Therapists in Syracuse, NY

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Photo of Tatiana Williams - With Heart With Soul Therapy LCSW, PLLC, LCSW, Clinical Social Work/Therapist
With Heart With Soul Therapy LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13202
Waitlist for new clients
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 Dave Dunn, LMHC, MBA, Pre-Licensed Professional
Dave Dunn
Pre-Licensed Professional, LMHC, MBA
Verified Verified
1 Endorsed
Syracuse, NY 13214
I have a passion for helping individuals, couples, and families navigate their mental health journeys. My primary strength as a therapist is connecting with my clients and helping them understand the feelings and thoughts behind their beliefs and actions, and then helping them learn to love themselves. If we work together, I will strive to help you connect with your core, centered self such that you can make decisions and take actions from a healthy, confident, calm and curious place rather than from a frustrated, angry, depressed or anxious place. I work with clients struggling with anxiety, depression and other common life issues.
I have a passion for helping individuals, couples, and families navigate their mental health journeys. My primary strength as a therapist is connecting with my clients and helping them understand the feelings and thoughts behind their beliefs and actions, and then helping them learn to love themselves. If we work together, I will strive to help you connect with your core, centered self such that you can make decisions and take actions from a healthy, confident, calm and curious place rather than from a frustrated, angry, depressed or anxious place. I work with clients struggling with anxiety, depression and other common life issues.
(315) 667-1886 View (315) 667-1886
Photo of Ashley Williams - Cardinal Hope Mental Health Counseling Services , LMHC, NCC, Counselor
Cardinal Hope Mental Health Counseling Services
Counselor, LMHC, NCC
Verified Verified
6 Endorsed
Syracuse, NY 13202  (Online Only)
Feeling like you're drowning in anxiety, or haunted by past traumas that just won't quit? Maybe you're having a hard time keeping your relationships on track? Trust me, you're not the only one feeling this way. Ever feel like your brain is running a marathon of worries and past memories that pop up out of nowhere? Yeah, it's exhausting. And trying to connect with the people you love? Sometimes it feels like there's this huge wall in the way. These aren’t just off days—these are real struggles that can seriously mess with your life. So, why tackle these issues? Simple: because you deserve to wake up feeling lighter
Feeling like you're drowning in anxiety, or haunted by past traumas that just won't quit? Maybe you're having a hard time keeping your relationships on track? Trust me, you're not the only one feeling this way. Ever feel like your brain is running a marathon of worries and past memories that pop up out of nowhere? Yeah, it's exhausting. And trying to connect with the people you love? Sometimes it feels like there's this huge wall in the way. These aren’t just off days—these are real struggles that can seriously mess with your life. So, why tackle these issues? Simple: because you deserve to wake up feeling lighter
(516) 344-8455 x103 View (516) 344-8455 x103
Photo of Liz Williams, LMHC, Licensed Professional Counselor
Liz Williams
Licensed Professional Counselor, LMHC
Verified Verified
1 Endorsed
Syracuse, NY 13212
The ideal client to work with is one who seeks counseling with the desire to help themselves. More importantly, an ideal client is ready to do the work necessary to make positive changes in their life. Dedication, desire and follow through is needed to achieve progress. There also has to be the understanding that counseling can be hard, which is part of the process. Ideally clients would also be open to hearing a different perspective than their own or hearing something other than they want to hear. The whole process of counseling, in my opinion, has to start with awareness.
The ideal client to work with is one who seeks counseling with the desire to help themselves. More importantly, an ideal client is ready to do the work necessary to make positive changes in their life. Dedication, desire and follow through is needed to achieve progress. There also has to be the understanding that counseling can be hard, which is part of the process. Ideally clients would also be open to hearing a different perspective than their own or hearing something other than they want to hear. The whole process of counseling, in my opinion, has to start with awareness.
(315) 599-3038 View (315) 599-3038
Photo of Jennifer Matthews, LMHC, Counselor
Jennifer Matthews
Counselor, LMHC
Verified Verified
