Therapists in Boston, MA

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Photo of Rikki Provda, Clinical Social Work/Therapist in Boston, MA
Rikki Provda
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boston, MA 02114
I enjoy working with people who are struggling with substance use, whether they are just beginning to question their use and habits or they have experienced chronic relapse and feel hopeless. I believe part of that process is ensuring they are informed of options available and helping them discover their “why.” I have experience supporting people in identifying their strengths, finding coping skills, and creating measurable, attainable goals. I am skilled at navigating treatment systems/levels of care in Massachusetts. I have experience with medical detoxification protocols and can discuss options for medication-supported treatment.
I enjoy working with people who are struggling with substance use, whether they are just beginning to question their use and habits or they have experienced chronic relapse and feel hopeless. I believe part of that process is ensuring they are informed of options available and helping them discover their “why.” I have experience supporting people in identifying their strengths, finding coping skills, and creating measurable, attainable goals. I am skilled at navigating treatment systems/levels of care in Massachusetts. I have experience with medical detoxification protocols and can discuss options for medication-supported treatment.
(617) 915-4982 View (617) 915-4982
Photo of Finora Rodriques, Counselor in Boston, MA
Finora Rodriques
Counselor
Verified Verified
Boston, MA 02199  (Online Only)
Hi! I'm Finora. Are you feeling burdened by the seemingly never ending demands of life and finding it difficult to manage expectations related to the self, relationships, and responsibilities? Do you have experience with distressful thoughts and/or feelings that you can't seem to shake?
Hi! I'm Finora. Are you feeling burdened by the seemingly never ending demands of life and finding it difficult to manage expectations related to the self, relationships, and responsibilities? Do you have experience with distressful thoughts and/or feelings that you can't seem to shake?
(617) 944-5473 View (617) 944-5473
Photo of Carolyn Glass, Clinical Social Work/Therapist in Boston, MA
Carolyn Glass
Clinical Social Work/Therapist, LCSW, LICSW, MBA
Verified Verified
Boston, MA 02116
I work with adults who want to live happier and more connected lives. Clients see me to alleviate anxiety and depression, navigate relationships, and adjust to transitions. As a former executive with an MBA, I have a particular interest in supporting women through career or relationship transitions, and guiding the balance of personal responsibilities. I see therapy not as a lifelong commitment but a helpful tool to develop insight through a collaborative, empathic, and supportive process. Clients leave energized and able to articulate, clarify, and achieve their goals.
I work with adults who want to live happier and more connected lives. Clients see me to alleviate anxiety and depression, navigate relationships, and adjust to transitions. As a former executive with an MBA, I have a particular interest in supporting women through career or relationship transitions, and guiding the balance of personal responsibilities. I see therapy not as a lifelong commitment but a helpful tool to develop insight through a collaborative, empathic, and supportive process. Clients leave energized and able to articulate, clarify, and achieve their goals.
(917) 809-5647 View (917) 809-5647
Photo of Laura Greve, Psychologist in Boston, MA
Laura Greve
Psychologist, PsyD
Verified Verified
1 Endorsed
Boston, MA 02116
I am a clinical health psychologist specializing in treating adults with anxiety, depression, chronic illness, stress, medical issues, mood disorders, and difficulties adjusting to life changes. I specialize in high achieving students and professionals or those in high-pressure careers. I integrate various techniques and perspectives from cognitive-behavioral therapy (CBT), mindfulness-based therapies, relaxation training, acceptance and commitment therapy (ACT), and supportive therapy to create a tailored treatment for each individual. For more information please visit my website at bostonhealthpsych.com.
I am a clinical health psychologist specializing in treating adults with anxiety, depression, chronic illness, stress, medical issues, mood disorders, and difficulties adjusting to life changes. I specialize in high achieving students and professionals or those in high-pressure careers. I integrate various techniques and perspectives from cognitive-behavioral therapy (CBT), mindfulness-based therapies, relaxation training, acceptance and commitment therapy (ACT), and supportive therapy to create a tailored treatment for each individual. For more information please visit my website at bostonhealthpsych.com.
(617) 674-1106 View (617) 674-1106
Photo of Trauma-Religious Trauma-Lgbtq + Concerns || Kade Hirth, Clinical Social Work/Therapist in Boston, MA
