Therapists in Portsmouth, NH

Daniel T Angell
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801
I am a licensed psychologist who specializes in neuropsychological and psychological testing. I have significant experiences completing assessments for Autism, ADHD, and learning disabilities. Evaluations can also focus on emotional problems and the impact of health problems and aging. I complete assessments with individuals from early childhood through adulthood. I also provide individual counseling services for adolescents and young adults. Supporting individuals on the autism spectrum through day-to-day challenges and life transitions is a specialty.
I am a licensed psychologist who specializes in neuropsychological and psychological testing. I have significant experiences completing assessments for Autism, ADHD, and learning disabilities. Evaluations can also focus on emotional problems and the impact of health problems and aging. I complete assessments with individuals from early childhood through adulthood. I also provide individual counseling services for adolescents and young adults. Supporting individuals on the autism spectrum through day-to-day challenges and life transitions is a specialty.
(844) 751-3487 View (844) 751-3487
Photo of Brian D Wener, BA, MA, PsyD, Psychologist
Brian D Wener
Psychologist, BA, MA, PsyD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
Practicing 47 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
Practicing 47 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
(603) 769-4162 View (603) 769-4162
Photo of Jennifer Laferriere - Serenity Counseling PLLC, LCSW, LICSW, Clinical Social Work/Therapist
Serenity Counseling PLLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
At Serenity Counseling, I understand how overwhelming anxiety, depression, and grief can feel. These emotional challenges can interfere with your ability to enjoy life, manage daily responsibilities, or maintain meaningful relationships. Whether you're struggling with persistent worry, low mood, or the pain of loss, I am here to provide a compassionate space where you can explore these feelings and begin your healing journey. My approach to therapy is rooted in creating a safe, non-judgmental environment that allows you to express your true emotions and confront unhelpful thought patterns.
At Serenity Counseling, I understand how overwhelming anxiety, depression, and grief can feel. These emotional challenges can interfere with your ability to enjoy life, manage daily responsibilities, or maintain meaningful relationships. Whether you're struggling with persistent worry, low mood, or the pain of loss, I am here to provide a compassionate space where you can explore these feelings and begin your healing journey. My approach to therapy is rooted in creating a safe, non-judgmental environment that allows you to express your true emotions and confront unhelpful thought patterns.
(603) 828-2991 View (603) 828-2991
Photo of Kaitlyn Davis, MEd, LCMHC, LPC, IMH-E®, Counselor
Kaitlyn Davis
Counselor, MEd, LCMHC, LPC, IMH-E®
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I am an Endorsed Infant Mental Health Specialist that focuses on working with children who have experienced early adversity. Certified in evidence-based treatment models for infants and early childhood that involve caregivers throughout intervention services. Therapy services are provided with an emphasis on the importance of relationships in all our lives and especially the crucial role they play in infancy and early childhood on development.
I am an Endorsed Infant Mental Health Specialist that focuses on working with children who have experienced early adversity. Certified in evidence-based treatment models for infants and early childhood that involve caregivers throughout intervention services. Therapy services are provided with an emphasis on the importance of relationships in all our lives and especially the crucial role they play in infancy and early childhood on development.
(866) 376-5187 View (866) 376-5187
Photo of Lesley White, LICSW, Clinical Social Work/Therapist
Lesley White
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
I am a Licensed Independent Clinical Social Worker with special interests in the intersection of trauma, attachment styles, and family systems. I currently offer individual therapy to adults (18+) treating depression, anxiety, adjustment to life changes, women issues, and relationship issues. My goal is to provide a safe environment where you feel recognized and understood. I pull from a variety of therapeutic techniques rooted in a trauma-informed and resilience-orientated approach to support your healing and empower you to live courageously.
I am a Licensed Independent Clinical Social Worker with special interests in the intersection of trauma, attachment styles, and family systems. I currently offer individual therapy to adults (18+) treating depression, anxiety, adjustment to life changes, women issues, and relationship issues. My goal is to provide a safe environment where you feel recognized and understood. I pull from a variety of therapeutic techniques rooted in a trauma-informed and resilience-orientated approach to support your healing and empower you to live courageously.
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Photo of Lori Santana, MSW,  LICSW, Clinical Social Work/Therapist
Lori Santana
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Portsmouth, NH 03801
