Therapists in Mesa, AZ

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Photo of Holli Gonzalez, LMFT, Marriage & Family Therapist
Holli Gonzalez
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Mesa, AZ 85206
I have a passion for working with couples providing relationship counseling as well as families and individuals. I enjoy helping people who may be going through a difficult season or life changes, are experiencing stress/anxiety, grief/loss, family conflict and/or communication issues, or need help improving self-esteem, healthy relationships and life satisfaction. My desire is to walk with my clients in their journey to discover new communication skills, resiliency in coping through challenges, and exploring strengths and values to enrich relationships.
I have a passion for working with couples providing relationship counseling as well as families and individuals. I enjoy helping people who may be going through a difficult season or life changes, are experiencing stress/anxiety, grief/loss, family conflict and/or communication issues, or need help improving self-esteem, healthy relationships and life satisfaction. My desire is to walk with my clients in their journey to discover new communication skills, resiliency in coping through challenges, and exploring strengths and values to enrich relationships.
(480) 903-8414 View (480) 903-8414
Photo of Michaela Hurtado, LMSW
Michaela Hurtado
Licensed Master Social Worker, LMSW
Verified Verified
Mesa, AZ 85204
Accepting New Clients. Hello! I have a passion for working with adolescents and adults experiencing an eating disorder, poor body image, depression, anxiety, substance use, trauma, low self-esteem, anger, peer and family challenges, boundary challenges, co-dependency, stress, and life transitions. I utilize multiple approaches in my work, such as EMDR, CBT, DBT, internal family systems, family therapy, art therapy, prompted journaling, psychoeducation, and mindfulness. I am a LGBTQIA ally.
Accepting New Clients. Hello! I have a passion for working with adolescents and adults experiencing an eating disorder, poor body image, depression, anxiety, substance use, trauma, low self-esteem, anger, peer and family challenges, boundary challenges, co-dependency, stress, and life transitions. I utilize multiple approaches in my work, such as EMDR, CBT, DBT, internal family systems, family therapy, art therapy, prompted journaling, psychoeducation, and mindfulness. I am a LGBTQIA ally.
(480) 482-1838 View (480) 482-1838
Photo of Rebecca Gassett Nurse Practitioner, RN, PNP, HWNC-BC
Rebecca Gassett Nurse Practitioner
RN, PNP, HWNC-BC
Verified Verified
Mesa, AZ 85210
Focusing on preteens, adolescents, and their families to assist them with depression, anxiety, ADHD, ADHD evaluations, and stress. These conditions often present themselves as low self-esteem, poor results in school, weight gain, or social issues. I use a client-centered, compassionate approach to discovering the root cause of concern while setting clear action steps to work toward your ideal state of being. With more than 20 years of experience helping families through tough times, I can also offer your family counseling, therapy, prescription medication treatment, support, and guidance.
Focusing on preteens, adolescents, and their families to assist them with depression, anxiety, ADHD, ADHD evaluations, and stress. These conditions often present themselves as low self-esteem, poor results in school, weight gain, or social issues. I use a client-centered, compassionate approach to discovering the root cause of concern while setting clear action steps to work toward your ideal state of being. With more than 20 years of experience helping families through tough times, I can also offer your family counseling, therapy, prescription medication treatment, support, and guidance.
(928) 414-7686 View (928) 414-7686
Photo of Daniel T Getz, MAC, LAC, Counselor
Daniel T Getz
Counselor, MAC, LAC
Verified Verified
1 Endorsed
Mesa, AZ 85202
(Immediate Availability) Feeling stuck? Need help with relationships? Longing for a sense of clarity, freedom, and meaning? It is an honor for me to come alongside you to help you live a more centered life that improves your mood, relationships, and career. By assessing what brought you in to therapy, implementing a plan of action, and sending you back into the world, you will be ready to live a more full life.
(Immediate Availability) Feeling stuck? Need help with relationships? Longing for a sense of clarity, freedom, and meaning? It is an honor for me to come alongside you to help you live a more centered life that improves your mood, relationships, and career. By assessing what brought you in to therapy, implementing a plan of action, and sending you back into the world, you will be ready to live a more full life.
(623) 235-8904 View (623) 235-8904
Photo of Caryn Michelle Warren, LPC, Counselor
Caryn Michelle Warren
Counselor, LPC
Verified Verified
Mesa, AZ 85210