Syracuse, NY 13210  (Online Only)
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
(347) 751-6825 View (347) 751-6825
Photo of Dr. A Maya Kaye, DSW, LCSW, Clinical Social Work/Therapist
Dr. A Maya Kaye
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
3 Endorsed
Syracuse, NY 13244  (Online Only)
Are you an adult navigating the challenges of school, career, and relationships? Do you feel overwhelmed, anxious, or uncertain about your future? I am a biracial and multicultural psychotherapist who specializes in working with adults, couples, and college and graduate students. I understand the unique challenges that you may be facing, and I am here to help you navigate this uncertain time. I offer a safe and compassionate space for you to explore your feelings, thoughts, and experiences. Together, we will develop strategies to help you reclaim your life and flourish.
Are you an adult navigating the challenges of school, career, and relationships? Do you feel overwhelmed, anxious, or uncertain about your future? I am a biracial and multicultural psychotherapist who specializes in working with adults, couples, and college and graduate students. I understand the unique challenges that you may be facing, and I am here to help you navigate this uncertain time. I offer a safe and compassionate space for you to explore your feelings, thoughts, and experiences. Together, we will develop strategies to help you reclaim your life and flourish.
(518) 519-3335 View (518) 519-3335
Photo of Patricia Demyan, MSW, LCSW, Clinical Social Work/Therapist
Patricia Demyan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Syracuse, NY 13210
Not accepting new clients
Welcome and Congratulations. By deciding to seek therapy, you have taken the most difficult and courageous step towards achieving greater happiness and satisfaction in your personal, family and work life. The next step is to find a therapist who has experience working with the issues you are facing. For 35+ years, I have worked with individuals and couples who are dealing with a variety of issues including, but not limited to, anxiety, depression, low self-esteem, relationship issues, life transitions, and grief..
Welcome and Congratulations. By deciding to seek therapy, you have taken the most difficult and courageous step towards achieving greater happiness and satisfaction in your personal, family and work life. The next step is to find a therapist who has experience working with the issues you are facing. For 35+ years, I have worked with individuals and couples who are dealing with a variety of issues including, but not limited to, anxiety, depression, low self-esteem, relationship issues, life transitions, and grief..
(315) 475-6337 View (315) 475-6337
Photo of Shannon Freeman (Rice), LCSW-R, CIMHP, NBCCH, CCTP, ADHDCCS, Clinical Social Work/Therapist
Shannon Freeman (Rice)
Clinical Social Work/Therapist, LCSW-R, CIMHP, NBCCH, CCTP, ADHDCCS
Verified Verified
4 Endorsed
Syracuse, NY 13206  (Online Only)
Not accepting new clients
Are you overwhelmed by or struggle to complete daily tasks? Do you often feel that you are not good enough or that other people don't value and respect you? Are you unorganized or messy? Is it difficult to stay focused/concentrate? Are you impulsive? Do you find yourself over/under reacting emotionally? Is it difficult to make friends/maintain relationships or to even want to? If so, you are not alone. Others with these concerns benefit from therapy everyday. Please let me help.
Are you overwhelmed by or struggle to complete daily tasks? Do you often feel that you are not good enough or that other people don't value and respect you? Are you unorganized or messy? Is it difficult to stay focused/concentrate? Are you impulsive? Do you find yourself over/under reacting emotionally? Is it difficult to make friends/maintain relationships or to even want to? If so, you are not alone. Others with these concerns benefit from therapy everyday. Please let me help.
(315) 975-4035 View (315) 975-4035
Photo of Katie Arney-Rattray, LCSW, CCTP, Clinical Social Work/Therapist
Katie Arney-Rattray
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
3 Endorsed
Syracuse, NY 13219
Not accepting new clients
Feeling overwhelmed with stress and wanting to experience more joy in your life? Trying to manage difficulties that seem to be holding you back? Wanting to feel happier and see improvements in your relationships with friends and loved ones? Wishing you could make certain changes that seem too difficult to make on your own?
Feeling overwhelmed with stress and wanting to experience more joy in your life? Trying to manage difficulties that seem to be holding you back? Wanting to feel happier and see improvements in your relationships with friends and loved ones? Wishing you could make certain changes that seem too difficult to make on your own?
