Therapists in Portsmouth, NH

Photo of Jennifer Casey, LADC Counseling, LLC , Drug & Alcohol Counselor in Portsmouth, NH
Jennifer Casey, LADC Counseling, LLC
Drug & Alcohol Counselor, LADC, BS
Verified Verified
Portsmouth, NH 03801
Substance Abuse Evaluations are my speciality, I offer quality work at a quick turn around time-frame. I’m here to help. You CAN build a life that doesn’t rely on substances. And since substance use is often a result of underlying causes, I can help you understand the issues that first led to alcohol or drug use, and help develop the skills needed to avoid the stresses that might cause a relapse. I'll help you build a support system and achieve a balanced, meaningful life – one that doesn’t rely on substances.
Substance Abuse Evaluations are my speciality, I offer quality work at a quick turn around time-frame. I’m here to help. You CAN build a life that doesn’t rely on substances. And since substance use is often a result of underlying causes, I can help you understand the issues that first led to alcohol or drug use, and help develop the skills needed to avoid the stresses that might cause a relapse. I'll help you build a support system and achieve a balanced, meaningful life – one that doesn’t rely on substances.
(207) 618-9431 View (207) 618-9431
Photo of Serenity Counseling PLLC, Clinical Social Work/Therapist in Portsmouth, NH
Serenity Counseling PLLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
Do you struggle with anxiety, depression, grief, challenging relationships that affect your day-to-day life, ability to function at home or work? Do you feel exhausted/ overwhelmed by what it means to live up to someone else’s standards, getting through the day, completing household tasks, or responding to text messages? Do you question if relationships or ability to function day to day could feel easier? Now more than ever people are feeling overwhelmed about overcoming difficult relationships, working through a loss, or finding their place in life.
Do you struggle with anxiety, depression, grief, challenging relationships that affect your day-to-day life, ability to function at home or work? Do you feel exhausted/ overwhelmed by what it means to live up to someone else’s standards, getting through the day, completing household tasks, or responding to text messages? Do you question if relationships or ability to function day to day could feel easier? Now more than ever people are feeling overwhelmed about overcoming difficult relationships, working through a loss, or finding their place in life.
(603) 828-2991 View (603) 828-2991
Photo of Adrienne Cress, Counselor in Portsmouth, NH
Adrienne Cress
Counselor, LCMHC, REAT
Verified Verified
8 Endorsed
Portsmouth, NH 03801
Life is not always an easy road to navigate and sometimes we need a guide to help us find our way again. In my work I enjoy helping my clients heal the blocks to the true authentic Self. Our fears, wounds, self-criticisms and identity issues are not who we are, but we must resolve them before we can live the life that is waiting to be ours.
Life is not always an easy road to navigate and sometimes we need a guide to help us find our way again. In my work I enjoy helping my clients heal the blocks to the true authentic Self. Our fears, wounds, self-criticisms and identity issues are not who we are, but we must resolve them before we can live the life that is waiting to be ours.
(603) 787-5179 View (603) 787-5179
Photo of The Couples Center / Couplespeak™: Susan Lager, Clinical Social Work/Therapist in Portsmouth, NH
The Couples Center / Couplespeak™: Susan Lager
Clinical Social Work/Therapist, LICSW, BCD, CPC
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
I provide a wide array of services for married and unmarried, heterosexual and same-sex partners at all stages of the coupling process. I'm passionate about helping individuals and couples to develop necessary skills and knowledge to achieve their highest potential for joy, growth, and problem-solving. I also know that not every relationship can be saved, and work with those clients, individually or together, who need to let go as amicably as possible. *I am also a Certified Discernment Counselor providing specialized brief treatment for couples presenting with ambivalence about staying married or getting divorced.
I provide a wide array of services for married and unmarried, heterosexual and same-sex partners at all stages of the coupling process. I'm passionate about helping individuals and couples to develop necessary skills and knowledge to achieve their highest potential for joy, growth, and problem-solving. I also know that not every relationship can be saved, and work with those clients, individually or together, who need to let go as amicably as possible. *I am also a Certified Discernment Counselor providing specialized brief treatment for couples presenting with ambivalence about staying married or getting divorced.
(603) 262-1792 View (603) 262-1792
Photo of Wendy Rowe, Counselor in Portsmouth, NH
Wendy Rowe
Counselor, MEd, LCMHC
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
