Therapists in Astoria, NY

Photo of Maria Constantinou - Lifespan Wellness Marriage & Family Therapy, PLLC, LMFT, MHC, Marriage & Family Therapist
Lifespan Wellness Marriage & Family Therapy, PLLC
Marriage & Family Therapist, LMFT, MHC
Verified Verified
Astoria, NY 11106
As a Licensed Marriage and Family Therapist (LMFT) I begin each therapeutic connection with getting to know you and the areas of your life, and together we will conceptualize your life through a biopsychosocial-spiritual lens and how these elements interact with each other and affect your overall wellbeing. I use a personal style that blends humor, creativity, sensitivity, sensibility, and evidence-based short term, measureable, attainable, realistic, and timely (SMART) strategies to help you grow in your areas of life and relationships and achieve your identified goals.
As a Licensed Marriage and Family Therapist (LMFT) I begin each therapeutic connection with getting to know you and the areas of your life, and together we will conceptualize your life through a biopsychosocial-spiritual lens and how these elements interact with each other and affect your overall wellbeing. I use a personal style that blends humor, creativity, sensitivity, sensibility, and evidence-based short term, measureable, attainable, realistic, and timely (SMART) strategies to help you grow in your areas of life and relationships and achieve your identified goals.
(917) 615-0597 View (917) 615-0597
Photo of Mika Lee - Mika Lee - Creative Arts Psychotherapy, MA, RDT, LCAT
Mika Lee - Creative Arts Psychotherapy
Creative Arts Therapist, MA, RDT, LCAT
Verified Verified
2 Endorsed
Astoria, NY 11106  (Online Only)
Mika Lee, LCAT, RDT is an experienced, bilingual (Mandarin/English) psychotherapist, trained in counseling psychology and creative arts therapy, specialized in using a client-centered, attachment and dynamic based approach, combining with a variety creative arts therapy modalities. She aims at building a culturally-sensitive and safe holding space for her clients to freely explore themselves and to promote inner growth, self-awareness and creative coping. Mika has an extensive clinical experience (12 years and counting) working as a clinician and clinical supervisor both in New York City and Taiwan in a variety of clinical settings,
Mika Lee, LCAT, RDT is an experienced, bilingual (Mandarin/English) psychotherapist, trained in counseling psychology and creative arts therapy, specialized in using a client-centered, attachment and dynamic based approach, combining with a variety creative arts therapy modalities. She aims at building a culturally-sensitive and safe holding space for her clients to freely explore themselves and to promote inner growth, self-awareness and creative coping. Mika has an extensive clinical experience (12 years and counting) working as a clinician and clinical supervisor both in New York City and Taiwan in a variety of clinical settings,
(929) 467-7689 View (929) 467-7689
Photo of Gina Malatesta, LCSW, Clinical Social Work/Therapist
Gina Malatesta
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11105  (Online Only)
Hello! I am a social worker with 10 years of experience and have an extensive background working with children, adolescents and families that may be facing one or many life stressors. I have worked with those experiencing anxiety, depression, trauma, self-esteem, school stressors and divorce, amongst other concerns youth are going through. I am passionate about building positive therapeutic relationships and supporting your child be the best version of themselves that they can be.
Hello! I am a social worker with 10 years of experience and have an extensive background working with children, adolescents and families that may be facing one or many life stressors. I have worked with those experiencing anxiety, depression, trauma, self-esteem, school stressors and divorce, amongst other concerns youth are going through. I am passionate about building positive therapeutic relationships and supporting your child be the best version of themselves that they can be.
(929) 460-2036 View (929) 460-2036
Photo of Janet Arroyo - Arroyo Mental Health Counseling Services, MS-Ed, LMHC, Counselor
Arroyo Mental Health Counseling Services
Counselor, MS-Ed, LMHC
Verified Verified
Astoria, NY 11102  (Online Only)
Are you feeling stuck, lost, helpless or struggling with bouts of anxiety and/or depression? If so give me a call so I can help you ease your burden. I can help provide the tools and support to help move you through the suffering and pain. I work with children, teens, adults and families treating a variety of psychological difficulties such as anxiety, depression, PTSD, ADHD and behavioral issues.
Are you feeling stuck, lost, helpless or struggling with bouts of anxiety and/or depression? If so give me a call so I can help you ease your burden. I can help provide the tools and support to help move you through the suffering and pain. I work with children, teens, adults and families treating a variety of psychological difficulties such as anxiety, depression, PTSD, ADHD and behavioral issues.
