Therapists in Dallas, TX

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Photo of Diego Rubalcava, LPC, Licensed Professional Counselor
Diego Rubalcava
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75254  (Online Only)
Hello, thank you for finding the strength to reach out for help! My name is Diego and I would like to be the one to help you on your journey to a more fulfilling and balanced life. I am a therapist who is focused on empowering you to be at the center of your time in therapy. To do this, we will be setting personal and purposeful goals as well as mapping a path together to achieve them.
Hello, thank you for finding the strength to reach out for help! My name is Diego and I would like to be the one to help you on your journey to a more fulfilling and balanced life. I am a therapist who is focused on empowering you to be at the center of your time in therapy. To do this, we will be setting personal and purposeful goals as well as mapping a path together to achieve them.
(469) 747-0173 View (469) 747-0173
Photo of Bianca Cotton, MA, LPC, TF-CBT, Licensed Professional Counselor
Bianca Cotton
Licensed Professional Counselor, MA, LPC, TF-CBT
Verified Verified
Dallas, TX 75214
As a practicing Licensed Professional Counselor, Bianca has over 6 years of experience in both Community Mental Health and Private Practice Therapy settings. Prior to joining Transitions Therapeutic Services, she was the Director of Therapy at a Child Advocacy Center where she specialized in counseling children, adolescents, and caregivers who have encountered various forms of trauma and abuse. Bianca received her Bachelors degree from Texas A&M University and her Masters degree in counseling from Houston Baptist University.
As a practicing Licensed Professional Counselor, Bianca has over 6 years of experience in both Community Mental Health and Private Practice Therapy settings. Prior to joining Transitions Therapeutic Services, she was the Director of Therapy at a Child Advocacy Center where she specialized in counseling children, adolescents, and caregivers who have encountered various forms of trauma and abuse. Bianca received her Bachelors degree from Texas A&M University and her Masters degree in counseling from Houston Baptist University.
(469) 702-8750 View (469) 702-8750
Photo of Vianka V Davila - Journey with Pegasus Therapy PLLC, MS, LPC, Licensed Professional Counselor
Journey with Pegasus Therapy PLLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Dallas, TX 75206
Let's create a safe place for you to be able to explore; whether you need to explore your anxiety, self-esteem, or even past trauma. I enjoy helping others work on understanding and learning how to manage anxiety. I have insight within the Latinx community and enjoy working on stopping generational trauma. Trauma is a difficult journey to work through, however, it is not impossible. We will begin this journey by allowing yourself to be open and curious throughout this process. Let's set realistic goals and take one step at a time.
Let's create a safe place for you to be able to explore; whether you need to explore your anxiety, self-esteem, or even past trauma. I enjoy helping others work on understanding and learning how to manage anxiety. I have insight within the Latinx community and enjoy working on stopping generational trauma. Trauma is a difficult journey to work through, however, it is not impossible. We will begin this journey by allowing yourself to be open and curious throughout this process. Let's set realistic goals and take one step at a time.
(214) 367-5021 View (214) 367-5021
Photo of Jamie Sarten, LPC, EMDR-t, NCC, CSC, MS, Licensed Professional Counselor
Jamie Sarten
Licensed Professional Counselor, LPC, EMDR-t, NCC, CSC, MS
Verified Verified
Dallas, TX 75231
Therapy is not easy, and it takes a lot of courage to ask for help. I commend you for taking the next step in investing in your mental health. The therapeutic relationship with your counselor matters, and I believe through positive connections and meaningful relationships, healing can happen. I specialize in helping teens, young adults, and adults struggling with anxiety, depression, ADHD, LGBTQ, and relationship challenges. I strive to provide a safe, warm, and collaborative environment when working with my clients.
Therapy is not easy, and it takes a lot of courage to ask for help. I commend you for taking the next step in investing in your mental health. The therapeutic relationship with your counselor matters, and I believe through positive connections and meaningful relationships, healing can happen. I specialize in helping teens, young adults, and adults struggling with anxiety, depression, ADHD, LGBTQ, and relationship challenges. I strive to provide a safe, warm, and collaborative environment when working with my clients.
