Therapists in Louisville, KY

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Photo of Barbara J Martin, Clinical Social Work/Therapist in Louisville, KY
Barbara J Martin
Clinical Social Work/Therapist, LCSW, MSSW, OSW, IIC, ESSE
Verified Verified
Louisville, KY 40203
Waitlist for new clients
Heuser Hearing Institute Integrative Counseling & Wellness Clinic provides in-clinic, telehealth and video remote sessions for individuals, families and caregivers of all ages to cope with the stress and practical challenges of life, hearing health, as well as for those in need of connection to Community Health Navigation and/or other community-based resources. We offer patient-centered assessment, diagnosis and counseling services, integrative traditional and modern therapy approaches. We work with patients experiencing stress during sudden or progressive illness, traumatic brain injuries, hearing loss and ear-related disorders
Heuser Hearing Institute Integrative Counseling & Wellness Clinic provides in-clinic, telehealth and video remote sessions for individuals, families and caregivers of all ages to cope with the stress and practical challenges of life, hearing health, as well as for those in need of connection to Community Health Navigation and/or other community-based resources. We offer patient-centered assessment, diagnosis and counseling services, integrative traditional and modern therapy approaches. We work with patients experiencing stress during sudden or progressive illness, traumatic brain injuries, hearing loss and ear-related disorders
(502) 829-6834 View (502) 829-6834
Photo of Amanda Phillips, Psychological Associate in Louisville, KY
Amanda Phillips
Psychological Associate, LPA, EMDR
Verified Verified
1 Endorsed
Louisville, KY 40243
Welcome! I love providing my clients with an open and warm place to process their past and find a place of healing in the present. I commonly work with people who struggle with anxiety, depression, relational conflict, trauma, infertility, and with ministry leaders. I love assisting my clients in setting goals for their future, seeing them achieve, and celebrate their growth together.
Welcome! I love providing my clients with an open and warm place to process their past and find a place of healing in the present. I commonly work with people who struggle with anxiety, depression, relational conflict, trauma, infertility, and with ministry leaders. I love assisting my clients in setting goals for their future, seeing them achieve, and celebrate their growth together.
(502) 317-8221 View (502) 317-8221
Photo of Tiffany Pierson, Counselor in Louisville, KY
Tiffany Pierson
Counselor, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40291
As someone that, at different times in my life, has sought out therapy I can appreciate how difficult taking that first step to reach out can be. During these unprecedented times, many people are enduring feelings of depression, grief, and anxiety. My goal is to help you address these feelings and to develop appropriate coping skills to handle these times. I believe in a client/therapist relationship that helps you to be your best "you" by nurturing the tools and skills that already exist and helping you build a bigger "tool box" to work with.
As someone that, at different times in my life, has sought out therapy I can appreciate how difficult taking that first step to reach out can be. During these unprecedented times, many people are enduring feelings of depression, grief, and anxiety. My goal is to help you address these feelings and to develop appropriate coping skills to handle these times. I believe in a client/therapist relationship that helps you to be your best "you" by nurturing the tools and skills that already exist and helping you build a bigger "tool box" to work with.
(502) 237-9559 View (502) 237-9559
Photo of Michelle Ivy Oak, Marriage & Family Therapist in Louisville, KY
Michelle Ivy Oak
Marriage & Family Therapist, MSEd, MMFT, LMFT, CHPS®
Verified Verified
Louisville, KY 40243
I believe everyone has the power within themselves to heal, grow, and change. I can be the person who helps you unlock your beautiful, authentic, inner spirit no matter what your age, background, or lifestyle. My therapeutic interventions vary with the needs of the people who entrust me to participate in their journey via a trauma-informed lens. I am a believer of being kind to yourself and others, being present, being mindful, and living your best life.
I believe everyone has the power within themselves to heal, grow, and change. I can be the person who helps you unlock your beautiful, authentic, inner spirit no matter what your age, background, or lifestyle. My therapeutic interventions vary with the needs of the people who entrust me to participate in their journey via a trauma-informed lens. I am a believer of being kind to yourself and others, being present, being mindful, and living your best life.
