Therapists in Carmel, NY

Photo of Anne Nadig, LCSW, Clinical Social Work/Therapist
Anne Nadig
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Anne Nadig is a licensed clinical social worker who treats adolescents, children and adults. She received her graduate degree from New York University and has post graduate training in family therapy. Anne has extensive experience working with individuals impacted by trauma including physical and sexual abuse, domestic violence, and sexual assault. She is the organization's Administrative Director.
Anne Nadig is a licensed clinical social worker who treats adolescents, children and adults. She received her graduate degree from New York University and has post graduate training in family therapy. Anne has extensive experience working with individuals impacted by trauma including physical and sexual abuse, domestic violence, and sexual assault. She is the organization's Administrative Director.
(845) 415-4801 View (845) 415-4801
Photo of Rachel Habina, LCSW, Clinical Social Work/Therapist
Rachel Habina
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Carmel, NY 10512  (Online Only)
I specialize in working with youth, individuals, and families that are often struggling with anxiety, depression and neurodivergence. I help clients find healthy coping strategies and techniques in order to achieve their treatment goals. I meet clients and families where they are in order to best meet their specific needs.
I specialize in working with youth, individuals, and families that are often struggling with anxiety, depression and neurodivergence. I help clients find healthy coping strategies and techniques in order to achieve their treatment goals. I meet clients and families where they are in order to best meet their specific needs.
(845) 415-4113 View (845) 415-4113
Photo of Andrew Silverman, LCSW, Clinical Social Work/Therapist
Andrew Silverman
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Mr. Silverman is a New York State licensed social worker with over 30 years of experience. He treats adults and couples using a supportive, psychodynamic model and has a progressive and pragmatic approach to real-life issues. Andrew also is a Lawyer having completed his J. D. in 2014. Specialties: Depression/Anxiety Dual diagnosis/Alcoholism Problem/Solution Therapy Crisis Management Couples Therapy Reality Based Treatment. Job coaching and counseling, work stress and financial stress counseling.
Mr. Silverman is a New York State licensed social worker with over 30 years of experience. He treats adults and couples using a supportive, psychodynamic model and has a progressive and pragmatic approach to real-life issues. Andrew also is a Lawyer having completed his J. D. in 2014. Specialties: Depression/Anxiety Dual diagnosis/Alcoholism Problem/Solution Therapy Crisis Management Couples Therapy Reality Based Treatment. Job coaching and counseling, work stress and financial stress counseling.
(845) 697-9841 View (845) 697-9841
Photo of Catherine Sacer, LCSW-R, Clinical Social Work/Therapist
Catherine Sacer
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Carmel, NY 10512
Not accepting new clients
I believe we all need a judgment-free safe space where we can mindfully explore what's going on with us. We find ourselves in a life of change, yet often find ourselves repeating old habits, old patterns of thinking and recreating familiar situations. Sometimes life transitions catch us off-guard, and we don't know how to adapt. My goal is to create that safe space for you; to provide a respectful, supportive and collaborative therapeutic relationship to unlock greater self-awarenesss, positive change, and a happier more balanced life.
I believe we all need a judgment-free safe space where we can mindfully explore what's going on with us. We find ourselves in a life of change, yet often find ourselves repeating old habits, old patterns of thinking and recreating familiar situations. Sometimes life transitions catch us off-guard, and we don't know how to adapt. My goal is to create that safe space for you; to provide a respectful, supportive and collaborative therapeutic relationship to unlock greater self-awarenesss, positive change, and a happier more balanced life.
(914) 996-6094 View (914) 996-6094
Photo of Jessica Mcwilliam, LCSW, Clinical Social Work/Therapist
Jessica Mcwilliam
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Hi, my name is Jessica McWilliam but my clients call me Jess! I attended Sacred Heart University for my undergraduate degree, graduating with magna cum laude and Fordham University for my masters, graduating with summa cum laude. I'm a licensed clinical social worker committed to helping teens and young adults learn how to explore healthier relationships with their feelings and life experiences. My work focuses on taking a strength based perspective approach, while utilizing cognitive and dialectical behavioral therapy. I believe in meeting a client where they are at and working alongside them to achieve their goals.
