Therapists in Pittsburgh, PA

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Photo of Rebecca R. Hahn, MA, LPC, Licensed Professional Counselor
Rebecca R. Hahn
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15234
Every person is a unique individual with their own stressors, but everyone can use some counseling sometimes. Hurt from the past, worries about the future, and stressors right now can get in the way of living a fulfilling, happy life. Rebecca Hahn, MA, LPC (she/her) of Counseling for Progress, LLC can help you sort through your emotions, experiences, and thoughts to make progress now. As a team, you and Rebecca Hahn can work together to reach your goals so you can enjoy your life.
Every person is a unique individual with their own stressors, but everyone can use some counseling sometimes. Hurt from the past, worries about the future, and stressors right now can get in the way of living a fulfilling, happy life. Rebecca Hahn, MA, LPC (she/her) of Counseling for Progress, LLC can help you sort through your emotions, experiences, and thoughts to make progress now. As a team, you and Rebecca Hahn can work together to reach your goals so you can enjoy your life.
(412) 424-6143 View (412) 424-6143
Photo of Robert Hawkins - Robert Hawkins, LPC, LPC, Licensed Professional Counselor
Robert Hawkins, LPC
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15211
Are you feeling overwhelmed by life's occurrances due to depression, anxiety, addiction or other issues? Do believe that you need to change but are unsure how to go about making those changes? If you answered yes to either of these questions, then call me for assistance. Every person has the ability to make changes needed to have a healthier life. Some people need assistance to determine what these changes are and how to help themselves lead healthier lives.
Are you feeling overwhelmed by life's occurrances due to depression, anxiety, addiction or other issues? Do believe that you need to change but are unsure how to go about making those changes? If you answered yes to either of these questions, then call me for assistance. Every person has the ability to make changes needed to have a healthier life. Some people need assistance to determine what these changes are and how to help themselves lead healthier lives.
(412) 214-8916 View (412) 214-8916
Photo of Mal Ragunathan, LSW, EdM, MS, Pre-Licensed Professional
Mal Ragunathan
Pre-Licensed Professional, LSW, EdM, MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15222  (Online Only)
I specialize in working with individuals and couples, who are seeking support with anxiety, depression, complex trauma, navigating parent-child relationships, and perinatal mental health. I work best with folks who are committed to a process of turning inward - those who want to interrogate their familial systems and dynamics, unlearn harmful patterns of relating, and work with trans-generational patterns of trauma and healing. I am invested in centering your lived experience and how it impacts the way you move through the world as well as how you relate to yourself and others.
I specialize in working with individuals and couples, who are seeking support with anxiety, depression, complex trauma, navigating parent-child relationships, and perinatal mental health. I work best with folks who are committed to a process of turning inward - those who want to interrogate their familial systems and dynamics, unlearn harmful patterns of relating, and work with trans-generational patterns of trauma and healing. I am invested in centering your lived experience and how it impacts the way you move through the world as well as how you relate to yourself and others.
(412) 267-9657 View (412) 267-9657
Photo of Dr. Brian J. Ferraccio, PsyD, Psychologist
Dr. Brian J. Ferraccio
Psychologist, PsyD
Verified Verified
3 Endorsed
Pittsburgh, PA 15222
*Please Assist Dr. F. in Most Efficiently Managing High Demand by Enrolling for Your Consult Directly @ “Pittsburgh-Therapist.com”* I know there are real reasons that led you here, together we can find real solutions. I will listen to your story & together we will work to resolve your unique challenges, step by step, at your pace. Recent events have been disruptive, unsettling, & traumatic. As a result, you may be facing new/intensified problems. I excel in aiding adults & teens who are exhausted, down, overwhelmed, irritable, anxious, survivors of trauma/abuse, and/or have problems relating to others. I look forward to meeting you.
*Please Assist Dr. F. in Most Efficiently Managing High Demand by Enrolling for Your Consult Directly @ “Pittsburgh-Therapist.com”* I know there are real reasons that led you here, together we can find real solutions. I will listen to your story & together we will work to resolve your unique challenges, step by step, at your pace. Recent events have been disruptive, unsettling, & traumatic. As a result, you may be facing new/intensified problems. I excel in aiding adults & teens who are exhausted, down, overwhelmed, irritable, anxious, survivors of trauma/abuse, and/or have problems relating to others. I look forward to meeting you.
(878) 216-7126 View (878) 216-7126
Photo of Meagan Narvaez, MEd, LMHC, Licensed Professional Counselor
Meagan Narvaez
Licensed Professional Counselor, MEd, LMHC
Verified Verified
5 Endorsed
Pittsburgh, PA 15210  (Online Only)
At times in our lives, sex and intimacy may not be a top priority. You might have a hard time expressing your desires, or knowing what those desires are in the first place! Does that resonate with you? If you’re in a relationship rut or you’ve simply never learned that sex is for YOUR pleasure, you might be feeling disconnected from your body. The root of these challenges is that sex is a skill, and society doesn’t teach us to hone in on our sexy, sensual side for our own benefit. When we struggle with sex or intimacy, we tend to go on struggling until it becomes overwhelming and we can’t avoid it any longer. Now, it’s time to grow.
