Therapists in Saint Louis, MO

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Photo of Jessica Heitman, Clinical Social Work/Therapist in Saint Louis, MO
Jessica Heitman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Saint Louis, MO 63128  (Online Only)
Do you find yourself caught between moments of joy and love, yet overwhelmed and adrift? Are you grappling with guilt as you navigate what should be a joyful time? Does your toddler's behavior make you feel like you are boiling over? The "what if's" of motherhood are keeping you on edge? Regardless what stage of motherhood you're in, together, we will ride the waves of motherhood with ease, grace, & confidence. For more information, visit wavesofmotherhood.com.
Do you find yourself caught between moments of joy and love, yet overwhelmed and adrift? Are you grappling with guilt as you navigate what should be a joyful time? Does your toddler's behavior make you feel like you are boiling over? The "what if's" of motherhood are keeping you on edge? Regardless what stage of motherhood you're in, together, we will ride the waves of motherhood with ease, grace, & confidence. For more information, visit wavesofmotherhood.com.
(314) 730-3954 View (314) 730-3954
Photo of Kathryn Muñiz in Saint Louis, MO
Kathryn Muñiz
MA
Verified Verified
2 Endorsed
Saint Louis, MO 63118
To share your story and start a journey toward healing is profoundly brave and admirable. Being entrusted to walk alongside those who are willing to take that risk is a privilege that I don’t take lightly. I count it as a tremendous honor to be invited to sit with the clients I work with, in moments of vulnerability and hurt and in those of victory and celebration.
To share your story and start a journey toward healing is profoundly brave and admirable. Being entrusted to walk alongside those who are willing to take that risk is a privilege that I don’t take lightly. I count it as a tremendous honor to be invited to sit with the clients I work with, in moments of vulnerability and hurt and in those of victory and celebration.
(314) 900-3437 View (314) 900-3437
Photo of Brittanie Zwart, Clinical Social Work/Therapist in Saint Louis, MO
Brittanie Zwart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63139  (Online Only)
May Intakes Open! - You know how to juggle a million things. You’re constantly on the go and doing everything for everyone. There’s no time to stop and not a second to spare. Sometimes you get in a flow and think, “I’ve got this!” But when you hit a bump in the road - your strong exterior comes crashing down. Suddenly everything is a disaster and nothing is working. You hate this. You don’t know why you feel this way - nothing is seriously “wrong” or “bad” in your life. You are wondering, “Why does it seem like everyone else has it figured out?” The harder that you work to get things together - the worse you feel.
May Intakes Open! - You know how to juggle a million things. You’re constantly on the go and doing everything for everyone. There’s no time to stop and not a second to spare. Sometimes you get in a flow and think, “I’ve got this!” But when you hit a bump in the road - your strong exterior comes crashing down. Suddenly everything is a disaster and nothing is working. You hate this. You don’t know why you feel this way - nothing is seriously “wrong” or “bad” in your life. You are wondering, “Why does it seem like everyone else has it figured out?” The harder that you work to get things together - the worse you feel.
(636) 400-1267 View (636) 400-1267
Photo of Beth Koritz, Licensed Professional Counselor in Saint Louis, MO
Beth Koritz
Licensed Professional Counselor, MEd, LPC, NCC, CCTP, TFT-Dx
Verified Verified
3 Endorsed
Saint Louis, MO 63105
I am currently accepting new clients & supervisees! Welcome to a space designed exclusively for remarkable women navigating the intricate world of ADHD. Are you weary of the overwhelm of trying to fit into a world designed for a different rhythm? Are you tired of the constant mental gymnastics, attempting to wrangle your thoughts and emotions? Or perhaps you're seeking clarity and empowerment, eager to harness the incredible potential your ADHD brain holds. Whatever your story, know that you're not alone. As a member of the ADHD community, you're navigating a beautifully unique path.
I am currently accepting new clients & supervisees! Welcome to a space designed exclusively for remarkable women navigating the intricate world of ADHD. Are you weary of the overwhelm of trying to fit into a world designed for a different rhythm? Are you tired of the constant mental gymnastics, attempting to wrangle your thoughts and emotions? Or perhaps you're seeking clarity and empowerment, eager to harness the incredible potential your ADHD brain holds. Whatever your story, know that you're not alone. As a member of the ADHD community, you're navigating a beautifully unique path.
