Therapists in Rochester, NY

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Photo of Heartwork Institute, Inc. in Rochester, NY
Heartwork Institute, Inc.
MSW
Verified Verified
Rochester, NY 14617
In the heart of every problem lies its solution. We spend enormous amounts of time and energy searching for answers outside ourselves, when the answers lie within. Heartwork is a creative process, which teaches one to find fundamental solutions to both everyday problems and the more difficult life questions, transforming "problems" into doorways to compassion, insight and joy. My award-winning book, "Heartwork: How To Get What You Really, REALLY Want" gives one my orientation and the primary tools for working through one's issues. The e-book version can be downloaded at my website: www.awakentheheart.org.
In the heart of every problem lies its solution. We spend enormous amounts of time and energy searching for answers outside ourselves, when the answers lie within. Heartwork is a creative process, which teaches one to find fundamental solutions to both everyday problems and the more difficult life questions, transforming "problems" into doorways to compassion, insight and joy. My award-winning book, "Heartwork: How To Get What You Really, REALLY Want" gives one my orientation and the primary tools for working through one's issues. The e-book version can be downloaded at my website: www.awakentheheart.org.
(585) 229-8861 View (585) 229-8861
Photo of Luba Fingerut RN/LMHC, Counselor in Rochester, NY
Luba Fingerut RN/LMHC
Counselor, RN, LMHC
Verified Verified
Rochester, NY 14642  (Online Only)
I’m a licensed mental health counselor with 25 years of Critical Care nursing experience, mostly cardiac, nursing leadership, and nursing wellness experience. Through my work with critically ill patients and their families, I have met many people during their worst, hardest days. Through helping my patients’ progress and, listening to their stories, I have realized that in many cases the individual’s mind set and emotional intelligence played the most important role in their recovery. Seeing people’s resilience across difficult situations made me believe in the “mind over matter” concept.
I’m a licensed mental health counselor with 25 years of Critical Care nursing experience, mostly cardiac, nursing leadership, and nursing wellness experience. Through my work with critically ill patients and their families, I have met many people during their worst, hardest days. Through helping my patients’ progress and, listening to their stories, I have realized that in many cases the individual’s mind set and emotional intelligence played the most important role in their recovery. Seeing people’s resilience across difficult situations made me believe in the “mind over matter” concept.
(585) 476-3376 View (585) 476-3376
Photo of Kelly M. Erbland, Clinical Social Work/Therapist in Rochester, NY
Kelly M. Erbland
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14618  (Online Only)
I believe in working cooperatively with people to help them achieve balance, personal growth, and to reach their personal goals. Many people feel isolated and their anxiety or depression prevent them from being their best self. We all have the ability to learn, grow and reach our highest potential, and we cannot do it alone. Together we can identify strengths, work through challenges, and develop the skills to achieve a higher level of peace and contentment.
I believe in working cooperatively with people to help them achieve balance, personal growth, and to reach their personal goals. Many people feel isolated and their anxiety or depression prevent them from being their best self. We all have the ability to learn, grow and reach our highest potential, and we cannot do it alone. Together we can identify strengths, work through challenges, and develop the skills to achieve a higher level of peace and contentment.
(585) 636-3478 View (585) 636-3478
Photo of Lisbeth Berger Ornstein, Psychologist in Rochester, NY
Lisbeth Berger Ornstein
Psychologist, PhD
Verified Verified
Rochester, NY 14618  (Online Only)
If you are struggling with food, your weight, or how you feel about your body, I can help. Instead of continuing to feel out of control, we will work to put you back in charge. While I have been regarded as an authority in the field of eating disorders for over two decades, I also have extensive training and can offer effective treatment approaches for coping with depression, anxiety, and panic; posttraumatic stress; marital and family problems; the challenges of parenting; and infertility and adoption issues. It would be my pleasure to offer you Confidential, Compassionate Solutions for Fuller Living.