Hi, my name is Jessica McWilliam but my clients call me Jess! I attended Sacred Heart University for my undergraduate degree, graduating with magna cum laude and Fordham University for my masters, graduating with summa cum laude. I'm a licensed clinical social worker committed to helping teens and young adults learn how to explore healthier relationships with their feelings and life experiences. My work focuses on taking a strength based perspective approach, while utilizing cognitive and dialectical behavioral therapy. I believe in meeting a client where they are at and working alongside them to achieve their goals.
(845) 305-6591 View (845) 305-6591
Photo of Danielle Deramo, LMHC, Counselor
Danielle Deramo
Counselor, LMHC
Verified Verified
Carmel, NY 10512  (Online Only)
Do you ever wonder why you’re not feeling great emotionally & can’t pinpoint the root cause exactly? I work from an emotionally driven place. What that means is together we will explore your feelings & peel away the layers until we figure out what is happening inside to trigger these negative emotions. My role in your journey through healing and finding your inner peace is to gain an understanding of where we are coming from and sort through the chaos and turmoil we feel inside. From there we can work our way up & create new beginnings with new positive emotions and gain a renewed sense of being, a renewed sense of purpose.
Do you ever wonder why you’re not feeling great emotionally & can’t pinpoint the root cause exactly? I work from an emotionally driven place. What that means is together we will explore your feelings & peel away the layers until we figure out what is happening inside to trigger these negative emotions. My role in your journey through healing and finding your inner peace is to gain an understanding of where we are coming from and sort through the chaos and turmoil we feel inside. From there we can work our way up & create new beginnings with new positive emotions and gain a renewed sense of being, a renewed sense of purpose.
(845) 303-2935 View (845) 303-2935
Photo of Rachel V Beck, LCSW, Clinical Social Work/Therapist
Rachel V Beck
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Rachel V. Beck is a Licensed Clinical Social Worker who has been in practice since 1993. She has an undergraduate degree in Fine Arts from Brown University, a Masters in Social Work from Fordham, and a certificate in Psychodynamic Psychotherapy from the Washington School of Psychiatry. Rachel is also a Registered Yoga Teacher (RYT 200). Rachel’s commitment as a therapist is to join with you to remove obstacles to the life you want to lead. She has a non-judgmental stance that is informed by an understanding of early attachment and how these experiences impact relationships and decision making throughout our lifespan.
Rachel V. Beck is a Licensed Clinical Social Worker who has been in practice since 1993. She has an undergraduate degree in Fine Arts from Brown University, a Masters in Social Work from Fordham, and a certificate in Psychodynamic Psychotherapy from the Washington School of Psychiatry. Rachel is also a Registered Yoga Teacher (RYT 200). Rachel’s commitment as a therapist is to join with you to remove obstacles to the life you want to lead. She has a non-judgmental stance that is informed by an understanding of early attachment and how these experiences impact relationships and decision making throughout our lifespan.
(845) 479-6626 View (845) 479-6626
Photo of Gail Brick, LCSW-R, Clinical Social Work/Therapist
Gail Brick
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Carmel, NY 10512
Dr. Brick is a New York State Licensed Clinical Social Worker who earned her Masters degree from Columbia University and her Doctorate in Clinical Psychology from the University of Hartford Graduate Institute of Professional Psychology. Dr. Brick works with adults, families, couples and adolescents and is trained in a variety of treatment approaches including cognitive behavioral, dialectical behavior (DBT), family systems, psychodynamic, addiction and juvenile sex offender treatment. She is a member of the Association for the Treatment of Sexual Abusers (ATSA).
Dr. Brick is a New York State Licensed Clinical Social Worker who earned her Masters degree from Columbia University and her Doctorate in Clinical Psychology from the University of Hartford Graduate Institute of Professional Psychology. Dr. Brick works with adults, families, couples and adolescents and is trained in a variety of treatment approaches including cognitive behavioral, dialectical behavior (DBT), family systems, psychodynamic, addiction and juvenile sex offender treatment. She is a member of the Association for the Treatment of Sexual Abusers (ATSA).
