Therapists in Wilmington, NY

Photo of Afifa Barone, LCSW, Clinical Social Work/Therapist
Afifa Barone
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, NY 12997  (Online Only)
Hi, my name is Afifa, and I am an LCSW in NY and a LICSW in MA. I specialize in helping individuals, couples, and families through life's challenges. I have a passion for helping people feel empowered to make changes in their lives, and I am dedicated to providing evidence-based treatment tailored to each individual. My client-centered approach focuses on the present with an eye toward the future. If you are looking for someone to help guide you through your journey, please feel free to reach out. I look forward to hearing from you and helping you on your path toward true healing. Thank you.
Hi, my name is Afifa, and I am an LCSW in NY and a LICSW in MA. I specialize in helping individuals, couples, and families through life's challenges. I have a passion for helping people feel empowered to make changes in their lives, and I am dedicated to providing evidence-based treatment tailored to each individual. My client-centered approach focuses on the present with an eye toward the future. If you are looking for someone to help guide you through your journey, please feel free to reach out. I look forward to hearing from you and helping you on your path toward true healing. Thank you.
(347) 842-4190 View (347) 842-4190

More Therapists Nearby

Photo of Debra Lanoue Bennett, LCSW, Clinical Social Work/Therapist
Debra Lanoue Bennett
Clinical Social Work/Therapist, LCSW
Verified Verified
Keene, NY 12942  (Online Only)
Welcome! My name is Debra and I am a Licensed Clinical Social Worker with over 25 years of experience working with individuals, groups, and families with various emotional and mental health needs. I have experience working with individuals with developmental disabilities in a residential and clinical setting, with children and their families in a school setting, and with children, adolescents, and adults in a therapeutic environment.
Welcome! My name is Debra and I am a Licensed Clinical Social Worker with over 25 years of experience working with individuals, groups, and families with various emotional and mental health needs. I have experience working with individuals with developmental disabilities in a residential and clinical setting, with children and their families in a school setting, and with children, adolescents, and adults in a therapeutic environment.
(646) 718-4541 View (646) 718-4541
Photo of Michelle Williams, LCSW, Clinical Social Work/Therapist
Michelle Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Jay, NY 12941
I take a multifaceted systemic approach to treating individuals. This means that I focus on improving patterns within a client's interpersonal system so that everyone is communicating better, having less conflict, and improving closeness in relationships. I also take a strengths-based approach to help people focus on what they do best and help optimize functioning in other areas. I am certified in trauma-focused CBT and other evidence-based modalities. I nurture a warm environment, one of inclusiveness and cultural & racial sensitivity.
I take a multifaceted systemic approach to treating individuals. This means that I focus on improving patterns within a client's interpersonal system so that everyone is communicating better, having less conflict, and improving closeness in relationships. I also take a strengths-based approach to help people focus on what they do best and help optimize functioning in other areas. I am certified in trauma-focused CBT and other evidence-based modalities. I nurture a warm environment, one of inclusiveness and cultural & racial sensitivity.
(347) 427-5695 View (347) 427-5695
Photo of Marcia J dareff Wenn - Marci Wenn, LCSW-R, Clinical Social Work/Therapist
Marci Wenn
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Jay, NY 12941
Are you bothered by stress or anxiety, a sadness or grief? Would you like to be happier and express yourself more creatively in your life? I am an LCSW and a Creativity Coach who enjoys working with adults and youth who are feeling "stuck" and are seeking ways in which they can feel better and cope with life's challenges. Learning new ways of exploring personal goals, increasing emotional, physical and social well-being are opportunities for a more fulfilling life. I can offer you the space to reflect upon your life in a safe, respected and confidential environment.
Are you bothered by stress or anxiety, a sadness or grief? Would you like to be happier and express yourself more creatively in your life? I am an LCSW and a Creativity Coach who enjoys working with adults and youth who are feeling "stuck" and are seeking ways in which they can feel better and cope with life's challenges. Learning new ways of exploring personal goals, increasing emotional, physical and social well-being are opportunities for a more fulfilling life. I can offer you the space to reflect upon your life in a safe, respected and confidential environment.
(518) 240-1967 View (518) 240-1967
Photo of Mary Calamia, LCSW, Clinical Social Work/Therapist
Mary Calamia
Clinical Social Work/Therapist, LCSW
Verified Verified
Au Sable Forks, NY 12912
My name is Mary Calamia. I am a Clinical Social Worker, licensed in New York and Florida. I have worked for about 20 years as a psychotherapist and I truly love what I do - helping people to resolve their problems and to transform their lives. I have worked with clients with a variety of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, trauma, abuse, and difficulties adjusting to life changes. I also helped many people who have been living with a family member who is chemically dependent.
My name is Mary Calamia. I am a Clinical Social Worker, licensed in New York and Florida. I have worked for about 20 years as a psychotherapist and I truly love what I do - helping people to resolve their problems and to transform their lives. I have worked with clients with a variety of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, trauma, abuse, and difficulties adjusting to life changes. I also helped many people who have been living with a family member who is chemically dependent.
(646) 681-2954 View (646) 681-2954
Photo of Scott Silver, LCSW, Clinical Social Work/Therapist
Scott Silver
Clinical Social Work/Therapist, LCSW
Verified Verified
Au Sable Forks, NY 12912  (Online Only)
Hello! My name is Scott Silver, and I am an LCSW both in New York and Florida. I often utilize an eclectic, person-centered approach to treating adolescents and adults. I specialize in depression, anxiety, life transition issues, and relationship issues. However, I also have deep exposure to and appreciation for people who are suffering from addiction and substance abuse issues as well.
Hello! My name is Scott Silver, and I am an LCSW both in New York and Florida. I often utilize an eclectic, person-centered approach to treating adolescents and adults. I specialize in depression, anxiety, life transition issues, and relationship issues. However, I also have deep exposure to and appreciation for people who are suffering from addiction and substance abuse issues as well.
(347) 795-4596 View (347) 795-4596