(314) 720-8802 View (314) 720-8802
Photo of Meghan (Mclaughlin) Mischel, Licensed Professional Counselor in Saint Louis, MO
Meghan (Mclaughlin) Mischel
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63117
I help women find balance in their life without having to sacrifice the things they love most. My clients feel overwhelmed and tired of feeling like they can’t manage their life. Life feels chaotic making it difficult to be present in each area of their life. My clients are under constant pressure to put on a smile and present themselves like they have it all together.
I help women find balance in their life without having to sacrifice the things they love most. My clients feel overwhelmed and tired of feeling like they can’t manage their life. Life feels chaotic making it difficult to be present in each area of their life. My clients are under constant pressure to put on a smile and present themselves like they have it all together.
(314) 310-7561 View (314) 310-7561
Photo of Hilary Kelly, Clinical Social Work/Therapist in Saint Louis, MO
Hilary Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63144
It takes courage to walk in and sit down with someone to share your story. An honest story that includes stress, anxieties, sadness, grief, and emotional suffering. My intention as a therapist is to create a safe and inclusive space for clients. This space allows individuals to open up and be present with the emotions, thoughts, and feelings that make up the human experience. I currently specialize in working with adults struggling with depression, anxiety, grief and loss, life transitions, and relationship issues.
It takes courage to walk in and sit down with someone to share your story. An honest story that includes stress, anxieties, sadness, grief, and emotional suffering. My intention as a therapist is to create a safe and inclusive space for clients. This space allows individuals to open up and be present with the emotions, thoughts, and feelings that make up the human experience. I currently specialize in working with adults struggling with depression, anxiety, grief and loss, life transitions, and relationship issues.
(314) 804-2286 View (314) 804-2286
Photo of Nicole McNeil - Ellie Mental Health, Licensed Professional Counselor in Saint Louis, MO
Nicole McNeil - Ellie Mental Health
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63131
Change can happen at any age. All it takes is the commitment and willingness to look at oneself and gain insight, and put steps into action toward change. I provide the support, validation, and openness to help individuals and families explore their strengths, and address and improve the cycles that make them unhappy. I am action oriented and direct, while leaving space for self-exploration and growth in a warm and nurturing environment.
Change can happen at any age. All it takes is the commitment and willingness to look at oneself and gain insight, and put steps into action toward change. I provide the support, validation, and openness to help individuals and families explore their strengths, and address and improve the cycles that make them unhappy. I am action oriented and direct, while leaving space for self-exploration and growth in a warm and nurturing environment.
(314) 463-4778 View (314) 463-4778
Photo of Matthew James Murtaugh in Saint Louis, MO
Matthew James Murtaugh
PLPC
Verified Verified
Saint Louis, MO 63139  (Online Only)
Hi! It is so nice to meet you! Are you struggling with emotional pain? Are you suffering from anxiety? Is it hard to get motivated in the morning? Do you find daily tasks difficult? Are your moods changing constantly? Maybe something happened years ago that is still weighing on you today? You have the right to be happy. You have the right to live your best life!
Hi! It is so nice to meet you! Are you struggling with emotional pain? Are you suffering from anxiety? Is it hard to get motivated in the morning? Do you find daily tasks difficult? Are your moods changing constantly? Maybe something happened years ago that is still weighing on you today? You have the right to be happy. You have the right to live your best life!
(314) 526-3746 View (314) 526-3746
Photo of Emily Kate Kothe, Licensed Professional Counselor in Saint Louis, MO
Emily Kate Kothe
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
Saint Louis, MO 63104  (Online Only)
Connection is the entire point: to self, others, and the world around us. This idea infuses everything I do in my work: my values, my approach, the trainings I attend, the way I view healing and how it happens. So what do we do when we feel disconnected from our emotions, bodies, relationships, families, work, communities, identities, perhaps even from our very sense of self? ​ We do the hard work of reconnecting. I believe reconnection happens in many ways, and therapy is one of those ways, and I would be honored to be your therapist in this life long process.
