Therapists in Great Valley, NY

Photo of Yvonne Woods, LCSW, Clinical Social Work/Therapist
Yvonne Woods
Clinical Social Work/Therapist, LCSW
Verified Verified
Great Valley, NY 14741
Yvonne Woods LCSW-R My approach to therapy is in utilizing my skills as a therapist to assist individuals with goal setting and accomplishing these goals. I utilize the model of Cognitive Behavioral Therapy to assist clients with understanding the underlying causes of their stress and effective ways of handing them. I approach my sessions by allowing my clients to define their reasons for seeking out therapy and to involve them in the process of attaining a favorable outcome. My focus areas of counseling are Anxiety. Stress. Mood disorders. Depression. I work with individuals. Couples. The elderly.
Yvonne Woods LCSW-R My approach to therapy is in utilizing my skills as a therapist to assist individuals with goal setting and accomplishing these goals. I utilize the model of Cognitive Behavioral Therapy to assist clients with understanding the underlying causes of their stress and effective ways of handing them. I approach my sessions by allowing my clients to define their reasons for seeking out therapy and to involve them in the process of attaining a favorable outcome. My focus areas of counseling are Anxiety. Stress. Mood disorders. Depression. I work with individuals. Couples. The elderly.
(646) 466-6231 View (646) 466-6231

