Therapists in Saint Louis, MO

View neighborhoods in Saint Louis
Photo of L. Charlie Janski-Ogunfidodo, Clinical Social Work/Therapist in Saint Louis, MO
L. Charlie Janski-Ogunfidodo
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63118  (Online Only)
During my career, I have worked with both individual and group settings, including adults with people living with HIV, veterans, incarcerated people and transgender/gender variant individuals. These populations included people with depression, bi-polar disorder, personality disorders, anxiety, PTSD and depression. I co-facilitated a group for trans youth and co-coordinated it for 6 years. As a proud bisexual, trans man, I love to work with my LGBT communities. I celebrate kinky and poly people. I strive to be an imperfect ally to non-binary trans people and people of color. I take private pay/in person through findingnormalstl.com
During my career, I have worked with both individual and group settings, including adults with people living with HIV, veterans, incarcerated people and transgender/gender variant individuals. These populations included people with depression, bi-polar disorder, personality disorders, anxiety, PTSD and depression. I co-facilitated a group for trans youth and co-coordinated it for 6 years. As a proud bisexual, trans man, I love to work with my LGBT communities. I celebrate kinky and poly people. I strive to be an imperfect ally to non-binary trans people and people of color. I take private pay/in person through findingnormalstl.com
(314) 350-4422 View (314) 350-4422
Photo of Madison Mertz, Pre-Licensed Professional in Saint Louis, MO
Madison Mertz
Pre-Licensed Professional, PLPC
Verified Verified
Saint Louis, MO 63139
The stories we tell ourselves about the world and about our own abilities can propel us forward or hold us back. Only by fully understanding our stories and the way we tell them can we understand where our narratives are serving us and where they are hindering us. This work is key in developing a new outlook and beginning to create the life you want, with the ultimate goal of living a life that is authentic to who you are and what you believe in. It is difficult work, but it is so worth it!
The stories we tell ourselves about the world and about our own abilities can propel us forward or hold us back. Only by fully understanding our stories and the way we tell them can we understand where our narratives are serving us and where they are hindering us. This work is key in developing a new outlook and beginning to create the life you want, with the ultimate goal of living a life that is authentic to who you are and what you believe in. It is difficult work, but it is so worth it!
(314) 947-3261 View (314) 947-3261
Photo of A R Therapy & Consulting LLC, Licensed Professional Counselor in Saint Louis, MO
A R Therapy & Consulting LLC
Licensed Professional Counselor, MA, LPC, CAMS-I, NCC
Verified Verified
Saint Louis, MO 63132  (Online Only)
You might look like you have everything under control, and from the outside, your life seems picture-perfect. Yet, inside, you're battling overwhelming stress, anxiety, or sadness. Are past traumas still affecting your present? Perhaps setting boundaries is a struggle, leaving you feeling exhausted and unloved. Are you questioning some life choices and desperately need a space to organize your thoughts and regain control? Anxiety and depression are tough; are they keeping you awake or pulling you down?
You might look like you have everything under control, and from the outside, your life seems picture-perfect. Yet, inside, you're battling overwhelming stress, anxiety, or sadness. Are past traumas still affecting your present? Perhaps setting boundaries is a struggle, leaving you feeling exhausted and unloved. Are you questioning some life choices and desperately need a space to organize your thoughts and regain control? Anxiety and depression are tough; are they keeping you awake or pulling you down?
(314) 310-6095 View (314) 310-6095
Photo of Jordan Ferguson, Clinical Social Work/Therapist in Saint Louis, MO
Jordan Ferguson
Clinical Social Work/Therapist, LCSW, She/Her
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Struggling with anxiety, irritability, depression, or navigating a life transition? Are your relationships feeling the impact? Living in a society that minimizes self-compassion, slowing down, and tuning into our bodies makes it hard to feel connected to ourselves and those around us. Add in traumatic life experiences and the world can easily become overwhelming leading our nervous systems to shift into states of survival. I work to create a non-judgmental space to explore these themes and strengthen the connection within yourself, your relationships, and the world around you.
