Photo of Jennie Holden, PhD, Psychologist
Jennie Holden
Psychologist, PhD
Verified Verified
Barre, VT 05641
Although I am currently full, Vitality Associates has openings for individuals with Medicaid. Please email me to learn more. I offer a variety of psychological services in an individualized manner to best meet the needs of those I work with. Through collaboration, we decide on what approach would work best for you and what we should focus on in treatment. I use a variety of evidence-based approaches in my work to help you to overcome the obstacles that are getting in the way of your current functioning and emotional well-being while supporting you to achieve your personal goals and live the life that you desire.
Although I am currently full, Vitality Associates has openings for individuals with Medicaid. Please email me to learn more. I offer a variety of psychological services in an individualized manner to best meet the needs of those I work with. Through collaboration, we decide on what approach would work best for you and what we should focus on in treatment. I use a variety of evidence-based approaches in my work to help you to overcome the obstacles that are getting in the way of your current functioning and emotional well-being while supporting you to achieve your personal goals and live the life that you desire.
(802) 535-3272 View (802) 535-3272
Photo of Selene Lutschg, LCMHC
Selene Lutschg
LCMHC
Verified Verified
3 Endorsed
Barre, VT 05641  (Online Only)
Waitlist for new clients
Therapy is a collaborative journey of self discovery and integration. Its aim is wholeness. I draw on a variety of therapeutic frameworks to meet individuals where they are at and help them identify strengths and areas of growth in their life. Together we look at how thoughts, feelings and beliefs intersect with our life transitions and relational patterns and how they contribute to our sense of well being, or misalignment. By uncovering the needs under our feelings, we learn to take personal responsibility for expressing ourselves accurately and authentically, allowing us to feel heard, valued and understood.
Therapy is a collaborative journey of self discovery and integration. Its aim is wholeness. I draw on a variety of therapeutic frameworks to meet individuals where they are at and help them identify strengths and areas of growth in their life. Together we look at how thoughts, feelings and beliefs intersect with our life transitions and relational patterns and how they contribute to our sense of well being, or misalignment. By uncovering the needs under our feelings, we learn to take personal responsibility for expressing ourselves accurately and authentically, allowing us to feel heard, valued and understood.
(802) 448-1521 View (802) 448-1521
Photo of Sam Morrigan, MS, Registered Psychotherapist
Sam Morrigan
Registered Psychotherapist, MS
Verified Verified
Barre, VT 05641
I believe everyone deserves a judgement-free space to discover and explore all they are. I provide an eclectic client-centered approach to therapy that is deeply rooted in feministic theory and strengths-based approaches. I help (re)build self-worth, empower, and guide you to your true self. I encourage looking at life from various perspectives in order to fully understand how you can grow and become who you desire to be. I have experience navigating relationships and the unique issues within the gaming, pop culture, and geek/nerd communities. I use essential oil blends, if this is an issue, let me know PRIOR to scheduling.
I believe everyone deserves a judgement-free space to discover and explore all they are. I provide an eclectic client-centered approach to therapy that is deeply rooted in feministic theory and strengths-based approaches. I help (re)build self-worth, empower, and guide you to your true self. I encourage looking at life from various perspectives in order to fully understand how you can grow and become who you desire to be. I have experience navigating relationships and the unique issues within the gaming, pop culture, and geek/nerd communities. I use essential oil blends, if this is an issue, let me know PRIOR to scheduling.
(802) 526-6910 View (802) 526-6910
Photo of Danny Hendershot, MA, Counselor
Danny Hendershot
Counselor, MA
Verified Verified
Orange, VT 05641
Hi, I’m Danny. I’m a licensed clinical mental health counselor (LCMHC), and I have over 17 years of counseling experience. I put my master’s degree in counseling and my toolkit from my life’s winding path to use for clients who are curious about their own mental and emotional wellbeing. There are so many reasons why you might be looking for a therapist right now. The world we live in provides so many opportunities for stress and concern, and just trying to figure out how to cope can feel overwhelming. Sometimes you’re just trying to find a way through the very common feeling of: "I just don't feel right". I’m here to help.