If you are struggling with food, your weight, or how you feel about your body, I can help. Instead of continuing to feel out of control, we will work to put you back in charge. While I have been regarded as an authority in the field of eating disorders for over two decades, I also have extensive training and can offer effective treatment approaches for coping with depression, anxiety, and panic; posttraumatic stress; marital and family problems; the challenges of parenting; and infertility and adoption issues. It would be my pleasure to offer you Confidential, Compassionate Solutions for Fuller Living.
(585) 204-2286 x6 View (585) 204-2286 x6
Photo of Dianna Guerin, Clinical Social Work/Therapist in Rochester, NY
Dianna Guerin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14618
Many of us have times in our lives when we get overwhelmed. And despite our best efforts to cope, we can end up feeling unhappy, lost, and alone. Perhaps you are going through something right now - a relationship conflict, a big life transition, struggling at work or in school, dealing with grief or long-standing struggles with family, identity, self-esteem, anxiety or depression. Perhaps you are dealing with a physical health issue that is impacting your emotional and mental well-being. It’s helpful at times like these to have someone there to listen and help you sort things out.
Many of us have times in our lives when we get overwhelmed. And despite our best efforts to cope, we can end up feeling unhappy, lost, and alone. Perhaps you are going through something right now - a relationship conflict, a big life transition, struggling at work or in school, dealing with grief or long-standing struggles with family, identity, self-esteem, anxiety or depression. Perhaps you are dealing with a physical health issue that is impacting your emotional and mental well-being. It’s helpful at times like these to have someone there to listen and help you sort things out.
(585) 294-4827 View (585) 294-4827
Photo of Megan Montgomery, Clinical Social Work/Therapist in Rochester, NY
Megan Montgomery
Clinical Social Work/Therapist, LICSW, LCSW, TCTSY-F
Verified Verified
2 Endorsed
Rochester, NY 14618
I am a Licensed Clinical Social Worker in NY & MA who has spent my career working in the field of adoption. I have over 15 years of experience working with adoptive families, am Attachment and Trauma Focused Trained as well as a Trauma Center Trauma Sensitive Yoga Facilitator. I provide pre and post adoption support that includes individual consultations to those considering adoption as a pathway to grow their family, short-term attachment-focused counseling with adoptive families, can support adoptees who are considering searching for birth family and offer Trauma Center Trauma Sensitive Yoga.
I am a Licensed Clinical Social Worker in NY & MA who has spent my career working in the field of adoption. I have over 15 years of experience working with adoptive families, am Attachment and Trauma Focused Trained as well as a Trauma Center Trauma Sensitive Yoga Facilitator. I provide pre and post adoption support that includes individual consultations to those considering adoption as a pathway to grow their family, short-term attachment-focused counseling with adoptive families, can support adoptees who are considering searching for birth family and offer Trauma Center Trauma Sensitive Yoga.
(585) 601-1361 View (585) 601-1361
Photo of Kerry Bauer, Clinical Social Work/Therapist in Rochester, NY
Kerry Bauer
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14618
Would you like to manage your anxiety better? Perhaps you are struggling with changes in your life or relationship? I help individuals and couples through these difficult challenges, with specific steps toward healing and regaining balance. I understand how frustrating and confusing shifts in life can become, and how challenges can impact our self-esteem and our relationships, as well as cloud the meaning in our lives. Whether you are managing a new life transition such as parenthood, a career or school change, or are working to have a better relationship, I am here to support and guide you toward stability and balance again.
Would you like to manage your anxiety better? Perhaps you are struggling with changes in your life or relationship? I help individuals and couples through these difficult challenges, with specific steps toward healing and regaining balance. I understand how frustrating and confusing shifts in life can become, and how challenges can impact our self-esteem and our relationships, as well as cloud the meaning in our lives. Whether you are managing a new life transition such as parenthood, a career or school change, or are working to have a better relationship, I am here to support and guide you toward stability and balance again.
