Therapists in Columbia, MD

Photo of Albertina Munoz, MSW, LCSW-C, LICSW, LCSW, CFSW, Clinical Social Work/Therapist
Albertina Munoz
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW, LCSW, CFSW
Verified Verified
Columbia, MD 21046  (Online Only)
Are you seeking to improve your connection with your partner, overcome personal challenges such as anxiety, depression, or grief, or prepare for marriage? My goal is to help individuals and couples cultivate deeper, more meaningful relationships and achieve a sense of balance, joy, and fulfillment in their lives.
Are you seeking to improve your connection with your partner, overcome personal challenges such as anxiety, depression, or grief, or prepare for marriage? My goal is to help individuals and couples cultivate deeper, more meaningful relationships and achieve a sense of balance, joy, and fulfillment in their lives.
(443) 241-6365 View (443) 241-6365
Photo of Marissa Josiah, NCC, LCPC, LPC, CCT, CCISM
Marissa Josiah
Licensed Clinical Professional Counselor, NCC, LCPC, LPC, CCT, CCISM
Verified Verified
3 Endorsed
Columbia, MD 21045
Marissa Josiah is a Licensed Clinical Professional Counselor with over 15 years of experience serving couples and families. She has studied researched-backed models in the couples therapy field (EFT, Relational Therapy, Gottman, Imago, etc) and has advanced experience treating trauma. Marissa specializes in helping couples who are fighting all the time, have experienced infidelity, past or on-going trauma, and couples who have lost that “spark” for each other. Office locations in Columbia, MD and also offering virtual visits for MD, DC & VA. Please call for a free 10 minute consultation.
Marissa Josiah is a Licensed Clinical Professional Counselor with over 15 years of experience serving couples and families. She has studied researched-backed models in the couples therapy field (EFT, Relational Therapy, Gottman, Imago, etc) and has advanced experience treating trauma. Marissa specializes in helping couples who are fighting all the time, have experienced infidelity, past or on-going trauma, and couples who have lost that “spark” for each other. Office locations in Columbia, MD and also offering virtual visits for MD, DC & VA. Please call for a free 10 minute consultation.
(301) 638-8129 View (301) 638-8129
Photo of Kelly McCabe, LCSW-C, Clinical Social Work/Therapist
Kelly McCabe
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21044
Hi there. If you are here it is likely that you are taking steps towards healing and self discovery. I want to commend your bravery in taking this step on your journey. As your therapist, I will be here to support you in the process of healing and growth and to hold space for you as you increase self awareness and compassion. We will collaborate to achieve your therapy goals. Perhaps you would like to improve interpersonal relationships, develop a self care plan to manage stress, or develop awareness into patterns of overthinking or self sabotage. I am here to support you on your journey.
Hi there. If you are here it is likely that you are taking steps towards healing and self discovery. I want to commend your bravery in taking this step on your journey. As your therapist, I will be here to support you in the process of healing and growth and to hold space for you as you increase self awareness and compassion. We will collaborate to achieve your therapy goals. Perhaps you would like to improve interpersonal relationships, develop a self care plan to manage stress, or develop awareness into patterns of overthinking or self sabotage. I am here to support you on your journey.
(443) 241-6568 View (443) 241-6568
Photo of Dr. Kaiya Nash, EdD, LPC, LCPC, Licensed Professional Counselor
Dr. Kaiya Nash
Licensed Professional Counselor, EdD, LPC, LCPC
Verified Verified
Columbia, MD 21046
Sometimes life can knock us down and leave us feeling emotionally drained, anxious, frustrated, or hopeless. Ready to be empowered? I believe empowerment has real meaning when clients take the first step in defining it through a collaborative counseling process. Throughout this process I help clients to restore balance in their lives. I'm a licensed professional counselor in MD with a Doctorate of Education in Counseling Psychology. With more than 10 years in the counseling field, I use a nonjudgmental approach with a style tailored to each individual's needs.
Sometimes life can knock us down and leave us feeling emotionally drained, anxious, frustrated, or hopeless. Ready to be empowered? I believe empowerment has real meaning when clients take the first step in defining it through a collaborative counseling process. Throughout this process I help clients to restore balance in their lives. I'm a licensed professional counselor in MD with a Doctorate of Education in Counseling Psychology. With more than 10 years in the counseling field, I use a nonjudgmental approach with a style tailored to each individual's needs.
