Therapists in Richmond, VT

Photo of Sage Narbonne, Licensed Clinical Mental Health Counselor, MS, LCMHC
Sage Narbonne
Licensed Clinical Mental Health Counselor, MS, LCMHC
3 Endorsed
Richmond, VT 05477
Not accepting new clients
You might be functioning “fine” and feel highly self-aware, yet still feel stuck in patterns that leave you overwhelmed and stressed. These patterns can be hard to shift alone. If you're exhausted by never feeling good enough, constant overthinking, people-pleasing, or the pressure to hold everything together, therapy can offer a space to slow down, reconnect with yourself, and move through life with greater ease and confidence. Together, we make sense of what’s happening and find new ways of responding that help you feel more connected to yourself and others.
You might be functioning “fine” and feel highly self-aware, yet still feel stuck in patterns that leave you overwhelmed and stressed. These patterns can be hard to shift alone. If you're exhausted by never feeling good enough, constant overthinking, people-pleasing, or the pressure to hold everything together, therapy can offer a space to slow down, reconnect with yourself, and move through life with greater ease and confidence. Together, we make sense of what’s happening and find new ways of responding that help you feel more connected to yourself and others.
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Photo of Robyn Tebbetts, Clinical Social Work/Therapist, LICSW
Robyn Tebbetts
Clinical Social Work/Therapist, LICSW
Richmond, VT 05477
Existential therapy believes that although humans are essentially alone in the world, they long to be connected with themselves and others. I seek to avoid using models that may label people. Truth is discovered subjectively, by each individual. My practice is often, directly aimed at collaboratively making sense of one's experience(s) in order to forge new meanings and develop new identities. From a strengths based perspective, I collaborate with my clients to increase self-awareness and understanding in order to transform fragile or confusing relationships into ones that can be more clear, strong and connected.This includes a specialty in working with couples.
Existential therapy believes that although humans are essentially alone in the world, they long to be connected with themselves and others. I seek to avoid using models that may label people. Truth is discovered subjectively, by each individual. My practice is often, directly aimed at collaboratively making sense of one's experience(s) in order to forge new meanings and develop new identities. From a strengths based perspective, I collaborate with my clients to increase self-awareness and understanding in order to transform fragile or confusing relationships into ones that can be more clear, strong and connected.This includes a specialty in working with couples.
(802) 698-0180 View (802) 698-0180
Photo of Alexandra Rocheleau, Clinical Social Work/Therapist, LCSW, LICSW
Alexandra Rocheleau
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
I am licensed in multiple states with 10 years of professional work experience in psychotherapy. I have experience in helping clients with anxiety and depression; relationship issues; trauma and abuse; personality and mood disorders & coping with grief and loss. I am passionate about my clients’ progress and work hard to integrate clinically proven methodologies into every therapy session. I collaborate with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. My practice approach is person centered and person first. I am here to help!
I am licensed in multiple states with 10 years of professional work experience in psychotherapy. I have experience in helping clients with anxiety and depression; relationship issues; trauma and abuse; personality and mood disorders & coping with grief and loss. I am passionate about my clients’ progress and work hard to integrate clinically proven methodologies into every therapy session. I collaborate with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. My practice approach is person centered and person first. I am here to help!
Photo of Samantha Barr, Psychologist, PsyD
Samantha Barr
Psychologist, PsyD
Online Only
Thank you for your interest in my practice. I believe the strongest foundation for therapy resides in the relationship between the therapist and the client. It is essential in facilitating the therapeutic process. Throughout our work together, I strive for us to have a collaborative relationship. I have a genuine interest in your thoughts, feelings and experiences, as I am a firm believer that you are the expert of you. I have a great appreciation for every persons’ unique lives and I use an individualized approach to meet the specific goals and needs of each client.
