Therapists in Arlington, MA

Photo of Khalilah Imani Tyre, Counselor in Arlington, MA
Khalilah Imani Tyre
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02474
Are you struggling with anxiety, depression, stress, or going through challenging life transitions? You're not alone, and there is hope. I'm Khalilah, a licensed mental health counselor (LMHC), dedicated to helping individuals like you navigate difficult emotional terrains and find a path towards healing and growth.
Are you struggling with anxiety, depression, stress, or going through challenging life transitions? You're not alone, and there is hope. I'm Khalilah, a licensed mental health counselor (LMHC), dedicated to helping individuals like you navigate difficult emotional terrains and find a path towards healing and growth.
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Photo of Jessica Anne Dreifuss, Psychologist in Arlington, MA
Jessica Anne Dreifuss
Psychologist, PhD
Verified Verified
Arlington, MA 02476
I am a psychologist experienced in working in outpatient and partial hospitalization settings who specializes in both couples therapy and individual therapy for adults to address a broad range of difficulties. I have specific expertise in couples therapy for relationship distress and communication problems as well as in individual therapy to treat mood disorders, anxiety, OCD, relationship issues, and life transitions/stressors. I also often work with individuals who have eating disorders, personality disorders, ADHD, and substance use problems. My approach is client-centered and founded in evidence-based treatment techniques
I am a psychologist experienced in working in outpatient and partial hospitalization settings who specializes in both couples therapy and individual therapy for adults to address a broad range of difficulties. I have specific expertise in couples therapy for relationship distress and communication problems as well as in individual therapy to treat mood disorders, anxiety, OCD, relationship issues, and life transitions/stressors. I also often work with individuals who have eating disorders, personality disorders, ADHD, and substance use problems. My approach is client-centered and founded in evidence-based treatment techniques
(339) 331-0788 View (339) 331-0788
Photo of Patricia Cadet, Counselor in Arlington, MA
Patricia Cadet
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02474
I believe therapy is an opportunity to heal, grow, explore and create change. If you are looking for extra support or guidance through a challenging situation and ready to move to a new direction. My style is interactive,utilizing the client's strengths, as we work together towards achieving your goals.
I believe therapy is an opportunity to heal, grow, explore and create change. If you are looking for extra support or guidance through a challenging situation and ready to move to a new direction. My style is interactive,utilizing the client's strengths, as we work together towards achieving your goals.
(617) 440-4008 View (617) 440-4008
Photo of Actualize Counseling & Nutrition, Pre-Licensed Professional in Arlington, MA
Actualize Counseling & Nutrition
Pre-Licensed Professional, CSW
Verified Verified
Arlington, MA 02476  (Online Only)
With a background centered on groups and family dynamics, I specialize in helping individuals who experience fears of abandonment and loss of control. This can result in eating disorders, anxiety, and the development of mood and personality disorders. Advocating for a healing journey grounded in compassionate exploration, I integrate effective tools to help regulate emotions, reduce stress, and foster self-discovery. My goal is to empower individuals to embark on a transformative path with courage and resilience. Together, we can navigate towards healing and growth.
With a background centered on groups and family dynamics, I specialize in helping individuals who experience fears of abandonment and loss of control. This can result in eating disorders, anxiety, and the development of mood and personality disorders. Advocating for a healing journey grounded in compassionate exploration, I integrate effective tools to help regulate emotions, reduce stress, and foster self-discovery. My goal is to empower individuals to embark on a transformative path with courage and resilience. Together, we can navigate towards healing and growth.
(617) 404-4576 View (617) 404-4576
Photo of Danielle Guyette, Psychologist in Arlington, MA
Danielle Guyette
Psychologist
Verified Verified
1 Endorsed
Arlington, MA 02474
Life is tough, precious, challenging, and full of possibilities. Yet, too often we find ourselves in survival mode just managing the overwhelming moments. Problem is, this pulls us further away from how we want to feel and be in the world. Whether that looks like depression, anxiety, substance use, traumatic reactions, self-harm, family conflict, or something a bit different- I am here to help. In therapy, we can change the way you relate to your suffering, finding relief and more space for the fun stuff. We will work to understand your thoughts, befriend your feelings, and shift behaviors so you can find a calmer state of being.