(585) 294-4861 View (585) 294-4861
Photo of Elizabeth Zinn, Clinical Social Work/Therapist in Rochester, NY
Elizabeth Zinn
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rochester, NY 14621
Sometimes life's challenges become unmanageable and we need someone to help us navigate until we can once again find our way. Whether you are having difficulty in relationships, adjusting to life changes, struggling with depression or anxious feeling, or can't take care of life's daily activities the way you'd like to, therapy can help. I hope to create a comfortable, safe and confidential environment where you feel understood and accepted. I will help you explore your life stressors and create an environment to help you look at your concerns from an unbiased perspective, helping you to find your unique path.
Sometimes life's challenges become unmanageable and we need someone to help us navigate until we can once again find our way. Whether you are having difficulty in relationships, adjusting to life changes, struggling with depression or anxious feeling, or can't take care of life's daily activities the way you'd like to, therapy can help. I hope to create a comfortable, safe and confidential environment where you feel understood and accepted. I will help you explore your life stressors and create an environment to help you look at your concerns from an unbiased perspective, helping you to find your unique path.
(585) 805-5017 View (585) 805-5017
Photo of Heather Elston, Clinical Social Work/Therapist in Rochester, NY
Heather Elston
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rochester, NY 14625
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
(585) 357-4815 View (585) 357-4815
Photo of Howard B. Adler, Clinical Social Work/Therapist in Rochester, NY
Howard B. Adler
Clinical Social Work/Therapist, LCSW-R, CSAT
Verified Verified
Rochester, NY 14610
Not accepting new clients
If you are struggling with anxiety, depression, low self-worth, a tough inner critic, or preoccupied with unwanted urges, thoughts or behaviors, I'm here to help. I will assist you in getting to know yourself better and transform the parts of you that are currently getting in the way of your happiness and aspirations for a better life. Let's work together to relieve your fears, insecurities, depression, anxiety, and intimacy issues. In addition, I am certified to help those struggling with the disruptive impact of sex & pornography addiction and betrayal trauma. This too can be healed for both you and your partner.
If you are struggling with anxiety, depression, low self-worth, a tough inner critic, or preoccupied with unwanted urges, thoughts or behaviors, I'm here to help. I will assist you in getting to know yourself better and transform the parts of you that are currently getting in the way of your happiness and aspirations for a better life. Let's work together to relieve your fears, insecurities, depression, anxiety, and intimacy issues. In addition, I am certified to help those struggling with the disruptive impact of sex & pornography addiction and betrayal trauma. This too can be healed for both you and your partner.
(585) 268-3491 View (585) 268-3491
Photo of Evelyn Bennett, Art Therapist in Rochester, NY
Evelyn Bennett
Art Therapist, LCAT
Verified Verified
1 Endorsed
Rochester, NY 14625
I support individuals and all consensual relationships, who are struggling with anxiety, depression, the impact of trauma, and any relational concerns to create a meaningful way of being. I hope to work with you to question the expectations placed on you by society to enhance your lived experience. My work with you is person-centered, in that your goals and experiences are essential to our process. I believe deeply that I am guiding, witnessing, and holding space for you to grow. I am an ally to the LGBTQIA+ community and am Kink, BDSM, and Poly aware. All your expressions and relationship structures are welcome.
I support individuals and all consensual relationships, who are struggling with anxiety, depression, the impact of trauma, and any relational concerns to create a meaningful way of being. I hope to work with you to question the expectations placed on you by society to enhance your lived experience. My work with you is person-centered, in that your goals and experiences are essential to our process. I believe deeply that I am guiding, witnessing, and holding space for you to grow. I am an ally to the LGBTQIA+ community and am Kink, BDSM, and Poly aware. All your expressions and relationship structures are welcome.