More Therapists Nearby

Photo of Erin N Strotman, MA, NCC, LPC, Licensed Professional Counselor
Erin N Strotman
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Ellicottville, NY 14731
Not accepting new clients
The definition of reframe, according to the Merriam-Webster Dictionary, is “to frame (something) again and often in a different way.” As a Licensed Professional Counselor, I am a firm believer that sometimes we have to take a step back and look at things differently in order to gain a better understanding and/or move forward in achieving our goals. At Life Reframe Counseling, we will work side by side to create a safe, genuine, collaborative, nonjudgmental, therapeutic relationship, to reflect, assist, encourage, and help you identify incongruent patterns around actions and words to help you achieve your therapy goals.
The definition of reframe, according to the Merriam-Webster Dictionary, is “to frame (something) again and often in a different way.” As a Licensed Professional Counselor, I am a firm believer that sometimes we have to take a step back and look at things differently in order to gain a better understanding and/or move forward in achieving our goals. At Life Reframe Counseling, we will work side by side to create a safe, genuine, collaborative, nonjudgmental, therapeutic relationship, to reflect, assist, encourage, and help you identify incongruent patterns around actions and words to help you achieve your therapy goals.
(814) 331-4182 View (814) 331-4182
Photo of Laura Marie Widger - Inner Peace and Strength , LCSW, Clinical Social Work/Therapist
Inner Peace and Strength
Clinical Social Work/Therapist, LCSW
Verified Verified
Ellicottville, NY 14731
Not accepting new clients
Hello and Welcome! My name is Laura Widger, owner of Inner Peace and Strength in Ellicottville, NY. I am humbled and honored to have you click and browse my profile! With my therapeutic lens, specialty, and expertise being trauma healing, the name of my private practice was created with intention. My personal drive, motivation, and mission is to provide a safe and healing environment where clients can heal from the hardships, pain, and traumas of the past. I truly believe inner peace and strength is obtainable and can be a way of living. My job is to help, assist, and support the healing process and journey of trauma recovery.
Hello and Welcome! My name is Laura Widger, owner of Inner Peace and Strength in Ellicottville, NY. I am humbled and honored to have you click and browse my profile! With my therapeutic lens, specialty, and expertise being trauma healing, the name of my private practice was created with intention. My personal drive, motivation, and mission is to provide a safe and healing environment where clients can heal from the hardships, pain, and traumas of the past. I truly believe inner peace and strength is obtainable and can be a way of living. My job is to help, assist, and support the healing process and journey of trauma recovery.
(716) 317-4914 View (716) 317-4914
Photo of Pamela McGarry, MS, LMHC
Pamela McGarry
Mental Health Counselor, MS, LMHC
Verified Verified
Ellicottville, NY 14731
We are living in particularly stressful times. I am able to help people cope and enjoy their life no matter the current circumstances. I am skilled with addiction problems and how they impact the individual and their family members. I work to offer a person centered approach that allows the client to direct their own therapy and make improvements in their lives when and where they choose.
We are living in particularly stressful times. I am able to help people cope and enjoy their life no matter the current circumstances. I am skilled with addiction problems and how they impact the individual and their family members. I work to offer a person centered approach that allows the client to direct their own therapy and make improvements in their lives when and where they choose.
(716) 271-6440 View (716) 271-6440
Photo of Chad S Pautler, LMHC
Chad S Pautler
LMHC
Verified Verified
7 Endorsed
Ellicottville, NY 14731
Accepting new clients! Available Weekdays (9AM - 4PM); evenings full. Are you struggling with anxiety, depression, burn out, stress, or loneliness? Unfortunately, this is quite common for many people in today's world. Some feel as if they are drifting through life, without a deeper sense of meaning, or purpose. Sometimes, we numb the pain; other times, we just accept it and don't realize how to manage it. It is also common for people to struggle with having deeper relationships, whether with family, friends or romantic. If you would like to identify and explore the roots of these, or other issues, you have come to the right place.
Accepting new clients! Available Weekdays (9AM - 4PM); evenings full. Are you struggling with anxiety, depression, burn out, stress, or loneliness? Unfortunately, this is quite common for many people in today's world. Some feel as if they are drifting through life, without a deeper sense of meaning, or purpose. Sometimes, we numb the pain; other times, we just accept it and don't realize how to manage it. It is also common for people to struggle with having deeper relationships, whether with family, friends or romantic. If you would like to identify and explore the roots of these, or other issues, you have come to the right place.
(716) 340-0754 View (716) 340-0754
Photo of Amy Lynn Snyder, Clinical Social Work/Therapist
Amy Lynn Snyder
Clinical Social Work/Therapist
Verified Verified
Ellicottville, NY 14731
Waitlist for new clients
