Therapists in Lansing, MI

Photo of Ryan De Nike, MS, LPC, ACS, CADC, NCC, Counselor
Ryan De Nike
Counselor, MS, LPC, ACS, CADC, NCC
Verified Verified
Lansing, MI 48911
Accepting Clients!! & Accepting Therapists Needing Supervision. Substance abuse and depression began to impact my family when I was young. I have deep compassion for those struggling with the disease of addiction. By utilizing my knowledge and empathy for these individuals, I am able to assist them in their therapeutic processes. I have over 10 years worth of experience within the mental health field, whether it be working with individuals in the criminal justice system or conducting individual, family therapy, and couples therapy. I am currently accepting clients for a variety of mental health concerns at Right Direction Counseling
Accepting Clients!! & Accepting Therapists Needing Supervision. Substance abuse and depression began to impact my family when I was young. I have deep compassion for those struggling with the disease of addiction. By utilizing my knowledge and empathy for these individuals, I am able to assist them in their therapeutic processes. I have over 10 years worth of experience within the mental health field, whether it be working with individuals in the criminal justice system or conducting individual, family therapy, and couples therapy. I am currently accepting clients for a variety of mental health concerns at Right Direction Counseling
(219) 300-6938 View (219) 300-6938
Photo of Terri Rose, LMFT, Marriage & Family Therapist
Terri Rose
Marriage & Family Therapist, LMFT
Verified Verified
Lansing, MI 48911
Terri Rose is a Licensed Marriage and Family Therapist who has been practicing since 2016. She graduated from Nova Southeastern University with a Master of Science in Family Therapy. Terri believes in a systemic approach when considering many issues clients face. Whether she is working with individuals, couples, or families, Terri focuses on the interactions and relationships within each individuals' unique systems, including family, society, culture, etc. Her main areas of focus include relationship issues, anxiety, and self-esteem.
Terri Rose is a Licensed Marriage and Family Therapist who has been practicing since 2016. She graduated from Nova Southeastern University with a Master of Science in Family Therapy. Terri believes in a systemic approach when considering many issues clients face. Whether she is working with individuals, couples, or families, Terri focuses on the interactions and relationships within each individuals' unique systems, including family, society, culture, etc. Her main areas of focus include relationship issues, anxiety, and self-esteem.
(517) 995-8033 View (517) 995-8033
Photo of Yumi Nielsen, LMSW-C, Clinical Social Work/Therapist
Yumi Nielsen
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Lansing, MI 48933  (Online Only)
The last few years have brought loss and uncertainty for many of us. If you feel stressed, overwhelmed, or just stuck, you're not alone. Sometimes people need extra support and a safe space to let it all out, process what’s happened, and reflect on unhelpful patterns. Maybe you’re a people-pleaser. Maybe you want to set boundaries and say “no.” Maybe you’re navigating a transition or relationship. Perhaps you tend to spiral. Maybe you just want to better understand yourself. If this sounds like you, I can help.
The last few years have brought loss and uncertainty for many of us. If you feel stressed, overwhelmed, or just stuck, you're not alone. Sometimes people need extra support and a safe space to let it all out, process what’s happened, and reflect on unhelpful patterns. Maybe you’re a people-pleaser. Maybe you want to set boundaries and say “no.” Maybe you’re navigating a transition or relationship. Perhaps you tend to spiral. Maybe you just want to better understand yourself. If this sounds like you, I can help.
(517) 743-0817 View (517) 743-0817
Photo of Paige Dutzy, LLMSW, Clinical Social Work/Therapist
Paige Dutzy
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Lansing, MI 48906
Not accepting new clients
Hello! My name is Paige Dutzy and I am a therapist at Beeloved Counseling. My goal in our work together is to be sure you feel safe, understood and validated as you strive towards your mental health goals. In my practice, I have worked with individuals experiencing anxiety, depression and other mood and adjustment disorders. I specialize in working with teens and adults and utilize a strengths based, client centered approach to walk with you in your mental wellness journey. Collaborating together to achieve your ultimate wellness is my number one priority. I look forward to working together!