Connection is the entire point: to self, others, and the world around us. This idea infuses everything I do in my work: my values, my approach, the trainings I attend, the way I view healing and how it happens. So what do we do when we feel disconnected from our emotions, bodies, relationships, families, work, communities, identities, perhaps even from our very sense of self? ​ We do the hard work of reconnecting. I believe reconnection happens in many ways, and therapy is one of those ways, and I would be honored to be your therapist in this life long process.
(314) 886-5703 View (314) 886-5703
Photo of Michaela Kearney, Licensed Professional Counselor in Saint Louis, MO
Michaela Kearney
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63139
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
(314) 925-9105 View (314) 925-9105
Photo of Katie Stiehl Frauenfelder, Counselor in Saint Louis, MO
Katie Stiehl Frauenfelder
Counselor, MA, LPC, CPT
Verified Verified
1 Endorsed
Saint Louis, MO 63105
Do you struggle with balance? No, not the standing on one foot while juggling type of balance, but the type that includes finding the “gray area”. I’m either a success, or I am a failure. My life is going perfectly, or it’s a disaster. If I don’t have it all figured out, I should just throw in the towel. Sound familiar? Whether it includes food/body image/exercise, parenting, work, or social life, I promise balance exists, you just might need a little help finding it. This is where I come in.
Do you struggle with balance? No, not the standing on one foot while juggling type of balance, but the type that includes finding the “gray area”. I’m either a success, or I am a failure. My life is going perfectly, or it’s a disaster. If I don’t have it all figured out, I should just throw in the towel. Sound familiar? Whether it includes food/body image/exercise, parenting, work, or social life, I promise balance exists, you just might need a little help finding it. This is where I come in.
(314) 582-9226 View (314) 582-9226
Photo of Jamese Walton, Licensed Professional Counselor in Saint Louis, MO
Jamese Walton
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63146
Are you navigating tough times such as single parenting, co-parenting, divorce, or challenges with infidelity? Are you experiencing conflict in your relationships, finding it hard to advocate for yourself, or recognizing the need for setting healthy boundaries? Are you finding it difficult to balance your faith beliefs with your mental health journey? As a therapist specializing in relational trauma, faith integration, and mental health, I offer a range of services to support you on your journey to healing and growth.
Are you navigating tough times such as single parenting, co-parenting, divorce, or challenges with infidelity? Are you experiencing conflict in your relationships, finding it hard to advocate for yourself, or recognizing the need for setting healthy boundaries? Are you finding it difficult to balance your faith beliefs with your mental health journey? As a therapist specializing in relational trauma, faith integration, and mental health, I offer a range of services to support you on your journey to healing and growth.
(314) 470-9346 View (314) 470-9346
Photo of Rachael M Carr, Counselor in Saint Louis, MO
Rachael M Carr
Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63118  (Online Only)
I am passionate about coming alongside clients as they seek to find comfort, peace, and healing in the midst of the many difficulties that life can bring. From the moment you walk in my office, my goal is to provide you with a place where you feel safe to work through issues at your own pace, while experiencing both comfort and understanding. Since I work with many clients experiencing trauma and cPTSD, consent and safety are of the utmost importance to me. I strive to create an environment where clients can feel seen and heard without experiencing shame.
I am passionate about coming alongside clients as they seek to find comfort, peace, and healing in the midst of the many difficulties that life can bring. From the moment you walk in my office, my goal is to provide you with a place where you feel safe to work through issues at your own pace, while experiencing both comfort and understanding. Since I work with many clients experiencing trauma and cPTSD, consent and safety are of the utmost importance to me. I strive to create an environment where clients can feel seen and heard without experiencing shame.
(314) 549-5842 View (314) 549-5842
Photo of Courtney Kempker, Licensed Professional Counselor in Saint Louis, MO
Courtney Kempker
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
(314) 834-6372 View (314) 834-6372
Photo of Dr. Ryan Liberati, Licensed Professional Counselor in Saint Louis, MO
Dr. Ryan Liberati
Licensed Professional Counselor, PhD, LPC, RPT-S, M-RAS, LCPC
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
(314) 669-3653 View (314) 669-3653
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 Latina Gaston, Licensed Professional Counselor in Saint Louis, MO
Latina Gaston
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63112  (Online Only)
As they say now, "Life be life'n!" Challenges arise everyday that may cause you stress, anxiety, or maybe even feel a little less motivated. You need someone neutral to talk to and help you gain an understanding and a different perspective. You want to find solutions to those concerns, but you don't know where to start. Together, we will unpack and explore any challenges. We will work together to reframe negative thought patterns. We will brainstorm and partner on how to navigate your concerns. I will provide tools and resources that you may find helpful along the way.
