Photo of Anne Marie Farage-Smith, MSEd, MS, LMHC, Counselor
Anne Marie Farage-Smith
Counselor, MSEd, MS, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14616  (Online Only)
We all have losses in our lives, and we need to grieve them. Change always brings about loss - sometimes even positive change. Whether you are grieving the loss of a loved one, a relationship, a job, or you are experiencing another kind of life change -- I can help.
We all have losses in our lives, and we need to grieve them. Change always brings about loss - sometimes even positive change. Whether you are grieving the loss of a loved one, a relationship, a job, or you are experiencing another kind of life change -- I can help.
(585) 598-9677 View (585) 598-9677
Photo of Ana Baker, LCSW, Clinical Social Work/Therapist
Ana Baker
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14616
Not accepting new clients
Hello! I'm so glad you're here :) Throughout my career, I have assisted individuals on their journeys with anxiety, depression, grief and loss, executive functioning skills, life transitions, relationships, and caregiving across the lifespan. I utilize modalities of CBT, DBT, Solution-focused therapy, Exposure Therapy, Mindfulness interventions, and play therapy techniques. Spoiler alert: Play therapy is not just for kids! From exploring your favorite songs and lyrics, movies, books, art and game-play, and connecting those to your life experiences and goals.
Hello! I'm so glad you're here :) Throughout my career, I have assisted individuals on their journeys with anxiety, depression, grief and loss, executive functioning skills, life transitions, relationships, and caregiving across the lifespan. I utilize modalities of CBT, DBT, Solution-focused therapy, Exposure Therapy, Mindfulness interventions, and play therapy techniques. Spoiler alert: Play therapy is not just for kids! From exploring your favorite songs and lyrics, movies, books, art and game-play, and connecting those to your life experiences and goals.
(585) 460-3044 View (585) 460-3044
Photo of Matthew J Teal - Rochester Counseling Group, LCSW, CASAC, Clinical Social Work/Therapist
Rochester Counseling Group
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
3 Endorsed
Rochester, NY 14616
Our team has well over a century of combined experience. We treat trauma, depression, anxiety, substance abuse, life transitions and relationship issues from ages 6 and up. Finding a provider can be an intimidating process. Each of our providers are highly qualified, seasoned, and licensed to practice independently. Our intake specialist will assist you in selecting which therapist is the right fit for you and your needs. Feel free to look through our providers on our website, to see who makes sense to you as a good fit.
Our team has well over a century of combined experience. We treat trauma, depression, anxiety, substance abuse, life transitions and relationship issues from ages 6 and up. Finding a provider can be an intimidating process. Each of our providers are highly qualified, seasoned, and licensed to practice independently. Our intake specialist will assist you in selecting which therapist is the right fit for you and your needs. Feel free to look through our providers on our website, to see who makes sense to you as a good fit.
(585) 539-9895 View (585) 539-9895
Photo of Evan Rubenstein, LCSW, MS, Clinical Social Work/Therapist
Evan Rubenstein
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
1 Endorsed
Rochester, NY 14616
Not accepting new clients
Working through your struggles can feel like an isolating experience. I create a supportive and collaborative environment to help you safely work through your personal challenges and achieve your goals. I am an experienced Social Worker who’s practiced clinical therapy in acute, medical, community, and outpatient settings. I work with diverse populations ranging from college students to active adults. I specialize in, but am not limited to, working with anxiety, self esteem, ADHD, and life transitions. Additionally, with a background in visual arts, I embrace your creative process and understand the importance of self-expression.
Working through your struggles can feel like an isolating experience. I create a supportive and collaborative environment to help you safely work through your personal challenges and achieve your goals. I am an experienced Social Worker who’s practiced clinical therapy in acute, medical, community, and outpatient settings. I work with diverse populations ranging from college students to active adults. I specialize in, but am not limited to, working with anxiety, self esteem, ADHD, and life transitions. Additionally, with a background in visual arts, I embrace your creative process and understand the importance of self-expression.
