Therapists in Worcester County, MA

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Photo of Jessica Ordonez, LMHC, Counselor
Jessica Ordonez
Counselor, LMHC
Verified Verified
Fitchburg, MA 01420  (Online Only)
I'm an LMHC based in Massachusetts, holding a Master's from Fitchburg State University, and have been practicing for 5 years. My therapeutic approach is grounded in the belief that individuals are the authorities in their own lives. That's why I lean into a person-centered, strength-based approach, tailoring therapy to each person's unique struggles. Collaboration is essential in my practice; together, we set mental health goals and explore treatment options that align with their journey toward growth and well-being.
I'm an LMHC based in Massachusetts, holding a Master's from Fitchburg State University, and have been practicing for 5 years. My therapeutic approach is grounded in the belief that individuals are the authorities in their own lives. That's why I lean into a person-centered, strength-based approach, tailoring therapy to each person's unique struggles. Collaboration is essential in my practice; together, we set mental health goals and explore treatment options that align with their journey toward growth and well-being.
(978) 381-1345 View (978) 381-1345
Photo of Amy Alves - Mind. Body. PowHER., LLC, LICSW, SAC, Clinical Social Work/Therapist
Mind. Body. PowHER., LLC
Clinical Social Work/Therapist, LICSW, SAC
Verified Verified
6 Endorsed
Millbury, MA 01527
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom constantly trying to balance the varying roles you take on each day and still never feel like you're doing enough? Are you a woman struggling in your relationships, managing stress, dealing with anxiety and perfectionism ? We want to support you!
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom constantly trying to balance the varying roles you take on each day and still never feel like you're doing enough? Are you a woman struggling in your relationships, managing stress, dealing with anxiety and perfectionism ? We want to support you!
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Photo of Dr. Jean Stannard, PhD
Dr. Jean Stannard
PhD
Verified Verified
Barre, MA 01005
I am seeking people who would like to achieve a deeper sense of themselves (your authentic self) which includes a heightened sense of conscious awareness & a more grounded, balanced, and focused lived-life experience. In this state of mind, you are more apt to choose how to react to complex & challenging life situations including complicated thought processes & the emotions generated by them.
I am seeking people who would like to achieve a deeper sense of themselves (your authentic self) which includes a heightened sense of conscious awareness & a more grounded, balanced, and focused lived-life experience. In this state of mind, you are more apt to choose how to react to complex & challenging life situations including complicated thought processes & the emotions generated by them.
(978) 820-7446 View (978) 820-7446
Photo of Jennifer Baymon, MA, Pre-Licensed Professional
Jennifer Baymon
Pre-Licensed Professional, MA
Verified Verified
Milford, MA 01757  (Online Only)
Accepting New Clients. Jennifer Baymon is a Master’s Level Mental Health Counselor who graduated with her Masters in Counseling Psychology from American International College. Jennifer enjoys working with adolescents, teens, and adults. Jenn is passionate about helping others navigate through various lifestyle transitions. It is important to Jenn to work with clients to develop their desired therapy goals. Objectives are met through CBT and positive psychology. Jennifer enjoys helping patients cope with their issues and create healthy boundaries and values that drive their success.
Accepting New Clients. Jennifer Baymon is a Master’s Level Mental Health Counselor who graduated with her Masters in Counseling Psychology from American International College. Jennifer enjoys working with adolescents, teens, and adults. Jenn is passionate about helping others navigate through various lifestyle transitions. It is important to Jenn to work with clients to develop their desired therapy goals. Objectives are met through CBT and positive psychology. Jennifer enjoys helping patients cope with their issues and create healthy boundaries and values that drive their success.
(774) 317-7430 View (774) 317-7430
Photo of Edward Beeso, MA, Pre-Licensed Professional
Edward Beeso
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Shrewsbury, MA 01545
Right now, things may feel overwhelming, distressing, and out of sorts with you or your kids. You have probably tried a number of things to get back to normal, but nothing is working out the way you hoped. There may be symptoms like low motivation, difficulty sleeping, lack of socializing, or troubles with work and relationships. Or, perhaps it’s your child you are concerned about because you are seeing a lot of behaviors, such as isolation, withdrawal, moodiness, irritability, difficult peer relationships, or refusing to go to school or participate in the usual routine. If so, I appreciate how challenging it can be to seek support.
Right now, things may feel overwhelming, distressing, and out of sorts with you or your kids. You have probably tried a number of things to get back to normal, but nothing is working out the way you hoped. There may be symptoms like low motivation, difficulty sleeping, lack of socializing, or troubles with work and relationships. Or, perhaps it’s your child you are concerned about because you are seeing a lot of behaviors, such as isolation, withdrawal, moodiness, irritability, difficult peer relationships, or refusing to go to school or participate in the usual routine. If so, I appreciate how challenging it can be to seek support.
