Therapists in West Barnstable, MA

Lance McElaney
Clinical Social Work/Therapist, LICSW
Verified Verified
West Barnstable, MA 02668
My approach to treatment is supportive, collaborative and based on engaging personal strengths and inner resources. I believe in focusing on the current situation in peoples' lives and exploring the past as long as it has a demonstrable benefit for a client's present-day functioning. I strive to provide clear direction, insight and useful tools for achieving tangible results. I am supportive and challenging when necessary.
My approach to treatment is supportive, collaborative and based on engaging personal strengths and inner resources. I believe in focusing on the current situation in peoples' lives and exploring the past as long as it has a demonstrable benefit for a client's present-day functioning. I strive to provide clear direction, insight and useful tools for achieving tangible results. I am supportive and challenging when necessary.
(508) 659-5592 View (508) 659-5592
Photo of Ralph Cahoon, LICSW, LADC, DAAETS, MAC, Clinical Social Work/Therapist
Ralph Cahoon
Clinical Social Work/Therapist, LICSW, LADC, DAAETS, MAC
Verified Verified
10 Endorsed
West Barnstable, MA 02668
Not accepting new clients
** I HAVE VERY LIMITED AVAILABILITY AND AM ONLY ACCEPTING FIRST RESPONDERS OR ACTIVE/RETIRED MILITARY WHEN I HAVE SPACE** Welcome. Seeking help is a big step. Now you need to find the right therapist. I believe the most important factor in therapy is the relationship between client and therapist. I strive to make that relationship safe, open and honest. My goals in therapy are to provide clients with the tools and strategies they need to live a better life and to learn to focus on solutions instead of problems.
** I HAVE VERY LIMITED AVAILABILITY AND AM ONLY ACCEPTING FIRST RESPONDERS OR ACTIVE/RETIRED MILITARY WHEN I HAVE SPACE** Welcome. Seeking help is a big step. Now you need to find the right therapist. I believe the most important factor in therapy is the relationship between client and therapist. I strive to make that relationship safe, open and honest. My goals in therapy are to provide clients with the tools and strategies they need to live a better life and to learn to focus on solutions instead of problems.
(508) 332-8422 View (508) 332-8422
Photo of Char S Poliquin - A Kinder Sea Therapeutic Services, LICSW, Clinical Social Work/Therapist
A Kinder Sea Therapeutic Services
Clinical Social Work/Therapist, LICSW
Verified Verified
West Barnstable, MA 02668  (Online Only)
I believe we all struggle from time to time, and sometimes just need a helping hand and a compassionate heart to guide us. I believe in the value of community and the healing power of building healthy relationships. I enjoy working with adults, elders and people with developmental challenges. Together we will use a variety of therapeutic tools and resources to bring support, guidance and encouragement as you continue your journey of healing and fulfilling your dreams. We are all just walking each other home. I would be honored to accompany you.
I believe we all struggle from time to time, and sometimes just need a helping hand and a compassionate heart to guide us. I believe in the value of community and the healing power of building healthy relationships. I enjoy working with adults, elders and people with developmental challenges. Together we will use a variety of therapeutic tools and resources to bring support, guidance and encouragement as you continue your journey of healing and fulfilling your dreams. We are all just walking each other home. I would be honored to accompany you.
(508) 690-4727 View (508) 690-4727
Photo of Kaye Wagner, LICSW, Clinical Social Work/Therapist
Kaye Wagner
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
West Barnstable, MA 02668  (Online Only)
Accepting new tele-health clients. EMAIL is the most efficient means of communication. As a therapist, I feel strongly that trust and open honest communication are vital to establishing the necessary bond that needs to form between therapist and client(s). This trusting bond makes our work time a safe space to comfortably express your feelings and thoughts and we will work on exploration of ways to feel stronger, healthier, more confident, connected, balanced and WHOLE!
Accepting new tele-health clients. EMAIL is the most efficient means of communication. As a therapist, I feel strongly that trust and open honest communication are vital to establishing the necessary bond that needs to form between therapist and client(s). This trusting bond makes our work time a safe space to comfortably express your feelings and thoughts and we will work on exploration of ways to feel stronger, healthier, more confident, connected, balanced and WHOLE!
(508) 717-8582 View (508) 717-8582
Photo of Lori Coppinger, MA, LMHC, Counselor
Lori Coppinger
Counselor, MA, LMHC
Verified Verified
West Barnstable, MA 02668  (Online Only)
Waitlist for new clients
Not currently accepting new clients. Experienced psychotherapist working with adult individuals dedicated to helping them achieve life goals and improve quality of life. Anchored in Hope is the premise of my practice, providing the foundation to utilize client's strengths to reach their goals. There is always hope. Individuals come to me seeking support for anxiety, depression, grief, substance use and trauma disorders. Certified Grief Educator, IFS Level 2. Each case is different and individualized treatment meeting client's needs is important. Developing a therapeutic relationship with the right person is also very important.
Not currently accepting new clients. Experienced psychotherapist working with adult individuals dedicated to helping them achieve life goals and improve quality of life. Anchored in Hope is the premise of my practice, providing the foundation to utilize client's strengths to reach their goals. There is always hope. Individuals come to me seeking support for anxiety, depression, grief, substance use and trauma disorders. Certified Grief Educator, IFS Level 2. Each case is different and individualized treatment meeting client's needs is important. Developing a therapeutic relationship with the right person is also very important.
(508) 593-4591 View (508) 593-4591

