Therapists in Philmont, NY

Photo of Robin Murray, LCSWR, LICSW, Clinical Social Work/Therapist
Robin Murray
Clinical Social Work/Therapist, LCSWR, LICSW
Verified Verified
Philmont, NY 12565
My name is Robin Murray. I am a licensed clinical social worker and a certified psychoanalytic psychotherapist in New York and Massachusetts. I have an office in Hudson, New York and New York City. Psychotherapy can help in subtle but profound ways. My work with patients struggling with relationship concerns, depression, anxiety, persistent mental illness, trauma, addiction, social stigma has taught me about resiliency and healing. Working as a psychotherapist involves academic training, continuing education and a fundamental belief in our capacity to grow, change and recover.
My name is Robin Murray. I am a licensed clinical social worker and a certified psychoanalytic psychotherapist in New York and Massachusetts. I have an office in Hudson, New York and New York City. Psychotherapy can help in subtle but profound ways. My work with patients struggling with relationship concerns, depression, anxiety, persistent mental illness, trauma, addiction, social stigma has taught me about resiliency and healing. Working as a psychotherapist involves academic training, continuing education and a fundamental belief in our capacity to grow, change and recover.
(646) 576-7451 View (646) 576-7451
Photo of Michele Galea Bertelle, MS, LMHC, KAP, RPT, Counselor
Michele Galea Bertelle
Counselor, MS, LMHC, KAP, RPT
Verified Verified
Philmont, NY 12565  (Online Only)
What is your vision of wellness? What would you say are the most defining features of your very own, very personally envisioned, one precious life well-lived? Let's collaborate, define this vision, and design a therapeutic treatment plan that is individualized, goal oriented, and person centered. If you are seeking tools to enhance insight and empathy, to increase skillfulness and emotion regulation, or to strengthen interpersonal effectiveness and distress tolerance, let's collaborate together.
What is your vision of wellness? What would you say are the most defining features of your very own, very personally envisioned, one precious life well-lived? Let's collaborate, define this vision, and design a therapeutic treatment plan that is individualized, goal oriented, and person centered. If you are seeking tools to enhance insight and empathy, to increase skillfulness and emotion regulation, or to strengthen interpersonal effectiveness and distress tolerance, let's collaborate together.
(518) 255-7394 View (518) 255-7394
Photo of Lydia Vazquez, LCSW, Clinical Social Work/Therapist
Lydia Vazquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Philmont, NY 12565  (Online Only)
Hey! I'm Lydia Vazquez a Licensed Clinical Social Worker ready to discuss the good, the bad, and even funny! In navigating our difficult truths, my hope is to help you in navigating acceptance and strategies. Laughter is a tool that I appreciate for connectivity. I've been privileged to work with a myriad of lovely people. A good amount of the folks I work with are working professionals navigating the stressors of work, relationships, and family. I see folks with short and long-term conditions of depression, anxiety, and inattention. I work in trying to understand ways to change your symptoms.
Hey! I'm Lydia Vazquez a Licensed Clinical Social Worker ready to discuss the good, the bad, and even funny! In navigating our difficult truths, my hope is to help you in navigating acceptance and strategies. Laughter is a tool that I appreciate for connectivity. I've been privileged to work with a myriad of lovely people. A good amount of the folks I work with are working professionals navigating the stressors of work, relationships, and family. I see folks with short and long-term conditions of depression, anxiety, and inattention. I work in trying to understand ways to change your symptoms.
(646) 845-7769 View (646) 845-7769