Struggling with anxiety, irritability, depression, or navigating a life transition? Are your relationships feeling the impact? Living in a society that minimizes self-compassion, slowing down, and tuning into our bodies makes it hard to feel connected to ourselves and those around us. Add in traumatic life experiences and the world can easily become overwhelming leading our nervous systems to shift into states of survival. I work to create a non-judgmental space to explore these themes and strengthen the connection within yourself, your relationships, and the world around you.
(314) 789-3834 View (314) 789-3834
Photo of Denise Frisella, Clinical Social Work/Therapist in Saint Louis, MO
Denise Frisella
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Saint Louis, MO 63127  (Online Only)
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
(636) 422-5684 View (636) 422-5684
Photo of Steven Mark Weiner, Psychologist in Saint Louis, MO
Steven Mark Weiner
Psychologist, PhD
Verified Verified
Saint Louis, MO 63141
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
(314) 282-3630 View (314) 282-3630
Photo of Molly Szweda, Licensed Professional Counselor in Saint Louis, MO
Molly Szweda
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63141
We have over 30 years working as a licensed therapists in counseling, educational and mental health settings. We work with individuals, couples and families who are dealing with relational and life stressors. We provide solution focused therapy and offer tools and skills that empower people to pursue personal growth and success in their daily lives and relationships.
We have over 30 years working as a licensed therapists in counseling, educational and mental health settings. We work with individuals, couples and families who are dealing with relational and life stressors. We provide solution focused therapy and offer tools and skills that empower people to pursue personal growth and success in their daily lives and relationships.
(314) 947-5094 View (314) 947-5094
Photo of Hannah Paul, Clinical Social Work/Therapist in Saint Louis, MO
Hannah Paul
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63146  (Online Only)
It is so exciting to me that you are looking for a therapist! Are you trying & struggling to make some big life decisions, or trying to figure out why it’s hard to trust or feel connected with yourself? Feeling like it might be helpful or necessary to (finally) process complicated or upsetting events from your past that you’ve been working hard to just move on from? Wanting to process an experience in a religious setting that felt confusing or upsetting, examine your relationship with a spiritual/religious organization, or explore the ways that religious influences have impacted your relationships and identity development?
It is so exciting to me that you are looking for a therapist! Are you trying & struggling to make some big life decisions, or trying to figure out why it’s hard to trust or feel connected with yourself? Feeling like it might be helpful or necessary to (finally) process complicated or upsetting events from your past that you’ve been working hard to just move on from? Wanting to process an experience in a religious setting that felt confusing or upsetting, examine your relationship with a spiritual/religious organization, or explore the ways that religious influences have impacted your relationships and identity development?
(314) 451-7829 View (314) 451-7829
Photo of Debbie Pullin, Licensed Professional Counselor in Saint Louis, MO
Debbie Pullin
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63141  (Online Only)
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
(314) 287-5466 View (314) 287-5466
Photo of Tommy Nolan, Licensed Professional Counselor in Saint Louis, MO
Tommy Nolan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63132
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
(314) 300-0335 View (314) 300-0335
Photo of Kimberly Davis, Counselor in Saint Louis, MO
Kimberly Davis
Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63139  (Online Only)
Are you currently facing challenges in life? Or have you been grappling with past traumas without glimpses of light at the end of the tunnel? You don't have to go through it alone. I'm Kim Davis, a Licensed Professional Counselor (LPC) based in Missouri who guides clients through challenging times.
Are you currently facing challenges in life? Or have you been grappling with past traumas without glimpses of light at the end of the tunnel? You don't have to go through it alone. I'm Kim Davis, a Licensed Professional Counselor (LPC) based in Missouri who guides clients through challenging times.