(502) 273-5306 View (502) 273-5306
Photo of Wilson Psychological Services, Psychologist in Louisville, KY
Wilson Psychological Services
Psychologist, PsyD
Verified Verified
Louisville, KY 40223
I usually work for the courts and private lawyers, as forensic psychological evaluations are my speciality. These evaluations have become sought after for the criminal justice system by answering important forensic questions. For example, assessing someone’s competence to stand trial can help courts make appropriate decisions on issues such as sentencing, granting privileges, and community reintegration. By having the court tailor their decisions based on an accurate psychological evaluation, the community is safer while the defendant's rights are also protected.
I usually work for the courts and private lawyers, as forensic psychological evaluations are my speciality. These evaluations have become sought after for the criminal justice system by answering important forensic questions. For example, assessing someone’s competence to stand trial can help courts make appropriate decisions on issues such as sentencing, granting privileges, and community reintegration. By having the court tailor their decisions based on an accurate psychological evaluation, the community is safer while the defendant's rights are also protected.
(502) 273-0986 View (502) 273-0986
Photo of Sara Williamson Sutphin in Louisville, KY
Sara Williamson Sutphin
MEd, LPP
Verified Verified
1 Endorsed
Louisville, KY 40207
As a Licensed Psychological Practitioner, I use telehealth and in person therapy formats to treat adults. I have extensive experience treating individuals with obsessive-compulsive disorder (OCD), panic disorder, PTSD, body-focused repetitive behaviors (such as trichotillomania), hoarding, and other anxiety-related disorders. I employ a values-based approach that often includes humor, music, and connecting with community and people. Exposure/Ritual Prevention therapy in particular will include experiencing aversive and unpleasant thoughts and feelings and learning skills to tolerate them to improve overall quality of life.
As a Licensed Psychological Practitioner, I use telehealth and in person therapy formats to treat adults. I have extensive experience treating individuals with obsessive-compulsive disorder (OCD), panic disorder, PTSD, body-focused repetitive behaviors (such as trichotillomania), hoarding, and other anxiety-related disorders. I employ a values-based approach that often includes humor, music, and connecting with community and people. Exposure/Ritual Prevention therapy in particular will include experiencing aversive and unpleasant thoughts and feelings and learning skills to tolerate them to improve overall quality of life.
(502) 354-4702 View (502) 354-4702
Photo of Stephanie Weaver, Counselor in Louisville, KY
Stephanie Weaver
Counselor, LPCC-S
Verified Verified
Louisville, KY 40243
I have experience working with adults and children. In my work with children, I have helped families address ADHD, anxiety, adjustment disorders, grief, trauma and attachment concerns. In my work with adults, I have guided persons in working through depression, anxiety, grief, life transitions, trauma and relationship concerns. We can work to increase your awareness of the unconscious motivations and historical explanations for your current patterns. We can also utilize techniques to help you change your negative thinking, manage stress, improve your mood, and enhance the quality of your relationships.
I have experience working with adults and children. In my work with children, I have helped families address ADHD, anxiety, adjustment disorders, grief, trauma and attachment concerns. In my work with adults, I have guided persons in working through depression, anxiety, grief, life transitions, trauma and relationship concerns. We can work to increase your awareness of the unconscious motivations and historical explanations for your current patterns. We can also utilize techniques to help you change your negative thinking, manage stress, improve your mood, and enhance the quality of your relationships.
(833) 256-6220 View (833) 256-6220
Photo of Jonathan Keith, Clinical Social Work/Therapist in Louisville, KY
Jonathan Keith
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40207
Not accepting new clients
Not accepting new clients. Life is hard and I truly believe we’re all doing the best we can. Sometimes we get stuck in a cycle that we don’t quite know how to get out of.  Have you decided to set boundaries or change some of your own behaviors? I believe that together we can discover a solution that will allow you to live a more fulfilling life. When people are able to become more in touch with their thoughts and feelings, they often make decisions that make them feel more in control, less stressed and more satisfied with life.
