Therapists in Knoxville, TN

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Photo of Mark Kryter, Clinical Social Work/Therapist in Knoxville, TN
Mark Kryter
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Knoxville, TN 37934
For over three decades, Mark has partnered with individuals, couples, and families on their journey toward happiness, self-understanding, and personal mastery as a Licensed Clinical Social Worker. While Mark draws from a deep and diverse well of experience and training, he approaches therapy primarily through an approach called Psychosocial Therapy which combines a clear vision of his clients’ own experience of themselves and the world around them. By exploring the client’s unique past, current struggles, and external stressors, the stage is set for positive change.
For over three decades, Mark has partnered with individuals, couples, and families on their journey toward happiness, self-understanding, and personal mastery as a Licensed Clinical Social Worker. While Mark draws from a deep and diverse well of experience and training, he approaches therapy primarily through an approach called Psychosocial Therapy which combines a clear vision of his clients’ own experience of themselves and the world around them. By exploring the client’s unique past, current struggles, and external stressors, the stage is set for positive change.
(865) 505-8143 View (865) 505-8143
Photo of Carl E Bello, Licensed Professional Counselor in Knoxville, TN
Carl E Bello
Licensed Professional Counselor, LPC, LMHC, LCPC
Verified Verified
2 Endorsed
Knoxville, TN 37920
Do you feel: sad, angry, afraid, lonely, powerless, stuck, or numb? Emotions are messages from the deep Self that something needs your attention. It may be a relationship, a past trauma, a lack of living your true purpose, or simply increasing threats to your personal health or well being, as well as that of our planet. My goal as a therapist is to create a safe space in which we can explore the particular areas in your life that are asking for your attention. This process can lead to new insights and perspectives as to what changes might be helpful for you.
Do you feel: sad, angry, afraid, lonely, powerless, stuck, or numb? Emotions are messages from the deep Self that something needs your attention. It may be a relationship, a past trauma, a lack of living your true purpose, or simply increasing threats to your personal health or well being, as well as that of our planet. My goal as a therapist is to create a safe space in which we can explore the particular areas in your life that are asking for your attention. This process can lead to new insights and perspectives as to what changes might be helpful for you.
(865) 213-7401 View (865) 213-7401
Photo of Lindsey Chandler, Clinical Social Work/Therapist in Knoxville, TN
Lindsey Chandler
Clinical Social Work/Therapist, LCSW
Verified Verified
Knoxville, TN 37923
Waitlist for new clients
Have you ever felt that anxious feeling in your stomach that robs your appetite, hijacks your breathing, and prevents you from stepping out into the world? Maybe you feel hopeless and stuck for any number of reasons or no expressible reason at all. I want you to know you are not alone, and there is hope! The journey of recovery may include resolving guilt, changing behavior, learning to have fun, communicating effectively, and a number of other desirable results. I orient my practice to provide space for my clients to share openly and confidentially about their concerns.
Have you ever felt that anxious feeling in your stomach that robs your appetite, hijacks your breathing, and prevents you from stepping out into the world? Maybe you feel hopeless and stuck for any number of reasons or no expressible reason at all. I want you to know you are not alone, and there is hope! The journey of recovery may include resolving guilt, changing behavior, learning to have fun, communicating effectively, and a number of other desirable results. I orient my practice to provide space for my clients to share openly and confidentially about their concerns.
(865) 658-4162 View (865) 658-4162
Photo of Cynthia Searcy Crawford, Licensed Professional Counselor in Knoxville, TN
Cynthia Searcy Crawford
Licensed Professional Counselor, PhD, LPC, NCC, RPT-S
Verified Verified
Knoxville, TN 37923
I have devoted my life to working with children and adolescents. My experiences as a mother, K-12 teacher, elementary school counselor, school psychologist, and therapist have prepared me to work with youth who demonstrate a range of problems at school, home, and play. My clients are often depressed, have severe behavioral problems, have trouble making friends, demonstrate symptoms of anxiety, or have been victims of abuse or trauma. I believe all clients have within themselves the capacity for growth and positive change, provided the proper conditions in an environment of unconditional acceptance and self-worth.