At times in our lives, sex and intimacy may not be a top priority. You might have a hard time expressing your desires, or knowing what those desires are in the first place! Does that resonate with you? If you’re in a relationship rut or you’ve simply never learned that sex is for YOUR pleasure, you might be feeling disconnected from your body. The root of these challenges is that sex is a skill, and society doesn’t teach us to hone in on our sexy, sensual side for our own benefit. When we struggle with sex or intimacy, we tend to go on struggling until it becomes overwhelming and we can’t avoid it any longer. Now, it’s time to grow.
(412) 207-3868 View (412) 207-3868
Photo of Kaitlyn Barbarow, MS, NCC, LPC, Licensed Professional Counselor
Kaitlyn Barbarow
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Pittsburgh, PA 15226
Life is hard, especially when you feel like you just can’t manage everything on your plate. From school to work to relationships with friends and family, there is always a lot to juggle, and stress can build up quickly! When you’re overwhelmed, your behavior, mood, and relationships are all impacted, and it’s harder to be able to fully enjoy life.
Life is hard, especially when you feel like you just can’t manage everything on your plate. From school to work to relationships with friends and family, there is always a lot to juggle, and stress can build up quickly! When you’re overwhelmed, your behavior, mood, and relationships are all impacted, and it’s harder to be able to fully enjoy life.
(412) 538-6873 View (412) 538-6873
Photo of Aditi Kahn, LSW, Clinical Social Work/Therapist
Aditi Kahn
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15203
My educational background in human rights & social justice has equipped me with skills to work with a diverse range of clients. I derived great satisfaction from assisting women who were facing challenges related to domestic violence or marital issues. My ideal clients are women who need to be reminded of their strength & value in this world. My approach involves empowering women through assertiveness training & connecting them with community resources to aid them towards independence. I help them recognize & develop their inner strengths, equipping them with tools to manage & overcome problems independently.
My educational background in human rights & social justice has equipped me with skills to work with a diverse range of clients. I derived great satisfaction from assisting women who were facing challenges related to domestic violence or marital issues. My ideal clients are women who need to be reminded of their strength & value in this world. My approach involves empowering women through assertiveness training & connecting them with community resources to aid them towards independence. I help them recognize & develop their inner strengths, equipping them with tools to manage & overcome problems independently.
(412) 960-2988 View (412) 960-2988
Photo of Aminata Konneh, MS, LPC, Licensed Professional Counselor
Aminata Konneh
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15222
I have experience helping transition age and adults develop skills to manage mood and improve relationships. Some of her specialty areas include depression, anxiety, ADHD, and Autism.
I have experience helping transition age and adults develop skills to manage mood and improve relationships. Some of her specialty areas include depression, anxiety, ADHD, and Autism.
(724) 564-6483 View (724) 564-6483
Photo of Kailey McCabe, LCSW, Clinical Social Work/Therapist
Kailey McCabe
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15232  (Online Only)
Are you having frequent fears of "the unknown"? Questioning where to turn and wondering when these frequent, unwanted thoughts became such a large part of your day-to-day routine? Are you thinking about making a change and wondering where to start? My approach is rooted in Cognitive Behavioral and Mindfulness-based therapies - identifying thoughts and beliefs and taking steps to address and change those that no longer serve you. Through therapy, you can begin to let go of unwanted thoughts and obtain peace and the quality of life you deserve.
Are you having frequent fears of "the unknown"? Questioning where to turn and wondering when these frequent, unwanted thoughts became such a large part of your day-to-day routine? Are you thinking about making a change and wondering where to start? My approach is rooted in Cognitive Behavioral and Mindfulness-based therapies - identifying thoughts and beliefs and taking steps to address and change those that no longer serve you. Through therapy, you can begin to let go of unwanted thoughts and obtain peace and the quality of life you deserve.
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Photo of Michael Schneider - New Directions Mental Health - Robinson Twp, PsyD, Psychologist
New Directions Mental Health - Robinson Twp
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15205
Offering Teletherapy, Telepsychiatry and in-office visits. We are a heart-centered practice dedicated to providing highly personalized care that supports you in making lasting changes. At New Directions, we specialize in providing the help you need from start to finish including matching you with the right therapist or psychiatric provider and offering effective services. Whether you are looking for individual therapy for yourself, therapy for a child or teen, couple's therapy, family therapy and/or psychiatric services, we can assist.