(845) 299-8072 View (845) 299-8072
Photo of Rachel Dinho, LCSW, CASAC-P, Clinical Social Work/Therapist
Rachel Dinho
Clinical Social Work/Therapist, LCSW, CASAC-P
Verified Verified
1 Endorsed
Carmel, NY 10512
Welcome to Inner Balance Therapy. Life has a variety of different challenges we face every day. My goal is to aid you in navigating those challenges while providing support and skills that will positively impact your daily life. I am a Licensed Clinical Social Worker and CASAC-P in the state of New York. Offering over ten years of experience providing care in mental health and substance abuse fields. Every individual is unique, and I strive to provide a personalized approach catered to the needs of each individual person. I want to assist and guide you to finding your inner balance.
Welcome to Inner Balance Therapy. Life has a variety of different challenges we face every day. My goal is to aid you in navigating those challenges while providing support and skills that will positively impact your daily life. I am a Licensed Clinical Social Worker and CASAC-P in the state of New York. Offering over ten years of experience providing care in mental health and substance abuse fields. Every individual is unique, and I strive to provide a personalized approach catered to the needs of each individual person. I want to assist and guide you to finding your inner balance.
(845) 415-4286 View (845) 415-4286
Photo of Roxann Intriligator, LP, Psychologist
Roxann Intriligator
Psychologist, LP
Verified Verified
Carmel, NY 10512
Roxann Intriligator, Ph.D., R. N. , is a New York State licensed clinical psychologist, psychiatric clinical nurse specialist, and certified biofeedback therapist. She specializes in the treatment of anxiety disorders and health related disorders using a variety of techniques including cognitive-behavioral therapy, stress management, relaxation training, mindfulness and biofeedback.
Roxann Intriligator, Ph.D., R. N. , is a New York State licensed clinical psychologist, psychiatric clinical nurse specialist, and certified biofeedback therapist. She specializes in the treatment of anxiety disorders and health related disorders using a variety of techniques including cognitive-behavioral therapy, stress management, relaxation training, mindfulness and biofeedback.
(845) 757-0301 View (845) 757-0301
Photo of Kimberly Snow, MSW,  LCSW, Clinical Social Work/Therapist
Kimberly Snow
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carmel, NY 10512
Kimberly Snow is a Licensed Clinical Social Worker in New York. She has been practicing since 2020, but has more than 15 years of experience in the mental health industry. She holds a Graduate Degree from Adelphi University and is certified in Cognitive Processing Therapy. Kimberly is skilled in various evidence-based modalities including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Therapy, and Motivational Therapy. She is proficient in both telehealth and in-person therapy. Kimberly is passionate about dismantling stigma and promoting equity in mental health for all individuals.
Kimberly Snow is a Licensed Clinical Social Worker in New York. She has been practicing since 2020, but has more than 15 years of experience in the mental health industry. She holds a Graduate Degree from Adelphi University and is certified in Cognitive Processing Therapy. Kimberly is skilled in various evidence-based modalities including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Therapy, and Motivational Therapy. She is proficient in both telehealth and in-person therapy. Kimberly is passionate about dismantling stigma and promoting equity in mental health for all individuals.
(845) 660-6575 View (845) 660-6575
Photo of Jordan Sweeney, MHC-LP, MS, Pre-Licensed Professional
Jordan Sweeney
Pre-Licensed Professional, MHC-LP, MS
Verified Verified
2 Endorsed
Carmel, NY 10512  (Online Only)
Have you found yourself struggling to understand or manage your emotions? Feeling lost, stressed, overwhelmed, or empty, and don’t know where to begin? Improving your mental well-being can be an intimidating process, but you don’t have to do it alone. Whether you are having trouble managing your urges, thoughts, or behaviors, experiencing grief, relationship or identity issues, or just feeling like you've lost a sense of peace and purpose somewhere along the way, my personalized, integrative, and trauma-informed approach to psychotherapy can help.
Have you found yourself struggling to understand or manage your emotions? Feeling lost, stressed, overwhelmed, or empty, and don’t know where to begin? Improving your mental well-being can be an intimidating process, but you don’t have to do it alone. Whether you are having trouble managing your urges, thoughts, or behaviors, experiencing grief, relationship or identity issues, or just feeling like you've lost a sense of peace and purpose somewhere along the way, my personalized, integrative, and trauma-informed approach to psychotherapy can help.