Are you stuck in patterns you cannot seem to change? Have you ever wondered why your life feels so hard? Do you struggle to find meaning and joy in what you do? You are not alone. There is hope and healing available. Reaching out for help is not a sign of weakness, it is a sign of awareness. Things can't change until you do something different. Therapy can help you understand what the underlying causes are to your unhappiness. It can help you see yourself in a compassionate light and make peace with your past. People have a need to be seen and heard, therapy provides a place for this to happen. I will create a safe space.
Are you stuck in patterns you cannot seem to change? Have you ever wondered why your life feels so hard? Do you struggle to find meaning and joy in what you do? You are not alone. There is hope and healing available. Reaching out for help is not a sign of weakness, it is a sign of awareness. Things can't change until you do something different. Therapy can help you understand what the underlying causes are to your unhappiness. It can help you see yourself in a compassionate light and make peace with your past. People have a need to be seen and heard, therapy provides a place for this to happen. I will create a safe space.
(480) 553-8794 View (480) 553-8794
Photo of Kayla Martinez, MS, LAC, Counselor
Kayla Martinez
Counselor, MS, LAC
Verified Verified
Mesa, AZ 85202
Now accepting new clients! The strength and courage it takes to open up to a therapist is immeasurable. Being a therapist means I will be a witness to my client’s story which is a huge privilege to say the least. I believe my clients are the experts on themselves and my role is to help guide them through life’s challenges by sharing coping skills, fostering a healing environment and providing compassionate care. I have a passion for working with teens and adults with a variety of concerns. I have indepth experience with anxiety, ADHD, trauma and depression along with the ways that those issues can affect the members of their family.
Now accepting new clients! The strength and courage it takes to open up to a therapist is immeasurable. Being a therapist means I will be a witness to my client’s story which is a huge privilege to say the least. I believe my clients are the experts on themselves and my role is to help guide them through life’s challenges by sharing coping skills, fostering a healing environment and providing compassionate care. I have a passion for working with teens and adults with a variety of concerns. I have indepth experience with anxiety, ADHD, trauma and depression along with the ways that those issues can affect the members of their family.
(480) 605-0846 View (480) 605-0846
Photo of Julia Cruz Spain Core Balance Counseling, MC, LPC, Licensed Professional Counselor
Julia Cruz Spain Core Balance Counseling
Licensed Professional Counselor, MC, LPC
Verified Verified
Mesa, AZ 85209
I am committed to facilitating the path to enlightenment, guiding clients in embracing self-discovery, releasing limiting beliefs, and cultivating a deeper sense of purpose and meaning. Through a blend of introspective dialogue, reflective exercises, and experiential practices, clients are encouraged to uncover their authentic selves and connect with the profound wisdom within. Each person is a unique individual on a personal journey, and their goal is to provide a supportive space where clients can explore their inner selves, overcome challenges, and embrace the path to enlightenment.
I am committed to facilitating the path to enlightenment, guiding clients in embracing self-discovery, releasing limiting beliefs, and cultivating a deeper sense of purpose and meaning. Through a blend of introspective dialogue, reflective exercises, and experiential practices, clients are encouraged to uncover their authentic selves and connect with the profound wisdom within. Each person is a unique individual on a personal journey, and their goal is to provide a supportive space where clients can explore their inner selves, overcome challenges, and embrace the path to enlightenment.
(480) 418-9806 View (480) 418-9806
Photo of Leah Miller, MC, LPC, Licensed Professional Counselor
Leah Miller
Licensed Professional Counselor, MC, LPC
Verified Verified
1 Endorsed
Mesa, AZ 85202  (Online Only)
I believe that all people are doing the best that they can, and are striving to achieve maximum happiness and life satisfaction. However, there are often difficulties in life that prevent us from fully realizing that potential. My objective as a therapist is to help you move through the things that are blocking you from optimal wellness.
I believe that all people are doing the best that they can, and are striving to achieve maximum happiness and life satisfaction. However, there are often difficulties in life that prevent us from fully realizing that potential. My objective as a therapist is to help you move through the things that are blocking you from optimal wellness.
(480) 787-0018 View (480) 787-0018
Photo of Mike Larose, MA,  MS, LASAC, Drug & Alcohol Counselor
