Therapists in Saint Paul, MN

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Photo of Catherine M Hedberg, Psychologist in Saint Paul, MN
Catherine M Hedberg
Psychologist, MA, LP
Verified Verified
Saint Paul, MN 55114
Fear is the emotion underlying most problems in our lives. We are often the biggest hurdle to reaching our potential. Whether it's fear of success, or performance, stage fright, or fear of becoming more engaged in life and with others, it all connects back to our own beliefs limiting our potential. What we believe about ourselves dictates how successful we are or aren't. Wanting it to be different usually isn't enough. Liberating ourselves from our self-created shackles is the answer, and changing neurocognitive pathways is the key. Life can be very different once this happens.
Fear is the emotion underlying most problems in our lives. We are often the biggest hurdle to reaching our potential. Whether it's fear of success, or performance, stage fright, or fear of becoming more engaged in life and with others, it all connects back to our own beliefs limiting our potential. What we believe about ourselves dictates how successful we are or aren't. Wanting it to be different usually isn't enough. Liberating ourselves from our self-created shackles is the answer, and changing neurocognitive pathways is the key. Life can be very different once this happens.
(651) 314-1639 View (651) 314-1639
Photo of Patrick Castrenze, Marriage & Family Therapist in Saint Paul, MN
Patrick Castrenze
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55104
I specialize in working with adults, young adults, college students, and parents/caregivers who want to feel less anxious, less overwhelmed, and more present in their lives. Many of my clients are facing major life transitions, feeling held back by old patterns, or wanting to explore different parts of themselves. And many of the parents I work with are struggling to be the parents they can or want to be. Together, we'll address your struggles with your partner(s), friends, or family members. Contact me here on Psychology Today, or reach out via our website: www.collegetherapycenter.com.
I specialize in working with adults, young adults, college students, and parents/caregivers who want to feel less anxious, less overwhelmed, and more present in their lives. Many of my clients are facing major life transitions, feeling held back by old patterns, or wanting to explore different parts of themselves. And many of the parents I work with are struggling to be the parents they can or want to be. Together, we'll address your struggles with your partner(s), friends, or family members. Contact me here on Psychology Today, or reach out via our website: www.collegetherapycenter.com.
(612) 712-6435 View (612) 712-6435
Photo of Anran Zhou, Marriage & Family Therapist Associate in Saint Paul, MN
Anran Zhou
Marriage & Family Therapist Associate, MS, LAMFT
Verified Verified
Saint Paul, MN 55114
Currently Accepting Clients - If you find you are struggling to believe you are enough, or to deal with the weight of racialized trauma, immigration, or cross-cultural issues, wishing for less anxiety or depression, or seeking less conflict and more peace in your relationships, I can help. I work with couples, families, and individuals who want to feel seen and heard, and who long for a sense of belonging. I have special expertise supporting members of Asian/Asian American communities, and navigating the relational dynamics of interracial/intercultural couples.
Currently Accepting Clients - If you find you are struggling to believe you are enough, or to deal with the weight of racialized trauma, immigration, or cross-cultural issues, wishing for less anxiety or depression, or seeking less conflict and more peace in your relationships, I can help. I work with couples, families, and individuals who want to feel seen and heard, and who long for a sense of belonging. I have special expertise supporting members of Asian/Asian American communities, and navigating the relational dynamics of interracial/intercultural couples.
(651) 390-1615 View (651) 390-1615
Photo of Thomas M. Ellis, Marriage & Family Therapist in Saint Paul, MN
Thomas M. Ellis
Marriage & Family Therapist, Emeritu, MA, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55102
Not accepting new clients
While I am no longer providing therapy services, I've had the privilege to work with individuals, couples, families and groups since 1999. I've had 2 books published; "This Thing Called Grief: New Understandings of Loss," and "Enzo Isn't There," a childrens book. They can be found in most libraries, amazon.com and local book stores.
While I am no longer providing therapy services, I've had the privilege to work with individuals, couples, families and groups since 1999. I've had 2 books published; "This Thing Called Grief: New Understandings of Loss," and "Enzo Isn't There," a childrens book. They can be found in most libraries, amazon.com and local book stores.
