Therapists in Modena, NY
![Photo of Angela A Perez - Aspire To Wellness Behavioral Health, LCSW, PLLC, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2fc20b33-4601-42c9-a232-a6b71d595041/4/320x400.jpeg)
Aspire To Wellness Behavioral Health, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Modena, NY 12548
I am a licensed clinical social worker, who uses CBT, REBT and others modalities to assist individual, group, children, adolescents, and families to assist each person with the individual treatment needed. I work with individuals with depression, anxiety, PTSD, behavior challenges, and family conflicts. I provide therapy with an unyielding level of respect for the individual path and circumstances of every person who I have the privilege of helping. My approach, honed over decades of experience, consists of nurturing and instilling a social, mental, and emotional environment that will empower a state of wellness in my client.
I am a licensed clinical social worker, who uses CBT, REBT and others modalities to assist individual, group, children, adolescents, and families to assist each person with the individual treatment needed. I work with individuals with depression, anxiety, PTSD, behavior challenges, and family conflicts. I provide therapy with an unyielding level of respect for the individual path and circumstances of every person who I have the privilege of helping. My approach, honed over decades of experience, consists of nurturing and instilling a social, mental, and emotional environment that will empower a state of wellness in my client.
![Photo of Janet Solomon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/886c276f-3f71-4867-89d0-9f2a76a7d1b8/1/320x400.jpeg)
Hello! My name is Janet Solomon, and I am a licensed certified social worker ( LCSW). I have been in the mental health field for the past 25 years and I love what I do, helping others to live the best life to the fullest capacity. I work with folks 18 years and up. I see everyone as a human being first and the unique differences that make us who we are.
Hello! My name is Janet Solomon, and I am a licensed certified social worker ( LCSW). I have been in the mental health field for the past 25 years and I love what I do, helping others to live the best life to the fullest capacity. I work with folks 18 years and up. I see everyone as a human being first and the unique differences that make us who we are.
More Therapists Nearby
![Photo of Maurice Jean Stewart, PhD, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ea1b452-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Maurice Jean Stewart
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Highland, NY 12528
I have over 25 years experience ranging from working with children as young as four to senior citizens. From the field of education I am very experienced with school related situations. I have worked in the field of education for more than 25 years. I am also very seasoned and experienced in marital and couples counseling.
I have over 25 years experience ranging from working with children as young as four to senior citizens. From the field of education I am very experienced with school related situations. I have worked in the field of education for more than 25 years. I am also very seasoned and experienced in marital and couples counseling.
![Photo of Michele L. Speranza, PhD, Psychologist](https://photos.psychologytoday.com/93a7c099-587d-42ef-a513-7c710824ca6e/3/320x400.jpeg)
I provide individual psychotherapy to help adults work through and learn to manage anxiety, depression, adjustment/life stage transitions, relationship difficulties, health problems, career questions, and other important personal concerns. My approach to therapy includes helping clients to understand and maximize their strengths, clarify their goals, and then find the most adaptive ways to reach those goals. I work together with my clients to remove the barriers that might be holding them back, so that they can live more intentional and meaningful lives.
I provide individual psychotherapy to help adults work through and learn to manage anxiety, depression, adjustment/life stage transitions, relationship difficulties, health problems, career questions, and other important personal concerns. My approach to therapy includes helping clients to understand and maximize their strengths, clarify their goals, and then find the most adaptive ways to reach those goals. I work together with my clients to remove the barriers that might be holding them back, so that they can live more intentional and meaningful lives.
![Photo of Maria Romani De Goes, MPS, LCAT, ATR-BC, Art Therapist](https://photos.psychologytoday.com/4511c131-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Maria Romani De Goes
Art Therapist, MPS, LCAT, ATR-BC
Verified Verified
New Paltz, NY 12561 (Online Only)
Greetings! I strongly believe that every person has an inner wisdom that can be accessed in difficult times. However, certain experiences in life challenge us to remember or learn tools to access such wisdom. My clients may face difficulties such as anxiety, depression, conflicts within families or couples, and more while navigating through experiences such as identity exploration, migration, acculturation, parenting, divorce, and bereavement. However, with the right support and assistance, individuals can transform these difficulties into strengths, fulfillment, and a sense of connection with themselves and others.