More Therapists Nearby

Photo of Tiina Treasure, LCSW, Clinical Social Work/Therapist
Tiina Treasure
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Hudson, NY 12534  (Online Only)
Do you ever feel stagnant or afraid to make decisions? Are your thoughts so clouded with anxiety and depression that it's become hard to see a path forward? If so, I can help. With over a decade of experience providing therapy in New York I have found that therapy works best with a dose of humor and curiosity. As a therapist my goal is to build a connection that is warm, nonjudgemental, and deeply attuned. I find that only then do my clients feel comfortable exploring the difficult issues (i.e. "the shit") that brought them to therapy to begin with, because a little light helps everyone be less afraid of the dark.
Do you ever feel stagnant or afraid to make decisions? Are your thoughts so clouded with anxiety and depression that it's become hard to see a path forward? If so, I can help. With over a decade of experience providing therapy in New York I have found that therapy works best with a dose of humor and curiosity. As a therapist my goal is to build a connection that is warm, nonjudgemental, and deeply attuned. I find that only then do my clients feel comfortable exploring the difficult issues (i.e. "the shit") that brought them to therapy to begin with, because a little light helps everyone be less afraid of the dark.
(347) 609-7103 View (347) 609-7103
Photo of Daphne Smith, LCSW, Clinical Social Work/Therapist
Daphne Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Craryville, NY 12521  (Online Only)
My name is Daphne Smith, I am a Licensed Social Worker who has been practicing for the past 20+ years. My approach to therapy is motivational in style with a background in multiple cognitive behavioral approaches. My focus of practice is general mental health, families, PTSD and trauma. I have experience working with adults, children, families, Veterans and first responders.
My name is Daphne Smith, I am a Licensed Social Worker who has been practicing for the past 20+ years. My approach to therapy is motivational in style with a background in multiple cognitive behavioral approaches. My focus of practice is general mental health, families, PTSD and trauma. I have experience working with adults, children, families, Veterans and first responders.
(646) 722-4623 View (646) 722-4623
Photo of Julia Shield, LMSW, MAT, Clinical Social Work/Therapist
Julia Shield
Clinical Social Work/Therapist, LMSW, MAT
Verified Verified
Hudson, NY 12534
Waitlist for new clients
Our relationships are our most important fuel for personal growth. I work with couples seeking deeper connection, and individuals hoping to find more fulfillment in themselves and their relationships. I enjoy working with couples navigating the life shifts of parenthood, and with new moms learning their sacred role as a mother. Our work together can help you articulate your vision for a life well-lived and ultimately, create that life through your relationships. My approach is direct, engaging, and collaborative— as part of the therapeutic process, I invite you to witness yourself becoming the person you've always wanted to be.
Our relationships are our most important fuel for personal growth. I work with couples seeking deeper connection, and individuals hoping to find more fulfillment in themselves and their relationships. I enjoy working with couples navigating the life shifts of parenthood, and with new moms learning their sacred role as a mother. Our work together can help you articulate your vision for a life well-lived and ultimately, create that life through your relationships. My approach is direct, engaging, and collaborative— as part of the therapeutic process, I invite you to witness yourself becoming the person you've always wanted to be.
View
Photo of Samantha Catalano, LMSW
Samantha Catalano
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Hudson, NY 12534  (Online Only)
Taking the first step and talking to a therapist can feel very scary. I focus on creating a safe and welcoming environment where healing can take place. My goal is to empower you through skill building to manage symptoms of anxiety, depression, trauma, relationship stress and substance use. Ultimately we work together to heal the underlying trauma leading to your symptoms and stress. I am committed to using evidence based therapies that are proven to be effective in helping individuals heal.
Taking the first step and talking to a therapist can feel very scary. I focus on creating a safe and welcoming environment where healing can take place. My goal is to empower you through skill building to manage symptoms of anxiety, depression, trauma, relationship stress and substance use. Ultimately we work together to heal the underlying trauma leading to your symptoms and stress. I am committed to using evidence based therapies that are proven to be effective in helping individuals heal.
(914) 274-4843 View (914) 274-4843
Photo of Medb Marsceill, MSS, LCSW, Clinical Social Work/Therapist
Medb Marsceill
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Hudson, NY 12534
Not accepting new clients