I have devoted my life to working with children and adolescents. My experiences as a mother, K-12 teacher, elementary school counselor, school psychologist, and therapist have prepared me to work with youth who demonstrate a range of problems at school, home, and play. My clients are often depressed, have severe behavioral problems, have trouble making friends, demonstrate symptoms of anxiety, or have been victims of abuse or trauma. I believe all clients have within themselves the capacity for growth and positive change, provided the proper conditions in an environment of unconditional acceptance and self-worth.
(865) 409-1623 View (865) 409-1623
Photo of Kelsie McGlothin, Marriage & Family Therapist in Knoxville, TN
Kelsie McGlothin
Marriage & Family Therapist, LMFT
Verified Verified
Knoxville, TN 37922
Waitlist for new clients
Healing from complex/developmental trauma can feel daunting. My job is to walk alongside you in this process.
Healing from complex/developmental trauma can feel daunting. My job is to walk alongside you in this process.
(865) 213-7670 View (865) 213-7670
Photo of Jennifer Schariter, Pre-Licensed Professional in Knoxville, TN
Jennifer Schariter
Pre-Licensed Professional, MEd
Verified Verified
4 Endorsed
Knoxville, TN 37922
I have worked successfully with children, adolescents, teenagers, adults, and family systems. I am skilled in working with depression, anxiety, adjustment disorders, adoptions, foster care, trauma, and abuse. I will help you regain a sense of hope, help create manageable solutions, and aid you in processing trauma, with the goal of achieving a better quality of life. I am person-centered, skilled in Cognitive Behavioral Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). I do not take insurance; however, eligible individuals may qualify for a financial assistance program for access to treatment.
I have worked successfully with children, adolescents, teenagers, adults, and family systems. I am skilled in working with depression, anxiety, adjustment disorders, adoptions, foster care, trauma, and abuse. I will help you regain a sense of hope, help create manageable solutions, and aid you in processing trauma, with the goal of achieving a better quality of life. I am person-centered, skilled in Cognitive Behavioral Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). I do not take insurance; however, eligible individuals may qualify for a financial assistance program for access to treatment.
(865) 658-8973 View (865) 658-8973
Photo of Lori Ramsey, Clinical Social Work/Therapist in Knoxville, TN
Lori Ramsey
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Knoxville, TN 37919
Lori Ramsey has 20 years of therapeutic experience specializing in treating anxiety, depression, trauma, grief, and chronic life stress. Lori's work is built on her philosophical foundation that all people can feel better. Lori uses this belief along with the client's own strengths, to help clients improve relationships, extinguish negative behaviors, and establish healing so they may live more fulfilled and productive lives.
Lori Ramsey has 20 years of therapeutic experience specializing in treating anxiety, depression, trauma, grief, and chronic life stress. Lori's work is built on her philosophical foundation that all people can feel better. Lori uses this belief along with the client's own strengths, to help clients improve relationships, extinguish negative behaviors, and establish healing so they may live more fulfilled and productive lives.
(865) 351-3905 View (865) 351-3905
Photo of Amanda Surdock, Psychologist in Knoxville, TN
Amanda Surdock
Psychologist, PhD
Verified Verified
4 Endorsed
Knoxville, TN 37923
Waitlist for new clients
I am a Licensed Clinical Psychologist specializing in assessment and evaluation across the lifespan. I enjoy working with people of all ages, and I specialize in diagnosis and treatment for Autism Spectrum Disorders, Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety and depression.
I am a Licensed Clinical Psychologist specializing in assessment and evaluation across the lifespan. I enjoy working with people of all ages, and I specialize in diagnosis and treatment for Autism Spectrum Disorders, Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety and depression.
(865) 321-1076 View (865) 321-1076
Photo of Christian Lockhart, Licensed Professional Counselor in Knoxville, TN
Christian Lockhart
Licensed Professional Counselor, LPC, NCC
Verified Verified
Knoxville, TN 37922
Hello! I'm Christian. If you are looking for a safe and supportive space where you can freely share your thoughts, feelings, and behaviors without fear of judgment, I would love the privilege of providing just that. In our therapeutic relationship, you will have the chance to heal from psychological wounds, develop coping skills, and move from surviving to thriving.
Hello! I'm Christian. If you are looking for a safe and supportive space where you can freely share your thoughts, feelings, and behaviors without fear of judgment, I would love the privilege of providing just that. In our therapeutic relationship, you will have the chance to heal from psychological wounds, develop coping skills, and move from surviving to thriving.
