Therapists in Philadelphia, PA

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Photo of The Right Balance Counseling, Licensed Professional Counselor in Philadelphia, PA
The Right Balance Counseling
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19133  (Online Only)
The Right Balance Counseling is a community based safe haven where individuals are held accountable, challenged and empowered as they progress through the path of facing unseen realities to begin living a balanced life mentally, physically, socially and emotionally. We proudly serve our community.
The Right Balance Counseling is a community based safe haven where individuals are held accountable, challenged and empowered as they progress through the path of facing unseen realities to begin living a balanced life mentally, physically, socially and emotionally. We proudly serve our community.
(267) 713-3680 View (267) 713-3680
Photo of Emily E Carner, Psychologist in Philadelphia, PA
Emily E Carner
Psychologist, PsyD
Verified Verified
Philadelphia, PA 19102
I work comfortably with people from a variety of cultural and ethnic backgrounds, and people within the LGBTQ community. In my practice I see adults, adolescents, and couples. I have a direct, interpersonal style in which I support and assist individuals in meeting their personal goals while helping them to process past and present issues related to trauma, child abuse/neglect, addiction(s), grief and loss, depression, or anxiety that may be interfering with their progress. I approach my clinical practice from a socially conscious perspective, working always to view personal difficulties within the sociocultural context in which we live.
I work comfortably with people from a variety of cultural and ethnic backgrounds, and people within the LGBTQ community. In my practice I see adults, adolescents, and couples. I have a direct, interpersonal style in which I support and assist individuals in meeting their personal goals while helping them to process past and present issues related to trauma, child abuse/neglect, addiction(s), grief and loss, depression, or anxiety that may be interfering with their progress. I approach my clinical practice from a socially conscious perspective, working always to view personal difficulties within the sociocultural context in which we live.
(215) 995-5017 View (215) 995-5017
Photo of Tracey Tanenbaum, Marriage & Family Therapist in Philadelphia, PA
Tracey Tanenbaum
Marriage & Family Therapist, MEd, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19103
Whether you are facing struggles that have been with you for years or ones that have emerged more recently, the decision to seek therapy is rarely easy. I will help you find practical solutions to life's obstacles, as well as a deeper understanding of the emotional blocks that have held you back. I offer you my focus, warmth and training, while gently nudging you towards your treatment goals. Previous to my clinical training, I spent nearly two decades in public media. I will channel the same curiosity and inquisitive spirit from my previous career into my therapeutic relationship with you.
Whether you are facing struggles that have been with you for years or ones that have emerged more recently, the decision to seek therapy is rarely easy. I will help you find practical solutions to life's obstacles, as well as a deeper understanding of the emotional blocks that have held you back. I offer you my focus, warmth and training, while gently nudging you towards your treatment goals. Previous to my clinical training, I spent nearly two decades in public media. I will channel the same curiosity and inquisitive spirit from my previous career into my therapeutic relationship with you.
(215) 486-6484 x7083 View (215) 486-6484 x7083
Photo of Rebekah Crocker, Pre-Licensed Professional in Philadelphia, PA
Rebekah Crocker
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Philadelphia, PA 19146
I have experience working with clients with depression, anxiety, eating disorders, and trauma. I will work with you to discover how past experiences have shaped you and what you'd like to be defined by in the future. Together we'll explore your most authentic and true self through a variety of counseling techniques. I believe that there is so much hope and growth in the counseling journey!
I have experience working with clients with depression, anxiety, eating disorders, and trauma. I will work with you to discover how past experiences have shaped you and what you'd like to be defined by in the future. Together we'll explore your most authentic and true self through a variety of counseling techniques. I believe that there is so much hope and growth in the counseling journey!
(267) 493-1559 View (267) 493-1559
Photo of Michael T. Long, Psychologist in Philadelphia, PA
Michael T. Long
Psychologist, PsyD
Verified Verified
1 Endorsed
Philadelphia, PA 19103
Hi! I’m glad you found your way to my profile — let’s help you connect with the support you’re looking for. I’m Michael (he/him), a licensed psychologist based in Philadelphia offering person-centered and affirming therapy for adults and couples facing a wide array of obstacles, including life changes, stress and anxiety, depression, substance use, and health issues. Together, we will work towards greater agency and self-awareness, a better understanding of the experiences that influence relationships to yourself and others, and acceptance of the things we cannot change.
Hi! I’m glad you found your way to my profile — let’s help you connect with the support you’re looking for. I’m Michael (he/him), a licensed psychologist based in Philadelphia offering person-centered and affirming therapy for adults and couples facing a wide array of obstacles, including life changes, stress and anxiety, depression, substance use, and health issues. Together, we will work towards greater agency and self-awareness, a better understanding of the experiences that influence relationships to yourself and others, and acceptance of the things we cannot change.