Offering Teletherapy, Telepsychiatry and in-office visits. We are a heart-centered practice dedicated to providing highly personalized care that supports you in making lasting changes. At New Directions, we specialize in providing the help you need from start to finish including matching you with the right therapist or psychiatric provider and offering effective services. Whether you are looking for individual therapy for yourself, therapy for a child or teen, couple's therapy, family therapy and/or psychiatric services, we can assist.
(412) 444-7275 View (412) 444-7275
Photo of Martine Saul (Sheherhers), MSCP, LPC, Licensed Professional Counselor
Martine Saul (Sheherhers)
Licensed Professional Counselor, MSCP, LPC
Verified Verified
5 Endorsed
Pittsburgh, PA 15238
Not accepting new clients
Martine Saul is a licensed professional counselor with a B.A. in Psychology from Point Park University and a M.S. in Counseling Psychology from Chatham University. Her graduate field placements all took place within hospice and palliative care facilities, and she therefore, has experience and interest working with hospice patients as well doing bereavement, grief and loss counseling with those patients and their loved ones. Martine currently works full-time as a therapist in Private Practice. She has earned her certificate in Gerontology from the University of Pittsburgh. She is also trained in EMDR for trauma-informed care.
Martine Saul is a licensed professional counselor with a B.A. in Psychology from Point Park University and a M.S. in Counseling Psychology from Chatham University. Her graduate field placements all took place within hospice and palliative care facilities, and she therefore, has experience and interest working with hospice patients as well doing bereavement, grief and loss counseling with those patients and their loved ones. Martine currently works full-time as a therapist in Private Practice. She has earned her certificate in Gerontology from the University of Pittsburgh. She is also trained in EMDR for trauma-informed care.
(412) 532-4602 View (412) 532-4602
Photo of James Bowen, MSW, LSW, Clinical Social Work/Therapist
James Bowen
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15217
I see therapy as a way of deepening relationship to purpose, land, bodies, and each other. I help people build capacity so they can show up in more meaningful ways in their relationships and the world.  I draw upon body-based (somatic) and insight-based (psychodynamic) therapies to help open up places where people are stuck, uncover what is held in the body and psyche, explore troubled aspects of the self, and create new possibilities.
I see therapy as a way of deepening relationship to purpose, land, bodies, and each other. I help people build capacity so they can show up in more meaningful ways in their relationships and the world.  I draw upon body-based (somatic) and insight-based (psychodynamic) therapies to help open up places where people are stuck, uncover what is held in the body and psyche, explore troubled aspects of the self, and create new possibilities.
(412) 501-2467 View (412) 501-2467
Photo of Elizabeth A Turak, MS, NCC, Pre-Licensed Professional
Elizabeth A Turak
Pre-Licensed Professional, MS, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15222  (Online Only)
Are you grappling with the weight of anxiety, wrestling with the grip of depression, or caught in the intricate struggles of chronic illness & pain? You're not alone. Your needs are unique, and you want a therapist who truly understands and supports you on your journey to improved mental health. Your goal is to find practical solutions and guidance to lead a happier, more fulfilling life. Together, we'll work to achieve the treatment goals you desire.
Are you grappling with the weight of anxiety, wrestling with the grip of depression, or caught in the intricate struggles of chronic illness & pain? You're not alone. Your needs are unique, and you want a therapist who truly understands and supports you on your journey to improved mental health. Your goal is to find practical solutions and guidance to lead a happier, more fulfilling life. Together, we'll work to achieve the treatment goals you desire.
(412) 361-9595 View (412) 361-9595
Photo of Laurie E. Pietragallo, MS, LPC, Licensed Professional Counselor
Laurie E. Pietragallo
Licensed Professional Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15241  (Online Only)
I believe the greatest gift we can offer to someone in need is the ability to meet them where they are and without judgement. My approach to therapy is humanistic, providing a supportive environment comprised of acceptance and appropriate humor. My specialties include treatment of anxiety and depression as well as issues concerning self-esteem, spirituality, and life transitions to adults ages 25+.
I believe the greatest gift we can offer to someone in need is the ability to meet them where they are and without judgement. My approach to therapy is humanistic, providing a supportive environment comprised of acceptance and appropriate humor. My specialties include treatment of anxiety and depression as well as issues concerning self-esteem, spirituality, and life transitions to adults ages 25+.
(412) 329-6696 View (412) 329-6696
Photo of Kaitlin Kennedy, LCSW, Clinical Social Work/Therapist
Kaitlin Kennedy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
I am a Clinical Social Worker with a diverse background in treating children, teenagers, young adults and families. I have been in the social work field for over 10 years and have worked in settings such as outpatient clinics, schools and in the community. I have experience working with adoption transitions, behavioral concerns in childhood and adolescence, school and peer issues, and other topics relevant to children/teens. Additionally, I am passionate about helping trauma survivors and I am currently working forward becoming a Certified Trauma Professional and will be starting EMDR training in August 2024.