Life is tough, precious, challenging, and full of possibilities. Yet, too often we find ourselves in survival mode just managing the overwhelming moments. Problem is, this pulls us further away from how we want to feel and be in the world. Whether that looks like depression, anxiety, substance use, traumatic reactions, self-harm, family conflict, or something a bit different- I am here to help. In therapy, we can change the way you relate to your suffering, finding relief and more space for the fun stuff. We will work to understand your thoughts, befriend your feelings, and shift behaviors so you can find a calmer state of being.
(339) 218-6613 View (339) 218-6613
Photo of Carolyn D Greene, Psychologist in Arlington, MA
Carolyn D Greene
Psychologist, PsyD
Verified Verified
Arlington, MA 02474  (Online Only)
Welcome! I am here to offer you help through life’s most difficult transitions. Anxiety, depression, past trauma, and current stressors can weigh us down. Sometimes, even positive changes, like pregnancy and postpartum, can be hard. While I can help clients with a variety of issues, my specialties include treatment of trauma/PTSD as well as treatment of mood and anxiety disorders during pregnancy and the postpartum period.
Welcome! I am here to offer you help through life’s most difficult transitions. Anxiety, depression, past trauma, and current stressors can weigh us down. Sometimes, even positive changes, like pregnancy and postpartum, can be hard. While I can help clients with a variety of issues, my specialties include treatment of trauma/PTSD as well as treatment of mood and anxiety disorders during pregnancy and the postpartum period.
(339) 215-3882 View (339) 215-3882
Photo of Adam Russell, Marriage & Family Therapist in Arlington, MA
Adam Russell
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arlington, MA 02476  (Online Only)
Are you seeking to understand yourself better? Are you looking to make sense of your relationship dynamics? Do you wish things were better, but you don't know how to get there? You CAN feel empowered by an expanding of your understanding, gathering insight, and educating the choices you make in how you decide to live your life. I work with couples, and adults to help make sense of obstacles, understand how relationship histories effect life today, and become more comfortable with themselves. This is done in an atmosphere where you are accepted for who you are. We can discuss your goals.
Are you seeking to understand yourself better? Are you looking to make sense of your relationship dynamics? Do you wish things were better, but you don't know how to get there? You CAN feel empowered by an expanding of your understanding, gathering insight, and educating the choices you make in how you decide to live your life. I work with couples, and adults to help make sense of obstacles, understand how relationship histories effect life today, and become more comfortable with themselves. This is done in an atmosphere where you are accepted for who you are. We can discuss your goals.
(339) 201-6547 View (339) 201-6547
Photo of Janet Zimmern, Clinical Social Work/Therapist in Arlington, MA
Janet Zimmern
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02474
A safe, empathic therapeutic space for clients to make meaningful changes in their lives," "I help clients make meaningful and necessary changes for overall increased life satisfaction. I do this by providing a safe, non threatening and supportive setting for clients to "do their work" and create a therapeutic space where humor is allowed. If appropriate, a client's sense of their own spirituality is acknowledged and integrated as a resource of empowerment, to sort through feelings, thoughts and behaviors that either help or hinder them in achieving identified goals.
A safe, empathic therapeutic space for clients to make meaningful changes in their lives," "I help clients make meaningful and necessary changes for overall increased life satisfaction. I do this by providing a safe, non threatening and supportive setting for clients to "do their work" and create a therapeutic space where humor is allowed. If appropriate, a client's sense of their own spirituality is acknowledged and integrated as a resource of empowerment, to sort through feelings, thoughts and behaviors that either help or hinder them in achieving identified goals.
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Photo of Grace Steele Scarlett, Clinical Social Work/Therapist in Arlington, MA
Grace Steele Scarlett
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02474
Waitlist for new clients
Grace has experience as a Licensed Independent Clinical Social Worker for the past 8 years, working primarily with children and their families. She has a passion for helping children understand their emotions and develop realistic coping strategies to manage them. As a newer mom herself, Grace also has an interest in supporting women in the perinatal period. Grace specializes in helping individuals through their first pregnancy and the transition into motherhood. Grace has also been practicing and teaching yoga to adults and children for over 10 years and enjoys helping others connect with themselves through breath and movement.
