Therapists in 05753
![Photo of Anie Sklar - Counseling at Otter Creek, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3bf5610b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Counseling at Otter Creek
Marriage & Family Therapist, LMFT
Verified Verified
Middlebury, VT 05753 (Online Only)
Not accepting new clients
Feeling stuck in a life that is unfulfilling, repeating patterns or habits that don't serve your well-being and relationships right now, overwhelmed by life’s responsibilities and the tides of our rapidly changing world, or having trouble letting go of painful parts of the past? We all occasionally need help to clearly see ourselves and find new ways to live better lives.
Feeling stuck in a life that is unfulfilling, repeating patterns or habits that don't serve your well-being and relationships right now, overwhelmed by life’s responsibilities and the tides of our rapidly changing world, or having trouble letting go of painful parts of the past? We all occasionally need help to clearly see ourselves and find new ways to live better lives.
![Photo of Clare Evancie, MS, LCMHC, Counselor](https://photos.psychologytoday.com/1b50c6ea-2952-436d-9761-04ec1458711c/2/320x400.png)
Sometimes life throws us one too many curveballs, and our usual manner of coping just isn’t enough. Counseling can be very helpful at such times, offering a dedicated place to speak aloud about thoughts and struggles, and to be heard and understood without being judged. I work hard to create a therapeutic environment in which people feel safe enough to explore and process their experiences, and supported enough to try new ways of thinking and being in their lives. I am a firm believer in every individual's capacity to heal and to grow, and it is an honor and a privilege to be a witness, ally and guide along the way.
Sometimes life throws us one too many curveballs, and our usual manner of coping just isn’t enough. Counseling can be very helpful at such times, offering a dedicated place to speak aloud about thoughts and struggles, and to be heard and understood without being judged. I work hard to create a therapeutic environment in which people feel safe enough to explore and process their experiences, and supported enough to try new ways of thinking and being in their lives. I am a firm believer in every individual's capacity to heal and to grow, and it is an honor and a privilege to be a witness, ally and guide along the way.
![Photo of Michael A. Castelli, MA, LCMHC, Counselor](https://photos.psychologytoday.com/40975965-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I offer a welcoming, compassionate, and non-judgmental space to share your story. Sometimes, problems we face — whether they come with a diagnosis or not — may be overwhelming, debilitating, paralyzing, unhealthy, or destructive to ourselves or our relationships. I work collaboratively to help people deconstruct and free themselves from the grip of problems that may be overwhelming and oppressive and move toward preferred ways of living and thriving.
I offer a welcoming, compassionate, and non-judgmental space to share your story. Sometimes, problems we face — whether they come with a diagnosis or not — may be overwhelming, debilitating, paralyzing, unhealthy, or destructive to ourselves or our relationships. I work collaboratively to help people deconstruct and free themselves from the grip of problems that may be overwhelming and oppressive and move toward preferred ways of living and thriving.
![Photo of Donna Belcher, MA, Psychologist](https://photos.psychologytoday.com/3ec463ca-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have been in private practice for more than 30 years, offering holistic and client-centered treatment in a safe, supportive, confidential environment. Call to schedule an appointment: (802) 388-3362.
I have been in private practice for more than 30 years, offering holistic and client-centered treatment in a safe, supportive, confidential environment. Call to schedule an appointment: (802) 388-3362.
![Photo of Emily Thurber, LCMHC, LADC](https://photos.psychologytoday.com/54d594f1-5edb-4e5e-a599-c41890b5138b/2/320x400.jpeg)
Emily Thurber
Licensed Clinical Mental Health Counselor, LCMHC, LADC
Verified Verified
Middlebury, VT 05753
Not accepting new clients
Psychotherapy is both an art and a science. I believe that my strength as a psychotherapist is that I am informed equally by my theoretical foundation as well as my creativity and intuition. The first part of my theoretical foundation is drawn from insight-oriented theories. I'm interested in how the interplay of your history and personality has contributed to your current concerns. The process of learning about and accepting who you are contributes to your healing. Through gentle and direct exploration and encouragement I will guide you toward self- awareness and compassionate self -acceptance.