Trauma-Religious Trauma-Lgbtq + Concerns || Kade Hirth
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02118  (Online Only)
Have you tried the standard, run-of-the-mill talk therapy before and found that it didn't quite get you as far as you were hoping? Or, have you been nervous about trying therapy and having to figure out what to say and how to say it? Perhaps, then, it's time to try something a little less traditional!
Have you tried the standard, run-of-the-mill talk therapy before and found that it didn't quite get you as far as you were hoping? Or, have you been nervous about trying therapy and having to figure out what to say and how to say it? Perhaps, then, it's time to try something a little less traditional!
(508) 501-7446 View (508) 501-7446
Photo of Annie Bjerg, Psychologist in Boston, MA
Annie Bjerg
Psychologist, PhD
Verified Verified
Boston, MA 02116  (Online Only)
Change is difficult. We often need someone we can trust to validate our struggles and nudge us forward. My clients feel some challenge, but are given realistic expectations, practical skills, and an open heart in return. They appreciate being held accountable while trusting they can safely make mistakes. Many find comfort in learning they have my unconditional support and that I breathe with them through distress.
Change is difficult. We often need someone we can trust to validate our struggles and nudge us forward. My clients feel some challenge, but are given realistic expectations, practical skills, and an open heart in return. They appreciate being held accountable while trusting they can safely make mistakes. Many find comfort in learning they have my unconditional support and that I breathe with them through distress.
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Photo of Melissa Dagher, Clinical Social Work/Therapist in Boston, MA
Melissa Dagher
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Boston, MA 02122  (Online Only)
Have you been struggling with anxiety after experiencing racism in the work or academic setting? Are you battling bouts of depression related to experiences of being a Black woman? Racial trauma has been found have a tremendous impact on the livelihood of Black women, especially within a professional setting. Let us work together to release shame blame and guilt so that you can start your healing journey. Now might be the time to schedule a session so that you can finally put yourself first.
Have you been struggling with anxiety after experiencing racism in the work or academic setting? Are you battling bouts of depression related to experiences of being a Black woman? Racial trauma has been found have a tremendous impact on the livelihood of Black women, especially within a professional setting. Let us work together to release shame blame and guilt so that you can start your healing journey. Now might be the time to schedule a session so that you can finally put yourself first.
(617) 420-7576 View (617) 420-7576
Photo of Eliana Freeman, Clinical Social Work/Therapist in Boston, MA
Eliana Freeman
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02116
Not accepting new clients
Feeling stuck, overwhelmed, or anxious? Hoping to talk through and better understand patterns you notice? I am here and trained to help. We will work collaboratively to build skills to best meet your needs, hopes, and goals while exploring and building insight to better understand yourself. Together we will work to best support you as you navigate different life phases, relationships, and environments. I specialize in working with young adults traversing school, work, and life challenges. I have extensive training and experience working with the LGBTQIA+ community. I have an individualized and strengths-based framework.
Feeling stuck, overwhelmed, or anxious? Hoping to talk through and better understand patterns you notice? I am here and trained to help. We will work collaboratively to build skills to best meet your needs, hopes, and goals while exploring and building insight to better understand yourself. Together we will work to best support you as you navigate different life phases, relationships, and environments. I specialize in working with young adults traversing school, work, and life challenges. I have extensive training and experience working with the LGBTQIA+ community. I have an individualized and strengths-based framework.
(857) 380-0530 x7 View (857) 380-0530 x7
Photo of Heidi E. Seekins, Counselor in Boston, MA
Heidi E. Seekins
Counselor, MS, LMHC
Verified Verified
Boston, MA 02130  (Online Only)
Not accepting new clients
This fire will not burn you; it will only burn what you are not. - Mooji I love this quote as applied to the therapeutic process. Many of us feel instinctively that we have a core self inside who is wise and who knows what is best for us, yet things seem to keep going sideways in the course of our everyday lives. I work with clients to manage mood disorders, recover from trauma, or cut down or stop substance use (or to stay in recovery). I also work with clients who are exploring alternative approaches to their healing such as the medicinal use of psychedelics, in order to support integration of their experiences.