Thank you for your interest in my practice. I believe the strongest foundation for therapy resides in the relationship between the therapist and the client. It is essential in facilitating the therapeutic process. Throughout our work together, I strive for us to have a collaborative relationship. I have a genuine interest in your thoughts, feelings and experiences, as I am a firm believer that you are the expert of you. I have a great appreciation for every persons’ unique lives and I use an individualized approach to meet the specific goals and needs of each client.
(802) 424-9387 View (802) 424-9387
Photo of Alison Legrand Hrindo, Psychologist, PhD
Alison Legrand Hrindo
Psychologist, PhD
2 Endorsed
Richmond, VT 05477
If you're pregnant, postpartum, dealing with mood shifts tied to your cycle, living with pain no one takes seriously enough, or carrying the grief of trying to get pregnant you already know how exhausting it is to push through! I also specialize in OCD, including perinatal OCD and intrusive thoughts. What they have in common: they've been underserved, and they're ready for care that actually fits. I'm a licensed psychologist offering evidence-based telehealth, built around real goals, not open-ended or indefinite. Licensed in NY and VT, and available across 40+ PSYPACT states including CT, PA, NH, ME, RI, & NJ
If you're pregnant, postpartum, dealing with mood shifts tied to your cycle, living with pain no one takes seriously enough, or carrying the grief of trying to get pregnant you already know how exhausting it is to push through! I also specialize in OCD, including perinatal OCD and intrusive thoughts. What they have in common: they've been underserved, and they're ready for care that actually fits. I'm a licensed psychologist offering evidence-based telehealth, built around real goals, not open-ended or indefinite. Licensed in NY and VT, and available across 40+ PSYPACT states including CT, PA, NH, ME, RI, & NJ
(802) 822-2714 View (802) 822-2714
Photo of Kate Reed, Clinical Social Work/Therapist, LICSW
Kate Reed
Clinical Social Work/Therapist, LICSW
Richmond, VT 05477
My goal is to create a warm and supportive environment that allows for vulnerability, curiosity, and a trusting therapeutic relationship. I believe in fostering genuine human connection to work together to identify goals, explore life challenges, and make meaningful change. I always meet clients with kindness, humor, and compassion.
My goal is to create a warm and supportive environment that allows for vulnerability, curiosity, and a trusting therapeutic relationship. I believe in fostering genuine human connection to work together to identify goals, explore life challenges, and make meaningful change. I always meet clients with kindness, humor, and compassion.
(802) 521-2677 View (802) 521-2677
Photo of Erin Altermatt - Sugarbush Counseling, Licensed Clinical Mental Health Counselor, LCMHC, RYT
Sugarbush Counseling
Licensed Clinical Mental Health Counselor, LCMHC, RYT
Online Only
Welcome. I offer deep listening and a genuine desire to understand your unique experiences, identities, and relationships that shape your life. I offer emerging adults, adults (18+) specialized support in life transitions, navigating relationships, living with anxiety, being with the enormity of Grief, Trauma, injury, athletic performance and Identity. My work is deeply supportive and trauma-informed, grounded in mindfulness to ensure a gentle process tailored to your unique needs.
Welcome. I offer deep listening and a genuine desire to understand your unique experiences, identities, and relationships that shape your life. I offer emerging adults, adults (18+) specialized support in life transitions, navigating relationships, living with anxiety, being with the enormity of Grief, Trauma, injury, athletic performance and Identity. My work is deeply supportive and trauma-informed, grounded in mindfulness to ensure a gentle process tailored to your unique needs.
(802) 736-6934 View (802) 736-6934
Photo of Paul Eddy, Pre-Licensed Professional, MA, MBA
Paul Eddy
Pre-Licensed Professional, MA, MBA
2 Endorsed
Online Only
I specialize in helping men. Are you struggling with anxiety, depression, self-esteem, or your role in our rapidly changing and challenging culture? I offer evidence-based ways to help. Every one of us has the right to a positive life, healthy relationships, and a positive self-image. We all have the capacity to achieve this life, especially when we receive the support that we need. I offer a warm, safe, genuine, supportive space where you may feel free to explore the issues that are most important to you without judgment. I offer compassion, unconditional acceptance, and the belief that feeling better is possible.
I specialize in helping men. Are you struggling with anxiety, depression, self-esteem, or your role in our rapidly changing and challenging culture? I offer evidence-based ways to help. Every one of us has the right to a positive life, healthy relationships, and a positive self-image. We all have the capacity to achieve this life, especially when we receive the support that we need. I offer a warm, safe, genuine, supportive space where you may feel free to explore the issues that are most important to you without judgment. I offer compassion, unconditional acceptance, and the belief that feeling better is possible.
