Therapists in Tulsa, OK

Photo of Kathy Keffer Pitcock, LCSW, Clinical Social Work/Therapist
Kathy Keffer Pitcock
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tulsa, OK 74105
Waitlist for new clients
I believe that we all benefit when we pause and reflect on our lives. Sometimes, however, we need a trained person to help us find the pause button! Over the past twenty years I have been honored to walk along side people-many who were ill, grieving, or struggling with any number of life's obstacles. In session, you and I will individualize you care plan: Talk Therapy, Mindfulness, Narritive, and/or Cognitive-Behavioral therapy are a few tools we will work with.
I believe that we all benefit when we pause and reflect on our lives. Sometimes, however, we need a trained person to help us find the pause button! Over the past twenty years I have been honored to walk along side people-many who were ill, grieving, or struggling with any number of life's obstacles. In session, you and I will individualize you care plan: Talk Therapy, Mindfulness, Narritive, and/or Cognitive-Behavioral therapy are a few tools we will work with.
(918) 779-1683 View (918) 779-1683
Photo of Paul Smith, Licensed Professional Counselor
Paul Smith
Licensed Professional Counselor
Verified Verified
Tulsa, OK 74133  (Online Only)
Life can be stressful for many reasons, from work, unhealthy family dynamics, relationship problems, mental health or substance abuse issues, unresolved childhood trauma and more. Facing these problems can be overwhelming. As your therapist I want to help you overcome or manage these challenges that affect your well-being.
Life can be stressful for many reasons, from work, unhealthy family dynamics, relationship problems, mental health or substance abuse issues, unresolved childhood trauma and more. Facing these problems can be overwhelming. As your therapist I want to help you overcome or manage these challenges that affect your well-being.
(918) 380-2497 View (918) 380-2497
Photo of Kevin Bonifield, LPC, NCC, SEP, Licensed Professional Counselor
Kevin Bonifield
Licensed Professional Counselor, LPC, NCC, SEP
Verified Verified
12 Endorsed
Tulsa, OK 74133
Waitlist for new clients
Start transforming your life today and find the confidence you need. We will work together to navigate the perfect storm in your life, deep emotional wounds, or worries about the future. Working with renegotiating trauma, PTSD, loss, anxiety, depression, and relationship issues are my focus. We can work together on new ways to resolve a current or on-going issue, overcome anxiety, or find ways to grow into the best version of yourself. It is my goal to create a non-judgmental, honest, and compassionate therapy relationship that helps you to move forward.
Start transforming your life today and find the confidence you need. We will work together to navigate the perfect storm in your life, deep emotional wounds, or worries about the future. Working with renegotiating trauma, PTSD, loss, anxiety, depression, and relationship issues are my focus. We can work together on new ways to resolve a current or on-going issue, overcome anxiety, or find ways to grow into the best version of yourself. It is my goal to create a non-judgmental, honest, and compassionate therapy relationship that helps you to move forward.
(918) 982-6411 View (918) 982-6411
Photo of Stacey R Burgess, LCSW, CCTP, Clinical Social Work/Therapist
Stacey R Burgess
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
5 Endorsed
Tulsa, OK 74105
Waitlist for new clients
Going to counseling takes guts. Its not easy to talk to someone you don't know about what you need help with, but if you will take the risk, you will feel better. Isn't that we all want? To feel better? I don’t have a magic wand to fix it all overnight, but I’ll walk through the hard times with you. Dealing with the past is hard. Being a parent is hard. Coping with stress is hard. Relationships are hard. Meeting the demands of life is hard. You don’t have to face all the hard stuff on your own! We will figure it out together. We will laugh together, I promise. Therapy can be fun(ish).
Going to counseling takes guts. Its not easy to talk to someone you don't know about what you need help with, but if you will take the risk, you will feel better. Isn't that we all want? To feel better? I don’t have a magic wand to fix it all overnight, but I’ll walk through the hard times with you. Dealing with the past is hard. Being a parent is hard. Coping with stress is hard. Relationships are hard. Meeting the demands of life is hard. You don’t have to face all the hard stuff on your own! We will figure it out together. We will laugh together, I promise. Therapy can be fun(ish).
(539) 208-1179 View (539) 208-1179
Photo of Mary Tidwell, MS, LPC, Licensed Professional Counselor
