Therapists in Honolulu, HI
Lyle Herman
Psychologist, PsyD
Verified Verified
Honolulu, HI 96816 (Online Only)
Aloha! I hope to assist you to gain insight into your relationship with yourself and others so that you can realize your full potential in life. Whether the focus is on your feelings, thoughts, dreams, behavioral patterns or some other aspect of your self, I'd like to help you live more fully and reach your goals by recognizing and adjusting patterns and becoming more in tune with the mana (power) within you. I hope that you will trust me and the therapeutic process to help you see opportunities in your challenges.
Aloha! I hope to assist you to gain insight into your relationship with yourself and others so that you can realize your full potential in life. Whether the focus is on your feelings, thoughts, dreams, behavioral patterns or some other aspect of your self, I'd like to help you live more fully and reach your goals by recognizing and adjusting patterns and becoming more in tune with the mana (power) within you. I hope that you will trust me and the therapeutic process to help you see opportunities in your challenges.
Ishmael Gomes
Pre-Licensed Professional, MSCP
Verified Verified
Honolulu, HI 96816
My specializations include solution-focused therapy and person-centered therapy and emotional-based therapy, as I am a pre-licensed marriage and family therapist (MFT-I). The majority of my experience is with adolescents and adults. I specialize in providing a safe and supportive environment where individuals can explore their thoughts, emotions, and experiences. I use various therapeutic techniques and approaches to help my clients gain insight, identify patterns, and develop strategies for making lasting changes.
My specializations include solution-focused therapy and person-centered therapy and emotional-based therapy, as I am a pre-licensed marriage and family therapist (MFT-I). The majority of my experience is with adolescents and adults. I specialize in providing a safe and supportive environment where individuals can explore their thoughts, emotions, and experiences. I use various therapeutic techniques and approaches to help my clients gain insight, identify patterns, and develop strategies for making lasting changes.
Janet R Fitzgerald
Psychologist, PsyD
Verified Verified
Honolulu, HI 96819
Waitlist for new clients
I have specialized in autism and Asperger's syndrome for 20 years, and my practice is currently limited to individuals who have or are suspected of having an autism spectrum disorder (ASD). This can include presenting problems such as anxiety, depression, aggression, compliance issues, which often arise because of difficulties with social communication and inflexible thinking. ASD is often missed in girls and women, because they try harder to fit in, and pretend to be normal. I believe that every person has innate worth and deserves to live in peace.
I have specialized in autism and Asperger's syndrome for 20 years, and my practice is currently limited to individuals who have or are suspected of having an autism spectrum disorder (ASD). This can include presenting problems such as anxiety, depression, aggression, compliance issues, which often arise because of difficulties with social communication and inflexible thinking. ASD is often missed in girls and women, because they try harder to fit in, and pretend to be normal. I believe that every person has innate worth and deserves to live in peace.
Liza Wäcker
Psychologist, PsyD
Verified Verified
Honolulu, HI 96816
Not accepting new clients
Feeling stuck and overwhelmed? Burned out? You’re doing your best to support others - your family, your friends, your kids, your work, your house, maybe even your pets. It can be physically and emotionally exhausting. You may be telling yourself if you were only smart enough, strong enough, just ENOUGH then somehow you could figure all of this out.
Feeling stuck and overwhelmed? Burned out? You’re doing your best to support others - your family, your friends, your kids, your work, your house, maybe even your pets. It can be physically and emotionally exhausting. You may be telling yourself if you were only smart enough, strong enough, just ENOUGH then somehow you could figure all of this out.
Zac Rankin
Marriage & Family Therapist, LMFT
Verified Verified
Honolulu, HI 96822 (Online Only)
I work with adults and teens whose pasts are interfering with the present. If you are struggling with feeling stuck in unhappy relationships or painful emotional patterns, can't stop thinking about something bad that's happened to you, or just feel that a piece of you is missing and you don't know where to find it, I am here to help you. You don't have to keep living in chaos, confusion, and unpredictability, and you don't have to keep turning to distractions instead of solutions. You can find calm and stability without sacrificing yourself to others. The strength is inside you, and I can help you find it and use it.