(651) 433-6294 View (651) 433-6294
Photo of Jodi Leirness, Psychologist in Saint Paul, MN
Jodi Leirness
Psychologist, PsyD, LP
Verified Verified
Saint Paul, MN 55102  (Online Only)
Welcome to my practice. I am currently accepting new clients. My name is Dr. Jodi Leirness (she/her) and I am a licensed psychologist in the state of Minnesota. My true passion is providing therapy services and walking alongside my clients as they search for and discover growth and healing in their lives. While life can bring joy, it can also brings stress, anxiety, depression, grief, pain and suffering. My goal is to create a safe and healing space where you can speak your truth alongside someone who truly cares about you, your wellness, your wholeness, and your authentic happiness.
Welcome to my practice. I am currently accepting new clients. My name is Dr. Jodi Leirness (she/her) and I am a licensed psychologist in the state of Minnesota. My true passion is providing therapy services and walking alongside my clients as they search for and discover growth and healing in their lives. While life can bring joy, it can also brings stress, anxiety, depression, grief, pain and suffering. My goal is to create a safe and healing space where you can speak your truth alongside someone who truly cares about you, your wellness, your wholeness, and your authentic happiness.
(651) 478-2321 View (651) 478-2321
Photo of Anshan Moore Eckard, Psychologist in Saint Paul, MN
Anshan Moore Eckard
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55116
Not accepting new clients
I believe that we all have strengths that enable us to be our best selves. Therapy can be helpful when we have lost a sense of who we are, what we want, or how to get the life we want to have. I use the individual's strengths as a base for which new skills can be built upon. I focus on gaining insight into what is working and what is not, and work collaboratively to come up with solutions and new ideas. I believe that a connection with a compassionate and supportive therapist is vital.
I believe that we all have strengths that enable us to be our best selves. Therapy can be helpful when we have lost a sense of who we are, what we want, or how to get the life we want to have. I use the individual's strengths as a base for which new skills can be built upon. I focus on gaining insight into what is working and what is not, and work collaboratively to come up with solutions and new ideas. I believe that a connection with a compassionate and supportive therapist is vital.
(612) 260-7018 View (612) 260-7018
Photo of Marina A. Feldman, Pre-Licensed Professional in Saint Paul, MN
Marina A. Feldman
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55104
Does anxiety make you feel stuck? Do you feel like you are facing life’s challenges and struggles alone? I am here to assure there is hope and that therapy can open the space for you to unload all the burdens and allow you to process your experiences in a safe and caring environment. As a therapist working with individuals experiencing anxiety, depression, neurodiversity, ADHD, stress, trauma, and women’s issues, I am here to provide authentic and honest support while helping you navigate your struggles. Remember, you are capable of incredible things, and I am here to guide you towards the life you deserve.
Does anxiety make you feel stuck? Do you feel like you are facing life’s challenges and struggles alone? I am here to assure there is hope and that therapy can open the space for you to unload all the burdens and allow you to process your experiences in a safe and caring environment. As a therapist working with individuals experiencing anxiety, depression, neurodiversity, ADHD, stress, trauma, and women’s issues, I am here to provide authentic and honest support while helping you navigate your struggles. Remember, you are capable of incredible things, and I am here to guide you towards the life you deserve.
(651) 237-8191 View (651) 237-8191
Photo of Charlie Miller, Counselor in Saint Paul, MN
Charlie Miller
Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55105
Having challenges with mental health can be overwhelming, lonely, and distressing. My goal is to welcome you and/or your loved ones to a comfortable space where we can explore these difficulties. I come with an accepting trauma-informed mindset to encourage learning, growth, and perseverance. Let me join you in finding your strengths and resilience.
Having challenges with mental health can be overwhelming, lonely, and distressing. My goal is to welcome you and/or your loved ones to a comfortable space where we can explore these difficulties. I come with an accepting trauma-informed mindset to encourage learning, growth, and perseverance. Let me join you in finding your strengths and resilience.