Mary Tidwell
Licensed Professional Counselor, MS, LPC
Verified Verified
Tulsa, OK 74103
Not accepting new clients
There are so many reasons we may find ourselves struggling with our mental health, whether it be from a traumatic childhood to current life stress. I see clients with a variety of issues but mostly focus on anxiety, depression, stress management, suicidality, and religious trauma. While I respect and value all my clients' personal religious and spiritual backgrounds, I operate from a non-religious standpoint in my counseling process. As a member of the LGBTQIA+ community myself, I also work with clients on issues surrounding gender and sexuality and consider my office a safe space for others within the community.
There are so many reasons we may find ourselves struggling with our mental health, whether it be from a traumatic childhood to current life stress. I see clients with a variety of issues but mostly focus on anxiety, depression, stress management, suicidality, and religious trauma. While I respect and value all my clients' personal religious and spiritual backgrounds, I operate from a non-religious standpoint in my counseling process. As a member of the LGBTQIA+ community myself, I also work with clients on issues surrounding gender and sexuality and consider my office a safe space for others within the community.
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Photo of Regina Underwood, MAMFT, LPC, EMDR, Licensed Professional Counselor
Regina Underwood
Licensed Professional Counselor, MAMFT, LPC, EMDR
Verified Verified
Tulsa, OK 74145
ReGina believes everyone carries their own baggage. Some baggage is heavy & might consist of unresolved conflicts, destructive behaviors, poor self esteem, sadness, worries, relationship dissatisfaction, divorce, loss, trauma, or other adverse life experience. Is your family struggling through transition? She helps individuals and families navigate through a variety of difficulties when their coping skills fail. She believes that everyone brings their own unique story to counseling, and to honor each client's story, she uses a variety of therapeutic approaches, to fit individual client needs.
ReGina believes everyone carries their own baggage. Some baggage is heavy & might consist of unresolved conflicts, destructive behaviors, poor self esteem, sadness, worries, relationship dissatisfaction, divorce, loss, trauma, or other adverse life experience. Is your family struggling through transition? She helps individuals and families navigate through a variety of difficulties when their coping skills fail. She believes that everyone brings their own unique story to counseling, and to honor each client's story, she uses a variety of therapeutic approaches, to fit individual client needs.
(918) 205-7635 x000 View (918) 205-7635 x000
Photo of Ashley Lewis, MEd, LPC, Licensed Professional Counselor
Ashley Lewis
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Tulsa, OK 74137
I use an effective blend of experience, expertise, clarity, and action in the counseling process to help achieve positive outcomes. Those outcomes include providing genuine healing and bringing a feeling of wholeness to individuals. I am a warm, non-judgmental, open, direct, and encouraging therapist. One of my primary goals in treatment is that every person feels safe, secure, and heard. I believe if a person can feel hopeful and can learn to challenge and replace irrational beliefs and thoughts, people are free to experience the changes they’ve been longing for.
I use an effective blend of experience, expertise, clarity, and action in the counseling process to help achieve positive outcomes. Those outcomes include providing genuine healing and bringing a feeling of wholeness to individuals. I am a warm, non-judgmental, open, direct, and encouraging therapist. One of my primary goals in treatment is that every person feels safe, secure, and heard. I believe if a person can feel hopeful and can learn to challenge and replace irrational beliefs and thoughts, people are free to experience the changes they’ve been longing for.
(918) 228-0854 View (918) 228-0854
Photo of Whitney Doyeto - Serenity Marriage and Family Counseling, LLC, MA, LMFT, Marriage & Family Therapist
Serenity Marriage and Family Counseling, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
12 Endorsed
Tulsa, OK 74133
Not accepting new clients
Are you feeling hopeless? Come find hope, rest, and freedom! At Serenity Counseling, you will learn coping skills to help you better face present difficulties and disturbances from your past. As an EMDR trained Christian counselor I am dedicated to working with individuals, families, and couples experiencing any of the following: anxiety, depression, stress, anger, mood disorders, relationship turmoil, adjustments, ineffective communication styles, and post traumatic reactions. Furthermore, I provide premarital therapy services.
