Therapists in Tucson, AZ
![Photo of Holly Darwin, LCSW, LISAC, CADAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43c5ae68-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Holly Darwin
Clinical Social Work/Therapist, LCSW, LISAC, CADAC
Verified Verified
1 Endorsed
Tucson, AZ 85739
I have extensive experience in Trauma and Addiction Issues that result in behavioral consequences. I work best with adults of all ages but have had successful results with mature young adults and elders with dementia. I work from a reality therapy approach and believe the best solutions are the solutions the clients generate for themselves with guidance from the therapist.
I have extensive experience in Trauma and Addiction Issues that result in behavioral consequences. I work best with adults of all ages but have had successful results with mature young adults and elders with dementia. I work from a reality therapy approach and believe the best solutions are the solutions the clients generate for themselves with guidance from the therapist.
![Photo of Shannon L King, MS, APCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/10a349ee-abc6-44b7-8b2d-8de8ba1469ca/2/320x400.jpeg)
Shannon L King
Licensed Professional Counselor, MS, APCC, LPC
Verified Verified
1 Endorsed
Tucson, AZ 85743 (Online Only)
I primarily work with narcissistic abuse survivors as well as empaths and HSP's (which are typically targeted by narcs). I also work with couples who feel they are in toxic dynamics and feel stuck. This life is hard but having someone who you can talk to is so helpful and I communicate with my clients, not stare at you and expect you to do all talking! I promise you that even when it feels like you just can't do it anymore.. you really can! I personally have experienced much of life's hardships but I'm grateful for that because it gave me the opportunity to help so many others!
I primarily work with narcissistic abuse survivors as well as empaths and HSP's (which are typically targeted by narcs). I also work with couples who feel they are in toxic dynamics and feel stuck. This life is hard but having someone who you can talk to is so helpful and I communicate with my clients, not stare at you and expect you to do all talking! I promise you that even when it feels like you just can't do it anymore.. you really can! I personally have experienced much of life's hardships but I'm grateful for that because it gave me the opportunity to help so many others!
![Photo of Amelia Keiana Rustaey, LAC, NCC, MA, Counselor](https://photos.psychologytoday.com/fe760558-c3da-485b-8e26-4840e9d30883/1/320x400.jpeg)
Amelia Keiana Rustaey
Counselor, LAC, NCC, MA
Verified Verified
1 Endorsed
Tucson, AZ 85701
Waitlist for new clients
I work to provide a space where clients experience a nonjudgemental, explorative, and insightful therapeutic environment. I value your autonomy and believe the individual knows themselves best. We will work together to find ways to empower you and your strengths while identifying areas of distress and areas for growth to help you live a more balanced and enjoyable life.
I work to provide a space where clients experience a nonjudgemental, explorative, and insightful therapeutic environment. I value your autonomy and believe the individual knows themselves best. We will work together to find ways to empower you and your strengths while identifying areas of distress and areas for growth to help you live a more balanced and enjoyable life.
![Photo of Soul Space Llc - Soul Space, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53903cde-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
![Photo of Andy Bernstein, PhD, CPRP, Psychologist](https://photos.psychologytoday.com/3c4fc608-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My orientation is family systems, which means even when there is only one person in my office, I view that person in the context of emotional systems in which he or she is embedded–family, work, friendships–and try to help the person recognize forces that are acting upon them. What are the "rules" of those systems? What expectations did someone grow up with, for example, around marriage and family? What lessons were learned about sexuality and religion, about work and play, fitting in vs. going one’s own way, and all the other challenges and choices that life presents?
My orientation is family systems, which means even when there is only one person in my office, I view that person in the context of emotional systems in which he or she is embedded–family, work, friendships–and try to help the person recognize forces that are acting upon them. What are the "rules" of those systems? What expectations did someone grow up with, for example, around marriage and family? What lessons were learned about sexuality and religion, about work and play, fitting in vs. going one’s own way, and all the other challenges and choices that life presents?
![Photo of Ashley Shulski, MSW, LCSW, CCTP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ce0c18ac-77cf-4190-ad91-5fca89c58dbf/1/320x400.jpeg)
Ashley Shulski
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Tucson, AZ 85747 (Online Only)
Currently open to seeing clients virtually only. Do you struggle with trusting others, expressing your emotions and needs to others, have fear or worry that gets in your way of enjoying life, or struggle with a healthy sense of self-worth? If so, you have found your way to me where I can partner with you to help you feel better, have improved self-esteem and trust, and love for yourself and others.