(215) 789-4418 View (215) 789-4418
Photo of Farhana Ferdous, Counselor in Philadelphia, PA
Farhana Ferdous
Counselor, MA, ATR-BC, LPC
Verified Verified
Philadelphia, PA 19130
Knowing that opening up about true feelings with another person can be intimidating, I create a warm space to unpack clients’ stories and uncover the root causes of issues with curiosity. My practice is grounded in understanding the unique experiences of my clients, especially how systems we exist in and outside of us contribute to distress. I believe in the natural intuition and resilience of all people and highlight those in therapy so that greater understanding and compassion for oneself can emerge, while also empowering clients with new perspectives and tools.
Knowing that opening up about true feelings with another person can be intimidating, I create a warm space to unpack clients’ stories and uncover the root causes of issues with curiosity. My practice is grounded in understanding the unique experiences of my clients, especially how systems we exist in and outside of us contribute to distress. I believe in the natural intuition and resilience of all people and highlight those in therapy so that greater understanding and compassion for oneself can emerge, while also empowering clients with new perspectives and tools.
(267) 609-9132 View (267) 609-9132
Photo of Lifebulb Counseling & Therapy, Licensed Professional Counselor in Philadelphia, PA
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19118  (Online Only)
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
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Photo of Michael Zwizanski, Marriage & Family Therapist in Philadelphia, PA
Michael Zwizanski
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19104  (Online Only)
In my work, I seek to make a connection that will cultivate a safe, judgement-free space to work through challenging issues & promote self-discovery. My stance in life and in my practice is anti-racist, sex positive, LGBTQ+ competent and gender affirming. I recognize my privilege as a cis-gender, white, male professional and strive to position myself as an equal collaborator in the processes of growth and change within my clients. Coming from an entertainment industry background, I have worked extensively with artists, musicians, actors and entrepreneurs and understand the creative process,
In my work, I seek to make a connection that will cultivate a safe, judgement-free space to work through challenging issues & promote self-discovery. My stance in life and in my practice is anti-racist, sex positive, LGBTQ+ competent and gender affirming. I recognize my privilege as a cis-gender, white, male professional and strive to position myself as an equal collaborator in the processes of growth and change within my clients. Coming from an entertainment industry background, I have worked extensively with artists, musicians, actors and entrepreneurs and understand the creative process,
(215) 789-4513 View (215) 789-4513
Photo of Kelly McClure, Psychologist in Philadelphia, PA
Kelly McClure
Psychologist, PhD
Verified Verified
Philadelphia, PA 19118
Developing a trusting and supportive relationship is my highest priority. I want you to feel empowered by our work together and confident that you can continue to feel good for a long time. I will listen to your personal story and understand your goals and values. Then, I will teach you tools and strategies personalized for you, and we will practice them during and between sessions. We will reflect on your progress to make sure you are reaching your goals and living the life that you want. I work with adults, adolescents and college students.
Developing a trusting and supportive relationship is my highest priority. I want you to feel empowered by our work together and confident that you can continue to feel good for a long time. I will listen to your personal story and understand your goals and values. Then, I will teach you tools and strategies personalized for you, and we will practice them during and between sessions. We will reflect on your progress to make sure you are reaching your goals and living the life that you want. I work with adults, adolescents and college students.
(267) 662-1415 View (267) 662-1415
Photo of Mary Chen, Marriage & Family Therapist in Philadelphia, PA
Mary Chen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Philadelphia, PA 19109
I specialize in working with those who have difficulty in their personal relationships. That might mean you've been "chronically single" all your life and don't want to be. Or it might mean that your current relationship is painful in ways that feel both familiar and confusing somehow, or your last one ended painfully. Maybe you've been betrayed, or you betrayed someone. Maybe you're worried that you have a sexual problem that makes you unlovable, or you struggle with boundaries. Or, maybe you feel like you've only ever really been attracted to the ones who don't love you back.
I specialize in working with those who have difficulty in their personal relationships. That might mean you've been "chronically single" all your life and don't want to be. Or it might mean that your current relationship is painful in ways that feel both familiar and confusing somehow, or your last one ended painfully. Maybe you've been betrayed, or you betrayed someone. Maybe you're worried that you have a sexual problem that makes you unlovable, or you struggle with boundaries. Or, maybe you feel like you've only ever really been attracted to the ones who don't love you back.
(215) 436-9382 View (215) 436-9382
Photo of Hannah Muller, Pre-Licensed Professional in Philadelphia, PA
Hannah Muller
Pre-Licensed Professional, MA, ATR-BC
Verified Verified
1 Endorsed
Philadelphia, PA 19102
There is so much power within each and every one of us. Whether you're going through issues big or small, support is out there to help you unlock the version of yourself that you would like to be. There is no shame in seeking out support; it is an incredibly courageous and brave step towards healing. With the assistance of therapy, we can working towards addressing any issues you are facing or unmet goals you would like to achieve.