(914) 635-2384 View (914) 635-2384
Photo of Amy Anderson, LCSW-R, Clinical Social Work/Therapist
Amy Anderson
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Carmel, NY 10512
Amy received her MSW in 1999 from SUNY-Albany after a 15-year career serving her rural community working for a non-profit anti-poverty agency. Prior to this she graduated from Oberlin College with her B.A. in 1982. Areas of interest and expertise include the therapeutic possibilities inherent in depth psychology, creativity and the arts, and the healing power of the image via dream work.
Amy received her MSW in 1999 from SUNY-Albany after a 15-year career serving her rural community working for a non-profit anti-poverty agency. Prior to this she graduated from Oberlin College with her B.A. in 1982. Areas of interest and expertise include the therapeutic possibilities inherent in depth psychology, creativity and the arts, and the healing power of the image via dream work.
(845) 493-3973 View (845) 493-3973
Photo of Stacy R Mason - Infinite Possibilities NY, LCSW, Clinical Social Work/Therapist
Infinite Possibilities NY
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Great to meet you! My name is Stacy Mason and I am a Licensed Clinical Social Worker (LCSW) in Putnam County, New York with more than 20 years in the field. I am the mom of two young adult sons with autism who spell to communicate, and specialize in working with individuals with Intellectual and Developmental Disabilities including Autism Spectrum Disorder and their families.
Great to meet you! My name is Stacy Mason and I am a Licensed Clinical Social Worker (LCSW) in Putnam County, New York with more than 20 years in the field. I am the mom of two young adult sons with autism who spell to communicate, and specialize in working with individuals with Intellectual and Developmental Disabilities including Autism Spectrum Disorder and their families.
(845) 516-9269 View (845) 516-9269
Photo of Clelia Oconnell, LCSW-R, Clinical Social Work/Therapist
Clelia Oconnell
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Carmel, NY 10512
Clinician Clelia O'Connell is an experienced LCSW-R with over 25 years of experience. She has post graduate experience with adults in an eclectic psychodynamic Individual Training as well as a Family Systems Therapy Certification from Ackerman Institute for the Family. This clinician has an empathetic responsive method of working with a varied population of problem areas. She is trilingual and is able to conduct sessions in English, Portuguese and Spanish. She understands addiction and women's issues. Ms. O'Connell is respectful of diversity and is open to the LGBQTrans community.
Clinician Clelia O'Connell is an experienced LCSW-R with over 25 years of experience. She has post graduate experience with adults in an eclectic psychodynamic Individual Training as well as a Family Systems Therapy Certification from Ackerman Institute for the Family. This clinician has an empathetic responsive method of working with a varied population of problem areas. She is trilingual and is able to conduct sessions in English, Portuguese and Spanish. She understands addiction and women's issues. Ms. O'Connell is respectful of diversity and is open to the LGBQTrans community.
(845) 572-1899 View (845) 572-1899
Photo of Laurie Quackenbush, LMHC
Laurie Quackenbush
Mental Health Counselor, LMHC
Verified Verified
Carmel, NY 10512
Laurie Quackenbush is a New York State licensed mental health counselor who graduated from Teachers College, Columbia University with a degree in psychological counseling. Mrs. Quackenbush treats children, adolescents, and adults in a supportive environment. She specializes in the use of play therapy and cognitive behavioral techniques to address a variety of mental health struggles including anxiety, depression, attention difficulties, spectrum disorders, deviance/behavioral problems, school issues, and divorce.
Laurie Quackenbush is a New York State licensed mental health counselor who graduated from Teachers College, Columbia University with a degree in psychological counseling. Mrs. Quackenbush treats children, adolescents, and adults in a supportive environment. She specializes in the use of play therapy and cognitive behavioral techniques to address a variety of mental health struggles including anxiety, depression, attention difficulties, spectrum disorders, deviance/behavioral problems, school issues, and divorce.
(845) 310-0412 View (845) 310-0412
Photo of Fred Keane, LCSW, Clinical Social Work/Therapist
Fred Keane
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Are you at a crossroads? Are you stressed? Plagued by worry and uncertainty? Do you want to change the course of your life? It is possible. Together, we can explore and develop insight into the underlying thoughts and feelings that are preventing you from greater fulfillment, sense of well-being and meaning. I can show you how to better understand the past and meet the challenges before you.