Hello! My name is Paige Dutzy and I am a therapist at Beeloved Counseling. My goal in our work together is to be sure you feel safe, understood and validated as you strive towards your mental health goals. In my practice, I have worked with individuals experiencing anxiety, depression and other mood and adjustment disorders. I specialize in working with teens and adults and utilize a strengths based, client centered approach to walk with you in your mental wellness journey. Collaborating together to achieve your ultimate wellness is my number one priority. I look forward to working together!
(517) 624-7929 View (517) 624-7929
Photo of Heidi Freeman, LPC, Licensed Professional Counselor
Heidi Freeman
Licensed Professional Counselor, LPC
Verified Verified
Lansing, MI 48911
Ms. Heidi R. Freeman is a Professional Counselor in Okemos, MI with special training and skill in assessing patient mental health and treating cognitive, psychological, and behavioral disorders using a wide variety of therapy techniques. As a Professional Counselor, Heidi R. Freeman, LPC, MA performs diagnosing and treating mental and emotional disorders, providing therapy to clients in individual and group settings, research into advanced therapy techniques and applications, and referral to medical mental health professionals as needed .
Ms. Heidi R. Freeman is a Professional Counselor in Okemos, MI with special training and skill in assessing patient mental health and treating cognitive, psychological, and behavioral disorders using a wide variety of therapy techniques. As a Professional Counselor, Heidi R. Freeman, LPC, MA performs diagnosing and treating mental and emotional disorders, providing therapy to clients in individual and group settings, research into advanced therapy techniques and applications, and referral to medical mental health professionals as needed .
(517) 797-3470 View (517) 797-3470
Photo of Andrea Motley, LMSW-C, Clinical Social Work/Therapist
Andrea Motley
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Lansing, MI 48933  (Online Only)
I'm a Licensed Master Social Worker based in Michigan. I received my master’s from Wayne State University in Detroit, MI and have been practicing for 20 years. I help adults struggling with anxiety, depression, grief and loss, stress relationship issues and burnout to become the best versions of themselves.
I'm a Licensed Master Social Worker based in Michigan. I received my master’s from Wayne State University in Detroit, MI and have been practicing for 20 years. I help adults struggling with anxiety, depression, grief and loss, stress relationship issues and burnout to become the best versions of themselves.
(517) 684-3917 View (517) 684-3917
Photo of Emily Hill, LMSW, CST, Clinical Social Work/Therapist
Emily Hill
Clinical Social Work/Therapist, LMSW, CST
Verified Verified
2 Endorsed
Lansing, MI 48912
I believe in the transformative power of an affirming, collaborative therapeutic relationship. It is my privilege to be able to provide a safe, kind, and compassionate space to clients who are on their journey to self-acceptance and well-being. I am an anti-oppressive therapist; I center clients' strengths, hopes, and boundaries every step of the way. I am deeply connected to values of justice and collective liberation, and am attentive to how environmental and sociopolitical factors affect our mental health.
I believe in the transformative power of an affirming, collaborative therapeutic relationship. It is my privilege to be able to provide a safe, kind, and compassionate space to clients who are on their journey to self-acceptance and well-being. I am an anti-oppressive therapist; I center clients' strengths, hopes, and boundaries every step of the way. I am deeply connected to values of justice and collective liberation, and am attentive to how environmental and sociopolitical factors affect our mental health.
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Photo of Madison Meyerhofer, MA, LLPC, Counselor
Madison Meyerhofer
Counselor, MA, LLPC
Verified Verified
Lansing, MI 48933
Taking the steps towards healing can feel a lot like diving headfirst into cold water; in the beginning it might feel uncomfortable, but as you immerse yourself, you gradually begin to adapt and find rejuvenation in its depths. As a limited-licensed professional counselor, it is my goal to help you take that first plunge. Whether you're facing anxiety, depression, relationship issues, or navigating major life transitions, I am here to provide support, guidance, and encouragement every step of the way. With a compassionate and client-centered approach, I strive to create a safe and non-judgmental space to explore your thoughts.