Psychotherapy is both an art and a science. I believe that my strength as a psychotherapist is that I am informed equally by my theoretical foundation as well as my creativity and intuition. The first part of my theoretical foundation is drawn from insight-oriented theories. I'm interested in how the interplay of your history and personality has contributed to your current concerns. The process of learning about and accepting who you are contributes to your healing. Through gentle and direct exploration and encouragement I will guide you toward self- awareness and compassionate self -acceptance.
![Photo of Margaret A Olson, MACP, CSD, Counselor](https://photos.psychologytoday.com/a001b727-a5b8-4d58-b982-e0d92de20472/5/320x400.jpeg)
Grief is perhaps the most challenging and inescapable of all life experiences. While there are many different kinds of loss (i.e. job, relationship, physical health) the death of a loved one takes one to new level of emotional, mental and spiritual challenge. The death of a loved one changes us forever. From within this space of confusing emotions, doubts and uncertainties a desire to share your story may arise. It is a natural human instinct to want to explore in a safe setting the deeper questions of life as you learn to navigate the many facets of grief. I look forward to providing guidance as you discover, grieve and recover.
Grief is perhaps the most challenging and inescapable of all life experiences. While there are many different kinds of loss (i.e. job, relationship, physical health) the death of a loved one takes one to new level of emotional, mental and spiritual challenge. The death of a loved one changes us forever. From within this space of confusing emotions, doubts and uncertainties a desire to share your story may arise. It is a natural human instinct to want to explore in a safe setting the deeper questions of life as you learn to navigate the many facets of grief. I look forward to providing guidance as you discover, grieve and recover.
![Photo of Christopher J Leonard, MSW, LICSW, LCSW, MEd, Clinical Social Work/Therapist](https://photos.psychologytoday.com/433c4fb4-8217-4220-86ac-9eb085d36d58/1/320x400.jpeg)
Christopher J Leonard
Clinical Social Work/Therapist, MSW, LICSW, LCSW, MEd
Verified Verified
Middlebury, VT 05753
Sometimes it can be challenging to see what is driving our difficulties or how we might be getting in our own way. My clients are often seeking to better understand themselves, their circumstances, and their choices so that they can make meaningful changes in their lives. My specialties include children and youth 9 years of age and older as well as adults and seniors. I work with individuals, couples, families, and groups.
Sometimes it can be challenging to see what is driving our difficulties or how we might be getting in our own way. My clients are often seeking to better understand themselves, their circumstances, and their choices so that they can make meaningful changes in their lives. My specialties include children and youth 9 years of age and older as well as adults and seniors. I work with individuals, couples, families, and groups.
![Photo of Mary Marron - Mary Marron, PsyD., PsyD, Psychologist](https://photos.psychologytoday.com/467e00e2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Mary Marron, PsyD.
Psychologist, PsyD
Verified Verified
1 Endorsed
Middlebury, VT 05753
Not accepting new clients
I enjoy helping my clients work through the most difficult of life's challenges. I work with individuals from all walks of life, struggling with a variety of conditions and life situations. I take a collaborative approach to treatment, emphasizing personal control in therapy. My interest in psychotherapy stems from my fascination with language and communication. I have spent years researching language from the perspectives of philosophy, linguistics, and psychology. I find this research informs my style of treatment such that I have an ear that is attuned to the subtleties of communication, which many of my patients find extremely supportive.
I enjoy helping my clients work through the most difficult of life's challenges. I work with individuals from all walks of life, struggling with a variety of conditions and life situations. I take a collaborative approach to treatment, emphasizing personal control in therapy. My interest in psychotherapy stems from my fascination with language and communication. I have spent years researching language from the perspectives of philosophy, linguistics, and psychology. I find this research informs my style of treatment such that I have an ear that is attuned to the subtleties of communication, which many of my patients find extremely supportive.
