Therapists in Saint Louis, MO

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Photo of Sarah Bell - Solutions for Wellbeing, LLC, MA, LPC, CCDP-D, MARS, Licensed Professional Counselor
Solutions for Wellbeing, LLC
Licensed Professional Counselor, MA, LPC, CCDP-D, MARS
Verified Verified
Saint Louis, MO 63146  (Online Only)
Our lives can get very busy--making it hard to find time for counseling. I provide counseling via Telehealth and offer convenient evening and weekend time slots. Life can sometimes “knock our socks off”—I focus on helping clients get back on track and thriving again. Together, we develop a step-by-step plan to identify the problem, explore possible solutions, and develop strategies to move forward. We will explore the things that are getting in the way of you feeling your best self.
Our lives can get very busy--making it hard to find time for counseling. I provide counseling via Telehealth and offer convenient evening and weekend time slots. Life can sometimes “knock our socks off”—I focus on helping clients get back on track and thriving again. Together, we develop a step-by-step plan to identify the problem, explore possible solutions, and develop strategies to move forward. We will explore the things that are getting in the way of you feeling your best self.
(314) 690-9876 View (314) 690-9876
Photo of Mason Alexander Kinghorn, MSW, LCSW, Clinical Social Work/Therapist
Mason Alexander Kinghorn
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63116  (Online Only)
Waitlist for new clients
Do you struggle with depression, anxiety, feeling disconnected from others, or the way your life has been impacted by trauma? Are you searching for happiness or meaning in your relationships, your work, or in life in general? If any of this resonates with you, I may have the type of professional experience that would be helpful to you. I work with adults providing virtual therapy. I have additional experience with anger management, life transitions, LGBTQIA+ related issues, and low self-esteem. I am proud to provide gender-affirming care to clients.
Do you struggle with depression, anxiety, feeling disconnected from others, or the way your life has been impacted by trauma? Are you searching for happiness or meaning in your relationships, your work, or in life in general? If any of this resonates with you, I may have the type of professional experience that would be helpful to you. I work with adults providing virtual therapy. I have additional experience with anger management, life transitions, LGBTQIA+ related issues, and low self-esteem. I am proud to provide gender-affirming care to clients.
(314) 730-0097 View (314) 730-0097
Photo of Kate Schroeder, MEd, LPC, LMHC, NCC, Licensed Professional Counselor
Kate Schroeder
Licensed Professional Counselor, MEd, LPC, LMHC, NCC
Verified Verified
Saint Louis, MO 63119
The goal of my approach to therapy is to get your defense system out of the way so that you can operate out of your true sense of self, begin to create boundaries, and make choices truly reflective of your own wants and needs. When you achieve this, you no longer need to rely upon the destructive coping techniques previously used to prevent your full evolution and integration of body, mind, and spirit.
The goal of my approach to therapy is to get your defense system out of the way so that you can operate out of your true sense of self, begin to create boundaries, and make choices truly reflective of your own wants and needs. When you achieve this, you no longer need to rely upon the destructive coping techniques previously used to prevent your full evolution and integration of body, mind, and spirit.
(314) 720-4074 View (314) 720-4074
Photo of Will Stanfield, CIT, Pre-Licensed Professional
Will Stanfield
Pre-Licensed Professional, CIT
Verified Verified
Saint Louis, MO 63118  (Online Only)
It’s not uncommon, at some point in our lives, to get to a point where we ask ourselves, “Does it really have to be this way forever? Do I really have to carry this pain for the rest of my life?” You may be experiencing some of this pain in your own life and are wondering how it can get better. Can this stress and anxiety really lessen? Do I have to go through all this alone? I want deeper more meaningful relationships, but how do I go about having that? Whether you’re feeling this pain alone or in relationship with another, you may be longing for the support of another to help make sense of what is happening.
It’s not uncommon, at some point in our lives, to get to a point where we ask ourselves, “Does it really have to be this way forever? Do I really have to carry this pain for the rest of my life?” You may be experiencing some of this pain in your own life and are wondering how it can get better. Can this stress and anxiety really lessen? Do I have to go through all this alone? I want deeper more meaningful relationships, but how do I go about having that? Whether you’re feeling this pain alone or in relationship with another, you may be longing for the support of another to help make sense of what is happening.