(315) 537-3792 View (315) 537-3792
Photo of Christine Hudson, LMHC, NCC, CCTP, Counselor
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 Peter Stieglmayr, LMHC, NCC, CASAC, Counselor
Peter Stieglmayr
Counselor, LMHC, NCC, CASAC
Verified Verified
1 Endorsed
Syracuse, NY 13202  (Online Only)
Are you caught in a cycle of struggling with addiction, despite your efforts to break free? It's common to feel overwhelmed by guilt, shame, and low self-esteem, making it seem like an endless loop. If you're ready to make a change and envision a lasting transformation, I'm here to help.
Are you caught in a cycle of struggling with addiction, despite your efforts to break free? It's common to feel overwhelmed by guilt, shame, and low self-esteem, making it seem like an endless loop. If you're ready to make a change and envision a lasting transformation, I'm here to help.
(929) 445-2107 View (929) 445-2107
Photo of Tina M. Snyder, LCSW, Clinical Social Work/Therapist
Tina M. Snyder
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13215  (Online Only)
I have over 13 years experience working with adults, adolescents, children, & families. I specialize in working with those who have experienced trauma, stress, attachment wounds, loss, grief, depression, anxiety, parent/child/family relationship issues, as well as those needing support with life transitions, stress management, & work-life balance.
I have over 13 years experience working with adults, adolescents, children, & families. I specialize in working with those who have experienced trauma, stress, attachment wounds, loss, grief, depression, anxiety, parent/child/family relationship issues, as well as those needing support with life transitions, stress management, & work-life balance.
(315) 909-6644 View (315) 909-6644
Photo of Susan Allington, LCSW-R, Clinical Social Work/Therapist
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 Tiffany Gentile - Soulshine Eating Disorder Counseling, MS, LMHC, CEDS-S, NCC, CAS, Counselor
Soulshine Eating Disorder Counseling
Counselor, MS, LMHC, CEDS-S, NCC, CAS
Verified Verified
2 Endorsed
Syracuse, NY 13206  (Online Only)
We offer professional strength-based therapy and supportive services to clients and encourage personal growth and healing. Our services are designed to enhance the client's ability to make positive choices for themselves and help empower them to meet their goals. We specialize in providing mental health treatment and team collaboration to those 14+ with eating disorders. In addition, we supervise those becoming certified in the field of eating disorder counseling. Though treating people with eating disorders is my specialty, I am happy to treat other mental health challenges.
We offer professional strength-based therapy and supportive services to clients and encourage personal growth and healing. Our services are designed to enhance the client's ability to make positive choices for themselves and help empower them to meet their goals. We specialize in providing mental health treatment and team collaboration to those 14+ with eating disorders. In addition, we supervise those becoming certified in the field of eating disorder counseling. Though treating people with eating disorders is my specialty, I am happy to treat other mental health challenges.
(332) 334-8956 View (332) 334-8956
Photo of Trina M Luttinger, LCSW-R, Clinical Social Work/Therapist
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
Photo of Rebecca King, MD
Rebecca King
MD
Verified Verified
Syracuse, NY 13206
I am set up for telepsych meetings. I am an experienced therapist who works with adults. I have a specialty in family and interpersonal relation problems. Persistent negative experiences can cascade anyone into emotional difficulty that feels overwhelming. My style listens to your personal experiences, helps you find ways create new experiences and communicate effectively where needed. Feeling supported, heard and validated are profoundly empowering and if not present in your current relationships is extremely emotionally painful and destructive. Goals:Courage to define your own integrity, recreate yourself and overcome.
I am set up for telepsych meetings. I am an experienced therapist who works with adults. I have a specialty in family and interpersonal relation problems. Persistent negative experiences can cascade anyone into emotional difficulty that feels overwhelming. My style listens to your personal experiences, helps you find ways create new experiences and communicate effectively where needed. Feeling supported, heard and validated are profoundly empowering and if not present in your current relationships is extremely emotionally painful and destructive. Goals:Courage to define your own integrity, recreate yourself and overcome.
