Photo of Roshanda L Neal - Transforming Lives Counseling Service, LLC, MA, LPC, Licensed Professional Counselor
Transforming Lives Counseling Service, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
(314) 628-8175 View (314) 628-8175
Photo of Rynn Wyrick, LPC, NCC, Licensed Professional Counselor
Rynn Wyrick
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63101
Waitlist for new clients
I specialize in offering trauma-informed therapy to LGBTQIA+ and neurodivergent adults residing in Missouri. As a queer and trans individual myself, my focus is on co-creating a safe and affirming environment for folks to thrive. I hold space for clients to explore and process their experiences of grief, complex trauma, and challenges stemming from the impacts of living in a traumatic and oppressive society. I particularly enjoy working with queer and neurodiverse individuals who are interested in taking a more deliberate approach to their personal growth and who wish to develop a deeper connection with themselves and their bodies.
I specialize in offering trauma-informed therapy to LGBTQIA+ and neurodivergent adults residing in Missouri. As a queer and trans individual myself, my focus is on co-creating a safe and affirming environment for folks to thrive. I hold space for clients to explore and process their experiences of grief, complex trauma, and challenges stemming from the impacts of living in a traumatic and oppressive society. I particularly enjoy working with queer and neurodiverse individuals who are interested in taking a more deliberate approach to their personal growth and who wish to develop a deeper connection with themselves and their bodies.
(314) 970-3579 View (314) 970-3579
Photo of Lezley Stehlick, MS, LPC, Licensed Professional Counselor
Lezley Stehlick
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
I am an approved supervisor for those seeking their LPC licensure and have counseled in different capacities for years. Stuck? Overwhelmed? Or just kind of Blah? Let’s dive in. I am passionate about exploring this with you in hopes to find what is keeping you down, while finding healing in areas you did not realize were there.
I am an approved supervisor for those seeking their LPC licensure and have counseled in different capacities for years. Stuck? Overwhelmed? Or just kind of Blah? Let’s dive in. I am passionate about exploring this with you in hopes to find what is keeping you down, while finding healing in areas you did not realize were there.
(636) 205-8030 View (636) 205-8030
Photo of Cal Spinks - Quantum Consulting Group LLC, EdD
Quantum Consulting Group LLC
EdD
Verified Verified
Saint Louis, MO 63101
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
(314) 208-2320 View (314) 208-2320
Photo of Raymond L Scott - Raymond L. Scott, Ph.D., PhD, Psychologist
Raymond L. Scott, Ph.D.
Psychologist, PhD
Verified Verified
Saint Louis, MO 63101
As a licensed clinical psychologist, I administer, interpret, and prepare culturally sensitive reports based on psychological test data. Cultural considerations play a crucial role in understanding an individual’s beliefs, learning styles, educational attainment, and values and which provide a foundation for her or his pursue of happiness, attainment of career success, and development of a sense of purpose and situatedness. I conduct aptitude and achievement evaluations, assessments to evaluate an individual’s intellectual and emotional intelligence, assessments to evaluate an individual’s personality and social functioning.
As a licensed clinical psychologist, I administer, interpret, and prepare culturally sensitive reports based on psychological test data. Cultural considerations play a crucial role in understanding an individual’s beliefs, learning styles, educational attainment, and values and which provide a foundation for her or his pursue of happiness, attainment of career success, and development of a sense of purpose and situatedness. I conduct aptitude and achievement evaluations, assessments to evaluate an individual’s intellectual and emotional intelligence, assessments to evaluate an individual’s personality and social functioning.
(314) 260-9040 View (314) 260-9040
Lifeline Medical Center- LC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63101
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
(573) 641-8410 View (573) 641-8410
Photo of Brittany A. Martin, LCSW, Clinical Social Work/Therapist
Brittany A. Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63101  (Online Only)
Taking the steps to locate and secure a therapist are not easy. You’ve probably been through some tough challenges that have brought you to this place today. However, you don’t have to navigate the hardships of life on your own. Allow me to help you build the skills you need to tap into your own resilience and create lasting changes!
Taking the steps to locate and secure a therapist are not easy. You’ve probably been through some tough challenges that have brought you to this place today. However, you don’t have to navigate the hardships of life on your own. Allow me to help you build the skills you need to tap into your own resilience and create lasting changes!
(314) 742-7182 View (314) 742-7182
Photo of Timika Edwards - TSE Psychological Services, MA, PhD, Psychologist
TSE Psychological Services
Psychologist, MA, PhD
Verified Verified
Saint Louis, MO 63101  (Online Only)
As a dedicated counseling psychologist, my mission is to guide individuals on their unique paths to mental and emotional well-being. With a compassionate and non-judgmental approach, I create a safe space for clients to explore their thoughts and feelings. Drawing from evidence-based practices, I tailor therapeutic interventions to meet individual needs, empowering clients to navigate life's challenges. I work to foster a collaborative and trusting therapeutic relationship. I believe in helping my clients transcend past concerns, strengthen their abilities to ultimately empower themselves during life's journey.