(314) 208-3286 View (314) 208-3286
Photo of Tina Marie Dale, Clinical Social Work/Therapist in Saint Louis, MO
Tina Marie Dale
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63141
Your relationship with yourself is reflected in interactions with family, friends, colleagues, professional life and your worldview. How do you seek, expect and provide attunement to yourself and important others? Often unrecognized inter-generational relational themes play a part in the manner of which one seeks connection. Attachment and relational patterns meant to gain closeness can mean one feels known & accepted or invisible & rejected. You can learn to listen to yourself with open-minded curiosity in order to identify your relational style, understanding how it supports or hinders you in life.
Your relationship with yourself is reflected in interactions with family, friends, colleagues, professional life and your worldview. How do you seek, expect and provide attunement to yourself and important others? Often unrecognized inter-generational relational themes play a part in the manner of which one seeks connection. Attachment and relational patterns meant to gain closeness can mean one feels known & accepted or invisible & rejected. You can learn to listen to yourself with open-minded curiosity in order to identify your relational style, understanding how it supports or hinders you in life.
(314) 287-5387 View (314) 287-5387
Photo of Kelly S Diller, Licensed Professional Counselor in Saint Louis, MO
Kelly S Diller
Licensed Professional Counselor, LPC, MAC
Verified Verified
Saint Louis, MO 63131
Waitlist for new clients
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
(314) 219-1724 View (314) 219-1724
Photo of Sherry Bassi, Psychologist in Saint Louis, MO
Sherry Bassi
Psychologist, PhD
Verified Verified
Saint Louis, MO 63146  (Online Only)
Life transitions can be hard. I help clients identify inner strengths and values so that they can experience growth after crisis, loss, or medical illness. My approach to therapy is grounded in helping clients develop confidence in managing stressors and communicating effectively in their relationships. Clients with depression or anxiety related to medical illness will gain tools to manage pain and health anxiety. Clients who are experiencing relationship stress will learn new healthy relationship patterns. Client's who want to heal after a stressful experience will learn how to increase feelings of inner strength and safety.
Life transitions can be hard. I help clients identify inner strengths and values so that they can experience growth after crisis, loss, or medical illness. My approach to therapy is grounded in helping clients develop confidence in managing stressors and communicating effectively in their relationships. Clients with depression or anxiety related to medical illness will gain tools to manage pain and health anxiety. Clients who are experiencing relationship stress will learn new healthy relationship patterns. Client's who want to heal after a stressful experience will learn how to increase feelings of inner strength and safety.
(314) 970-5652 View (314) 970-5652
Photo of Quantum Consulting Group LLC, Counselor in Saint Louis, MO
Quantum Consulting Group LLC
Counselor, EdD, LPC, NCC, BC-THC
Verified Verified
Saint Louis, MO 63101  (Online Only)
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
(314) 208-2718 View (314) 208-2718
Photo of Camielle Joy, Licensed Professional Counselor in Saint Louis, MO
Camielle Joy
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
Now Accepting Coaching Clients Nationwide! Schedule NOW! -> Blessings! I specialize in guiding POC and LGBTQIA+ individuals and couples towards nurturing healthier relationships. Facing issues like stress, burnout, and communication challenges? You're in the right place. Together, we'll work on enhancing communication, deepening intimacy, and managing conflict with ease. My approach is empathetic and empowering, aiming to help you break generational patterns and thrive in your relationships. Whether you're on a personal growth journey or looking to enrich your partnership, I'm here to support you every step of the way.
Now Accepting Coaching Clients Nationwide! Schedule NOW! -> Blessings! I specialize in guiding POC and LGBTQIA+ individuals and couples towards nurturing healthier relationships. Facing issues like stress, burnout, and communication challenges? You're in the right place. Together, we'll work on enhancing communication, deepening intimacy, and managing conflict with ease. My approach is empathetic and empowering, aiming to help you break generational patterns and thrive in your relationships. Whether you're on a personal growth journey or looking to enrich your partnership, I'm here to support you every step of the way.