(929) 251-9354 View (929) 251-9354
Photo of Sebastian J Shaw, LCSW, Clinical Social Work/Therapist
Sebastian J Shaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11102
Waitlist for new clients
"We're all just walking each other home" -Ram Dass. My therapeutic approach provides a safe, nonjudgmental environment that meets clients where they are at. As we work together clients are able to increase their internal awareness, accomplish goals, and improve their lives. I have a great deal of experience with clients who have experienced trauma, depression, anxiety, as well as those with substance use problems.
"We're all just walking each other home" -Ram Dass. My therapeutic approach provides a safe, nonjudgmental environment that meets clients where they are at. As we work together clients are able to increase their internal awareness, accomplish goals, and improve their lives. I have a great deal of experience with clients who have experienced trauma, depression, anxiety, as well as those with substance use problems.
(347) 454-7472 View (347) 454-7472
Photo of Ryan Lowell, LMHC, Counselor
Ryan Lowell
Counselor, LMHC
Verified Verified
Astoria, NY 11105  (Online Only)
My treatment focus lies in grief work, relationship issues, general anxiety/depressive symptoms, and issues related to substance use. I enjoy watching clients grow session after session, becoming more confident in themselves, and increasing their overall self-worth and appreciation for everything in their lives. I tailor my treatment style and approach towards the needs of my clients, based on what they would like to accomplish.
My treatment focus lies in grief work, relationship issues, general anxiety/depressive symptoms, and issues related to substance use. I enjoy watching clients grow session after session, becoming more confident in themselves, and increasing their overall self-worth and appreciation for everything in their lives. I tailor my treatment style and approach towards the needs of my clients, based on what they would like to accomplish.
(929) 822-6951 View (929) 822-6951
Photo of Julia Louise Vitrano, LCSW, Clinical Social Work/Therapist
Julia Louise Vitrano
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11105  (Online Only)
I firmly believe in the power of processing life events, the value of gentle confrontation, and treating the therapeutic relationship as a symbolic entity of all relationships which proceeded it. Whether you are seeking therapy for a child/adolescent, an emerging/young adult, or a family, I will encourage you to explore the parts of "the self" that need addressing and understanding. This will help in building a healthier future with less conflict for both you and your loved ones.
I firmly believe in the power of processing life events, the value of gentle confrontation, and treating the therapeutic relationship as a symbolic entity of all relationships which proceeded it. Whether you are seeking therapy for a child/adolescent, an emerging/young adult, or a family, I will encourage you to explore the parts of "the self" that need addressing and understanding. This will help in building a healthier future with less conflict for both you and your loved ones.
(929) 930-4490 View (929) 930-4490
Photo of Sonia Lasmin, MHC-LP
Sonia Lasmin
MHC-LP
Verified Verified
Astoria, NY 11106
Taking the courageous step to seek counseling is an important decision, and finding a counselor with whom you can trust and connect is vital. As a Psychotherapist, I prioritize empathy, trust, and creating a non-judgmental environment for my clients.
Taking the courageous step to seek counseling is an important decision, and finding a counselor with whom you can trust and connect is vital. As a Psychotherapist, I prioritize empathy, trust, and creating a non-judgmental environment for my clients.
(332) 239-6726 View (332) 239-6726
Photo of Ambar Ortiz, LMSW, Clinical Social Work/Therapist
Ambar Ortiz
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Astoria, NY 11103
If you have made it this far, I commend you for your courage. Seeking support is a huge step! The longer I’ve lived, the more I’ve understood that life brings both joy and pain, success and failure, beginnings and endings, and this duality can often bring dissonance within us, as we work to make meaning of it all. Healing and wellness are deeply personal to everyone’s journey, and I aim to honor your diverse life experiences through this work. On this journey, we’ll co-create an environment where you can be free to explore who you are, your needs, your values, and the priorities for your life in a safe space.