Mike Larose
Drug & Alcohol Counselor, MA, MS, LASAC
Verified Verified
Mesa, AZ 85204
I work with clients who are seeking help with addictions and related mood disorders and would like to work on these issues in a private, confidential session with a licensed therapist. If you or a family member are struggling with addiction, therapy is a place to learn recovery skills and how to apply them in your life.
I work with clients who are seeking help with addictions and related mood disorders and would like to work on these issues in a private, confidential session with a licensed therapist. If you or a family member are struggling with addiction, therapy is a place to learn recovery skills and how to apply them in your life.
(480) 690-2844 View (480) 690-2844
Photo of Delilah Montoya, MS, LAC, NCC, Counselor
Delilah Montoya
Counselor, MS, LAC, NCC
Verified Verified
Mesa, AZ 85206
Looking for a safe place to explore your inner healing, manage life stressors, and improve your mental health? With almost 10 years of experience I have worked with various groups and individuals from the criminal justice system to the mental health field. I am here to offer my support through ongoing challenges of past generational trauma, interpersonal relationships, emotional regulation, and self-esteem. You do not have to face this process alone. I will utilize my training in Cognitive Behavioral Therapy (CBT), Person-Centered and holistic approaches to help you achieve your goals.
Looking for a safe place to explore your inner healing, manage life stressors, and improve your mental health? With almost 10 years of experience I have worked with various groups and individuals from the criminal justice system to the mental health field. I am here to offer my support through ongoing challenges of past generational trauma, interpersonal relationships, emotional regulation, and self-esteem. You do not have to face this process alone. I will utilize my training in Cognitive Behavioral Therapy (CBT), Person-Centered and holistic approaches to help you achieve your goals.
(480) 725-6056 View (480) 725-6056
Photo of Tyler Rogers, LMSW, Clinical Social Work/Therapist
Tyler Rogers
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Mesa, AZ 85209
Hello and welcome! I know asking for help can be one of the hardest things to do and my goal as a therapist is to create a safe and supportive environment that promotes healing and growth by providing you with guidance throughout the therapeutic process to achieve your wellness goals.
Hello and welcome! I know asking for help can be one of the hardest things to do and my goal as a therapist is to create a safe and supportive environment that promotes healing and growth by providing you with guidance throughout the therapeutic process to achieve your wellness goals.
(480) 405-7022 View (480) 405-7022
Photo of Emily Ruth McIntosh, LAMFT-T, Marriage & Family Therapist Associate
Emily Ruth McIntosh
Marriage & Family Therapist Associate, LAMFT-T
Verified Verified
1 Endorsed
Mesa, AZ 85201
Do you feel trapped in a frantic cycle of stress, pressure, and self-criticism? Or do you feel paralyzed, as if something always gets in the way of having the energy or capacity to do what you desperately want? Perhaps you want to break free from the past and create a life of freedom, fulfillment, and authenticity. Maybe you want more connection in your relationships. Whether it is the stress of everyday living, a traumatic experience, or a crisis in a relationship; I'd be honored to support you in building the life you most want for yourself. In our work, we will address the deeper, underlying causes of your challenges.
Do you feel trapped in a frantic cycle of stress, pressure, and self-criticism? Or do you feel paralyzed, as if something always gets in the way of having the energy or capacity to do what you desperately want? Perhaps you want to break free from the past and create a life of freedom, fulfillment, and authenticity. Maybe you want more connection in your relationships. Whether it is the stress of everyday living, a traumatic experience, or a crisis in a relationship; I'd be honored to support you in building the life you most want for yourself. In our work, we will address the deeper, underlying causes of your challenges.
(520) 866-0503 View (520) 866-0503
Photo of Warren Bodine, MC, LAC, Counselor
Warren Bodine
Counselor, MC, LAC
Verified Verified
1 Endorsed
Mesa, AZ 85201
Little is more amazing, complex, and sometimes unsettling, than human thought, emotion, and behavior. This interest, coupled with a love of working with people in a direct and meaningful way, is why I work as a counselor. I have a Bachelor of Arts in Psychology from Ottawa University and a Master of Science in Clinical Mental Health from the University of Phoenix. My training background and approach to therapy is rooted in Cognitive Behavioral Therapy (CBT), and in Dialectic Behavioral Therapy (DBT).