(802) 278-6762 View (802) 278-6762
Photo of Carrie Mailloux - Carrie Mailloux | Exhale Therapy, Pre-Licensed Professional, LMSW, MSW, RYT
Carrie Mailloux | Exhale Therapy
Pre-Licensed Professional, LMSW, MSW, RYT
3 Endorsed
Richmond, VT 05477
Waitlist for new clients
Hi! My practice is currently full but you can join my interest list for Sept openings. At Exhale Therapy, I offer a warm, compassionate, non-judgmental space to explore, release, and heal. You are not broken - you are realigning. Whether you’re navigating a life transition, anxiety, or overwhelm, you’re not alone. These responses are signals, not flaws. Our bodies hold onto the stories and stress of our past, and they also hold the key to healing. I offer tools to support you in slowing down and releasing what you’ve been carrying, so that you can move forward with more ease and clarity toward the life and relationships you desire.
Hi! My practice is currently full but you can join my interest list for Sept openings. At Exhale Therapy, I offer a warm, compassionate, non-judgmental space to explore, release, and heal. You are not broken - you are realigning. Whether you’re navigating a life transition, anxiety, or overwhelm, you’re not alone. These responses are signals, not flaws. Our bodies hold onto the stories and stress of our past, and they also hold the key to healing. I offer tools to support you in slowing down and releasing what you’ve been carrying, so that you can move forward with more ease and clarity toward the life and relationships you desire.
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Photo of Rachel Gray, Clinical Social Work/Therapist, LICSW
Rachel Gray
Clinical Social Work/Therapist, LICSW
Online Only
My particular therapy focus is on supporting individuals on their path to parenthood. Whether your experience contains infertility, miscarriage, fertility treatments, adoption, and eventual parenthood or navigating life without children, I have a unique understanding of a non-traditional/unexpected route to parenthood. I understand the importance of mental health support while trying to conceive, during pregnancy, and after becoming a parent. I am here to witness your journey, listen, and help support you through transitions in life, whether that is due to relationship changes, a move or change in job or parenthood.
My particular therapy focus is on supporting individuals on their path to parenthood. Whether your experience contains infertility, miscarriage, fertility treatments, adoption, and eventual parenthood or navigating life without children, I have a unique understanding of a non-traditional/unexpected route to parenthood. I understand the importance of mental health support while trying to conceive, during pregnancy, and after becoming a parent. I am here to witness your journey, listen, and help support you through transitions in life, whether that is due to relationship changes, a move or change in job or parenthood.
(802) 448-4325 View (802) 448-4325
Photo of Carolyn Crotty, Art Therapist, MA, ATR, LCMHC, RYT
Carolyn Crotty
Art Therapist, MA, ATR, LCMHC, RYT
4 Endorsed
Richmond, VT 05477
Being human is hard, especially when struggling with decision fatigue and information overload but you don’t have to do it alone. I support adults in overcoming anxiety and overwhelm when moving through a big life transition such as graduation, career and relationship shifts. I’ll help you find clarity and calm while tuning out the noise of “shoulds” and “supposed-tos” and “what ifs?” Find confidence in your decision making and learn to trust your intuition as you move forward toward the life you’re meant to live.
Being human is hard, especially when struggling with decision fatigue and information overload but you don’t have to do it alone. I support adults in overcoming anxiety and overwhelm when moving through a big life transition such as graduation, career and relationship shifts. I’ll help you find clarity and calm while tuning out the noise of “shoulds” and “supposed-tos” and “what ifs?” Find confidence in your decision making and learn to trust your intuition as you move forward toward the life you’re meant to live.
(802) 200-2387 View (802) 200-2387
Photo of Susannah Zeveloff, Clinical Social Work/Therapist, MS, MSW, LICSW
Susannah Zeveloff
Clinical Social Work/Therapist, MS, MSW, LICSW
4 Endorsed
Richmond, VT 05477
I am currently offering equine assisted therapy in Northern Vermont for individuals, couples and families. If you are stuck in patterns that you're ready to move on from; wanting closeness in your relationships but aren't sure what is holding you back; if you are experiencing mental health symptoms that frustrate and confuse you, I can support you in gaining increased awareness of your strengths, the meaning of your difficulties, and in accessing your ability to heal and grow. Please see my website for more information about equine therapy.