(240) 301-3815 View (240) 301-3815
Photo of Jack Crowley, LCPC, Counselor
Jack Crowley
Counselor, LCPC
Verified Verified
Columbia, MD 21045
Jack Crowley is a Licensed Professional Counselor with more than a decade of experience serving a diverse population of community clients. He is a "nuts and bolts" psychotherapist, who employs an eclectic, evidence-based theoretical approach toward counseling that employs reality therapy and choice theory, augmented with psychodynamic theory, existential philosophy, and pastoral counseling. Jack also incorporates adjunctive, relevant human evolutionary, social, and behavioral sciences.
Jack Crowley is a Licensed Professional Counselor with more than a decade of experience serving a diverse population of community clients. He is a "nuts and bolts" psychotherapist, who employs an eclectic, evidence-based theoretical approach toward counseling that employs reality therapy and choice theory, augmented with psychodynamic theory, existential philosophy, and pastoral counseling. Jack also incorporates adjunctive, relevant human evolutionary, social, and behavioral sciences.
(410) 873-1439 View (410) 873-1439
Photo of Lorena Lewis, Marriage & Family Therapist Intern
Lorena Lewis
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Columbia, MD 21045
Not accepting new clients
Bowen Intergenerational Theory offers a comprehensive framework through which I approach therapy. I am fascinated by the intricate connections between past experiences, current behaviors, and the dynamics that unfold within family units. By delving into multigenerational patterns of interaction, I aim to empower my clients to break free from cycles of dysfunction and forge healthier, more fulfilling connections. Central to my therapeutic approach is the belief that individuals are deeply influenced by the relational dynamics within their family of origin.
Bowen Intergenerational Theory offers a comprehensive framework through which I approach therapy. I am fascinated by the intricate connections between past experiences, current behaviors, and the dynamics that unfold within family units. By delving into multigenerational patterns of interaction, I aim to empower my clients to break free from cycles of dysfunction and forge healthier, more fulfilling connections. Central to my therapeutic approach is the belief that individuals are deeply influenced by the relational dynamics within their family of origin.
(667) 868-0967 View (667) 868-0967
Photo of Jennifer Valenta, LCSW-C, PMH-C, Clinical Social Work/Therapist
Jennifer Valenta
Clinical Social Work/Therapist, LCSW-C, PMH-C
Verified Verified
Columbia, MD 21046  (Online Only)
Jennifer works with adults 18+ with mild to severe mental health diagnoses. Jennifer places emphasis on the importance of a strong therapeutic relationship and offers a non-judgmental and supportive environment to individuals struggling with transitional stressors and/or those who are in need of long term supportive care. Jennifer's primary areas of focus include fertility challenges, traumatic journeys to parenthood, grief/loss, perinatal populations, postpartum mental health, mood and anxiety disorders.
Jennifer works with adults 18+ with mild to severe mental health diagnoses. Jennifer places emphasis on the importance of a strong therapeutic relationship and offers a non-judgmental and supportive environment to individuals struggling with transitional stressors and/or those who are in need of long term supportive care. Jennifer's primary areas of focus include fertility challenges, traumatic journeys to parenthood, grief/loss, perinatal populations, postpartum mental health, mood and anxiety disorders.
(240) 698-3553 View (240) 698-3553
Photo of Bathsheba S Gray - Peace Within Psychotherapy, LCPC, Licensed Professional Counselor
Peace Within Psychotherapy
Licensed Professional Counselor, LCPC
Verified Verified
Columbia, MD 21045  (Online Only)
I want my clients to feel safe when expressing their emotions in a healthy environment. I want tp assist my client to feel confident in themselves and whatever they do to better their communities.
I want my clients to feel safe when expressing their emotions in a healthy environment. I want tp assist my client to feel confident in themselves and whatever they do to better their communities.
(410) 873-1882 View (410) 873-1882
Photo of Jillian Parente, LCSW-C, Clinical Social Work/Therapist
Jillian Parente
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
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Photo of Erica Jones, LCSW-C, Clinical Social Work/Therapist
Erica Jones
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
I believe that therapy is a powerful tool that can help you begin making the changes needed to live life on your terms. I believe every person is the ultimate expert in themselves and in combining that with my expertise in therapy, we can create a powerful opportunity to explore a new sense of self, identify values, and heal. If you feel stuck, there's hope. Let's start the journey now, the best is yet to come!
I believe that therapy is a powerful tool that can help you begin making the changes needed to live life on your terms. I believe every person is the ultimate expert in themselves and in combining that with my expertise in therapy, we can create a powerful opportunity to explore a new sense of self, identify values, and heal. If you feel stuck, there's hope. Let's start the journey now, the best is yet to come!