Finding the right therapist can be challenging. My goal is to make individuals comfortable with the therapeutic process through a holistic and trauma-informed approach. Specializing in Eye-Movement Desensitization and Reprocessing Therapy (EMDR), I help clients release beliefs, thoughts, emotions, and behaviors that block growth and healing. Together, we may work on navigating life transitions, managing stress, and addressing past trauma. I support those dealing with grief and loss, chronic and terminal illness, and caregiver stress as we journey to hope and healing.
Finding the right therapist can be challenging. My goal is to make individuals comfortable with the therapeutic process through a holistic and trauma-informed approach. Specializing in Eye-Movement Desensitization and Reprocessing Therapy (EMDR), I help clients release beliefs, thoughts, emotions, and behaviors that block growth and healing. Together, we may work on navigating life transitions, managing stress, and addressing past trauma. I support those dealing with grief and loss, chronic and terminal illness, and caregiver stress as we journey to hope and healing.
(585) 595-1526 View (585) 595-1526
Photo of Pamela Pucci, LCSW, Clinical Social Work/Therapist
Pamela Pucci
Clinical Social Work/Therapist, LCSW
Verified Verified
Salamanca, NY 14779  (Online Only)
Hello! I’m a Licensed Clinical Social Worker with over 6 years of counseling experience. My specialties include working with depression, anxiety, substance use, mood disorders, bipolar and borderline personality disorders, and more. My top modalities are cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing. My behavioral health background includes case management, vocational case management, and social work for individuals with mental health and or substance use diagnosis. I use a person-centered, strengths-based approach to support you in making your desired changes.
Hello! I’m a Licensed Clinical Social Worker with over 6 years of counseling experience. My specialties include working with depression, anxiety, substance use, mood disorders, bipolar and borderline personality disorders, and more. My top modalities are cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing. My behavioral health background includes case management, vocational case management, and social work for individuals with mental health and or substance use diagnosis. I use a person-centered, strengths-based approach to support you in making your desired changes.
(347) 797-5878 View (347) 797-5878
Photo of Ann Viviano, LCP, Psychologist
Ann Viviano
Psychologist, LCP
Verified Verified
Ellicottville, NY 14731
My name is Dr. Ann Viviano. I am a cognitive behavior therapist who has been in clinical practice for 30+ years. I have experience working with men, women, couples, and LGBGTQ+ clients. I use cognitive behavior therapy and a solutions-oriented approach. I am not formal and I usually have a conversation with my clients. I also ask a lot of questions at the beginning.
My name is Dr. Ann Viviano. I am a cognitive behavior therapist who has been in clinical practice for 30+ years. I have experience working with men, women, couples, and LGBGTQ+ clients. I use cognitive behavior therapy and a solutions-oriented approach. I am not formal and I usually have a conversation with my clients. I also ask a lot of questions at the beginning.
(646) 480-9276 View (646) 480-9276
Photo of Chantal Amoussou, LMHC, Counselor
Chantal Amoussou
Counselor, LMHC
Verified Verified
Salamanca, NY 14779
Hi, I'm Chantal Amoussou, a bilingual (English & French) Licensed Mental Health Counselor in the state of New York. My current practice focuses on supporting adults and teens navigating grief and loss, depression, anxiety, trauma, Bipolar, anticipatory loss, substance abuse, life transitions, and relationships. Using various evidence-based techniques, I'll help you reconnect to existing strengths and cultivate additional resources that support progress toward the changes you wish to make.
Hi, I'm Chantal Amoussou, a bilingual (English & French) Licensed Mental Health Counselor in the state of New York. My current practice focuses on supporting adults and teens navigating grief and loss, depression, anxiety, trauma, Bipolar, anticipatory loss, substance abuse, life transitions, and relationships. Using various evidence-based techniques, I'll help you reconnect to existing strengths and cultivate additional resources that support progress toward the changes you wish to make.
(347) 318-0746 View (347) 318-0746
Photo of Sophia Philips - Clearwater Counseling Associates , LMSW, Clinical Social Work/Therapist
Clearwater Counseling Associates
Clinical Social Work/Therapist, LMSW
Verified Verified
Ellicottville, NY 14731  (Online Only)
Therapy can be a wonderful space to put yourself first! It’s a space where you can finally process some difficult things you may be going through or have gone through in life. A chance to become vulnerable with yourself to lead a fuller, happier life. I’m a compassionate, trauma-informed, culturally humble therapist here to empower and provide a safe space for you as you begin your therapeutic journey. As you allow yourself to be vulnerable, I want to provide support by helping you see your own resilience, strength, and courage. I’m here to listen as you process those difficult things.
Therapy can be a wonderful space to put yourself first! It’s a space where you can finally process some difficult things you may be going through or have gone through in life. A chance to become vulnerable with yourself to lead a fuller, happier life. I’m a compassionate, trauma-informed, culturally humble therapist here to empower and provide a safe space for you as you begin your therapeutic journey. As you allow yourself to be vulnerable, I want to provide support by helping you see your own resilience, strength, and courage. I’m here to listen as you process those difficult things.
(518) 504-3849 View (518) 504-3849