As experiences impact our lives, we shift and change accordingly. Trying to make sense of these experiences alone can be painful. Together we can develop ways for you experience more fulfillment in your relationships, your work, your emotional life, and your creative life. We can work towards a better understanding of how the past has shaped you and focus on healing, self-discovery, and growth. Therapy is a collaborative and creative process, and I believe problem solving and self-discovery is best approached by developing original, constructive, and productive approaches to the questions raised by life's struggles.
As experiences impact our lives, we shift and change accordingly. Trying to make sense of these experiences alone can be painful. Together we can develop ways for you experience more fulfillment in your relationships, your work, your emotional life, and your creative life. We can work towards a better understanding of how the past has shaped you and focus on healing, self-discovery, and growth. Therapy is a collaborative and creative process, and I believe problem solving and self-discovery is best approached by developing original, constructive, and productive approaches to the questions raised by life's struggles.
(267) 915-6004 View (267) 915-6004
Photo of Mabatho Lucia Matima, LCSWR, R, Clinical Social Work/Therapist
Mabatho Lucia Matima
Clinical Social Work/Therapist, LCSWR, R
Verified Verified
Hudson, NY 12534
I have over 25 years working with children and adults dealing with mental health problems. and other problems of living and challenges that include but are not limited to behavior / oppositional problems, school problems, relationship and addiction problems, poor anger management, grief and loss, chronic pain and trauma. I am experienced in conducting comprehensive suicide risk assessments. I also offer supervised visits for non- custodial parents. I am experienced working with individuals with a diversity of issues and backgrounds. I offer individualized treatment plans that are tailored to the clients challenges and needs.
I have over 25 years working with children and adults dealing with mental health problems. and other problems of living and challenges that include but are not limited to behavior / oppositional problems, school problems, relationship and addiction problems, poor anger management, grief and loss, chronic pain and trauma. I am experienced in conducting comprehensive suicide risk assessments. I also offer supervised visits for non- custodial parents. I am experienced working with individuals with a diversity of issues and backgrounds. I offer individualized treatment plans that are tailored to the clients challenges and needs.
(518) 941-8417 View (518) 941-8417
Photo of Roxanne Partridge, PhD, CHT
Roxanne Partridge
PhD, CHT
Verified Verified
1 Endorsed
Hudson, NY 12534
I support women and female-bodied souls in owning their desires so they can lead lives aligned with what they love. I specialize in helping you recover embodied aliveness from both meaningful and painful experiences around menstruation, sexuality, reproduction, identity, creativity, purpose, and relationships to self, others, place, and one's calling in life. Whether you're in a transition or can sense that change is afoot but need help in navigating and discerning your truth, this work will provide you with a dynamic container for the transformation you're seeking.
I support women and female-bodied souls in owning their desires so they can lead lives aligned with what they love. I specialize in helping you recover embodied aliveness from both meaningful and painful experiences around menstruation, sexuality, reproduction, identity, creativity, purpose, and relationships to self, others, place, and one's calling in life. Whether you're in a transition or can sense that change is afoot but need help in navigating and discerning your truth, this work will provide you with a dynamic container for the transformation you're seeking.
(518) 667-9843 View (518) 667-9843
Photo of Renee Rodriguez, LCSW, BCD, Clinical Social Work/Therapist
Renee Rodriguez
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Hudson, NY 12534  (Online Only)
I believe there is a natural tendency toward growth, a desire to be more of ourselves and to enjoy the things we do. For many, that curiosity and vitality has been restricted or shut down. This may lead to feeling depressed, like nothing will change for you. Or anxious it will only get worse. Or perhaps you sense things could be different and are frustrated, not knowing how to access that new way of being. Psychotherapy is a process through which you can understand how these feelings have come about and how to access your natural tendency toward wellness.
I believe there is a natural tendency toward growth, a desire to be more of ourselves and to enjoy the things we do. For many, that curiosity and vitality has been restricted or shut down. This may lead to feeling depressed, like nothing will change for you. Or anxious it will only get worse. Or perhaps you sense things could be different and are frustrated, not knowing how to access that new way of being. Psychotherapy is a process through which you can understand how these feelings have come about and how to access your natural tendency toward wellness.
(917) 746-5657 View (917) 746-5657
Photo of LeeAnn Hejnal, LMHC, Counselor
LeeAnn Hejnal
Counselor, LMHC
Verified Verified
Hudson, NY 12534  (Online Only)
Not accepting new clients