![Photo of Lesley L Dunakin, MA, LCMHC, Counselor](https://photos.psychologytoday.com/2bf593d3-0cde-4eba-abbe-8cec62a06f4d/3/320x400.jpeg)
Therapy can help break old patterns and habits which can stand in the way of forming new opportunities or relationships. I have been practicing as a counselor in Vermont for fourteen years, working with children, adolescents, and families. I am also trained as a crisis clinician. I have worked closely with families and teens experiencing depression, suicidal ideation, trauma, anxiety, family conflict and school challenges.
Therapy can help break old patterns and habits which can stand in the way of forming new opportunities or relationships. I have been practicing as a counselor in Vermont for fourteen years, working with children, adolescents, and families. I am also trained as a crisis clinician. I have worked closely with families and teens experiencing depression, suicidal ideation, trauma, anxiety, family conflict and school challenges.
![Photo of Sheryl Coryell, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4190d519-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sheryl Coryell
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Middlebury, VT 05753
Safe, compassionate, non-judgmental and caring therapeutic interaction to improve relationships, work through grief/loss, overcome anxiety & depression, build self-esteem and strengthen boundaries. Specialty in helping people be more and express more of their real authentic self and live in an empowered way. Career/work coach. EMDR for trauma and emotional/mental conflict resolution. I listen deeply, with you, to what wants to be heard - understood more clearly. Which direction to take? What are the important choices to make? We may have to clear a new path or together just trim a few branches in the way.
Safe, compassionate, non-judgmental and caring therapeutic interaction to improve relationships, work through grief/loss, overcome anxiety & depression, build self-esteem and strengthen boundaries. Specialty in helping people be more and express more of their real authentic self and live in an empowered way. Career/work coach. EMDR for trauma and emotional/mental conflict resolution. I listen deeply, with you, to what wants to be heard - understood more clearly. Which direction to take? What are the important choices to make? We may have to clear a new path or together just trim a few branches in the way.
![Photo of Anne Goldman, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d5afadb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Anne Goldman
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Middlebury, VT 05753 (Online Only)
Not accepting new clients
Therapy can be as much about finding more ease and joy in one's life as it is about reducing symptoms and suffering. Self-limiting cognitive, behavioral, emotional and sensorimotor (gestures/postures) tendencies often stand in the way of fully engaging in relationships (with self/others) and in the present moment. Bringing non-judgmental attention and awareness to these patterns allows us the freedom to replace re-activity with mindful responding. I work with adults seeking assistance with issues of anxiety, depression, stress management, trauma grief/loss and interpersonal/relational challenges.
Therapy can be as much about finding more ease and joy in one's life as it is about reducing symptoms and suffering. Self-limiting cognitive, behavioral, emotional and sensorimotor (gestures/postures) tendencies often stand in the way of fully engaging in relationships (with self/others) and in the present moment. Bringing non-judgmental attention and awareness to these patterns allows us the freedom to replace re-activity with mindful responding. I work with adults seeking assistance with issues of anxiety, depression, stress management, trauma grief/loss and interpersonal/relational challenges.
15 Second Videos
Allie West
Grisel Lopez-Escobar
Morella Devost
Melissa Omand
![Photo of Maura Nydegger, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ac45cdfc-5f40-44e9-8a1a-ffaf2317d525/4/320x400.jpeg)
Maura Nydegger
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Middlebury, VT 05753
How often do we take time to reflect on who we truly are? I firmly believe that a positive sense of self begins with an inner belief that "I MATTER"! I also believe one's mental health is affected by the ability to be honest and hold oneself accountable. As people become more accepting and clearer about who they are and how they want to be in the world, they are more capable of finding contentment and joy in their lives. We do the very best we can in any given moment; being kind and gentle with yourself is key when looking within.
How often do we take time to reflect on who we truly are? I firmly believe that a positive sense of self begins with an inner belief that "I MATTER"! I also believe one's mental health is affected by the ability to be honest and hold oneself accountable. As people become more accepting and clearer about who they are and how they want to be in the world, they are more capable of finding contentment and joy in their lives. We do the very best we can in any given moment; being kind and gentle with yourself is key when looking within.