I am currently offering equine assisted therapy in Northern Vermont for individuals, couples and families. If you are stuck in patterns that you're ready to move on from; wanting closeness in your relationships but aren't sure what is holding you back; if you are experiencing mental health symptoms that frustrate and confuse you, I can support you in gaining increased awareness of your strengths, the meaning of your difficulties, and in accessing your ability to heal and grow. Please see my website for more information about equine therapy.
(802) 992-8432 View (802) 992-8432
Photo of Logan Hegg, Psychologist, PsyD
Logan Hegg
Psychologist, PsyD
Richmond, VT 05477
Not accepting new clients
Psychotherapy, for humans. The evidence base is clear: psychotherapy is an effective approach to cultivated new insights and behaviors. This is our task.
Psychotherapy, for humans. The evidence base is clear: psychotherapy is an effective approach to cultivated new insights and behaviors. This is our task.
(802) 448-8479 View (802) 448-8479
Photo of Malia Matteson, Counselor, LCMHC, LPC--OR, NCC, R-DMT
Malia Matteson
Counselor, LCMHC, LPC--OR, NCC, R-DMT
Online Only
Maybe your life has gotten to a place where you know it needs to change, but you feel stuck and scared. Or perhaps your life just got turned upside down—a loss, a crisis, a sudden wake-up call—and you’re not sure where to turn. Then again, you might be in a place where things are basically okay. But you yearn for a greater sense of purpose and aliveness. Whatever your specific situation, if you’re ready to take the risk of changing your life for the better, then I’m here to support, guide, and collaborate with you in making that happen.
Maybe your life has gotten to a place where you know it needs to change, but you feel stuck and scared. Or perhaps your life just got turned upside down—a loss, a crisis, a sudden wake-up call—and you’re not sure where to turn. Then again, you might be in a place where things are basically okay. But you yearn for a greater sense of purpose and aliveness. Whatever your specific situation, if you’re ready to take the risk of changing your life for the better, then I’m here to support, guide, and collaborate with you in making that happen.
(802) 397-9159 View (802) 397-9159
Photo of Shana Witkin, Clinical Social Work/Therapist, MA, LICSW
Shana Witkin
Clinical Social Work/Therapist, MA, LICSW
Online Only
Many of us relate to ourselves and others with a nagging sense that we are not enough, that we neither project nor embody the person we want to be. We operate from the stories we tell ourselves about ourselves and that others tell about us – and often, these lenses focus on our perceived deficiencies, mistakes, and shame-filled moments. We tend to be our own harshest critics. In our work together, I will help you identify the stories that shape your life. We will explore how these stories support and challenge how you want to show up for yourself, your relationships, and the world.
Many of us relate to ourselves and others with a nagging sense that we are not enough, that we neither project nor embody the person we want to be. We operate from the stories we tell ourselves about ourselves and that others tell about us – and often, these lenses focus on our perceived deficiencies, mistakes, and shame-filled moments. We tend to be our own harshest critics. In our work together, I will help you identify the stories that shape your life. We will explore how these stories support and challenge how you want to show up for yourself, your relationships, and the world.
(802) 644-7180 View (802) 644-7180
Photo of Alyssa Sangrey, Counselor, MS, LCMHC
Alyssa Sangrey
Counselor, MS, LCMHC
1 Endorsed
Richmond, VT 05477
Stuck. Overwhelmed. Lost. Frustrated. Ashamed. These are deeply painful emotions. I work with adults aged 18 and up, and these are just some of the words that many of my clients use to describe the pain that prompted them to seek therapy. For you, it might be a life transition or a difficult relationship. You might be struggling with religious/church-related trauma, or the disorienting experience of "deconstructing" a belief system that no longer fits you. Maybe, you've just been feeling sad, disconnected, or worried. No matter what, we usually want the same things: freedom. Peace. A deeper sense of and confidence in who we are.
Stuck. Overwhelmed. Lost. Frustrated. Ashamed. These are deeply painful emotions. I work with adults aged 18 and up, and these are just some of the words that many of my clients use to describe the pain that prompted them to seek therapy. For you, it might be a life transition or a difficult relationship. You might be struggling with religious/church-related trauma, or the disorienting experience of "deconstructing" a belief system that no longer fits you. Maybe, you've just been feeling sad, disconnected, or worried. No matter what, we usually want the same things: freedom. Peace. A deeper sense of and confidence in who we are.
(802) 526-6586 View (802) 526-6586
Photo of Stacy Marchessault Burnett, Clinical Social Work/Therapist, LICSW
Stacy Marchessault Burnett
Clinical Social Work/Therapist, LICSW
Richmond, VT 05477
