Therapists in Richmond, VA

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Photo of Kelly Paelay - Counseling Alliance of VA, LLC, LCSW, Clinical Social Work/Therapist
Counseling Alliance of VA, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23294
The Counseling Alliance of Virginia believes everyone has the capacity to live a healthy and productive life when offered the support they deserve.
The Counseling Alliance of Virginia believes everyone has the capacity to live a healthy and productive life when offered the support they deserve.
(804) 808-1424 View (804) 808-1424
Photo of Natalia Blevins-Conner, LPC, Licensed Professional Counselor
Natalia Blevins-Conner
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23223  (Online Only)
I've worked around 20 years in Florida for Good Shepherd hospice as a bereavement counselor and an anticipatory grief medical social worker. Working with children, teens, and adults for all diagnoses. I've most recently been working with suboxone clinics for opiate addiction. I have several specialties including grief, marriage and family therapy including depression and anxiety along with PTSD with all ages. Children preventative programs and children after they are in trouble and at high risk for entering into the system.
I've worked around 20 years in Florida for Good Shepherd hospice as a bereavement counselor and an anticipatory grief medical social worker. Working with children, teens, and adults for all diagnoses. I've most recently been working with suboxone clinics for opiate addiction. I have several specialties including grief, marriage and family therapy including depression and anxiety along with PTSD with all ages. Children preventative programs and children after they are in trouble and at high risk for entering into the system.
(757) 699-5018 View (757) 699-5018
Photo of Sandra Bandas, MS, LPC, Licensed Professional Counselor
Sandra Bandas
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Richmond, VA 23230  (Online Only)
Not accepting new clients
Are you going through a difficult time at work, home or in relationships? Are you feeling over-whelmed, nervous and anxious? I'd like to help you identify the hidden meaning behind these feelings by providing you with a nurturing and supportive environment. We will work together to develop helpful tools to foster improvement in your daily life. I know how hard it is to ask for help. It may feel risky and uncomfortable. I respect that and will meet you where you are throughout the counseling process.
Are you going through a difficult time at work, home or in relationships? Are you feeling over-whelmed, nervous and anxious? I'd like to help you identify the hidden meaning behind these feelings by providing you with a nurturing and supportive environment. We will work together to develop helpful tools to foster improvement in your daily life. I know how hard it is to ask for help. It may feel risky and uncomfortable. I respect that and will meet you where you are throughout the counseling process.
(804) 451-4768 View (804) 451-4768
Photo of Sharyn Ingrum, LPC, Licensed Professional Counselor
Sharyn Ingrum
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220  (Online Only)
I want clients to feel that their issues and goals are being addressed when they work with me as their therapist. I am a Certified Life Coach, an Anger Management Specialist, a Certified Hypnotherapist and a Licensed Professional Counselor licensed in Virginia and Illinois. I have extensive experience working with teens, adults, families and couples. I completed a two-year post doctoral program in Marriage and Family studies through the Family Institute of Chicago during my doctoral internship.
I want clients to feel that their issues and goals are being addressed when they work with me as their therapist. I am a Certified Life Coach, an Anger Management Specialist, a Certified Hypnotherapist and a Licensed Professional Counselor licensed in Virginia and Illinois. I have extensive experience working with teens, adults, families and couples. I completed a two-year post doctoral program in Marriage and Family studies through the Family Institute of Chicago during my doctoral internship.
(757) 919-9166 View (757) 919-9166
Photo of Caitlin Shiflett, LCSW, PRYT, Clinical Social Work/Therapist
Caitlin Shiflett
Clinical Social Work/Therapist, LCSW, PRYT
Verified Verified
2 Endorsed
Richmond, VA 23220
Are you a capable, goal-driven adult who struggles to prioritize yourself when it comes to the needs of others? This constant self-sacrifice may leave you feeling anxious, depressed, or even experiencing chronic pain. Often, these patterns are rooted in our earliest experiences, making it difficult to set limits without guilt. We can work together to safely uncover and heal these deeper wounds so you can reduce emotional and physical stress, set healthy boundaries, and reclaim your well-being—while still being the reliable person you’ve always been, just with a stronger sense of self and ability to care for yourself too.