Greetings! I strongly believe that every person has an inner wisdom that can be accessed in difficult times. However, certain experiences in life challenge us to remember or learn tools to access such wisdom. My clients may face difficulties such as anxiety, depression, conflicts within families or couples, and more while navigating through experiences such as identity exploration, migration, acculturation, parenting, divorce, and bereavement. However, with the right support and assistance, individuals can transform these difficulties into strengths, fulfillment, and a sense of connection with themselves and others.
![Photo of Laurie Greenberg-Cardillo, PsyD, Psychologist](https://photos.psychologytoday.com/3d4d4b85-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Laurie Greenberg-Cardillo is a Clinical Psychologist specializing in individual and couples therapy. Dr. Greenberg-Cardillo has over 30 years experience working in hospitals and private practice in New York City. She received her doctorate in clinical psychology for Rutgers Graduate School of Applied and Professional Psychology. She went on to earn a certificate in psychotherapy and psychoanalysis from New York University. Dr. Greenberg-Cardillo is the former Director of the HIV Mental Health Program at Beth Israel Medical Center in New York City. She is also a Certified Accelerated Experiential Dynamic Psychotherapy therapist.
Laurie Greenberg-Cardillo is a Clinical Psychologist specializing in individual and couples therapy. Dr. Greenberg-Cardillo has over 30 years experience working in hospitals and private practice in New York City. She received her doctorate in clinical psychology for Rutgers Graduate School of Applied and Professional Psychology. She went on to earn a certificate in psychotherapy and psychoanalysis from New York University. Dr. Greenberg-Cardillo is the former Director of the HIV Mental Health Program at Beth Israel Medical Center in New York City. She is also a Certified Accelerated Experiential Dynamic Psychotherapy therapist.
![Photo of Keriann McCabe, MHC-LP](https://photos.psychologytoday.com/c4f2bce8-b6d7-47c8-a35b-a64b71942ea6/1/320x400.jpeg)
I work with clients of all ages on issues including anxiety, depression, trauma, and interpersonal challenges. I see therapy as a way of understanding how our past experiences impact our present, unlearning negative beliefs that were picked up along the way, and accessing internal resources necessary for healing. I am trained in EMDR, which is a powerful approach for reprocessing and healing trauma wounds.
I work with clients of all ages on issues including anxiety, depression, trauma, and interpersonal challenges. I see therapy as a way of understanding how our past experiences impact our present, unlearning negative beliefs that were picked up along the way, and accessing internal resources necessary for healing. I am trained in EMDR, which is a powerful approach for reprocessing and healing trauma wounds.
![Photo of Mary Jane Pikul, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cb8a60d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Mary Jane Pikul
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Paltz, NY 12561
It is my passion to help women uncover their true potential and live their best life. I believe we are designed to be happy and we have all that we need within us to create the life we want, regardless of our experiences or circumstances. My focus is to help you understand and uncover core beliefs that are creating challenges in your experiences that have been holding you back from your highest potential. My approach is integrative and I specialize in anxiety and separation, fertility, relationships, self-worth and career issues.
It is my passion to help women uncover their true potential and live their best life. I believe we are designed to be happy and we have all that we need within us to create the life we want, regardless of our experiences or circumstances. My focus is to help you understand and uncover core beliefs that are creating challenges in your experiences that have been holding you back from your highest potential. My approach is integrative and I specialize in anxiety and separation, fertility, relationships, self-worth and career issues.
![Photo of Henrietta L Shannon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bc23a7c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Henrietta L Shannon
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
New Paltz, NY 12561
Developmental and life transitions can often cause anxiety, depression or lead to feelings of hopelessness and confusion. However crisis can also be an opportunity for growth and healing, a catalyst for positive change in our lives. By creating a space for self-exploration, free from judgment and pressure, I can help you to discover and develop your strengths, develop advanced coping skills to manage conflicts and develop a compassionate understanding of your vulnerabilities. We will work together to identify and change self-defeating patterns helping you to feel more productive in your life and satisfied with your relationships.