Perhaps you have the things you always thought would bring you happiness, such as family, friends, and a good job, but you still feel like something is missing; that you are not as happy as you “should be.” Life can be challenging at times, resulting in feelings of sadness, anxiety, and stress. We can start to feel like we have lost control of our lives, or that we do not have the power to make positive changes. Genuine happiness feels out of reach, leaving us with a sense of emptiness or lack of social connection. Tackling these issues can be scary, leaving us feeling vulnerable and exposed.
Perhaps you have the things you always thought would bring you happiness, such as family, friends, and a good job, but you still feel like something is missing; that you are not as happy as you “should be.” Life can be challenging at times, resulting in feelings of sadness, anxiety, and stress. We can start to feel like we have lost control of our lives, or that we do not have the power to make positive changes. Genuine happiness feels out of reach, leaving us with a sense of emptiness or lack of social connection. Tackling these issues can be scary, leaving us feeling vulnerable and exposed.
(518) 254-8385 View (518) 254-8385
Photo of Robin Krupp, LCSW, Clinical Social Work/Therapist
Robin Krupp
Clinical Social Work/Therapist, LCSW
Verified Verified
Hillsdale, NY 12529  (Online Only)
I am a Licensed Clinical Social Worker specializing in Anxiety, Addiction, Depression, Drug Addiction & Abuse, and Post-traumatic stress disorder. I am also a Certified NYS School Social Worker and received training conducted by the Dept. of Veterans Affairs on therapy for handling disruptive behaviors, problem-solving, and depression. I currently offer telehealth therapy to Adolescents, Adults, Couples, and Seniors living in New York. I have experience in treating co-occurring disorders, Anxiety Bipolar Disorder, PTSD, LGBTQ+, Addictions, Depression, and ADHD.
I am a Licensed Clinical Social Worker specializing in Anxiety, Addiction, Depression, Drug Addiction & Abuse, and Post-traumatic stress disorder. I am also a Certified NYS School Social Worker and received training conducted by the Dept. of Veterans Affairs on therapy for handling disruptive behaviors, problem-solving, and depression. I currently offer telehealth therapy to Adolescents, Adults, Couples, and Seniors living in New York. I have experience in treating co-occurring disorders, Anxiety Bipolar Disorder, PTSD, LGBTQ+, Addictions, Depression, and ADHD.
(646) 718-3050 View (646) 718-3050
Photo of Callie Buchan, LMHC
Callie Buchan
Mental Health Counselor, LMHC
Verified Verified
Ghent, NY 12075  (Online Only)
Welcome! I’m Callie, a passionate therapist who believes in the innate ability of every individual to achieve their full potential. With a collaborative spirit at the core of my practice, I believe in working together to explore your unique strengths and challenges. My warm and genuine demeanor creates a safe space where people feel understood and valued. My integrative approach blends evidence-based techniques with empathy and understanding, ensuring each client receives personalized care tailored to their unique journey. Together, we’ll uncover strengths and strategies to cultivate resilience and empower lasting change.
Welcome! I’m Callie, a passionate therapist who believes in the innate ability of every individual to achieve their full potential. With a collaborative spirit at the core of my practice, I believe in working together to explore your unique strengths and challenges. My warm and genuine demeanor creates a safe space where people feel understood and valued. My integrative approach blends evidence-based techniques with empathy and understanding, ensuring each client receives personalized care tailored to their unique journey. Together, we’ll uncover strengths and strategies to cultivate resilience and empower lasting change.
(646) 653-2018 View (646) 653-2018
Photo of Lia Carroll, LCSW, Clinical Social Work/Therapist
Lia Carroll
Clinical Social Work/Therapist, LCSW
Verified Verified
Chatham, NY 12037
CURRENTLY ACCEPTING NEW CLIENTS. Welcome... I look forward to hearing from you to explore whether we might work well together. I view the therapy process as a dynamic and equal partnership. I have experience working with young children to seniors, individuals, partnerships, groups and families. I consider it an honor and privilege to have worked with former clients and look forward to hearing your story. Phone appointments and/or “walk and talk” sessions.
CURRENTLY ACCEPTING NEW CLIENTS. Welcome... I look forward to hearing from you to explore whether we might work well together. I view the therapy process as a dynamic and equal partnership. I have experience working with young children to seniors, individuals, partnerships, groups and families. I consider it an honor and privilege to have worked with former clients and look forward to hearing your story. Phone appointments and/or “walk and talk” sessions.
(845) 217-3055 View (845) 217-3055
Photo of John Mondello, MS, LMHC, NCC, Counselor
John Mondello
Counselor, MS, LMHC, NCC
Verified Verified
Hudson, NY 12534
My specialty is treating anxiety and panic disorders but I am also experienced helping with a variety of issues including depression, insomnia and difficulty adjusting to life changes or transitions. For twenty years I've had the privilege of working with clients like yourself, helping them to find solutions and to work toward a more manageable and enjoyable life. Its my experience that providing a genuine, non judgmental, empathetic and caring environment are the most important factors for positive change, as well as an encouraging treatment that is tailored to the individuals unique strengths and resources.