(651) 877-8458 View (651) 877-8458
Photo of Amal Aden, Pre-Licensed Professional in Saint Paul, MN
Amal Aden
Pre-Licensed Professional, MPS, LADC
Verified Verified
2 Endorsed
Saint Paul, MN 55114
Embarking on personal growth and healing speaks to your resilience; I'm honored to join your journey. As a clinician, I create a supportive space for exploration, growth, and empowerment. With extensive experience in inpatient and outpatient settings, I embrace a holistic approach, that is aimed toward collaboration. My toolbox includes evidence-based practices to foster self-awareness and equip you with practical skills. I've worked with diverse issues like depression, anxiety, trauma, relational issues, racial trauma, substance use, grief, and school/career/life transitions. I will collaborate with you to overcome any obstacles.
Embarking on personal growth and healing speaks to your resilience; I'm honored to join your journey. As a clinician, I create a supportive space for exploration, growth, and empowerment. With extensive experience in inpatient and outpatient settings, I embrace a holistic approach, that is aimed toward collaboration. My toolbox includes evidence-based practices to foster self-awareness and equip you with practical skills. I've worked with diverse issues like depression, anxiety, trauma, relational issues, racial trauma, substance use, grief, and school/career/life transitions. I will collaborate with you to overcome any obstacles.
(651) 240-2897 View (651) 240-2897
Photo of Allison Cross, Marriage & Family Therapist in Saint Paul, MN
Allison Cross
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55126
Have you had repeated difficulties in relationships that leave you feeling as if you are forever stuck? Do you find yourself wanting to make changes but being unable to make these changes happen? Are you feeling confused or uncertain about yourself or the future and need someone to talk to? These are all excellent reasons to seek therapy. I work specifically with people who struggle in relationships, have histories of trauma or have issues with self-worth, anxiety or depression.
Have you had repeated difficulties in relationships that leave you feeling as if you are forever stuck? Do you find yourself wanting to make changes but being unable to make these changes happen? Are you feeling confused or uncertain about yourself or the future and need someone to talk to? These are all excellent reasons to seek therapy. I work specifically with people who struggle in relationships, have histories of trauma or have issues with self-worth, anxiety or depression.
(612) 260-7111 View (612) 260-7111
Photo of Emma Klaustermeier, Clinical Social Work/Therapist in Saint Paul, MN
Emma Klaustermeier
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Saint Paul, MN 55113  (Online Only)
Therapy shouldn't be neutral towards oppression. Welcome to the world of anti-oppressive, anti-capitalist, trans-celebratory feminist psychotherapy! My name is Emma (she/her), and I am a Neurodivergent therapist who helps folx treat their OCD and manage their ADHD (two things that I also have!). My therapeutic approach is systems-informed, casual, and Neurodivergence-affirming (which means my clients and I color, crochet, and otherwise mindlessly fidget during sessions). I am professionally trained in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) and use psychoeducation in all areas of my practice.
Therapy shouldn't be neutral towards oppression. Welcome to the world of anti-oppressive, anti-capitalist, trans-celebratory feminist psychotherapy! My name is Emma (she/her), and I am a Neurodivergent therapist who helps folx treat their OCD and manage their ADHD (two things that I also have!). My therapeutic approach is systems-informed, casual, and Neurodivergence-affirming (which means my clients and I color, crochet, and otherwise mindlessly fidget during sessions). I am professionally trained in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) and use psychoeducation in all areas of my practice.
(651) 427-3107 View (651) 427-3107
Photo of Mai Ko Xiong, Clinical Social Work/Therapist in Saint Paul, MN
Mai Ko Xiong
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55103  (Online Only)
I create a safe space for individuals to tell their story, express theirselves, explore and find healing at their own pace, free from judgment.
I create a safe space for individuals to tell their story, express theirselves, explore and find healing at their own pace, free from judgment.
(651) 419-5452 View (651) 419-5452
Photo of Colleen Clarke, Pre-Licensed Professional in Saint Paul, MN
Colleen Clarke
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55116
