Therapists in Albany, NY

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Photo of Christopher Cosgrove, LCSW-R, Clinical Social Work/Therapist
Christopher Cosgrove
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12208
Not accepting new clients
*****NOT TAKING NEW CLIENTS...FORMER CLIENTS AND FIRST RESPONDERS FEEL FREE TO CALL*** Most mental health issues such as anxiety, depression and anger are results of life stressors. You can expect a full assessment and treatment plan at your first session. I truly believe that you have all the answers to your problems and I will help guide you to the solutions. I utilize a trauma-informed care framework to my practice. Sometimes past traumas and losses can impact and/or compound current life stressors, further exploration of past issues can be explored to gain insight, and to explore more advanced coping skills.
*****NOT TAKING NEW CLIENTS...FORMER CLIENTS AND FIRST RESPONDERS FEEL FREE TO CALL*** Most mental health issues such as anxiety, depression and anger are results of life stressors. You can expect a full assessment and treatment plan at your first session. I truly believe that you have all the answers to your problems and I will help guide you to the solutions. I utilize a trauma-informed care framework to my practice. Sometimes past traumas and losses can impact and/or compound current life stressors, further exploration of past issues can be explored to gain insight, and to explore more advanced coping skills.
(518) 310-2343 View (518) 310-2343
Photo of Chelsea Rader, LCSW, Clinical Social Work/Therapist
Chelsea Rader
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12203
My ideal client would be a child, pre-teen or teenager who is struggling with suicidal ideation, depression, anxiety or familial difficulties. They’re working on discovering who they are in a world that is constantly changing….and so are they! Their goals are to develop coping skills to help manage their symptoms of anxiety, depression & feelings leading to suicidal ideation. They are navigating their personal relationships, as well as their family relationships. They want to feel better, heard & be confident with themselves.
My ideal client would be a child, pre-teen or teenager who is struggling with suicidal ideation, depression, anxiety or familial difficulties. They’re working on discovering who they are in a world that is constantly changing….and so are they! Their goals are to develop coping skills to help manage their symptoms of anxiety, depression & feelings leading to suicidal ideation. They are navigating their personal relationships, as well as their family relationships. They want to feel better, heard & be confident with themselves.
(518) 412-7056 View (518) 412-7056
Photo of Lillian Ankrah, ATR-BC, LCAT, Art Therapist
Lillian Ankrah
Art Therapist, ATR-BC, LCAT
Verified Verified
2 Endorsed
Albany, NY 12207  (Online Only)
Clients come to me when they are questioning the health and safety of their intimate relationships, when they are confused and overwhelmed about how to manage people in their life who continue to hurt them, when they are dealing with the difficult decision of leaving a dysfunctional and unsafe job environment for their emotional stability…. My clients want to live peacefully, love abundantly and feel empowered! Hi! I’m Lillian. I’m an Art Therapist and I specialize in helping ambitious women who are healing from abusive or unhealthy relationships find more joy, peace, satisfaction and fulfillment.
Clients come to me when they are questioning the health and safety of their intimate relationships, when they are confused and overwhelmed about how to manage people in their life who continue to hurt them, when they are dealing with the difficult decision of leaving a dysfunctional and unsafe job environment for their emotional stability…. My clients want to live peacefully, love abundantly and feel empowered! Hi! I’m Lillian. I’m an Art Therapist and I specialize in helping ambitious women who are healing from abusive or unhealthy relationships find more joy, peace, satisfaction and fulfillment.
(518) 621-3198 View (518) 621-3198
Photo of Lisa Drzymala, LMSW
Lisa Drzymala
Licensed Master Social Worker, LMSW
Verified Verified
Albany, NY 12207
You’re exhausted. You are a sensitive, unique soul, and you’re tired of spinning your wheels. You put a lot of pressure on yourself. You’ve struggled with a disability. Thinking about it, alone, makes you feel overwhelmed. You’re scared that when you finally take the leap and reach out to someone for help, nothing will change. They won’t get you, see the real you. You’re not even sure you can open up enough for real change, but you know you want to tr, with someone smart and sincere to help you make sense of things.