Hi, I’m Danny. I’m a licensed clinical mental health counselor (LCMHC), and I have over 17 years of counseling experience. I put my master’s degree in counseling and my toolkit from my life’s winding path to use for clients who are curious about their own mental and emotional wellbeing. There are so many reasons why you might be looking for a therapist right now. The world we live in provides so many opportunities for stress and concern, and just trying to figure out how to cope can feel overwhelming. Sometimes you’re just trying to find a way through the very common feeling of: "I just don't feel right". I’m here to help.
(802) 992-8415 View (802) 992-8415
Photo of Kelley Scholfield, MA, Registered Psychotherapist
Kelley Scholfield
Registered Psychotherapist, MA
Verified Verified
Barre, VT 05641
Not accepting new clients
My trauma-informed approach to counseling is characterized by a deep commitment to fostering genuine connections with my clients. I strive to create an environment where individuals feel seen, heard, and valued; Where personal growth, self-discovery, and the empowerment of my clients is at the heart of what I do. I practice from a person-centered, humanistic lens and am committed to creating a therapeutic space that honors the uniqueness of each individual. I have specialized training in mindfulness, and working with clients who have a history of trauma/PTSD, and suicidality. I am LGBTQ+ and HAES (Health at Every Size) friendly.
My trauma-informed approach to counseling is characterized by a deep commitment to fostering genuine connections with my clients. I strive to create an environment where individuals feel seen, heard, and valued; Where personal growth, self-discovery, and the empowerment of my clients is at the heart of what I do. I practice from a person-centered, humanistic lens and am committed to creating a therapeutic space that honors the uniqueness of each individual. I have specialized training in mindfulness, and working with clients who have a history of trauma/PTSD, and suicidality. I am LGBTQ+ and HAES (Health at Every Size) friendly.
(802) 432-9321 View (802) 432-9321
Photo of Poa Mutino, MSW, Pre-Licensed Professional
Poa Mutino
Pre-Licensed Professional, MSW
Verified Verified
2 Endorsed
Barre, VT 05641
Not accepting new clients
My practice is dynamic, warm, and focused. I believe in a trauma transformational approach. I ask questions such as "how can I help?" and "where do you feel that emotion/thought/anxiety/depression etc. in your body?" I specialize in working with LGBTQIA2+ youth. I offer group therapy for youth and adults. Through group and 1:1 work, I help foster an understanding and feeling of belonging, safety and possibility.
My practice is dynamic, warm, and focused. I believe in a trauma transformational approach. I ask questions such as "how can I help?" and "where do you feel that emotion/thought/anxiety/depression etc. in your body?" I specialize in working with LGBTQIA2+ youth. I offer group therapy for youth and adults. Through group and 1:1 work, I help foster an understanding and feeling of belonging, safety and possibility.
(802) 723-2714 View (802) 723-2714
Photo of Toby White, MA, LCMHC, Counselor
Toby White
Counselor, MA, LCMHC
Verified Verified
Barre, VT 05641
Not accepting new clients
I see clients for a variety of reasons including individual therapy, marriage counseling, group therapy, and family therapy. My current practice includes young children, adolescents, young adults, adults, families and couples. I have been serving clients in the central Vermont area since 2013 in a variety of helping relationships and roles including crisis counseling, career counseling, sports performance based life coaching case management, and psychotherapy. I apply an integrative approach and walk along side clients in their time of need. My goal is to help you find a solution that fits your individual situation.
I see clients for a variety of reasons including individual therapy, marriage counseling, group therapy, and family therapy. My current practice includes young children, adolescents, young adults, adults, families and couples. I have been serving clients in the central Vermont area since 2013 in a variety of helping relationships and roles including crisis counseling, career counseling, sports performance based life coaching case management, and psychotherapy. I apply an integrative approach and walk along side clients in their time of need. My goal is to help you find a solution that fits your individual situation.
(802) 277-3237 View (802) 277-3237
Photo of Kim Anthony Rowe, BS, IPEC, Pre-Licensed Professional
Kim Anthony Rowe
Pre-Licensed Professional, BS, IPEC
Verified Verified
1 Endorsed
Barre, VT 05641
I am a former Olympic athlete and current life coach who enjoys helping my clients rediscover the vitality of their spirits. I believe that every person can achieve excellence, freedom, and a greater degree of joy in their life. My job is to help you discover the strength and greatness that is already within you, and figure out how to share it with the world. I have a warm, open, grounded presence that puts people at ease. We become healthier as we resonate with what our hearts truly desire, and learn to let go of the repetitive patterns and blocks that get in the way of that expression.