(585) 669-6483 View (585) 669-6483
Photo of Jane Ruoff, Psychologist in Rochester, NY
Jane Ruoff
Psychologist, PhD
Verified Verified
Rochester, NY 14618
Welcome! As a clinical psychologist, I help adults who are struggling with anxiety, social anxiety, insomnia, low self-esteem, and interpersonal difficulties. I also work with people who are experiencing significant loss or life transitions. I provide a confidential, safe, and compassionate setting where you can feel understood on your own terms. My eclectic approach to treatment includes psychodynamic, cognitive-behavioral, and mindfulness perspectives, and I tailor my approach to meet the individual needs of each client.
Welcome! As a clinical psychologist, I help adults who are struggling with anxiety, social anxiety, insomnia, low self-esteem, and interpersonal difficulties. I also work with people who are experiencing significant loss or life transitions. I provide a confidential, safe, and compassionate setting where you can feel understood on your own terms. My eclectic approach to treatment includes psychodynamic, cognitive-behavioral, and mindfulness perspectives, and I tailor my approach to meet the individual needs of each client.
(585) 502-1498 View (585) 502-1498
Photo of Audra Dion, Counselor in Rochester, NY
Audra Dion
Counselor, MSEd, LMHC, NCC
Verified Verified
Rochester, NY 14609
My passion is inspiring people to maximize their life potential by helping them release the ties that are binding them to unhappiness and suffering. The heart of counseling is not to give advice or to fix, the heart of counseling is to create the natural conditions for growth wherein the client (that's you!) evolves beyond the problems they are experiencing and discovers the depths of their own personal power that they can bring to any life challenge.
My passion is inspiring people to maximize their life potential by helping them release the ties that are binding them to unhappiness and suffering. The heart of counseling is not to give advice or to fix, the heart of counseling is to create the natural conditions for growth wherein the client (that's you!) evolves beyond the problems they are experiencing and discovers the depths of their own personal power that they can bring to any life challenge.
(585) 479-3477 View (585) 479-3477
Photo of Molly Holmes, Counselor in Rochester, NY
Molly Holmes
Counselor, LMHC
Verified Verified
Rochester, NY 14622  (Online Only)
Are you stuck in a bad pattern and can't find the way out? Do you find yourself having the same fight (with yourself or someone you care about) over and over? From addictions to disordered eating to codependent relationships, I help people build new habits that better suit their ideal life. My goal is to help you get out of the cycle and create a happier, healthier version you can be proud of!
Are you stuck in a bad pattern and can't find the way out? Do you find yourself having the same fight (with yourself or someone you care about) over and over? From addictions to disordered eating to codependent relationships, I help people build new habits that better suit their ideal life. My goal is to help you get out of the cycle and create a happier, healthier version you can be proud of!
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Photo of Christina D Molinero-Walker in Rochester, NY
Christina D Molinero-Walker
LMSW
Verified Verified
2 Endorsed
Rochester, NY 14624  (Online Only)
Welcome! Here you have the opportunity to be seen and heard without judgment or bias, free to express and navigate who you truly are. Life is hard, I totally understand. Sometimes we can all use the help of therapy to navigate through past experiences and trauma to become a better present day self. I am committed to helping you become the best version of you! Please feel free to click on the "My Website" tab and schedule a free 15 minute consult today to further explore your treatment goals!
Welcome! Here you have the opportunity to be seen and heard without judgment or bias, free to express and navigate who you truly are. Life is hard, I totally understand. Sometimes we can all use the help of therapy to navigate through past experiences and trauma to become a better present day self. I am committed to helping you become the best version of you! Please feel free to click on the "My Website" tab and schedule a free 15 minute consult today to further explore your treatment goals!
(585) 523-2238 View (585) 523-2238
Photo of Martin F Lynch, Psychologist in Rochester, NY
Martin F Lynch
Psychologist, PhD, MDiv
Verified Verified
Rochester, NY 14618  (Online Only)
We can't change the past, but we can try to understand it. Perhaps more importantly, we can decide how we want to live in the present. What is it that is keeping you from experiencing greater meaning and fulfillment in life?