As a dedicated counseling psychologist, my mission is to guide individuals on their unique paths to mental and emotional well-being. With a compassionate and non-judgmental approach, I create a safe space for clients to explore their thoughts and feelings. Drawing from evidence-based practices, I tailor therapeutic interventions to meet individual needs, empowering clients to navigate life's challenges. I work to foster a collaborative and trusting therapeutic relationship. I believe in helping my clients transcend past concerns, strengthen their abilities to ultimately empower themselves during life's journey.
(314) 350-7212 View (314) 350-7212
Photo of Alicia Michelle Collier, MA, LPC, LCPC, Licensed Professional Counselor
Alicia Michelle Collier
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
(618) 508-4891 View (618) 508-4891
Photo of Ashley Bonner, MSW, LCSW, Clinical Social Work/Therapist
Ashley Bonner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63101  (Online Only)
I’m Ashley, a trauma-informed therapist in St. Louis, Missouri, with a passion for supporting individuals and families. I earned my Master of Social Work degree from Washington University in St. Louis’ George Warren Brown School of Social Work, where my concentration was children, youth and families. My therapeutic methods include Play Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and mindfulness practices. I’m also working toward play therapy certification. I believe every human being has the power within to overcome fear, anxiety and other obstacles preventing us from reaching our full potential.
I’m Ashley, a trauma-informed therapist in St. Louis, Missouri, with a passion for supporting individuals and families. I earned my Master of Social Work degree from Washington University in St. Louis’ George Warren Brown School of Social Work, where my concentration was children, youth and families. My therapeutic methods include Play Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and mindfulness practices. I’m also working toward play therapy certification. I believe every human being has the power within to overcome fear, anxiety and other obstacles preventing us from reaching our full potential.
(314) 804-1817 View (314) 804-1817
Photo of William Arrington, LPC, NCC, Licensed Professional Counselor
William Arrington
Licensed Professional Counselor, LPC, NCC
Verified Verified
Saint Louis, MO 63101
Perhaps you're in a relationship, family, or job where everything is always your fault. You're made to feel not good enough, that you have to try harder despite the other never taking accountability. You have difficulty expressing yourself in fear of the other person throwing it back in your face. Perhaps this mounting pressure from those relationships have made you give up, anxious, or just feel stuck. You don't know who you are anymore—you’ve been told how to think and feel. You may feel like you’re in a fog or just don’t know how to get back on track to the way things used to be.
Perhaps you're in a relationship, family, or job where everything is always your fault. You're made to feel not good enough, that you have to try harder despite the other never taking accountability. You have difficulty expressing yourself in fear of the other person throwing it back in your face. Perhaps this mounting pressure from those relationships have made you give up, anxious, or just feel stuck. You don't know who you are anymore—you’ve been told how to think and feel. You may feel like you’re in a fog or just don’t know how to get back on track to the way things used to be.
(314) 907-0747 View (314) 907-0747
Photo of LaTrece M Smith, MBA, MSW, LCSW, Clinical Social Work/Therapist
LaTrece M Smith
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
Saint Louis, MO 63101
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
(314) 947-4059 View (314) 947-4059
Photo of Dr. Cherie L Swingler, PhD, LPC, Licensed Professional Counselor
Dr. Cherie L Swingler
Licensed Professional Counselor, PhD, LPC
Verified Verified
Saint Louis, MO 63101
My name is Dr. Chérie Swingler, and I am a Licensed Professional Counselor (LPC) in Missouri. I have over 12 years experience working in the arena of counseling and therapeutic services. Much of my education and work experience has been focused on issues related to careers/education, anxiety, anger management, depression, trauma, ADHD and relationship/family conflicts.
My name is Dr. Chérie Swingler, and I am a Licensed Professional Counselor (LPC) in Missouri. I have over 12 years experience working in the arena of counseling and therapeutic services. Much of my education and work experience has been focused on issues related to careers/education, anxiety, anger management, depression, trauma, ADHD and relationship/family conflicts.
(314) 916-6014 View (314) 916-6014
Photo of Calvin E. Spinks - Quantum Consulting Group LLC, EdD, LPC, NCC, BC-THC, Counselor
Quantum Consulting Group LLC
Counselor, EdD, LPC, NCC, BC-THC
Verified Verified
Saint Louis, MO 63101  (Online Only)
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
(314) 208-2718 View (314) 208-2718
Photo of Jaimeson Campbell, LPC, Licensed Professional Counselor
Jaimeson Campbell
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
This isn’t what you expected. You were told parenthood would be a “magical journey” but right now it feels like anything but. Maybe you’re feeling hopeless on your journey through infertility, drowning in grief following a loss, dealing with prenatal anxiety and depression, struggling to cope with experiencing birth trauma, or trying to survive that first year postpartum (because whoever said everything will be hunky dory at 6 weeks was clearly misinformed). I get it and you are not alone.