(585) 735-0050 View (585) 735-0050
Photo of Amanda Martinez, LMHC, LPC, Counselor
Amanda Martinez
Counselor, LMHC, LPC
Verified Verified
Rochester, NY 14616  (Online Only)
Are you dealing with life stressors? Struggling with motivation? Trying to understand and cope with your anxiety? Well hello, you have come to the right place!
Are you dealing with life stressors? Struggling with motivation? Trying to understand and cope with your anxiety? Well hello, you have come to the right place!
(585) 634-0959 View (585) 634-0959
Photo of Samantha Jakubowski, LMHC, M-CASAC, Counselor
Samantha Jakubowski
Counselor, LMHC, M-CASAC
Verified Verified
Rochester, NY 14616  (Online Only)
Hi! I have been practicing addiction counseling for over 15 years, working with individuals, young adults and families. I expanded my practice to include mental health for the last 10 years and most recently began focusing on law enforcement/first responders. I work with individuals to determine what their goals are and help them achieve them. Individuals who are serious about their recovery and goals would be a great fit. Only you can change your future!
Hi! I have been practicing addiction counseling for over 15 years, working with individuals, young adults and families. I expanded my practice to include mental health for the last 10 years and most recently began focusing on law enforcement/first responders. I work with individuals to determine what their goals are and help them achieve them. Individuals who are serious about their recovery and goals would be a great fit. Only you can change your future!
(585) 728-1937 View (585) 728-1937
Photo of Rachel LoPresti, LMHC , Counselor
Rachel LoPresti
Counselor, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14616  (Online Only)
Do you think of the worst case scenario, people say "you worry too much", or you can't stop your mind from racing? Are you having difficulty sleeping, focusing, or getting through your day? I would like to support you in managing symptoms of anxiety and taking back your life! Utilizing a Client-Centered, Cognitive Behavioral approach, I promote autonomy, increased self-awareness and resiliency to manage daily life, as well as it's many stressors. I am trained in both EMDR, as well as Trauma Focused-CBT. I understand the importance of flexibility, and tailoring approaches to meet the unique needs and preferences of individuals.
Do you think of the worst case scenario, people say "you worry too much", or you can't stop your mind from racing? Are you having difficulty sleeping, focusing, or getting through your day? I would like to support you in managing symptoms of anxiety and taking back your life! Utilizing a Client-Centered, Cognitive Behavioral approach, I promote autonomy, increased self-awareness and resiliency to manage daily life, as well as it's many stressors. I am trained in both EMDR, as well as Trauma Focused-CBT. I understand the importance of flexibility, and tailoring approaches to meet the unique needs and preferences of individuals.
(585) 565-6556 View (585) 565-6556
Photo of Nicole Lynn Rowland, LCSW, Clinical Social Work/Therapist
Nicole Lynn Rowland
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Rochester, NY 14616
Waitlist for new clients
Asking for help is one of the scariest and bravest things you can do. Thank you for choosing me to provide you that help. I have 8 years of experience working with a variety of populations including, children, adolescents and adults. At times, it can be difficult to enjoy even the littlest of things in life due to the negative emotions (fear, hopelessness, anxiety, etc.) that we experience. With me, you will be provided with a safe, understanding and non-judgmental environment. Our time together will be used to process whatever stressors you are struggling with. I will be there with you every step of the way as you process and heal
Asking for help is one of the scariest and bravest things you can do. Thank you for choosing me to provide you that help. I have 8 years of experience working with a variety of populations including, children, adolescents and adults. At times, it can be difficult to enjoy even the littlest of things in life due to the negative emotions (fear, hopelessness, anxiety, etc.) that we experience. With me, you will be provided with a safe, understanding and non-judgmental environment. Our time together will be used to process whatever stressors you are struggling with. I will be there with you every step of the way as you process and heal
(585) 634-3241 View (585) 634-3241
Photo of Jonathan Tanenbaum, LCSW, MS, BCBA, QS, Clinical Social Work/Therapist
Jonathan Tanenbaum
Clinical Social Work/Therapist, LCSW, MS, BCBA, QS