More Therapists Nearby

Photo of Jeffrey A Gaudet, LICSW, Clinical Social Work/Therapist
Jeffrey A Gaudet
Clinical Social Work/Therapist, LICSW
Verified Verified
Mashpee, MA 02649
We live in a very confusing world. I am a Christian man and Clinical Social Worker who has a passion for working with people who are experiencing difficulty with coping with multiple life changes. I would encourage you to reach out and contact me to help you with the impact of these life events and the depression and anxiety that goes along with them. I have experience in dealing with the developmental issues of retirement, growing older successfully and maintaining a positive quality of life. I look forward to helping you with life stresses, depression, anxiety and losses that come with life transitions.
We live in a very confusing world. I am a Christian man and Clinical Social Worker who has a passion for working with people who are experiencing difficulty with coping with multiple life changes. I would encourage you to reach out and contact me to help you with the impact of these life events and the depression and anxiety that goes along with them. I have experience in dealing with the developmental issues of retirement, growing older successfully and maintaining a positive quality of life. I look forward to helping you with life stresses, depression, anxiety and losses that come with life transitions.
(774) 481-5056 View (774) 481-5056
Photo of Donna Razeto, MHC
Donna Razeto
MHC
Verified Verified
Yarmouth Port, MA 02675
When life feels overwhelming, it’s not a bad idea to find someone who helps you make sense of it all. I have a Master's in Clinical Mental Health Counseling from Lesley University. I have worked as an outpatient clinician, crisis clinician, and as a homeless outreach and engagement clinician. Specializing in trauma and addiction work with adults and adolescents.
When life feels overwhelming, it’s not a bad idea to find someone who helps you make sense of it all. I have a Master's in Clinical Mental Health Counseling from Lesley University. I have worked as an outpatient clinician, crisis clinician, and as a homeless outreach and engagement clinician. Specializing in trauma and addiction work with adults and adolescents.
(508) 403-9761 View (508) 403-9761
Photo of Audrey Tarplin, LICSW, Clinical Social Work/Therapist
Audrey Tarplin
Clinical Social Work/Therapist, LICSW
Verified Verified
Sandwich, MA 02563
Not accepting new clients
Hello. By looking on this website you've taken the first step towards improving that which feels unsettled in your life. I offer you hope and guidance for reaching your goals. I have many years of experience providing psychotherapy to those struggling with relationship issues, depressed or anxious mood, chronic physical illness, grief, and childhood issues that are bothering you at this time in your life. I am well trained in a variety of techniques that I use within the context of talk therapy. I also have many years of experience supervising other therapists in their work to help clients.
Hello. By looking on this website you've taken the first step towards improving that which feels unsettled in your life. I offer you hope and guidance for reaching your goals. I have many years of experience providing psychotherapy to those struggling with relationship issues, depressed or anxious mood, chronic physical illness, grief, and childhood issues that are bothering you at this time in your life. I am well trained in a variety of techniques that I use within the context of talk therapy. I also have many years of experience supervising other therapists in their work to help clients.
(774) 541-2874 View (774) 541-2874
Photo of Bob Fournier, PhD, LICSW, Clinical Social Work/Therapist
Bob Fournier
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Osterville, MA 02655
My primary focus in psychotherapy is to help persons who are suffering the effects of undo stress, anxiety, depression, trauma, or risk-for-harm. I work with my clients to help them address the physical, psychological, social, or spiritual issues that impede their well-being. My intent and hope is to help you be the best you can be.
My primary focus in psychotherapy is to help persons who are suffering the effects of undo stress, anxiety, depression, trauma, or risk-for-harm. I work with my clients to help them address the physical, psychological, social, or spiritual issues that impede their well-being. My intent and hope is to help you be the best you can be.