Grace has experience as a Licensed Independent Clinical Social Worker for the past 8 years, working primarily with children and their families. She has a passion for helping children understand their emotions and develop realistic coping strategies to manage them. As a newer mom herself, Grace also has an interest in supporting women in the perinatal period. Grace specializes in helping individuals through their first pregnancy and the transition into motherhood. Grace has also been practicing and teaching yoga to adults and children for over 10 years and enjoys helping others connect with themselves through breath and movement.
(339) 330-2167 View (339) 330-2167
Photo of Alison Shaw in Arlington, MA
Alison Shaw
RN, LMT, CBHS
Verified Verified
Arlington, MA 02474  (Online Only)
Do you want to go beyond the limits of conventional psychotherapy to heal the deepest roots of your emotional struggles? I'd love to help. In my practice, I bring together somatic (body -centered), trauma and energy based therapies in a unique model that creates more effective healing than talk therapy alone. This integrative approach helps you uncover & release the deep unconscious lifelong "Bodymind Patterns" that live in the psyche AND body & can perpetuate unhappiness and keep you stuck or returning over & over to the same struggles, anxiety, shame, depression, unfulfilling relationships, low self esteem disconnection and pain.
Do you want to go beyond the limits of conventional psychotherapy to heal the deepest roots of your emotional struggles? I'd love to help. In my practice, I bring together somatic (body -centered), trauma and energy based therapies in a unique model that creates more effective healing than talk therapy alone. This integrative approach helps you uncover & release the deep unconscious lifelong "Bodymind Patterns" that live in the psyche AND body & can perpetuate unhappiness and keep you stuck or returning over & over to the same struggles, anxiety, shame, depression, unfulfilling relationships, low self esteem disconnection and pain.
(781) 754-7175 View (781) 754-7175
Photo of Colleen Strong, Clinical Social Work/Therapist in Arlington, MA
Colleen Strong
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Arlington, MA 02474  (Online Only)
Not accepting new clients
A highly-skilled, compassionate, and engaging professional, I will provide you with exceptional care and work with you to effectively address the issues which bring you to treatment. My personality, combined with my varied work experience, will ensure that you will have a safe and comfortable environment to explore and address the challenges in front of you. With over a decade of experience in a variety of clinical settings, I have developed a broad base of clinical skills and served many different populations. I have expertise treating children and teens, as well as adults.
A highly-skilled, compassionate, and engaging professional, I will provide you with exceptional care and work with you to effectively address the issues which bring you to treatment. My personality, combined with my varied work experience, will ensure that you will have a safe and comfortable environment to explore and address the challenges in front of you. With over a decade of experience in a variety of clinical settings, I have developed a broad base of clinical skills and served many different populations. I have expertise treating children and teens, as well as adults.
(339) 215-6263 View (339) 215-6263
Photo of Melissa Parker, Counselor in Arlington, MA
Melissa Parker
Counselor, LMHC
Verified Verified
Arlington, MA 02476
Not accepting new clients
I hold the understanding that all people have within themselves the wisdom and strength necessary to heal, and I believe that entering into a supportive and respectful therapeutic relationship can help these strengths and awarenesses emerge, develop, and grow. I enjoy working with people who desire a more peaceful and enjoyable life.
I hold the understanding that all people have within themselves the wisdom and strength necessary to heal, and I believe that entering into a supportive and respectful therapeutic relationship can help these strengths and awarenesses emerge, develop, and grow. I enjoy working with people who desire a more peaceful and enjoyable life.
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Photo of Alice Moses, Counselor in Arlington, MA
Alice Moses
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Arlington, MA 02476
Do you feel anxious, stressed, overwhelmed? Are you wondering how you fit into this complicated world in which we live? Do you wish you felt happier and more fulfilled with yourself or your life? Welcome, I'm glad you've taken this first step toward feeling better. As a biracial therapist, I have a unique--and personal--perspective on multicultural issues. I understand what it feels like to straddle two worlds, to not belong or question where you fit in, and to feel misunderstood or invisible. I support my clients by offering a safe, nonjudgmental space to talk about your struggles and find relief from suffering. You are not alone!