Hi! I am open-minded, curious, empathetic, and non-judgmental. I believe in community and reaching out to others for support. Having raised three young adults, I am drawn to conversations about life transition, identity and career exploration, relationships, trauma, anxiety, depression, and mental health issues affecting young adults and adults of all ages. I seek to listen to and support adults in their process of healing and self-exploration. As a cis-gendered, white woman who has lived in many different communities around the US, I continue to strive to learn about others’ culture and experiences with humility and curiosity.
Hi! I am open-minded, curious, empathetic, and non-judgmental. I believe in community and reaching out to others for support. Having raised three young adults, I am drawn to conversations about life transition, identity and career exploration, relationships, trauma, anxiety, depression, and mental health issues affecting young adults and adults of all ages. I seek to listen to and support adults in their process of healing and self-exploration. As a cis-gendered, white woman who has lived in many different communities around the US, I continue to strive to learn about others’ culture and experiences with humility and curiosity.
(612) 662-4227 View (612) 662-4227
Photo of Megan Plumstead, Psychologist in Saint Paul, MN
Megan Plumstead
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Saint Paul, MN 55104
Waitlist for new clients
With more than a decade of experience in hospitals, clinics, and private practice, I am guided by the belief that there is more that’s right with people, than is wrong with people. There is much about the way we live that contributes to the feeling of disconnection and destabilization that so many of us feel. And yet, few of us were ever taught the skills to navigate the seemingly simple (but actually pretty complex) worlds that we live in.
With more than a decade of experience in hospitals, clinics, and private practice, I am guided by the belief that there is more that’s right with people, than is wrong with people. There is much about the way we live that contributes to the feeling of disconnection and destabilization that so many of us feel. And yet, few of us were ever taught the skills to navigate the seemingly simple (but actually pretty complex) worlds that we live in.
(612) 294-8395 View (612) 294-8395
Photo of Maureen Rivord, Clinical Social Work/Therapist in Saint Paul, MN
Maureen Rivord
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55104
I feel privileged to help guide clients on a journey toward living more fulfilling lives. Whether client's struggle with anxiety, OCD, perfectionism or an eating disorder, my therapeutic style is to take a compassionate and nonjudgmental approach in our work together. I strive to meet clients wherever they are, and help them move towards where they want to be based on their own goals and values. I believe connection, collaboration and humor are essential qualities to fostering a trusting and warm therapeutic environment where I will encourage vulnerability and risk taking to help client's move towards what is important to them.
I feel privileged to help guide clients on a journey toward living more fulfilling lives. Whether client's struggle with anxiety, OCD, perfectionism or an eating disorder, my therapeutic style is to take a compassionate and nonjudgmental approach in our work together. I strive to meet clients wherever they are, and help them move towards where they want to be based on their own goals and values. I believe connection, collaboration and humor are essential qualities to fostering a trusting and warm therapeutic environment where I will encourage vulnerability and risk taking to help client's move towards what is important to them.
(612) 260-8793 View (612) 260-8793
Photo of Karen Jeffords-Brown, Psychologist in Saint Paul, MN
Karen Jeffords-Brown
Psychologist, MA, LP
Verified Verified
Saint Paul, MN 55105  (Online Only)
People come into therapy because they want something to change in their lives--how they feel, how they relate to others, how they handle stress. I enjoy working with people who want to commit to working in therapy; who have the courage to face the important issues; who want to work collaboratively with me to find the solutions to feeling better. I consider myself a guide and coach in this process as we get to know each other. It gives me great joy to watch my clients grow, change and start to enjoy life again.
People come into therapy because they want something to change in their lives--how they feel, how they relate to others, how they handle stress. I enjoy working with people who want to commit to working in therapy; who have the courage to face the important issues; who want to work collaboratively with me to find the solutions to feeling better. I consider myself a guide and coach in this process as we get to know each other. It gives me great joy to watch my clients grow, change and start to enjoy life again.
(612) 840-4138 View (612) 840-4138
Photo of Sonja Walker, Marriage & Family Therapist in Saint Paul, MN
