Therapists in Massachusetts
![Photo of Sara Frawley, LMHC, Counselor](https://photos.psychologytoday.com/3d9a455a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Please note: I am not currently accepting new clients. I provide a supportive, non-judgmental environment to help you develop goals and take the next steps. My approach to therapy is interactive. Our work together will be based your wants and needs. I will work closely with you to identify causes of your concerns, learn tools to make change, and help you build understanding about yourself and your world.
Please note: I am not currently accepting new clients. I provide a supportive, non-judgmental environment to help you develop goals and take the next steps. My approach to therapy is interactive. Our work together will be based your wants and needs. I will work closely with you to identify causes of your concerns, learn tools to make change, and help you build understanding about yourself and your world.
![Photo of Robyn Rogers, LMHC](https://photos.psychologytoday.com/898cb2da-07b6-418e-b80f-caa216898ea3/1/320x400.jpeg)
I have 25 years of experience working with high-risk women, children, and families in a variety of settings including outpatient, inpatient, and public schools. Experience working with trauma, anxiety, depression, and developmental disabilities.
I have 25 years of experience working with high-risk women, children, and families in a variety of settings including outpatient, inpatient, and public schools. Experience working with trauma, anxiety, depression, and developmental disabilities.
![Photo of Celina Belmarce Pina Shemo, PsyD, LMHC, LMFT, Counselor](https://photos.psychologytoday.com/524adda4-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
![Photo of Meredith Lagoy - Northeast Center for Youth & Families, LICSW, LMHC](https://photos.psychologytoday.com/43db47e0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Northeast Center for Youth & Families
LICSW, LMHC
Verified Verified
3 Endorsed
Easthampton, MA 01027
NCYF offers a wide range of clinical options to children, teens, adults, and families. All of our clinical services are informed by evidence-based practices and services are delivered in a way that focuses on compassion and a respect for an individual's past trauma.
NCYF offers a wide range of clinical options to children, teens, adults, and families. All of our clinical services are informed by evidence-based practices and services are delivered in a way that focuses on compassion and a respect for an individual's past trauma.
![Photo of Nancy Godbout, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d7867f98-7144-4521-af21-bf17ff47eaaa/1/320x400.jpeg)
Nancy Godbout
Clinical Social Work/Therapist, LICSW
Verified Verified
Granby, MA 01033 (Online Only)
My therapy philosophy is to work with clients in the seven key areas of life: social and family relationships, career and educational goals, financial security, physical health and leisure, life responsibilities, society and contributions, and mental, emotional, and well being. My philosophy is that we need balance and harmony in these key areas to live fulfilled life. I help my clients determine the goals they want to accomplish and we execute a plan to meet our goals through person centered therapy. I use many modalities to help my clients accomplish the goals we set.
My therapy philosophy is to work with clients in the seven key areas of life: social and family relationships, career and educational goals, financial security, physical health and leisure, life responsibilities, society and contributions, and mental, emotional, and well being. My philosophy is that we need balance and harmony in these key areas to live fulfilled life. I help my clients determine the goals they want to accomplish and we execute a plan to meet our goals through person centered therapy. I use many modalities to help my clients accomplish the goals we set.
![Photo of Marie Berthonia Antoine, MS, LMHC, Psy D, Counselor](https://photos.psychologytoday.com/8cbaa003-628e-417c-955a-e00cc6f98545/1/320x400.jpeg)
Berthonia Antoine, LMHC, Psy. D. offers collaborative and holistic therapy with over 20 years of experience. Holding a master’s degree in Marriage & Family Therapy, she empowers clients to enrich their lives and develop problem-solving skills. Berthonia Antoine believes in a holistic approach, addressing body, mind, and spirit. Specializing in depression, anxiety, PTSD, and adjustment disorders, she provides sensitive, strength-based services for clients of all ages and backgrounds. As your therapist, she will work to understand your goals and help you overcome barriers to achieve them, accompanying you on your therapeutic journey.
Berthonia Antoine, LMHC, Psy. D. offers collaborative and holistic therapy with over 20 years of experience. Holding a master’s degree in Marriage & Family Therapy, she empowers clients to enrich their lives and develop problem-solving skills. Berthonia Antoine believes in a holistic approach, addressing body, mind, and spirit. Specializing in depression, anxiety, PTSD, and adjustment disorders, she provides sensitive, strength-based services for clients of all ages and backgrounds. As your therapist, she will work to understand your goals and help you overcome barriers to achieve them, accompanying you on your therapeutic journey.