Therapy is a way for you to express your feelings, struggles, and experiences in a place where you feel safe, comfortable and accepted for who you are. I am client led and offer support and guidance as you process feelings related to issues that are getting in the way of you living a full and balanced life. Through the counseling process, my objective is for you to discover or re-discover your own power and ability to make the changes necessary for greater life satisfaction, balance and happiness.
Therapy is a way for you to express your feelings, struggles, and experiences in a place where you feel safe, comfortable and accepted for who you are. I am client led and offer support and guidance as you process feelings related to issues that are getting in the way of you living a full and balanced life. Through the counseling process, my objective is for you to discover or re-discover your own power and ability to make the changes necessary for greater life satisfaction, balance and happiness.
(603) 580-3055 View (603) 580-3055
Photo of Kelsey Irving, Licensed Professional Counselor in Portsmouth, NH
Kelsey Irving
Licensed Professional Counselor, LPC, MSEd
Verified Verified
3 Endorsed
Portsmouth, NH 03801
Are you sick of the constant chatter in your head? The what-ifs and worst case scenarios? With years of experience treating anxiety, I can help you disrupt those repetitive anxious thoughts. Whatever the nature of your intrusive thoughts, you will never be met with shock or judgment from me. I've worked with hundreds of clients just like you and helped them to feel liberated from fear and worry. I aim to help my clients shift from a pattern of fear-based decisions to values-based decisions. Starting therapy can be intimidating but if you wait until you "feel ready," it might never happen! Message me today!
Are you sick of the constant chatter in your head? The what-ifs and worst case scenarios? With years of experience treating anxiety, I can help you disrupt those repetitive anxious thoughts. Whatever the nature of your intrusive thoughts, you will never be met with shock or judgment from me. I've worked with hundreds of clients just like you and helped them to feel liberated from fear and worry. I aim to help my clients shift from a pattern of fear-based decisions to values-based decisions. Starting therapy can be intimidating but if you wait until you "feel ready," it might never happen! Message me today!
(603) 326-4334 View (603) 326-4334
Photo of Charles Schindler, Clinical Social Work/Therapist in Portsmouth, NH
Charles Schindler
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Portsmouth, NH 03801
Charles Schindler is a Licensed Independent Clinical Social Worker. He graduated from the University of Maine with a Bachelor of Arts Degree in Psychology and a Bachelor of Science Degree in Child and Family Relationships. He earned a Masters Degree in Clinical Social Work with a focus on Trauma Recovery from Boston University. Charles has worked in the field of mental health since 2008, first treating teens and then focusing on treating adults with varying mental health diagnoses. Charles worked at The Mental Health Center of Greater Manchester for 7 years as a Psychotherapist.
Charles Schindler is a Licensed Independent Clinical Social Worker. He graduated from the University of Maine with a Bachelor of Arts Degree in Psychology and a Bachelor of Science Degree in Child and Family Relationships. He earned a Masters Degree in Clinical Social Work with a focus on Trauma Recovery from Boston University. Charles has worked in the field of mental health since 2008, first treating teens and then focusing on treating adults with varying mental health diagnoses. Charles worked at The Mental Health Center of Greater Manchester for 7 years as a Psychotherapist.
(603) 657-5141 View (603) 657-5141
Photo of Kate Lemire, Clinical Social Work/Therapist in Portsmouth, NH
Kate Lemire
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Portsmouth, NH 03801
Currently accepting new clients! Life has a way of throwing bumps at us, and oftentimes, these bumps have the ability to negatively impact our mental health. My primary goal is to build trust and safety so that I can support you, your child, or your family as you navigate these obstacles in a safe space.
Currently accepting new clients! Life has a way of throwing bumps at us, and oftentimes, these bumps have the ability to negatively impact our mental health. My primary goal is to build trust and safety so that I can support you, your child, or your family as you navigate these obstacles in a safe space.
(833) 657-0325 View (833) 657-0325
Photo of Mark D Moses, Psychologist in Portsmouth, NH
Mark D Moses
Psychologist, PhD
Verified Verified
2 Endorsed
Portsmouth, NH 03801
I feel honored to be engaged in this work and gratified when the individuals, couples and families whom I serve 'find their way'... healing, growing and discovering the possibilities in their lives.The benefits from psychotherapy may be symptomatic relief and solutions to presenting concerns. You also may learn to better cope with your family or other relationships, thus experiencing more satisfaction from those relationships. Another possible benefit may be a better understanding of your personal goals and values towards making life decisions.
I feel honored to be engaged in this work and gratified when the individuals, couples and families whom I serve 'find their way'... healing, growing and discovering the possibilities in their lives.The benefits from psychotherapy may be symptomatic relief and solutions to presenting concerns. You also may learn to better cope with your family or other relationships, thus experiencing more satisfaction from those relationships. Another possible benefit may be a better understanding of your personal goals and values towards making life decisions.