This isn’t what you expected. You were told parenthood would be a “magical journey” but right now it feels like anything but. Maybe you’re feeling hopeless on your journey through infertility, drowning in grief following a loss, dealing with prenatal anxiety and depression, struggling to cope with experiencing birth trauma, or trying to survive that first year postpartum (because whoever said everything will be hunky dory at 6 weeks was clearly misinformed). I get it and you are not alone.
(636) 238-2725 View (636) 238-2725
Photo of Joelleen Lowe, LPC, MA, Licensed Professional Counselor
Joelleen Lowe
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Saint Louis, MO 63101  (Online Only)
Do you need to find peace of mind, calm? Are you ready to find a sense of happiness in your life, enhance your career abilities, improve relationships or let go of past emotional baggage? I help people learn to manage stress more effectively, improve relationships, set healthy boundaries, learn new coping skills, rewire old ways of thinking/feeling, and resolve any past events that are still weighing you down. I help people overcome PTSD, anxiety and depression. Ask about EMDR intensives - one large block of EMDR to overcome a significant portion of trauma in one session (requires self-pay for intensives only).
Do you need to find peace of mind, calm? Are you ready to find a sense of happiness in your life, enhance your career abilities, improve relationships or let go of past emotional baggage? I help people learn to manage stress more effectively, improve relationships, set healthy boundaries, learn new coping skills, rewire old ways of thinking/feeling, and resolve any past events that are still weighing you down. I help people overcome PTSD, anxiety and depression. Ask about EMDR intensives - one large block of EMDR to overcome a significant portion of trauma in one session (requires self-pay for intensives only).
(417) 487-4119 View (417) 487-4119
Photo of Ken Ovitz, LCSW, CSAT, CMAT, Clinical Social Work/Therapist
Ken Ovitz
Clinical Social Work/Therapist, LCSW, CSAT, CMAT
Verified Verified
Saint Louis, MO 63101
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
(856) 651-6640 View (856) 651-6640
Photo of Siobhan McCullough, LCPC, NCC, BC-TMH, CCTP
Siobhan McCullough
LCPC, NCC, BC-TMH, CCTP
Verified Verified
1 Endorsed
Saint Louis, MO 63101  (Online Only)
Not accepting new clients
Are you having a hard time juggling the different stressors in your life, unsure of how to cope with life’s hurdles, or feel overwhelmed or at the lowest point in your life? Once we slowly navigate together through the possible apprehension and nervousness about starting therapy, we will work together to help you to feel more confident, able to manage stress a lot easier, and have a stronger relationship with your emotions and internal processes. I'm Siobhan (pronounced Sha-von) and I'm so glad you're here. Finding the right counselor fit can be a game changer for those seeking counseling services.
Are you having a hard time juggling the different stressors in your life, unsure of how to cope with life’s hurdles, or feel overwhelmed or at the lowest point in your life? Once we slowly navigate together through the possible apprehension and nervousness about starting therapy, we will work together to help you to feel more confident, able to manage stress a lot easier, and have a stronger relationship with your emotions and internal processes. I'm Siobhan (pronounced Sha-von) and I'm so glad you're here. Finding the right counselor fit can be a game changer for those seeking counseling services.
(815) 242-5450 View (815) 242-5450
Photo of Ken Ovitz, LCSW, CSAT, Clinical Social Work/Therapist
Ken Ovitz
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
Saint Louis, MO 63101  (Online Only)
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
(301) 381-4439 View (301) 381-4439
Photo of Nick T Butcher, MA, LPC-MO, LCPC-KS, Licensed Professional Counselor
Nick T Butcher
Licensed Professional Counselor, MA, LPC-MO, LCPC-KS
Verified Verified
1 Endorsed
Saint Louis, MO 63101
If you are reading this right now, then you are likely exploring change of some kind in your life. It's not uncommon for someone to explore change if they are experiencing troublesome thoughts, feelings or behaviors. These may be the result of feeling overstimulated, mentally blocked, stuck or even paralyzed by a problem, trauma, belief, or struggle with identity. It can be difficult to think of or put into words what it is that we really want and why. I would like to help in this process.
If you are reading this right now, then you are likely exploring change of some kind in your life. It's not uncommon for someone to explore change if they are experiencing troublesome thoughts, feelings or behaviors. These may be the result of feeling overstimulated, mentally blocked, stuck or even paralyzed by a problem, trauma, belief, or struggle with identity. It can be difficult to think of or put into words what it is that we really want and why. I would like to help in this process.
(816) 624-2754 View (816) 624-2754

How does your Therapist compare?

Number of Therapists in 63101

100+

Average cost per session

$127

Therapists in 63101 who prioritize treating:

95% Anxiety
83% Depression
70% Self Esteem
69% Relationship Issues
65% Trauma and PTSD
57% Coping Skills
57% Stress

Average years in practice

11 Years

Top 3 insurances accepted

81% UnitedHealthcare UHC | UBH
69% Aetna
69% Cigna and Evernorth

How Therapists in 63101 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63101?

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.