I work with adults and teens whose pasts are interfering with the present. If you are struggling with feeling stuck in unhappy relationships or painful emotional patterns, can't stop thinking about something bad that's happened to you, or just feel that a piece of you is missing and you don't know where to find it, I am here to help you. You don't have to keep living in chaos, confusion, and unpredictability, and you don't have to keep turning to distractions instead of solutions. You can find calm and stability without sacrificing yourself to others. The strength is inside you, and I can help you find it and use it.
John S Chock
Counselor, MSCP, LMHC, CSAC, NCC
Verified Verified
2 Endorsed
Honolulu, HI 96813
Aloha, If you believe you are suffering from anxiety, depression, or addiction, substance abuse, let's work together and find a lasting solution. As a Licensed Mental Health Counselor in the State of Hawaii, and CSAC (Certified Substance Abuse Counselor), and nationally board certified, my focus is to help individuals heal, energize, and become aware of their inner strengths. Call today for a free phone consultation and let me know how I can help. Mahalo for visiting. I hope to hear from you soon. **Telehealth appointments available please contact us via phone or email for more information.
Aloha, If you believe you are suffering from anxiety, depression, or addiction, substance abuse, let's work together and find a lasting solution. As a Licensed Mental Health Counselor in the State of Hawaii, and CSAC (Certified Substance Abuse Counselor), and nationally board certified, my focus is to help individuals heal, energize, and become aware of their inner strengths. Call today for a free phone consultation and let me know how I can help. Mahalo for visiting. I hope to hear from you soon. **Telehealth appointments available please contact us via phone or email for more information.
Kelly M Hee
Clinical Social Work/Therapist, LCSW, CEDS
Verified Verified
Honolulu, HI 96825
Not accepting new clients
Welcome! I am an IAEDP Certified Eating Disorder Specialist that is licensed in both CA and HI. My approach to therapy comes from a humanistic standpoint, helping clients to better understand patterns that cause chaos or dysfunction in their lives. I work with those who come in to assist them in developing understanding, compassion, and knowledge around this chaos; as well as skills to overcome these difficulties. Each person's treatment, session, and therapy is individually personalized to meet your specific needs. I come from a person-centered approach, and practice mostly CBT, ACT and emphasize the therapeutic relationship.
Welcome! I am an IAEDP Certified Eating Disorder Specialist that is licensed in both CA and HI. My approach to therapy comes from a humanistic standpoint, helping clients to better understand patterns that cause chaos or dysfunction in their lives. I work with those who come in to assist them in developing understanding, compassion, and knowledge around this chaos; as well as skills to overcome these difficulties. Each person's treatment, session, and therapy is individually personalized to meet your specific needs. I come from a person-centered approach, and practice mostly CBT, ACT and emphasize the therapeutic relationship.
Scott Keoni Ginoza
Counselor, MS, LMHC, NCC
Verified Verified
Honolulu, HI 96816 (Online Only)
Life has challenges and therapy can help to develop healthier stategies to meet these challenges. I will work with you to develop strategies to strengthen your, marriage, family, and self. If your Christian faith is important to you, I enjoy including the principles of Christianity in therapy. I also have completed much of the Gottman Method of couples counseling.
Life has challenges and therapy can help to develop healthier stategies to meet these challenges. I will work with you to develop strategies to strengthen your, marriage, family, and self. If your Christian faith is important to you, I enjoy including the principles of Christianity in therapy. I also have completed much of the Gottman Method of couples counseling.
Grace Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Honolulu, HI 96816
Hi, my name is Tanja and I pray you find suitable help for whatever you might be facing in your life right now. My desire is to assist you in restoring hope, renewing your mind, and empowering you in your God-given identity. Each of us face personal struggles, we encounter different life tribulations, and problems somehow never cease to exist. When we struggle, we do not seek adequate help and we try to do things on our own, believing in our own strength. I pray that God will lead you and encourage you to reach out and with God's help I can provide you with guidance and support you may need. God bless you!
Hi, my name is Tanja and I pray you find suitable help for whatever you might be facing in your life right now. My desire is to assist you in restoring hope, renewing your mind, and empowering you in your God-given identity. Each of us face personal struggles, we encounter different life tribulations, and problems somehow never cease to exist. When we struggle, we do not seek adequate help and we try to do things on our own, believing in our own strength. I pray that God will lead you and encourage you to reach out and with God's help I can provide you with guidance and support you may need. God bless you!