Clinical Perspective: I bring a myriad of experience working with individuals (adults and children), families and couples. Experience in both Child Protection and with the Department of Defense strengthened my understanding of systemic change. These very same principles can be applied to individuals, families and couples. There are many tools I draw on and individualizing these practices is the key to success. I believe strongly in each individual’s right to be treated with dignity and respect and with the utmost confidentiality. I use a strengths based, solution focused model incorporating positive psychology.
Clinical Perspective: I bring a myriad of experience working with individuals (adults and children), families and couples. Experience in both Child Protection and with the Department of Defense strengthened my understanding of systemic change. These very same principles can be applied to individuals, families and couples. There are many tools I draw on and individualizing these practices is the key to success. I believe strongly in each individual’s right to be treated with dignity and respect and with the utmost confidentiality. I use a strengths based, solution focused model incorporating positive psychology.
(833) 227-5688 View (833) 227-5688
Photo of Nicole Bandera, LICSW, Clinical Social Work/Therapist
Nicole Bandera
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801
Do you remember the confusion of your teen years and the worries about "growing up"? Stressful, right? Being a teenager and emerging adult can feel overwhelming at times. There is so much to navigate with school, family, friend groups, relationships, peer pressure, social media, identity, work, expectations, life goals...adulting! Sometimes all of this mental clutter can be paralyzing and keep your young person feeling stuck. If you are looking for some extra support, I can help.
Do you remember the confusion of your teen years and the worries about "growing up"? Stressful, right? Being a teenager and emerging adult can feel overwhelming at times. There is so much to navigate with school, family, friend groups, relationships, peer pressure, social media, identity, work, expectations, life goals...adulting! Sometimes all of this mental clutter can be paralyzing and keep your young person feeling stuck. If you are looking for some extra support, I can help.
(978) 768-8330 View (978) 768-8330
Photo of Philip A Meher - New England Anger Management - Rev. Philip Meher , MA, MEd, LCMHC, CAMT, Counselor
New England Anger Management - Rev. Philip Meher
Counselor, MA, MEd, LCMHC, CAMT
Verified Verified
Portsmouth, NH 03802
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
(603) 736-7017 View (603) 736-7017
Photo of Marieke Kat, LICSW , Clinical Social Work/Therapist
Marieke Kat
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
(617) 903-8017 View (617) 903-8017
Photo of Emily Woodall, LICSW, Clinical Social Work/Therapist
Emily Woodall
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
My therapy practice is dedicated to creating a safe, affirming space where you can explore self-discovery and personal growth. My focus is on building a strong therapeutic relationship while integrating themes from cognitive behavioral therapy (CBT), mindfulness, and strengths-based frameworks.
My therapy practice is dedicated to creating a safe, affirming space where you can explore self-discovery and personal growth. My focus is on building a strong therapeutic relationship while integrating themes from cognitive behavioral therapy (CBT), mindfulness, and strengths-based frameworks.
(603) 782-0480 View (603) 782-0480
Photo of Sara Lutat, LISW, MLADC, Clinical Social Work/Therapist
Sara Lutat
Clinical Social Work/Therapist, LISW, MLADC
Verified Verified
Portsmouth, NH 03801
As a dual licensed therapist I partner, with children, parents, adolescents/teens, adults of all ages who are struggling with anxiety, depression, grief and big life transitions, adjustment to change, addiction, and relationship problems. I offer the soft landing of a supportive, trusting, compassionate, and nonjudgmental environment that is grounded in empathetic listening and innovative therapies beyond the traditional “talk therapy.” Most clients begin to notice improvement within 2 to 5 sessions.
As a dual licensed therapist I partner, with children, parents, adolescents/teens, adults of all ages who are struggling with anxiety, depression, grief and big life transitions, adjustment to change, addiction, and relationship problems. I offer the soft landing of a supportive, trusting, compassionate, and nonjudgmental environment that is grounded in empathetic listening and innovative therapies beyond the traditional “talk therapy.” Most clients begin to notice improvement within 2 to 5 sessions.
(603) 634-8259 View (603) 634-8259
Photo of Marissa Knowles, LICSW, Clinical Social Work/Therapist
Marissa Knowles
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
Welcome! Have you noticed more feelings of sadness or irritability, worry about your future, or trouble keeping up with the demands of everyday life? Are you struggling with the stress and uncertainty you've experienced over the past few years? I would be honored to help support you through this period in your life, while offering a safe space to process your concerns and encourage emotional growth and healing. I have a special interest in working with marginalized and diverse populations, including those in the LGBTQIA+ community. I believe every client has inherent strengths and the ability to find peace and joy in their lives.