Are you a capable, goal-driven adult who struggles to prioritize yourself when it comes to the needs of others? This constant self-sacrifice may leave you feeling anxious, depressed, or even experiencing chronic pain. Often, these patterns are rooted in our earliest experiences, making it difficult to set limits without guilt. We can work together to safely uncover and heal these deeper wounds so you can reduce emotional and physical stress, set healthy boundaries, and reclaim your well-being—while still being the reliable person you’ve always been, just with a stronger sense of self and ability to care for yourself too.
(804) 294-4356 View (804) 294-4356
Photo of Marie P Norton, MEd, LPC, NCC, MFA, Licensed Professional Counselor
Marie P Norton
Licensed Professional Counselor, MEd, LPC, NCC, MFA
Verified Verified
5 Endorsed
Richmond, VA 23221
Stuck? Frustrated or overwhelmed? You want to do better at work or school. Maybe relationships are strained. You know you’d like something to change. Everyone else seems to have their life together. Come as you are to counseling. There is nothing you have to do, or be, in order to feel better. Together, we’ll discover what would be a rich and meaningful life for you, and how to get there. I work frequently with clients wanting to discover whole mind and body connection. During our initial consultation we'll discover if I'm the best fit for your needs, and if not, help you find the right one. Let's chat.
Stuck? Frustrated or overwhelmed? You want to do better at work or school. Maybe relationships are strained. You know you’d like something to change. Everyone else seems to have their life together. Come as you are to counseling. There is nothing you have to do, or be, in order to feel better. Together, we’ll discover what would be a rich and meaningful life for you, and how to get there. I work frequently with clients wanting to discover whole mind and body connection. During our initial consultation we'll discover if I'm the best fit for your needs, and if not, help you find the right one. Let's chat.
(804) 259-0591 View (804) 259-0591
Photo of Lori Brown Larson, LCSW, Clinical Social Work/Therapist
Lori Brown Larson
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23227  (Online Only)
ACCEPTING NEW CLIENTS!! The world is a complex place, especially in these ever-changing times. Dealing with adversity can be challenging and stressful. I will work with you to develop a trusting relationship, with the focus to work together to better understand and resolve the conflicts that hinder you from living a fulfilling life.
ACCEPTING NEW CLIENTS!! The world is a complex place, especially in these ever-changing times. Dealing with adversity can be challenging and stressful. I will work with you to develop a trusting relationship, with the focus to work together to better understand and resolve the conflicts that hinder you from living a fulfilling life.
(757) 231-3652 View (757) 231-3652
Photo of Heather Norton, Pre-Licensed Professional
Heather Norton
Pre-Licensed Professional
Verified Verified
Richmond, VA 23219  (Online Only)
I specialize in Rumination-Focused ERP for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
I specialize in Rumination-Focused ERP for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
(804) 395-6124 View (804) 395-6124
Photo of Robert A Petry, PhD, Psychologist
Robert A Petry
Psychologist, PhD
Verified Verified
Richmond, VA 23225
Bringing over 25 years of clinical experience, Dr. Robert Petry has offered insight and guidance to both inpatient and outpatient treatment programs. He is Associate Clinical Professor of Psychiatry at Virginia Commonwealth University's Medical College of Virginia (VCU-MCV). He is a graduate of post doctoral programs in cognitive, psychodrama, metaphysical, gestalt and Hakomi mind/body therapy. He has trained with or attended workshops with some of the greatest innovators in psychotherapy and in most modalities, including cognitive and behavioral. Dr. Petry is a Virginia State Board Licensed Psychologist with a recognized area of specialty in hypnosis (highest distinction Diplomate).
Bringing over 25 years of clinical experience, Dr. Robert Petry has offered insight and guidance to both inpatient and outpatient treatment programs. He is Associate Clinical Professor of Psychiatry at Virginia Commonwealth University's Medical College of Virginia (VCU-MCV). He is a graduate of post doctoral programs in cognitive, psychodrama, metaphysical, gestalt and Hakomi mind/body therapy. He has trained with or attended workshops with some of the greatest innovators in psychotherapy and in most modalities, including cognitive and behavioral. Dr. Petry is a Virginia State Board Licensed Psychologist with a recognized area of specialty in hypnosis (highest distinction Diplomate).
(804) 977-1129 View (804) 977-1129
Photo of Crystal Hawkes, LPC, Licensed Professional Counselor
Crystal Hawkes
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
I am a Licensed Professional Counselor (LPC) in Virginia with 20 years of professional work experience. I received my Master's from Virginia State University. I have experience helping clients with trauma and abuse, oppositional and conduct-disordered behaviors, crisis management, parenting issues, anger management, motivation, self-esteem, and confidence.