Verified Verified
Rochester, NY 14616  (Online Only)
If you’ve been struggling to navigate challenges in your daily life, or are experiencing anxiety, depression, low self-esteem, or relationship detriments, it can be an isolating experience. If you’re reading this, you recognize the need to make a change, and have already taken the first step. Let’s take the next step together, and further explore how you can restore your best self. Whether you have a goal in mind, are interested in developing new skills for personal success, or are looking for guidance, I look forward to the opportunity of supporting you on your journey of healing and health.
If you’ve been struggling to navigate challenges in your daily life, or are experiencing anxiety, depression, low self-esteem, or relationship detriments, it can be an isolating experience. If you’re reading this, you recognize the need to make a change, and have already taken the first step. Let’s take the next step together, and further explore how you can restore your best self. Whether you have a goal in mind, are interested in developing new skills for personal success, or are looking for guidance, I look forward to the opportunity of supporting you on your journey of healing and health.
(585) 634-2404 View (585) 634-2404
Photo of Allison S Fitzsimmons, LCAT, Art Therapist
Allison S Fitzsimmons
Art Therapist, LCAT
Verified Verified
1 Endorsed
Rochester, NY 14616
As a clinical therapist with over a decade of dedicated experience, I believe the therapeutic journey should be centered around fostering a strong, collaborative partnership with my clients. Healing begins within the context of a safe and compassionate environment, where clients feel valued, heard, and empowered. Each person I work with is unique, and I am committed to tailoring my approach to meet their individual needs and aspirations.
As a clinical therapist with over a decade of dedicated experience, I believe the therapeutic journey should be centered around fostering a strong, collaborative partnership with my clients. Healing begins within the context of a safe and compassionate environment, where clients feel valued, heard, and empowered. Each person I work with is unique, and I am committed to tailoring my approach to meet their individual needs and aspirations.
(585) 857-9850 View (585) 857-9850
Photo of Rachel Bowen - Rachel Bowen, LMHC.  {Growing in Care Counseling}, LMHC, Counselor
Rachel Bowen, LMHC. {Growing in Care Counseling}
Counselor, LMHC
Verified Verified
3 Endorsed
Rochester, NY 14616
Hello! We're so glad you’re here. Seeking counseling for yourself or your loved one takes strength and compassion, and can be the first step in creating a brighter future. At Growing in Care Mental Health Counseling PLLC, we work with children, adolescents, adults, and families, and our experience includes supporting youth and adults with various diagnoses including (but not limited to), anxiety, depression, & autism. We utilize CBT and strength based approaches, while meeting clients where they are at in their growth and healing. We support with needs across settings, including school, employment, and with families.
Hello! We're so glad you’re here. Seeking counseling for yourself or your loved one takes strength and compassion, and can be the first step in creating a brighter future. At Growing in Care Mental Health Counseling PLLC, we work with children, adolescents, adults, and families, and our experience includes supporting youth and adults with various diagnoses including (but not limited to), anxiety, depression, & autism. We utilize CBT and strength based approaches, while meeting clients where they are at in their growth and healing. We support with needs across settings, including school, employment, and with families.
(585) 440-7753 View (585) 440-7753
Photo of Erica Eason, LCSW, Clinical Social Work/Therapist
Erica Eason
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14616  (Online Only)
Not accepting new clients
Hi all - Need a listening ear today? Need collaborative problem solving tomorrow? Need strategies the next day? Need to process the events of life the day after that? It is my belief that therapy should be tailored to the specific goals of my clients. My approach is flexible because not every session should be the same and I'm ready to meet you where you are at. From teens, to adults, Veterans, to musicians and doctors, students, those of you looking for short-term solutions or long-term collaboration...however you identify I am committed to help.