(508) 213-8000 View (508) 213-8000
Photo of Joanne Audyatis, MA, LMHC, Counselor
Joanne Audyatis
Counselor, MA, LMHC
Verified Verified
1 Endorsed
East Sandwich, MA 02537
I love to help individuals and couples when they feel stuck. I find that when people feel connected and safe in their relationships they are able to deal more effectively with life's stressors: work, finances, family. When you work with me, that is what I will help you to focus on.
I love to help individuals and couples when they feel stuck. I find that when people feel connected and safe in their relationships they are able to deal more effectively with life's stressors: work, finances, family. When you work with me, that is what I will help you to focus on.
(774) 234-7975 View (774) 234-7975
Photo of Cheryl Lyford, MEd, LMHC, Counselor
Cheryl Lyford
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Yarmouth Port, MA 02675
I work with adolescents and adults to help them overcome obstacles in their lives. Abuse and trauma, when untreated, can have a chronic negative, lifelong impact. When that is the case, we work on what is currently bothersome, while processing old trauma and determining any relationship between them. Transitions such as moves, change of schools/jobs, divorce, etc. can cause various amounts of emotional upheaval and it can make all the difference in going through such a transition or processing leftover feelings from one to have a place to talk in a safe setting with an experienced therapist.
I work with adolescents and adults to help them overcome obstacles in their lives. Abuse and trauma, when untreated, can have a chronic negative, lifelong impact. When that is the case, we work on what is currently bothersome, while processing old trauma and determining any relationship between them. Transitions such as moves, change of schools/jobs, divorce, etc. can cause various amounts of emotional upheaval and it can make all the difference in going through such a transition or processing leftover feelings from one to have a place to talk in a safe setting with an experienced therapist.
(508) 915-9013 View (508) 915-9013
Photo of Melissa Premo, LCSW, Pre-Licensed Professional
Melissa Premo
Pre-Licensed Professional, LCSW
Verified Verified
1 Endorsed
Hyannis, MA 02601  (Online Only)
Hi, my name is Melissa and I am a Mental Health Counselor and a Licensed School Adjustment Counselor. I have experience working with children, adolescence, young adults, and families therapeutically. In therapeutic practice, I take a client centered approach, using a combination of Cognitive Behavioral Therapy, Solution- Focused Brief Therapy and Acceptance and Commitment Therapy. I have a passion for working with clients who are experiencing anxiety, depression and identifying patterns that are causing trouble or distress. I offer a supportive, nonjudgmental environment to work through these challenges.
Hi, my name is Melissa and I am a Mental Health Counselor and a Licensed School Adjustment Counselor. I have experience working with children, adolescence, young adults, and families therapeutically. In therapeutic practice, I take a client centered approach, using a combination of Cognitive Behavioral Therapy, Solution- Focused Brief Therapy and Acceptance and Commitment Therapy. I have a passion for working with clients who are experiencing anxiety, depression and identifying patterns that are causing trouble or distress. I offer a supportive, nonjudgmental environment to work through these challenges.
(857) 858-6665 View (857) 858-6665
Photo of Elizabeth Magnavita, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Elizabeth Magnavita
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Hyannis, MA 02601  (Online Only)
Welcome! Asking for help is never easy, but it is a huge step! Having someone to support you in your journey can have a powerful impact in your life. I am passionate about helping you make positive changes, navigate life's difficulties, and identify and work towards your goals. My approach focuses on integrative healing, emphasizing balanced self-care, engaging in the arts, nutrition, and exercise and movement. I will bring compassion, creativity, sensitivity, humor, warmth, accountability, and insight to our work together.