Currently open to seeing clients virtually only. Do you struggle with trusting others, expressing your emotions and needs to others, have fear or worry that gets in your way of enjoying life, or struggle with a healthy sense of self-worth? If so, you have found your way to me where I can partner with you to help you feel better, have improved self-esteem and trust, and love for yourself and others.
![Photo of Jaime Delvan, LAC, Counselor](https://photos.psychologytoday.com/218ec50f-6299-4531-979f-748b59c1ba8e/2/320x400.jpeg)
I specialize in working with LGBTQIA+, gender non-conforming, and non-monogamous people. I am a queer, non-binary, non-monogamous, white therapist who practices from an anti-oppressive lens to empower clients.
I specialize in working with LGBTQIA+, gender non-conforming, and non-monogamous people. I am a queer, non-binary, non-monogamous, white therapist who practices from an anti-oppressive lens to empower clients.
![Photo of Karen Reynolds @ Entune Behavioral Health, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fe5ac725-49cb-48f6-b31c-ab95b845e7cf/1/320x400.png)
Karen Reynolds @ Entune Behavioral Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85712
My ideal client is someone facing significant life challenges such as anxiety, depression, trauma, or addiction. They may be navigating complex transitions, coping with grief, or struggling with self-esteem and identity issues, including those related to LGBTQIA+ experiences. They seek a compassionate, non-judgmental space to explore their emotions, process past traumas, and develop practical strategies to reclaim their life. Their goal is to heal, grow, and move forward with resilience and confidence, gaining the tools needed for lasting change and emotional well-being.
My ideal client is someone facing significant life challenges such as anxiety, depression, trauma, or addiction. They may be navigating complex transitions, coping with grief, or struggling with self-esteem and identity issues, including those related to LGBTQIA+ experiences. They seek a compassionate, non-judgmental space to explore their emotions, process past traumas, and develop practical strategies to reclaim their life. Their goal is to heal, grow, and move forward with resilience and confidence, gaining the tools needed for lasting change and emotional well-being.
![Photo of Julia M Ambriz, MS, LPC, Counselor](https://photos.psychologytoday.com/3bd34f93-a389-4083-9ba8-fd83c648aea3/1/320x400.jpeg)
In a world where we are constantly experiencing trauma, both directly and indirectly, it can be difficult to identify how deeply different things in life affect us. I believe that the experience of feeling understood can be the catalyst for change and something that allows for healing to begin. I aim to provide a space of healing, openness and exploration for those things that you might otherwise suppress or carry with heaviness or judgment. Together, we can heal that unresolved stuff from the past and create skills to support you through future circumstances.
In a world where we are constantly experiencing trauma, both directly and indirectly, it can be difficult to identify how deeply different things in life affect us. I believe that the experience of feeling understood can be the catalyst for change and something that allows for healing to begin. I aim to provide a space of healing, openness and exploration for those things that you might otherwise suppress or carry with heaviness or judgment. Together, we can heal that unresolved stuff from the past and create skills to support you through future circumstances.
![Photo of Vanessa Vann, LCSW, EMDR, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a9ec1aed-9ee0-4284-8869-093086d74cfa/1/320x400.jpeg)
Vanessa Vann
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
2 Endorsed
Tucson, AZ 85742
Have you found therapy unhelpful in the past? If you are looking for a change and a new approach, I can help. I have more than 20 years of experience helping individuals, couples and families overcome life's hurdles and feel fulfilled. I have a passion for helping individuals overcome PTSD, CPTSD, developmental, religious and other specific trauma. I have experience working with neurodivergent individuals, borderline, narcissistic and anti-social personalities, suicidal thoughts, self-harm, OCD, phobias, eating disorders, addiction, disassociation and chronic pain. I am passionate about LGBTQ+ and gender identity issues.
Have you found therapy unhelpful in the past? If you are looking for a change and a new approach, I can help. I have more than 20 years of experience helping individuals, couples and families overcome life's hurdles and feel fulfilled. I have a passion for helping individuals overcome PTSD, CPTSD, developmental, religious and other specific trauma. I have experience working with neurodivergent individuals, borderline, narcissistic and anti-social personalities, suicidal thoughts, self-harm, OCD, phobias, eating disorders, addiction, disassociation and chronic pain. I am passionate about LGBTQ+ and gender identity issues.
![Photo of Karen M Rieter-Barrett, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/463294cc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Karen M Rieter-Barrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85712
Not accepting new clients
I am passionate about supporting individuals and families to feel empowered, fulfilled and happy. I have always told my kids that everyone has their own journey. I am from a large family that includes many various personalities, abilities and disabilities. We all have strengths and challenges. All of us need help at certain points along the way. There were a few key people who made a difference for me in my life and inspired me to do this work. I feel that my personal experience along with my professional training have allowed me to have unique insights in my practice.