![Photo of Cary Beckwith, MEd, LCMHC, Counselor](https://photos.psychologytoday.com/ba9f2fa2-4e2d-4e97-bb60-8b0d1de77e8a/4/320x400.jpeg)
If you are feeling stressed, anxious, or depressed, or you are struggling with grief and loss, or the effects of trauma, I can offer you a safe place to share your feelings and experiences, and to be heard with compassion and understanding. Together we can help you find a greater sense of happiness and well-being.
If you are feeling stressed, anxious, or depressed, or you are struggling with grief and loss, or the effects of trauma, I can offer you a safe place to share your feelings and experiences, and to be heard with compassion and understanding. Together we can help you find a greater sense of happiness and well-being.
![Photo of Danielle Bergeron Ingram, MS, LCMHC, Psychologist](https://photos.psychologytoday.com/256b6faf-fb23-45de-8e0f-55db150ed2f3/2/320x400.jpeg)
Danielle Bergeron Ingram
Psychologist, MS, LCMHC
Verified Verified
2 Endorsed
Middlebury, VT 05753 (Online Only)
Not accepting new clients
Together we will explore issues and obstacles so that you can feel better and work toward a healthier, happier way of living. I will help you gain greater insight into the problems you face, to increase self confidence, learn problem solving skills and effective ways of coping with stress. We will examine patterns in your life that may be affecting your relationships, the way you think about yourself, and limiting your ability to achieve the changes that you want to make.
Together we will explore issues and obstacles so that you can feel better and work toward a healthier, happier way of living. I will help you gain greater insight into the problems you face, to increase self confidence, learn problem solving skills and effective ways of coping with stress. We will examine patterns in your life that may be affecting your relationships, the way you think about yourself, and limiting your ability to achieve the changes that you want to make.
![Photo of Zubin P. Mistri, MDiv, CHT, ACC, Registered Psychotherapist](https://photos.psychologytoday.com/af848ea0-53d1-4a42-aef8-817411f9a592/2/320x400.jpeg)
You might be struggling with difficult emotions, stressed by the demands of life, or stuck in painful cycles in your relationships. You sense you could be more connected to yourself, to others, and to the deeper purpose of your life. Maybe you've tried to make things better on your own, but you sense that with the right kind of support you could thrive in new ways in your relationships, and in other areas of your life. You're on the edge of growing into something new.
You might be struggling with difficult emotions, stressed by the demands of life, or stuck in painful cycles in your relationships. You sense you could be more connected to yourself, to others, and to the deeper purpose of your life. Maybe you've tried to make things better on your own, but you sense that with the right kind of support you could thrive in new ways in your relationships, and in other areas of your life. You're on the edge of growing into something new.
![Photo of Willow N. Broaddus, MA, LCMHC, LPC, Counselor](https://photos.psychologytoday.com/584e5c5c-ac3b-49c4-8fc3-52a0abc2c986/2/320x400.jpeg)
Individuals/Groups/Couples. There is a light at the end of the tunnel. Life happens, so it helps to have someone who will really listen, without judgement. When we lay down our burdens, we can feel lighter, heal places that were hurt, and find a way back to ourselves. Therapy can be about coming to deeply know and understand ourselves; with help learning skills for managing life, emotions and relationships, claiming self-worth and a sense of competence. I support people with holistic, research based psychotherapy. ACT, IFS, ARC, DBT, Somatics, CBT and Jungian components. Ask me about group therapy.
Individuals/Groups/Couples. There is a light at the end of the tunnel. Life happens, so it helps to have someone who will really listen, without judgement. When we lay down our burdens, we can feel lighter, heal places that were hurt, and find a way back to ourselves. Therapy can be about coming to deeply know and understand ourselves; with help learning skills for managing life, emotions and relationships, claiming self-worth and a sense of competence. I support people with holistic, research based psychotherapy. ACT, IFS, ARC, DBT, Somatics, CBT and Jungian components. Ask me about group therapy.