Taking the steps towards healing can feel a lot like diving headfirst into cold water; in the beginning it might feel uncomfortable, but as you immerse yourself, you gradually begin to adapt and find rejuvenation in its depths. As a limited-licensed professional counselor, it is my goal to help you take that first plunge. Whether you're facing anxiety, depression, relationship issues, or navigating major life transitions, I am here to provide support, guidance, and encouragement every step of the way. With a compassionate and client-centered approach, I strive to create a safe and non-judgmental space to explore your thoughts.
(517) 742-3379 View (517) 742-3379
Photo of Taylor Rodriguez, MA , LLPC, Counselor
Taylor Rodriguez
Counselor, MA , LLPC
Verified Verified
1 Endorsed
Lansing, MI 48911
I am a Limited Licensed Professional Counselor with 2 years of experience working with adolescents and adults of diverse backgrounds with a variety of mental health needs.
I am a Limited Licensed Professional Counselor with 2 years of experience working with adolescents and adults of diverse backgrounds with a variety of mental health needs.
(517) 793-5839 View (517) 793-5839
Photo of Rihab Musa, MA, TLLP, LLPC, Limited Licensed Psychologist
Rihab Musa
Limited Licensed Psychologist, MA, TLLP, LLPC
Verified Verified
1 Endorsed
Lansing, MI 48917
If this is your 1st or your 100th time seeking therapy, I want to let you know that you are one step closer to a better and healthier lifestyle. Harboring secret thoughts, feelings, shame, and guilt can be very difficult to handle on your own. Sharing these with a stranger can be difficult as well, but I do want to reassure you, it will be easier.
If this is your 1st or your 100th time seeking therapy, I want to let you know that you are one step closer to a better and healthier lifestyle. Harboring secret thoughts, feelings, shame, and guilt can be very difficult to handle on your own. Sharing these with a stranger can be difficult as well, but I do want to reassure you, it will be easier.
(517) 273-2940 View (517) 273-2940
Photo of Dinah Weststrate, LMSW, Clinical Social Work/Therapist
Dinah Weststrate
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
(517) 948-0871 View (517) 948-0871
Photo of Carol L. Dixon, LMSW, Clinical Social Work/Therapist
Carol L. Dixon
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48906
Waitlist for new clients
Unexpected life events happen to us all, and can happen at any time. This can often times result in feeling like the rug has been pulled from under you leaving you lying flat on your back. Feeling stuck and unable to figure out what to do next. You are not alone in this journey we call life. Kintsugi Wellness Counseling is about mending broken thoughts, repairing damaged foundations, changing unhelpful actions and habits. Kintsugi Wellness Counseling is about supporting and building resilience - managing life’s challenges, stresses, changes, and pressures effectively; learning to cope with and adapt successfully to adversity
Unexpected life events happen to us all, and can happen at any time. This can often times result in feeling like the rug has been pulled from under you leaving you lying flat on your back. Feeling stuck and unable to figure out what to do next. You are not alone in this journey we call life. Kintsugi Wellness Counseling is about mending broken thoughts, repairing damaged foundations, changing unhelpful actions and habits. Kintsugi Wellness Counseling is about supporting and building resilience - managing life’s challenges, stresses, changes, and pressures effectively; learning to cope with and adapt successfully to adversity
(517) 283-5355 View (517) 283-5355
Photo of Billy Sweeter, LMSW, CAADC, Clinical Social Work/Therapist
Billy Sweeter
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Lansing, MI 48906
When individuals are struggling with their mental health, substance use, or other life stresses they might not always know where to go for help. My job as a therapist is to provide you with a safe space where you can separate these ongoing challenges, feel less overwhelmed, and take control of your life. We will focus on setting realistic therapeutic goals, empowerment, and not letting these challenges define who you are as a person. By working together, we can achieve stabilization to envision how you want your life to be.
When individuals are struggling with their mental health, substance use, or other life stresses they might not always know where to go for help. My job as a therapist is to provide you with a safe space where you can separate these ongoing challenges, feel less overwhelmed, and take control of your life. We will focus on setting realistic therapeutic goals, empowerment, and not letting these challenges define who you are as a person. By working together, we can achieve stabilization to envision how you want your life to be.