Online Therapists

Photo of Jean Devlin, LCSW-R, Clinical Social Work/Therapist
Jean Devlin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Saratoga Springs, NY 12866
I have been working as a clinical social worker and therapist in Saratoga County for over 20 years. I have worked with adolescents and adults in various settings including school-based counseling, intensive outpatient treatment programs and as a supervisor in an adult services outpatient treatment clinic. I have experience with a variety of mental health issues including anxiety, depression, mood disorders, trauma and substance use/ addiction issues. As an experienced clinician, I believe in staying informed and up to date with best practices in the field and have training with CBT, DBT and trauma-based approaches.
I have been working as a clinical social worker and therapist in Saratoga County for over 20 years. I have worked with adolescents and adults in various settings including school-based counseling, intensive outpatient treatment programs and as a supervisor in an adult services outpatient treatment clinic. I have experience with a variety of mental health issues including anxiety, depression, mood disorders, trauma and substance use/ addiction issues. As an experienced clinician, I believe in staying informed and up to date with best practices in the field and have training with CBT, DBT and trauma-based approaches.
(518) 735-0988 View (518) 735-0988
Photo of Michelle Williams, LCSW, Clinical Social Work/Therapist
Michelle Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Gansevoort, NY 12831
I take a multifaceted systemic approach to treating individuals. This means that I focus on improving patterns within a client's interpersonal system so that everyone is communicating better, having less conflict, and improving closeness in relationships. I also take a strengths-based approach to help people focus on what they do best and help optimize functioning in other areas. I am certified in trauma-focused CBT and other evidence-based modalities. I nurture a warm environment, one of inclusiveness and cultural & racial sensitivity.
I take a multifaceted systemic approach to treating individuals. This means that I focus on improving patterns within a client's interpersonal system so that everyone is communicating better, having less conflict, and improving closeness in relationships. I also take a strengths-based approach to help people focus on what they do best and help optimize functioning in other areas. I am certified in trauma-focused CBT and other evidence-based modalities. I nurture a warm environment, one of inclusiveness and cultural & racial sensitivity.
(646) 718-0816 View (646) 718-0816
Photo of Melissa J Jackson, PhD, Psychologist
Melissa J Jackson
Psychologist, PhD
Verified Verified
Gloversville, NY 12078
Waitlist for new clients
Whether you are seeking help for yourself, your teen, or your family, you've come to the right place. If you are ready to make some changes and figure out the core of what is causing the distress, disruption, or unease, we can work together to figure out the best ways to help you (or your teen) move forward in a healthy way. So many times, we spin in circles trying to figure out which direction to go.  People get caught in their own heads, so it's hard to make sense of all of the thoughts/feelings. You no longer need to be trapped in that cycle alone. We can work together to pick out the pieces that will help you create balance.
Whether you are seeking help for yourself, your teen, or your family, you've come to the right place. If you are ready to make some changes and figure out the core of what is causing the distress, disruption, or unease, we can work together to figure out the best ways to help you (or your teen) move forward in a healthy way. So many times, we spin in circles trying to figure out which direction to go.  People get caught in their own heads, so it's hard to make sense of all of the thoughts/feelings. You no longer need to be trapped in that cycle alone. We can work together to pick out the pieces that will help you create balance.
(518) 900-3553 View (518) 900-3553
Photo of Dr. Andrea Lodico, PhD, Psychologist
Dr. Andrea Lodico
Psychologist, PhD
Verified Verified
1 Endorsed
Saratoga Springs, NY 12866
