Therapists in Santa Fe, NM

Photo of Kila Hillman-Sena - Kila Hillman, MA, LPCC, MA, LPCC, Counselor
Kila Hillman, MA, LPCC
Counselor, MA, LPCC
Verified Verified
4 Endorsed
Santa Fe, NM 87508
Kila is a Licensed Professional Clinical Counselor specializing in Parts Work with an emphasis in Attachment Trauma. Her psychotherapeutic work, utilizes a dynamic and integrative approach that is experiential in nature, relationally oriented, emotionally focused, attachment and trauma informed, psychodynamic in depth, and guided by systems theory. This approach synergizes elements of Internal Family Systems, Accelerated Experiential Dynamic Psychotherapy, Empowerment and Resilience Trauma Treatment Structure, The Trauma Resiliency Model, Brainspotting, and the Healing in Resonance Approach, among others.
Kila is a Licensed Professional Clinical Counselor specializing in Parts Work with an emphasis in Attachment Trauma. Her psychotherapeutic work, utilizes a dynamic and integrative approach that is experiential in nature, relationally oriented, emotionally focused, attachment and trauma informed, psychodynamic in depth, and guided by systems theory. This approach synergizes elements of Internal Family Systems, Accelerated Experiential Dynamic Psychotherapy, Empowerment and Resilience Trauma Treatment Structure, The Trauma Resiliency Model, Brainspotting, and the Healing in Resonance Approach, among others.
(505) 795-5566 View (505) 795-5566
Photo of Ashly Huffstatler - Ashly Huffstatler - NOCD, LCSW, Clinical Social Work/Therapist
Ashly Huffstatler - NOCD
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I decided to become a therapist because I believe everyone deserves a healthy and happy life, and good mental health is crucial for that. I struggled with anxiety and social anxiety as a child, which caused difficulties growing up and had a big impact on my life. Mental health has been too long ignored, denied, and neglected. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
I decided to become a therapist because I believe everyone deserves a healthy and happy life, and good mental health is crucial for that. I struggled with anxiety and social anxiety as a child, which caused difficulties growing up and had a big impact on my life. Mental health has been too long ignored, denied, and neglected. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances of OCD enables us to properly diagnose and treat it. We have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(505) 605-5457 View (505) 605-5457
Photo of Kermit Cole, MA, LMFT, Marriage & Family Therapist
Kermit Cole
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Santa Fe, NM 87505
I like to direct our attention away from what is wrong with people toward what can be improved between people. This leads to a lot of philosophical reflection, and laughter. (In fact I am writing a book about the philosophy of humor, and how it shows up in therapy.)
I like to direct our attention away from what is wrong with people toward what can be improved between people. This leads to a lot of philosophical reflection, and laughter. (In fact I am writing a book about the philosophy of humor, and how it shows up in therapy.)
(917) 831-4039 View (917) 831-4039
Photo of Adrienne Sloan, MA, LPCC, Counselor
Adrienne Sloan
Counselor, MA, LPCC
Verified Verified
3 Endorsed
Santa Fe, NM 87505
I help midlife women and non-binary folks navigate life transitions, anxiety, burnout, and spiritual crisis/emergence. This might look like feeling overwhelmed, overthinking, in deep sorrow about the state of the world, and feeling a lack of belonging. My best-fit clients are deep thinkers and feelers who tend toward creative and intellectual pursuits — and spiritually oriented folks who desire a deeper connection with themselves and the animate world around them. Folks who resonate with my style of therapy are often artists, academics, therapists, neurodivergent folks, and spiritual seekers.
I help midlife women and non-binary folks navigate life transitions, anxiety, burnout, and spiritual crisis/emergence. This might look like feeling overwhelmed, overthinking, in deep sorrow about the state of the world, and feeling a lack of belonging. My best-fit clients are deep thinkers and feelers who tend toward creative and intellectual pursuits — and spiritually oriented folks who desire a deeper connection with themselves and the animate world around them. Folks who resonate with my style of therapy are often artists, academics, therapists, neurodivergent folks, and spiritual seekers.
(505) 309-4522 View (505) 309-4522
Photo of Keadron Friar, LPCC, LPAT, ATR-BC, Counselor
Keadron Friar
Counselor, LPCC, LPAT, ATR-BC
Verified Verified
Santa Fe, NM 87505
Not accepting new clients
At different parts of our journey we will all encounter challenges - relationship problems, life transitions, grief. Sometimes you need a new perspective and tools to work through the current situation and get you to a new chapter. Having a relationship focused completely on your needs and goals can be invaluable. By working with a counselor you can connect with, you can turn hard times into growth opportunities that help strengthen and make you more into the person you were created to be. This allows you to move forward with wisdom, joy, purpose, and self compassion, affecting your quality of life and the world around you.