This fire will not burn you; it will only burn what you are not. - Mooji I love this quote as applied to the therapeutic process. Many of us feel instinctively that we have a core self inside who is wise and who knows what is best for us, yet things seem to keep going sideways in the course of our everyday lives. I work with clients to manage mood disorders, recover from trauma, or cut down or stop substance use (or to stay in recovery). I also work with clients who are exploring alternative approaches to their healing such as the medicinal use of psychedelics, in order to support integration of their experiences.
(857) 342-4603 View (857) 342-4603
Photo of Paragon Mental Health Counseling, Counselor in Boston, MA
Paragon Mental Health Counseling
Counselor, LMHC
Verified Verified
Boston, MA 02111  (Online Only)
Are you exhausted by the daily struggle of living with depression, anxiety, or self-esteem issues? Does academic stress or entering into adulthood feel like an impossible challenge? Do you live with chronic pain, disability, or health conditions that cause emotional distress or feelings of isolation? Our mission is to excel at facilitating the positive change and healing you've been needing in your life. We achieve this not only with talk-therapy, but also by teaching applicable skills and coping strategies to be used daily as you navigate through adversity and strive for self-growth.
Are you exhausted by the daily struggle of living with depression, anxiety, or self-esteem issues? Does academic stress or entering into adulthood feel like an impossible challenge? Do you live with chronic pain, disability, or health conditions that cause emotional distress or feelings of isolation? Our mission is to excel at facilitating the positive change and healing you've been needing in your life. We achieve this not only with talk-therapy, but also by teaching applicable skills and coping strategies to be used daily as you navigate through adversity and strive for self-growth.
(339) 220-5568 View (339) 220-5568
Photo of Bill Fleming, Psychologist in Boston, MA
Bill Fleming
Psychologist, PhD
Verified Verified
Boston, MA 02199  (Online Only)
I am a licensed psychologist with many years spent helping children, teens, and families in schools, hospitals, and clinics. Although I bring experience, I also bring curiosity, patience, respect, and positivity to help find new perspectives to difficult problems. I view my work as a partnership in which we collaborate on developing a vision of change and hope that I hold onto, no matter the turns and bumps in the road. In this partnership, I focus on empowering you to use tools to become a happier and healthier version of yourself.
I am a licensed psychologist with many years spent helping children, teens, and families in schools, hospitals, and clinics. Although I bring experience, I also bring curiosity, patience, respect, and positivity to help find new perspectives to difficult problems. I view my work as a partnership in which we collaborate on developing a vision of change and hope that I hold onto, no matter the turns and bumps in the road. In this partnership, I focus on empowering you to use tools to become a happier and healthier version of yourself.
(617) 404-2592 View (617) 404-2592
Photo of Lgbtq+ Therapy Michael Murgo, Pre-Licensed Professional in Boston, MA
Lgbtq+ Therapy Michael Murgo
Pre-Licensed Professional, PhD
Verified Verified
Boston, MA 02109  (Online Only)
Under the pressures of today’s world, achieving life satisfaction and a sense of wellbeing can feel more difficult than ever. My goal is to help clients flourish in the face of life’s challenges. I am skilled in helping clients work through stress, anxiety, life adjustment issues, relationship challenges, and self-esteem concerns. I am especially interested in helping with issues related to sexual orientation, identity exploration, sex and sexual functioning, and coping with stigma (e.g., racism, heterosexism, sexism, classism). Working with LGBTQ+ clients, college students, and young professionals is especially rewarding to me.
Under the pressures of today’s world, achieving life satisfaction and a sense of wellbeing can feel more difficult than ever. My goal is to help clients flourish in the face of life’s challenges. I am skilled in helping clients work through stress, anxiety, life adjustment issues, relationship challenges, and self-esteem concerns. I am especially interested in helping with issues related to sexual orientation, identity exploration, sex and sexual functioning, and coping with stigma (e.g., racism, heterosexism, sexism, classism). Working with LGBTQ+ clients, college students, and young professionals is especially rewarding to me.
(857) 799-3314 View (857) 799-3314
Photo of Emma Vukelic, Marriage & Family Therapist in Boston, MA
Emma Vukelic
Marriage & Family Therapist, MA, LMFT
Verified Verified
Boston, MA 02118  (Online Only)