Little is more amazing, complex, and sometimes unsettling, than human thought, emotion, and behavior. This interest, coupled with a love of working with people in a direct and meaningful way, is why I work as a counselor. I have a Bachelor of Arts in Psychology from Ottawa University and a Master of Science in Clinical Mental Health from the University of Phoenix. My training background and approach to therapy is rooted in Cognitive Behavioral Therapy (CBT), and in Dialectic Behavioral Therapy (DBT).
(480) 771-1396 View (480) 771-1396
Photo of Jessica Breznak-Higgins, MA,  MC, LPC, NCC, Licensed Professional Counselor
Jessica Breznak-Higgins
Licensed Professional Counselor, MA, MC, LPC, NCC
Verified Verified
Mesa, AZ 85206
Thank you for taking the time to explore Gotham Ranch Counseling Services! I offer over 20+ years experience working with adolescents and adults. I work with a variety of therapeutic issues, including complex trauma/childhood trauma, depression, anxiety, or just generally feeling "stuck!" I use humor, as well as a variety of experiential therapy techniques to assist clients in processing through their struggles. I strive to offer clients unique, safe and comfortable environment within which to process through struggles, in a non-stuffy atmosphere where animals (horses and cats) can at times join our sessions.
Thank you for taking the time to explore Gotham Ranch Counseling Services! I offer over 20+ years experience working with adolescents and adults. I work with a variety of therapeutic issues, including complex trauma/childhood trauma, depression, anxiety, or just generally feeling "stuck!" I use humor, as well as a variety of experiential therapy techniques to assist clients in processing through their struggles. I strive to offer clients unique, safe and comfortable environment within which to process through struggles, in a non-stuffy atmosphere where animals (horses and cats) can at times join our sessions.
(480) 577-5327 View (480) 577-5327
Photo of Larry Wieland, LISAC-S, Drug & Alcohol Counselor
Larry Wieland
Drug & Alcohol Counselor, LISAC-S
Verified Verified
Mesa, AZ 85210
I will work with a variety of clients who want to embrace Bible-based counseling. I am able to do mental health and substance use disorders. I can also address co-occurring issues when present. I will help marriages with the pastoral counseling I also am able to offer. I work with the age range of 12 years old to anyone in their golden years.
I will work with a variety of clients who want to embrace Bible-based counseling. I am able to do mental health and substance use disorders. I can also address co-occurring issues when present. I will help marriages with the pastoral counseling I also am able to offer. I work with the age range of 12 years old to anyone in their golden years.
(480) 207-2451 View (480) 207-2451
Photo of Catelin Castellanos, LAC, Counselor
Catelin Castellanos
Counselor, LAC
Verified Verified
Mesa, AZ 85201
Hey there! I’m Cate, i'm here to help you navigate life’s ups and downs with creativity and compassion. For a few years, I’ve been blending traditional counseling with the healing power of art to create a safe space where you can explore, heal, and grow. Whether you’re grappling with anxiety, feeling stuck in a rut, or wanting to reconnect with your inner self, art therapy offers a unique path to understanding and healing.
Hey there! I’m Cate, i'm here to help you navigate life’s ups and downs with creativity and compassion. For a few years, I’ve been blending traditional counseling with the healing power of art to create a safe space where you can explore, heal, and grow. Whether you’re grappling with anxiety, feeling stuck in a rut, or wanting to reconnect with your inner self, art therapy offers a unique path to understanding and healing.
(480) 780-2915 View (480) 780-2915
Photo of Chelsea Spaulding, LAMFT, Marriage & Family Therapist Associate
Chelsea Spaulding
Marriage & Family Therapist Associate, LAMFT
Verified Verified
2 Endorsed
Mesa, AZ 85206
Are you struggling in your relationships with the people you love the most? Do you find yourself asking, is it me or them? Allow me to come alongside you and help navigate the hard conversations. Let’s have an honest conversation about past stuff that’s been bothering you or present issues that make it hard to connect. I utilize a combination of evidence-based therapies along with giving you better tools to have those hard conversations. Let’s figure out why history keeps repeating itself and what can be done to keep the past in the past. I am accepting new clients and have immediate openings.
Are you struggling in your relationships with the people you love the most? Do you find yourself asking, is it me or them? Allow me to come alongside you and help navigate the hard conversations. Let’s have an honest conversation about past stuff that’s been bothering you or present issues that make it hard to connect. I utilize a combination of evidence-based therapies along with giving you better tools to have those hard conversations. Let’s figure out why history keeps repeating itself and what can be done to keep the past in the past. I am accepting new clients and have immediate openings.