In my work as a clinical psychologist, my goal is to empower clients to build a life in which individuals and families can thrive. There has never been a more important time than now for us to slow down, check in with ourselves, and gain new perspectives. My intention is for clients to bring healthy new habits back to their families and to gain control over lives that often and understandably feel ‘out-of-control.' In our work together, we will strive to cultivate a mindset that embraces flexibility through life’s unpredictability, as well as the extraordinary power of contentment in the present moment.
In my work as a clinical psychologist, my goal is to empower clients to build a life in which individuals and families can thrive. There has never been a more important time than now for us to slow down, check in with ourselves, and gain new perspectives. My intention is for clients to bring healthy new habits back to their families and to gain control over lives that often and understandably feel ‘out-of-control.' In our work together, we will strive to cultivate a mindset that embraces flexibility through life’s unpredictability, as well as the extraordinary power of contentment in the present moment.
(518) 808-2743 View (518) 808-2743
Photo of Holly Luciano-Parker, LCSW-R, Clinical Social Work/Therapist
Holly Luciano-Parker
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Malta, NY 12020  (Online Only)
My concentration is to help you become your best self through developing helpful coping skills for primary stressors or diagnoses that have created life challenges. Please call to schedule an intake or email with any questions related. I am currently accepting new patients and provide services via telehealth only.
My concentration is to help you become your best self through developing helpful coping skills for primary stressors or diagnoses that have created life challenges. Please call to schedule an intake or email with any questions related. I am currently accepting new patients and provide services via telehealth only.
(518) 765-7386 View (518) 765-7386
Photo of Holly M. Irion, MS, LMHC, Counselor
Holly M. Irion
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Queensbury, NY 12804  (Online Only)
Waitlist for new clients
Greetings! I'm Holly Irion, an LMHC licensed in New York State, with 13 years of clinical practice. My expertise lies in addressing gender and sexuality-related issues, navigating relationships, and guiding individuals through life transitions. With extensive experience across diverse clinical environments, I excel in treating anxiety, depression, parenting challenges, trauma, and the unique hurdles faced during young adulthood. My focus is on empowering adults and teenagers (15+), fostering self-efficacy, growth, and insight in their journey towards well-being.
Greetings! I'm Holly Irion, an LMHC licensed in New York State, with 13 years of clinical practice. My expertise lies in addressing gender and sexuality-related issues, navigating relationships, and guiding individuals through life transitions. With extensive experience across diverse clinical environments, I excel in treating anxiety, depression, parenting challenges, trauma, and the unique hurdles faced during young adulthood. My focus is on empowering adults and teenagers (15+), fostering self-efficacy, growth, and insight in their journey towards well-being.
(518) 759-7186 View (518) 759-7186
Photo of Russell Beebe, LCMHC, CSAT, Counselor
Russell Beebe
Counselor, LCMHC, CSAT
Verified Verified
Saratoga Springs, NY 12866  (Online Only)
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives. Not being able to stop can be incredibly painful and frustrating. And harmful to those closest to you. Many times this frustration is made worse by an inability to stop despite a strong desire to do so. If you or someone you know struggles with sex addiction or porn addiction contact me to schedule a free 20 minute introduction to see if working with me is the right fit!
(518) 662-3215 View (518) 662-3215
Photo of Christina L Piche - Christina Piche Enlightened Hearts Psychotherapy, LCSW, BCD, Clinical Social Work/Therapist
Christina Piche Enlightened Hearts Psychotherapy
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
2 Endorsed
Bolton Landing, NY 12814  (Online Only)
If you've stumbled across my page, you're looking for a change. Maybe you aren’t sure what that looks like just yet. Maybe you just want things to be different, but can’t find the motivation to make these changes. Well, I’m happy you’re here. I truly believe in the power of therapy and have dedicated my professional career to helping many people, like yourselves, start on the path to a more meaningful life. Don't quit now, we can continue to explore what this change can look like together. Think about you’re “why” and bring it to therapy.