![Photo of Eva Tracy-Raeder, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4e0a5af7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Eva Tracy-Raeder
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Cambridge, MA 02139 (Online Only)
I offer therapy to individuals experiencing anxiety, depression, or a general sense of stress, overwhelm, or ennui. I work with individuals who want to address issues related to identity development, career, relationships, stage-of-life, family-of-origin, and grief and loss. My training is in psychodynamic psychotherapy and I use an integrative approach, drawing from a variety of theoretical frameworks.
I offer therapy to individuals experiencing anxiety, depression, or a general sense of stress, overwhelm, or ennui. I work with individuals who want to address issues related to identity development, career, relationships, stage-of-life, family-of-origin, and grief and loss. My training is in psychodynamic psychotherapy and I use an integrative approach, drawing from a variety of theoretical frameworks.
![Photo of Dr. David Cuna - Cuna Wellness Center , DSW, MSW, LICSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7e35050f-0c94-4c4d-b8b3-9d69a4df565b/2/320x400.jpeg)
Cuna Wellness Center
Clinical Social Work/Therapist, DSW, MSW, LICSW, LCSW
Verified Verified
Lowell, MA 01852 (Online Only)
Dr. David Cuna's life story is a testament to the transformative power of perseverance, education, and compassion. Born in the remote Angolan village of Cuximane in Maquela do Zombo, Angola, he faced significant challenges early on. Growing up without basic amenities like electricity and clean water, his access to formal education was limited to the 4th grade. However, his unwavering determination and thirst for knowledge propelled him on a journey that would change his life and inspire others. He established the Cuna Wellness Center, a private clinical practice that allows him to impact the lives of others directly.
Dr. David Cuna's life story is a testament to the transformative power of perseverance, education, and compassion. Born in the remote Angolan village of Cuximane in Maquela do Zombo, Angola, he faced significant challenges early on. Growing up without basic amenities like electricity and clean water, his access to formal education was limited to the 4th grade. However, his unwavering determination and thirst for knowledge propelled him on a journey that would change his life and inspire others. He established the Cuna Wellness Center, a private clinical practice that allows him to impact the lives of others directly.
![Photo of Shauna M Simpson, LADC-1, Drug & Alcohol Counselor](https://photos.psychologytoday.com/857d6796-6107-48c3-b429-259cbfea33e4/3/320x400.jpeg)
I specialize in Substance Abuse Disorders and work with clients who are experiencing symptoms of depression, anxiety, grief, relationship conflict.
I specialize in Substance Abuse Disorders and work with clients who are experiencing symptoms of depression, anxiety, grief, relationship conflict.
![Photo of Denise A Garabedian - faith2recover, MA, LADC1, MAC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/c9319c33-a05d-4f10-994c-beb2915c2b31/1/320x400.jpeg)
faith2recover
Drug & Alcohol Counselor, MA, LADC1, MAC
Verified Verified
Peabody, MA 01960 (Online Only)
Denise’s ideal client is an individual contending with any Addiction that is preventing one from becoming the person they are meant to become. This person values a safe environment where they can be honest with themself to process what they need to and feel supported while embarking on a new way of living life on life’s terms. The ultimate goal is releasing self doubt, building self compassion and embracing who you are. As a Master level Licensed Alcohol and drug Therapist Denise specializes in all Addiction and Co Occurring disorders.
Denise’s ideal client is an individual contending with any Addiction that is preventing one from becoming the person they are meant to become. This person values a safe environment where they can be honest with themself to process what they need to and feel supported while embarking on a new way of living life on life’s terms. The ultimate goal is releasing self doubt, building self compassion and embracing who you are. As a Master level Licensed Alcohol and drug Therapist Denise specializes in all Addiction and Co Occurring disorders.
![Photo of Bruno Trindade - Somatic Psychotherapy Group, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0a768ee1-263a-4034-a4e6-fd28fdb61781/2/320x400.jpeg)
Bruno Trindade - Somatic Psychotherapy Group
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Northampton, MA 01060
Do you feel overwhelmed with sadness or anxiety? Are you noticing unhelpful patterns that keep re-emerging in your relationships and day-to-day life? Do you feel lonely and disconnected, finding it hard to find joy and satisfaction in the activities of you once enjoyed? Well here you are now, on the search for help to turn things around and feel that you're back in control, back in touch, and making positive changes in your life. You are taking an important step, right here, right now, and together we can see this thing through.