You’re exhausted. You are a sensitive, unique soul, and you’re tired of spinning your wheels. You put a lot of pressure on yourself. You’ve struggled with a disability. Thinking about it, alone, makes you feel overwhelmed. You’re scared that when you finally take the leap and reach out to someone for help, nothing will change. They won’t get you, see the real you. You’re not even sure you can open up enough for real change, but you know you want to tr, with someone smart and sincere to help you make sense of things.
(518) 532-3041 View (518) 532-3041
Neil J. Cervera
Clinical Social Work/Therapist
Verified Verified
Albany, NY 12208
Dr. Neil Cervera is a licensed New York State Psychotherapist, who received his doctorate from New York University. Dr. Cervera has been in practice for more than 30 years. In addition, he is a Research Assistant Professor Emeritus in the School of Social Welfare at the University at Albany. He is a specialist in the areas of Infertility Therapy and Child and Family issues. His areas of specialization include: Infertility and Adoption issues; Depression and Anxiety; Relationship and Communication problems; Coping with life transitions such as divorce, remarriage or alternate lifestyles; Smoking cessation; Stress management; Child/adolescent and parent problems;
Dr. Neil Cervera is a licensed New York State Psychotherapist, who received his doctorate from New York University. Dr. Cervera has been in practice for more than 30 years. In addition, he is a Research Assistant Professor Emeritus in the School of Social Welfare at the University at Albany. He is a specialist in the areas of Infertility Therapy and Child and Family issues. His areas of specialization include: Infertility and Adoption issues; Depression and Anxiety; Relationship and Communication problems; Coping with life transitions such as divorce, remarriage or alternate lifestyles; Smoking cessation; Stress management; Child/adolescent and parent problems;
(518) 379-0246 View (518) 379-0246
Photo of Terence J. Hoyt - Terence Hoyt, LCSW-R, LCSWRNY, LCSW-NJ, PhD, MSW, Clinical Social Work/Therapist
Terence Hoyt, LCSW-R
Clinical Social Work/Therapist, LCSWRNY, LCSW-NJ, PhD, MSW
Verified Verified
Albany, NY 12205
I work with individuals to help them increase self-awareness and lead happier lives. My unique background makes me different than most therapists. In addition to being a licensed therapist, I have a PhD in Philosophy. As a therapist and life coach, I help individuals struggling in particular with relationships, codependency, sexual compulsivity, and substance/alcohol abuse. I also work with adult children of alcoholics, those who grew up in families where emotional chaos and parental addiction may affect their current lives. Unrecognized trauma can result from this. In addition, I work with gay individuals and couples.
I work with individuals to help them increase self-awareness and lead happier lives. My unique background makes me different than most therapists. In addition to being a licensed therapist, I have a PhD in Philosophy. As a therapist and life coach, I help individuals struggling in particular with relationships, codependency, sexual compulsivity, and substance/alcohol abuse. I also work with adult children of alcoholics, those who grew up in families where emotional chaos and parental addiction may affect their current lives. Unrecognized trauma can result from this. In addition, I work with gay individuals and couples.
(518) 730-4977 View (518) 730-4977
Photo of Kelly Lefsyk, LMSW, Clinical Social Work/Therapist
Kelly Lefsyk
Clinical Social Work/Therapist, LMSW
Verified Verified
Albany, NY 12205
Healing is rarely a linear process, and no one should have to address life's many challenges alone. I hope to assist you in navigating these challenges, and I believe this starts with building and maintaining a supportive and collaborative therapeutic relationship. My goal is to provide a safe space for you to express yourself, free of judgment. I am passionate about empowering others to learn healthy coping and communication skills, manage stress and anxiety, address traumatic experiences, and improve relationships with both oneself and others.