If you've stumbled across my page, you're looking for a change. Maybe you aren’t sure what that looks like just yet. Maybe you just want things to be different, but can’t find the motivation to make these changes. Well, I’m happy you’re here. I truly believe in the power of therapy and have dedicated my professional career to helping many people, like yourselves, start on the path to a more meaningful life. Don't quit now, we can continue to explore what this change can look like together. Think about you’re “why” and bring it to therapy.
(716) 333-8975 View (716) 333-8975
Photo of Kylie McKeighan, LMHC, RN, Counselor
Kylie McKeighan
Counselor, LMHC, RN
Verified Verified
Saratoga Springs, NY 12866  (Online Only)
Waitlist for new clients
I find great joy in working with people across the lifespan, but especially childhood (ages 5 and up) through middle adulthood. I will work with you on defining your goals for therapy, whether you want to improve your coping, work through communication struggles, build self-esteem, or explore your identity.
I find great joy in working with people across the lifespan, but especially childhood (ages 5 and up) through middle adulthood. I will work with you on defining your goals for therapy, whether you want to improve your coping, work through communication struggles, build self-esteem, or explore your identity.
(518) 750-3878 View (518) 750-3878
Photo of Heide Burch, PhD, LMHC, BC-TMH, Counselor
Heide Burch
Counselor, PhD, LMHC, BC-TMH
Verified Verified
10 Endorsed
Glens Falls, NY 12801  (Online Only)
Dr. Burch has a wait list for new clients. I am a licensed mental health counselor (LMHC) in NY, ME, and VA providing virtual sessions. I work with clients of all ages. I have experience treating numerous presenting problems including anxiety, depression, learning issues, trauma/PTSD, socialization, communication, family struggles, and life changes. Using the strength of each client, I work with you to accomplish your goals and improve your life and functioning. I provide individual, family, and couple's counseling, and participate with most major insurance companies. I am also a board certified telemental health provider (BC-TMH).
Dr. Burch has a wait list for new clients. I am a licensed mental health counselor (LMHC) in NY, ME, and VA providing virtual sessions. I work with clients of all ages. I have experience treating numerous presenting problems including anxiety, depression, learning issues, trauma/PTSD, socialization, communication, family struggles, and life changes. Using the strength of each client, I work with you to accomplish your goals and improve your life and functioning. I provide individual, family, and couple's counseling, and participate with most major insurance companies. I am also a board certified telemental health provider (BC-TMH).
(540) 264-3008 View (540) 264-3008
David A Stone
Counselor, PhD
Verified Verified
Queensbury, NY 12804  (Online Only)
Regardless of the problem or issue, the ideal client engages in a partnership with me to explore their world and develop a plan for becoming the best version of themselves. I am the bridge to those goals. You are the wisest person in this partnership. You've lived your life. My responsibility is to explore your lived experiences deeply and thoroughly without judgement and facilitate you developing a comprehension of the events in your life that makes sense. Life sometimes dictates the terms in big ways: illness, death, something catastrophic. Issues can arise in coping with the tasks of daily life, your moods, thoughts or feelings.
Regardless of the problem or issue, the ideal client engages in a partnership with me to explore their world and develop a plan for becoming the best version of themselves. I am the bridge to those goals. You are the wisest person in this partnership. You've lived your life. My responsibility is to explore your lived experiences deeply and thoroughly without judgement and facilitate you developing a comprehension of the events in your life that makes sense. Life sometimes dictates the terms in big ways: illness, death, something catastrophic. Issues can arise in coping with the tasks of daily life, your moods, thoughts or feelings.
(518) 864-3617 View (518) 864-3617
Photo of Jordan Stewart, PsyD, Psychologist
Jordan Stewart
Psychologist, PsyD
Verified Verified