Welcome! Have you noticed more feelings of sadness or irritability, worry about your future, or trouble keeping up with the demands of everyday life? Are you struggling with the stress and uncertainty you've experienced over the past few years? I would be honored to help support you through this period in your life, while offering a safe space to process your concerns and encourage emotional growth and healing. I have a special interest in working with marginalized and diverse populations, including those in the LGBTQIA+ community. I believe every client has inherent strengths and the ability to find peace and joy in their lives.
(603) 272-6726 View (603) 272-6726
Photo of Matthew Fowler, LMFT, Marriage & Family Therapist
Matthew Fowler
Marriage & Family Therapist, LMFT
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
I am a licensed Marriage and Family Therapist in Portsmouth, New Hampshire. I help children, parents, and couples overcome obstacles, improve relationships, and better their lives. Starting a family can be one of the most exciting and fulfilling experiences, but when things do not go according to plan, this can be one of the biggest struggles for parents and children. I help families uncover the issues that contribute to the problem and find solutions to help you obtain the vision you always wanted for your child and your family.
I am a licensed Marriage and Family Therapist in Portsmouth, New Hampshire. I help children, parents, and couples overcome obstacles, improve relationships, and better their lives. Starting a family can be one of the most exciting and fulfilling experiences, but when things do not go according to plan, this can be one of the biggest struggles for parents and children. I help families uncover the issues that contribute to the problem and find solutions to help you obtain the vision you always wanted for your child and your family.
(603) 531-8811 View (603) 531-8811
Photo of Tracie Warner, LICSW, Clinical Social Work/Therapist
Tracie Warner
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
My practice is currently full, but I'm happy to provide approximate wait time on openings. I have deep appreciation for the strength it takes to reach out for support when life becomes overwhelming, stressful or we find ourselves stuck. Recognizing that we might be in need of support can be difficult, I see it as a bold and courageous endeavor that can lead to a happier and more enriched life. I utilize an eclectic approach in my practice to support my clients with managing a variety of mental health issues, to assist in finding symptom relief, to work towards achieving improved relationships and overall increased life satisfaction.
My practice is currently full, but I'm happy to provide approximate wait time on openings. I have deep appreciation for the strength it takes to reach out for support when life becomes overwhelming, stressful or we find ourselves stuck. Recognizing that we might be in need of support can be difficult, I see it as a bold and courageous endeavor that can lead to a happier and more enriched life. I utilize an eclectic approach in my practice to support my clients with managing a variety of mental health issues, to assist in finding symptom relief, to work towards achieving improved relationships and overall increased life satisfaction.
(603) 392-7907 View (603) 392-7907
Photo of Charles Schindler, LICSW, Clinical Social Work/Therapist
Charles Schindler
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Portsmouth, NH 03801
Charles Schindler is a Licensed Independent Clinical Social Worker. He graduated from the University of Maine with a Bachelor of Arts Degree in Psychology and a Bachelor of Science Degree in Child and Family Relationships. He earned a Masters Degree in Clinical Social Work with a focus on Trauma Recovery from Boston University. Charles has worked in the field of mental health since 2008, first treating teens and then focusing on treating adults with varying mental health diagnoses. Charles worked at The Mental Health Center of Greater Manchester for 7 years as a Psychotherapist.
Charles Schindler is a Licensed Independent Clinical Social Worker. He graduated from the University of Maine with a Bachelor of Arts Degree in Psychology and a Bachelor of Science Degree in Child and Family Relationships. He earned a Masters Degree in Clinical Social Work with a focus on Trauma Recovery from Boston University. Charles has worked in the field of mental health since 2008, first treating teens and then focusing on treating adults with varying mental health diagnoses. Charles worked at The Mental Health Center of Greater Manchester for 7 years as a Psychotherapist.
(603) 657-5141 View (603) 657-5141
Photo of Shannyn Olivier, LCMHC, Counselor
Shannyn Olivier
Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801
Shannyn Olivier is a Licensed Clinical Mental Health Counselor in the state of New Hampshire. Shannyn graduated from the University of New Hampshire with her BA in Psychology and went on to receive her Masters of Science in Counseling and Psychological Services from Salem State University. While in graduate school, Shannyn completed an internship at Walden Behavioral Care as an adolescent clinician, implementing Family Based Treatment (FBT) to help adolescents with eating disorders collaborate appropriately with the family system.