Do you feel overwhelmed with sadness or anxiety? Are you noticing unhelpful patterns that keep re-emerging in your relationships and day-to-day life? Do you feel lonely and disconnected, finding it hard to find joy and satisfaction in the activities of you once enjoyed? Well here you are now, on the search for help to turn things around and feel that you're back in control, back in touch, and making positive changes in your life. You are taking an important step, right here, right now, and together we can see this thing through.
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![Photo of Maria Chapa-Alcaraz, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/04e61073-a050-482f-b817-4662221613c9/1/320x400.jpeg)
Maria Chapa-Alcaraz
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Randolph, MA 02368 (Online Only)
Hello! I believe taking the first step when seeking support can be challenging, however you have taken & have begun your first step by being here! Welcome! My name is Maria and I have obtained my MSW from Springfield College, School of Social Work with nine years of experience working in the field.
Hello! I believe taking the first step when seeking support can be challenging, however you have taken & have begun your first step by being here! Welcome! My name is Maria and I have obtained my MSW from Springfield College, School of Social Work with nine years of experience working in the field.
![Photo of Tammy B Bringaze, LMHC, PhD, Counselor](https://photos.psychologytoday.com/f5c698bb-07b5-4670-bc5e-5c98989083a2/3/320x400.jpeg)
A wise therapist once said to me, “life is 10,000 smiles and 10,000 tears.” Such words never rang so true as during these days of loss, fear, and uncertainty due to racial injustice, viral pandemic, and threats to our climate. These events impact us all; although we may not recognize it. Whatever brings you here today, I am here to provide support, compassion, and assistance because life happens…
A wise therapist once said to me, “life is 10,000 smiles and 10,000 tears.” Such words never rang so true as during these days of loss, fear, and uncertainty due to racial injustice, viral pandemic, and threats to our climate. These events impact us all; although we may not recognize it. Whatever brings you here today, I am here to provide support, compassion, and assistance because life happens…
![Photo of Leah Reece, PsyD, Psychologist](https://photos.psychologytoday.com/62aa9c02-b12a-496c-8d06-7de6cf63ad55/2/320x400.jpeg)
UPDATE 1/25/24: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
UPDATE 1/25/24: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
![Photo of Jessica Sweet, LICSW, CPCC, CEIP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/27352469-54ba-4a80-9d3f-cb8485b54466/1/320x400.jpeg)
Jessica Sweet
Clinical Social Work/Therapist, LICSW, CPCC, CEIP
Verified Verified
Natick, MA 01760 (Online Only)
Are you looking for a warm, supportive, and safe space to heal anxiety, depression, ADHD, trauma, a transition, or difficult relationships? Are you struggling at work because of these issues, or is work causing them/making them worse? I can help you claim the happiness you deserve. Maybe you're experiencing burnout, imposter syndrome, a toxic workplace, work trauma, or job loss. Regardless of what's happening, if you're ready to be happier at work, in life, and in your relationships, I can help you create the life you deserve.
Are you looking for a warm, supportive, and safe space to heal anxiety, depression, ADHD, trauma, a transition, or difficult relationships? Are you struggling at work because of these issues, or is work causing them/making them worse? I can help you claim the happiness you deserve. Maybe you're experiencing burnout, imposter syndrome, a toxic workplace, work trauma, or job loss. Regardless of what's happening, if you're ready to be happier at work, in life, and in your relationships, I can help you create the life you deserve.
![Photo of Lindsay Wagner, PsyD, Psychologist](https://photos.psychologytoday.com/4c7bfe8e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Lindsay Wagner
Psychologist, PsyD
Verified Verified
Boston, MA 02109 (Online Only)
Not accepting new clients
When faced with life’s unavoidable stressors, it’s easy to feel overwhelmed. The struggles of day to day life can often leave individuals feeling frustrated, hopeless, and powerless to work towards change. I enjoy helping clients feel understood and overcome fears that have been preventing them from living life to its fullest. Sometimes simply knowing that the worst case scenario won’t destroy us makes a daunting goal seem more attainable.
When faced with life’s unavoidable stressors, it’s easy to feel overwhelmed. The struggles of day to day life can often leave individuals feeling frustrated, hopeless, and powerless to work towards change. I enjoy helping clients feel understood and overcome fears that have been preventing them from living life to its fullest. Sometimes simply knowing that the worst case scenario won’t destroy us makes a daunting goal seem more attainable.
![Photo of Whitney Norton, LMHC, LPCC, Counselor](https://photos.psychologytoday.com/b71a60ff-832e-4de5-b725-0d37560d1eeb/2/320x400.jpeg)
I currently have availability. Feel free to reach out! I work primarily with teens and adults who want to work through anxiety, depression, and trauma, or improve their ability to manage the stress of life. I strive to help individuals visualize and create a life that brings them fulfillment and joy. As a Mental Health Therapist, my goal is to support you in your journey by offering you a space to talk through worries or behaviors that are impeding your ability to live the life you wish to live.
