Therapists in Manchester, ME

Photo of Mary Alyce Burkhart, PhD, Psychologist
Mary Alyce Burkhart
Psychologist, PhD
Verified Verified
Manchester, ME 04351
Not accepting new clients
I specialize in couples and family therapy, depression, anxiety, PTSD, mood, health, and attachment issues. I also work with Children and Adolescents, and general lifestyle issues. I work with individuals and groups to develop and practice Assertive communicaiton skills.
I specialize in couples and family therapy, depression, anxiety, PTSD, mood, health, and attachment issues. I also work with Children and Adolescents, and general lifestyle issues. I work with individuals and groups to develop and practice Assertive communicaiton skills.
(207) 558-1602 View (207) 558-1602
Photo of Jewell Arbour, MA
Jewell Arbour
MA
Verified Verified
Manchester, ME 04351
Have you been feeling lost, confused, or stuck in life? Are you struggling to navigate recent loss, change, transition, or grief? Are challenging thoughts and emotions getting the better of you? Do you feel a sense of knowing that there’s more to life you're meant to be experiencing, but unsure of what that is? Do you desire deeper and more conscious relationships with yourself and others? Do you desire change but are fearful of taking the next step? If so, then you’re in the right place! Blending an integrative approach of Holistic Psychotherapy, Life Coaching, and Spiritual Guidance...
Have you been feeling lost, confused, or stuck in life? Are you struggling to navigate recent loss, change, transition, or grief? Are challenging thoughts and emotions getting the better of you? Do you feel a sense of knowing that there’s more to life you're meant to be experiencing, but unsure of what that is? Do you desire deeper and more conscious relationships with yourself and others? Do you desire change but are fearful of taking the next step? If so, then you’re in the right place! Blending an integrative approach of Holistic Psychotherapy, Life Coaching, and Spiritual Guidance...
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More Therapists Nearby