At different parts of our journey we will all encounter challenges - relationship problems, life transitions, grief. Sometimes you need a new perspective and tools to work through the current situation and get you to a new chapter. Having a relationship focused completely on your needs and goals can be invaluable. By working with a counselor you can connect with, you can turn hard times into growth opportunities that help strengthen and make you more into the person you were created to be. This allows you to move forward with wisdom, joy, purpose, and self compassion, affecting your quality of life and the world around you.
(505) 591-9433 x505603 View (505) 591-9433 x505603
Photo of Karen Gano - Empowerment Counseling and Supervision, LCSW, Clinical Social Work/Therapist
Empowerment Counseling and Supervision
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Santa Fe, NM 87507
My specialty is what I call Empowerment Counseling. I have a holistic and goal oriented practice, working primarily with women who are going through some sort of life transition, whether it be separation, divorce, career changes, relocation, empty nest, illness, etc. I also provide counseling to healthcare workers who are on the front lines. I have been a practicing medical social worker throughout my career, and I have worked in trauma, critical care, oncology, palliative care, and domestic abuse. I focus on crisis intervention, emotional support, resources, advocacy, coping skills, stress, and grief and loss issues.
My specialty is what I call Empowerment Counseling. I have a holistic and goal oriented practice, working primarily with women who are going through some sort of life transition, whether it be separation, divorce, career changes, relocation, empty nest, illness, etc. I also provide counseling to healthcare workers who are on the front lines. I have been a practicing medical social worker throughout my career, and I have worked in trauma, critical care, oncology, palliative care, and domestic abuse. I focus on crisis intervention, emotional support, resources, advocacy, coping skills, stress, and grief and loss issues.
(505) 405-1305 View (505) 405-1305
Photo of Susan Carswell, PsyD, PhD, Psychologist
Susan Carswell
Psychologist, PsyD, PhD
Verified Verified
Santa Fe, NM 87501
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
(484) 802-8544 View (484) 802-8544
Photo of Tim Valentine, MA, LPCC, Counselor
Tim Valentine
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Does it seem like you have encountered obstacles in your personal life or relationship that you are having difficulty dealing with? Are you in a life transition that seems confusing and too challenging to face alone? I have seen the positive effects that therapy and the therapeutic alliance can have on individual's lives. I am here to help you learn new ways of coping with, and hopefully overcome, the difficulties that you are currently experiencing. Through our therapeutic alliance I am certain that you will be able to move forward with your life to a more fulfilling place.
Does it seem like you have encountered obstacles in your personal life or relationship that you are having difficulty dealing with? Are you in a life transition that seems confusing and too challenging to face alone? I have seen the positive effects that therapy and the therapeutic alliance can have on individual's lives. I am here to help you learn new ways of coping with, and hopefully overcome, the difficulties that you are currently experiencing. Through our therapeutic alliance I am certain that you will be able to move forward with your life to a more fulfilling place.
(505) 876-9766 View (505) 876-9766
Photo of Rachael Starr Bruck, MA, LMHC, Coach, Counselor
Rachael Starr Bruck
Counselor, MA, LMHC, Coach
Verified Verified
Santa Fe, NM 87505  (Online Only)
Though you may not know how to best move through the hardships you are facing, being willing to meet yourself and being open to support is a powerful and brave starting place. Whether you are in the midst of a major life transition, are experiencing anxiety, depression, low self-worth or relationship issues of all kinds, I am excited to be a trusted partner and ally on the path of you knowing yourself, trusting yourself and having greater fulfillment in your life. I offer multiple pathways of support so you can process your emotions in healthy ways and experience lasting positive change.
Though you may not know how to best move through the hardships you are facing, being willing to meet yourself and being open to support is a powerful and brave starting place. Whether you are in the midst of a major life transition, are experiencing anxiety, depression, low self-worth or relationship issues of all kinds, I am excited to be a trusted partner and ally on the path of you knowing yourself, trusting yourself and having greater fulfillment in your life. I offer multiple pathways of support so you can process your emotions in healthy ways and experience lasting positive change.
(505) 337-4507 View (505) 337-4507
Photo of Sara McFarlane, MA, LPCC, Counselor
Sara McFarlane
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Fe, NM 87505  (Online Only)