(469) 535-7154 View (469) 535-7154
Photo of Kelly G Antwine - Reboot Ranch Recovery, MEd, LPC, Licensed Professional Counselor
Reboot Ranch Recovery
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Dallas, TX 75220  (Online Only)
I take a very down-to-earth approach to counseling. By focusing on what is real and the truth of one's experiences, I encourage my clients to participate in their own recovery processes and to develop new behaviors that produce new results and better solutions. It is my personal belief that as a society we have developed a dysfunctional lifestyle based on fantasy and myth. We act on these false beliefs every day, keeping us stuck in old, immature patterns of reactionary behavior, instead of responding to life's challenges as adults.
I take a very down-to-earth approach to counseling. By focusing on what is real and the truth of one's experiences, I encourage my clients to participate in their own recovery processes and to develop new behaviors that produce new results and better solutions. It is my personal belief that as a society we have developed a dysfunctional lifestyle based on fantasy and myth. We act on these false beliefs every day, keeping us stuck in old, immature patterns of reactionary behavior, instead of responding to life's challenges as adults.
(972) 471-9528 View (972) 471-9528
Photo of Meghan Cromie, MA, LPC, CCTSI, Licensed Professional Counselor
Meghan Cromie
Licensed Professional Counselor, MA, LPC, CCTSI
Verified Verified
Dallas, TX 75254  (Online Only)
Not accepting new clients
I specialize in treating phobias and anxiety disorders (social anxiety, panic disorder, phobias, agoraphobia, emetophobia, health anxiety), OCD , Depression, and Trauma PTSD using CBT and Exposure Therapy (ERP). I have years of working with people to live without fear, and will work with you step by step in getting there. If traditional talk therapy has not worked for you in the past, exposure therapy is a great way to actually see the results you are looking for! LGBT+ allied provider. Only treating individuals 18+, no couples/families at this time.
I specialize in treating phobias and anxiety disorders (social anxiety, panic disorder, phobias, agoraphobia, emetophobia, health anxiety), OCD , Depression, and Trauma PTSD using CBT and Exposure Therapy (ERP). I have years of working with people to live without fear, and will work with you step by step in getting there. If traditional talk therapy has not worked for you in the past, exposure therapy is a great way to actually see the results you are looking for! LGBT+ allied provider. Only treating individuals 18+, no couples/families at this time.
(214) 915-0382 View (214) 915-0382
Photo of Lauren Bacak, MPysch, LPC, Licensed Professional Counselor
Lauren Bacak
Licensed Professional Counselor, MPysch, LPC
Verified Verified
1 Endorsed
Dallas, TX 75231
Have you found yourself engaging in similar distressing behaviors, thought patterns, or relational dynamics despite your best efforts to change? My approach aims to address your current distress as well as work with you to investigate why this suffering is taking place to begin with. I believe unwanted behaviors, emotions, and thoughts are illustrating something about your experience that has yet to be understood. Therapy provides a relationship in which you can begin to make sense of what your suffering is saying. My hope is that in working together, you can journey towards long lasting life fulfillment instead of simply coping.
Have you found yourself engaging in similar distressing behaviors, thought patterns, or relational dynamics despite your best efforts to change? My approach aims to address your current distress as well as work with you to investigate why this suffering is taking place to begin with. I believe unwanted behaviors, emotions, and thoughts are illustrating something about your experience that has yet to be understood. Therapy provides a relationship in which you can begin to make sense of what your suffering is saying. My hope is that in working together, you can journey towards long lasting life fulfillment instead of simply coping.
(469) 529-8560 View (469) 529-8560
Photo of Charlotta (Charlie) Richardson, Pre-Licensed Professional
Charlotta (Charlie) Richardson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Dallas, TX 75231
Congratulations on taking the first step to a journey of healing that you won’t regret. You are at the right place at the right time so, EXHALE! Life is full of ups and downs and sometimes we just need a safe space to express and explore our emotions. There is nothing wrong with getting some help along the way on the rollercoaster ride of life. I work with individuals ready to do the work required to become the best version of themselves. This includes addressing generational trauma, life transitions, low self-esteem, perfectionism, anxiety and poor boundaries.