Photo of Scott J Davidson, EdD, Psychologist
Scott J Davidson
Psychologist, EdD
Verified Verified
Readfield, ME 04355
Not accepting new clients
Thirty years of practice taught me that therapy can be more than empathic listening and supportive talk but an active vehicle of empowerment and change. I have combined my foundational training in structural family and narrative therapies with the depth orientation of mindful insight and the action techniques of cognitive behaviorism. Working with individuals, couples/families, we collaborate to identify the patterns that reinforce relational conflict ("structures") and the repetitive stories told and heard about personal limitations ("narratives"). Then, with our combined wisdoms, we rewrite the script(s) to include greater meaning and motivation, humor and hope, compassion and clarity.
Thirty years of practice taught me that therapy can be more than empathic listening and supportive talk but an active vehicle of empowerment and change. I have combined my foundational training in structural family and narrative therapies with the depth orientation of mindful insight and the action techniques of cognitive behaviorism. Working with individuals, couples/families, we collaborate to identify the patterns that reinforce relational conflict ("structures") and the repetitive stories told and heard about personal limitations ("narratives"). Then, with our combined wisdoms, we rewrite the script(s) to include greater meaning and motivation, humor and hope, compassion and clarity.
(207) 223-7246 View (207) 223-7246
Photo of Cassandra Snow, LCPC, Counselor
Cassandra Snow
Counselor, LCPC
Verified Verified
Hallowell, ME 04347
Waitlist for new clients
I specialize in individual and couples counseling with veterans, first responders and individuals with problematic sexual behaviors/addictions. For individuals struggling with problematic sexual behaviors and addictions, I help them identify the root needs that are met through sex, porn, masturbation, infidelity or other undesired sexual behaviors as well as build skills. I work with Maine Department of Corrections to provide sex offense specific counseling to meet needs of probation or deferred dispositions. I also provide Psychosexual Risk Assessments for juveniles and adults who are required by court or probation to have one.
I specialize in individual and couples counseling with veterans, first responders and individuals with problematic sexual behaviors/addictions. For individuals struggling with problematic sexual behaviors and addictions, I help them identify the root needs that are met through sex, porn, masturbation, infidelity or other undesired sexual behaviors as well as build skills. I work with Maine Department of Corrections to provide sex offense specific counseling to meet needs of probation or deferred dispositions. I also provide Psychosexual Risk Assessments for juveniles and adults who are required by court or probation to have one.
(207) 489-2579 View (207) 489-2579
Photo of Nichole Gulowsen - Third Eye Counseling, Inc, LCSW, CCS, Clinical Social Work/Therapist
Third Eye Counseling, Inc
Clinical Social Work/Therapist, LCSW, CCS
Verified Verified
1 Endorsed
Augusta, ME 04332  (Online Only)
If you are reading this, then I think it goes without saying you are looking for help or support with something - why else would you be here right? Perhaps you are having a hard time connecting with or trusting others. Maybe you are having a hard time telling others how you feel about things or are overwhelmed by tasks others seem to handle with ease. It could be you are feeling stuck, unhappy, lonely, or worn down. Perhaps you recently lost someone or something and are having a hard time saying goodbye.
If you are reading this, then I think it goes without saying you are looking for help or support with something - why else would you be here right? Perhaps you are having a hard time connecting with or trusting others. Maybe you are having a hard time telling others how you feel about things or are overwhelmed by tasks others seem to handle with ease. It could be you are feeling stuck, unhappy, lonely, or worn down. Perhaps you recently lost someone or something and are having a hard time saying goodbye.
(888) 981-1901 View (888) 981-1901
Photo of Mary Crawford Petrini, LCPC, Counselor
Mary Crawford Petrini
Counselor, LCPC
Verified Verified
1 Endorsed
Augusta, ME 04330
I believe in the uniqueness of each human being and that all people have inherent strengths. I know when a person seeks counseling it is because he/she is feeling overwhelmed or stuck. In the safety of a professional helping relationship you will address those areas as well as recognize and utilize your own strengths so you can move forward to resolve your problems. I work with people on a variety of difficult life issues and I meet each person where they are at. In addition to helping individual adults, I work with parents, families and children ages 7-18.
I believe in the uniqueness of each human being and that all people have inherent strengths. I know when a person seeks counseling it is because he/she is feeling overwhelmed or stuck. In the safety of a professional helping relationship you will address those areas as well as recognize and utilize your own strengths so you can move forward to resolve your problems. I work with people on a variety of difficult life issues and I meet each person where they are at. In addition to helping individual adults, I work with parents, families and children ages 7-18.
(207) 518-7656 View (207) 518-7656
Photo of Amanda van Hamme, LCSW, LICSW, Clinical Social Work/Therapist
Amanda van Hamme
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Monmouth, ME 04259  (Online Only)
Feeling constantly on edge with intrusive thoughts or a looming sense of doom? Struggling with feelings of loss, fear, or hopelessness? Is your inner critic constantly highlighting mistakes and fueling self-doubt? You're not alone. Anxiety and depression can be overwhelming, especially during changes in life. In therapy, we will create a safe space to explore emotions, confront fears, and develop coping strategies, and foster resilience for healing, step by step.
Feeling constantly on edge with intrusive thoughts or a looming sense of doom? Struggling with feelings of loss, fear, or hopelessness? Is your inner critic constantly highlighting mistakes and fueling self-doubt? You're not alone. Anxiety and depression can be overwhelming, especially during changes in life. In therapy, we will create a safe space to explore emotions, confront fears, and develop coping strategies, and foster resilience for healing, step by step.
(207) 705-5770 View (207) 705-5770