(314) 582-9365 View (314) 582-9365
Photo of Emily E Carter, Psy, D, Psychologist
Emily E Carter
Psychologist, Psy, D
Verified Verified
Saint Louis, MO 63119  (Online Only)
I specialize in working with adults living with anxiety and/or struggles in their relationships (familial, romantic, platonic, occupational). Breast cancer and other cancer survivorship are also areas of specialty. Together we co-construct an approach that fits your needs, balancing the practical with exploratory. I believe that it is through self-exploration that you become aware of your stuck points whether in problematic and/or unfulfilling behavior, relationships, jobs, or experiences.
I specialize in working with adults living with anxiety and/or struggles in their relationships (familial, romantic, platonic, occupational). Breast cancer and other cancer survivorship are also areas of specialty. Together we co-construct an approach that fits your needs, balancing the practical with exploratory. I believe that it is through self-exploration that you become aware of your stuck points whether in problematic and/or unfulfilling behavior, relationships, jobs, or experiences.
(314) 207-9719 View (314) 207-9719
Photo of Sean Reilly, MA, LMFT, Marriage & Family Therapist
Sean Reilly
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Louis, MO 63128
Not accepting new clients
I enjoy working with couples, families, and individuals who are in need of and ready for change. My clients come to me with a range of issues, such as conflict in blended or adoptive families, infidelity, suicidality, parenting conflict, life transitions, and general breakdown in relationship communication. My clients want to feel heard and connected to others and the world around them. They work with me to find hope and fulfillment in their lives and work to maintain a positive, yet realistic, perspective.
I enjoy working with couples, families, and individuals who are in need of and ready for change. My clients come to me with a range of issues, such as conflict in blended or adoptive families, infidelity, suicidality, parenting conflict, life transitions, and general breakdown in relationship communication. My clients want to feel heard and connected to others and the world around them. They work with me to find hope and fulfillment in their lives and work to maintain a positive, yet realistic, perspective.
(636) 238-2744 View (636) 238-2744
Photo of Zane Shetler, MSW, LCSW, Clinical Social Work/Therapist
Zane Shetler
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63117
Navigating life is rarely straightforward. Hardships and stressors arise, yet we still have to manage the many responsibilities and hectic pace of modern existence. Given this context, it is understandable that many of us experience persistent worry, overthinking, irritability, or fatigue. While these are natural enough reactions given how our nervous systems operate, when these symptoms are undermanaged they can have a detrimental impact on our emotional bandwidth, self-confidence, the vitality of our relationships, creativity, focus, and more.
Navigating life is rarely straightforward. Hardships and stressors arise, yet we still have to manage the many responsibilities and hectic pace of modern existence. Given this context, it is understandable that many of us experience persistent worry, overthinking, irritability, or fatigue. While these are natural enough reactions given how our nervous systems operate, when these symptoms are undermanaged they can have a detrimental impact on our emotional bandwidth, self-confidence, the vitality of our relationships, creativity, focus, and more.
(314) 682-4618 View (314) 682-4618
Photo of Rachel Benson, MEd, BCBA, LBA, CSE
Rachel Benson
MEd, BCBA, LBA, CSE
Verified Verified
Saint Louis, MO 63139  (Online Only)
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
(314) 526-3920 View (314) 526-3920
Photo of Dr. Lori L Soli, PhD, LPCC, LPC, ACS, RYT, Licensed Professional Counselor
Dr. Lori L Soli
Licensed Professional Counselor, PhD, LPCC, LPC, ACS, RYT
Verified Verified
4 Endorsed
Saint Louis, MO 63112
Hi, I am Lori, and I am so glad You are here! We all have hurts in need of healing. I'm here to help you heal your heart, mind, spirit, and/or body! Whether you seek a more authentic relationship with self or others, or to heal past or present griefs, we can do all that and much more. Talking about your 'stuff' can be scary. I provide a non-judgmental and open-minded approach to support your healing journey. Through a collaborative, reflective process, we will explore your emotions, thoughts, beliefs and lived experiences. New insights, perspectives, and ways of being and doing in this world Are there for you! You just started!
Hi, I am Lori, and I am so glad You are here! We all have hurts in need of healing. I'm here to help you heal your heart, mind, spirit, and/or body! Whether you seek a more authentic relationship with self or others, or to heal past or present griefs, we can do all that and much more. Talking about your 'stuff' can be scary. I provide a non-judgmental and open-minded approach to support your healing journey. Through a collaborative, reflective process, we will explore your emotions, thoughts, beliefs and lived experiences. New insights, perspectives, and ways of being and doing in this world Are there for you! You just started!