A question posed by my mother entering into any conversation growing up, whose repetition used to grind my gears, is now a question I find myself constantly embodying and valuing in my professional life: “Would you like me to respond, or would you like me to listen?” As a therapist, I firmly believe that you are the expert of your own life. My role is to serve as a guide, facilitator, and safe space as I collaborate with you to explore your therapeutic goals. Depending on what feels helpful to you, I am able to act as your sounding board, and I am able to challenge you.
A question posed by my mother entering into any conversation growing up, whose repetition used to grind my gears, is now a question I find myself constantly embodying and valuing in my professional life: “Would you like me to respond, or would you like me to listen?” As a therapist, I firmly believe that you are the expert of your own life. My role is to serve as a guide, facilitator, and safe space as I collaborate with you to explore your therapeutic goals. Depending on what feels helpful to you, I am able to act as your sounding board, and I am able to challenge you.
(857) 336-1542 View (857) 336-1542
Photo of Zach Rotfus, Clinical Social Work/Therapist in Boston, MA
Zach Rotfus
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02215  (Online Only)
My orientation is focused on seeing an individual within the context of their family, their work, their community. I will be a compassionate listener. But therapy requires more than compassionate listening. To have effective therapy is to be challenged in the way we think, feel, and live. My clinical style is to find solutions while staying rooted in compassion and understanding. I specialize in working with college-age individuals and young professionals.
My orientation is focused on seeing an individual within the context of their family, their work, their community. I will be a compassionate listener. But therapy requires more than compassionate listening. To have effective therapy is to be challenged in the way we think, feel, and live. My clinical style is to find solutions while staying rooted in compassion and understanding. I specialize in working with college-age individuals and young professionals.
(857) 227-9057 View (857) 227-9057
Photo of Nick Heath LICSW, LLC, Clinical Social Work/Therapist in Boston, MA
Nick Heath LICSW, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02116  (Online Only)
Hello! Are you feeling Lonely in your Significant Relationship, Hurt, Betrayed? I can help you Heal & Revitalize your Relationship/Marriage and Increase your Emotional & Sexual Connection & Intimacy, Reduce Criticism, Increase Teamwork, by helping you Enhance and Improve your Assertive Communication Skills. I can help you rebuild Trust & Respect; build on Your unique Friendship; help you Solve Problems associated with your Family & Friends, Careers, Money, Division of Labour, and Coparenting Teamwork. Prioritize your Significant Relationship. I work with Heterosexual Couples, LGBTQ+A Couples, Interracial Couples, All Ethnicities.
Hello! Are you feeling Lonely in your Significant Relationship, Hurt, Betrayed? I can help you Heal & Revitalize your Relationship/Marriage and Increase your Emotional & Sexual Connection & Intimacy, Reduce Criticism, Increase Teamwork, by helping you Enhance and Improve your Assertive Communication Skills. I can help you rebuild Trust & Respect; build on Your unique Friendship; help you Solve Problems associated with your Family & Friends, Careers, Money, Division of Labour, and Coparenting Teamwork. Prioritize your Significant Relationship. I work with Heterosexual Couples, LGBTQ+A Couples, Interracial Couples, All Ethnicities.
(413) 287-8592 View (413) 287-8592
Photo of Shamni Uthayasoorian, Licensed Professional Counselor in Boston, MA
Shamni Uthayasoorian
Licensed Professional Counselor, MS, LMHC
Verified Verified
Boston, MA 02114  (Online Only)
My goal is to create a safe and affirming space for individuals from all backgrounds to explore their thoughts, emotions, and behaviors. I draw from multicultural, humanistic, and person-centered approaches to ensure a personalized and holistic therapeutic experience. Whether you're struggling with anxiety, depression, relationship issues, or seeking personal growth, I'm here to support you on your journey towards healing and self-discovery. Together, we can cultivate resilience, empowerment, and a sense of belonging.
My goal is to create a safe and affirming space for individuals from all backgrounds to explore their thoughts, emotions, and behaviors. I draw from multicultural, humanistic, and person-centered approaches to ensure a personalized and holistic therapeutic experience. Whether you're struggling with anxiety, depression, relationship issues, or seeking personal growth, I'm here to support you on your journey towards healing and self-discovery. Together, we can cultivate resilience, empowerment, and a sense of belonging.
(617) 315-2769 View (617) 315-2769
Photo of Enzo Finore, Psychologist in Boston, MA
Enzo Finore
Psychologist, PsyD
Verified Verified
3 Endorsed
Boston, MA 02215
Not accepting new clients