Photo of Michelle R Beers, LMSW-CC, CLC, Clinical Social Work/Therapist
Michelle R Beers
Clinical Social Work/Therapist, LMSW-CC, CLC
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
As a therapist, I endeavor to meet clients in the threshold moments of their lives - the in between of what was and what is to come. I have a particular interest in life span development and believe that we are all capable of growth and learning at every stage of life. I come to this work as a full-spectrum doula and hospice social worker. The combination of those roles gives me particular appreciation for how birth and death, light and dark, good and bad, old and young are often very entangled and caught up in each other. I'm here to hold the space of this tension in your life and help you walk through it to the other side.
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Photo of Carolyn A Stiman - Carolyn A. Stiman, LCSW, LCSW-R, ACHT, Clinical Social Work/Therapist
Carolyn A. Stiman, LCSW
Clinical Social Work/Therapist, LCSW-R, ACHT
Verified Verified
Augusta, ME 04330  (Online Only)
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
As a clinical social worker for over 20 years I utilize a variety of methods to treat the whole person. While working together you can expect a supportive and collaborative treatment relationship. We clarify the issues getting in your way, and set you on a healthy path that will result in you feeling better. One of my specialties is working with women of all ages who are experiencing anxiety and/or depression because of pressures of work, family and transitional issues. Women who have been the one everyone has gone to for all their needs and now need someone to go to.
(845) 379-0060 View (845) 379-0060
Photo of Mark Holbrook, PhD, PE, LCPC, Counselor
Mark Holbrook
Counselor, PhD, PE, LCPC
Verified Verified
Augusta, ME 04330
At present, my practice is limited to men and women in the law enforcement community and their families.
At present, my practice is limited to men and women in the law enforcement community and their families.
(207) 518-7502 View (207) 518-7502
Photo of Heather Lynn Johnson, LCPC, Counselor
Heather Lynn Johnson
Counselor, LCPC
Verified Verified
Augusta, ME 04330
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
I have been working in the mental health field for 10 years. My goal is to create a safe place for client's to work through interpersonal, family, or relationship challenges. I work from the perspective that you are the expert in your life and my role is to foster an emotional compass in navigating personal struggles. I specialize in complex trauma and developing affect regulation. What we know today is that one's ability to regulate our moods, emotions, and behaviors is key in life-long success and our quality of life. I believe that compassion and empathy are vital in facilitating change and helping one become their best self.
(505) 393-6865 View (505) 393-6865
Photo of Abelee Groff, LICSW , Clinical Social Work/Therapist
Abelee Groff
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Augusta, ME 04330  (Online Only)
Curiosity and courage propel us toward a life where authenticity shines. Thank you for seeking me out—I hope to be your steadfast companion on life’s journey. As a psychotherapist, I offer evidence-based counseling, fostering a safe space for self-exploration, personal growth, and healing.
Curiosity and courage propel us toward a life where authenticity shines. Thank you for seeking me out—I hope to be your steadfast companion on life’s journey. As a psychotherapist, I offer evidence-based counseling, fostering a safe space for self-exploration, personal growth, and healing.
(978) 634-6412 View (978) 634-6412
Photo of Self-Esteem Anxiety And Trauma Samantha Figueroa, MSW, LICSW, Clinical Social Work/Therapist
Self-Esteem Anxiety And Trauma Samantha Figueroa
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Augusta, ME 04332  (Online Only)
Heal the childhood trauma that has left you feeling anxious and dysregulated. Don’t let it continue to negatively impact your relationship(s). Create a brighter future for yourself and loved ones — break the cycle and leave a legacy free from trauma.
Heal the childhood trauma that has left you feeling anxious and dysregulated. Don’t let it continue to negatively impact your relationship(s). Create a brighter future for yourself and loved ones — break the cycle and leave a legacy free from trauma.
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Photo of Dr. Abigail Steinkamp, DSW, LCSW, Clinical Social Work/Therapist
Dr. Abigail Steinkamp
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Augusta, ME 04333  (Online Only)
Hi there & welcome. You’re making a pretty big decision and I am proud of you already. Reaching out for help to heal invisible wounds takes immense courage and strength; it may be the most difficult phone call you make this year. Whether you’re struggling with anxiety that won’t quit, depression that’s getting in the way of enjoying life, experiencing a combination of sensations and emotions that don’t make sense; we can work together to gain an understanding of it all. Together, you and I will develop a workable plan to help you to get back to a life you enjoy.
Hi there & welcome. You’re making a pretty big decision and I am proud of you already. Reaching out for help to heal invisible wounds takes immense courage and strength; it may be the most difficult phone call you make this year. Whether you’re struggling with anxiety that won’t quit, depression that’s getting in the way of enjoying life, experiencing a combination of sensations and emotions that don’t make sense; we can work together to gain an understanding of it all. Together, you and I will develop a workable plan to help you to get back to a life you enjoy.
(207) 483-5598 View (207) 483-5598
Photo of Sherie Daigle, LCSW, CCTP, Clinical Social Work/Therapist
Sherie Daigle
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Augusta, ME 04330  (Online Only)
Hello! My name is Sherie and I am a Licensed Clinical Social Worker with 25 years of experience working within the mental health field. I'm passionate about partnering with you to identify and address what is getting in the way of living the life that you imagine for yourself! The majority of my practice focuses on individuals who are navigating the impacts of trauma, anxiety and panic disorders, relationship issues, and bipolar disorders. I offer a free consultation to explore your individual needs and if we are a good fit!