(978) 999-2165 View (978) 999-2165
Photo of Justine Isakson, MA, LMHC, Counselor
Justine Isakson
Counselor, MA, LMHC
Verified Verified
West Boylston, MA 01583
Waitlist for new clients
Therapy is a time to appreciate and develop patterns that are healthy and fulfilling, instead of just focusing on what's going wrong. I work towards establishing a trusting relationship where together we can collaboratively create goals that address your needs. We work together to address symptoms in a way that sustains long term change. I integrate tailored treatment to you so that you do not experience a “cookie cutter” approach.
Therapy is a time to appreciate and develop patterns that are healthy and fulfilling, instead of just focusing on what's going wrong. I work towards establishing a trusting relationship where together we can collaboratively create goals that address your needs. We work together to address symptoms in a way that sustains long term change. I integrate tailored treatment to you so that you do not experience a “cookie cutter” approach.
(508) 206-9192 View (508) 206-9192
Photo of Emmanuella (Emma) Tem, BA, MS, MHC, Pre-Licensed Professional
Emmanuella (Emma) Tem
Pre-Licensed Professional, BA, MS, MHC
Verified Verified
Worcester, MA 01604  (Online Only)
I am Emma, a dynamic woman of color who is passionate about helping people through mental health challenges to feel more confident and functional in their daily lives. Using evidence-based treatment approaches, I pride myself in being client-centered and want to help you achieve your goals. I am directly supervised by a certified sex therapist and can also provide sexual health counseling and gender affirming care, including support letters.
I am Emma, a dynamic woman of color who is passionate about helping people through mental health challenges to feel more confident and functional in their daily lives. Using evidence-based treatment approaches, I pride myself in being client-centered and want to help you achieve your goals. I am directly supervised by a certified sex therapist and can also provide sexual health counseling and gender affirming care, including support letters.
(508) 500-8590 View (508) 500-8590
Photo of Mary Fierro, LICSW, Clinical Social Work/Therapist
Mary Fierro
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01610  (Online Only)
I am a licensed clinical social worker, and have been working with people who wanted to make some changes in their lives for more than 25 years. Together we've focused on the variety of challenges they were experiencing - depression, anxiety, family or work stressors, relational and communication issues. My counseling style is conversational and interactive, and incorporates a cognitive-emotional-behavioral, solution-focused, body-based approach.
I am a licensed clinical social worker, and have been working with people who wanted to make some changes in their lives for more than 25 years. Together we've focused on the variety of challenges they were experiencing - depression, anxiety, family or work stressors, relational and communication issues. My counseling style is conversational and interactive, and incorporates a cognitive-emotional-behavioral, solution-focused, body-based approach.
(352) 436-8729 View (352) 436-8729
Photo of Kristin N Puls, LICSW, Clinical Social Work/Therapist
Kristin N Puls
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Northborough, MA 01532  (Online Only)
Do you struggle with feeling overwhelmed by the demands of life? Are you feeling stuck in a relationship, job or an old pattern of behavior? Do you find yourself swept up in emotions such as anger, disappointment or anxiety? Many people come to me when they feel at a loss and have a desire to numb, withdraw or act out. Seeking support is the first step toward feeling better. I enjoy working with individuals who find it difficult managing their anxiety and stress leading to feelings of anger and isolation, or having trouble in relationships due to an inability to communicate their internal experience.
Do you struggle with feeling overwhelmed by the demands of life? Are you feeling stuck in a relationship, job or an old pattern of behavior? Do you find yourself swept up in emotions such as anger, disappointment or anxiety? Many people come to me when they feel at a loss and have a desire to numb, withdraw or act out. Seeking support is the first step toward feeling better. I enjoy working with individuals who find it difficult managing their anxiety and stress leading to feelings of anger and isolation, or having trouble in relationships due to an inability to communicate their internal experience.
(508) 231-4900 View (508) 231-4900
Photo of Donna Flood, MA, LMHC, Counselor
Donna Flood
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spencer, MA 01562
Not accepting new clients
I have been practicing in the field of substance use and mental health for over 9 years, in a variety of roles. Working from the perspective that each client is an individual who brings a unique set of strengths with them into the therapeutic process, my approach is eclectic and person centered ;therapy is a collaborative journey that builds on this premise. The recovery process, whether in terms of substance use or mental health, is a personal journey of growth and healing, and my goal is to facilitate this growth in a safe, healthy and positive environment.
I have been practicing in the field of substance use and mental health for over 9 years, in a variety of roles. Working from the perspective that each client is an individual who brings a unique set of strengths with them into the therapeutic process, my approach is eclectic and person centered ;therapy is a collaborative journey that builds on this premise. The recovery process, whether in terms of substance use or mental health, is a personal journey of growth and healing, and my goal is to facilitate this growth in a safe, healthy and positive environment.