There is so much power within each and every one of us. Whether you're going through issues big or small, support is out there to help you unlock the version of yourself that you would like to be. There is no shame in seeking out support; it is an incredibly courageous and brave step towards healing. With the assistance of therapy, we can working towards addressing any issues you are facing or unmet goals you would like to achieve.
(484) 372-3584 View (484) 372-3584
Photo of Julianne Wiebalk - Handspring Health (Insurance Accepted!), Licensed Professional Counselor in Philadelphia, PA
Julianne Wiebalk - Handspring Health (Insurance Accepted!)
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19107  (Online Only)
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
(267) 651-9044 View (267) 651-9044
Photo of Mylisa Kesselman, Licensed Professional Counselor in Philadelphia, PA
Mylisa Kesselman
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19147
It takes courage to recognize and accept when we might need help. Finding the right therapist to help may be even more challenging. My therapeutic philosophy is based on the idea that each of us has the capacity for healing and growth within ourselves. Therapy should provide you with the space to be your true and authentic self, without judgment, allowing you the freedom to realize your capacity to create meaning in your life. We will work together to develop a relationship rooted in safety and trust so that you can make choices and changes at a pace that feels right for you.
It takes courage to recognize and accept when we might need help. Finding the right therapist to help may be even more challenging. My therapeutic philosophy is based on the idea that each of us has the capacity for healing and growth within ourselves. Therapy should provide you with the space to be your true and authentic self, without judgment, allowing you the freedom to realize your capacity to create meaning in your life. We will work together to develop a relationship rooted in safety and trust so that you can make choices and changes at a pace that feels right for you.
(484) 604-2011 View (484) 604-2011
Photo of Hadley Roberts-Donnelly, LPC Intern in Philadelphia, PA
Hadley Roberts-Donnelly
LPC Intern, MSEd
Verified Verified
2 Endorsed
Philadelphia, PA 19103
We all need space to feel heard and understood. Whether we are managing a relationship conflict, a loss, a career change, or are just feeling generally crappy, we all deserve to feel supported in our journeys to find contentment. If you're struggling to make sense of your mind, we can work together to make better understandings of you, your wants, and your needs.
We all need space to feel heard and understood. Whether we are managing a relationship conflict, a loss, a career change, or are just feeling generally crappy, we all deserve to feel supported in our journeys to find contentment. If you're struggling to make sense of your mind, we can work together to make better understandings of you, your wants, and your needs.
(484) 759-9245 View (484) 759-9245
Photo of Barbara C Wallace, Psychologist in Philadelphia, PA
Barbara C Wallace
Psychologist, PhD
Verified Verified
Philadelphia, PA 19143  (Online Only)
Thirty years as a psychologist permits effective treatment of diverse clients: Black, Indigenous, and People of Color; LGBTQ+; those presenting anxiety, depression, PTSD, stress/trauma related to abuse, racism, microaggressions, work/family/relationship issues, health issues, stress responses; those recovering from varied addictions/dependencies in need of tailored relapse prevention/support; and, those working on spiritual/mindfulness goals. Experience in academia makes me the ideal psychologist for: other mental health professionals (in training/in practice), academics; graduate students negotiating academia and the dissertation.
Thirty years as a psychologist permits effective treatment of diverse clients: Black, Indigenous, and People of Color; LGBTQ+; those presenting anxiety, depression, PTSD, stress/trauma related to abuse, racism, microaggressions, work/family/relationship issues, health issues, stress responses; those recovering from varied addictions/dependencies in need of tailored relapse prevention/support; and, those working on spiritual/mindfulness goals. Experience in academia makes me the ideal psychologist for: other mental health professionals (in training/in practice), academics; graduate students negotiating academia and the dissertation.
(267) 394-9409 View (267) 394-9409
Photo of Sarah Pallivalapil-Karerat, Clinical Social Work/Therapist in Philadelphia, PA
Sarah Pallivalapil-Karerat
Clinical Social Work/Therapist, LSW
Verified Verified
Philadelphia, PA 19107
Not accepting new clients
My therapeutic approach is anti-oppressive and decolonial, rooted in my own experiences as queer, South Asian, immigrant, and Muslim-raised. I understand experiences as shaped by larger sociopolitical and cultural contexts of power, and am invested in supporting you to explore the manifestations of complex, collective, and vicarious trauma in your life. My professional background lies primarily in supporting survivors of partner violence and queer and trans individuals.