Not accepting new clients. Life is hard and I truly believe we’re all doing the best we can. Sometimes we get stuck in a cycle that we don’t quite know how to get out of.  Have you decided to set boundaries or change some of your own behaviors? I believe that together we can discover a solution that will allow you to live a more fulfilling life. When people are able to become more in touch with their thoughts and feelings, they often make decisions that make them feel more in control, less stressed and more satisfied with life.
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Photo of K. Vanessa Blades, Licensed Professional Clinical Counselor in Louisville, KY
K. Vanessa Blades
Licensed Professional Clinical Counselor , MAC, LPCC
Verified Verified
Louisville, KY 40204
Waitlist for new clients
Making the decision to begin or continue counseling can feel like a vulnerable and challenging process for a person and entire family. Vanessa is committed to creating a safe space (as an ally and advocate with you) as we explore your strengths and work towards a more helpful, balanced, and rewarding present and future. Vanessa uses her professional and personal experience and knowledge to assist individuals and families in moving towards their goals.
Making the decision to begin or continue counseling can feel like a vulnerable and challenging process for a person and entire family. Vanessa is committed to creating a safe space (as an ally and advocate with you) as we explore your strengths and work towards a more helpful, balanced, and rewarding present and future. Vanessa uses her professional and personal experience and knowledge to assist individuals and families in moving towards their goals.
(502) 804-2469 View (502) 804-2469
Photo of Julie Hansen, Marriage & Family Therapist in Louisville, KY
Julie Hansen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Louisville, KY 40217
Searching for answers, solutions and help indicates that you are already making positive choices and are engaged in the healing process. Choosing to begin therapy is a gift to yourself and to your relationships. It is an opportunity to heighten self-awareness, create more positive connections and live a more healthy and satisfying life.
Searching for answers, solutions and help indicates that you are already making positive choices and are engaged in the healing process. Choosing to begin therapy is a gift to yourself and to your relationships. It is an opportunity to heighten self-awareness, create more positive connections and live a more healthy and satisfying life.
(502) 309-2567 View (502) 309-2567
Photo of Megan McMilllen, Licensed Professional Clinical Counselor in Louisville, KY
Megan McMilllen
Licensed Professional Clinical Counselor, MEd, LPCC-S, IMHP
Verified Verified
1 Endorsed
Louisville, KY 40204
Self compassion is vital for change. My goal is to help you master this difficult skill to help support you in loving and being your best self. With over thirteen years in the mental health field and almost a lifetime of focusing on personal growth, I have learned the hard way that no change comes without having a positive relationship with yourself. If you are willing to commit, I can help you develop that relationship with yourself and alter any unhealthy thought, behavioral, or relationship patterns that are keeping you stuck. Together we can tap into your intuition, use your strengths and cultivate skills needed for growth.
Self compassion is vital for change. My goal is to help you master this difficult skill to help support you in loving and being your best self. With over thirteen years in the mental health field and almost a lifetime of focusing on personal growth, I have learned the hard way that no change comes without having a positive relationship with yourself. If you are willing to commit, I can help you develop that relationship with yourself and alter any unhealthy thought, behavioral, or relationship patterns that are keeping you stuck. Together we can tap into your intuition, use your strengths and cultivate skills needed for growth.
(502) 403-2001 View (502) 403-2001
Photo of Emily Dean, Marriage & Family Therapist Associate in Louisville, KY
Emily Dean
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Louisville, KY 40214
Waitlist for new clients
I am an Associate Marriage and Family Therapist who enjoys working with couples, families, adolescents, and adults of all ethnicities, sexual orientations, gender identities, and eclectic relationship dynamics. I strive to create a therapeutic atmosphere that allows you to feel safe to come as you are and leave one step closer to who you want to be.
I am an Associate Marriage and Family Therapist who enjoys working with couples, families, adolescents, and adults of all ethnicities, sexual orientations, gender identities, and eclectic relationship dynamics. I strive to create a therapeutic atmosphere that allows you to feel safe to come as you are and leave one step closer to who you want to be.