If you have made it this far, I commend you for your courage. Seeking support is a huge step! The longer I’ve lived, the more I’ve understood that life brings both joy and pain, success and failure, beginnings and endings, and this duality can often bring dissonance within us, as we work to make meaning of it all. Healing and wellness are deeply personal to everyone’s journey, and I aim to honor your diverse life experiences through this work. On this journey, we’ll co-create an environment where you can be free to explore who you are, your needs, your values, and the priorities for your life in a safe space.
(718) 957-1949 View (718) 957-1949
Photo of Keirstin D Zahirovic, LCSW, Clinical Social Work/Therapist
Keirstin D Zahirovic
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11105  (Online Only)
Waitlist for new clients
I have been a therapist in New York for over 21 years, supporting wide range of diverse and marginalized populations. In my private practice I specialize in treating adults who are having difficulties due to trauma, addiction or mood disorders that impact their ability to fully engage in life. Substance abuse, gambling, food and sex addiction are part of my specialties. I believe that there is more than one approach in treating addiction. I am a strong believer in talk therapy and the therapeutic process.
I have been a therapist in New York for over 21 years, supporting wide range of diverse and marginalized populations. In my private practice I specialize in treating adults who are having difficulties due to trauma, addiction or mood disorders that impact their ability to fully engage in life. Substance abuse, gambling, food and sex addiction are part of my specialties. I believe that there is more than one approach in treating addiction. I am a strong believer in talk therapy and the therapeutic process.
(646) 832-2492 View (646) 832-2492
Photo of Georgia Trimikliniotis, MSEd, LMHC, Counselor
Georgia Trimikliniotis
Counselor, MSEd, LMHC
Verified Verified
1 Endorsed
Astoria, NY 11102  (Online Only)
Waitlist for new clients
Finding a therapist to start the journey toward healing can be scary, but it does not have to be. Through therapy together we can work towards achieving your goal in a safe, compassionate, and authentic environment. Our feelings can shed light on understanding the complexities of our lives and situations. Often emotions are layered, causing us to feel lost, confused, anxious, and even powerless. Life changes can occur without a formal "heads up" whether it's starting something new like a career, school, or relationship or even parenting can feel daunting without the proper support.
Finding a therapist to start the journey toward healing can be scary, but it does not have to be. Through therapy together we can work towards achieving your goal in a safe, compassionate, and authentic environment. Our feelings can shed light on understanding the complexities of our lives and situations. Often emotions are layered, causing us to feel lost, confused, anxious, and even powerless. Life changes can occur without a formal "heads up" whether it's starting something new like a career, school, or relationship or even parenting can feel daunting without the proper support.
(332) 239-6586 View (332) 239-6586
Photo of Arianna Argotte, MA, LMHC, Counselor
Arianna Argotte
Counselor, MA, LMHC
Verified Verified
Astoria, NY 11103  (Online Only)
Past, painful experiences are a regular part of the human experience. When those experiences are unexplored and unresolved, they can feel overwhelmingly heavy. They can also be a part of your present; informing your relationships, unhealthy habits, and influencing the way you cope with difficult situations. This can leave you feeling alone, unfulfilled, and disconnected from your life. Therapy is a place where it is safe to unpack these painful experiences and process them in a non-judgmental, compassionate environment.
Past, painful experiences are a regular part of the human experience. When those experiences are unexplored and unresolved, they can feel overwhelmingly heavy. They can also be a part of your present; informing your relationships, unhealthy habits, and influencing the way you cope with difficult situations. This can leave you feeling alone, unfulfilled, and disconnected from your life. Therapy is a place where it is safe to unpack these painful experiences and process them in a non-judgmental, compassionate environment.
(929) 481-5098 View (929) 481-5098
Photo of Brooke Marlin, LCSW, Clinical Social Work/Therapist
Brooke Marlin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Astoria, NY 11103
Not accepting new clients
Please note, the fastest way to contact me is via my website. I am a Licensed Clinical Social Worker who specializes in working with children and parents. I work with children at all stages of development from infancy to adolescence. My approach is to build a partnership with caregivers, based on non-judgement and appreciation of diverse cultural values. Through the use of play therapy, I create a safe environment in which children can express their emotions freely, and we can begin to address any areas of tension or distress.
