Therapists in Kennebunk, ME

Photo of Ashleigh Locklear, Clinical Social Work/Therapist in Kennebunk, ME
Ashleigh Locklear
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Kennebunk, ME 04043
Not accepting new clients
***Not accepting new clients at this time*** As a therapist, my passion is helping women navigate the many stresses and curveballs life throws at us. Society expects a lot of women and its impossible to meet all of those expectations. I am here to help you determine what makes you thrive and help build your confidence to take the steps to reach your dreams. Together we will find your calm, bring out your inner strength, and work to balance the many roles you have.
***Not accepting new clients at this time*** As a therapist, my passion is helping women navigate the many stresses and curveballs life throws at us. Society expects a lot of women and its impossible to meet all of those expectations. I am here to help you determine what makes you thrive and help build your confidence to take the steps to reach your dreams. Together we will find your calm, bring out your inner strength, and work to balance the many roles you have.
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Photo of Julia Burns , Clinical Social Work/Therapist in Kennebunk, ME
Julia Burns
Clinical Social Work/Therapist, PhD, LCSW, MSW, MA
Verified Verified
Kennebunk, ME 04043  (Online Only)
Welcome! I know that we are living in some challenging times. There is a profound sense of burnout we are all feeling these days. When you couple that with depression, anxiety, trauma, and loss, it can feel overwhelming. There is hope. By sharing your challenges and learning new ways to cope, improvement and recovery are possible. I am a psychotherapist who provides online therapy to adults, adolescents, and families. I have been practicing social work for 30 years. I hold a Master's Degree and a Doctoral Degree in Social Work and am licensed in Maine as a clinical social worker.
Welcome! I know that we are living in some challenging times. There is a profound sense of burnout we are all feeling these days. When you couple that with depression, anxiety, trauma, and loss, it can feel overwhelming. There is hope. By sharing your challenges and learning new ways to cope, improvement and recovery are possible. I am a psychotherapist who provides online therapy to adults, adolescents, and families. I have been practicing social work for 30 years. I hold a Master's Degree and a Doctoral Degree in Social Work and am licensed in Maine as a clinical social worker.
(207) 355-7774 View (207) 355-7774
Photo of Cindy J Daniels, Clinical Social Work/Therapist in Kennebunk, ME
Cindy J Daniels
Clinical Social Work/Therapist, LCSW
Verified Verified
Kennebunk, ME 04043
Congratulations on taking this step toward feeling good. Therapy is not one stop shopping. We are all individuals with different needs and motivations. I believe therapy works when the right fit is found with your counselor, allowing a relationship that is safe and trustworthy. I will work with you to design a plan that applies integrative therapies to address your current goals. I offer psychotherapy to individual adults. I also offer pre-marital counseling to couples. My office is located in private, easily accessed location in Kennebunk , and I strive to provide a safe, peaceful and comfortable environment.
Congratulations on taking this step toward feeling good. Therapy is not one stop shopping. We are all individuals with different needs and motivations. I believe therapy works when the right fit is found with your counselor, allowing a relationship that is safe and trustworthy. I will work with you to design a plan that applies integrative therapies to address your current goals. I offer psychotherapy to individual adults. I also offer pre-marital counseling to couples. My office is located in private, easily accessed location in Kennebunk , and I strive to provide a safe, peaceful and comfortable environment.
(207) 229-8819 View (207) 229-8819
Photo of Elizabeth Kramer, Clinical Social Work/Therapist in Kennebunk, ME
Elizabeth Kramer
Clinical Social Work/Therapist, LCSW
Verified Verified
Kennebunk, ME 04043
Waitlist for new clients
It is natural to seek support when we feel overwhelmed, confused, fearful or depressed.The therapeutic process offers us the opportunity to build on skills that we already have in order to find relief, hope and healing. My work combines practices of narrative therapy (examining the beliefs we have about ourselves), cognitive behavioral work (paying attention to our thoughts), expressive therapy (healing through art and writing) and mindfulness exercises.
It is natural to seek support when we feel overwhelmed, confused, fearful or depressed.The therapeutic process offers us the opportunity to build on skills that we already have in order to find relief, hope and healing. My work combines practices of narrative therapy (examining the beliefs we have about ourselves), cognitive behavioral work (paying attention to our thoughts), expressive therapy (healing through art and writing) and mindfulness exercises.