(517) 225-0315 View (517) 225-0315
Photo of Trina Rios, MA, LPC, NBCC, ACS, Licensed Professional Counselor
Trina Rios
Licensed Professional Counselor, MA, LPC, NBCC, ACS
Verified Verified
1 Endorsed
Lansing, MI 48917
Waitlist for new clients
Please Check out anewdayccc.com. I Currently am NOT accepting new clients. I work to provide guidance to couples, families and individuals. Additionally, I have experience with Mindfulness Skills, Parenting Issues/Concerns, Social Services, Foster Care, Community Outreach, Mental Health, Conflict Resolution, Multicultural Concerns, Group Therapy and more…
Please Check out anewdayccc.com. I Currently am NOT accepting new clients. I work to provide guidance to couples, families and individuals. Additionally, I have experience with Mindfulness Skills, Parenting Issues/Concerns, Social Services, Foster Care, Community Outreach, Mental Health, Conflict Resolution, Multicultural Concerns, Group Therapy and more…
(517) 701-3586 View (517) 701-3586
Photo of Allison Stewart, LMSW, Clinical Social Work/Therapist
Allison Stewart
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Lansing, MI 48911  (Online Only)
Waitlist for new clients
You have a calm exterior, but inside is a rollercoaster of anxiety and stress. Putting others needs before yours feels like a reflex and you’re burnt out from it. You're that overachiever who, no matter how much you achieve, never quite feels good enough. You want success, but you also want to disappear when the spotlight is on you. You wish to be more assertive but stress, low self-esteem, and overthinking usually wins. Maybe something happened in your past to cause all this. Asking for help feels like stepping into the unknown, but you're tired of feeling this way. You're ready for a shift in how you experience life.
You have a calm exterior, but inside is a rollercoaster of anxiety and stress. Putting others needs before yours feels like a reflex and you’re burnt out from it. You're that overachiever who, no matter how much you achieve, never quite feels good enough. You want success, but you also want to disappear when the spotlight is on you. You wish to be more assertive but stress, low self-esteem, and overthinking usually wins. Maybe something happened in your past to cause all this. Asking for help feels like stepping into the unknown, but you're tired of feeling this way. You're ready for a shift in how you experience life.
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Photo of Jill Gunderson, LCSW, Clinical Social Work/Therapist
Jill Gunderson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lansing, MI 48933  (Online Only)
Waitlist for new clients
I offer a compassionate, flexible, safe space for people who are experiencing anxiety, depression, trauma or strong feelings of grief over the loss of a loved one. My goal is to help you stop feeling overwhelmed and start guiding you to where things feel manageable again. I take great joy in providing you a place to feel the difficult things you need to feel, explore your thoughts, feelings, goals and really accept you for who you are and where you are in your current life circumstances.
I offer a compassionate, flexible, safe space for people who are experiencing anxiety, depression, trauma or strong feelings of grief over the loss of a loved one. My goal is to help you stop feeling overwhelmed and start guiding you to where things feel manageable again. I take great joy in providing you a place to feel the difficult things you need to feel, explore your thoughts, feelings, goals and really accept you for who you are and where you are in your current life circumstances.
(517) 201-2183 View (517) 201-2183
Photo of Ned Jones, LMSW, Clinical Social Work/Therapist
Ned Jones
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Lansing, MI 48912  (Online Only)
Perhaps you have a new diagnosis of ADHD or Autism, and want to know what it means for your future. Perhaps you suspect you are neurodivergent, but aren’t sure how to proceed. Perhaps you want to show up more authentically; you want to learn to stop masking your autism, for example, or present as the gender you align with, but want support and guidance through the conflicts that could arise. Perhaps you just want to stop feeling like your own worst enemy.
Perhaps you have a new diagnosis of ADHD or Autism, and want to know what it means for your future. Perhaps you suspect you are neurodivergent, but aren’t sure how to proceed. Perhaps you want to show up more authentically; you want to learn to stop masking your autism, for example, or present as the gender you align with, but want support and guidance through the conflicts that could arise. Perhaps you just want to stop feeling like your own worst enemy.