Do you feel anxious, stressed, overwhelmed? Are you wondering how you fit into this complicated world in which we live? Do you wish you felt happier and more fulfilled with yourself or your life? Welcome, I'm glad you've taken this first step toward feeling better. As a biracial therapist, I have a unique--and personal--perspective on multicultural issues. I understand what it feels like to straddle two worlds, to not belong or question where you fit in, and to feel misunderstood or invisible. I support my clients by offering a safe, nonjudgmental space to talk about your struggles and find relief from suffering. You are not alone!
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Photo of Reid Slavin, Clinical Social Work/Therapist in Arlington, MA
Reid Slavin
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, MA 02476
Reid Slavin is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2008. Reid Slavin earned a Bachelor's Degree in Substance-Use Counseling and a Master's Degree in Social Work from Springfield College. Reid has more than 15 years of experience working with children and adults who are experiencing substance-use disorders and mental-health conditions, including those with co-occurring disorders.
Reid Slavin is a Licensed Clinical Social Worker in Massachusetts who has been practicing since 2008. Reid Slavin earned a Bachelor's Degree in Substance-Use Counseling and a Master's Degree in Social Work from Springfield College. Reid has more than 15 years of experience working with children and adults who are experiencing substance-use disorders and mental-health conditions, including those with co-occurring disorders.
(339) 329-1776 View (339) 329-1776
Photo of Julianne Corey, Pre-Licensed Professional in Arlington, MA
Julianne Corey
Pre-Licensed Professional, MA, MFA
Verified Verified
Arlington, MA 02476
Waitlist for new clients
Something that I know to be true: when people feel at home in their bodies, they are better equipped for life’s challenges. I see my role as someone who can support you in finding a safe way home... perhaps home to the relationship with your body, to the feelings it holds, to a greater degree of self-acceptance, personal empowerment, and interpersonal connection. Much of my work is body-centered supporting chronic and critical illness, physical, medical, and sexual trauma, body image and dysmorphia.
Something that I know to be true: when people feel at home in their bodies, they are better equipped for life’s challenges. I see my role as someone who can support you in finding a safe way home... perhaps home to the relationship with your body, to the feelings it holds, to a greater degree of self-acceptance, personal empowerment, and interpersonal connection. Much of my work is body-centered supporting chronic and critical illness, physical, medical, and sexual trauma, body image and dysmorphia.
(339) 329-7695 View (339) 329-7695
Photo of Dr. Pooja Saraff, Psychologist in Arlington, MA
Dr. Pooja Saraff
Psychologist, PhD
Verified Verified
Arlington, MA 02474
I am a psychologist with Cambridge Psychology Group with experience in treating adults and adolescents for a range of issues including adjustment to life stressors, relationship issues, other problems in daily living and more serious clinical problems such as disorders related to mood, anxiety, trauma, and personality. I have advanced training in evidence-based approaches including exposure and response prevention (ERP) for anxiety and OCD-related disorders, cognitive processing therapy (CPT) for trauma, and dialectical behavior therapy (DBT) for treating emotion dysregulation, and self-destructive and life-threatening behaviors.
I am a psychologist with Cambridge Psychology Group with experience in treating adults and adolescents for a range of issues including adjustment to life stressors, relationship issues, other problems in daily living and more serious clinical problems such as disorders related to mood, anxiety, trauma, and personality. I have advanced training in evidence-based approaches including exposure and response prevention (ERP) for anxiety and OCD-related disorders, cognitive processing therapy (CPT) for trauma, and dialectical behavior therapy (DBT) for treating emotion dysregulation, and self-destructive and life-threatening behaviors.
(617) 977-4940 View (617) 977-4940
Photo of Actualize Counseling & Nutrition, Pre-Licensed Professional in Arlington, MA
Actualize Counseling & Nutrition
Pre-Licensed Professional, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02476  (Online Only)
I specialize in working with individuals who are struggling with anxiety, body image, relationship issues, self esteem, and more. I help clients facing work, academic stress and anxieties around social and life demands. My approach is to provide guidance and resources to develop effective coping skills, build resiliency and enhance distress tolerance while developing strategies for managing stress and anxiety.