Welcome! Asking for help is never easy, but it is a huge step! Having someone to support you in your journey can have a powerful impact in your life. I am passionate about helping you make positive changes, navigate life's difficulties, and identify and work towards your goals. My approach focuses on integrative healing, emphasizing balanced self-care, engaging in the arts, nutrition, and exercise and movement. I will bring compassion, creativity, sensitivity, humor, warmth, accountability, and insight to our work together.
(857) 597-2473 View (857) 597-2473
Photo of Lisa M Holmes, LICSW, CCTP, CTMHP, Clinical Social Work/Therapist
Lisa M Holmes
Clinical Social Work/Therapist, LICSW, CCTP, CTMHP
Verified Verified
1 Endorsed
Mashpee, MA 02649  (Online Only)
Not accepting new clients
You're probably here because something in your life feels impossible right now. Just browsing around, looking at your options for a therapist is the first step in taking care of your mental health. You've chosen this moment because it's the right moment for you to start the work that will help you build the life you envision for yourself. I'm here to help and support you as you discover ways to create positive change and find a pathway to your true self. I believe in relentless empathy and constant curiosity and will partner with you in a non-judgmental way to help you build skills you will use for the rest of your life.
You're probably here because something in your life feels impossible right now. Just browsing around, looking at your options for a therapist is the first step in taking care of your mental health. You've chosen this moment because it's the right moment for you to start the work that will help you build the life you envision for yourself. I'm here to help and support you as you discover ways to create positive change and find a pathway to your true self. I believe in relentless empathy and constant curiosity and will partner with you in a non-judgmental way to help you build skills you will use for the rest of your life.
(508) 960-6617 View (508) 960-6617
Photo of Carolyn O'Connor, LICSW, Clinical Social Work/Therapist
Carolyn O'Connor
Clinical Social Work/Therapist, LICSW
Verified Verified
Mashpee, MA 02649  (Online Only)
Carolyn O'Connor, LICSW, offers individual psychotherapy for adults and older adults experiencing mental health issues. She treats a variety of issues including, but not limited to, depression, anxiety, grief, mood disorders and more. She specializes in treating adults who are managing roles as caregivers for aging adults with dementia, chronic illness and other conditions and disorders. She conducts ivirtual sessions only at this time and is accepting new clients. She will work with you on your treatment goals and building healthy coping skills to manage your symptoms.
Carolyn O'Connor, LICSW, offers individual psychotherapy for adults and older adults experiencing mental health issues. She treats a variety of issues including, but not limited to, depression, anxiety, grief, mood disorders and more. She specializes in treating adults who are managing roles as caregivers for aging adults with dementia, chronic illness and other conditions and disorders. She conducts ivirtual sessions only at this time and is accepting new clients. She will work with you on your treatment goals and building healthy coping skills to manage your symptoms.
(774) 484-1256 View (774) 484-1256
Photo of Matthew Donlan - Donlan Counseling Services, DBH, MBA, LADC I
Donlan Counseling Services
DBH, MBA, LADC I
Verified Verified
2 Endorsed
Mashpee, MA 02649
Not accepting new clients
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
(508) 796-8152 View (508) 796-8152
Photo of Celina Belmarce Pina Shemo, PsyD, LMHC, LMFT, Counselor
Celina Belmarce Pina Shemo
Counselor, PsyD, LMHC, LMFT
Verified Verified
Hyannis, MA 02601
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
Dr. Celina, "Ambassador of Emotional Health" is a trauma specialist particularly in the areas of abuse, neglect and domestic violence. Dr. Celina is recognized for her distinguished clinical abilities in providing diagnostic assessment and treatment in the area of trauma related issues across many ages and cultures. Dr. Celina is known for her holistic approach to treatment and her use of therapeutic tools such as; EMDR, HeartMath techniques, Relaxation and Visualization techniques, Emotional Focus using her developed “Five Keys to Emotional Oneness” System, Movement, poetry and story writing techniques and other forms of healing.