As they say now, "Life be life'n!" Challenges arise everyday that may cause you stress, anxiety, or maybe even feel a little less motivated. You need someone neutral to talk to and help you gain an understanding and a different perspective. You want to find solutions to those concerns, but you don't know where to start. Together, we will unpack and explore any challenges. We will work together to reframe negative thought patterns. We will brainstorm and partner on how to navigate your concerns. I will provide tools and resources that you may find helpful along the way.
(314) 601-1953 View (314) 601-1953
Photo of Margie Lewitt, Clinical Social Work/Therapist in Saint Louis, MO
Margie Lewitt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63143
Helping clients, whether we meet individually, as couples or in groups, is my highest priority. As a compassionate active listener, I provide a safe, warm, non-judgmental space. Our close relationships within our lives can give us strength but can also create conflict, anxiety, and/or depression. The result may be physical discomfort, low self-esteem, even PTSD, as well as thoughts, feelings, and behaviors that can get in the way of making positive decisions. Working as a team, my clients and I identify behavioral patterns, set goals, and begin a plan to achieve resolution and healing.
Helping clients, whether we meet individually, as couples or in groups, is my highest priority. As a compassionate active listener, I provide a safe, warm, non-judgmental space. Our close relationships within our lives can give us strength but can also create conflict, anxiety, and/or depression. The result may be physical discomfort, low self-esteem, even PTSD, as well as thoughts, feelings, and behaviors that can get in the way of making positive decisions. Working as a team, my clients and I identify behavioral patterns, set goals, and begin a plan to achieve resolution and healing.
(314) 762-6475 View (314) 762-6475
Photo of Richard B. Boswell, LCSW, L.L.C, Clinical Social Work/Therapist in Saint Louis, MO
Richard B. Boswell, LCSW, L.L.C
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
Saint Louis, MO 63132  (Online Only)
Waitlist for new clients
My practice is highly specialized using evidence-based methods that help couples, families and individuals. I am certified by both the Gottman Institute and the International Center for Excellence in Emotionally Focused Therapy to help couples. I also work with individuals experiencing the challenge of depression, anxiety, trauma, bipolar disorder, parenting issues or those needing to improve their relationships with the important people in their lives.
My practice is highly specialized using evidence-based methods that help couples, families and individuals. I am certified by both the Gottman Institute and the International Center for Excellence in Emotionally Focused Therapy to help couples. I also work with individuals experiencing the challenge of depression, anxiety, trauma, bipolar disorder, parenting issues or those needing to improve their relationships with the important people in their lives.
(314) 334-8835 View (314) 334-8835
Photo of Brian Bauer, Licensed Professional Counselor in Saint Louis, MO
Brian Bauer
Licensed Professional Counselor, LPC, SAP, CEAP
Verified Verified
7 Endorsed
Saint Louis, MO 63127
Not accepting new clients
Specializing and working with male clients only. Life's journey is frequently filled with unexpected twists and turns placing individuals and families into valleys, deserts, and forests never imagined. Some are left wondering how to manage from day to day and perhaps minute to minute. Often this is the time help is sought for navigating this path, but more importantly, obtaining a perspective to find a way to wholeness and health. Brian leads clients in finding and establishing a safe place empowering fresh clarity and momentum through the process and beyond.
Specializing and working with male clients only. Life's journey is frequently filled with unexpected twists and turns placing individuals and families into valleys, deserts, and forests never imagined. Some are left wondering how to manage from day to day and perhaps minute to minute. Often this is the time help is sought for navigating this path, but more importantly, obtaining a perspective to find a way to wholeness and health. Brian leads clients in finding and establishing a safe place empowering fresh clarity and momentum through the process and beyond.
(314) 315-4177 View (314) 315-4177

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.