Online Therapists

Photo of Chantell M Bills - Chantell Teed, LCSW PC , LCSW, Clinical Social Work/Therapist
Chantell Teed, LCSW PC
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairport, NY 14450
Welcome! I am so happy to connect with you. As a therapist, I believe in the power of connection and attachment for healing. As a social worker, I am curious about the system that surrounds you. I have an extensive history of working with individuals, children, and families who have experienced trauma and attachment disruptions. This experience has included roles in community mental health, day treatment, residential treatment, and telehealth capacities. I support those struggling with anxiety, depression, mood disruptions, and general behavioral difficulties.
Welcome! I am so happy to connect with you. As a therapist, I believe in the power of connection and attachment for healing. As a social worker, I am curious about the system that surrounds you. I have an extensive history of working with individuals, children, and families who have experienced trauma and attachment disruptions. This experience has included roles in community mental health, day treatment, residential treatment, and telehealth capacities. I support those struggling with anxiety, depression, mood disruptions, and general behavioral difficulties.
(585) 595-2697 View (585) 595-2697
Photo of Francis A. Bax - Peace, Love, & Counseling by Fran - Francis A. Bax, MS, LMHC, LPC, CASAC-M, Counselor
Peace, Love, & Counseling by Fran - Francis A. Bax
Counselor, MS, LMHC, LPC, CASAC-M
Verified Verified
North Tonawanda, NY 14120  (Online Only)
I am a Licensed Mental Health Counselor in New York State and a Licensed Professional Counselor in Nevada with over 25 years of clinical experience in behavioral health counseling. I’ve worked with individuals dealing with chemical dependency, mental health issues and co-occurring disorders. I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I help people who have experienced physical trauma and emotional abuse. I work with athletes to help them improve their sports performance and mental framework.
I am a Licensed Mental Health Counselor in New York State and a Licensed Professional Counselor in Nevada with over 25 years of clinical experience in behavioral health counseling. I’ve worked with individuals dealing with chemical dependency, mental health issues and co-occurring disorders. I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I help people who have experienced physical trauma and emotional abuse. I work with athletes to help them improve their sports performance and mental framework.
(716) 219-0152 View (716) 219-0152
Photo of Mindi Lobuzzetta, LMHC, Counselor
Mindi Lobuzzetta
Counselor, LMHC
Verified Verified
3 Endorsed
Amherst, NY 14228  (Online Only)
Do you feel as though life has been full of struggles? Have you had experience with situations that are preventing you from staying on your desired life path? Did you experience a loss or something stressful that you just can’t seem to move past? Sometimes what brings us to counseling isn’t the only thing we need help with. Stress and unaddressed difficult situations can create a perfect storm for maladaptive coping skills and uncontrollable and uncomfortable emotions. Mindi can teach you skills, strategies and tools to better deal with your problems. Therapy is a way to feel empowered to take hold of all that life throws your way.
Do you feel as though life has been full of struggles? Have you had experience with situations that are preventing you from staying on your desired life path? Did you experience a loss or something stressful that you just can’t seem to move past? Sometimes what brings us to counseling isn’t the only thing we need help with. Stress and unaddressed difficult situations can create a perfect storm for maladaptive coping skills and uncontrollable and uncomfortable emotions. Mindi can teach you skills, strategies and tools to better deal with your problems. Therapy is a way to feel empowered to take hold of all that life throws your way.
(716) 517-4014 View (716) 517-4014
Photo of Lia Lesnick, LCSW, Clinical Social Work/Therapist
Lia Lesnick
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14618
Waitlist for new clients
Life is often unpredictable and painful. It can be easy to find ourselves feeling stuck in a spiral of shame and uncertainty. As humans, we often have an “inner knowing” that we have grown far away from. It’s difficult to commit to the journey of healing. However, choosing this journey is often “the right kind of hard,” while remaining stuck, frozen, and numb, is “the wrong kind of hard.” Sitting with big emotions can often times feel uncomfortable and scary. Everyone deserves a safe space to process difficult emotions and life's challenges.
Life is often unpredictable and painful. It can be easy to find ourselves feeling stuck in a spiral of shame and uncertainty. As humans, we often have an “inner knowing” that we have grown far away from. It’s difficult to commit to the journey of healing. However, choosing this journey is often “the right kind of hard,” while remaining stuck, frozen, and numb, is “the wrong kind of hard.” Sitting with big emotions can often times feel uncomfortable and scary. Everyone deserves a safe space to process difficult emotions and life's challenges.
(585) 857-9735 View (585) 857-9735
Kariann Hickein
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Amherst, NY 14221