![Photo of Douglas Engel, LCSW-R, LICSW, MPS, BA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cde71d8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Douglas Engel
Clinical Social Work/Therapist, LCSW-R, LICSW, MPS, BA
Verified Verified
Middlebury, VT 05753
For the past 30 years I have worked with a wide range of clients ranging from children and adolescents to older adults. I have a post graduate degree in family therapy from the Ackerman Institute in New York City, the most respected family therapy training program in the country. Currently I work with folks 17 - 80 and particularly enjoy marriage counseling and helping individuals and couples with sexual issues. I've helped individuals struggling with depression, grief, anger issues, anxiety and the effects of past trauma.
For the past 30 years I have worked with a wide range of clients ranging from children and adolescents to older adults. I have a post graduate degree in family therapy from the Ackerman Institute in New York City, the most respected family therapy training program in the country. Currently I work with folks 17 - 80 and particularly enjoy marriage counseling and helping individuals and couples with sexual issues. I've helped individuals struggling with depression, grief, anger issues, anxiety and the effects of past trauma.
![Photo of Mika Barker-Hart, LCSW, FIPA, Counselor](https://photos.psychologytoday.com/9212e242-11f7-4ce1-a42b-1c4fc5b9ab11/1/320x400.jpeg)
Psychoanalytic work is an intensive therapy that focuses on increasing self-understanding and a sense of personal freedom. It is very helpful for anxiety, depression, OCD, relationship issues, trauma and managing grief around life transitions. I have also trained as an end-of-life doula and offer grief support groups and trainings.
Psychoanalytic work is an intensive therapy that focuses on increasing self-understanding and a sense of personal freedom. It is very helpful for anxiety, depression, OCD, relationship issues, trauma and managing grief around life transitions. I have also trained as an end-of-life doula and offer grief support groups and trainings.
![Photo of Kristin Mitchell - Kristin Mitchell, LCSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b317f5c3-e561-4512-929f-51b529728ce4/1/320x400.png)
Kristin Mitchell, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Middlebury, VT 05753
Not accepting new clients
It's often difficult to reach out for help when you most need it, and it can be hard to speak with someone you've never met about personal issues. On the other hand, it can be easier to do with a person who is a trained, neutral professional. I can be objective and understanding in a way that well-meaning friends and family often cannot. My work with couples, individual adults including seniors, or the younger population, begins in a friendly, professional manner whereby we move towards knowing each other better. A rapport between us is essential in accomplishing our work.
It's often difficult to reach out for help when you most need it, and it can be hard to speak with someone you've never met about personal issues. On the other hand, it can be easier to do with a person who is a trained, neutral professional. I can be objective and understanding in a way that well-meaning friends and family often cannot. My work with couples, individual adults including seniors, or the younger population, begins in a friendly, professional manner whereby we move towards knowing each other better. A rapport between us is essential in accomplishing our work.
![Photo of Susan Malaney, LCMHC, Counselor](https://photos.psychologytoday.com/f6f3f4b6-b2ae-4569-b6a8-10036baa539f/2/320x400.jpeg)
I will provide a safe and comfortable space for you to explore issues that have caused you difficulties or hindered your goals. Sometimes we are stuck in a situation that requires someone to listen and prompt you to find solutions and sometimes issues are about finding yourself and ways to cope with the world. You are the expert about your needs.
I will provide a safe and comfortable space for you to explore issues that have caused you difficulties or hindered your goals. Sometimes we are stuck in a situation that requires someone to listen and prompt you to find solutions and sometimes issues are about finding yourself and ways to cope with the world. You are the expert about your needs.
See more therapy options for 05753
How does your Therapist compare?
Number of Therapists in 05753
80+
Average cost per session
$130
Therapists in 05753 who prioritize treating:
94% | Depression |
93% | Anxiety |
90% | Relationship Issues |
80% | Self Esteem |
74% | Life Transitions |
73% | Grief |
73% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
83% | BlueCross and BlueShield |
77% | Medicaid |
67% | MVP Health Care |
How Therapists in 05753 see their clients
66% | In Person and Online | |
34% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 05753?
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.