(207) 389-3966 View (207) 389-3966
Photo of Louise Lumia, Counselor in Kennebunk, ME
Louise Lumia
Counselor, MA, LPC-C
Verified Verified
1 Endorsed
Kennebunk, ME 04043  (Online Only)
I am currently accepting new clients for telehealth appointments only. Interpersonal connection is the basis for healing. I strive to create authentic relationships with my clients so that sustainable change can occur. Even if you're unclear on your specific desired outcomes from therapy, we can figure them out together. I currently work with teenagers and adults of all ages.
I am currently accepting new clients for telehealth appointments only. Interpersonal connection is the basis for healing. I strive to create authentic relationships with my clients so that sustainable change can occur. Even if you're unclear on your specific desired outcomes from therapy, we can figure them out together. I currently work with teenagers and adults of all ages.
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Photo of Gwen Russo-Cherkovets in Kennebunk, ME
Gwen Russo-Cherkovets
MA, AGRMS
Not Verified Not Verified
Kennebunk, ME 04043
Not accepting new clients
Welcome. If you have made your way to my page, there is a strong possibility that your heart has been broken. Perhaps you have experienced any one of 40+ losses that lead to grief and are experiencing: changes in eating/sleeping, fatigue, inability to focus, and overwhelming waves of emotion. Life has lost its meaning. People have told you to "be strong", "it takes time" and "keep busy". It's not working. Things aren't getting better. This is where I and Grief Recovery come in. Let's walk out of the darkness together. Please note we do not accept insurance. Services are self pay only.
Welcome. If you have made your way to my page, there is a strong possibility that your heart has been broken. Perhaps you have experienced any one of 40+ losses that lead to grief and are experiencing: changes in eating/sleeping, fatigue, inability to focus, and overwhelming waves of emotion. Life has lost its meaning. People have told you to "be strong", "it takes time" and "keep busy". It's not working. Things aren't getting better. This is where I and Grief Recovery come in. Let's walk out of the darkness together. Please note we do not accept insurance. Services are self pay only.
(631) 353-7551 View (631) 353-7551
Photo of Hannah Magnusson, Counselor in Kennebunk, ME
Hannah Magnusson
Counselor, MA, LCPC-C
Verified Verified
Kennebunk, ME 04043
Not accepting new clients
I'm sorry, I am not accepting new clients. Hi, I'm Hannah! It can feel challenging to think about starting therapy and overwhelming to know what brings you or your family to seek support. What I know about therapy is that the best fit is usually based on the relationship between the therapist and the client (you). A lot of the time therapy is about how you feel talking to and sitting with that person. I look forward to connecting with you regarding office based therapy or Ecotherapy. Ecotherapy is about healing with nature, connecting to the environment and often takes place outdoors.
I'm sorry, I am not accepting new clients. Hi, I'm Hannah! It can feel challenging to think about starting therapy and overwhelming to know what brings you or your family to seek support. What I know about therapy is that the best fit is usually based on the relationship between the therapist and the client (you). A lot of the time therapy is about how you feel talking to and sitting with that person. I look forward to connecting with you regarding office based therapy or Ecotherapy. Ecotherapy is about healing with nature, connecting to the environment and often takes place outdoors.
(207) 426-4783 View (207) 426-4783
Photo of Sharon G. Berliner, Clinical Social Work/Therapist in Kennebunk, ME
Sharon G. Berliner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Kennebunk, ME 04043
Therapy can provide children a safe and supportive way to learn to identify and express their experiences and feelings; and make progress with social integration, growth, and development. They can develop skills to understand and work through psychosocial challenges. They have the opportunity to gain self-awareness and experience social and emotional success. Creating happiness is what parents strive for when raising children. In my practice, children will learn to identify their strengths, and become more skilled and confident in working through emotional stressors and skill deficits.
Therapy can provide children a safe and supportive way to learn to identify and express their experiences and feelings; and make progress with social integration, growth, and development. They can develop skills to understand and work through psychosocial challenges. They have the opportunity to gain self-awareness and experience social and emotional success. Creating happiness is what parents strive for when raising children. In my practice, children will learn to identify their strengths, and become more skilled and confident in working through emotional stressors and skill deficits.