Paul Grabowsky
Counselor, LMHC
Verified Verified
Honolulu, HI 96817
Hello, I am Paul Grabowsky, a licensed mental health counselor, at LMHC and a licensed teacher in Hawai’i, and a licensed professional clinical counselor in New Mexico. I am a person-centered counselor, trained in a variety of modalities, including EMDR. I enjoy working with people of all ages and incorporate my training in biology and the connection to mind/body in my approach to therapy. As a former educator, I have worked with adolescents age for many years. I like to incorporate a person-centered approach and cognitive/behavioral therapy with an emphasis on how the vagal system can impact the health of the body and mind.
Hello, I am Paul Grabowsky, a licensed mental health counselor, at LMHC and a licensed teacher in Hawai’i, and a licensed professional clinical counselor in New Mexico. I am a person-centered counselor, trained in a variety of modalities, including EMDR. I enjoy working with people of all ages and incorporate my training in biology and the connection to mind/body in my approach to therapy. As a former educator, I have worked with adolescents age for many years. I like to incorporate a person-centered approach and cognitive/behavioral therapy with an emphasis on how the vagal system can impact the health of the body and mind.
Napualani Spock
Clinical Social Work/Therapist, LCSW
Verified Verified
Honolulu, HI 96817
Aloha, my name is Napua Spock, I'm a licensed clinical social worker, and I strive to provide a compassionate safe space to support my clients as they heal, grow, and learn new strategies for living their best life. I specialize in helping people manage stressors including changes and transitions in life. I teach my clients mindful self-awareness and self-compassion, and my approach is trauma-informed and internal family systems-informed. I work with people in transition, managing change, grief and loss, anxiety, and depression.
Aloha, my name is Napua Spock, I'm a licensed clinical social worker, and I strive to provide a compassionate safe space to support my clients as they heal, grow, and learn new strategies for living their best life. I specialize in helping people manage stressors including changes and transitions in life. I teach my clients mindful self-awareness and self-compassion, and my approach is trauma-informed and internal family systems-informed. I work with people in transition, managing change, grief and loss, anxiety, and depression.
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Psychologist, PhD, MPH, ABPP
Verified Verified
1 Endorsed
Honolulu, HI 96817 (Online Only)
I approach therapy as education - helping clients to better identify patterns associated with difficulties, develop skills to overcome these difficulties, and learn how to utilize these skills in their daily lives in order to live as optimally as possible. We focus both on addressing the issues that have been plaguing you as well as learning to live more fully and comfortably in each moment and activity you are engaged in. Learning powerful skills helps overcome specific problems, boost resilience against future problems, and more fully enjoy daily life. Therapy is individually tailored to your specific needs and lifestyle.
I approach therapy as education - helping clients to better identify patterns associated with difficulties, develop skills to overcome these difficulties, and learn how to utilize these skills in their daily lives in order to live as optimally as possible. We focus both on addressing the issues that have been plaguing you as well as learning to live more fully and comfortably in each moment and activity you are engaged in. Learning powerful skills helps overcome specific problems, boost resilience against future problems, and more fully enjoy daily life. Therapy is individually tailored to your specific needs and lifestyle.
Maren Ohai Kinlacheeny
Counselor, CMHC
Verified Verified
1 Endorsed
Honolulu, HI 96819 (Online Only)
I believe in people. I believe in our resilience, our power, and in our capacity for change. I love being a witness to those beautiful light bulb moments where we recognize the truth about ourselves and start living with more purpose and resolve. I love helping people find those solutions within themselves - I know they are there! As a former Substance Use Disorder Counselor, I could see how clients were desperately seeking a way to cope with deep trauma. I wanted to dive deeper. I wanted to help others get to the root of their problems.
I believe in people. I believe in our resilience, our power, and in our capacity for change. I love being a witness to those beautiful light bulb moments where we recognize the truth about ourselves and start living with more purpose and resolve. I love helping people find those solutions within themselves - I know they are there! As a former Substance Use Disorder Counselor, I could see how clients were desperately seeking a way to cope with deep trauma. I wanted to dive deeper. I wanted to help others get to the root of their problems.