I am a former Olympic athlete and current life coach who enjoys helping my clients rediscover the vitality of their spirits. I believe that every person can achieve excellence, freedom, and a greater degree of joy in their life. My job is to help you discover the strength and greatness that is already within you, and figure out how to share it with the world. I have a warm, open, grounded presence that puts people at ease. We become healthier as we resonate with what our hearts truly desire, and learn to let go of the repetitive patterns and blocks that get in the way of that expression.
(888) 713-5348 View (888) 713-5348
Photo of Sarah A. Wakefield, RN, LCPC, LCMHC
Sarah A. Wakefield
Clinical Professional Counselor, RN, LCPC, LCMHC
Verified Verified
Barre, VT 05641  (Online Only)
It is a nightmare: you don’t want to sleep, nor do you want to wake up. You go through the day feeling numb, empty and hopeless. Your world has turned upside down! Losing a loved one or hearing the words “you have a life-threatening illness” makes you want to scream, run away or curl up into a ball. “How can this be happening to me” You yearn for the world you once knew, one that was predictable, familiar and comfortable. You want to embrace the day, not dread it. Is it ever going to be possible to laugh, smile and be you again?
It is a nightmare: you don’t want to sleep, nor do you want to wake up. You go through the day feeling numb, empty and hopeless. Your world has turned upside down! Losing a loved one or hearing the words “you have a life-threatening illness” makes you want to scream, run away or curl up into a ball. “How can this be happening to me” You yearn for the world you once knew, one that was predictable, familiar and comfortable. You want to embrace the day, not dread it. Is it ever going to be possible to laugh, smile and be you again?
(802) 328-9657 View (802) 328-9657
Photo of Cassandra Badeau, LCMHC, LADC, Counselor
Cassandra Badeau
Counselor, LCMHC, LADC
Verified Verified
Barre, VT 05641
The goal of my work is to support and encourage positive change and increase your understanding of yourself. I use a non-judgemental approach that is trauma informed. I will work with you to help identify your strengths and increase coping skills needed to reach your goals in treatment.
The goal of my work is to support and encourage positive change and increase your understanding of yourself. I use a non-judgemental approach that is trauma informed. I will work with you to help identify your strengths and increase coping skills needed to reach your goals in treatment.
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Photo of Kelli L O'Neill (Gile), LICSW, Clinical Social Work/Therapist
Kelli L O'Neill (Gile)
Clinical Social Work/Therapist, LICSW
Verified Verified
Barre, VT 05641
Waitlist for new clients
A person's strength and uniqueness are their best assets and are the foundation for their success. Each person is individual with their response to potentially traumatic event(s) and need an equally individual way of processing and overcoming the barriers that come from experiencing trauma. Each person must be given the attention, respect, and time to work through any traumatic event, which is much more successful when you have someone there to process this trauma with you. What you can expect from sitting in a therapy room with me is mutual respect, understanding that trauma is diverse, and patience since healing work takes time.
A person's strength and uniqueness are their best assets and are the foundation for their success. Each person is individual with their response to potentially traumatic event(s) and need an equally individual way of processing and overcoming the barriers that come from experiencing trauma. Each person must be given the attention, respect, and time to work through any traumatic event, which is much more successful when you have someone there to process this trauma with you. What you can expect from sitting in a therapy room with me is mutual respect, understanding that trauma is diverse, and patience since healing work takes time.
(802) 444-8394 View (802) 444-8394
Photo of Josha Grant - Josha Grant, LCMHC, MA, LCMHC, Counselor
Josha Grant, LCMHC
Counselor, MA, LCMHC
Verified Verified
Barre, VT 05641  (Online Only)
Limited openings starting in May. I am a licensed professional who works with clients to facilitate healing and transformation and provide support in navigating intense emotions and complex relationships with oneself and others. My training in Internal Family Systems (IFS), Eye Movement Desensitization and Reprocessing (EMDR and ART), Dyadic Developmental Psychotherapy (DDP), Acceptance and Commitment Therapy (ACT), and Emotionally Focused Individual Therapy (EFIT) allows me to offer clients unconditional positive regard, acceptance, and a safe environment to engage in deep and transformative work.
Limited openings starting in May. I am a licensed professional who works with clients to facilitate healing and transformation and provide support in navigating intense emotions and complex relationships with oneself and others. My training in Internal Family Systems (IFS), Eye Movement Desensitization and Reprocessing (EMDR and ART), Dyadic Developmental Psychotherapy (DDP), Acceptance and Commitment Therapy (ACT), and Emotionally Focused Individual Therapy (EFIT) allows me to offer clients unconditional positive regard, acceptance, and a safe environment to engage in deep and transformative work.