Congratulations on taking the first step to a journey of healing that you won’t regret. You are at the right place at the right time so, EXHALE! Life is full of ups and downs and sometimes we just need a safe space to express and explore our emotions. There is nothing wrong with getting some help along the way on the rollercoaster ride of life. I work with individuals ready to do the work required to become the best version of themselves. This includes addressing generational trauma, life transitions, low self-esteem, perfectionism, anxiety and poor boundaries.
(469) 414-9467 View (469) 414-9467
Photo of Matthew Spikes, LPC, Licensed Professional Counselor
Matthew Spikes
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75206
As a counselor, Matt has worked with adolescents, adults, and couples in various inpatient and outpatient settings. He has also worked with a variety of students, both traditional and nontraditional, at South Plains College and with incarcerated juveniles and various clients at other sites, experiencing anxiety, depression, grief, mood disorders, substance abuse, psychosis, and crisis.
As a counselor, Matt has worked with adolescents, adults, and couples in various inpatient and outpatient settings. He has also worked with a variety of students, both traditional and nontraditional, at South Plains College and with incarcerated juveniles and various clients at other sites, experiencing anxiety, depression, grief, mood disorders, substance abuse, psychosis, and crisis.
(469) 658-7388 View (469) 658-7388
Photo of Terra Wagner - LIFT Counseling, PhD, LPC, Licensed Professional Counselor
LIFT Counseling
Licensed Professional Counselor, PhD, LPC
Verified Verified
Dallas, TX 75219
At LIFT Counseling Uptown Dallas, we are prepared to go on your journey to healing with you. Everyone struggles, and sometimes having a supportive person outside of friends and family allows you to make decisions that lead to a healthier you. Services are individualized to meet your needs, and we will work together to explore tools you can use in your everyday life to move you toward your best self.
At LIFT Counseling Uptown Dallas, we are prepared to go on your journey to healing with you. Everyone struggles, and sometimes having a supportive person outside of friends and family allows you to make decisions that lead to a healthier you. Services are individualized to meet your needs, and we will work together to explore tools you can use in your everyday life to move you toward your best self.
(682) 478-2354 View (682) 478-2354
Photo of Alexis Taylor, PhD, EdS, MA, Pre-Licensed Professional
Alexis Taylor
Pre-Licensed Professional, PhD, EdS, MA
Verified Verified
Dallas, TX 75235
Many of us encounter challenges like depression, anxiety, relationship conflicts, or the weight of life transitions. We might find ourselves longing for a deeper connection with our loved ones, or a sense of peace within ourselves. Navigating these struggles can often feel overwhelming and isolating. If this resonates with you, know that you don’t have to face it alone—support is available. With over 6 years of experience in the mental health field, I've seen how a safe and supportive therapeutic relationship can help individuals reclaim their strengths and discover new ways to live more authentically and fully.
Many of us encounter challenges like depression, anxiety, relationship conflicts, or the weight of life transitions. We might find ourselves longing for a deeper connection with our loved ones, or a sense of peace within ourselves. Navigating these struggles can often feel overwhelming and isolating. If this resonates with you, know that you don’t have to face it alone—support is available. With over 6 years of experience in the mental health field, I've seen how a safe and supportive therapeutic relationship can help individuals reclaim their strengths and discover new ways to live more authentically and fully.
(469) 770-7634 View (469) 770-7634
Photo of Adam Lenker, LPC, Licensed Professional Counselor
Adam Lenker
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75254  (Online Only)
Whatever you are dealing with, know that I am here to listen and support you uncover growth. I believe strongly in encouraging self-empowerment, focusing on choices and their results. Central to my theoretical orientation (Person-Centered, Existentialist) is a focus on Cognitive Behavioral Therapy, being solution-focused, as well as encouraging mindfulness.
Whatever you are dealing with, know that I am here to listen and support you uncover growth. I believe strongly in encouraging self-empowerment, focusing on choices and their results. Central to my theoretical orientation (Person-Centered, Existentialist) is a focus on Cognitive Behavioral Therapy, being solution-focused, as well as encouraging mindfulness.