(603) 728-4515 View (603) 728-4515
Photo of Avantika K. Waleryszak, Clinical Social Work/Therapist in Portsmouth, NH
Avantika K. Waleryszak
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
You have the right to be seen and recognized in your grief and not judged. You deserve to have a safe space to share your innermost thoughts and feelings with a trusted partner. You are capable of deep healing, with the ability to live a life that is congruent with your integrity and values. You deserve a break, with time to breathe and deeply care for yourself. Your life, your thoughts and your feelings matter. Whatever challenges you are confronting right now, please know that there is a safe space to explore, learn and grow.
You have the right to be seen and recognized in your grief and not judged. You deserve to have a safe space to share your innermost thoughts and feelings with a trusted partner. You are capable of deep healing, with the ability to live a life that is congruent with your integrity and values. You deserve a break, with time to breathe and deeply care for yourself. Your life, your thoughts and your feelings matter. Whatever challenges you are confronting right now, please know that there is a safe space to explore, learn and grow.
(855) 622-5505 View (855) 622-5505
Photo of Lesley White, Clinical Social Work/Therapist in Portsmouth, NH
Lesley White
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
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Photo of Deb Heath-Barlow, Pre-Licensed Professional in Portsmouth, NH
Deb Heath-Barlow
Pre-Licensed Professional, MSW
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
I believe we need mutual respect and trust in a therapeutic relationship. I work to build relationships that have those aspects as a foundation in our work together. I use active listening, empathy and understanding with evidence-based strategies to determine customized approaches that meet each individual's needs. I utilize a strength-based, solution focused approach in my work, identifying strengths and coping skills to be used as tools for increased success. The use of cognitive behavioral therapy is the cornerstone of my work but other modalities may come into play.
I believe we need mutual respect and trust in a therapeutic relationship. I work to build relationships that have those aspects as a foundation in our work together. I use active listening, empathy and understanding with evidence-based strategies to determine customized approaches that meet each individual's needs. I utilize a strength-based, solution focused approach in my work, identifying strengths and coping skills to be used as tools for increased success. The use of cognitive behavioral therapy is the cornerstone of my work but other modalities may come into play.
(603) 709-4758 View (603) 709-4758
Photo of Christina Ennabe, Counselor in Portsmouth, NH
Christina Ennabe
Counselor, LCMHC, LPC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Currently accepting clients in NH, ME & FL. Anxiety, overthinking, and fear of making the "wrong" choices prevent you from moving forward with your goals. Self-doubt gets in the way of you having the health, the confidence, the career, the meaningful relationships, the freedom, and the true happiness that you want. But with the right guidance, you are capable of drastically changing your mindset, and ultimately your life. I provide online therapy and life coaching for the Type A high achiever who on the outside has it all together, but on the inside struggles with Anxiety, OCD, burnout, people-pleasing, perfectionism, and overwhelm.
Currently accepting clients in NH, ME & FL. Anxiety, overthinking, and fear of making the "wrong" choices prevent you from moving forward with your goals. Self-doubt gets in the way of you having the health, the confidence, the career, the meaningful relationships, the freedom, and the true happiness that you want. But with the right guidance, you are capable of drastically changing your mindset, and ultimately your life. I provide online therapy and life coaching for the Type A high achiever who on the outside has it all together, but on the inside struggles with Anxiety, OCD, burnout, people-pleasing, perfectionism, and overwhelm.
(855) 695-3085 View (855) 695-3085
Photo of Marieke Kat, Clinical Social Work/Therapist in Portsmouth, NH
Marieke Kat
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
(617) 903-8017 View (617) 903-8017
Photo of Meredith Orchard-Blowen, Counselor in Portsmouth, NH
Meredith Orchard-Blowen
Counselor, MS, LCMHC, MLADC, LLC
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
Not accepting new clients
Not accepting new clients at this time. Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
Not accepting new clients at this time. Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
(603) 678-4304 View (603) 678-4304
Photo of Joshua S Hagar, Counselor in Portsmouth, NH
Joshua S Hagar
Counselor, MS, LCPC, LCMHC, MLADC