Are you feeling hopeless? Come find hope, rest, and freedom! At Serenity Counseling, you will learn coping skills to help you better face present difficulties and disturbances from your past. As an EMDR trained Christian counselor I am dedicated to working with individuals, families, and couples experiencing any of the following: anxiety, depression, stress, anger, mood disorders, relationship turmoil, adjustments, ineffective communication styles, and post traumatic reactions. Furthermore, I provide premarital therapy services.
(918) 932-3978 View (918) 932-3978
Photo of Melissa Thorman, LPC, Licensed Professional Counselor
Melissa Thorman
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74136
Melissa strives to create a therapeutic relationship in which clients feel empowered and respected. She guides people towards growth and developing the skills they need to overcome life's struggles. Having experience helping people of all ages, she has worked extensively with children and families addressing trauma, depression, anxiety, ADHD, and life adjustments.
Melissa strives to create a therapeutic relationship in which clients feel empowered and respected. She guides people towards growth and developing the skills they need to overcome life's struggles. Having experience helping people of all ages, she has worked extensively with children and families addressing trauma, depression, anxiety, ADHD, and life adjustments.
(918) 701-1383 View (918) 701-1383
Photo of Marianne Brett, LCSW, MBA, Clinical Social Work/Therapist
Marianne Brett
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
Tulsa, OK 74114  (Online Only)
Life is hard for so many reasons, I aim to be a supportive figure in my client's corner. I will meet you where you are and I'm happy to incorporate other tools that you already use or are drawn to from Psych MDs to energy healers to trainers. Therapy is not one solution fits all - everything we do together will be tailored to you. I aim to support, listen and empower you; but my specialty is my ability to facilitate change that makes lives tangibly better. We will create goals, identify barriers and develop a creative and realistic strategy.
Life is hard for so many reasons, I aim to be a supportive figure in my client's corner. I will meet you where you are and I'm happy to incorporate other tools that you already use or are drawn to from Psych MDs to energy healers to trainers. Therapy is not one solution fits all - everything we do together will be tailored to you. I aim to support, listen and empower you; but my specialty is my ability to facilitate change that makes lives tangibly better. We will create goals, identify barriers and develop a creative and realistic strategy.
(539) 666-1859 View (539) 666-1859
Photo of Mary Reese, MS, LPC, Licensed Professional Counselor
Mary Reese
Licensed Professional Counselor, MS, LPC
Verified Verified
Tulsa, OK 74133
Do you find yourself weighed down by feelings of anxiety, depression? Struggling with Substance Abuse or addiction? Or, if you find it difficult to make friends and experience loneliness as a result, come talk to me. I have been a Licensed Professional Counselor since 1993. Together we will work on strategies that allow you to address the root causes and learn to build and maintain meaningful social connections. Perhaps you have experienced a traumatic event that needs to be processed and resolved. Do you have a friend or loved one with a drug or alcohol addiction that needs a professional clinical intervention? I can help.
Do you find yourself weighed down by feelings of anxiety, depression? Struggling with Substance Abuse or addiction? Or, if you find it difficult to make friends and experience loneliness as a result, come talk to me. I have been a Licensed Professional Counselor since 1993. Together we will work on strategies that allow you to address the root causes and learn to build and maintain meaningful social connections. Perhaps you have experienced a traumatic event that needs to be processed and resolved. Do you have a friend or loved one with a drug or alcohol addiction that needs a professional clinical intervention? I can help.
(918) 203-8938 View (918) 203-8938
Photo of Wakie Irene Johnson - Therapeutic Services Inc. P.C. - Wakie Johnson, MEd, LPC, Licensed Professional Counselor
Therapeutic Services Inc. P.C. - Wakie Johnson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Tulsa, OK 74105
YOUR well-being is my primary focus. The desired outcome is YOUR ability to maintain healthy resolutions to psychological issues or life stressors. Compassionate professional counseling is provided for children (utilizing play therapy techniques), teens, adults, and families with relational issues, emotional disturbances, trauma, depression, anxiety, and life stressors. The thrust of my eclectic approach is to ENHANCE the quality of YOUR WELL-BEING.