Sonja Walker
Marriage & Family Therapist, LMFT
Verified Verified
Saint Paul, MN 55106
My name is Sonja Walker. I am a Licensed Marriage and Family Therapist. I have been working within clinical practice for over 12 years. My experiences are with clients dealing with grief and ambiguous loss, mental health, trauma, divorce, attachment with relationships, parenting, crisis management, inpatient mental health, outpatient/inpatient addiction treatment, transitional services for families dealing with incarceration or legal issues, sexuality concerns and multicultural family systems.
My name is Sonja Walker. I am a Licensed Marriage and Family Therapist. I have been working within clinical practice for over 12 years. My experiences are with clients dealing with grief and ambiguous loss, mental health, trauma, divorce, attachment with relationships, parenting, crisis management, inpatient mental health, outpatient/inpatient addiction treatment, transitional services for families dealing with incarceration or legal issues, sexuality concerns and multicultural family systems.
(651) 374-9173 View (651) 374-9173
Photo of Mike Fendt, Psychologist in Saint Paul, MN
Mike Fendt
Psychologist, LP
Verified Verified
Saint Paul, MN 55102
Welcome All, Dr. Mike enjoys working with children and families, adolescents, adults, and the elderly regarding Serious Mental Illness (e.g., Schizophrenia, Bipolar disorder, Complex personality disorders), depressive and anxiety disorders, co-occurring disorders, dementia, and a range of other social/psychological problems and issues. If testing is needed or required to differentiate or refine a diagnosis or to broaden your knowledge and inform your concerns testing is available.
Welcome All, Dr. Mike enjoys working with children and families, adolescents, adults, and the elderly regarding Serious Mental Illness (e.g., Schizophrenia, Bipolar disorder, Complex personality disorders), depressive and anxiety disorders, co-occurring disorders, dementia, and a range of other social/psychological problems and issues. If testing is needed or required to differentiate or refine a diagnosis or to broaden your knowledge and inform your concerns testing is available.
(651) 427-2593 View (651) 427-2593
Photo of Nora L. Hollenkamp, Clinical Social Work/Therapist in Saint Paul, MN
Nora L. Hollenkamp
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55102
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
You may have lost a job, a beloved pet, or are caring for an aging loved one. Perhaps a significant relationship in your life has taken a turn and you feel alone or confused with what your "new normal" looks like. Maybe you are a recent college graduate and struggle to find meaning in your everyday adult life. Whatever your problem may be, I can help navigate the turbulent waters in life and help you reach both your short- and long-term goals.
(763) 317-0829 View (763) 317-0829
Photo of Jessica Pederson Willman, Clinical Social Work/Therapist in Saint Paul, MN
Jessica Pederson Willman
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Saint Paul, MN 55104
I approach therapy sessions with empathy and curiosity, inviting clients into a collaborative space to slow down, question, and reflect. People feel stuck in difficult patterns, struggle to engage, and criticize themselves for their inability to manage daily stressors and triggers. Central to my therapy practice is creation of a safe environment to process and explore, reconnecting to parts of ourselves we have lost connection with. I have a lasting commitment to training and treatment on trauma, both PTSD and Complex-PTSD (developmental, attachment, relational trauma). My website is www.honeyruncounseling.com for more information.
I approach therapy sessions with empathy and curiosity, inviting clients into a collaborative space to slow down, question, and reflect. People feel stuck in difficult patterns, struggle to engage, and criticize themselves for their inability to manage daily stressors and triggers. Central to my therapy practice is creation of a safe environment to process and explore, reconnecting to parts of ourselves we have lost connection with. I have a lasting commitment to training and treatment on trauma, both PTSD and Complex-PTSD (developmental, attachment, relational trauma). My website is www.honeyruncounseling.com for more information.
(612) 482-0937 View (612) 482-0937

How does your Therapist compare?

Number of Therapists in Saint Paul, MN

1,000+

Average cost per session

$170

Therapists in Saint Paul, MN who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
68% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% UCare
68% HealthPartners of MN and WI

How Therapists in Saint Paul, MN see their clients

74% In Person and Online
26% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Paul?

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.