I am a Licensed Professional Counselor (LPC) in Virginia with 20 years of professional work experience. I received my Master's from Virginia State University. I have experience helping clients with trauma and abuse, oppositional and conduct-disordered behaviors, crisis management, parenting issues, anger management, motivation, self-esteem, and confidence.
(804) 294-3625 View (804) 294-3625
Photo of Gabbi Powell, MEd, LPC, Licensed Professional Counselor
Gabbi Powell
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Richmond, VA 23298  (Online Only)
Wondering if therapy could help? Life’s challenges can feel overwhelming, and it’s easy to feel stuck or uncertain. I provide a safe, compassionate space to explore your thoughts, emotions, and behaviors without judgment. My approach is rooted in evidence-based practices, helping you understand patterns, manage anxiety, reduce stress, and build coping skills. Therapy offers tools for gaining clarity and resilience, empowering you to move toward a balanced and fulfilling life. Together, we can work to create positive changes and help you feel more in control.
Wondering if therapy could help? Life’s challenges can feel overwhelming, and it’s easy to feel stuck or uncertain. I provide a safe, compassionate space to explore your thoughts, emotions, and behaviors without judgment. My approach is rooted in evidence-based practices, helping you understand patterns, manage anxiety, reduce stress, and build coping skills. Therapy offers tools for gaining clarity and resilience, empowering you to move toward a balanced and fulfilling life. Together, we can work to create positive changes and help you feel more in control.
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Photo of Jeannette Sedor, LPC, Licensed Professional Counselor
Jeannette Sedor
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
(804) 352-2387 View (804) 352-2387
Photo of Michelle O'Brien, LPC, NCC, Licensed Professional Counselor
Michelle O'Brien
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Richmond, VA 23219  (Online Only)
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
(804) 215-0873 View (804) 215-0873
Photo of Jahnnae Peeples, MEd, Pre-Licensed Professional
Jahnnae Peeples
Pre-Licensed Professional, MEd
Verified Verified
4 Endorsed
Richmond, VA 23229
Are you struggling with navigating your relationship? Are you struggling with the things happening in your life? Are you sick and tired of being sick and tired? If you’ve answered yes to any of these questions, you’re in the right place. I would love to talk with you! I strive to create a warm, welcoming, therapeutic space that allows your authenticity to shine.
Are you struggling with navigating your relationship? Are you struggling with the things happening in your life? Are you sick and tired of being sick and tired? If you’ve answered yes to any of these questions, you’re in the right place. I would love to talk with you! I strive to create a warm, welcoming, therapeutic space that allows your authenticity to shine.
(804) 635-2562 View (804) 635-2562
Photo of Wendy Wasserstrom, LCSW, Clinical Social Work/Therapist
Wendy Wasserstrom
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223  (Online Only)
I am Wendy Wasserstrom, a Licensed Clinical Social Worker (LCSW) with 9 years of social work experience. I have provided mental health services to children, adolescents, adults, and older adults, and I have experience providing individual and group therapy. I have worked with individuals dealing with anxiety, depression, trauma, mood and thought disorders, personality disorders, serious mental illness, life transitions, substance abuse, and family conflict. I earned my undergraduate degree in Social Work from Florida State University and my Master’s degree in Social Work from Florida Atlantic University.
I am Wendy Wasserstrom, a Licensed Clinical Social Worker (LCSW) with 9 years of social work experience. I have provided mental health services to children, adolescents, adults, and older adults, and I have experience providing individual and group therapy. I have worked with individuals dealing with anxiety, depression, trauma, mood and thought disorders, personality disorders, serious mental illness, life transitions, substance abuse, and family conflict. I earned my undergraduate degree in Social Work from Florida State University and my Master’s degree in Social Work from Florida Atlantic University.
(804) 294-4149 View (804) 294-4149
Photo of Lauren Anderson - Eirene Counseling and Consulting, LLC, Licensed Professional Counselor
Eirene Counseling and Consulting, LLC
Licensed Professional Counselor
Verified Verified
4 Endorsed
Richmond, VA 23229
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
(804) 455-8035 View (804) 455-8035
Photo of Sylvia W Rhodes, LCSW, Clinical Social Work/Therapist
Sylvia W Rhodes
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223
You really can live a life of peace, purpose, and joy! Hi, I’m Sylvia, an LCSW with nearly 15 years of experience in the field of social work. I’m passionate about being a guide who helps you achieve the changes, solutions, and relationships you are looking for in a way that makes you feel seen, connected and understood. I am fully trained in EMDR and can utilize this approach to help with trauma or stuck experiences stored in your body. When working together, my focus will be on you and your goals.