Hi all - Need a listening ear today? Need collaborative problem solving tomorrow? Need strategies the next day? Need to process the events of life the day after that? It is my belief that therapy should be tailored to the specific goals of my clients. My approach is flexible because not every session should be the same and I'm ready to meet you where you are at. From teens, to adults, Veterans, to musicians and doctors, students, those of you looking for short-term solutions or long-term collaboration...however you identify I am committed to help.
(585) 636-3688 View (585) 636-3688
Photo of Christy Paradise, LCSW-R, MSW, Clinical Social Work/Therapist
Christy Paradise
Clinical Social Work/Therapist, LCSW-R, MSW
Verified Verified
Greece, NY 14616
I have over fifteen years of professional experience in the field of mental health. A graduate of Syracuse University, I have worked with a variety of individuals in private practice, as well as non-profit clinical settings. As a Client-Centered Cognitive Behavioral Therapist, my approach to therapy involves providing support and practical feedback to help clients effectively address personal life challenges. I offer a highly personalized approach tailored to each client. With compassion and understanding, I will work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
I have over fifteen years of professional experience in the field of mental health. A graduate of Syracuse University, I have worked with a variety of individuals in private practice, as well as non-profit clinical settings. As a Client-Centered Cognitive Behavioral Therapist, my approach to therapy involves providing support and practical feedback to help clients effectively address personal life challenges. I offer a highly personalized approach tailored to each client. With compassion and understanding, I will work with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing.
(585) 366-0050 View (585) 366-0050
Photo of Anne Lenox, LMHC, NCC, CEAP, EFT-INT, Counselor
Anne Lenox
Counselor, LMHC, NCC, CEAP, EFT-INT
Verified Verified
Rochester, NY 14616
Waitlist for new clients
Helping you to heal, grow and achieve your highest possible potential is my focus. If you are interested in doing the work of reflection to gain insight and change patterns then I may be a good fit for you. I am committed to your health and success in moving forward. Intuition, empathy, collaboration, humor and genuine compassion are the strengths I have from 25+ years in practice. I utilize an eclectic approach including: insight oriented, developmental, cognitive-behavioral, mindfulness, supportive therapy, Emotional Freedom Techniques (EFT). I am only able to see clients in New York State.
Helping you to heal, grow and achieve your highest possible potential is my focus. If you are interested in doing the work of reflection to gain insight and change patterns then I may be a good fit for you. I am committed to your health and success in moving forward. Intuition, empathy, collaboration, humor and genuine compassion are the strengths I have from 25+ years in practice. I utilize an eclectic approach including: insight oriented, developmental, cognitive-behavioral, mindfulness, supportive therapy, Emotional Freedom Techniques (EFT). I am only able to see clients in New York State.
(585) 431-1327 View (585) 431-1327
Photo of Rebecca M English - Rebecca English Counseling, LCSW, Clinical Social Work/Therapist
Rebecca English Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Greece, NY 14616
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
(585) 228-0163 View (585) 228-0163
Photo of Tashae Williams, LMHC, Counselor
Tashae Williams
Counselor, LMHC
Verified Verified
Rochester, NY 14616  (Online Only)
Welcome! Whether it's your first time in counseling or you're seeking a new provider, prioritizing your mental health is something to be proud of. My name is Tashae and I am a Licensed Mental Health Counselor with experience working with clients to address mental health concerns ranging from depression and trauma to a variety of sexual issues of concerns. With over 8 years in human services, I understand that a holistic approach to treatment allows us to work together to achieve optimal results. It is my hope that through our partnership, you are able to reach all identified goals so you can live your best life.
Welcome! Whether it's your first time in counseling or you're seeking a new provider, prioritizing your mental health is something to be proud of. My name is Tashae and I am a Licensed Mental Health Counselor with experience working with clients to address mental health concerns ranging from depression and trauma to a variety of sexual issues of concerns. With over 8 years in human services, I understand that a holistic approach to treatment allows us to work together to achieve optimal results. It is my hope that through our partnership, you are able to reach all identified goals so you can live your best life.