(314) 907-1522 View (314) 907-1522
Photo of Sam LeCointre, MA, LPC, NCC, Licensed Professional Counselor
Sam LeCointre
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Saint Louis, MO 63105
Welcome! It is my assumption that if you're searching for support, you might not be feeling your best, or honestly, you might just feel like shit. I show up for Clients who feel stuck for a multitude of reasons: wanting a career shift, having relational issues, processing relationship endings, those who struggle with the demands of parenthood, or maybe it's just the weight of the world. I work with adults who identify as over-achievers or people-pleasers.
Welcome! It is my assumption that if you're searching for support, you might not be feeling your best, or honestly, you might just feel like shit. I show up for Clients who feel stuck for a multitude of reasons: wanting a career shift, having relational issues, processing relationship endings, those who struggle with the demands of parenthood, or maybe it's just the weight of the world. I work with adults who identify as over-achievers or people-pleasers.
(314) 648-8847 View (314) 648-8847
Photo of Carrie Hequembourg, JD, MEd, LPC, NCC, Licensed Professional Counselor
Carrie Hequembourg
Licensed Professional Counselor, JD, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63119
Many of us have unknowingly rejected or silenced parts of ourselves that don’t fit with our idea of who we are supposed to be. As a result, life can feel out of balance or even inauthentic. My hope is to create a safe and accepting space for you to feel empowered to implement positive changes in your life. I work with individuals who struggle with depression, anxiety and worry, substance use, stress, trauma, abuse, anger, fear, grief and loss, guilt and shame, and other challenges. I also work with couples who are having difficulty connecting and experiencing issues related to trust, intimacy, and affection.
Many of us have unknowingly rejected or silenced parts of ourselves that don’t fit with our idea of who we are supposed to be. As a result, life can feel out of balance or even inauthentic. My hope is to create a safe and accepting space for you to feel empowered to implement positive changes in your life. I work with individuals who struggle with depression, anxiety and worry, substance use, stress, trauma, abuse, anger, fear, grief and loss, guilt and shame, and other challenges. I also work with couples who are having difficulty connecting and experiencing issues related to trust, intimacy, and affection.
(314) 582-4682 View (314) 582-4682
Photo of Erin Selover, MA, LPC, Licensed Professional Counselor
Erin Selover
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63131
Not accepting new clients
I believe that we all have a source of strength and wisdom within, and sometimes the difficulties and challenges of life can cause us to feel separate from this. I love helping my clients realize they have this space within, discussing ways they can access it, and giving them additional tools to strengthen their ability to live their lives with confidence and a deeper sense of calm and trust. Life no doubt presents situations and relationships that can provoke anxiety, worry, anger, and many other strong emotions. I validate my client's concerns while also helping them overcome their adversities.
I believe that we all have a source of strength and wisdom within, and sometimes the difficulties and challenges of life can cause us to feel separate from this. I love helping my clients realize they have this space within, discussing ways they can access it, and giving them additional tools to strengthen their ability to live their lives with confidence and a deeper sense of calm and trust. Life no doubt presents situations and relationships that can provoke anxiety, worry, anger, and many other strong emotions. I validate my client's concerns while also helping them overcome their adversities.
(636) 782-3490 View (636) 782-3490
Photo of Lauren Kamm, LPC, Licensed Professional Counselor
Lauren Kamm
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63132
Stuck? People-Pleasing? Burnt out by life? Almost like no matter what you try to change or improve, those wheels just keep spinning, and you are exhausted. My ideal client is someone who is just ready to feel better. You may not exactly know what is going on or why these feelings are coming up all of a sudden. That's okay! You deserve someone who will collaborate with you no matter what you are dealing with. I believe connection and authenticity is the most vital part of the therapy process. Therapy is not just for fears and tears, but laughter and smiles too :) Let's tackle this together! (I hope you enjoy analogies!)
Stuck? People-Pleasing? Burnt out by life? Almost like no matter what you try to change or improve, those wheels just keep spinning, and you are exhausted. My ideal client is someone who is just ready to feel better. You may not exactly know what is going on or why these feelings are coming up all of a sudden. That's okay! You deserve someone who will collaborate with you no matter what you are dealing with. I believe connection and authenticity is the most vital part of the therapy process. Therapy is not just for fears and tears, but laughter and smiles too :) Let's tackle this together! (I hope you enjoy analogies!)