1 Endorsed
Saratoga Springs, NY 12866  (Online Only)
Have you been contemplating exploring yourself in a deeper way? Do you feel as though you are being blocked in understanding yourself or working toward your goals? I specialize in helping individuals get to the root of what is going on through self-exploration and gaining insight. I approach my work with individuals through a nonjudgemental, open, curious lens. I prefer to view my clients as "fellow travelers", as we are both on this journey together. No one person is immune to the struggles of human existence. I have experience working with college students and adults. I value the unique aspects that each individual brings.
Have you been contemplating exploring yourself in a deeper way? Do you feel as though you are being blocked in understanding yourself or working toward your goals? I specialize in helping individuals get to the root of what is going on through self-exploration and gaining insight. I approach my work with individuals through a nonjudgemental, open, curious lens. I prefer to view my clients as "fellow travelers", as we are both on this journey together. No one person is immune to the struggles of human existence. I have experience working with college students and adults. I value the unique aspects that each individual brings.
(518) 625-8501 View (518) 625-8501
Photo of Joanna Terrelonge -  Joanna Terrelonge Individual & Couples Counseling, LMHC, Counselor
Joanna Terrelonge Individual & Couples Counseling
Counselor, LMHC
Verified Verified
3 Endorsed
Saratoga Springs, NY 12866  (Online Only)
If you find yourself frequently arguing with your partner, if you’re losing connection, if you’re feeling lonely, frustrated or simply poorly treated and don’t know where to turn, I am glad you are here. You may be stuck in unhealthy relationship cycle, where you feel like you are growing apart instead of growing together. If you’re not feeling happy and hope that the relationship can be repaired you may benefit from Couples or Marriage Counseling. As your therapist, I can help you work through resentment, move on from hurts and anger, heal past experiences, resolve conflict and empower you to stand up for yourself in a loving way.
If you find yourself frequently arguing with your partner, if you’re losing connection, if you’re feeling lonely, frustrated or simply poorly treated and don’t know where to turn, I am glad you are here. You may be stuck in unhealthy relationship cycle, where you feel like you are growing apart instead of growing together. If you’re not feeling happy and hope that the relationship can be repaired you may benefit from Couples or Marriage Counseling. As your therapist, I can help you work through resentment, move on from hurts and anger, heal past experiences, resolve conflict and empower you to stand up for yourself in a loving way.
(518) 363-7059 View (518) 363-7059
Photo of Melissa Duell, MHC-LP
Melissa Duell
MHC-LP
Verified Verified
Saratoga Springs, NY 12866
I welcome you to counseling in a safe, secure comforting location where we will be able to explore and discuss your needs and goals. I am skilled in creating a safe non-judgmental environment and building trust with my clients. I have many years of experience working with adolescents and adults with anxiety, depression, mood disorders along with transitions as you move through life. My approach through therapy is uses a variety of techniques as there is no "one size fits all" approach.
I welcome you to counseling in a safe, secure comforting location where we will be able to explore and discuss your needs and goals. I am skilled in creating a safe non-judgmental environment and building trust with my clients. I have many years of experience working with adolescents and adults with anxiety, depression, mood disorders along with transitions as you move through life. My approach through therapy is uses a variety of techniques as there is no "one size fits all" approach.
(518) 809-8083 View (518) 809-8083

See more therapy options for Wilmington

How does your Therapist compare?

Number of Therapists in Wilmington, NY

< 10

Therapists in Wilmington, NY who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Anger Management
100% Bipolar Disorder
100% Coping Skills
100% Codependency

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Coventry

How Therapists in Wilmington, NY see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Wilmington?

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.