YOUR well-being is my primary focus. The desired outcome is YOUR ability to maintain healthy resolutions to psychological issues or life stressors. Compassionate professional counseling is provided for children (utilizing play therapy techniques), teens, adults, and families with relational issues, emotional disturbances, trauma, depression, anxiety, and life stressors. The thrust of my eclectic approach is to ENHANCE the quality of YOUR WELL-BEING.
(918) 631-7725 View (918) 631-7725
Photo of Catherine Claybrook, LCSW, Clinical Social Work/Therapist
Catherine Claybrook
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Tulsa, OK 74136
Hello! I'm Catherine and I help adults caught in the pain and despair of anxiety, trauma, addiction, infidelity, depression or strained relationships. I have been a therapist for 20+ years helping individuals and couples find hope, healing, and restored connection. My goal is for you to feel seen and heard while in a safe place to work through fears, distress, pain and disappointments. Along the way, we will also explore your aspirations and tap into your inherent strengths and resilience.
Hello! I'm Catherine and I help adults caught in the pain and despair of anxiety, trauma, addiction, infidelity, depression or strained relationships. I have been a therapist for 20+ years helping individuals and couples find hope, healing, and restored connection. My goal is for you to feel seen and heard while in a safe place to work through fears, distress, pain and disappointments. Along the way, we will also explore your aspirations and tap into your inherent strengths and resilience.
(918) 205-3031 View (918) 205-3031
Photo of Kimberly Thomas-Combs, MA, LMFT, Marriage & Family Therapist
Kimberly Thomas-Combs
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tulsa, OK 74136
Is your marriage or family in crisis? If you're going to break out of the patterns that created the crisis, you need an outside perspective. As a marriage and family therapist, I am trained to get you out of the "blame game" and into authentic conversations that can heal your hurt. If your marriage isn't working or your family is suffering, it's time to invest in the skills that can reconnect you.
Is your marriage or family in crisis? If you're going to break out of the patterns that created the crisis, you need an outside perspective. As a marriage and family therapist, I am trained to get you out of the "blame game" and into authentic conversations that can heal your hurt. If your marriage isn't working or your family is suffering, it's time to invest in the skills that can reconnect you.
(918) 376-7675 View (918) 376-7675
Photo of Cristopher Hicks, MSW,  LCSW, Clinical Social Work/Therapist
Cristopher Hicks
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Tulsa, OK 74133
As a therapist for more than 20 years, Cris has a passion to help people from a variety of social and cultural backgrounds work through challenges due to phase of life adjustments. He has a Master of Science in Social Work from the University of Texas at Austin and is a licensed clinical social worker (LCSW). In addition, he has completed decades of further post-graduate training and education. Cris has broad experience counseling adults facing depression, anxiety, phobias, grief and loss issues, trauma and bipolar disorder.
As a therapist for more than 20 years, Cris has a passion to help people from a variety of social and cultural backgrounds work through challenges due to phase of life adjustments. He has a Master of Science in Social Work from the University of Texas at Austin and is a licensed clinical social worker (LCSW). In addition, he has completed decades of further post-graduate training and education. Cris has broad experience counseling adults facing depression, anxiety, phobias, grief and loss issues, trauma and bipolar disorder.
(918) 601-4073 View (918) 601-4073
Photo of Melanie Spector - Melanie Spector, ED.D, LADC, MS, LPC, EdD, LADC, MS, LPC, Licensed Professional Counselor
Melanie Spector, ED.D, LADC, MS, LPC
Licensed Professional Counselor, EdD, LADC, MS, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74135
My name is Melanie Spector, and I am currently accepting new clients. My counseling style is to help people feel safe and to maintain a sense of trust and unconditional positive regard with each person. Many individuals struggle with anxiety, depression, substance abuse, relationship issues and trauma. Unfortunately, many life-lived experiences can diminish joy and a fun filled, healthy and meaningful life. I look to the strengths and resources that are unique to each person. I collaborate with clients to identify, process and make meaning of experiences so they are able to move forward with motivation and well-being.