Healing is rarely a linear process, and no one should have to address life's many challenges alone. I hope to assist you in navigating these challenges, and I believe this starts with building and maintaining a supportive and collaborative therapeutic relationship. My goal is to provide a safe space for you to express yourself, free of judgment. I am passionate about empowering others to learn healthy coping and communication skills, manage stress and anxiety, address traumatic experiences, and improve relationships with both oneself and others.
(518) 532-3395 View (518) 532-3395
Photo of Diane E. Lykes, LCSW-R, Clinical Social Work/Therapist
Diane E. Lykes
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Albany, NY 12203
You are capable of feeling happier, more secure, hopeful, confident and less stressed so that you can fully enjoy your life. We know life will be very hard at times due to relationship struggles, grief and loss, work challenges, financial issues and also our world becoming more overwhelming these past few years. When we experience difficult life challenges, we are more likely to feel a spike in our anxiety and may feel sad and unable to find peace. Meeting with a trained therapist who cares about your well-being can help ease these symptoms and offer a place to begin healing.
You are capable of feeling happier, more secure, hopeful, confident and less stressed so that you can fully enjoy your life. We know life will be very hard at times due to relationship struggles, grief and loss, work challenges, financial issues and also our world becoming more overwhelming these past few years. When we experience difficult life challenges, we are more likely to feel a spike in our anxiety and may feel sad and unable to find peace. Meeting with a trained therapist who cares about your well-being can help ease these symptoms and offer a place to begin healing.
(518) 348-4229 View (518) 348-4229
Mutual Arising Mental Health Counseling, PLLC
Counselor, PhD, LMHC
Verified Verified
Albany, NY 12210
Welcome to our Neurofeedback (NFB) Trauma Clinic and Trauma Resolution Retreat Center. Our group practice helps address a wide variety of conditions with NFB and then transition to our trauma resolution retreat services. After that, we support your needs with a mindfulness maintenance program.
Welcome to our Neurofeedback (NFB) Trauma Clinic and Trauma Resolution Retreat Center. Our group practice helps address a wide variety of conditions with NFB and then transition to our trauma resolution retreat services. After that, we support your needs with a mindfulness maintenance program.
(518) 351-7784 View (518) 351-7784
Photo of Raymond J Coppola, Psychologist
Raymond J Coppola
Psychologist
Verified Verified
Albany, NY 12205
I am a licensed clinical psychologist with over 25 years of clinical experience in support of the wellbeing and deepening of life in individuals from across the lifespan. My work is informed by a rich integration of approaches that allow for attention to mind, heart, body, and spirit; attending to not only the wounds and vulnerabilities of life, but also to its deep promise and potential.
I am a licensed clinical psychologist with over 25 years of clinical experience in support of the wellbeing and deepening of life in individuals from across the lifespan. My work is informed by a rich integration of approaches that allow for attention to mind, heart, body, and spirit; attending to not only the wounds and vulnerabilities of life, but also to its deep promise and potential.
(518) 504-3864 x115 View (518) 504-3864 x115
Photo of Libby McGinn, MS, LMHC, Counselor
Libby McGinn
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Albany, NY 12205
I believe therapy is about hope, and that it is an act of self-care. There are times in our lives when we experience pain and confusion and find that what we've been doing isn't working as well anymore. I believe individuals have the answers that are best for them. Those answers, however, are buried under the muck - the stuff of life that has accumulated over the years. It is my loving role to help you sort through that to access that part of you that is wise and has those right answers.
I believe therapy is about hope, and that it is an act of self-care. There are times in our lives when we experience pain and confusion and find that what we've been doing isn't working as well anymore. I believe individuals have the answers that are best for them. Those answers, however, are buried under the muck - the stuff of life that has accumulated over the years. It is my loving role to help you sort through that to access that part of you that is wise and has those right answers.
(518) 643-4194 x1001 View (518) 643-4194 x1001