My therapeutic approach is anti-oppressive and decolonial, rooted in my own experiences as queer, South Asian, immigrant, and Muslim-raised. I understand experiences as shaped by larger sociopolitical and cultural contexts of power, and am invested in supporting you to explore the manifestations of complex, collective, and vicarious trauma in your life. My professional background lies primarily in supporting survivors of partner violence and queer and trans individuals.
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Photo of Kaitlin Wallick, Licensed Professional Counselor in Philadelphia, PA
Kaitlin Wallick
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103  (Online Only)
Hi there! My name is Kaitlin, I am Licensed in Pennsylvania, and I have 5 years of professional clinical experience working with clients of diverse backgrounds and diagnoses in both outpatient and inpatient settings. While I specialize in working with children and adolescents, I welcome clients of nearly all ages into a session with me. I am passionate about working with clients in the LGBTQ+ community, on the Autism spectrum, and those who identify as traumatized persons simply trying to survive this thing called life. My main goal during each session is to provide you with a safe space for vulnerability, process, and growth.
Hi there! My name is Kaitlin, I am Licensed in Pennsylvania, and I have 5 years of professional clinical experience working with clients of diverse backgrounds and diagnoses in both outpatient and inpatient settings. While I specialize in working with children and adolescents, I welcome clients of nearly all ages into a session with me. I am passionate about working with clients in the LGBTQ+ community, on the Autism spectrum, and those who identify as traumatized persons simply trying to survive this thing called life. My main goal during each session is to provide you with a safe space for vulnerability, process, and growth.
(484) 372-4054 View (484) 372-4054
Photo of Brian Swope, Marriage & Family Therapist in Philadelphia, PA
Brian Swope
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Philadelphia, PA 19110
I believe that everyone has their potential already within them. Because of this, therapy is a place to discover what is possible and to provide the structure, tools, and outside perspective to more consistently bring your authentic self into your everyday. As we grow, we find that the ways we’ve seen and known ourselves no longer work for us, and the people around us change the dynamics in which we operate. Whether it is big life changes and self image issues to sexuality and relationship challenges, we have to take responsibility for our part and direct our effort to the areas where we have influence and control.
I believe that everyone has their potential already within them. Because of this, therapy is a place to discover what is possible and to provide the structure, tools, and outside perspective to more consistently bring your authentic self into your everyday. As we grow, we find that the ways we’ve seen and known ourselves no longer work for us, and the people around us change the dynamics in which we operate. Whether it is big life changes and self image issues to sexuality and relationship challenges, we have to take responsibility for our part and direct our effort to the areas where we have influence and control.
(215) 764-5469 View (215) 764-5469
Photo of Katie Dixon, Licensed Professional Counselor in Philadelphia, PA
Katie Dixon
Licensed Professional Counselor, MSEd, LPC, NCC
Verified Verified
1 Endorsed
Philadelphia, PA 19147  (Online Only)
Whether you are feeling overwhelmed by the pressures of daily life, or held back by painful experiences from the past, you do not have to face life's challenges alone. I view therapy as a collaborative process which is built upon openness, understanding, and hope. I believe the most important relationship you have is with yourself. Therefore, my work with clients centers around developing a healthy sense of self in order to manage life’s difficulties more easily. My goal is to provide an environment where you will feel safe to express yourself, to be heard, to heal, and to explore the possibilities for making lasting changes.
Whether you are feeling overwhelmed by the pressures of daily life, or held back by painful experiences from the past, you do not have to face life's challenges alone. I view therapy as a collaborative process which is built upon openness, understanding, and hope. I believe the most important relationship you have is with yourself. Therefore, my work with clients centers around developing a healthy sense of self in order to manage life’s difficulties more easily. My goal is to provide an environment where you will feel safe to express yourself, to be heard, to heal, and to explore the possibilities for making lasting changes.
(267) 380-2777 View (267) 380-2777
Photo of Sojourner Gleeson, Clinical Social Work/Therapist in Philadelphia, PA
Sojourner Gleeson
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Philadelphia, PA 19125
I understand the importance of being present and engaged in service, meaningful work, and relationships. I help my clients develop approaches to mindfulness, communication, and self-care to manage stress, enhance focus, and cultivate a greater sense of presence in their daily lives. By nurturing a deeper connection to themselves and others, my clients are empowered to approach their service, work, and relationships with intentionality, authenticity, and purpose.
I understand the importance of being present and engaged in service, meaningful work, and relationships. I help my clients develop approaches to mindfulness, communication, and self-care to manage stress, enhance focus, and cultivate a greater sense of presence in their daily lives. By nurturing a deeper connection to themselves and others, my clients are empowered to approach their service, work, and relationships with intentionality, authenticity, and purpose.
(267) 517-6973 View (267) 517-6973

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$145

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
86% Depression
74% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
65% Coping Skills
60% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
68% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.