(314) 937-6408 View (314) 937-6408
Photo of Catherine Kluge, LPC, Licensed Professional Counselor
Catherine Kluge
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63141
Are you tired of battling anxiety, depression, and codependency? Are you struggling to navigate your loved one's substance use disorder? New Dawn Family Healing is here for you. We believe in creating an open, safe, non-judgmental, and compassionate therapeutic environment that is informed by structure to help you make the changes necessary to build the life that you want.
Are you tired of battling anxiety, depression, and codependency? Are you struggling to navigate your loved one's substance use disorder? New Dawn Family Healing is here for you. We believe in creating an open, safe, non-judgmental, and compassionate therapeutic environment that is informed by structure to help you make the changes necessary to build the life that you want.
(314) 207-0135 View (314) 207-0135
Photo of Cherese M Alcorn, MSW, LCSW, Clinical Social Work/Therapist
Cherese M Alcorn
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63105
Are you struggling to prioritize your own needs, but you’re able to take care of everyone else’s? Are you exhausted but unable to rest peacefully? Do you doubt yourself and minimize your accomplishments? Mental health care is different for people of color and LGBTQIA+ individuals. You may face unique hardships, including discrimination, affecting your mental health. Traditional therapy can feel inadequate, but, as a black female therapist, Cherese M. Alcorn, MSW, LCSW, offers a profound understanding and empathetic approach. She aids high-achievers in balancing their mind, body, and spirit so they can lead effectively.
Are you struggling to prioritize your own needs, but you’re able to take care of everyone else’s? Are you exhausted but unable to rest peacefully? Do you doubt yourself and minimize your accomplishments? Mental health care is different for people of color and LGBTQIA+ individuals. You may face unique hardships, including discrimination, affecting your mental health. Traditional therapy can feel inadequate, but, as a black female therapist, Cherese M. Alcorn, MSW, LCSW, offers a profound understanding and empathetic approach. She aids high-achievers in balancing their mind, body, and spirit so they can lead effectively.
(314) 310-6458 View (314) 310-6458
Photo of Sharí Montague, LPC, MAC, Licensed Professional Counselor
Sharí Montague
Licensed Professional Counselor, LPC, MAC
Verified Verified
2 Endorsed
Saint Louis, MO 63132
Waitlist for new clients
I have several years of experience and training in the field of sex addiction and betrayal trauma and am currently a Certified Sex Addiction Specialist (CSAT) through International Institute for Trauma and Addiction Professionals (IITAP).
I have several years of experience and training in the field of sex addiction and betrayal trauma and am currently a Certified Sex Addiction Specialist (CSAT) through International Institute for Trauma and Addiction Professionals (IITAP).
(314) 804-1858 View (314) 804-1858
Photo of Meagan Vorce, MEd, P-LPC
Meagan Vorce
MEd, P-LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63117  (Online Only)
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
(314) 907-0258 View (314) 907-0258
Photo of Christopher Maglio, LCP, Psychologist
Christopher Maglio
Psychologist, LCP
Verified Verified
Saint Louis, MO 63127  (Online Only)
Hello! I am Dr. Chris Maglio. I am a Licensed Psychologist with over 30 years of experience in counseling with children, adolescents and adults as well as military and first responders. During therapy I uses a variety of techniques and strategies, primarily from Cognitive Behavioral Therapy and Solution Focused Therapy, to most effectively address my client’s concerns.
Hello! I am Dr. Chris Maglio. I am a Licensed Psychologist with over 30 years of experience in counseling with children, adolescents and adults as well as military and first responders. During therapy I uses a variety of techniques and strategies, primarily from Cognitive Behavioral Therapy and Solution Focused Therapy, to most effectively address my client’s concerns.
(323) 643-8569 View (323) 643-8569
Photo of Kristin Seymour Msn Rn Aprn-Bc, MSN, RN, APRN, BC
Kristin Seymour Msn Rn Aprn-Bc
MSN, RN, APRN, BC
Verified Verified
Saint Louis, MO 63124
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
(314) 307-5092 View (314) 307-5092
Photo of Tiffany Burke, LPC, Licensed Professional Counselor
Tiffany Burke
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
(314) 470-9893 View (314) 470-9893
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How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
87% Depression
72% Relationship Issues
70% Self Esteem
68% Stress
67% Trauma and PTSD
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
80% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Saint Louis, MO see their clients

62% In Person and Online
38% Online Only

Gender breakdown

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

How can I find a therapist in Saint Louis?

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.