Are you at a crossroads? Are you stressed? Plagued by worry and uncertainty? Do you want to change the course of your life? It is possible. Together, we can explore and develop insight into the underlying thoughts and feelings that are preventing you from greater fulfillment, sense of well-being and meaning. I can show you how to better understand the past and meet the challenges before you.
(914) 595-4561 View (914) 595-4561
Photo of Andrew Metz, LCSW, Clinical Social Work/Therapist
Andrew Metz
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Mr. Metz is a New York State licensed social worker who has worked with children, couples and families from a humanist perspective utilizing play therapy, talk therapy and relational family therapy for over three decades. He provides an accepting therapeutic milieu for all clients, including those struggling with LGBTQ related issues. He received his Master's degree from New York University and received training at the Ackerman Institute for the Family.
Mr. Metz is a New York State licensed social worker who has worked with children, couples and families from a humanist perspective utilizing play therapy, talk therapy and relational family therapy for over three decades. He provides an accepting therapeutic milieu for all clients, including those struggling with LGBTQ related issues. He received his Master's degree from New York University and received training at the Ackerman Institute for the Family.
(845) 506-8349 View (845) 506-8349
Photo of Debra Larocchia, LCSW, Clinical Social Work/Therapist
Debra Larocchia
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Debra Larocchia is a Licensed Clinical Social Worker in New York who has been practicing since 2001. She has a Master's degree of Social Work from Hunter College and a Bachelor's degree of Psychology from New York University. Debra values and has hope for every living being. She is a compassionate clinician that believes that we each have inner strengths and abilities that can be cultivated and that there are always opportunities for growth and change. Life is a journey that can be filled with joy and sorrow.
Debra Larocchia is a Licensed Clinical Social Worker in New York who has been practicing since 2001. She has a Master's degree of Social Work from Hunter College and a Bachelor's degree of Psychology from New York University. Debra values and has hope for every living being. She is a compassionate clinician that believes that we each have inner strengths and abilities that can be cultivated and that there are always opportunities for growth and change. Life is a journey that can be filled with joy and sorrow.
(845) 773-1991 View (845) 773-1991
Photo of Rickie Daniels, LCSW, Clinical Social Work/Therapist
Rickie Daniels
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, NY 10512
Rickie Daniels was trained at Columbia University, and specializes in treating children, adolescents, and families impacted by trauma. She is well known as a professor, and certified trainer for Family Connections. Rickie has more than 30 years of experience treating children, families, and adults. Her post-graduate training includes family systems, trauma informed psychotherapy, as well as CBT. While Rickie brings a compassionate and open approach to joining with clients, she is also well known as being a direct and active. When it comes to treating adults, Rickie has an empowering and solution focused approach.
Rickie Daniels was trained at Columbia University, and specializes in treating children, adolescents, and families impacted by trauma. She is well known as a professor, and certified trainer for Family Connections. Rickie has more than 30 years of experience treating children, families, and adults. Her post-graduate training includes family systems, trauma informed psychotherapy, as well as CBT. While Rickie brings a compassionate and open approach to joining with clients, she is also well known as being a direct and active. When it comes to treating adults, Rickie has an empowering and solution focused approach.
(845) 671-5587 View (845) 671-5587
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How does your Therapist compare?

Number of Therapists in Carmel, NY

80+

Average cost per session

$150

Therapists in Carmel, NY who prioritize treating:

93% Anxiety
77% Depression
69% Trauma and PTSD
67% Grief
58% Relationship Issues
46% Life Transitions
44% Coping Skills

Average years in practice

16 Years

Top 3 insurances accepted

95% Aetna
94% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in Carmel, NY see their clients

85% In Person and Online
15% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Carmel?

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.