Hello! My name is Sherie and I am a Licensed Clinical Social Worker with 25 years of experience working within the mental health field. I'm passionate about partnering with you to identify and address what is getting in the way of living the life that you imagine for yourself! The majority of my practice focuses on individuals who are navigating the impacts of trauma, anxiety and panic disorders, relationship issues, and bipolar disorders. I offer a free consultation to explore your individual needs and if we are a good fit!
(207) 481-4076 View (207) 481-4076
Photo of Suzanne Nanci Zanoni, LMHC, LCPC, LSWA, Counselor
Suzanne Nanci Zanoni
Counselor, LMHC, LCPC, LSWA
Verified Verified
2 Endorsed
Augusta, ME 04330
Waitlist for new clients
Are you experiencing feelings of stress, anxiety, depression or having conflicts in relationships? Are you a young adult trying to navigate your future? It can be overwhelming to know where to start when wanting to make positive changes in our lives. If you are ready to begin working through the challenges you are facing and improve your quality of life, you have already made the biggest step.I offer practical tools while working towards a deeper emotional healing to promote change. I let you take the lead and I am here to guide you in the process.I provide a safe space free of judgement where you can feel seen, heard and respected.
Are you experiencing feelings of stress, anxiety, depression or having conflicts in relationships? Are you a young adult trying to navigate your future? It can be overwhelming to know where to start when wanting to make positive changes in our lives. If you are ready to begin working through the challenges you are facing and improve your quality of life, you have already made the biggest step.I offer practical tools while working towards a deeper emotional healing to promote change. I let you take the lead and I am here to guide you in the process.I provide a safe space free of judgement where you can feel seen, heard and respected.
(207) 548-5897 View (207) 548-5897
Photo of Mitchell Blum - Dr. Mitch and Lisa Marriages/Couples Workshops, PsyD, MSW, Life, Coach
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Augusta, ME 04333
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(207) 466-2807 View (207) 466-2807
Photo of Gracelyn Maguire, LCPC, LADC, CCS, Counselor
Gracelyn Maguire
Counselor, LCPC, LADC, CCS
Verified Verified
Augusta, ME 04330
Effective therapy begins with a solid, trusting relationship between you and your therapist. I create a warm, open environment where we can build trust and address your concerns. Through therapy, you will learn new ways of responding to obstacles (internal and external) that are currently contributing to your distress and preventing you from creating the life and relationships you desire. I have extensive experience working with clients with anxiety, depression, trauma, social and relational issues, as well as substance abuse, and have worked with clients in a variety of settings, including inpatient, outpatient, and residential.
Effective therapy begins with a solid, trusting relationship between you and your therapist. I create a warm, open environment where we can build trust and address your concerns. Through therapy, you will learn new ways of responding to obstacles (internal and external) that are currently contributing to your distress and preventing you from creating the life and relationships you desire. I have extensive experience working with clients with anxiety, depression, trauma, social and relational issues, as well as substance abuse, and have worked with clients in a variety of settings, including inpatient, outpatient, and residential.
(207) 808-7160 View (207) 808-7160
Photo of Shawn Hodgdon - Crossroads Counseling Center, PLLC, MSW, LCSW, PhD, ABD, Clinical Social Work/Therapist
Crossroads Counseling Center, PLLC
Clinical Social Work/Therapist, MSW, LCSW, PhD, ABD
Verified Verified
Mount Vernon, ME 04352
You have taken a courageous step in beginning the process of seeking counseling, and we look forward to walking alongside you on your journey. Be assured that Crossroads Counseling Center is a safe, peaceful and accepting environment. We welcome anyone looking for support, guidance, or encouragement. There are two counselors in this practice- Shawn and Jessica Hodgdon. We are both Licensed Clinical Social Workers, and have experience working with individuals, couples, and families, specifically adolescents, children and adults.
You have taken a courageous step in beginning the process of seeking counseling, and we look forward to walking alongside you on your journey. Be assured that Crossroads Counseling Center is a safe, peaceful and accepting environment. We welcome anyone looking for support, guidance, or encouragement. There are two counselors in this practice- Shawn and Jessica Hodgdon. We are both Licensed Clinical Social Workers, and have experience working with individuals, couples, and families, specifically adolescents, children and adults.
(207) 420-8891 View (207) 420-8891
Photo of Jeremiah Hackett, LCSW, Clinical Social Work/Therapist
Jeremiah Hackett
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, ME 04333  (Online Only)
A social worker for over ten years, I work with adults who feel stuck and crave change. Perhaps you're facing recovery, problematic habits, relationship problems, or challenges with intimacy — or perhaps you feel the symptoms of anxiety and depression more acutely than you once did. Most of my clients feel pragmatic about counseling and are hoping (from the start) that the work might be brief. While I do practice longer-term counseling, I also believe that treatment can be brief. It all depends on one's goals and the nature of their individual dilemma. I offer a free consultation to see if we might be a good fit.
A social worker for over ten years, I work with adults who feel stuck and crave change. Perhaps you're facing recovery, problematic habits, relationship problems, or challenges with intimacy — or perhaps you feel the symptoms of anxiety and depression more acutely than you once did. Most of my clients feel pragmatic about counseling and are hoping (from the start) that the work might be brief. While I do practice longer-term counseling, I also believe that treatment can be brief. It all depends on one's goals and the nature of their individual dilemma. I offer a free consultation to see if we might be a good fit.
(207) 389-3931 View (207) 389-3931

How does your Therapist compare?

Number of Therapists in Manchester, ME

< 10

Therapists in Manchester, ME who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Grief
100% Other
100% Divorce

Average years in practice

11 Years

Gender breakdown

100% Female

How Therapists in Manchester, ME see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.