(314) 804-7927 View (314) 804-7927
Photo of Scott Heuer, Licensed Professional Counselor in Saint Louis, MO
Scott Heuer
Licensed Professional Counselor, MEd
Verified Verified
3 Endorsed
Saint Louis, MO 63108
Each of us has a long list of personal strengths within our “SELF”, but too often they go unnoticed due to the overwhelm of life in general. Life is full of experiences that hold a lasting effect on us and deter us from moving forward. I work with you to identify, and utilize these strengths by processing through the barriers of past trauma, stress and anxiety, and the heaviness of a lack of self-worth. I work with any individual no matter their identity, but being someone who has personal life experiences with addiction, who identifies as LGBTQ and is an adoptive parent, I have developed a special interest in these individuals.
Each of us has a long list of personal strengths within our “SELF”, but too often they go unnoticed due to the overwhelm of life in general. Life is full of experiences that hold a lasting effect on us and deter us from moving forward. I work with you to identify, and utilize these strengths by processing through the barriers of past trauma, stress and anxiety, and the heaviness of a lack of self-worth. I work with any individual no matter their identity, but being someone who has personal life experiences with addiction, who identifies as LGBTQ and is an adoptive parent, I have developed a special interest in these individuals.
(314) 328-8731 View (314) 328-8731
Photo of Moyenda Anwisye, Licensed Professional Counselor in Saint Louis, MO
Moyenda Anwisye
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63104
Greetings! Welcome and thank you for considering me as your therapist. It is said that the reason two antelope walk side by side is to blow the dust from each other's eyes (African proverb). In today's world, it seems harder than ever to find clarity in the midst of chaos. Living with unaddressed chaos and unresolved pain can leave us feeling stuck and disconnected from those who love us and who may be able to help us. Sometimes, due to life circumstances, we struggle to find our way back to ourselves, our family and our God.
Greetings! Welcome and thank you for considering me as your therapist. It is said that the reason two antelope walk side by side is to blow the dust from each other's eyes (African proverb). In today's world, it seems harder than ever to find clarity in the midst of chaos. Living with unaddressed chaos and unresolved pain can leave us feeling stuck and disconnected from those who love us and who may be able to help us. Sometimes, due to life circumstances, we struggle to find our way back to ourselves, our family and our God.
(314) 408-5053 View (314) 408-5053
Photo of Change Counseling Services, L.L.C., Licensed Professional Counselor in Saint Louis, MO
Change Counseling Services, L.L.C.
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63136
Welcome to your journey of healing. My goal as a Licensed Professional Counselor is to treat the whole person. I work with individuals, couples and families of all ages on a variety of issues, including but not limited to parenting issues, school related problems, ADHD, anxiety, depression, abuse, anger management and relationship problems. I would love to help you nagivate through life's pressures. For a confidential and rewarding experience let's talk.
Welcome to your journey of healing. My goal as a Licensed Professional Counselor is to treat the whole person. I work with individuals, couples and families of all ages on a variety of issues, including but not limited to parenting issues, school related problems, ADHD, anxiety, depression, abuse, anger management and relationship problems. I would love to help you nagivate through life's pressures. For a confidential and rewarding experience let's talk.
(314) 450-7555 View (314) 450-7555
Photo of Caroline Miller, Licensed Professional Counselor in Saint Louis, MO
Caroline Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63105  (Online Only)
I am convinced the client/therapist relationship is one of the most healing aspects of therapy, so I take great care in making sure I treat my clients with honesty, respect, and compassion. In working together, we can create a deep connection and find balance in your life. Through this process we can shine a light on issues that may be causing difficulty and trauma for you.
I am convinced the client/therapist relationship is one of the most healing aspects of therapy, so I take great care in making sure I treat my clients with honesty, respect, and compassion. In working together, we can create a deep connection and find balance in your life. Through this process we can shine a light on issues that may be causing difficulty and trauma for you.
(314) 808-5260 View (314) 808-5260

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

92% Anxiety
87% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
72% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.