We can't change the past, but we can try to understand it. Perhaps more importantly, we can decide how we want to live in the present. What is it that is keeping you from experiencing greater meaning and fulfillment in life?
(585) 645-0802 View (585) 645-0802
Photo of Family & Personal Counseling, Counselor in Rochester, NY
Family & Personal Counseling
Counselor, MS, LMHC, ASAC, CCH
Verified Verified
Rochester, NY 14618
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
(631) 749-6844 View (631) 749-6844
Photo of Michael Kemp-Schneider, Clinical Social Work/Therapist in Rochester, NY
Michael Kemp-Schneider
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14625
Over the past 30 years, I have worked with people struggling with a variety of distressing issues ranging from grief, substance abuse, family members impacted by substance abuse, struggles with mood disorders, men's issues and trauma. These issues are pages of our life story. Many times people feel isolated; the idea of sharing their story with a "stranger" feels too daunting, too personal. I find most clients, in the end, desire to feel more comfortable in their own skin. Identifying behavior patterns and ways we think and feel about ourselves is a huge first step toward making meaningful change.
Over the past 30 years, I have worked with people struggling with a variety of distressing issues ranging from grief, substance abuse, family members impacted by substance abuse, struggles with mood disorders, men's issues and trauma. These issues are pages of our life story. Many times people feel isolated; the idea of sharing their story with a "stranger" feels too daunting, too personal. I find most clients, in the end, desire to feel more comfortable in their own skin. Identifying behavior patterns and ways we think and feel about ourselves is a huge first step toward making meaningful change.
(585) 382-1730 View (585) 382-1730
Photo of Annie Collins in Rochester, NY
Annie Collins
LMSW
Verified Verified
Rochester, NY 14626
Growing up can be challenging in itself. Anxiety, depression, trauma, and other additional challenges can make it difficult to navigate transitions, social relationships, and everyday life. You may be seeking an external support to work through everyday struggles with, or assistance with a mental health concern. Or, you are looking for a temporary support to help with processing a traumatic event or navigating a transition. Everyone deserves support, especially when they recognize they need it. I specialize in working with high college-aged women facing these challenges.
Growing up can be challenging in itself. Anxiety, depression, trauma, and other additional challenges can make it difficult to navigate transitions, social relationships, and everyday life. You may be seeking an external support to work through everyday struggles with, or assistance with a mental health concern. Or, you are looking for a temporary support to help with processing a traumatic event or navigating a transition. Everyone deserves support, especially when they recognize they need it. I specialize in working with high college-aged women facing these challenges.
(585) 699-2159 View (585) 699-2159
Photo of William Schroeder, Marriage & Family Therapist in Rochester, NY
William Schroeder
Marriage & Family Therapist, LMFT, CSAT
Verified Verified
Rochester, NY 14620
Not accepting new clients
Relationships and trauma are my focus. I work with couples and individuals to help create more security in how people relate to themselves and those around them. I have a substantial capacity for being present with people working with extreme emotions and painful conflict; providing insight and modeling compassion. Blending therapeutic approaches with mindfulness and grounding techniques, I focus on the here and now to help clients recognize and work on their patterns as they arise in the moment. My experience addressing the socialization of men in our culture and masculinity issues also aid the self-discovery and healing process
Relationships and trauma are my focus. I work with couples and individuals to help create more security in how people relate to themselves and those around them. I have a substantial capacity for being present with people working with extreme emotions and painful conflict; providing insight and modeling compassion. Blending therapeutic approaches with mindfulness and grounding techniques, I focus on the here and now to help clients recognize and work on their patterns as they arise in the moment. My experience addressing the socialization of men in our culture and masculinity issues also aid the self-discovery and healing process
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How does your Therapist compare?

Number of Therapists in Rochester, NY

800+

Average cost per session

$125

Therapists in Rochester, NY who prioritize treating:

93% Anxiety
86% Depression
81% Relationship Issues
76% Self Esteem
71% Stress
70% Coping Skills
69% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
57% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.