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Photo of Elizabeth Oldham, Pre-Licensed Professional in Knoxville, TN
Elizabeth Oldham
Pre-Licensed Professional, MS
Verified Verified
Knoxville, TN 37919
Hello! I’m Elizabeth, and my goal is to help you address harmful thought patterns, process emotional wounds, and pursue a way forward that feels authentic and purposeful. I am a mental health therapist in Knoxville who works with pre-teens, adolescents, and young adults. I provide individual counseling for those struggling with: anxiety, the impact of trauma, relationship difficulties, family conflict, grief, self-esteem issues, identity work, religious/spiritual issues, sexual healing, peripartum mood disorders, and life transitions.
Hello! I’m Elizabeth, and my goal is to help you address harmful thought patterns, process emotional wounds, and pursue a way forward that feels authentic and purposeful. I am a mental health therapist in Knoxville who works with pre-teens, adolescents, and young adults. I provide individual counseling for those struggling with: anxiety, the impact of trauma, relationship difficulties, family conflict, grief, self-esteem issues, identity work, religious/spiritual issues, sexual healing, peripartum mood disorders, and life transitions.
(865) 270-4361 x818 View (865) 270-4361 x818
Photo of Becki Livingston, Licensed Professional Counselor in Knoxville, TN
Becki Livingston
Licensed Professional Counselor, MS, LPCMHSP, EMDR
Verified Verified
Knoxville, TN 37919
I am a Licensed Professional Counselor providing individual therapy for adults, with current availability for self-pay appointments. I approach therapy from the empowering perspective that we are not in control of what happens to us or around us, but we are responsible for the consequences of how we choose to allow these things to affect us and how we choose to respond. By making different choices, we can feel differently. In any given situation, we are doing the best we can with what we have, and, through therapy, we can build better ways to actively engage in life, instead of merely existing.
I am a Licensed Professional Counselor providing individual therapy for adults, with current availability for self-pay appointments. I approach therapy from the empowering perspective that we are not in control of what happens to us or around us, but we are responsible for the consequences of how we choose to allow these things to affect us and how we choose to respond. By making different choices, we can feel differently. In any given situation, we are doing the best we can with what we have, and, through therapy, we can build better ways to actively engage in life, instead of merely existing.
(865) 205-1577 View (865) 205-1577
Photo of Sarah Bruck, Clinical Social Work/Therapist in Knoxville, TN
Sarah Bruck
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
3 Endorsed
Knoxville, TN 37919
As humans, we need to feel seen, understood, and valued for our experience. In a chaotic, changing world, it can be difficult to form the type of supportive networks that allow individuals to feel valued or empowered. Through my practice, I hope to support individuals who are seeking to heal from past hardships, build helpful coping strategies, and discover emotional wellbeing in a safe and supportive environment. Together, we can identify and build upon your strengths in order to process and integrate your past, present, and future, discovering a life worth living.
As humans, we need to feel seen, understood, and valued for our experience. In a chaotic, changing world, it can be difficult to form the type of supportive networks that allow individuals to feel valued or empowered. Through my practice, I hope to support individuals who are seeking to heal from past hardships, build helpful coping strategies, and discover emotional wellbeing in a safe and supportive environment. Together, we can identify and build upon your strengths in order to process and integrate your past, present, and future, discovering a life worth living.
(865) 217-1688 View (865) 217-1688
Photo of Liza Varlan, Clinical Social Work/Therapist in Knoxville, TN
Liza Varlan
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Knoxville, TN 37917
Waitlist for new clients
I understand reaching out for help takes courage and bravery. In my practice, I hope to create a safe and empathetic space for all struggling with life’s challenges. I am passionate about helping clients reach balance in life after difficult events. I have 7 years experience providing therapy to adults and children who have experienced traumatic experiences.
I understand reaching out for help takes courage and bravery. In my practice, I hope to create a safe and empathetic space for all struggling with life’s challenges. I am passionate about helping clients reach balance in life after difficult events. I have 7 years experience providing therapy to adults and children who have experienced traumatic experiences.