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Hello, My name is Josh Hagar. I am a multi-licensed Mental Health Counselor (ME & NH) and Master's Level - Licensed Drug & Alcohol Counselor (NH) committed to helping those in need learn how to identify unhelpful thought patterns and behaviors. My work focuses on a progress based approach utilizing interventions that fit your specific needs. I believe in taking a collaborative path to helping clients reach their goals. I’m passionate about working with diverse clientele. My specialties include extensive work with addiction/alcoholism treatment, family issues, LGBTQIA+ challenges, and co-occurring disorders.
Hello, My name is Josh Hagar. I am a multi-licensed Mental Health Counselor (ME & NH) and Master's Level - Licensed Drug & Alcohol Counselor (NH) committed to helping those in need learn how to identify unhelpful thought patterns and behaviors. My work focuses on a progress based approach utilizing interventions that fit your specific needs. I believe in taking a collaborative path to helping clients reach their goals. I’m passionate about working with diverse clientele. My specialties include extensive work with addiction/alcoholism treatment, family issues, LGBTQIA+ challenges, and co-occurring disorders.
(603) 932-4652 View (603) 932-4652
Photo of Anath Golomb, Psychologist in Portsmouth, NH
Anath Golomb
Psychologist, PhD
Verified Verified
Portsmouth, NH 03801
I enjoy helping people improve their experience of family life. Many people have difficult relations with parents, partners or children. My training helps me understand challenges families face as children develop and marriages unfold through positive and painful surprises. Sometimes family members must weigh personal needs against the wishes of those they love. I also focus on core difficulties that interfere with school or work, including interpersonal conflict, anxiety, and uncertainty about professional choices.
I enjoy helping people improve their experience of family life. Many people have difficult relations with parents, partners or children. My training helps me understand challenges families face as children develop and marriages unfold through positive and painful surprises. Sometimes family members must weigh personal needs against the wishes of those they love. I also focus on core difficulties that interfere with school or work, including interpersonal conflict, anxiety, and uncertainty about professional choices.
(603) 967-4961 View (603) 967-4961
Photo of Catherine Fatina, Clinical Social Work/Therapist in Portsmouth, NH
Catherine Fatina
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
I love my work and am in awe of the individuals I work with who courageously address the hurts in their life that prevent them from living more fully. It maybe a crisis in a relationship, ongoing anxiety or depression, a painful trauma, or an inner sense that things are just not right. Together we pay attention to these feelings, enabling them to be talked about, more fully experienced and then understood. This transformative process can restore joy and resilience in life, as well as improve the capacity to care about oneself and be in relationship with others.
I love my work and am in awe of the individuals I work with who courageously address the hurts in their life that prevent them from living more fully. It maybe a crisis in a relationship, ongoing anxiety or depression, a painful trauma, or an inner sense that things are just not right. Together we pay attention to these feelings, enabling them to be talked about, more fully experienced and then understood. This transformative process can restore joy and resilience in life, as well as improve the capacity to care about oneself and be in relationship with others.
(603) 819-4214 View (603) 819-4214
Photo of Christopher W Griffith, Psychologist in Portsmouth, NH
Christopher W Griffith
Psychologist, PsyD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I view psychotherapy as a collaboration aimed at fostering greater self understanding while working toward personal change and symptom reduction. I strive to help my patients reach greater fulfillment in their lives by fostering understanding of the interpersonal patterns and unresolved personal, life and/or relationship issues that contribute to the challenges they face.
I view psychotherapy as a collaboration aimed at fostering greater self understanding while working toward personal change and symptom reduction. I strive to help my patients reach greater fulfillment in their lives by fostering understanding of the interpersonal patterns and unresolved personal, life and/or relationship issues that contribute to the challenges they face.
(603) 294-1703 View (603) 294-1703
Photo of Brad Lebo, Psychologist in Portsmouth, NH
Brad Lebo
Psychologist, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
(603) 803-6534 View (603) 803-6534

How does your Therapist compare?

Number of Therapists in Portsmouth, NH

300+

Average cost per session

$150

Therapists in Portsmouth, NH who prioritize treating:

94% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
69% Coping Skills
64% Stress
62% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
59% UnitedHealthcare UHC | UBH
58% Anthem | Elevance

How Therapists in Portsmouth, NH see their clients

68% In Person and Online
32% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmouth?

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.