Seeking therapy can be frustrating, overwhelming and scary. You hope to find someone who understands what you're going through, what you've been through or what you're about to face. Life can be difficult and complicated. Sometimes we feel alone and need someone to talk to. Sometimes we just want someone who is not in our circle. Someone who won't judge. Someone who will take the time to listen and give a different perspective. We all have different ways of approaching problems, managing them and getting the outcomes we desire. Therapy is about finding what works best for you and working together towards it.
Seeking therapy can be frustrating, overwhelming and scary. You hope to find someone who understands what you're going through, what you've been through or what you're about to face. Life can be difficult and complicated. Sometimes we feel alone and need someone to talk to. Sometimes we just want someone who is not in our circle. Someone who won't judge. Someone who will take the time to listen and give a different perspective. We all have different ways of approaching problems, managing them and getting the outcomes we desire. Therapy is about finding what works best for you and working together towards it.
(716) 437-6483 View (716) 437-6483
Photo of John Brewer, LMHC, Counselor
John Brewer
Counselor, LMHC
Verified Verified
Rochester, NY 14618
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
(585) 283-2013 View (585) 283-2013
Photo of Aedrea Androus, LMHC, Counselor
Aedrea Androus
Counselor, LMHC
Verified Verified
Buffalo, NY 14214  (Online Only)
Hello! My name is Aedrea and I am a Licensed Mental Health Counselor in the state of New York. I address different mental health concerns including depression, anxiety, trauma, chronic mental health needs and interpersonal challenges. I hold zeal in supporting those in the LGBTQIA+ community, as well as non-traditional relationships, sex, and sexuality. I encourage growth with adolescents, adults, and couples, and I utilize an eclectic, integrative approach that is tailored to your unique needs.
Hello! My name is Aedrea and I am a Licensed Mental Health Counselor in the state of New York. I address different mental health concerns including depression, anxiety, trauma, chronic mental health needs and interpersonal challenges. I hold zeal in supporting those in the LGBTQIA+ community, as well as non-traditional relationships, sex, and sexuality. I encourage growth with adolescents, adults, and couples, and I utilize an eclectic, integrative approach that is tailored to your unique needs.
(646) 846-5020 View (646) 846-5020
Photo of Mac Kelly, MAPP, PhD, Psychologist
Mac Kelly
Psychologist, MAPP, PhD
Verified Verified
1 Endorsed
Geneseo, NY 14454
I provide evidence-based care for obsessive-compulsive disorder (OCD) & other anxiety disorders like panic disorder, social anxiety disorder, etc.. My approach is skills-focused and emphasizes each client’s active participation in care within/between sessions. I aim to help you learn more adaptive ways to relate to your current difficulties and actively practice what you learn. I hope to support you to spend more time doing what you value most and less time on anxious distress/avoidance, getting back to living the life you want.
I provide evidence-based care for obsessive-compulsive disorder (OCD) & other anxiety disorders like panic disorder, social anxiety disorder, etc.. My approach is skills-focused and emphasizes each client’s active participation in care within/between sessions. I aim to help you learn more adaptive ways to relate to your current difficulties and actively practice what you learn. I hope to support you to spend more time doing what you value most and less time on anxious distress/avoidance, getting back to living the life you want.
(585) 508-3628 View (585) 508-3628
Photo of Brandie Rajk-Winter - Calm Connections Counseling, LMHC, NCC, Counselor
Calm Connections Counseling
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Perry, NY 14530
GRIEF: A natural response after a loved one dies, family separates, job loss/change, a newly blended family, retirement, caregiving for someone you love, dealing with a difficult diagnosis, an unexpected change or losing a beloved pet. I help clients to learn about the waves of grief and develop a path towards healing.
GRIEF: A natural response after a loved one dies, family separates, job loss/change, a newly blended family, retirement, caregiving for someone you love, dealing with a difficult diagnosis, an unexpected change or losing a beloved pet. I help clients to learn about the waves of grief and develop a path towards healing.
(585) 302-2732 View (585) 302-2732
Photo of Sarah Marchand, PhD, Psychologist
Sarah Marchand
Psychologist, PhD
Verified Verified
Buffalo, NY 14221
I specialize in treating postpartum and perinatal care, mood disorders, anxiety disorders, adjustment challenges and trauma.
I specialize in treating postpartum and perinatal care, mood disorders, anxiety disorders, adjustment challenges and trauma.
(716) 321-2188 View (716) 321-2188

How does your Therapist compare?

Number of Therapists in Great Valley, NY

< 10

Therapists in Great Valley, NY who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Life Coaching
100% Obsessive-Compulsive (OCD)
100% Career Counseling
100% Behavioral Issues

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Coventry

How Therapists in Great Valley, NY see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Great Valley?

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.