(865) 217-2745 View (865) 217-2745
Photo of Shelby Harris, Clinical Social Work/Therapist in Knoxville, TN
Shelby Harris
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Knoxville, TN 37923
Owning our story and re-writing our narrative can be incredibly empowering. You are allowed and encouraged to be human with all its complexities in my office. Whether you find growth in verbal processing, journaling, or would like to use art as a therapeutic tool, I enjoy using my skills as an abstract thinker and creative clinician to empower you to reach your goals. I believe in creating a safe and nurturing space where you can tell your story and find healing. We will work collaboratively, building a strong therapeutic alliance based on trust, respect, and open communication.
Owning our story and re-writing our narrative can be incredibly empowering. You are allowed and encouraged to be human with all its complexities in my office. Whether you find growth in verbal processing, journaling, or would like to use art as a therapeutic tool, I enjoy using my skills as an abstract thinker and creative clinician to empower you to reach your goals. I believe in creating a safe and nurturing space where you can tell your story and find healing. We will work collaboratively, building a strong therapeutic alliance based on trust, respect, and open communication.
(865) 830-6336 View (865) 830-6336
Photo of Dona E Diftler, Clinical Social Work/Therapist in Knoxville, TN
Dona E Diftler
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
Knoxville, TN 37919
All of life is about relating. All day long we are in some kind of relationship with another person. How comfortable and how capable are you in communicating your needs and desires? Do you feel understood by your partner? Are you feeling stressed or directionless in your relationship, your career, your life purpose? Have you suffered a loss and are grieving? Do you have a Inner Critic that is always whispering in your ear critiquing your every move? If you would like non-judgmental support, practical tools and straightforward feedback, please call.
All of life is about relating. All day long we are in some kind of relationship with another person. How comfortable and how capable are you in communicating your needs and desires? Do you feel understood by your partner? Are you feeling stressed or directionless in your relationship, your career, your life purpose? Have you suffered a loss and are grieving? Do you have a Inner Critic that is always whispering in your ear critiquing your every move? If you would like non-judgmental support, practical tools and straightforward feedback, please call.
(865) 551-9271 View (865) 551-9271
Photo of Ken O’Hearn, Pre-Licensed Professional in Knoxville, TN
Ken O’Hearn
Pre-Licensed Professional, LPC, MHSP(t), MS
Verified Verified
1 Endorsed
Knoxville, TN 37922
I am accepting new clients and taking in-network Cigna Insurance. As a former USAF Combat Medic and civilian paramedic with over two decades of experience, I have dedicated my life to serving others in times of crisis. Witnessing the toll that trauma takes on individuals firsthand, I made the profound decision to transition from the front lines of emergency response to the forefront of mental health care. Driven by the loss of my comrades and friends to the silent battles of PTSD, I embarked on a new journey to make a difference in a different capacity.
I am accepting new clients and taking in-network Cigna Insurance. As a former USAF Combat Medic and civilian paramedic with over two decades of experience, I have dedicated my life to serving others in times of crisis. Witnessing the toll that trauma takes on individuals firsthand, I made the profound decision to transition from the front lines of emergency response to the forefront of mental health care. Driven by the loss of my comrades and friends to the silent battles of PTSD, I embarked on a new journey to make a difference in a different capacity.
(865) 509-9338 View (865) 509-9338
Photo of Maddison Park, Clinical Social Work/Therapist in Knoxville, TN
Maddison Park
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Knoxville, TN 37920  (Online Only)
Life is a journey filled with twists, turns, and unexpected detours. Amidst these transitions, it's normal to feel lost, overwhelmed, or unsure of which path to take. That's where I come in. I'm Maddison Park, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate support and guidance to individuals navigating life's most challenging transitions. Having worked in crisis intervention, residential treatment, and community-based counseling, I have had the privilege of supporting adults, children, and families through a wide range of challenges and transitions.