(774) 220-3113 View (774) 220-3113
Photo of Burgess G Brown, LCSAC, Drug & Alcohol Counselor
Burgess G Brown
Drug & Alcohol Counselor, LCSAC
Verified Verified
1 Endorsed
Worcester, MA 01604  (Online Only)
Have substances caused so much harm in your life they could be destroying what you've worked so hard for? Have others commented on behaviors that keep you from keeping family, employment and other obligations? Has your quality of life fallen lower than you may want to admit? Have you tried in the past, possibly dedicating a month or more to inpatient treatment, only to give in again. Tired and scared of what may be next? Addiction is a serious problem that requires professional intervention.
Have substances caused so much harm in your life they could be destroying what you've worked so hard for? Have others commented on behaviors that keep you from keeping family, employment and other obligations? Has your quality of life fallen lower than you may want to admit? Have you tried in the past, possibly dedicating a month or more to inpatient treatment, only to give in again. Tired and scared of what may be next? Addiction is a serious problem that requires professional intervention.
(508) 388-5355 View (508) 388-5355
Photo of Dr. James Cordova - Arammu Relationship Clinic, Psychologist
Arammu Relationship Clinic
Psychologist
Verified Verified
Worcester, MA 01609  (Online Only)
To book a session, please visit us here: www.arammu.com-intake. At Arammu, we believe that healthy, fulfilling relationships are the cornerstone of a happy and balanced life. Whether you’re seeking to deepen your connection with a partner or navigate the complexities of being in a relationship, our team of dedicated therapists is here to support you on your journey. "Arammu" is derived from ancient languages meaning love and connection. These principles guide our approach to therapy. We understand each relationship is unique, and we are committed to providing personalized care tailored to meet the specific needs of each couple.
To book a session, please visit us here: www.arammu.com-intake. At Arammu, we believe that healthy, fulfilling relationships are the cornerstone of a happy and balanced life. Whether you’re seeking to deepen your connection with a partner or navigate the complexities of being in a relationship, our team of dedicated therapists is here to support you on your journey. "Arammu" is derived from ancient languages meaning love and connection. These principles guide our approach to therapy. We understand each relationship is unique, and we are committed to providing personalized care tailored to meet the specific needs of each couple.
(508) 794-7441 View (508) 794-7441
Photo of Karen Place Carlson, PhD, Psychologist
Karen Place Carlson
Psychologist, PhD
Verified Verified
Shrewsbury, MA 01545  (Online Only)
You're a gifted, dynamic, busy woman exhausted by life's competing demands. You put pressure on yourself to "do it all." You smile and take on the day, avoiding your emotional pain by staying busy. You have parenting, caregiving, relationship, or life transition issues that are being ignored, leading to anxiety, depression, medical issues, low motivation, and lack of fulfillment. Your past and current traumas are impacting your sleep and daily functioning. You've realized you need help, and you feel bad about that too. After all, you SHOULD be able to handle it all and keep smiling!
You're a gifted, dynamic, busy woman exhausted by life's competing demands. You put pressure on yourself to "do it all." You smile and take on the day, avoiding your emotional pain by staying busy. You have parenting, caregiving, relationship, or life transition issues that are being ignored, leading to anxiety, depression, medical issues, low motivation, and lack of fulfillment. Your past and current traumas are impacting your sleep and daily functioning. You've realized you need help, and you feel bad about that too. After all, you SHOULD be able to handle it all and keep smiling!
(774) 206-9391 View (774) 206-9391
Photo of John 'Jack' Bonina, MS, MSW, LICSW, Clinical Social Work/Therapist
John 'Jack' Bonina
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Worcester, MA 01609
My approach with clients recognizes that most people are looking for tangible help, don't have a lot of time between work and family, and want to feel like they are moving toward a better understanding of solutions to address their difficulties. My work with clients acknowledges these issues. I take a very active role in counseling to explore the options with my clients, provide new knowlege of issues where relevant, and help an individual to reach their potential. Issues related to marital/partner, parenting/child, family,work,school,stress, anxiety, depression, and substance abuse are all areas I work with.
My approach with clients recognizes that most people are looking for tangible help, don't have a lot of time between work and family, and want to feel like they are moving toward a better understanding of solutions to address their difficulties. My work with clients acknowledges these issues. I take a very active role in counseling to explore the options with my clients, provide new knowlege of issues where relevant, and help an individual to reach their potential. Issues related to marital/partner, parenting/child, family,work,school,stress, anxiety, depression, and substance abuse are all areas I work with.
(508) 534-8209 View (508) 534-8209
Photo of Vilmary Lopez, LICSW, Clinical Social Work/Therapist