Shannyn Olivier is a Licensed Clinical Mental Health Counselor in the state of New Hampshire. Shannyn graduated from the University of New Hampshire with her BA in Psychology and went on to receive her Masters of Science in Counseling and Psychological Services from Salem State University. While in graduate school, Shannyn completed an internship at Walden Behavioral Care as an adolescent clinician, implementing Family Based Treatment (FBT) to help adolescents with eating disorders collaborate appropriately with the family system.
(866) 647-7301 View (866) 647-7301
Photo of Tracy E George - Tracy George LLC, LICSW, Clinical Social Work/Therapist
Tracy George LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Having started working as a therapist 15 years ago, I continue to feel grateful to join clients on their pathway to healing. I believe that a relaxed, interactive, nonjudgmental, and empathic style leads to the most successful therapeutic outcomes. I often use a mix of cognitive behavioral therapy, EMDR, insight oriented therapy, and psychodynamic concepts. I find that a collaborative, team approach focused on solutions to the pain or discomfort in the "here and now" encourages emotional growth. I work with individuals 21 and older.
Having started working as a therapist 15 years ago, I continue to feel grateful to join clients on their pathway to healing. I believe that a relaxed, interactive, nonjudgmental, and empathic style leads to the most successful therapeutic outcomes. I often use a mix of cognitive behavioral therapy, EMDR, insight oriented therapy, and psychodynamic concepts. I find that a collaborative, team approach focused on solutions to the pain or discomfort in the "here and now" encourages emotional growth. I work with individuals 21 and older.
(603) 716-9240 View (603) 716-9240
Photo of Anath Golomb, PhD, Psychologist
Anath Golomb
Psychologist, PhD
Verified Verified
Portsmouth, NH 03801
I enjoy helping people improve their experience of family life. Many people have difficult relations with parents, partners or children. My training helps me understand challenges families face as children develop and marriages unfold through positive and painful surprises. Sometimes family members must weigh personal needs against the wishes of those they love. I also focus on core difficulties that interfere with school or work, including interpersonal conflict, anxiety, and uncertainty about professional choices.
I enjoy helping people improve their experience of family life. Many people have difficult relations with parents, partners or children. My training helps me understand challenges families face as children develop and marriages unfold through positive and painful surprises. Sometimes family members must weigh personal needs against the wishes of those they love. I also focus on core difficulties that interfere with school or work, including interpersonal conflict, anxiety, and uncertainty about professional choices.
(603) 967-4961 View (603) 967-4961
Photo of Alan Nemetz, PhD, Psychologist
Alan Nemetz
Psychologist, PhD
Verified Verified
Portsmouth, NH 03801
It is a privilege to introduce myself to you. I am a Licensed Psychologist located in Portsmouth, New Hampshire with more than 30 years of clinical experience in private practice, outpatient clinic, and inpatient settings. My clinical interests include mind-body medicine, health psychology, and optimal performance. I would describe myself as compassionate and thoughtful, with a good sense of humor.
It is a privilege to introduce myself to you. I am a Licensed Psychologist located in Portsmouth, New Hampshire with more than 30 years of clinical experience in private practice, outpatient clinic, and inpatient settings. My clinical interests include mind-body medicine, health psychology, and optimal performance. I would describe myself as compassionate and thoughtful, with a good sense of humor.
(603) 502-1217 View (603) 502-1217
Photo of Stephanie Anghel, Pre-Licensed Professional
Stephanie Anghel
Pre-Licensed Professional
Verified Verified
Portsmouth, NH 03801
I'm a Master's level pre-licensed Mental Health Counselor. I believe in the potential for growth and learning at every stage of life, and I am committed to helping clients of all ages make positive changes and learn from their experiences. I am deeply passionate about supporting individuals in exploring and expressing their innermost thoughts and emotions through creative means.
I'm a Master's level pre-licensed Mental Health Counselor. I believe in the potential for growth and learning at every stage of life, and I am committed to helping clients of all ages make positive changes and learn from their experiences. I am deeply passionate about supporting individuals in exploring and expressing their innermost thoughts and emotions through creative means.
(603) 256-5198 View (603) 256-5198
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How does your Therapist compare?

Number of Therapists in Portsmouth, NH

300+

Average cost per session

$150

Therapists in Portsmouth, NH who prioritize treating:

94% Anxiety
83% Depression
76% Relationship Issues
73% Self Esteem
64% Coping Skills
62% Trauma and PTSD
62% Stress

Average years in practice

14 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
62% UnitedHealthcare UHC | UBH
61% Cigna and Evernorth

How Therapists in Portsmouth, NH see their clients

72% In Person and Online
28% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmouth?

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.