(207) 939-5555 View (207) 939-5555
Photo of Nannette Nero, Marriage & Family Therapist in Kennebunk, ME
Nannette Nero
Marriage & Family Therapist, MS, CAGS, LMFT
Verified Verified
6 Endorsed
Kennebunk, ME 04043
Currently, my primary work is with Individual Adults, in Kennebunk, Maine and Telehealth in Maine, Massachusetts and Florida. We all want to be happy. And many of us are happy much of the time as ordinary events pass through us without leaving a mark. And then, something happens and we're stuck. These events narrow our view of ourselves, our world and keep us from living to our full potential. Your problems affect who you are today and you want things to change. I can help you reduce what keeps you stuck so that you can move forward living your life in a more fulfilling and meaningful way.
Currently, my primary work is with Individual Adults, in Kennebunk, Maine and Telehealth in Maine, Massachusetts and Florida. We all want to be happy. And many of us are happy much of the time as ordinary events pass through us without leaving a mark. And then, something happens and we're stuck. These events narrow our view of ourselves, our world and keep us from living to our full potential. Your problems affect who you are today and you want things to change. I can help you reduce what keeps you stuck so that you can move forward living your life in a more fulfilling and meaningful way.
(207) 518-7851 View (207) 518-7851
Photo of Logan S Rogers, Pastoral Counselor in Kennebunk, ME
Logan S Rogers
Pastoral Counselor
Verified Verified
1 Endorsed
Kennebunk, ME 04043
I believe we are all put here to fulfil the plans and purpose the Lord has for our lives. Sometimes we can get a little lost along the way. As we heal past hurts and conflicts, we can begin to dream again and see the Lord's purpose for our lives! I would be honored to come along with you in your journey to find your purpose! I am an Ordained Minister of the Gospel of Jesus Christ and a Certified Temperament Christian Counselor through the National Christian Counselors Association (NCCA).
I believe we are all put here to fulfil the plans and purpose the Lord has for our lives. Sometimes we can get a little lost along the way. As we heal past hurts and conflicts, we can begin to dream again and see the Lord's purpose for our lives! I would be honored to come along with you in your journey to find your purpose! I am an Ordained Minister of the Gospel of Jesus Christ and a Certified Temperament Christian Counselor through the National Christian Counselors Association (NCCA).
(207) 536-6276 View (207) 536-6276
Photo of Renee Standage, Counselor in Kennebunk, ME
Renee Standage
Counselor, LCPC
Verified Verified
1 Endorsed
Kennebunk, ME 04043
Life is complex. We could all benefit from dedicated time and space to check in with our own needs and goals. My goal as your therapist is to create a safe, compassionate, and nonjudgmental space for you to explore and grow in where you feel truly seen & heard. You deserve space to process & heal. You are worthy of living a life that excites you. I'm here to be a consistent and present support on your journey to living a more empowered, authentic, and whole-hearted life.
Life is complex. We could all benefit from dedicated time and space to check in with our own needs and goals. My goal as your therapist is to create a safe, compassionate, and nonjudgmental space for you to explore and grow in where you feel truly seen & heard. You deserve space to process & heal. You are worthy of living a life that excites you. I'm here to be a consistent and present support on your journey to living a more empowered, authentic, and whole-hearted life.
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Photo of Juliann Ambroz, Counselor in Kennebunk, ME
Juliann Ambroz
Counselor, MEd, LCPC, LCMHC, CYT
Verified Verified
Kennebunk, ME 04043  (Online Only)
Not accepting new clients
I believe that people do the best they can in any given moment. Therapy can be a useful way of learning new skills, identifying maladaptive patterns and recognizing inherent strengths. Sometimes current life circumstances, past trauma or relational difficulties can leave us feeling confused or stuck. Having a safe, objective place to sort this out can be a healthy way to move forward. I love helping people find renewed energy, balance and peace.
I believe that people do the best they can in any given moment. Therapy can be a useful way of learning new skills, identifying maladaptive patterns and recognizing inherent strengths. Sometimes current life circumstances, past trauma or relational difficulties can leave us feeling confused or stuck. Having a safe, objective place to sort this out can be a healthy way to move forward. I love helping people find renewed energy, balance and peace.
(207) 610-7056 View (207) 610-7056
Photo of Leigh Bauer, Licensed Professional Counselor in Kennebunk, ME
Leigh Bauer
Licensed Professional Counselor, LCPC
Verified Verified
1 Endorsed
Kennebunk, ME 04043