(508) 538-1948 View (508) 538-1948
Photo of Heidi Kirwan, MSW, LICSW, Clinical Social Work/Therapist
Heidi Kirwan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Hyannis, MA 02601
Not accepting new clients
Currently Full I am a caring, dedicated professional with many years of experience in working with individuals, families, and groups. I have worked with individuals from early childhood to older adults to provide guidance regarding many different diagnoses, life events, and family stressors. Personal and professional experiences allow me to work with people in a genuine, judgment and pressure free manner that makes people feel very comfortable. Others have described me as compassionate, thoughtful, and with an appropriate, fun sense of humor. I have been told that I am easy to talk to and am very understanding.
Currently Full I am a caring, dedicated professional with many years of experience in working with individuals, families, and groups. I have worked with individuals from early childhood to older adults to provide guidance regarding many different diagnoses, life events, and family stressors. Personal and professional experiences allow me to work with people in a genuine, judgment and pressure free manner that makes people feel very comfortable. Others have described me as compassionate, thoughtful, and with an appropriate, fun sense of humor. I have been told that I am easy to talk to and am very understanding.
(508) 258-3270 View (508) 258-3270
Photo of Autumn Zerendow, LMHC, Counselor
Autumn Zerendow
Counselor, LMHC
Verified Verified
Yarmouth Port, MA 02675  (Online Only)
I offer a non-judgmental approach to what brings you to seek out therapy. I have an approach to therapy that is grounded in a foundation that all behavior has meaning. Therapy is a collaborative process undertaken between you and a therapist, designed to empower you to accomplish mental health and wellness goals. I provide services to individuals. For counseling to be most effective, it is important that you take an active role in the process.
I offer a non-judgmental approach to what brings you to seek out therapy. I have an approach to therapy that is grounded in a foundation that all behavior has meaning. Therapy is a collaborative process undertaken between you and a therapist, designed to empower you to accomplish mental health and wellness goals. I provide services to individuals. For counseling to be most effective, it is important that you take an active role in the process.
(774) 260-6611 View (774) 260-6611
Photo of Arthur L Bence, LICSW, Clinical Social Work/Therapist
Arthur L Bence
Clinical Social Work/Therapist, LICSW
Verified Verified
Hyannis, MA 02601
Not accepting new clients
I am a seasoned clinician with more than 30 years experience. I work with adolescents, adults, and older adults as well as couples and families. I have an interest in working with adults and adolescents with co-occurring substance use disorders. Although I am not currently accepting new clients, several of my colleagues have openings. Feel free to call for more information.
I am a seasoned clinician with more than 30 years experience. I work with adolescents, adults, and older adults as well as couples and families. I have an interest in working with adults and adolescents with co-occurring substance use disorders. Although I am not currently accepting new clients, several of my colleagues have openings. Feel free to call for more information.
(774) 237-3122 View (774) 237-3122

See more therapy options for West Barnstable

How does your Therapist compare?

Number of Therapists in West Barnstable, MA

< 10

Therapists in West Barnstable, MA who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
80% Relationship Issues
80% Grief
80% Substance Use

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Harvard Pilgrim
100% Tufts

How Therapists in West Barnstable, MA see their clients

60% Online Only
40% In Person and Online

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West Barnstable?

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.