My intention, as I walk on the healing path with my clients, is to empower self love. We are worthy, throughout our entire life cycle, of receiving all that life has to offer. Symptoms are connected to layers of shame and distrust built up over time through trauma and false programming. Once we understand the patterns that keep us trapped in our symptoms and heal the trauma that activated those patterns, we can make the choice to actively love ourselves and create the life of our dreams.
My intention, as I walk on the healing path with my clients, is to empower self love. We are worthy, throughout our entire life cycle, of receiving all that life has to offer. Symptoms are connected to layers of shame and distrust built up over time through trauma and false programming. Once we understand the patterns that keep us trapped in our symptoms and heal the trauma that activated those patterns, we can make the choice to actively love ourselves and create the life of our dreams.
(505) 587-8604 View (505) 587-8604
Photo of Felicia Marohn - Felicia Marohn, LCSW, LCSW, Clinical Social Work/Therapist
Felicia Marohn, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Not accepting new clients
Do you wish to transform suffering and enhance joy, long-term? In my therapeutic work, I integrate the concepts and the application of mindfulness, compassion, active problem-solving, interpersonal neurobiology and cultural sensitivity. When working with clients, my motivation is based in understanding and supporting the worth and dignity of each person and his, her or their unique circumstances.
Do you wish to transform suffering and enhance joy, long-term? In my therapeutic work, I integrate the concepts and the application of mindfulness, compassion, active problem-solving, interpersonal neurobiology and cultural sensitivity. When working with clients, my motivation is based in understanding and supporting the worth and dignity of each person and his, her or their unique circumstances.
(505) 551-3605 View (505) 551-3605
Photo of Emily Miles, MA, LMFT, Marriage & Family Therapist
Emily Miles
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Do you worry all the time? Perhaps you struggle to find self confidence or a positive relationship with yourself, you may also feel depressed or without joy. Your self defeating thoughts may be debilitating. Perhaps your relationships suffer. You aren't feeling like your authentic self and it takes a toll on your mental health.
Do you worry all the time? Perhaps you struggle to find self confidence or a positive relationship with yourself, you may also feel depressed or without joy. Your self defeating thoughts may be debilitating. Perhaps your relationships suffer. You aren't feeling like your authentic self and it takes a toll on your mental health.
(505) 421-6651 View (505) 421-6651
Photo of Nicholas David Brown, MA, LPCC, Counselor
Nicholas David Brown
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87507
As an eclectic psychotherapist, I use many approaches, and have an ability to be deeply present with your experiences. I offer grounded, thoughtful, creative, playful, kind, and compassionate support. My desire is to assist you through challenges and help you find balance and healing. My mirror of reflection is through 15 years work in community mental health, with wide ranging mental health and addiction issues. I've experienced oneness, Christ Consciousness, transpersonal, and non-ordinary states, yet also my own drama and occasional trauma. I am here to help raise awareness, create options, and facilitate you finding your way.
As an eclectic psychotherapist, I use many approaches, and have an ability to be deeply present with your experiences. I offer grounded, thoughtful, creative, playful, kind, and compassionate support. My desire is to assist you through challenges and help you find balance and healing. My mirror of reflection is through 15 years work in community mental health, with wide ranging mental health and addiction issues. I've experienced oneness, Christ Consciousness, transpersonal, and non-ordinary states, yet also my own drama and occasional trauma. I am here to help raise awareness, create options, and facilitate you finding your way.
(505) 859-7344 View (505) 859-7344
Photo of Ellen J Shabshai Fox, LCSW, Clinical Social Work/Therapist
Ellen J Shabshai Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
(505) 484-2860 View (505) 484-2860
Photo of Kevin Kluck, LCSW, Clinical Social Work/Therapist
Kevin Kluck
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Santa Fe, NM 87505
I am happy to offer in-person and HIPAA compliant Telehealth for clients. I am a family, couple, individual, and youth therapist who provides a safe environment for helping people. I help those who are seeking a more resilient life and stronger connection in relationships. Sometimes we struggle and need a helping hand to move through Anxiety, Depression, Grief, Family Conflict, Relationship Dynamics, Education, Career or a Life Change. I provide therapy using a strength-based approach with the belief that everyone has the ability to find change.