Life is a journey filled with twists, turns, and unexpected detours. Amidst these transitions, it's normal to feel lost, overwhelmed, or unsure of which path to take. That's where I come in. I'm Maddison Park, a Licensed Clinical Social Worker (LCSW) dedicated to providing compassionate support and guidance to individuals navigating life's most challenging transitions. Having worked in crisis intervention, residential treatment, and community-based counseling, I have had the privilege of supporting adults, children, and families through a wide range of challenges and transitions.
(865) 424-6237 View (865) 424-6237
Photo of Stacy Gruhn, Licensed Professional Counselor in Knoxville, TN
Stacy Gruhn
Licensed Professional Counselor, LPC, MHSP, NCC
Verified Verified
Knoxville, TN 37919
I am a Licensed Professional Counselor (LPC-MHSP) in the State of Tennessee, and am a National Board-Certified Counselor (NCC). I have worked with clients of all ages in a variety of settings and currently see clients ages 8 and up. My approach to counseling is client-centered and is tailored to the needs of each individual client, drawing on my knowledge and training in different modalities, including play therapy, art therapy, CBT, ACT and EMDR. When I am not working, I enjoy a rare quiet night at home with my family, but I spend most of my time these days driving one of my kids to their many events.
I am a Licensed Professional Counselor (LPC-MHSP) in the State of Tennessee, and am a National Board-Certified Counselor (NCC). I have worked with clients of all ages in a variety of settings and currently see clients ages 8 and up. My approach to counseling is client-centered and is tailored to the needs of each individual client, drawing on my knowledge and training in different modalities, including play therapy, art therapy, CBT, ACT and EMDR. When I am not working, I enjoy a rare quiet night at home with my family, but I spend most of my time these days driving one of my kids to their many events.
(865) 424-6755 View (865) 424-6755
Photo of Caroline Burkholder, Pre-Licensed Professional in Knoxville, TN
Caroline Burkholder
Pre-Licensed Professional, MS, RD, LD, CEDS
Verified Verified
2 Endorsed
Knoxville, TN 37919
The therapeutic relationship is unlike any other relationship. It is characterized by attuned and non-judgmental listening aimed at identifying and understanding repetitive patterns that contribute to relational and behavioral difficulties. If you find yourself continuously engaging in unhelpful behaviors and can't figure out why, therapy can be a profoundly useful resource to identify the aspects of your personality that may be perpetuating these cycles.
The therapeutic relationship is unlike any other relationship. It is characterized by attuned and non-judgmental listening aimed at identifying and understanding repetitive patterns that contribute to relational and behavioral difficulties. If you find yourself continuously engaging in unhelpful behaviors and can't figure out why, therapy can be a profoundly useful resource to identify the aspects of your personality that may be perpetuating these cycles.
(865) 328-1928 View (865) 328-1928
Photo of Shannon Wilson, Psychologist in Knoxville, TN
Shannon Wilson
Psychologist, PhD
Verified Verified
1 Endorsed
Knoxville, TN 37918
I earned my PhD from the University of Tennessee, and am a licensed clinical psychologist. I have received specialized training in many areas, including evaluations, hypnosis, trauma recovery, depression, and anxiety, behavioral issues and family therapy. I work with children, adolescents, adults, and families, and have specific training in the treatment of law enforcement officers and emergency responders. I do a great deal of work with families and children going through divorce. My therapeutic style is generally cognitive-behavioral, but varies from case to case depending on the needs of the client. I believe that everyone deserves to be heard and respected.
I earned my PhD from the University of Tennessee, and am a licensed clinical psychologist. I have received specialized training in many areas, including evaluations, hypnosis, trauma recovery, depression, and anxiety, behavioral issues and family therapy. I work with children, adolescents, adults, and families, and have specific training in the treatment of law enforcement officers and emergency responders. I do a great deal of work with families and children going through divorce. My therapeutic style is generally cognitive-behavioral, but varies from case to case depending on the needs of the client. I believe that everyone deserves to be heard and respected.
(865) 264-3107 View (865) 264-3107

How does your Therapist compare?

Number of Therapists in Knoxville, TN

700+

Average cost per session

$125

Therapists in Knoxville, TN who prioritize treating:

92% Anxiety
88% Depression
74% Relationship Issues
73% Self Esteem
72% Trauma and PTSD
67% Coping Skills
65% Grief

Average years in practice

10 Years

Top 3 insurances accepted

70% UnitedHealthcare UHC | UBH
68% Aetna
67% Cigna and Evernorth

How Therapists in Knoxville, TN see their clients

76% In Person and Online
24% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Knoxville?

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.