My name is Melanie Spector, and I am currently accepting new clients. My counseling style is to help people feel safe and to maintain a sense of trust and unconditional positive regard with each person. Many individuals struggle with anxiety, depression, substance abuse, relationship issues and trauma. Unfortunately, many life-lived experiences can diminish joy and a fun filled, healthy and meaningful life. I look to the strengths and resources that are unique to each person. I collaborate with clients to identify, process and make meaning of experiences so they are able to move forward with motivation and well-being.
(918) 921-8807 View (918) 921-8807
Photo of Lacey Grinnell, LPC, Licensed Professional Counselor
Lacey Grinnell
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74145
I have worked for ten years with adolescents and adults, with an emphasis on women's issues. I have experience working with individuals struggling with depression, anxiety and life transitions.
I have worked for ten years with adolescents and adults, with an emphasis on women's issues. I have experience working with individuals struggling with depression, anxiety and life transitions.
(918) 276-8669 View (918) 276-8669
Photo of Valerie Larson-Howard, LCSW, LLC, Clinical Social Work/Therapist
Valerie Larson-Howard
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
1 Endorsed
Tulsa, OK 74133
From TikToks to Instagram, mental health is trending. But your unique struggles are more than trends. Therapy allows you to turn off the noise of the world and do a deep dive into the difficult parts of your life. I have helped hundreds of people sit with uncomfortable emotions, have difficult conversations, and make tough decisions. By learning to do this, you’ll find the courage to create a healthier, happier life.
From TikToks to Instagram, mental health is trending. But your unique struggles are more than trends. Therapy allows you to turn off the noise of the world and do a deep dive into the difficult parts of your life. I have helped hundreds of people sit with uncomfortable emotions, have difficult conversations, and make tough decisions. By learning to do this, you’ll find the courage to create a healthier, happier life.
(918) 937-4978 View (918) 937-4978
Photo of Dr. Paul K Shields, EdD, Licensed Professional Counselor
Dr. Paul K Shields
Licensed Professional Counselor, EdD
Verified Verified
Tulsa, OK 74135
All of us, at some point in our lives, are going to experience a significant emotional struggle. Whether individual or relational, we all encounter sometimes brief, sometimes longer, periods where our struggle may begin to feel overwhelming. My practice is founded on treating clients with a comprehensive psychosocial approach. Most individuals realize medication can temporarily retard the progress of symptoms through symptom reduction. Alone, medication cannot resolve the personal issues associated with long term increases in quality of life. I believe my best professional strengths are an abiding respect for the individual coming into my office, and a reliable resource to explore, educate and inform persons about critical life issues.
All of us, at some point in our lives, are going to experience a significant emotional struggle. Whether individual or relational, we all encounter sometimes brief, sometimes longer, periods where our struggle may begin to feel overwhelming. My practice is founded on treating clients with a comprehensive psychosocial approach. Most individuals realize medication can temporarily retard the progress of symptoms through symptom reduction. Alone, medication cannot resolve the personal issues associated with long term increases in quality of life. I believe my best professional strengths are an abiding respect for the individual coming into my office, and a reliable resource to explore, educate and inform persons about critical life issues.
(539) 245-5183 View (539) 245-5183
Photo of Chris Green, LMFT, Marriage & Family Therapist
Chris Green
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Tulsa, OK 74137
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
(918) 417-1262 View (918) 417-1262
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How does your Therapist compare?

Number of Therapists in Tulsa, OK

700+

Average cost per session

$130

Therapists in Tulsa, OK who prioritize treating:

91% Anxiety
87% Depression
78% Trauma and PTSD
75% Relationship Issues
74% Self Esteem
70% Coping Skills
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
67% Health Choice
66% UnitedHealthcare UHC | UBH

How Therapists in Tulsa, OK see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in Tulsa?

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.