I am happy to offer in-person and HIPAA compliant Telehealth for clients. I am a family, couple, individual, and youth therapist who provides a safe environment for helping people. I help those who are seeking a more resilient life and stronger connection in relationships. Sometimes we struggle and need a helping hand to move through Anxiety, Depression, Grief, Family Conflict, Relationship Dynamics, Education, Career or a Life Change. I provide therapy using a strength-based approach with the belief that everyone has the ability to find change.
(505) 557-1439 View (505) 557-1439
Photo of Carolyn Burns, MA, LMFT, Marriage & Family Therapist
Carolyn Burns
Marriage & Family Therapist, MA, LMFT
Verified Verified
Santa Fe, NM 87501
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
(505) 926-2017 View (505) 926-2017
Photo of Robyn Deyo, MEd, LMHC, LPCC, Counselor
Robyn Deyo
Counselor, MEd, LMHC, LPCC
Verified Verified
Santa Fe, NM 87506  (Online Only)
I welcome your call to see if working with me is your next best step in feeling better. I work with adults and couples who are struggling with communication, parenting, depression, anxiety, grief, and post traumatic experiences. With 26 years of experience, my clients would tell you that I provide an intuitive compassionate connection, a respectful, curious approach, and a touch of humor to facilitate your increased self awareness and to teach you practical steps that result in the changes you are looking for today.
I welcome your call to see if working with me is your next best step in feeling better. I work with adults and couples who are struggling with communication, parenting, depression, anxiety, grief, and post traumatic experiences. With 26 years of experience, my clients would tell you that I provide an intuitive compassionate connection, a respectful, curious approach, and a touch of humor to facilitate your increased self awareness and to teach you practical steps that result in the changes you are looking for today.
(505) 405-8185 View (505) 405-8185
Photo of Rob Belgrod, LPAT, LCAT, ATCS, ATR-BC, Art Therapist
Rob Belgrod
Art Therapist, LPAT, LCAT, ATCS, ATR-BC
Verified Verified
Santa Fe, NM 87505
I offer compassionate and empathetic support for adolescents, young adults, and adults navigating and experiencing a range of challenges including: anxiety, LGBTQIA2S issues, substance use, stress, identity, trauma, and issues Veterans may be facing.
I offer compassionate and empathetic support for adolescents, young adults, and adults navigating and experiencing a range of challenges including: anxiety, LGBTQIA2S issues, substance use, stress, identity, trauma, and issues Veterans may be facing.
(505) 806-0745 View (505) 806-0745
Laura Miller Psychotherapy LLC
Counselor, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Not accepting new clients
I focus on adults of all ages who are experiencing depression, anxiety, life transitions, grief and loss as well as those trying to understand relationships and the events that have shaped them. I hope to provide a safe environment in which to develop and explore insights that will encourage and enable growth and well-being. I will endeavor to help identify motivations, desires and personal ethics and the facility to express them. My frame of reference is largely psychodynamic (meaning that the unconscious mind affects conscious feelings, thoughts and behavior) but may draw from other orientations when suitable.
I focus on adults of all ages who are experiencing depression, anxiety, life transitions, grief and loss as well as those trying to understand relationships and the events that have shaped them. I hope to provide a safe environment in which to develop and explore insights that will encourage and enable growth and well-being. I will endeavor to help identify motivations, desires and personal ethics and the facility to express them. My frame of reference is largely psychodynamic (meaning that the unconscious mind affects conscious feelings, thoughts and behavior) but may draw from other orientations when suitable.
(206) 594-5297 View (206) 594-5297
Photo of Sarah Barnard, LCSW, Clinical Social Work/Therapist
Sarah Barnard
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505
Waitlist for new clients
I work with clients to help heal past traumas and resolve underlying beliefs which may be negatively affecting your everyday life and relationships. I am a person-centered therapist who provides a safe, nonjudgmental environment where we can work together on your needs and goals.
I work with clients to help heal past traumas and resolve underlying beliefs which may be negatively affecting your everyday life and relationships. I am a person-centered therapist who provides a safe, nonjudgmental environment where we can work together on your needs and goals.
(505) 657-5344 View (505) 657-5344
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How does your Therapist compare?

Number of Therapists in Santa Fe, NM

600+

Average cost per session

$140

Therapists in Santa Fe, NM who prioritize treating:

90% Anxiety
85% Depression
77% Relationship Issues
76% Trauma and PTSD
76% Self Esteem
70% Grief
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

71% Presbyterian
70% BlueCross and BlueShield
63% Medicaid

How Therapists in Santa Fe, NM see their clients

59% In Person and Online
41% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Santa Fe?

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.