(240) 748-0806 View (240) 748-0806
Photo of Gina M Robinson, LCSW-C, LICSW, Clinical Social Work/Therapist
Gina M Robinson
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
2 Endorsed
Columbia, MD 21044
For more than 27 years I have specialized in working with children and adolescents and Young Adults who experience challenges in school, as well as their families. Concerned about mood or behavioral issues, distractibility/inattention, nervous feelings, grief and loss, trauma, and/or general developmental issues? In addition, treating adult women dealing with issues related to life transitions, anxiety, depression, etc. I can help. In addition to traditional treatment modalities, I integrate creative modalities such as play, art, or music into treatment approaches to engage my clients.
For more than 27 years I have specialized in working with children and adolescents and Young Adults who experience challenges in school, as well as their families. Concerned about mood or behavioral issues, distractibility/inattention, nervous feelings, grief and loss, trauma, and/or general developmental issues? In addition, treating adult women dealing with issues related to life transitions, anxiety, depression, etc. I can help. In addition to traditional treatment modalities, I integrate creative modalities such as play, art, or music into treatment approaches to engage my clients.
(443) 692-8667 View (443) 692-8667
Photo of Ryan Muffi, LCPC, MA
Ryan Muffi
Licensed Clinical Professional Counselor, LCPC, MA
Verified Verified
6 Endorsed
Columbia, MD 21045  (Online Only)
Not accepting new clients
I believe that we are all wired to connect, change and heal. As a therapist, I work with adults (18+) who want to spark and kindle these innate abilities. Consider reaching out to me if you want help with anxiety, shame, low self-esteem, and/or depression. I aim to heal the root of pain, such as adversity, trauma, grief/loss, and toxic messages from society. I also enjoy working with clients who want help expanding on growth and change and effectively integrating them into existing life and relationships.
I believe that we are all wired to connect, change and heal. As a therapist, I work with adults (18+) who want to spark and kindle these innate abilities. Consider reaching out to me if you want help with anxiety, shame, low self-esteem, and/or depression. I aim to heal the root of pain, such as adversity, trauma, grief/loss, and toxic messages from society. I also enjoy working with clients who want help expanding on growth and change and effectively integrating them into existing life and relationships.
(410) 364-4476 View (410) 364-4476
Photo of Randall R Myers, PhD, LCSW-C, Clinical Social Work/Therapist
Randall R Myers
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
(301) 918-5780 View (301) 918-5780
Photo of Kathrine Rookwood, PsyD, MDiv, Psychological Associate
Kathrine Rookwood
Psychological Associate, PsyD, MDiv
Verified Verified
Columbia, MD 21044  (Online Only)
Are you in a place where you feel stuck, or unmotivated to pursue your dreams? Many individuals are hesitant to seek counseling because of the cultural stigma, fear of the unknown or barriers to services. At Renew Private Practice, we help you overcome those barriers by providing clear answers about the therapeutic process, creating a safe, nurturing environment, and arming you with evidence-based research to break down the stigma of mental illness. Our approach is to help facilitate your healing process by teaching you how to renew your mind and let go of limiting beliefs. With the right support you can thrive and flourish in life.
Are you in a place where you feel stuck, or unmotivated to pursue your dreams? Many individuals are hesitant to seek counseling because of the cultural stigma, fear of the unknown or barriers to services. At Renew Private Practice, we help you overcome those barriers by providing clear answers about the therapeutic process, creating a safe, nurturing environment, and arming you with evidence-based research to break down the stigma of mental illness. Our approach is to help facilitate your healing process by teaching you how to renew your mind and let go of limiting beliefs. With the right support you can thrive and flourish in life.
(240) 301-1694 View (240) 301-1694
Photo of Alex Rennich, LGPC, Counselor
Alex Rennich
Counselor, LGPC
Verified Verified
Columbia, MD 21044
The ideal client is someone who is experiencing anxiety, depressive symptoms and is experiencing relationship issues. The goals of this client would be to reduce their anxiety and depression by working on improving their relationship. They want improve their relationship because they want to reduce their anxiety intensity and depressive symptoms.
The ideal client is someone who is experiencing anxiety, depressive symptoms and is experiencing relationship issues. The goals of this client would be to reduce their anxiety and depression by working on improving their relationship. They want improve their relationship because they want to reduce their anxiety intensity and depressive symptoms.
(443) 702-8050 View (443) 702-8050
Photo of Lisa M Ott - Lisa M. Ott, LCSW-C, LLC, LCSW-C, Clinical Social Work/Therapist
Lisa M. Ott, LCSW-C, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
The decision to begin psychotherapy takes courage and commitment. I work with individuals and couples, creating a safe environment for problem-solving, healing and growth. I believe there are discernible reasons for the pain people feel and the problem behaviors we sometimes exhibit, and that understanding those reasons is an important step in reducing painful symptoms and self-defeating behaviors, and in feeling better.