Developmental and life transitions can often cause anxiety, depression or lead to feelings of hopelessness and confusion. However crisis can also be an opportunity for growth and healing, a catalyst for positive change in our lives. By creating a space for self-exploration, free from judgment and pressure, I can help you to discover and develop your strengths, develop advanced coping skills to manage conflicts and develop a compassionate understanding of your vulnerabilities. We will work together to identify and change self-defeating patterns helping you to feel more productive in your life and satisfied with your relationships.
![Photo of Dr. Christine Curry-Tuthill, LMHC, PhD, Counselor](https://photos.psychologytoday.com/02cfcea5-073e-444a-ac6d-89dc69cd1b74/1/320x400.jpeg)
Wouldn't it be nice to not only feel better but to actually feel good? This is possible!!! This is the way life should be. I have two goals in counseling: to help you get through whatever you are going through right now and to help you improve the quality of your life and to actually feel happier!
Wouldn't it be nice to not only feel better but to actually feel good? This is possible!!! This is the way life should be. I have two goals in counseling: to help you get through whatever you are going through right now and to help you improve the quality of your life and to actually feel happier!
![Photo of Wellness Embodied Ketamine Assisted Psychotherapy (Kap), LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ffa5f3f1-dd26-4e44-9b9c-9e2773809ce3/1/320x400.jpeg)
Wellness Embodied Ketamine Assisted Psychotherapy (Kap)
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Paltz, NY 12561
The KAP team at Wellness Embodied is a five member group of professional psychotherapists with additional training in psychedelic assisted psychotherapy and integration work. We hold the decision to use medicine assistance with the utmost respect and caution, basing our recommendations on client specific history and presentating issues. Ketamine is a legal, safe and effective medicine that is used to treat a number of mental health diagnoses including depression, anxiety, and PTSD. Ketamine has rapid acting antidepressant and mood-enhancing effects which can begin to take effect within 1-2 hours of treatment.
The KAP team at Wellness Embodied is a five member group of professional psychotherapists with additional training in psychedelic assisted psychotherapy and integration work. We hold the decision to use medicine assistance with the utmost respect and caution, basing our recommendations on client specific history and presentating issues. Ketamine is a legal, safe and effective medicine that is used to treat a number of mental health diagnoses including depression, anxiety, and PTSD. Ketamine has rapid acting antidepressant and mood-enhancing effects which can begin to take effect within 1-2 hours of treatment.
![Photo of Page S McIntyre, LMHC, LCAT, Counselor](https://photos.psychologytoday.com/f4cf10be-b81d-4db4-be1d-6a719a96f656/2/320x400.jpeg)
Page S McIntyre
Counselor, LMHC, LCAT
Verified Verified
2 Endorsed
New Paltz, NY 12561 (Online Only)
Are you struggling with feeling overwhelmed? Are you feeling limited or stuck in life? When personal exploration is supported and encouraged, we decide who we are and how we want to live our lives. I provide a therapeutic space that is compassionate and engaging so that you can gain insight and uncover new paths forward. I aim to help you grow from the past to live an intentional and empowered life in the present. My work emphasizes developing both practical tools to help you in the short-term and deeper healing/trauma work.
Are you struggling with feeling overwhelmed? Are you feeling limited or stuck in life? When personal exploration is supported and encouraged, we decide who we are and how we want to live our lives. I provide a therapeutic space that is compassionate and engaging so that you can gain insight and uncover new paths forward. I aim to help you grow from the past to live an intentional and empowered life in the present. My work emphasizes developing both practical tools to help you in the short-term and deeper healing/trauma work.