My specialty is treating anxiety and panic disorders but I am also experienced helping with a variety of issues including depression, insomnia and difficulty adjusting to life changes or transitions. For twenty years I've had the privilege of working with clients like yourself, helping them to find solutions and to work toward a more manageable and enjoyable life. Its my experience that providing a genuine, non judgmental, empathetic and caring environment are the most important factors for positive change, as well as an encouraging treatment that is tailored to the individuals unique strengths and resources.
(845) 237-3973 View (845) 237-3973
Photo of Janice Masse - Families Together Counseling Services, LCSW, Clinical Social Work/Therapist
Families Together Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Hudson, NY 12534
Families Together is a private group of highly trained, experienced Therapists. We specialize in assisting individuals of all ages & families to help reduce conflict in their relationships, change distressing circumstances, identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with fresh baked cookies, calming music, gentle lighting & home style décor evoking feelings of safety & security.
Families Together is a private group of highly trained, experienced Therapists. We specialize in assisting individuals of all ages & families to help reduce conflict in their relationships, change distressing circumstances, identify challenges, enhance insight & develop new tools to help manage their lives while guiding towards self-actualization & the restoration of dreams. Our welcoming atmosphere encourages feelings of peacefulness & well-being. Upon arrival to our office, individuals are greeted daily with fresh baked cookies, calming music, gentle lighting & home style décor evoking feelings of safety & security.
(518) 868-6037 View (518) 868-6037
Photo of Ben Brunnschweiler, LICSW, LCSW, Clinical Social Work/Therapist
Ben Brunnschweiler
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Hudson, NY 12534
In my practice I work with people who are struggling with issues that have come up in the course of their living their lives. In this work I focus on helping them take up their authority for their lives again. Together we will put these troubles into context and through understanding one's personal history and current experiences we can begin to resolve troubling thoughts, feelings and/or behaviors.
In my practice I work with people who are struggling with issues that have come up in the course of their living their lives. In this work I focus on helping them take up their authority for their lives again. Together we will put these troubles into context and through understanding one's personal history and current experiences we can begin to resolve troubling thoughts, feelings and/or behaviors.
(413) 207-9357 View (413) 207-9357
Photo of Warren Berland, PhD, LCSW, Clinical Social Work/Therapist
Warren Berland
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Hudson, NY 12534
My passion in life is to help individuals and couples quickly find solutions to even the most challenging issues, so that they can reconnect with a new sense of possibility and joy for what life can truly be. The short-term, solution-oriented approach focuses on the present and future rather than the past. In our work together you will quickly learn how to shift your perspective from one in which you may feel frustrated, stuck, scared or angry, to one in which you will find the courage, willingness, love, and wisdom you need in any situation to move forward.
My passion in life is to help individuals and couples quickly find solutions to even the most challenging issues, so that they can reconnect with a new sense of possibility and joy for what life can truly be. The short-term, solution-oriented approach focuses on the present and future rather than the past. In our work together you will quickly learn how to shift your perspective from one in which you may feel frustrated, stuck, scared or angry, to one in which you will find the courage, willingness, love, and wisdom you need in any situation to move forward.
(646) 351-1861 View (646) 351-1861
Photo of Dr. Monique Rinere, PhD, LP, Licensed Psychoanalyst
Dr. Monique Rinere
Licensed Psychoanalyst, PhD, LP
Verified Verified
Hudson, NY 12534
We will work together to explore and help you overcome the obstacles to living a full, happy, engaged life.
We will work together to explore and help you overcome the obstacles to living a full, happy, engaged life.
(518) 632-7832 View (518) 632-7832

See more therapy options for Philmont

How does your Therapist compare?

Number of Therapists in Philmont, NY

< 10

Therapists in Philmont, NY who prioritize treating:

67% Relationship Issues
67% Depression
67% Anxiety
67% ADHD
67% Trauma and PTSD
67% Career Counseling
67% Self Esteem

Average years in practice

19 Years

Top 3 insurances accepted

50% Aetna
50% Cigna and Evernorth
50% Medicare

How Therapists in Philmont, NY see their clients

66% Online Only
34% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Philmont?

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.