(585) 488-3189 View (585) 488-3189
Photo of Leticia Ruiz, LMSW, Clinical Social Work/Therapist
Leticia Ruiz
Clinical Social Work/Therapist, LMSW
Verified Verified
Greece, NY 14616  (Online Only)
Life can be so stressful and difficult to manage, especially if you feel anxious, depressed, have suffered a loss or just feel unsatisfied in life. Having these emotions and feelings can impact work, relationships and have you feeling disconnected. Things can get better. I have worked for over 30 years helping people find a “life worth living”, supporting and helping people to learn different ways of thinking and coping. I know you want to feel better and more connected… you deserve it!
Life can be so stressful and difficult to manage, especially if you feel anxious, depressed, have suffered a loss or just feel unsatisfied in life. Having these emotions and feelings can impact work, relationships and have you feeling disconnected. Things can get better. I have worked for over 30 years helping people find a “life worth living”, supporting and helping people to learn different ways of thinking and coping. I know you want to feel better and more connected… you deserve it!
(585) 332-4103 View (585) 332-4103
Photo of Kelly Kreider, MSW, Pre-Licensed Professional
Kelly Kreider
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Greece, NY 14616
Welcome! I am passionate about working with children, adolescents, and families that are experiencing trauma symptoms and disruptive behaviors. I work in partnership with the client (and parents, if applicable) in order to meet therapeutic goals and live a more holistically healthy life. I strive to create a safe and supportive environment for my clients, where we work together to meet the goals you have set. I have worked in a variety of settings with children/families who have had traumatic experiences - I am passionate about working in tandem with my clients to help them thrive in life, despite past/current circumstances.
Welcome! I am passionate about working with children, adolescents, and families that are experiencing trauma symptoms and disruptive behaviors. I work in partnership with the client (and parents, if applicable) in order to meet therapeutic goals and live a more holistically healthy life. I strive to create a safe and supportive environment for my clients, where we work together to meet the goals you have set. I have worked in a variety of settings with children/families who have had traumatic experiences - I am passionate about working in tandem with my clients to help them thrive in life, despite past/current circumstances.
(585) 536-1406 View (585) 536-1406
Photo of Stephanie Taylor Padgham, LMSW
Stephanie Taylor Padgham
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Greece, NY 14616
Life gets hard, and sometimes you just need a little guidance to navigate through life's absurdity. I'm here to help you peel off those layers of societal expectations and find your true, unapologetic self. Think of me as your cheerleader, coach, and sarcastic best friend all rolled into one. Let's ditch the fake smiles and embrace the beautiful chaos of being authentically you. Together, we'll laugh, cry, and probably make terrible puns along the way. I am deeply committed to creating a safe and supportive space for my clients to explore their experiences and work toward growth and healing.
Life gets hard, and sometimes you just need a little guidance to navigate through life's absurdity. I'm here to help you peel off those layers of societal expectations and find your true, unapologetic self. Think of me as your cheerleader, coach, and sarcastic best friend all rolled into one. Let's ditch the fake smiles and embrace the beautiful chaos of being authentically you. Together, we'll laugh, cry, and probably make terrible puns along the way. I am deeply committed to creating a safe and supportive space for my clients to explore their experiences and work toward growth and healing.
(585) 502-9349 View (585) 502-9349
Photo of Keegan Johnston, MS, LMHC, Counselor
Keegan Johnston
Counselor, MS, LMHC
Verified Verified
Greece, NY 14616
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
(585) 632-8257 View (585) 632-8257

See more therapy options for 14616

How does your Therapist compare?

Number of Therapists in 14616

20+

Average cost per session

$110

Therapists in 14616 who prioritize treating:

100% Anxiety
86% Depression
86% Self Esteem
81% Coping Skills
71% Relationship Issues
71% Stress
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

88% Cigna and Evernorth
82% Aetna
82% UnitedHealthcare UHC | UBH

How Therapists in 14616 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 14616?

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.