Vilmary Lopez
Clinical Social Work/Therapist, LICSW
Verified Verified
Clinton, MA 01510  (Online Only)
I have 1 spot open for EMDR sessions. As a relationship-oriented psychotherapist that utilizes an attachment & trauma lens, I work with clients who have experienced trauma (e.g., physical/emotional/sexual abuse, neglect, domestic violence, sexual assault, growing up with a caregiver who struggled with substance use and/or mental illness, foster care/adoption) and are willing to invite me into their journey of healing.
I have 1 spot open for EMDR sessions. As a relationship-oriented psychotherapist that utilizes an attachment & trauma lens, I work with clients who have experienced trauma (e.g., physical/emotional/sexual abuse, neglect, domestic violence, sexual assault, growing up with a caregiver who struggled with substance use and/or mental illness, foster care/adoption) and are willing to invite me into their journey of healing.
(508) 348-7231 View (508) 348-7231
Photo of Isiah Tucker, Clinical Social Work/Therapist
Isiah Tucker
Clinical Social Work/Therapist
Verified Verified
Worcester, MA 01610  (Online Only)
As a dedicated therapist, I'm passionate about helping people navigate their emotions and grow. I believe everyone can heal and change, and I'm committed to providing a caring, nonjudgmental space for clients to explore their feelings and experiences. With evidence-based practices and a deep understanding of the human mind, I aim to empower individuals to gain insight and coping skills. Driven by empathy and purpose, I'm inspired to support people with their mental health.
As a dedicated therapist, I'm passionate about helping people navigate their emotions and grow. I believe everyone can heal and change, and I'm committed to providing a caring, nonjudgmental space for clients to explore their feelings and experiences. With evidence-based practices and a deep understanding of the human mind, I aim to empower individuals to gain insight and coping skills. Driven by empathy and purpose, I'm inspired to support people with their mental health.
(508) 715-8281 View (508) 715-8281
Photo of Sue Henrickson - Pathways Counseling, LMHC, Counselor
Pathways Counseling
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
(978) 631-2399 View (978) 631-2399
Photo of lauren E Shea, LICSW, Clinical Social Work/Therapist
lauren E Shea
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Worcester, MA 01605  (Online Only)
Our journeys begin within ourselves. As a Licensed Independent Clinical Social Worker (LICSW), i work to grow the light from within, place great emphasis on therapeutic relationships, and work to foster growth. Together, we can build an understanding of your life experiences, stressors and triumphs to bring you closer to your goals. As an equestrian a small portion of my practice is allocated towards fellow Equestrians and pet owners offering support in all aspects of the sport and pet ownership.
Our journeys begin within ourselves. As a Licensed Independent Clinical Social Worker (LICSW), i work to grow the light from within, place great emphasis on therapeutic relationships, and work to foster growth. Together, we can build an understanding of your life experiences, stressors and triumphs to bring you closer to your goals. As an equestrian a small portion of my practice is allocated towards fellow Equestrians and pet owners offering support in all aspects of the sport and pet ownership.
(508) 893-4112 View (508) 893-4112
Photo of W Rachel Krenis, MA, LMHC, Counselor
W Rachel Krenis
Counselor, MA, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
(774) 479-4199 View (774) 479-4199
Photo of Elizabeth Nixon - E.N. Psychotherapy, LLC, MSW, LICSW, Clinical Social Work/Therapist
E.N. Psychotherapy, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Northborough, MA 01532
*Sorry! No availability * Therapy with me will focus upon promoting positive changes through problem solving and finding better ways to cope or manage your situation. Effective psychotherapy techniques are used as I address your specific concerns. I have over 25 years of experience treating a variety of mental health conditions. I provide supportive guidance, teach coping strategies, effective communication skills and offer parenting advice. I can also help you to uncover the underlying reasons causing your distress. Many clients I work with struggle with anxiety, depression, sleep problems, grief and relationship issues. .
*Sorry! No availability * Therapy with me will focus upon promoting positive changes through problem solving and finding better ways to cope or manage your situation. Effective psychotherapy techniques are used as I address your specific concerns. I have over 25 years of experience treating a variety of mental health conditions. I provide supportive guidance, teach coping strategies, effective communication skills and offer parenting advice. I can also help you to uncover the underlying reasons causing your distress. Many clients I work with struggle with anxiety, depression, sleep problems, grief and relationship issues. .
(508) 338-4552 View (508) 338-4552
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See more therapy options for Worcester County

How does your Therapist compare?

Number of Therapists in Worcester County, MA

1,000+

Average cost per session

$150

Therapists in Worcester County, MA who prioritize treating:

93% Anxiety
88% Depression
69% Self Esteem
68% Relationship Issues
68% Stress
67% Trauma and PTSD
67% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
66% UnitedHealthcare UHC | UBH
61% Optum

How Therapists in Worcester County, MA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Worcester County?

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.