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Photo of Zelorie V Lowrey, MSW, Registered Psychotherapist
Zelorie V Lowrey
Registered Psychotherapist, MSW
Verified Verified
Barre, VT 05641
My name is Zelorie, for the past eight years, I have been serving at-risk youth with mental, emotional, and behavioral health needs, as well as, working to help equip parents with tools and insight to navigate the challenges of parenting. In addition to working with at risk youth I have worked with many individuals struggling with anxiety and past traumas. With an eclectic approach, I work to help engage children, families and individuals to enhance their capacity for self-awareness, self-regulation and increase overall emotional intelligence and social emotional functioning.
My name is Zelorie, for the past eight years, I have been serving at-risk youth with mental, emotional, and behavioral health needs, as well as, working to help equip parents with tools and insight to navigate the challenges of parenting. In addition to working with at risk youth I have worked with many individuals struggling with anxiety and past traumas. With an eclectic approach, I work to help engage children, families and individuals to enhance their capacity for self-awareness, self-regulation and increase overall emotional intelligence and social emotional functioning.
(802) 810-8896 View (802) 810-8896
Photo of Paul Brodie, LADC, MS, Drug & Alcohol Counselor
Paul Brodie
Drug & Alcohol Counselor, LADC, MS
Verified Verified
3 Endorsed
Barre, VT 05641
I approach addiction counseling from a growth mindset that any behavior can be changed through personal effort and a support network. My goal is to provide a safe and supportive environment for growth to any individual seeking change in their life regarding substance use and addiction. Fax number: (802) 622-8233
I approach addiction counseling from a growth mindset that any behavior can be changed through personal effort and a support network. My goal is to provide a safe and supportive environment for growth to any individual seeking change in their life regarding substance use and addiction. Fax number: (802) 622-8233
(802) 738-0081 View (802) 738-0081
Photo of Steven Ferrari, MA, Pre-Licensed Professional
Steven Ferrari
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Barre, VT 05641
***Limited Spaces Available. Currently Accepting New Clients. Due to the large amount of families that I see, I can only accept new, adult individuals at this time. I'm available in Barre, VT*** Throughout my years in the field of mental health I've had the incredible opportunity to work with a wide range of clients from several different cultures, backgrounds, and socio-economic status. In addition to my strong clinical background, I have also worked in the field of forensics and substance abuse recovery.
***Limited Spaces Available. Currently Accepting New Clients. Due to the large amount of families that I see, I can only accept new, adult individuals at this time. I'm available in Barre, VT*** Throughout my years in the field of mental health I've had the incredible opportunity to work with a wide range of clients from several different cultures, backgrounds, and socio-economic status. In addition to my strong clinical background, I have also worked in the field of forensics and substance abuse recovery.
(802) 521-0135 View (802) 521-0135
Photo of Per Engstrom, MA, Pre-Licensed Professional
Per Engstrom
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Barre, VT 05641
I am currently accepting new clients in Barre, VT, St. Johnsbury VT and virtually. We all have times where we need help and we all deserve a judgement free place to explore our current directions. Exploring core values and behavior patterns and then reframing our struggles in life can help us to find the direction we want to move towards in our future. Often we can find ways to improve upon our current situations by examining the perspectives and behaviors that we have and then deciding if they still serve us and our current goals. By using Cognitive Behavior Therapy (CBT), we can work together to identify your wants and needs.
I am currently accepting new clients in Barre, VT, St. Johnsbury VT and virtually. We all have times where we need help and we all deserve a judgement free place to explore our current directions. Exploring core values and behavior patterns and then reframing our struggles in life can help us to find the direction we want to move towards in our future. Often we can find ways to improve upon our current situations by examining the perspectives and behaviors that we have and then deciding if they still serve us and our current goals. By using Cognitive Behavior Therapy (CBT), we can work together to identify your wants and needs.
(802) 676-7141 View (802) 676-7141
Photo of Jos Parker, MA, Pre-Licensed Professional
Jos Parker
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Barre, VT 05641