The decision to begin psychotherapy takes courage and commitment. I work with individuals and couples, creating a safe environment for problem-solving, healing and growth. I believe there are discernible reasons for the pain people feel and the problem behaviors we sometimes exhibit, and that understanding those reasons is an important step in reducing painful symptoms and self-defeating behaviors, and in feeling better.
(443) 296-5521 View (443) 296-5521
Photo of Felisha C Pierce, MFC-MA, LCPC
Felisha C Pierce
Licensed Clinical Professional Counselor, MFC-MA, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
Providing collaborative efforts to help assist individuals who may be navigating through challenging times and are in need of support. In life there are moments of uncertainty and unpredictability that may yield the need for specific guidance that is unique to the individual or family. I am able to offer warm concern that is focused on achieving personal change and growth goals. My ultimate purpose is to connect, understand, and grow therapeutic relationships that are tailored to the needs and desires of the client as a tool to encourage, motivate, and empower the building of self-growth and effective development.
(240) 209-9668 View (240) 209-9668
Photo of Heidi M Woods, MS, LCPC
Heidi M Woods
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
I specialize in the treatment of depression and anxiety disorders in children, adolescents and adults as well as behavior problems in children and adolescents. I also treat those who have experienced trauma. I utilize cognitive behavioral, behavior modification, relaxation, and solution focused therapies to help clients achieve a better life. My treatment approach is to listen carefully, develop treatment goals that are important and achieveable for the client, build on the client's current skills and help to develop new life skills as well as helping the client to achieve life balance.
I specialize in the treatment of depression and anxiety disorders in children, adolescents and adults as well as behavior problems in children and adolescents. I also treat those who have experienced trauma. I utilize cognitive behavioral, behavior modification, relaxation, and solution focused therapies to help clients achieve a better life. My treatment approach is to listen carefully, develop treatment goals that are important and achieveable for the client, build on the client's current skills and help to develop new life skills as well as helping the client to achieve life balance.
(443) 701-5772 View (443) 701-5772
Photo of Sheryl Jefferson, MSW, LCSW-C, Clinical Social Work/Therapist
Sheryl Jefferson
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21044
There are many reasons that bring diverse people to seek out help and support, from unexpected life changes, developmental changes and challenges to experiencing significant traumatic experiences. Responses to stress can show up as increased anxiety, changes in behavior and tools that have previously been used to manage stress are not working anymore. As a Therapist I believe it is my role to create a safe environment and provide a space people are comfortable talking about the cause of their stress.
There are many reasons that bring diverse people to seek out help and support, from unexpected life changes, developmental changes and challenges to experiencing significant traumatic experiences. Responses to stress can show up as increased anxiety, changes in behavior and tools that have previously been used to manage stress are not working anymore. As a Therapist I believe it is my role to create a safe environment and provide a space people are comfortable talking about the cause of their stress.
(240) 502-1172 View (240) 502-1172
Photo of Daniel McCarthy, PhD, Psychologist
Daniel McCarthy
Psychologist, PhD
Verified Verified
Columbia, MD 21044  (Online Only)
Many people feel so alone with their problems. Central to my approach to counseling is my belief that the relationship between the client and the counselor is critical to effective counseling. Only when a client feels that they are fully heard, understood, accepted and valued without judgment, does change occur. These key factors are manifest through active listening, empathy, unconditional positive regard, and the development of a therapeutic alliance. That alliance is built around an agreement on the client’s goals. These goals must always be the client’s goals, no one else's. No problem is "too hard" and no revelation "too dark".
Many people feel so alone with their problems. Central to my approach to counseling is my belief that the relationship between the client and the counselor is critical to effective counseling. Only when a client feels that they are fully heard, understood, accepted and valued without judgment, does change occur. These key factors are manifest through active listening, empathy, unconditional positive regard, and the development of a therapeutic alliance. That alliance is built around an agreement on the client’s goals. These goals must always be the client’s goals, no one else's. No problem is "too hard" and no revelation "too dark".
(301) 381-1607 View (301) 381-1607
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How does your Therapist compare?

Number of Therapists in Columbia, MD

900+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

94% Anxiety
89% Depression
72% Relationship Issues
72% Self Esteem
68% Coping Skills
68% Stress
62% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

76% Cigna and Evernorth
76% CareFirst
73% BlueCross and BlueShield

How Therapists in Columbia, MD see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.