I currently have availability. Feel free to reach out! I work primarily with teens and adults who want to work through anxiety, depression, and trauma, or improve their ability to manage the stress of life. I strive to help individuals visualize and create a life that brings them fulfillment and joy. As a Mental Health Therapist, my goal is to support you in your journey by offering you a space to talk through worries or behaviors that are impeding your ability to live the life you wish to live.
![Photo of Melanie Snyder - Tri-State Psychotherapy Group, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e7f47cd2-2778-4f07-bd9f-ee53ea5a2a1e/1/320x400.png)
Tri-State Psychotherapy Group
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Pittsfield, MA 01201
We Serve Clients in MA, NY, and CT! Visit our website to request a consultation. Our ideal client may be navigating the challenges of depression, anxiety, ADHD, or experiencing the impacts of trauma, including PTSD/C-PTSD. They could be college students facing academic stress, parents managing family dynamics, individuals adjusting to career changes, or anyone in the midst of personal growth. Their goals include seeking understanding, healing, and strategies to improve their mental health and well-being. They desire a compassionate space where their unique experiences are understood and valued.
We Serve Clients in MA, NY, and CT! Visit our website to request a consultation. Our ideal client may be navigating the challenges of depression, anxiety, ADHD, or experiencing the impacts of trauma, including PTSD/C-PTSD. They could be college students facing academic stress, parents managing family dynamics, individuals adjusting to career changes, or anyone in the midst of personal growth. Their goals include seeking understanding, healing, and strategies to improve their mental health and well-being. They desire a compassionate space where their unique experiences are understood and valued.
![Photo of Lizette Santana-Desanges, PsyD, Psychologist](https://photos.psychologytoday.com/f2c246fe-2e8a-4b36-a65e-1773cdf30f5f/2/320x400.jpeg)
I consider it an honor and privilege to help people with the most intimate and challenging aspects of their being. I practice from a humanistic, psychodynamic foundation to help people explore conscious and unconscious patterns in order to draw connections, make meaning, and work towards desired changes. I offer subspecialties in the areas of depth psychology and body-based, somatic therapies. I have a strong focus on the mind-body connection and often incorporate personalized body-based techniques. I value holding space for life’s challenging questions and transitions while helping people access their inner strength and wisdom.
I consider it an honor and privilege to help people with the most intimate and challenging aspects of their being. I practice from a humanistic, psychodynamic foundation to help people explore conscious and unconscious patterns in order to draw connections, make meaning, and work towards desired changes. I offer subspecialties in the areas of depth psychology and body-based, somatic therapies. I have a strong focus on the mind-body connection and often incorporate personalized body-based techniques. I value holding space for life’s challenging questions and transitions while helping people access their inner strength and wisdom.
![Photo of Christopher DiBona, Pre-Licensed Professional](https://photos.psychologytoday.com/ef115657-3337-4cf1-b4f5-75bbd0bcffc9/1/320x400.jpeg)
Christopher DiBona
Pre-Licensed Professional
Verified Verified
1 Endorsed
Weymouth, MA 02189 (Online Only)
My diverse life experiences have cultivated deep empathy, compassion, and understanding for my clients’ struggles. My goal is to provide a therapeutic environment where clients can flourish and feel understood. I work with people of all ages who seek relief from anxiety, depression, anger, behavioral issues, and self-esteem concerns. I strive to uncover the unique qualities of each individual and provide treatment that is tailored to their personality and needs.
My diverse life experiences have cultivated deep empathy, compassion, and understanding for my clients’ struggles. My goal is to provide a therapeutic environment where clients can flourish and feel understood. I work with people of all ages who seek relief from anxiety, depression, anger, behavioral issues, and self-esteem concerns. I strive to uncover the unique qualities of each individual and provide treatment that is tailored to their personality and needs.
See more therapy options for Massachusetts
How does your Therapist compare?
Average cost per session
$150
Therapists in Massachusetts who prioritize treating:
91% | Anxiety |
86% | Depression |
73% | Relationship Issues |
72% | Self Esteem |
67% | Coping Skills |
66% | Trauma and PTSD |
65% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
62% | UnitedHealthcare UHC | UBH |
59% | Optum |
How Therapists in Massachusetts see their clients
59% | In Person and Online | |
41% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Massachusetts?
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
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.
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.
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.