(928) 599-8663 View (928) 599-8663
Photo of Patricia Pierson, LPC, LMHC, Licensed Professional Counselor
Patricia Pierson
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Mesa, AZ 85206
I am currently accepting new clients in Arizona & Washington (telehealth only.) It takes courage to share your story, and to accept help from someone. In counseling, I believe that everyone has the ability to face difficult situations, overcome challenges and learn new skills. My philosophy is rooted in the belief that mental and emotional well-being are integral to overall health, and that therapy can be a powerful tool for achieving this balance. I take a holistic and trauma-informed approach to treating depression, anxiety, trauma, grief, marital and family conflict, pregnancy and postpartum adjustment, and parenting challenges.
I am currently accepting new clients in Arizona & Washington (telehealth only.) It takes courage to share your story, and to accept help from someone. In counseling, I believe that everyone has the ability to face difficult situations, overcome challenges and learn new skills. My philosophy is rooted in the belief that mental and emotional well-being are integral to overall health, and that therapy can be a powerful tool for achieving this balance. I take a holistic and trauma-informed approach to treating depression, anxiety, trauma, grief, marital and family conflict, pregnancy and postpartum adjustment, and parenting challenges.
(928) 427-1443 View (928) 427-1443
Photo of Ellie J Sivill, MS Ed, LPC, Licensed Professional Counselor
Ellie J Sivill
Licensed Professional Counselor, MS Ed, LPC
Verified Verified
1 Endorsed
Mesa, AZ 85209
I am skilled at helping people reduce anxiety and alleviate the impact that trauma has had in their lives. I enjoy supporting people through relationship struggles or big changes in life. I want to help you feel like you are in control of your emotions and your reactions, instead of feeling like they are controlling you. I pride myself on being highly empathetic and providing support/guidance in a non-judgmental way. I am able to connect with people easily to help you feel comfortable enough to look within. It's within this safe therapeutic relationship that authentic change can occur.
I am skilled at helping people reduce anxiety and alleviate the impact that trauma has had in their lives. I enjoy supporting people through relationship struggles or big changes in life. I want to help you feel like you are in control of your emotions and your reactions, instead of feeling like they are controlling you. I pride myself on being highly empathetic and providing support/guidance in a non-judgmental way. I am able to connect with people easily to help you feel comfortable enough to look within. It's within this safe therapeutic relationship that authentic change can occur.
(480) 680-9319 View (480) 680-9319
Photo of Cara L Jones - Cara Jones, MPA, MSW, LCSW, MPA, MSW, LCSW, Clinical Social Work/Therapist
Cara Jones, MPA, MSW, LCSW
Clinical Social Work/Therapist, MPA, MSW, LCSW
Verified Verified
Mesa, AZ 85205
The healing process is a journey that begins with a safe and trusting relationship with your therapist. I provide a non-judgmental therapeutic environment to facilitate your self-exploration. I have experience working with adults from various backgrounds, with a focus on emotional distress, anxiety, depression, adjusting to life transitions (i.e. divorce, new baby), trauma (child sexual assault, domestic violence, and war). I utilize a pragmatic eclectic yet holistic approach which integrates empathy, mindfulness, CBT, DBT, Narrative, and EMDR to promote change.
The healing process is a journey that begins with a safe and trusting relationship with your therapist. I provide a non-judgmental therapeutic environment to facilitate your self-exploration. I have experience working with adults from various backgrounds, with a focus on emotional distress, anxiety, depression, adjusting to life transitions (i.e. divorce, new baby), trauma (child sexual assault, domestic violence, and war). I utilize a pragmatic eclectic yet holistic approach which integrates empathy, mindfulness, CBT, DBT, Narrative, and EMDR to promote change.
(480) 568-2189 View (480) 568-2189
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How does your Therapist compare?

Number of Therapists in Mesa, AZ

800+

Average cost per session

$143

Therapists in Mesa, AZ who prioritize treating:

92% Anxiety
86% Depression
75% Trauma and PTSD
74% Self Esteem
72% Relationship Issues
69% Stress
68% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
76% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Mesa, AZ see their clients

80% In Person and Online
20% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mesa?

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.