Please note, the fastest way to contact me is via my website. I am a Licensed Clinical Social Worker who specializes in working with children and parents. I work with children at all stages of development from infancy to adolescence. My approach is to build a partnership with caregivers, based on non-judgement and appreciation of diverse cultural values. Through the use of play therapy, I create a safe environment in which children can express their emotions freely, and we can begin to address any areas of tension or distress.
(646) 859-0258 View (646) 859-0258
Photo of Nuna Eboe, Coach, Pre-Licensed Professional
Nuna Eboe
Pre-Licensed Professional, Coach
Verified Verified
Astoria, NY 11106  (Online Only)
I am relationship & therapeutic coach, & prioritize the client/coach relationship. You may be facing challenges like anxiety, depression, &/or navigating relationships & belong to a marginalized community—LGBTQIA+, immigrant, sex worker, or in a non-traditional relationship—seeking a coach who genuinely cares for & respects your unique experiences. Here you'll find a safe, affirming space where you can explore your identity, confront personal challenges, & work towards mental & emotional well-being. Welcoming adult individuals, couples, triads, quads, polycules.
I am relationship & therapeutic coach, & prioritize the client/coach relationship. You may be facing challenges like anxiety, depression, &/or navigating relationships & belong to a marginalized community—LGBTQIA+, immigrant, sex worker, or in a non-traditional relationship—seeking a coach who genuinely cares for & respects your unique experiences. Here you'll find a safe, affirming space where you can explore your identity, confront personal challenges, & work towards mental & emotional well-being. Welcoming adult individuals, couples, triads, quads, polycules.
(718) 550-4193 View (718) 550-4193
Photo of Malka Belgrod, LCSW, Clinical Social Work/Therapist
Malka Belgrod
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Astoria, NY 11105  (Online Only)
Hi! How are you feeling today? Is something impacting your daily life and functioning? Are you struggling at work, in your relationships, or in other aspects of your life? Is there something you want to change but need help getting started? Is there something you've struggled with for a long time and need to find a new approach? Are you grieving the loss of a loved one? I'm here to help you through it all! I received a Master's in Social Work as well as a post graduate Certificate in Trauma Studies from Adelphi University and utilize different modalities such as CBT, DBT, and The Gottman Method for couples counseling.
Hi! How are you feeling today? Is something impacting your daily life and functioning? Are you struggling at work, in your relationships, or in other aspects of your life? Is there something you want to change but need help getting started? Is there something you've struggled with for a long time and need to find a new approach? Are you grieving the loss of a loved one? I'm here to help you through it all! I received a Master's in Social Work as well as a post graduate Certificate in Trauma Studies from Adelphi University and utilize different modalities such as CBT, DBT, and The Gottman Method for couples counseling.
(718) 550-3854 View (718) 550-3854
Photo of Kaitlyn Clifford, LCSW, Clinical Social Work/Therapist
Kaitlyn Clifford
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Astoria, NY 11105  (Online Only)
Hey, I’m Kait! I’m excited to help you navigate life’s twists and turns. Think of me as your co-pilot on this journey, creating a warm and supportive space where we can tackle challenges together (and I promise to let you pick the playlist). Whether you're facing life transitions, anxiety, depression, relationship issues, or healing from trauma, I’m here for you. My goal is to foster an environment filled with warmth, security, and a bit of humor, so you feel safe being your authentic self. Together, we’ll face whatever life throws your way, and I’ll be cheering you on as you build the confidence to tackle future challenges.
Hey, I’m Kait! I’m excited to help you navigate life’s twists and turns. Think of me as your co-pilot on this journey, creating a warm and supportive space where we can tackle challenges together (and I promise to let you pick the playlist). Whether you're facing life transitions, anxiety, depression, relationship issues, or healing from trauma, I’m here for you. My goal is to foster an environment filled with warmth, security, and a bit of humor, so you feel safe being your authentic self. Together, we’ll face whatever life throws your way, and I’ll be cheering you on as you build the confidence to tackle future challenges.
(646) 982-3421 View (646) 982-3421
Photo of Amy Afua Smith, LCSW, MSW, Clinical Social Work/Therapist
Amy Afua Smith
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Astoria, NY 11105