I am a Clinical Social Worker with a diverse background in treating children, teenagers, young adults and families. I have been in the social work field for over 10 years and have worked in settings such as outpatient clinics, schools and in the community. I have experience working with adoption transitions, behavioral concerns in childhood and adolescence, school and peer issues, and other topics relevant to children/teens. Additionally, I am passionate about helping trauma survivors and I am currently working forward becoming a Certified Trauma Professional and will be starting EMDR training in August 2024.
(412) 912-2654 View (412) 912-2654
Photo of Mariellen Kerr, PhD, LPC, CSP, Licensed Professional Counselor
Mariellen Kerr
Licensed Professional Counselor, PhD, LPC, CSP
Verified Verified
Pittsburgh, PA 15241
I am here to help you. Having worked many years in the schools my experience & advanced training equip me with the skills to help clients learn new ways to manage the struggles in their life enabling them to feel happier and healthier. I use a client-centered, cognitive-behavioral approach and include art, play, & music therapy to help clients learn coping strategies, new skills, and behavior modification techniques used to manage the challenges of ADHD, ASD, anxiety, stress, and life transitions such as divorce/separation, moving, or the death of a loved one. Together, we can improve the quality of your life whenever you are ready.
I am here to help you. Having worked many years in the schools my experience & advanced training equip me with the skills to help clients learn new ways to manage the struggles in their life enabling them to feel happier and healthier. I use a client-centered, cognitive-behavioral approach and include art, play, & music therapy to help clients learn coping strategies, new skills, and behavior modification techniques used to manage the challenges of ADHD, ASD, anxiety, stress, and life transitions such as divorce/separation, moving, or the death of a loved one. Together, we can improve the quality of your life whenever you are ready.
(412) 891-6906 View (412) 891-6906
Photo of Eileen Henry - Eileen Henry Coaching and Consulting, BA, MS , MBA, EdD, ACC, Occupational Therapist
Eileen Henry Coaching and Consulting
Occupational Therapist, BA, MS , MBA, EdD, ACC
Verified Verified
Pittsburgh, PA 15243  (Online Only)
I am a certified coach specializing in substance use recovery, ADHD, and grief education for individuals and families.
I am a certified coach specializing in substance use recovery, ADHD, and grief education for individuals and families.
(878) 645-3821 View (878) 645-3821
Photo of Dr. Rebecca Brent, PsyD, Psychologist
Dr. Rebecca Brent
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15206
The prospect of change can be frightening, but it can also bring greater happiness, growth and meaning to your life. As a licensed clinical psychologist, I take a compassionate and collaborative approach to help you navigate life challenges, heal from painful experiences, and grow into the best version of yourself. In addition to in person sessions in Pittsburgh, PA, ​I am able to provide teletherapy in participating states pursuant to Psypact Practice Interjurisdictional Telepsychology (APIT) under the Psypact Commission E. Passport Mobility Number 15679 (includes PA, OH, WV and 34 additional states)
The prospect of change can be frightening, but it can also bring greater happiness, growth and meaning to your life. As a licensed clinical psychologist, I take a compassionate and collaborative approach to help you navigate life challenges, heal from painful experiences, and grow into the best version of yourself. In addition to in person sessions in Pittsburgh, PA, ​I am able to provide teletherapy in participating states pursuant to Psypact Practice Interjurisdictional Telepsychology (APIT) under the Psypact Commission E. Passport Mobility Number 15679 (includes PA, OH, WV and 34 additional states)
(412) 424-6960 View (412) 424-6960
Photo of Jodi Lynn Buzzell, LPC, Licensed Professional Counselor
Jodi Lynn Buzzell
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15239
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
(724) 216-6773 View (724) 216-6773
Photo of Meagan Roppo, LPC, RYT200, Licensed Professional Counselor
Meagan Roppo
Licensed Professional Counselor, LPC, RYT200
Verified Verified
Pittsburgh, PA 15237  (Online Only)
What if you had someone to process this with, without judgement? Life transitions are often filled with grief and loss, adjustment challenges, and relational changes. If you find yourself going round and round in your head, reach out - I'd love to help. I work primarily with pregnancy/postpartum, pregnancy & infant loss, surrogacy, and infertility, but love all stages of life transition work.
What if you had someone to process this with, without judgement? Life transitions are often filled with grief and loss, adjustment challenges, and relational changes. If you find yourself going round and round in your head, reach out - I'd love to help. I work primarily with pregnancy/postpartum, pregnancy & infant loss, surrogacy, and infertility, but love all stages of life transition work.
(484) 469-6196 View (484) 469-6196
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How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

2,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
76% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
68% Coping Skills
65% Stress

Average years in practice

10 Years

Top 3 insurances accepted

80% Highmark
78% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.