(502) 743-4308 View (502) 743-4308
Photo of Creating Connection, Clinical Social Work/Therapist in Louisville, KY
Creating Connection
Clinical Social Work/Therapist, LCSW, LPAT, LPCC, LPCA, RPT
Verified Verified
Louisville, KY 40206
Creating Connection is a small group practice aimed at providing playful and expressive therapeutic services to children, teens, and adults. We believe in treatment that is trauma informed, nurturing, and sensitive to the needs of each individual. Attachment, connection, and relationships are key to being our best selves and progress; including a positive and empowering relationship with your therapist. Each of our therapists specialize is working with different populations (all of which is listed below). We strive to maintain evidenced based practices to ensure high quality care that is accessible and consistent to all clients.
Creating Connection is a small group practice aimed at providing playful and expressive therapeutic services to children, teens, and adults. We believe in treatment that is trauma informed, nurturing, and sensitive to the needs of each individual. Attachment, connection, and relationships are key to being our best selves and progress; including a positive and empowering relationship with your therapist. Each of our therapists specialize is working with different populations (all of which is listed below). We strive to maintain evidenced based practices to ensure high quality care that is accessible and consistent to all clients.
(502) 281-0277 View (502) 281-0277
Photo of Life In Motion, Marriage & Family Therapist in Louisville, KY
Life In Motion
Marriage & Family Therapist, MSC , LMFT, EMDR, CFRC
Verified Verified
Louisville, KY 40258
I believe you were meant to live your best, most amazing life NOW! We all develop habits & behaviors that serve a purpose in the moment but can become unhealthy for us. Our team wants to help you change things in your life, your marriage or your family that no longer work for you so you can live your life in true happiness & joy. We can help you deal with past hurts. We will assist you in setting personal goals & then help you achieve those goals. We can give you the tools & skills to help you take your life back. All staff are certified to provide online counseling & We have several staff Certified First Responder Counselors.
I believe you were meant to live your best, most amazing life NOW! We all develop habits & behaviors that serve a purpose in the moment but can become unhealthy for us. Our team wants to help you change things in your life, your marriage or your family that no longer work for you so you can live your life in true happiness & joy. We can help you deal with past hurts. We will assist you in setting personal goals & then help you achieve those goals. We can give you the tools & skills to help you take your life back. All staff are certified to provide online counseling & We have several staff Certified First Responder Counselors.
(502) 444-5433 View (502) 444-5433
Photo of Erin Peirce, Marriage & Family Therapist in Louisville, KY
Erin Peirce
Marriage & Family Therapist, MS, LMFT
Verified Verified
Louisville, KY 40207
As a licensed marriage and family therapist in private practice since 2014, I have experience working with people of all ages and from varied backgrounds. If you are living with depression or anxiety, having trouble managing a major transition or stressor, wading through grief, or seeking support in coping with difficult emotions or traumatic memories, I would be happy to work alongside you in identifying the resources you need to manage these difficulties successfully. I offer services to adults, teens, individuals, and families. I am focused on highlighting your strengths and supporting you in identifying your own solutions.
As a licensed marriage and family therapist in private practice since 2014, I have experience working with people of all ages and from varied backgrounds. If you are living with depression or anxiety, having trouble managing a major transition or stressor, wading through grief, or seeking support in coping with difficult emotions or traumatic memories, I would be happy to work alongside you in identifying the resources you need to manage these difficulties successfully. I offer services to adults, teens, individuals, and families. I am focused on highlighting your strengths and supporting you in identifying your own solutions.