The emergence of emotional, relational, or physical distress, can signal that your organism is asking for a change. As a psychologist I will be there for you to provide a reflective support through that change. You will find in me an ally in your journey towards recovery or development.
The emergence of emotional, relational, or physical distress, can signal that your organism is asking for a change. As a psychologist I will be there for you to provide a reflective support through that change. You will find in me an ally in your journey towards recovery or development.
(617) 917-2139 View (617) 917-2139
Photo of Jonathan Walsh, Counselor in Boston, MA
Jonathan Walsh
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02110  (Online Only)
Are you facing changes and feeling overwhelmed and unable to make decisions? Are difficult emotions interfering in your personal or professional life? Would you would like to develop a more flexible response to challenging people and situations? Are you beginning to recognize unhelpful or destructive repetitive patterns that are interfering in your life? Would you like to understand yourself better and have the courage to make decisions based on your values? Do you want to experience more lightness and joy? Are you searching for meaning in this one life?
Are you facing changes and feeling overwhelmed and unable to make decisions? Are difficult emotions interfering in your personal or professional life? Would you would like to develop a more flexible response to challenging people and situations? Are you beginning to recognize unhelpful or destructive repetitive patterns that are interfering in your life? Would you like to understand yourself better and have the courage to make decisions based on your values? Do you want to experience more lightness and joy? Are you searching for meaning in this one life?
(857) 280-1435 View (857) 280-1435
Photo of Center for Anxiety & Related Disorders at Boston U, Psychologist in Boston, MA
Center for Anxiety & Related Disorders at Boston U
Psychologist, PhD
Verified Verified
Boston, MA 02215
I currently direct and treat patients at the Center for Anxiety and Related Disorders (CARD) at Boston University. We provide evidence-based clinical services - primarily CBT, to individuals of all backgrounds. CBT is a skills based therapy meant to enhance coping strategies for those suffering from emotional difficulties. It focuses on understanding the connections between thoughts, feelings, and behaviors in order to foster positive changes. At CARD, we specialize in helping adults and children address a wide range of anxiety disorders and related challenges such as difficulties with mood, sleep, concentration, and pain.
I currently direct and treat patients at the Center for Anxiety and Related Disorders (CARD) at Boston University. We provide evidence-based clinical services - primarily CBT, to individuals of all backgrounds. CBT is a skills based therapy meant to enhance coping strategies for those suffering from emotional difficulties. It focuses on understanding the connections between thoughts, feelings, and behaviors in order to foster positive changes. At CARD, we specialize in helping adults and children address a wide range of anxiety disorders and related challenges such as difficulties with mood, sleep, concentration, and pain.
(857) 304-0500 View (857) 304-0500
Photo of Sinead McLaughlin, Clinical Social Work/Therapist in Boston, MA
Sinead McLaughlin
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02130  (Online Only)
Hello and welcome. For over 23 years I have had the honor of working with individuals from diverse backgrounds on issues that are impacting their lives. I approach treatment through a collaborative framework, recognizing that you are the expert of your life experience, and that my role is to accompany you through insightful exploration to help increase self awareness, reach your goals, and bring about lasting change. While I take my work seriously, I believe that incorporating humor and being authentic is integral to building a strong and trusting therapeutic relationship.
Hello and welcome. For over 23 years I have had the honor of working with individuals from diverse backgrounds on issues that are impacting their lives. I approach treatment through a collaborative framework, recognizing that you are the expert of your life experience, and that my role is to accompany you through insightful exploration to help increase self awareness, reach your goals, and bring about lasting change. While I take my work seriously, I believe that incorporating humor and being authentic is integral to building a strong and trusting therapeutic relationship.
(781) 559-7149 View (781) 559-7149

How does your Therapist compare?

Number of Therapists in Boston, MA

3,000+

Average cost per session

$159

Therapists in Boston, MA who prioritize treating:

93% Anxiety
86% Depression
75% Relationship Issues
74% Self Esteem
69% Stress
68% Trauma and PTSD
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
61% UnitedHealthcare UHC | UBH
59% Aetna

How Therapists in Boston, MA see their clients

60% Online Only
40% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boston?

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.