(214) 972-0910 View (214) 972-0910
Photo of Scott Davis - Scott Davis Counseling Services, MA, LPC, Licensed Professional Counselor
Scott Davis Counseling Services
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Dallas, TX 75201
As a Licensed Professional Counselor/Therapist experienced in working with a variety of mental health issues, I work to bring solutions to concerns that appear endless. My dedication as a counselor continues to allow comprehensive techniques and methods that will be advantageous to helping individuals understand their opportunities in discovering consistencies to manage their challenges of every day life issues.
As a Licensed Professional Counselor/Therapist experienced in working with a variety of mental health issues, I work to bring solutions to concerns that appear endless. My dedication as a counselor continues to allow comprehensive techniques and methods that will be advantageous to helping individuals understand their opportunities in discovering consistencies to manage their challenges of every day life issues.
(214) 306-7922 View (214) 306-7922
Photo of Christopher Draffkorn, MS, LPC, Licensed Professional Counselor
Christopher Draffkorn
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Dallas, TX 75208
Not accepting new clients
I want to hear your story with an open mind and work with you to figure out how to start moving toward your goals. I specialize in treating PTSD, Anxiety Disorders, Depression and adult victims of childhood abuse and neglect in all its forms. I am trained in EMDR and Brain spotting.
I want to hear your story with an open mind and work with you to figure out how to start moving toward your goals. I specialize in treating PTSD, Anxiety Disorders, Depression and adult victims of childhood abuse and neglect in all its forms. I am trained in EMDR and Brain spotting.
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Photo of Amy Jo Secker, MS, LPC, NCS, Licensed Professional Counselor
Amy Jo Secker
Licensed Professional Counselor, MS, LPC, NCS
Verified Verified
2 Endorsed
Dallas, TX 75206
Amy Jo enjoys working with clients who are dealing with grief and loss, relationship dynamics, life transitions, sexual issues, communication, as well as anxiety and depression. She approaches counseling through a lens of curiosity and aims to help individuals make connections and see patterns in their personal history that allow them a clearer view of the present, giving them an opportunity to grow. Amy Jo believes that with open and honest dialogue, coupled with a client’s effort, that the counseling space can be safe and transformative.
Amy Jo enjoys working with clients who are dealing with grief and loss, relationship dynamics, life transitions, sexual issues, communication, as well as anxiety and depression. She approaches counseling through a lens of curiosity and aims to help individuals make connections and see patterns in their personal history that allow them a clearer view of the present, giving them an opportunity to grow. Amy Jo believes that with open and honest dialogue, coupled with a client’s effort, that the counseling space can be safe and transformative.
(469) 769-5948 View (469) 769-5948
Photo of Takoya Mandigo, MEd, LPC, RPT, Licensed Professional Counselor
Takoya Mandigo
Licensed Professional Counselor, MEd, LPC, RPT
Verified Verified
2 Endorsed
Dallas, TX 75241
I believe that most people have the ability to overcome their obstacles; however, certain challenges warrant the assistance of a licensed professional counselor. I establish a trusting, professional, therapeutic relationship, which promotes safety and openness. Like a gardener, I cultivate care, empower growth, nurture the root, help restore life, and foster an environment for thriving. I work collaboratively with my clients to promote self-awareness and personal growth. I help clients identify, manage, and improve their thoughts, feelings, and emotions, by integrating approaches in which the client is an active participant.
I believe that most people have the ability to overcome their obstacles; however, certain challenges warrant the assistance of a licensed professional counselor. I establish a trusting, professional, therapeutic relationship, which promotes safety and openness. Like a gardener, I cultivate care, empower growth, nurture the root, help restore life, and foster an environment for thriving. I work collaboratively with my clients to promote self-awareness and personal growth. I help clients identify, manage, and improve their thoughts, feelings, and emotions, by integrating approaches in which the client is an active participant.
(972) 945-7164 View (972) 945-7164
Photo of Chelsi McLain, LPC, Licensed Professional Counselor
Chelsi McLain
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75231  (Online Only)
Are you trying to understand who you are, what matters to you, and what your life purpose is? Do you find yourself comparing your accomplishments and self-worth to others and feel overwhelmed with self-doubt, anxiety, and depression? Are you feeling anxious and uncertain about what to do next AND know that it is time to approach life differently? If the answer is yes to any of these questions, I hope that you have the courage to reach out, ask questions and learn more about the potential benefits of therapy.