I am passionate about supporting individuals and families to feel empowered, fulfilled and happy. I have always told my kids that everyone has their own journey. I am from a large family that includes many various personalities, abilities and disabilities. We all have strengths and challenges. All of us need help at certain points along the way. There were a few key people who made a difference for me in my life and inspired me to do this work. I feel that my personal experience along with my professional training have allowed me to have unique insights in my practice.
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![Photo of Sydney Arkowitz, PhD, Psychologist](https://photos.psychologytoday.com/3cdd0b52-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
In the first session I focus on what is on your mind, knowing there may be more to discover. My experience is with a wide range of problems, such as depression, anxiety, trauma, self-esteem, relationships, work. Sometimes we move quickly. Other times we must take our time, patiently and with compassion. We talk about what you tell me, how this shows up in sessions, and we add important links from the past. The therapy has a foundation both in my expertise and in our forming a unique relationship with respect for what each of us brings to the work.
In the first session I focus on what is on your mind, knowing there may be more to discover. My experience is with a wide range of problems, such as depression, anxiety, trauma, self-esteem, relationships, work. Sometimes we move quickly. Other times we must take our time, patiently and with compassion. We talk about what you tell me, how this shows up in sessions, and we add important links from the past. The therapy has a foundation both in my expertise and in our forming a unique relationship with respect for what each of us brings to the work.
![Photo of Johannes Kieding, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/54aaeeaa-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I help adult individuals and couples -- as well as youth and their parents -- with issues such as anxiety, self-esteem difficulties, depression, relationship problems, and a host of other issues. I do not only focus on helping you to feel better in the moment (which is important), but I also focus on helping you resolve the root causes of your difficulties.
I help adult individuals and couples -- as well as youth and their parents -- with issues such as anxiety, self-esteem difficulties, depression, relationship problems, and a host of other issues. I do not only focus on helping you to feel better in the moment (which is important), but I also focus on helping you resolve the root causes of your difficulties.
![Photo of Paula A Roze, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45283335-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Paula A Roze
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85747
Not accepting new clients
When life isn’t what you thought it would be and you experience problems in your relationships with your partner, children, co-workers, extended family members; or perhaps you have problems dealing with past family issues, or have experienced a recent or past trauma. As a result you may be feeling depressed, anxious, have difficulty sleeping, experiencing mood changes, have angry outbursts or perhaps you’re drinking a little too much, eating too much or too little. Events in life shape a person’s belief system which can effect their perception of themselves and those around them.
When life isn’t what you thought it would be and you experience problems in your relationships with your partner, children, co-workers, extended family members; or perhaps you have problems dealing with past family issues, or have experienced a recent or past trauma. As a result you may be feeling depressed, anxious, have difficulty sleeping, experiencing mood changes, have angry outbursts or perhaps you’re drinking a little too much, eating too much or too little. Events in life shape a person’s belief system which can effect their perception of themselves and those around them.
![Photo of Meghan Gilliland, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53e380b1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Meghan Gilliland
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Tucson, AZ 85749 (Online Only)
Do you find yourself overthinking everything or battling an internal critic that tells you what you are doing wrong all the time? You've decided to reach out for therapy because you are tired of managing your insecurities and want to get to the root of the problem. Whether you have a history of trauma that you are ready to work through, or more recent life challenges, I can help.
Do you find yourself overthinking everything or battling an internal critic that tells you what you are doing wrong all the time? You've decided to reach out for therapy because you are tired of managing your insecurities and want to get to the root of the problem. Whether you have a history of trauma that you are ready to work through, or more recent life challenges, I can help.
![Photo of Donald Jan Miretsky, MEd, LPC, NBCCH, Counselor](https://photos.psychologytoday.com/3c381472-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have thirty-five years of professional experience with in-patient and outpatient settings. I served as clinical director for a behavioral health program in a state-wide agency for 19 years, was adjunct faculty/family therapy supervisor at the University of Arizona in the psychology department for 11 years, and a family therapy seminar lecturer in the department of psychiatry for seven years. I have presented at local, state,and national conferences as well as consulted and trained for multiple private and state agencies. I specialize in child and family therapy as well as adult and marital/couples issues.
I have thirty-five years of professional experience with in-patient and outpatient settings. I served as clinical director for a behavioral health program in a state-wide agency for 19 years, was adjunct faculty/family therapy supervisor at the University of Arizona in the psychology department for 11 years, and a family therapy seminar lecturer in the department of psychiatry for seven years. I have presented at local, state,and national conferences as well as consulted and trained for multiple private and state agencies. I specialize in child and family therapy as well as adult and marital/couples issues.