Dr. Abby Halston Marriage and Family Therapy
Marriage & Family Therapist, EdD, LMFT, NCC
Verified Verified
Honolulu, HI 96826 (Online Only)
I specialize in helping couples communicate effectively and individuals with anxiety find ways to manage their symptoms and improve their overall well-being. Communication is the foundation of any healthy relationship, and my goal is to empower couples with the tools they need to effectively express their feelings and needs to one another. In addition to my work with couples, I also have a particular interest in helping individuals who struggle with anxiety. I understand that anxiety can be overwhelming and debilitating, and I work with my clients to develop personalized strategies that can help them manage their symptoms.
I specialize in helping couples communicate effectively and individuals with anxiety find ways to manage their symptoms and improve their overall well-being. Communication is the foundation of any healthy relationship, and my goal is to empower couples with the tools they need to effectively express their feelings and needs to one another. In addition to my work with couples, I also have a particular interest in helping individuals who struggle with anxiety. I understand that anxiety can be overwhelming and debilitating, and I work with my clients to develop personalized strategies that can help them manage their symptoms.
Janice Yw Chang
Psychologist, PsyD
Verified Verified
Honolulu, HI 96817
Most people come to therapy because they need some kind of support or are looking for change in their life. While this sounds simple, it is not easy to accomplish, since we may be taught not to ask for help or to just accept things the way they are. Someone who may benefit from therapy the most would be someone who can keep an open mind, be motivated to work toward change, and to have patience to allow the process to work.
Most people come to therapy because they need some kind of support or are looking for change in their life. While this sounds simple, it is not easy to accomplish, since we may be taught not to ask for help or to just accept things the way they are. Someone who may benefit from therapy the most would be someone who can keep an open mind, be motivated to work toward change, and to have patience to allow the process to work.
Richard Rothschiller
Psychologist, PsyD, RYT
Verified Verified
Honolulu, HI 96816 (Online Only)
Waitlist for new clients
I provide Integrative Psychotherapy and Counseling for individuals and couples utilizing Person-centered Humanistic, Cognitive, Behavioral, and Interpersonal/Psychodynamic conceptualizations and treatment modalities. My experience includes more than two decades helping people of diverse and marginalized populations across O'ahu with: anxiety, depression, other mood disorders, acute and post-traumatic stress, anger management, work/career stress and transitions, grief and loss, chronic pain, gender dysphoria, coping with general medical conditions, and improving relationships, as well as general phase-of-life personal growth and self-actualization concerns related to late adolescence, early adulthood, mid-life, and older adults and aging.
I provide Integrative Psychotherapy and Counseling for individuals and couples utilizing Person-centered Humanistic, Cognitive, Behavioral, and Interpersonal/Psychodynamic conceptualizations and treatment modalities. My experience includes more than two decades helping people of diverse and marginalized populations across O'ahu with: anxiety, depression, other mood disorders, acute and post-traumatic stress, anger management, work/career stress and transitions, grief and loss, chronic pain, gender dysphoria, coping with general medical conditions, and improving relationships, as well as general phase-of-life personal growth and self-actualization concerns related to late adolescence, early adulthood, mid-life, and older adults and aging.
Patrick K Kamakawiwo'ole
Psychologist, PsyD
Verified Verified
3 Endorsed
Honolulu, HI 96813
Not accepting new clients
I think of therapy as a venue where it's an honor to explore experiences with diverse people. I know that issues are challenging to live with, and I strive to allow people a safe, nurturing, supportive environment in which to explore challenges, meaning, and existence with empathy and compassion. I value seeing and exploring with people in creating their true identities, assisting people in finding their "voice" and to stand in truth. I'm always mindful that a person is not in isolation, but is part of a community with diverse perspectives, morals, and values.
I think of therapy as a venue where it's an honor to explore experiences with diverse people. I know that issues are challenging to live with, and I strive to allow people a safe, nurturing, supportive environment in which to explore challenges, meaning, and existence with empathy and compassion. I value seeing and exploring with people in creating their true identities, assisting people in finding their "voice" and to stand in truth. I'm always mindful that a person is not in isolation, but is part of a community with diverse perspectives, morals, and values.