You really can live a life of peace, purpose, and joy! Hi, I’m Sylvia, an LCSW with nearly 15 years of experience in the field of social work. I’m passionate about being a guide who helps you achieve the changes, solutions, and relationships you are looking for in a way that makes you feel seen, connected and understood. I am fully trained in EMDR and can utilize this approach to help with trauma or stuck experiences stored in your body. When working together, my focus will be on you and your goals.
(804) 487-4888 View (804) 487-4888
Photo of Daniela Morillo, MSW, Pre-Licensed Professional
Daniela Morillo
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Not accepting new clients
I specialize in therapy for children and teens dealing with behavioral and emotional challenges, and I'm here to support their parents too. If you're feeling overwhelmed by your child's intense emotions or behaviors, or if your teen is struggling with defiance, social challenges, or managing their feelings, just know that you're not alone. My approach focuses on helping your child or teen express and regulate their emotions positively, while also giving you as a parent effective strategies for support. Together, we'll work on building stronger family dynamics and individual emotional resilience.
I specialize in therapy for children and teens dealing with behavioral and emotional challenges, and I'm here to support their parents too. If you're feeling overwhelmed by your child's intense emotions or behaviors, or if your teen is struggling with defiance, social challenges, or managing their feelings, just know that you're not alone. My approach focuses on helping your child or teen express and regulate their emotions positively, while also giving you as a parent effective strategies for support. Together, we'll work on building stronger family dynamics and individual emotional resilience.
(804) 491-6421 View (804) 491-6421
Photo of Nyeesha Thompson, MS, FNP-BC
Nyeesha Thompson
MS, FNP-BC
Verified Verified
1 Endorsed
Richmond, VA 23221  (Online Only)
Seeking to achieve your goals? Join me, Nyeesha Thompson, a seasoned Nurse Practitioner with expertise in health and wellness. I specialize in primary care and mental health, offering personalized coaching to empower you in mind, body, and spirit. My coaching approach is tailored to your needs, bridging physical well-being and mental health. Ready to redefine happiness and feel accomplished? Learn how my coaching can assist you. Book a coaching or counseling session to start your transformative journey today.
Seeking to achieve your goals? Join me, Nyeesha Thompson, a seasoned Nurse Practitioner with expertise in health and wellness. I specialize in primary care and mental health, offering personalized coaching to empower you in mind, body, and spirit. My coaching approach is tailored to your needs, bridging physical well-being and mental health. Ready to redefine happiness and feel accomplished? Learn how my coaching can assist you. Book a coaching or counseling session to start your transformative journey today.
(804) 348-1196 View (804) 348-1196
Photo of Ingrid Middleton - Mindful Living Group , LCSW, MSW, MA, MS, RYT, Clinical Social Work/Therapist
Mindful Living Group
Clinical Social Work/Therapist, LCSW, MSW, MA, MS, RYT
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
As a mindfulness-based psychotherapist, I have come to deeply appreciate the profound connection between nature, meditation, reflection, and rest in the therapeutic process. Nature, with its inherent rhythms and beauty, provides a grounding backdrop for healing and self-discovery. This appreciation is not merely a theoretical concept; it is an experiential practice that I integrate into my work with individuals seeking to foster deeper awareness and well-being. At the heart of mindfulness therapy is the understanding that nature acts as a facilitator for mental clarity and emotional balance.
As a mindfulness-based psychotherapist, I have come to deeply appreciate the profound connection between nature, meditation, reflection, and rest in the therapeutic process. Nature, with its inherent rhythms and beauty, provides a grounding backdrop for healing and self-discovery. This appreciation is not merely a theoretical concept; it is an experiential practice that I integrate into my work with individuals seeking to foster deeper awareness and well-being. At the heart of mindfulness therapy is the understanding that nature acts as a facilitator for mental clarity and emotional balance.
(571) 516-3465 View (571) 516-3465
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How does your Therapist compare?

Number of Therapists in Richmond, VA

2,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
73% Coping Skills
72% Self Esteem
71% Trauma and PTSD
68% Stress
67% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
78% Cigna and Evernorth
74% BlueCross and BlueShield

How Therapists in Richmond, VA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.