where to turn.
The dark thoughts won't stop; "I really don't even want to be here anymore" or "What's the point?" Ever since the traumatic event, it seems like your mind is no longer your own. Everything feels terrifying and hopeless. It seems that no one really understands. You shift between keeping your struggles from those you love, to trying to share, only to be met with all the wrong responses; "chin up" or "others have it worse", just isn't helpful. You can't help but wonder- "everyone thinks I'm crazy" or "maybe I am crazy." You're so tired of feeling helpless, but you just don't know where to turn.
(315) 325-8233 View (315) 325-8233
Photo of Trina M Luttinger, Clinical Social Work/Therapist in Syracuse, NY
Trina M Luttinger
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Syracuse, NY 13214
Not accepting new clients
Are you feeling stuck? Or are you navigating a life transition, such as a relationship breakup, job change, new school or college, parenting, or retiring? As a result, are you feeling anxious or depressed? I enjoy assisting people in navigating their lives and adjusting to transitions. I work with persons across the life span. I currently have opening for folx ages 16 and over.
Are you feeling stuck? Or are you navigating a life transition, such as a relationship breakup, job change, new school or college, parenting, or retiring? As a result, are you feeling anxious or depressed? I enjoy assisting people in navigating their lives and adjusting to transitions. I work with persons across the life span. I currently have opening for folx ages 16 and over.
(315) 757-4229 View (315) 757-4229

How does your Therapist compare?

Number of Therapists in Syracuse, NY

400+

Average cost per session

$130

Therapists in Syracuse, NY who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
77% Self Esteem
75% Coping Skills
74% Stress
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

74% Aetna
64% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Syracuse, NY see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in Syracuse?

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.