![Photo of Nicole Schutzbank, LPC, LCAT, ATR-BC, ATCS, Licensed Professional Counselor](https://photos.psychologytoday.com/b9a3d8f0-5e4e-4d0f-b262-e110d7a7e1fe/2/320x400.jpeg)
Nicole Schutzbank
Licensed Professional Counselor, LPC, LCAT, ATR-BC, ATCS
Verified Verified
2 Endorsed
Tucson, AZ 85701
Are you a sensitive, tender-hearted, or creative soul searching for a space to be yourself? Do you crave a therapeutic experience that honors your individuality, fosters self-reflection, and encourages personal growth? If so, we might be the perfect match. Therapy is a collaborative journey where your insights and feelings guide the process. My approach is warm, intuitive, and deeply respectful of your unique perspective. I understand that you're not looking for a quick fix—you're ready to dig deep, explore your inner world, and make lasting changes that resonate with who you truly are.
Are you a sensitive, tender-hearted, or creative soul searching for a space to be yourself? Do you crave a therapeutic experience that honors your individuality, fosters self-reflection, and encourages personal growth? If so, we might be the perfect match. Therapy is a collaborative journey where your insights and feelings guide the process. My approach is warm, intuitive, and deeply respectful of your unique perspective. I understand that you're not looking for a quick fix—you're ready to dig deep, explore your inner world, and make lasting changes that resonate with who you truly are.
![Photo of Dan Holbery - ALL Things Possible ABA , BCBA](https://photos.psychologytoday.com/913189da-2372-4535-aee5-09e933d9acc9/3/320x400.png)
This team, on which you are a key member, will be committed to helping develop a treatment plan with goals to teach and master that lead to meaningful changes in your learner's life
This team, on which you are a key member, will be committed to helping develop a treatment plan with goals to teach and master that lead to meaningful changes in your learner's life
![Photo of Melinda Y Loya, MS, LAC, Counselor](https://photos.psychologytoday.com/3ed1587a-a494-4ac8-af02-c3834e64f65a/2/320x400.jpeg)
"Darkness cannot extinguish the light of even a small candle". Sometimes we just need a little bit of guidance to return our gaze to the light, to the good, and to the gratitude. Maybe you forget that they are there because of daily stresses or anxieties. Maybe you are just feeling so overwhelmed by your emotions that you find yourself struggling throughout the week. Maybe you just need a guiding voice to be present, help you understand your emotions, and learn coping and interpersonal skills that will help you. My experience and practice is focused on helping teens and young adults with this.
"Darkness cannot extinguish the light of even a small candle". Sometimes we just need a little bit of guidance to return our gaze to the light, to the good, and to the gratitude. Maybe you forget that they are there because of daily stresses or anxieties. Maybe you are just feeling so overwhelmed by your emotions that you find yourself struggling throughout the week. Maybe you just need a guiding voice to be present, help you understand your emotions, and learn coping and interpersonal skills that will help you. My experience and practice is focused on helping teens and young adults with this.
![Photo of Veronica M Machado, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/71d19e7f-556c-4599-bb5b-0e3498a752a7/4/320x400.jpeg)
Veronica M Machado
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Tucson, AZ 85745 (Online Only)
My name is Veronica Machado, I am a Licensed Professional Mental Health Counselor serving adults and teenagers in the Tucson area. My therapy practice is supportive and kind, and my purpose is to help you find meaning, navigate changes, heal and come back to yourself. Therapy is a space where you are not judged or stereotyped for your identities. I am currently seeing clients via telehealth.
My name is Veronica Machado, I am a Licensed Professional Mental Health Counselor serving adults and teenagers in the Tucson area. My therapy practice is supportive and kind, and my purpose is to help you find meaning, navigate changes, heal and come back to yourself. Therapy is a space where you are not judged or stereotyped for your identities. I am currently seeing clients via telehealth.
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Number of Therapists in Tucson, AZ
1,000+
Average cost per session
$125
Therapists in Tucson, AZ who prioritize treating:
91% | Anxiety |
88% | Depression |
74% | Trauma and PTSD |
71% | Self Esteem |
70% | Relationship Issues |
69% | Stress |
64% | Grief |
Average years in practice
12 Years
Top 3 insurances accepted
84% | Aetna |
73% | UnitedHealthcare UHC | UBH |
69% | BlueCross and BlueShield |
How Therapists in Tucson, AZ see their clients
59% | In Person and Online | |
41% | Online Only |
Gender breakdown
80% | Female | |
18% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Tucson?
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
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.
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.
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.