I specialize in working with individuals who are struggling with anxiety, body image, relationship issues, self esteem, and more. I help clients facing work, academic stress and anxieties around social and life demands. My approach is to provide guidance and resources to develop effective coping skills, build resiliency and enhance distress tolerance while developing strategies for managing stress and anxiety.
(617) 855-0215 View (617) 855-0215
Photo of Michelle Cresta, Counselor in Arlington, MA
Michelle Cresta
Counselor, LMHC, MEd, CCTP
Verified Verified
Arlington, MA 02474
Welcome to my page! I wanted to start by saying, I am happy you are making active steps to better manage your mental health. I know how challenging it can be to start the process. I wanted to share some information about my background, specialties and approach to help determine if I would be a good fit as your therapist. I graduated from Cambridge College in 2014 with an M.Ed in Counseling Psychology and Addiction Counseling. I have worked in an array of settings, including residential, inpatient and outpatient with individuals, families and groups. I also have experience with Vocational and Education Counseling and Case Management.
Welcome to my page! I wanted to start by saying, I am happy you are making active steps to better manage your mental health. I know how challenging it can be to start the process. I wanted to share some information about my background, specialties and approach to help determine if I would be a good fit as your therapist. I graduated from Cambridge College in 2014 with an M.Ed in Counseling Psychology and Addiction Counseling. I have worked in an array of settings, including residential, inpatient and outpatient with individuals, families and groups. I also have experience with Vocational and Education Counseling and Case Management.
(339) 217-1933 View (339) 217-1933
Photo of Sivon Irvings, Clinical Social Work/Therapist in Arlington, MA
Sivon Irvings
Clinical Social Work/Therapist, LCSW, MBA, EdM
Verified Verified
Arlington, MA 02476
Sivon provides evidence-based psychological treatment for children, adolescents, and adults. He specializes in CBT, DBT, IFS, mindfulness, and trauma sensitive care. Sivon is oriented towards preventive care and future new narrative creation through the cultivation of self-compassion, self-leadership, and behavioral capacity building. Sivon received his clinical training at Boston College Graduate School of Social Work.
Sivon provides evidence-based psychological treatment for children, adolescents, and adults. He specializes in CBT, DBT, IFS, mindfulness, and trauma sensitive care. Sivon is oriented towards preventive care and future new narrative creation through the cultivation of self-compassion, self-leadership, and behavioral capacity building. Sivon received his clinical training at Boston College Graduate School of Social Work.
(339) 331-2595 View (339) 331-2595
Photo of B. Francis Chen, LICSW, Clinical Social Work/Therapist in Arlington, MA
B. Francis Chen, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Arlington, MA 02474
Not accepting new clients
Welcome! Do you have trouble loving and accepting yourself? Do you find it hard to feel a sense of belonging and connection with others? Therapy can help you to feel better about yourself, to feel freer to be your authentic self, and to form healthy attachments. I enjoy helping struggling couples and individuals who are experiencing: *Marginalization, oppression, exclusion *Conflict between gender/sexual identity and spiritual/religious beliefs *Breakups *Difficult relationships that trigger shame *Chronic low self-esteem. I believe that behind all feelings and behaviors are stories which make sense.
Welcome! Do you have trouble loving and accepting yourself? Do you find it hard to feel a sense of belonging and connection with others? Therapy can help you to feel better about yourself, to feel freer to be your authentic self, and to form healthy attachments. I enjoy helping struggling couples and individuals who are experiencing: *Marginalization, oppression, exclusion *Conflict between gender/sexual identity and spiritual/religious beliefs *Breakups *Difficult relationships that trigger shame *Chronic low self-esteem. I believe that behind all feelings and behaviors are stories which make sense.
(857) 995-9148 View (857) 995-9148

How does your Therapist compare?

Number of Therapists in Arlington, MA

400+

Average cost per session

$175

Therapists in Arlington, MA who prioritize treating:

92% Anxiety
87% Depression
79% Relationship Issues
76% Self Esteem
67% Coping Skills
66% Trauma and PTSD
64% Stress

Average years in practice

12 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
51% UnitedHealthcare UHC | UBH
50% Optum

How Therapists in Arlington, MA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in Arlington?

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.