Bridget Murphy
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
2 Endorsed
Honolulu, HI 96814 (Online Only)
"What we think, we become." These difficult thoughts and feelings can be a gateway for personal growth, and seeking therapy is a courageous step in the healing process. I will support you to heal, deepen, and improve your relationship with yourself and others by bringing awareness to your present thoughts and historical patterns that no longer serve you. I will work in collaboration with you by providing a nonjudgmental, safe, empowering, and compassionate environment.
"What we think, we become." These difficult thoughts and feelings can be a gateway for personal growth, and seeking therapy is a courageous step in the healing process. I will support you to heal, deepen, and improve your relationship with yourself and others by bringing awareness to your present thoughts and historical patterns that no longer serve you. I will work in collaboration with you by providing a nonjudgmental, safe, empowering, and compassionate environment.
Ana Giliberti
Marriage & Family Therapist Intern, MFT
Verified Verified
Honolulu, HI 96815 (Online Only)
Waitlist for new clients
I commend you on seeking support through psychotherapy. Life brings about constant challenges and tribulations, and it is completely understandable to feel uneasy and hurt sometimes. Whether you are experiencing symptoms of depression or anxiety, physical pain, relationship difficulties, or processing difficult emotions, you may be seeking to find more comfort and peace in your daily life, and psychotherapy can be an effective tool to support your overall well-being, teaching skills and healthy ways to cope and manage stress and tension.
I commend you on seeking support through psychotherapy. Life brings about constant challenges and tribulations, and it is completely understandable to feel uneasy and hurt sometimes. Whether you are experiencing symptoms of depression or anxiety, physical pain, relationship difficulties, or processing difficult emotions, you may be seeking to find more comfort and peace in your daily life, and psychotherapy can be an effective tool to support your overall well-being, teaching skills and healthy ways to cope and manage stress and tension.
Neurocognitive Testing Lab Inc.
Psychologist, PsyD, ABPP
Verified Verified
Honolulu, HI 96821
As a neuropsychologist, I provide neuropsychological assessments, diagnostic services, and treatment to a wide range of clients, from questions about a child's learning difficulties to concerns about a senior's memory that has started to impact their daily living. I also provide a wide range of evaluations for legal related issues from Independent Medical Examinations, fitness for duty to legal issues; such as testamentary capacity. I approach each person with care and consideration for their emotional well-being, cultural background, age, and life experiences that may affect cognitive functioning. My goal is to provide a comprehensive and quality evaluation product whether that be for an individual client or third-party. My endeavor is to give the client the information they need to develop the best treatment plan for neuropsychological health or legal outcome. An appropriate diagnosis is dependent upon a good history, interviewing family members, teachers and review of records as appropriate. I strive to develop a treatment plan tailored to the individual with written reports appropriate for the consumer, be they parents, adult children, physicians, or lawyers.
As a neuropsychologist, I provide neuropsychological assessments, diagnostic services, and treatment to a wide range of clients, from questions about a child's learning difficulties to concerns about a senior's memory that has started to impact their daily living. I also provide a wide range of evaluations for legal related issues from Independent Medical Examinations, fitness for duty to legal issues; such as testamentary capacity. I approach each person with care and consideration for their emotional well-being, cultural background, age, and life experiences that may affect cognitive functioning. My goal is to provide a comprehensive and quality evaluation product whether that be for an individual client or third-party. My endeavor is to give the client the information they need to develop the best treatment plan for neuropsychological health or legal outcome. An appropriate diagnosis is dependent upon a good history, interviewing family members, teachers and review of records as appropriate. I strive to develop a treatment plan tailored to the individual with written reports appropriate for the consumer, be they parents, adult children, physicians, or lawyers.
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Number of Therapists in Honolulu, HI
600+
Average cost per session
$150
Therapists in Honolulu, HI who prioritize treating:
| 92% | Anxiety |
| 86% | Depression |
| 79% | Relationship Issues |
| 76% | Self Esteem |
| 74% | Coping Skills |
| 70% | Stress |
| 69% | Trauma and PTSD |
Average years in practice
12 Years
Top 3 insurances accepted
| 73% | Hawaii Medical Services Association |
| 59% | University Health Alliance |
| 56% | Hawaii Medical Assurance Association |
How Therapists in Honolulu, HI see their clients
| 59% | In Person and Online | |
| 41% | Online Only |
Gender breakdown
| 76% | Female | |
| 23% | Male | |
| 1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Honolulu?
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
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.
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.
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.