Photo of Gia Recco, LMSW, Clinical Social Work/Therapist
Gia Recco
Clinical Social Work/Therapist, LMSW
Verified Verified
Albany, NY 12205
As a clinician, my primary focus is meeting clients where they are on their unique journeys toward mental well-being. I tailor my approach to best suit the needs of each client through a range of therapeutic modalities. Everyone has the capacity for growth and personal transformation, and I am committed to helping individuals who may be feeling stuck in their current circumstances.
As a clinician, my primary focus is meeting clients where they are on their unique journeys toward mental well-being. I tailor my approach to best suit the needs of each client through a range of therapeutic modalities. Everyone has the capacity for growth and personal transformation, and I am committed to helping individuals who may be feeling stuck in their current circumstances.
(518) 840-1341 View (518) 840-1341
Photo of Melissa Ten Eyck Hall - Melissa M. Ten Eyck Hall, LMHC, Counselor
Melissa M. Ten Eyck Hall
Counselor, LMHC
Verified Verified
3 Endorsed
Albany, NY 12205
Not accepting new clients
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
(518) 531-3957 View (518) 531-3957
Photo of Ilse Jimenez, LPC, EMDR, Somatic, Psyched, Spanish, Counselor
Ilse Jimenez
Counselor, LPC, EMDR, Somatic, Psyched, Spanish
Verified Verified
Albany, NY 12205  (Online Only)
Welcome to Maya Moon. I am a Holistic and Somatic Trauma Informed Care Clinician. My mission is to provide with a compassionate heart and caring space for your trauma healing. This new exciting approach supported by the American Psychological Association (APA), the United States Body Psychotherapy Association (USABPA), and the National Center for Complementary and Integrative Health (NCCIH). My practice offers mindfulness grounding treatment that avoids the risk for re-traumatization.
Welcome to Maya Moon. I am a Holistic and Somatic Trauma Informed Care Clinician. My mission is to provide with a compassionate heart and caring space for your trauma healing. This new exciting approach supported by the American Psychological Association (APA), the United States Body Psychotherapy Association (USABPA), and the National Center for Complementary and Integrative Health (NCCIH). My practice offers mindfulness grounding treatment that avoids the risk for re-traumatization.
(518) 633-4256 View (518) 633-4256
Photo of Aditi Rai, LMHC, Counselor
Aditi Rai
Counselor, LMHC
Verified Verified
2 Endorsed
Albany, NY 12206  (Online Only)
Are you struggling with trauma, depression, anxiety, or mood imbalances? I'm Aditi Rai, a Licensed Mental Health Counselor, and I'm here to support you. Imagine a safe, empathetic space to explore your deepest thoughts and emotions, free from judgment. I help navigate feelings of confusion, dissatisfaction, guilt, and shame from cultural dissonance. As they say, "sunlight is the best of disinfectants." In our work together, I provide a safe space to illuminate and heal these parts of you that require attention. No matter your background, I'm here to help you achieve lasting well-being.
Are you struggling with trauma, depression, anxiety, or mood imbalances? I'm Aditi Rai, a Licensed Mental Health Counselor, and I'm here to support you. Imagine a safe, empathetic space to explore your deepest thoughts and emotions, free from judgment. I help navigate feelings of confusion, dissatisfaction, guilt, and shame from cultural dissonance. As they say, "sunlight is the best of disinfectants." In our work together, I provide a safe space to illuminate and heal these parts of you that require attention. No matter your background, I'm here to help you achieve lasting well-being.
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Photo of Marvin Horne, LCSW, Clinical Social Work/Therapist
Marvin Horne
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
Seeking help to manage mental health challenges? Looking to help a loved one or improve the quality of your relationships? Join me for a conversation! It is a universal truth that everyone is unique to themselves. Let’s work toward becoming the best versions of us. We are all entitled to happiness. We each have our own specific life experiences and personalities. I want to help you identify your strengths and welcome them to flourish. Over the previous 15 years as a healthcare professional I have worked with individuals, couples and families in their search for healing and understanding.