Are you trying to understand who you are, what matters to you, and what your life purpose is? Do you find yourself comparing your accomplishments and self-worth to others and feel overwhelmed with self-doubt, anxiety, and depression? Are you feeling anxious and uncertain about what to do next AND know that it is time to approach life differently? If the answer is yes to any of these questions, I hope that you have the courage to reach out, ask questions and learn more about the potential benefits of therapy.
(214) 428-6503 View (214) 428-6503
Photo of Brittney M Thompson, MS, LPC, NCC, Licensed Professional Counselor
Brittney M Thompson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Dallas, TX 75248
For some, the idea of therapy is a terrifying last ditch effort in an attempt to find answers and peace. For others, counseling is as natural as getting your oil changed to keep your engine running smoothly. Wherever you or your loved one may lie on this spectrum, my office offers a safe nonjudgmental environment in which to work through what's under the hood with a bit of humor and grace.
For some, the idea of therapy is a terrifying last ditch effort in an attempt to find answers and peace. For others, counseling is as natural as getting your oil changed to keep your engine running smoothly. Wherever you or your loved one may lie on this spectrum, my office offers a safe nonjudgmental environment in which to work through what's under the hood with a bit of humor and grace.
(972) 694-6951 View (972) 694-6951
Photo of Christie Greeley - Landry Therapy Group, PLLC, MEd, LPC-S, Clinical Social Work/Therapist
Landry Therapy Group, PLLC
Clinical Social Work/Therapist, MEd, LPC-S
Verified Verified
Dallas, TX 75201
*TAKING NEW CLIENTS* Our goal is to form a bond of trust and commitment with our clients. With the proper support and guidance in their lives, we believe people have an inherent ability to persevere through any struggle with which they are confronted. Lisa specializes in working with adults, individuals, couples, families and LGBT, and Natasha specializes in children, adolescents, adults, family/child conflict, depression self harm/suicidal ideation. We help clients cope with life's daily struggles and/or issues resulting from trauma and conflict and to cultivate a healthier style of living to ensure future well-being.
*TAKING NEW CLIENTS* Our goal is to form a bond of trust and commitment with our clients. With the proper support and guidance in their lives, we believe people have an inherent ability to persevere through any struggle with which they are confronted. Lisa specializes in working with adults, individuals, couples, families and LGBT, and Natasha specializes in children, adolescents, adults, family/child conflict, depression self harm/suicidal ideation. We help clients cope with life's daily struggles and/or issues resulting from trauma and conflict and to cultivate a healthier style of living to ensure future well-being.
(346) 220-0203 View (346) 220-0203
Photo of Lauren Elizabeth Rothstein, PhD, LP, Psychologist
Lauren Elizabeth Rothstein
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Dallas, TX 75231
Does this sound like you? No matter how hard you try, negative thoughts fill your head, swimming around, taking over your day. You try so hard, but everything you do feels wrong, imperfect, and uncomfortable. Sometimes you may feel full of energy and then crash or become tearful and sad or angry and irritable. Sometimes you may have nightmares or flashbacks or lose time just sitting and thinking. Perhaps you have felt this way and gone through the same behavior patterns your whole life. Or maybe, these feelings are brand new, and you have never felt this way before. For whatever reason, you are seeking help and I am glad you are.
Does this sound like you? No matter how hard you try, negative thoughts fill your head, swimming around, taking over your day. You try so hard, but everything you do feels wrong, imperfect, and uncomfortable. Sometimes you may feel full of energy and then crash or become tearful and sad or angry and irritable. Sometimes you may have nightmares or flashbacks or lose time just sitting and thinking. Perhaps you have felt this way and gone through the same behavior patterns your whole life. Or maybe, these feelings are brand new, and you have never felt this way before. For whatever reason, you are seeking help and I am glad you are.
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How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

91% Anxiety
87% Depression
73% Self Esteem
68% Relationship Issues
68% Coping Skills
65% Trauma and PTSD
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

82% Aetna
75% UnitedHealthcare UHC | UBH
74% Cigna and Evernorth

How Therapists in Dallas, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dallas?

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.