I am currently practicing as an out-of-network provider. We all possess the ability to transform, whether it be through difficult circumstances, challenging relationships, life transitions, or mental health struggles. I work with clients experiencing life transitions, depression, anxiety, mood, and stress disorders. I also work with people affected by trauma using trauma-informed practices to understand how we process these experiences.
I am currently practicing as an out-of-network provider. We all possess the ability to transform, whether it be through difficult circumstances, challenging relationships, life transitions, or mental health struggles. I work with clients experiencing life transitions, depression, anxiety, mood, and stress disorders. I also work with people affected by trauma using trauma-informed practices to understand how we process these experiences.
(207) 613-7249 View (207) 613-7249
Photo of Andrea Beth Summer, Counselor in Kennebunk, ME
Andrea Beth Summer
Counselor, LCPC, NCPsyA
Verified Verified
Kennebunk, ME 04043
Congratulations on having the courage to change and to ask for help. Life can be a stressful process for all of us. Sometimes we feel alone and afraid and wish we had someone to talk to outside of our immediate family and friends. Perhaps we've tried the same behaviors over and over and wonder why we don't have different results. It can be very helpful to talk to someone who can look at our concerns and difficulties from a different perspective and shed new light. Once we feel deeply understood and become more mindful of our own values and beliefs, we are able to try new healthier behaviors that help us get our needs met in life.
Congratulations on having the courage to change and to ask for help. Life can be a stressful process for all of us. Sometimes we feel alone and afraid and wish we had someone to talk to outside of our immediate family and friends. Perhaps we've tried the same behaviors over and over and wonder why we don't have different results. It can be very helpful to talk to someone who can look at our concerns and difficulties from a different perspective and shed new light. Once we feel deeply understood and become more mindful of our own values and beliefs, we are able to try new healthier behaviors that help us get our needs met in life.
(207) 358-3406 View (207) 358-3406
Photo of Sharon L Audet, Clinical Social Work/Therapist in Kennebunk, ME
Sharon L Audet
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kennebunk, ME 04043
Not accepting new clients
Life is challenging and it just never stays the same! Sometimes we find ourselves in a rough patch where old patterns of behavior just don't work anymore but we don't know what else to do. I believe it's my job to help you find your way through to new answers and behaviors that serve you better. To me, the work of therapy is to find the courage within to change the things that you can, the acceptance to live with what you cannot and most importantly, to figure out which is which! I believe it is my role to help you find your way through this with compassion, humor and insight.
Life is challenging and it just never stays the same! Sometimes we find ourselves in a rough patch where old patterns of behavior just don't work anymore but we don't know what else to do. I believe it's my job to help you find your way through to new answers and behaviors that serve you better. To me, the work of therapy is to find the courage within to change the things that you can, the acceptance to live with what you cannot and most importantly, to figure out which is which! I believe it is my role to help you find your way through this with compassion, humor and insight.
(207) 482-0521 View (207) 482-0521
Photo of Janet Maynard, Counselor in Kennebunk, ME
Janet Maynard
Counselor, LCPC
Verified Verified
Kennebunk, ME 04043
Waitlist for new clients
Sometimes in life you hit the bump in the road and need help to navigate in a new direction. Transitions are easier when you have support. This is true for adults, as well as children. Over the past 32 years I have helped many children,parents and adults become their best self by exploring what helps or hinders this process.
Sometimes in life you hit the bump in the road and need help to navigate in a new direction. Transitions are easier when you have support. This is true for adults, as well as children. Over the past 32 years I have helped many children,parents and adults become their best self by exploring what helps or hinders this process.
(207) 560-8617 View (207) 560-8617
Photo of Anne M Dadura, Counselor in Kennebunk, ME
Anne M Dadura
Counselor, LCPC
Verified Verified
1 Endorsed
Kennebunk, ME 04043
Not accepting new clients
I believe that working with clients involves tailoring therapy to meet the needs of each client individually. I have worked with clients experiencing co-occurring disorders, anxiety, grief and loss, self-esteem issues, depression, adult life transitions, substance abuse, spirituality issues, relationship difficulties, and those who are alone without family support. Other clients I have worked with include students, adult children caring for parents, LGBTQs and refugees as they adjust to life in the U.S.