(502) 785-7195 View (502) 785-7195
Photo of Jennifer Bramlett, Clinical Social Work/Therapist in Louisville, KY
Jennifer Bramlett
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40220
I have immediate in-network availability and accepting new patients. I believe that you are the expert of your own life. I can offer a safe, supportive environment to help you heal and empower you to reach your goals. I specialize in working with individuals ages 18 years and older who encounter challenges with depression, anxiety, substance abuse, and trauma. I use a multi-modal therapeutic approach to tailor treatment to meet your specific needs and goals. I am also an LGBTQ+ ally and offer a safe space for individuals identifying as LGBTQ+
I have immediate in-network availability and accepting new patients. I believe that you are the expert of your own life. I can offer a safe, supportive environment to help you heal and empower you to reach your goals. I specialize in working with individuals ages 18 years and older who encounter challenges with depression, anxiety, substance abuse, and trauma. I use a multi-modal therapeutic approach to tailor treatment to meet your specific needs and goals. I am also an LGBTQ+ ally and offer a safe space for individuals identifying as LGBTQ+
(502) 317-1101 View (502) 317-1101
Photo of Eric White Baker Jr, Clinical Social Work/Therapist in Louisville, KY
Eric White Baker Jr
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
5 Endorsed
Louisville, KY 40206
Are you struggling to figure out what makes you happy or to find motivation to make the changes that would greatly improve your life? Are you trying to figure out your purpose in an ever changing and complicated world? Do you struggle in navigating your personal / family relationships, or wish to improve how you relate with others? Are you just stuck and confused on what to do? The clients that I consider a best fit are those who are wanting to change themselves but are finding themselves stuck because of anxiety, depression or relational problems.
Are you struggling to figure out what makes you happy or to find motivation to make the changes that would greatly improve your life? Are you trying to figure out your purpose in an ever changing and complicated world? Do you struggle in navigating your personal / family relationships, or wish to improve how you relate with others? Are you just stuck and confused on what to do? The clients that I consider a best fit are those who are wanting to change themselves but are finding themselves stuck because of anxiety, depression or relational problems.
(502) 237-4121 x2 View (502) 237-4121 x2
Photo of Michelle Stillwagon, Marriage & Family Therapist in Louisville, KY
Michelle Stillwagon
Marriage & Family Therapist, LMFT, CST
Verified Verified
Louisville, KY 40205
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
(502) 206-0649 View (502) 206-0649
Photo of Brianna Burns, Psychological Associate in Louisville, KY
Brianna Burns
Psychological Associate, MEd , LPA
Verified Verified
1 Endorsed
Louisville, KY 40218  (Online Only)
It is a goal of mine to make sure that you feel valued, heard and understood. I see counseling as something that is beneficial to all individuals, in every stage of life; whether you are feeling overwhelmed or just need someone who you can process the day to day with. I believe that in counseling you should be able to vocalize your needs throughout sessions. Sometimes what you need in the beginning of therapy changes and evolves, that is perfectly okay and welcomed! Counseling is for you, you decide what you want to bring to the session because you are the expert of your life.
It is a goal of mine to make sure that you feel valued, heard and understood. I see counseling as something that is beneficial to all individuals, in every stage of life; whether you are feeling overwhelmed or just need someone who you can process the day to day with. I believe that in counseling you should be able to vocalize your needs throughout sessions. Sometimes what you need in the beginning of therapy changes and evolves, that is perfectly okay and welcomed! Counseling is for you, you decide what you want to bring to the session because you are the expert of your life.
(502) 427-6869 View (502) 427-6869
Photo of Jonathan Yussman, Counselor in Louisville, KY
Jonathan Yussman
Counselor, LPCA, LCADCA, NCC
Verified Verified
Louisville, KY 40299
I strive to provide the highest possible quality mental health care services at affordable rates. I use an eclectic, strength-based approach when working with clients. I take the time to get to know clients very well, and then choose the best approach from therapies such as client-centered, cognitive behavioral, and reality therapy. I believe the relationship between the therapist and client is one of the most important elements in therapy.
I strive to provide the highest possible quality mental health care services at affordable rates. I use an eclectic, strength-based approach when working with clients. I take the time to get to know clients very well, and then choose the best approach from therapies such as client-centered, cognitive behavioral, and reality therapy. I believe the relationship between the therapist and client is one of the most important elements in therapy.
(502) 677-3601 View (502) 677-3601

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
68% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in Louisville?

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.