The only journey is the one within.” — Rainer Maria Rilke Welcome! My name is Amy Afua Smith and I am a Licensed Clinical Social Worker (LCSW). I exemplify authenticity and compassion throughout my daily life. Over my career as a licensed clinical social worker, I have dedicated myself to providing excellence in care to those in need, especially those from low income or underserved communities. I assist with problem-solving and managing challenges related to work-life balance.
The only journey is the one within.” — Rainer Maria Rilke Welcome! My name is Amy Afua Smith and I am a Licensed Clinical Social Worker (LCSW). I exemplify authenticity and compassion throughout my daily life. Over my career as a licensed clinical social worker, I have dedicated myself to providing excellence in care to those in need, especially those from low income or underserved communities. I assist with problem-solving and managing challenges related to work-life balance.
(646) 956-3795 View (646) 956-3795
Photo of Catherine Shenoy, LCSW, CASAC-T, Clinical Social Work/Therapist
Catherine Shenoy
Clinical Social Work/Therapist, LCSW, CASAC-T
Verified Verified
1 Endorsed
Astoria, NY 11105  (Online Only)
I am a Licensed Clinical Social Worker practicing in New York State, and I am prepared to collaborate with you as we set and work towards your therapeutic goals. I work with children, adolescents, adults, couples and families. Perhaps your child is displaying anti-social behaviors or expressing feelings of anxiety or depression. Or maybe your teenager needs a safe space with a trusted adult to explore their identity. Therapy is a space where all people can safely express all parts of themselves without judgment. They may also learn new coping skills that can help them navigate school, friendships, and more.
I am a Licensed Clinical Social Worker practicing in New York State, and I am prepared to collaborate with you as we set and work towards your therapeutic goals. I work with children, adolescents, adults, couples and families. Perhaps your child is displaying anti-social behaviors or expressing feelings of anxiety or depression. Or maybe your teenager needs a safe space with a trusted adult to explore their identity. Therapy is a space where all people can safely express all parts of themselves without judgment. They may also learn new coping skills that can help them navigate school, friendships, and more.
(646) 503-0763 View (646) 503-0763
Photo of Carolyn Esposito, LMHC, NCC, Counselor
Carolyn Esposito
Counselor, LMHC, NCC
Verified Verified
3 Endorsed
Astoria, NY 11102  (Online Only)
Not accepting new clients
The therapeutic process allows individuals to share their story in a safe, healing environment. I believe that everyone has a unique story that deserves to be heard. My priority is to make therapy a safe place for my clients to express their genuine thoughts and feelings, without fear of judgement.
The therapeutic process allows individuals to share their story in a safe, healing environment. I believe that everyone has a unique story that deserves to be heard. My priority is to make therapy a safe place for my clients to express their genuine thoughts and feelings, without fear of judgement.
(646) 666-7595 View (646) 666-7595
Photo of Jennifer M Haus, LCSW, CH, Clinical Social Work/Therapist
Jennifer M Haus
Clinical Social Work/Therapist, LCSW, CH
Verified Verified
Astoria, NY 11105  (Online Only)
Not accepting new clients
Life has many challenges, and we live in a world that tends to make us feel abnormal if we aren't happy all of the time. Psychotherapy provides an opportunity to heal and accept ourselves. Maybe you are feeling out of balance with the pressures of work and/ or personal relationships. Maybe anxiety and stress are causing you to lose sleep, feel depressed and/or to act out with excessive behaviors such as drinking too much or overeating. Maybe you can't control or stop a behavior that causes you shame or regret.
Life has many challenges, and we live in a world that tends to make us feel abnormal if we aren't happy all of the time. Psychotherapy provides an opportunity to heal and accept ourselves. Maybe you are feeling out of balance with the pressures of work and/ or personal relationships. Maybe anxiety and stress are causing you to lose sleep, feel depressed and/or to act out with excessive behaviors such as drinking too much or overeating. Maybe you can't control or stop a behavior that causes you shame or regret.
(646) 759-9541 View (646) 759-9541
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How does your Therapist compare?

Number of Therapists in Astoria, NY

400+

Average cost per session

$150

Therapists in Astoria, NY who prioritize treating:

93% Anxiety
89% Depression
83% Relationship Issues
79% Self Esteem
72% Stress
70% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Astoria, NY see their clients

63% Online Only
37% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Astoria?

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.