I believe that working with clients involves tailoring therapy to meet the needs of each client individually. I have worked with clients experiencing co-occurring disorders, anxiety, grief and loss, self-esteem issues, depression, adult life transitions, substance abuse, spirituality issues, relationship difficulties, and those who are alone without family support. Other clients I have worked with include students, adult children caring for parents, LGBTQs and refugees as they adjust to life in the U.S.
(207) 618-6205 View (207) 618-6205
Photo of Wilma Elaine Wake, Clinical Social Work/Therapist in Kennebunk, ME
Wilma Elaine Wake
Clinical Social Work/Therapist, LCSW, DMin, PhD
Verified Verified
Kennebunk, ME 04043
Do you suspect that you or a loved one is on the autism spectrum? I can help you in exploring this question and considering its personal, vocational, and family implications. I specialize in working with older adults who are diagnosed or seek diagnosis. I also work with teens and children/families. I can help communication between autistics and "neuro-typicals." I am active in an adult autistic peer support network and can help you connect with other autistics for support if you wish to do so.
Do you suspect that you or a loved one is on the autism spectrum? I can help you in exploring this question and considering its personal, vocational, and family implications. I specialize in working with older adults who are diagnosed or seek diagnosis. I also work with teens and children/families. I can help communication between autistics and "neuro-typicals." I am active in an adult autistic peer support network and can help you connect with other autistics for support if you wish to do so.
(207) 305-9243 View (207) 305-9243
Photo of Therapy For Mamas And Couples Dominique Couture-Sherman Gottman Level 2, Clinical Social Work/Therapist in Kennebunk, ME
Therapy For Mamas And Couples Dominique Couture-Sherman Gottman Level 2
Clinical Social Work/Therapist, LCSW
Verified Verified
Kennebunk, ME 04043  (Online Only)
Welcome! My practice focuses on supporting new Mom’s, parents, couples and individuals navigating the dating world. I’m also trained and certified in grief and loss and have experience supporting people moving through neonatal, newborn or child loss, loss of a parent, spouse, life partner or pet. I also have some experience in treating those moving through a diagnosis of prolonged grief. In addition, I have a special interest in supporting individuals and couples with ADHD and especially navigating ADHD within a relationship and I enjoy supporting folks around navigating the complexities of open and polyamorous relationships.
Welcome! My practice focuses on supporting new Mom’s, parents, couples and individuals navigating the dating world. I’m also trained and certified in grief and loss and have experience supporting people moving through neonatal, newborn or child loss, loss of a parent, spouse, life partner or pet. I also have some experience in treating those moving through a diagnosis of prolonged grief. In addition, I have a special interest in supporting individuals and couples with ADHD and especially navigating ADHD within a relationship and I enjoy supporting folks around navigating the complexities of open and polyamorous relationships.
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Photo of Linda J Cooke, Clinical Social Work/Therapist in Kennebunk, ME
Linda J Cooke
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
1 Endorsed
Kennebunk, ME 04043  (Online Only)
I have the skills, talents and sensitivities to work well with people who are 18 and older. I love working with elders too! I have many years of experience in treating individuals with eating issues, body image dissatisfaction,anxiety, depression, PTSD, personal unhappiness or relationship difficulties. If you have a teen younger than 18 with an eating disorder I work best teaching parents the skills to help their kids recover from their eating disorder.
I have the skills, talents and sensitivities to work well with people who are 18 and older. I love working with elders too! I have many years of experience in treating individuals with eating issues, body image dissatisfaction,anxiety, depression, PTSD, personal unhappiness or relationship difficulties. If you have a teen younger than 18 with an eating disorder I work best teaching parents the skills to help their kids recover from their eating disorder.
(207) 358-4675 View (207) 358-4675

How does your Therapist compare?

Number of Therapists in Kennebunk, ME

90+

Average cost per session

$127

Therapists in Kennebunk, ME who prioritize treating:

93% Anxiety
83% Depression
83% Coping Skills
78% Relationship Issues
78% Self Esteem
73% Stress
70% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
71% Anthem | Elevance
67% Harvard Pilgrim

How Therapists in Kennebunk, ME see their clients

69% In Person and Online
31% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Kennebunk?

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.