![Photo of Lori Meli Silas, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a0b0f585-a15a-4fc7-8e06-c409acf7ff51/2/320x400.jpeg)
Lori Meli Silas
Clinical Social Work/Therapist, LCSW
Verified Verified
New Paltz, NY 12561 (Online Only)
Relationship issues, difficulty achieving your goals and getting your needs met, and dealing with life in general can be hard. If you are feeling anxious, depressed, often exhausted and overwhelmed, stressed by the pressures in your life, relief is possible. With over 25 years experience as a therapist, I can offer a therapeutic atmosphere that is supportive and empowering so that you can achieve your goals. Together, we can make that happen. Resolving those issues is an important and worthwhile pursuit that often leads to a higher level of satisfaction and enjoyment in life. If that is your goal I'd like to help.
Relationship issues, difficulty achieving your goals and getting your needs met, and dealing with life in general can be hard. If you are feeling anxious, depressed, often exhausted and overwhelmed, stressed by the pressures in your life, relief is possible. With over 25 years experience as a therapist, I can offer a therapeutic atmosphere that is supportive and empowering so that you can achieve your goals. Together, we can make that happen. Resolving those issues is an important and worthwhile pursuit that often leads to a higher level of satisfaction and enjoyment in life. If that is your goal I'd like to help.
![Photo of Cathleen M Rybak, LCSW, R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/448a7b8e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
One of the most important aspects of treatment is the opportunity to be heard and to hear oneself, clearly, quietly away from the tumult of the life circumstances that can overwhelm and distract. Often circumstances in our lives inhibit our ability to do this. My focus will be to help you understand why you are feeling the way you do and how to move forward to attain the life you want. This happens when you are able to revisit and understand your past, clearly see your present and create goals for the life you want.
One of the most important aspects of treatment is the opportunity to be heard and to hear oneself, clearly, quietly away from the tumult of the life circumstances that can overwhelm and distract. Often circumstances in our lives inhibit our ability to do this. My focus will be to help you understand why you are feeling the way you do and how to move forward to attain the life you want. This happens when you are able to revisit and understand your past, clearly see your present and create goals for the life you want.
![Photo of Liliana Munoz, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/0e048fc3-5e84-44ac-84a6-00338fed7ec8/1/320x400.jpeg)
Liliana Munoz
Pre-Licensed Professional, MHC-LP
Verified Verified
1 Endorsed
New Paltz, NY 12561 (Online Only)
Liliana is a bilingual (Spanish/ English) Latinx clinician, passionate about supporting others on their healing journey. Liliana enjoys working with adult clients focusing on daily stressors, childhood trauma, anxiety, depression, and relationship challenges. Her sessions are implemented using a variety of modalities depending on the client's needs- including Cognitive Behavior Therapy (CBT), Eye movement desensitization and reprocessing (EMDR), Narrative Therapy, Motivational Interviewing, and Spiritual resources such as psychedelic integration. In addition, Liliana continues her commitment to healing as a student of shamanism.
Liliana is a bilingual (Spanish/ English) Latinx clinician, passionate about supporting others on their healing journey. Liliana enjoys working with adult clients focusing on daily stressors, childhood trauma, anxiety, depression, and relationship challenges. Her sessions are implemented using a variety of modalities depending on the client's needs- including Cognitive Behavior Therapy (CBT), Eye movement desensitization and reprocessing (EMDR), Narrative Therapy, Motivational Interviewing, and Spiritual resources such as psychedelic integration. In addition, Liliana continues her commitment to healing as a student of shamanism.
![Photo of Heather L. Barton, MSW](https://photos.psychologytoday.com/db2ff43d-702e-4ba6-9a71-9233714ac162/2/320x400.jpeg)
Are you feeling overwhelmed by the day-to-day challenges of parenting a neurodivergent child? If your home has become a battleground over simple routines like getting ready for school, mealtimes, or bedtime, and you’re carrying the weight of guilt, frustration, and exhaustion, you’re not alone. I understand that the constant push and pull can leave you feeling drained and unsure of your next steps. In our work together, I’ll help you develop clear communication strategies to ease the tension and build a more peaceful home environment. It is possible. Family after family I work with experience these results!