Seeking help to manage mental health challenges? Looking to help a loved one or improve the quality of your relationships? Join me for a conversation! It is a universal truth that everyone is unique to themselves. Let’s work toward becoming the best versions of us. We are all entitled to happiness. We each have our own specific life experiences and personalities. I want to help you identify your strengths and welcome them to flourish. Over the previous 15 years as a healthcare professional I have worked with individuals, couples and families in their search for healing and understanding.
(518) 519-8622 View (518) 519-8622
Photo of Mindy Lee At Nassau Psychology Pc, Clinical Social Work/Therapist
Mindy Lee At Nassau Psychology Pc
Clinical Social Work/Therapist
Verified Verified
Albany, NY 12208  (Online Only)
Book an appointment online through our website www.nassaupsychology.org! Mindy completed her Master of Social Work at Adelphi University and has over 25 years of program and clinical experience providing therapy and therapeutic services to adolescents, adults and families in community based and residential programs, outpatient mental health and private practice. Mindy has provided supervision to licensed social workers and expressive arts therapist and interns.
Book an appointment online through our website www.nassaupsychology.org! Mindy completed her Master of Social Work at Adelphi University and has over 25 years of program and clinical experience providing therapy and therapeutic services to adolescents, adults and families in community based and residential programs, outpatient mental health and private practice. Mindy has provided supervision to licensed social workers and expressive arts therapist and interns.
(516) 908-5599 View (516) 908-5599
Photo of Frederick Jones, LMHC, Counselor
Frederick Jones
Counselor, LMHC
Verified Verified
1 Endorsed
Albany, NY 12209
Therapy is about YOU! Most of us spend the majority of our day meeting the demands of others through work, family, friends, children. Therapy is YOUR time. I will provide you the support, encouragement and feedback needed to take the next step in your life. Together we will work through your life challenges and obstacles. It would be an honor to join you on your journey towards a happier, healthier life.
Therapy is about YOU! Most of us spend the majority of our day meeting the demands of others through work, family, friends, children. Therapy is YOUR time. I will provide you the support, encouragement and feedback needed to take the next step in your life. Together we will work through your life challenges and obstacles. It would be an honor to join you on your journey towards a happier, healthier life.
(518) 981-2164 View (518) 981-2164
Photo of Dacia McBean - 1st Step Counseling PLLC, LCSW, Clinical Social Work/Therapist
1st Step Counseling PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
Waitlist for new clients
We are all given a blank sheet in the beginning. What we choose to put on this blank sheet determines our outcome. Through life we are shaped by our surroundings, interactions and family. But not all of us are given the tools to write our own stories. Nature created us, but nurture guides us. As a clinician, I work with my clients to help build their awareness of how their learned subconscious understandings of life have impacted how they engage, interact and understand others.
We are all given a blank sheet in the beginning. What we choose to put on this blank sheet determines our outcome. Through life we are shaped by our surroundings, interactions and family. But not all of us are given the tools to write our own stories. Nature created us, but nurture guides us. As a clinician, I work with my clients to help build their awareness of how their learned subconscious understandings of life have impacted how they engage, interact and understand others.
(518) 520-3124 View (518) 520-3124
Photo of Rebecca Austin, LSW, Clinical Social Work/Therapist
Rebecca Austin
Clinical Social Work/Therapist, LSW
Verified Verified
Albany, NY 12203
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
(518) 660-8309 View (518) 660-8309
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How does your Therapist compare?

Number of Therapists in Albany, NY

600+

Average cost per session

$135

Therapists in Albany, NY who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
73% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
59% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Albany, NY see their clients

51% Online Only
49% In Person and Online

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albany?

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.