(517) 252-9832 View (517) 252-9832
Photo of Trina Rios - A New Day Counseling, Consulting & Community Svcs, MA, ACS, NCC, Licensed Professional Counselor
A New Day Counseling, Consulting & Community Svcs
Licensed Professional Counselor, MA, ACS, NCC
Verified Verified
2 Endorsed
Lansing, MI 48917
Hello, Here at A New Day We work with children, adolescents, individuals, couples, and families! We are a practice with Licensed Professional Counselors, Social Workers and Psychologists who work with diverse populations. We care about the growth of each individual who walks into our office and are dedicated to helping them achieve their best possible outcome. Many people worry that counseling is only for people that are "not normal", however counseling is to support people and to help them become their best. We Offer face to face Sessions and Tele-health as needed to better assist.
Hello, Here at A New Day We work with children, adolescents, individuals, couples, and families! We are a practice with Licensed Professional Counselors, Social Workers and Psychologists who work with diverse populations. We care about the growth of each individual who walks into our office and are dedicated to helping them achieve their best possible outcome. Many people worry that counseling is only for people that are "not normal", however counseling is to support people and to help them become their best. We Offer face to face Sessions and Tele-health as needed to better assist.
(517) 300-0352 View (517) 300-0352
Photo of Ilene Vallance, LMSW, ACSW, Clinical Social Work/Therapist
Ilene Vallance
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Lansing, MI 48911  (Online Only)
My name is Ilene Vallance, LMSW, ACSW and I am a Licensed Clinical Social Worker (LMSW) in the State of Michigan. I am a member of the National Association of Social Workers (NASW) and Academy of Certified Social Workers (ACSW). I have over 30 years of professional experience providing mental health services and psychotherapy in the public and private sector. I have specialized training in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Therapy, Positive Psychology, conflict resolution, and interpersonal communication skills.
My name is Ilene Vallance, LMSW, ACSW and I am a Licensed Clinical Social Worker (LMSW) in the State of Michigan. I am a member of the National Association of Social Workers (NASW) and Academy of Certified Social Workers (ACSW). I have over 30 years of professional experience providing mental health services and psychotherapy in the public and private sector. I have specialized training in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Therapy, Positive Psychology, conflict resolution, and interpersonal communication skills.
(517) 401-4140 View (517) 401-4140
Photo of Donna Bracher, MA, LPC, NCC, Counselor
Donna Bracher
Counselor, MA, LPC, NCC
Verified Verified
Lansing, MI 48906
I am passionate about working with individuals who want to make positive changes in their lives. I will work in partnership with you to solve problems, increase self-knowledge, and promote personal growth. My approach to counseling is client-centered and I believe my role as a counselor is to provide a place for you to explore your feelings and thoughts and to practice new behaviors. My role is also to help you explore options, facilitate your awareness of your beliefs and values, and help you discover for yourself what is best for you in your circumstances.
I am passionate about working with individuals who want to make positive changes in their lives. I will work in partnership with you to solve problems, increase self-knowledge, and promote personal growth. My approach to counseling is client-centered and I believe my role as a counselor is to provide a place for you to explore your feelings and thoughts and to practice new behaviors. My role is also to help you explore options, facilitate your awareness of your beliefs and values, and help you discover for yourself what is best for you in your circumstances.
(517) 618-0490 View (517) 618-0490
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How does your Therapist compare?

Number of Therapists in Lansing, MI

500+

Average cost per session

$150

Therapists in Lansing, MI who prioritize treating:

91% Anxiety
88% Depression
74% Trauma and PTSD
72% Relationship Issues
72% Self Esteem
69% Coping Skills
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
61% Aetna
57% McLaren

How Therapists in Lansing, MI see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lansing?

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.