Are you feeling overwhelmed by the day-to-day challenges of parenting a neurodivergent child? If your home has become a battleground over simple routines like getting ready for school, mealtimes, or bedtime, and you’re carrying the weight of guilt, frustration, and exhaustion, you’re not alone. I understand that the constant push and pull can leave you feeling drained and unsure of your next steps. In our work together, I’ll help you develop clear communication strategies to ease the tension and build a more peaceful home environment. It is possible. Family after family I work with experience these results!
![Photo of Clayton Horsey, MA, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b94c713-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Hello Everyone! I work with individuals and couples. I teach couples simple, proven, and easy to learn skills from Harville Hendrix's Imago Relationship Therapy that partners can use to repair, or improve their current, and future relationships. I work with adults to help them understand what caused the stuck places in their lives and together we collaborate to create solutions that heal those issues and create positive change.
Hello Everyone! I work with individuals and couples. I teach couples simple, proven, and easy to learn skills from Harville Hendrix's Imago Relationship Therapy that partners can use to repair, or improve their current, and future relationships. I work with adults to help them understand what caused the stuck places in their lives and together we collaborate to create solutions that heal those issues and create positive change.
![Photo of Shane Dzimian, LMSW, Pre-Licensed Professional](https://photos.psychologytoday.com/65e615f8-6be8-40cf-b6b3-0e036dcc384c/3/320x400.jpeg)
Hello! I provide both short term and long term therapy to individuals who are working to manage anxiety, adjustment to life transitions and interpersonal relationships of all kinds. I provide a safe space for those who identify as neurodivergent, as well as LGBTQ+ individuals. I also work with a lot of college students! As a queer, trans-nonbinary clinician, I understand the importance of providing a safe space for visibility, self-exploration, and inclusion. Breaking away from dominant culture expectations and learning how to 'unmask safely' are two areas of importance that I focus on throughout the therapy experience.
Hello! I provide both short term and long term therapy to individuals who are working to manage anxiety, adjustment to life transitions and interpersonal relationships of all kinds. I provide a safe space for those who identify as neurodivergent, as well as LGBTQ+ individuals. I also work with a lot of college students! As a queer, trans-nonbinary clinician, I understand the importance of providing a safe space for visibility, self-exploration, and inclusion. Breaking away from dominant culture expectations and learning how to 'unmask safely' are two areas of importance that I focus on throughout the therapy experience.
![Photo of Donnie Joseph, LMHC, CASAC, Counselor](https://photos.psychologytoday.com/4680aaea-07ba-4de9-b4de-9c3ea6ffd670/1/320x400.jpeg)
Donnie Joseph has 27 years of experience working in social service and counseling spaces. During that time he has worked to counsel and support people during challenging times in their lives- whether in a psychiatric unit, emergency department, an outpatient substance abuse program, a long-term residential adolescent program, or a stabilization unit, Donnie considers it an honor and a privilege to stand alongside people and be a source of support during these vulnerable times.
Donnie Joseph has 27 years of experience working in social service and counseling spaces. During that time he has worked to counsel and support people during challenging times in their lives- whether in a psychiatric unit, emergency department, an outpatient substance abuse program, a long-term residential adolescent program, or a stabilization unit, Donnie considers it an honor and a privilege to stand alongside people and be a source of support during these vulnerable times.
See more therapy options for Modena
How does your Therapist compare?
Number of Therapists in Modena, NY
< 10
Therapists in Modena, NY who prioritize treating:
67% | Relationship Issues |
67% | Depression |
67% | Anxiety |
67% | Grief |
67% | Trauma and PTSD |
67% | Anger Management |
67% | Bipolar Disorder |
Average years in practice
22 Years
Top 3 insurances accepted
100% | Cigna and Evernorth |
100% | UnitedHealthcare UHC | UBH |
100% | Optum |
How Therapists in Modena, 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 Modena?
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
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.
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.
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.