(315) 790-6540 View (315) 790-6540
Photo of Chris Bergene, LCSW-R, Clinical Social Work/Therapist
Chris Bergene
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Syracuse, NY 13235  (Online Only)
Chris Bergene is a clinical social worker who graduated with a master’s degree in social work from Syracuse University. He provides short-term and long-term counseling for various age groups and conditions. He has primarily worked with teens and adults who have presented with a range of issues including anxiety, depression, life transitions, trauma and behavioral problems impacting daily life.
Chris Bergene is a clinical social worker who graduated with a master’s degree in social work from Syracuse University. He provides short-term and long-term counseling for various age groups and conditions. He has primarily worked with teens and adults who have presented with a range of issues including anxiety, depression, life transitions, trauma and behavioral problems impacting daily life.
(315) 758-2991 View (315) 758-2991
Photo of JoAnne Barnes, LCSW, Clinical Social Work/Therapist
JoAnne Barnes
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13209
Your heart starts racing, hands get sweaty, vision gets blurry, and there’s an elephant sitting on your chest. Maybe this started out of nowhere. Maybe you know what started this panic and this sense of doom. Either way, I’m here to sit beside you while you figure all this out. It’s no picnic to be stuck between a rock and a hard place, making difficult choices that feel impossible. Becoming an adult can be very exciting and very scary at the same time. Even when you think you’ve reached the summit of adulthood, you realize that life still has wild surprises and hard losses. The “adulting” never stops!
Your heart starts racing, hands get sweaty, vision gets blurry, and there’s an elephant sitting on your chest. Maybe this started out of nowhere. Maybe you know what started this panic and this sense of doom. Either way, I’m here to sit beside you while you figure all this out. It’s no picnic to be stuck between a rock and a hard place, making difficult choices that feel impossible. Becoming an adult can be very exciting and very scary at the same time. Even when you think you’ve reached the summit of adulthood, you realize that life still has wild surprises and hard losses. The “adulting” never stops!
(315) 305-2504 View (315) 305-2504
Photo of Judith S Huober, MA, MS, LP-MHC, Pre-Licensed Professional
Judith S Huober
Pre-Licensed Professional, MA, MS, LP-MHC
Verified Verified
Syracuse, NY 13214  (Online Only)
Are you looking to heal? To change? To accept challenges and cope with grace? Become more well balanced, enjoy life and relationships more, flourish in your chosen path? I welcome individuals and families coping with issues of aging such as chronic/progressive illness, pain, and cognitive changes; as well as those with trauma, ambiguous loss and disenfranchised grief; stress, depression and anxiety. I will be a witness, a listener, a partner and a guide as you use self-awareness, self-compassion, wisdom and intentionality to learn and cope with the practical and emotional tasks and challenges of your life with heart, mind and soul.
Are you looking to heal? To change? To accept challenges and cope with grace? Become more well balanced, enjoy life and relationships more, flourish in your chosen path? I welcome individuals and families coping with issues of aging such as chronic/progressive illness, pain, and cognitive changes; as well as those with trauma, ambiguous loss and disenfranchised grief; stress, depression and anxiety. I will be a witness, a listener, a partner and a guide as you use self-awareness, self-compassion, wisdom and intentionality to learn and cope with the practical and emotional tasks and challenges of your life with heart, mind and soul.
(315) 284-8647 View (315) 284-8647
Photo of Emily Lavin, LMFT, Marriage & Family Therapist
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, and couples, 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, and couples, 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.
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How does your Therapist compare?

Number of Therapists in Syracuse, NY

500+

Average cost per session

$130

Therapists in Syracuse, NY who prioritize treating:

94% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
75% Stress
74% Coping Skills
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
61% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Syracuse, NY see their clients

52% In Person and Online
48% Online Only

Gender breakdown

81% Female
18% 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.