There are moments in life that quietly unravel who we thought we were. Grief, trauma, illness, relationship changes, parenting, identity shifts, and other life transitions can leave us feeling disconnected from ourselves and the world around us. Sometimes healing begins in the pause, by gently slowing down to process difficult experiences and listen more closely to ourselves, our relationships, and the impact of what we’ve been through. Together, we can create space to make sense of your experiences and explore what healing, connection, and growth might look like for you.
There are moments in life that quietly unravel who we thought we were. Grief, trauma, illness, relationship changes, parenting, identity shifts, and other life transitions can leave us feeling disconnected from ourselves and the world around us. Sometimes healing begins in the pause, by gently slowing down to process difficult experiences and listen more closely to ourselves, our relationships, and the impact of what we’ve been through. Together, we can create space to make sense of your experiences and explore what healing, connection, and growth might look like for you.
(802) 520-2832 View (802) 520-2832
Photo of Emily Pichler, Psychologist, PhD
Emily Pichler
Psychologist, PhD
2 Endorsed
Richmond, VT 05477
Not accepting new clients
I am committed to helping those who seek greater understanding, connection, and stability in relationships with self and others. Specialty areas include depression, anxiety, attachment, young adult development, leadership, and BPD spectrum. I love applying advances in research to how I think about my patients' care. My work is informed by relational psychodynamic and cognitive/behavioral approaches (including ACT, DBT, CBT), and by my background in yoga, somatics, and mindfulness. Above all, I think my job is to listen really well, while bringing curiosity, challenge, and kindness toward your unique human experience.
I am committed to helping those who seek greater understanding, connection, and stability in relationships with self and others. Specialty areas include depression, anxiety, attachment, young adult development, leadership, and BPD spectrum. I love applying advances in research to how I think about my patients' care. My work is informed by relational psychodynamic and cognitive/behavioral approaches (including ACT, DBT, CBT), and by my background in yoga, somatics, and mindfulness. Above all, I think my job is to listen really well, while bringing curiosity, challenge, and kindness toward your unique human experience.
(802) 448-2243 View (802) 448-2243
Photo of Artie Seelig, Clinical Social Work/Therapist, MS, LICSW
Artie Seelig
Clinical Social Work/Therapist, MS, LICSW
Richmond, VT 05477
I'm an experienced educator and psychotherapist ready to support your growth and change. Whether it be relationship difficulties, trauma, or other mental health struggles we will engage in the unique challenges that have brought you here.
I'm an experienced educator and psychotherapist ready to support your growth and change. Whether it be relationship difficulties, trauma, or other mental health struggles we will engage in the unique challenges that have brought you here.
(802) 210-1779 View (802) 210-1779
Photo of Lesley Hillier, Clinical Social Work/Therapist, LICSW
Lesley Hillier
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Are you holding everything together — and quietly falling apart? You're the one others rely on. You manage the job, the family, the relationships, the expectations — and you do it well, at least from the outside. But inside, something feels stuck. Maybe you're carrying grief that never had space to land. Maybe you're navigating the heartbreak of infertility, the fog of postpartum depression, or the slow erosion of a relationship that used to feel solid. Maybe you simply can't pinpoint what's wrong — only that something is. You don't have to keep pushing through alone.
Are you holding everything together — and quietly falling apart? You're the one others rely on. You manage the job, the family, the relationships, the expectations — and you do it well, at least from the outside. But inside, something feels stuck. Maybe you're carrying grief that never had space to land. Maybe you're navigating the heartbreak of infertility, the fog of postpartum depression, or the slow erosion of a relationship that used to feel solid. Maybe you simply can't pinpoint what's wrong — only that something is. You don't have to keep pushing through alone.
(802) 255-8359 View (802) 255-8359

See more therapy options for Richmond

How does your Therapist compare?

Number of Therapists in Richmond, VT

20+

Average cost per session

$130

Therapists in Richmond, VT who prioritize treating:

96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
82% Relationship Issues
82% Self Esteem
82% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
35% Cigna and Evernorth
35% Medicaid

How Therapists in Richmond, VT see their clients

57% In Person and Online
43% Online Only

Gender breakdown

83% Female
13% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.