Waitlist for new clients
Different life transitions and challenges can have a tendency to throw us off balance. From the solid base of a trusting and authentic therapeutic relationship, I work to help people regain balance in their lives by embracing their ability to self-nurture. I take a positive, strengths-based approach with an emphasis on cultivating self-understanding, self-acceptance, self-compassion, and self-love.
Different life transitions and challenges can have a tendency to throw us off balance. From the solid base of a trusting and authentic therapeutic relationship, I work to help people regain balance in their lives by embracing their ability to self-nurture. I take a positive, strengths-based approach with an emphasis on cultivating self-understanding, self-acceptance, self-compassion, and self-love.
(802) 210-4259 View (802) 210-4259
Photo of Emily Long, LCMHC, Counselor
Emily Long
Counselor, LCMHC
Verified Verified
2 Endorsed
Barre, VT 05641  (Online Only)
Waitlist for new clients
My passion comes from helping people move past the losses and traumas of their past and into a rich and full life. Trauma and the losses we experience in life can wound us on every level - physically, emotionally, mentally and spiritually. My desire is to see you pick up the pieces and create a beautiful life beyond the struggle of grief, anxiety, postpartum difficulties, infertility, disordered eating, childhood abuse, and other painful life events. My approach is one of compassion, honesty, and a little bit of sass - to help you rediscover a life of passion, beauty, joy, fulfillment, and empowerment.
My passion comes from helping people move past the losses and traumas of their past and into a rich and full life. Trauma and the losses we experience in life can wound us on every level - physically, emotionally, mentally and spiritually. My desire is to see you pick up the pieces and create a beautiful life beyond the struggle of grief, anxiety, postpartum difficulties, infertility, disordered eating, childhood abuse, and other painful life events. My approach is one of compassion, honesty, and a little bit of sass - to help you rediscover a life of passion, beauty, joy, fulfillment, and empowerment.
(828) 759-5262 View (828) 759-5262
Photo of Rachel Elizabeth Clokey, MA, Counselor
Rachel Elizabeth Clokey
Counselor, MA
Verified Verified
Barre, VT 05641
Waitlist for new clients
I have worked with individuals ranging in age from five years old through adulthood. I have experience with a wide range of individuals of various identities, backgrounds, and socioeconomic statuses. I have specialized training in PTSD, trauma, anxiety, school-related issues, and behavioral disruption issues. I also have specialized training in working with children and adolescents and utilizing play therapy.
I have worked with individuals ranging in age from five years old through adulthood. I have experience with a wide range of individuals of various identities, backgrounds, and socioeconomic statuses. I have specialized training in PTSD, trauma, anxiety, school-related issues, and behavioral disruption issues. I also have specialized training in working with children and adolescents and utilizing play therapy.
(802) 242-8408 View (802) 242-8408
Photo of Johnathan Maxfield - Johnathan Maxfield, MA, LLC, Pre-Licensed Professional
Johnathan Maxfield, MA, LLC
Pre-Licensed Professional
Verified Verified
Barre, VT 05641
My goal as a therapist is to understand a person and their situation by paying close attention to them, asking questions, and using what I have learned from past experience. I think understanding different parts of a person’s life helps create a more complete picture of what is keeping them stuck, unhappy, unaware, or unsatisfied. From there it’s possible to help make changes and face difficult circumstances. My clinical and research work has focused on anxiety, stress, PTSD, moral injury, and helping people suffering from the impact of trauma.
My goal as a therapist is to understand a person and their situation by paying close attention to them, asking questions, and using what I have learned from past experience. I think understanding different parts of a person’s life helps create a more complete picture of what is keeping them stuck, unhappy, unaware, or unsatisfied. From there it’s possible to help make changes and face difficult circumstances. My clinical and research work has focused on anxiety, stress, PTSD, moral injury, and helping people suffering from the impact of trauma.
(802) 732-2870 View (802) 732-2870
1

See more therapy options for 05641

How does your Therapist compare?

Number of Therapists in 05641

80+

Average cost per session

$125

Therapists in 05641 who prioritize treating:

93% Anxiety
90% Depression
76% Self Esteem
74% Relationship Issues
71% Trauma and PTSD
71% Coping Skills
71% Stress

Average years in practice

10 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
85% Medicaid
63% MVP Health Care

How Therapists in 05641 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

71% Female
26% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 05641?

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.