Photo of Dr. Vanessa C. Cantu, Licensed Professional Counselor, PhD
Dr. Vanessa C. Cantu
Licensed Professional Counselor, PhD
2 Endorsed
San Antonio, TX 78209
As the parent of a pre-teen or teenager, you often find yourself wondering what you can do to help them feel better. Or perhaps you are wondering how to help yourself feel better. It seems like you've tried everything, but nothing seems to work, at least not for very long. Their personality has changed and sometimes you worry that it might get worse. You know they have so much potential - where did it go? It can be scary to reach out to a counselor because you want to make sure that you find someone who can really connect with your child and also keeps you in the loop.
As the parent of a pre-teen or teenager, you often find yourself wondering what you can do to help them feel better. Or perhaps you are wondering how to help yourself feel better. It seems like you've tried everything, but nothing seems to work, at least not for very long. Their personality has changed and sometimes you worry that it might get worse. You know they have so much potential - where did it go? It can be scary to reach out to a counselor because you want to make sure that you find someone who can really connect with your child and also keeps you in the loop.
(210) 361-7076 View (210) 361-7076
Photo of Sharon Alvandi, Clinical Social Work/Therapist, MSW, LCSW-S, MAT
Sharon Alvandi
Clinical Social Work/Therapist, MSW, LCSW-S, MAT
5 Endorsed
San Antonio, TX 78209
I DO have availability. PLEASE EMAIL sharoninbodied@gmail.com or text (734)985-0848 for intake setup. I also supervise LMSW's and LBSW's in TX. My approach to working with people involves identifying motivation through reflection and supporting through transitions. I work with individuals to build connections with their bodies. I use these modalities: Somatic Experiencing, Motivational Interviewing, Acceptance and Commitment Therapy, Solution Focused Therapy, and mindfulness practices. Note: I presently don't work with teenagers under 17 years of age or in high school
I DO have availability. PLEASE EMAIL sharoninbodied@gmail.com or text (734)985-0848 for intake setup. I also supervise LMSW's and LBSW's in TX. My approach to working with people involves identifying motivation through reflection and supporting through transitions. I work with individuals to build connections with their bodies. I use these modalities: Somatic Experiencing, Motivational Interviewing, Acceptance and Commitment Therapy, Solution Focused Therapy, and mindfulness practices. Note: I presently don't work with teenagers under 17 years of age or in high school
(210) 571-7264 View (210) 571-7264
Photo of Eric C Morris, Clinical Social Work/Therapist, LCSW
Eric C Morris
Clinical Social Work/Therapist, LCSW
3 Endorsed
San Antonio, TX 78209
Have you ever felt alone in a crowd? Struggling with the difficulties of your lived experiences and feeling the weight of the world on your shoulders can be a common human experience, and overwhelming to the point of feeling weak, but there is light at the end of the tunnel. When you find yourself grappling with a sense of doom and experiencing a feeling of everything falling apart around you, all you desire is someone who can acknowledge your emotions, stand by your side, actively listen, and empathize with your situation.
Have you ever felt alone in a crowd? Struggling with the difficulties of your lived experiences and feeling the weight of the world on your shoulders can be a common human experience, and overwhelming to the point of feeling weak, but there is light at the end of the tunnel. When you find yourself grappling with a sense of doom and experiencing a feeling of everything falling apart around you, all you desire is someone who can acknowledge your emotions, stand by your side, actively listen, and empathize with your situation.
(210) 879-8649 View (210) 879-8649
Photo of Lindsay Poth, Marriage & Family Therapist, MA
Lindsay Poth
Marriage & Family Therapist, MA
1 Endorsed
Online Only
I believe that each of us has the potential to experience dramatic growth, healing, and joy through our relationships and within ourselves, but we are often held back by fear, disconnection from ourselves, and repetitive relational dynamics that seem impossible to change. I feel my role as a therapist is to work in partnership with couples and individuals to bring awareness to these patterns and create an environment for change. By uncovering these insights, you will be able to build healthier connections and achieve a clearer understanding of yourself, your partner, or your relationship.
I believe that each of us has the potential to experience dramatic growth, healing, and joy through our relationships and within ourselves, but we are often held back by fear, disconnection from ourselves, and repetitive relational dynamics that seem impossible to change. I feel my role as a therapist is to work in partnership with couples and individuals to bring awareness to these patterns and create an environment for change. By uncovering these insights, you will be able to build healthier connections and achieve a clearer understanding of yourself, your partner, or your relationship.
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Photo of Grace Iacuone, Licensed Professional Counselor, MEd, LPC-S, RPT-S
Grace Iacuone
Licensed Professional Counselor, MEd, LPC-S, RPT-S
1 Endorsed
San Antonio, TX 78209
I am a licensed professional counselor, registered play therapist, and ketamine assisted psychotherapy provider. I believe that everyone has the potential to lead a fulfilling and inspiring life through connecting back to your authentic self. I see children, adolescents, caregivers, and helping professionals. My specialties include play therapy, caregiver support, anxiety, life transitions, grief, burnout, codependency, and self-esteem.
I am a licensed professional counselor, registered play therapist, and ketamine assisted psychotherapy provider. I believe that everyone has the potential to lead a fulfilling and inspiring life through connecting back to your authentic self. I see children, adolescents, caregivers, and helping professionals. My specialties include play therapy, caregiver support, anxiety, life transitions, grief, burnout, codependency, and self-esteem.
(726) 262-4408 View (726) 262-4408
Photo of Christopher Rodriguez, Licensed Professional Counselor, LPC
Christopher Rodriguez
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor (LPC) with over five years of experience in the mental health field. I’m passionate about helping individuals, adolescents, and couples better cope with relationship issues, depression, anxiety, life management challenges, and more. My approach is eclectic and holistic, drawing on a variety of treatment modalities, including cognitive behavioral therapy (CBT), solution-focused therapy (SFT), motivational interviewing, and the Gottman method.
I am a Licensed Professional Counselor (LPC) with over five years of experience in the mental health field. I’m passionate about helping individuals, adolescents, and couples better cope with relationship issues, depression, anxiety, life management challenges, and more. My approach is eclectic and holistic, drawing on a variety of treatment modalities, including cognitive behavioral therapy (CBT), solution-focused therapy (SFT), motivational interviewing, and the Gottman method.
(210) 972-4737 View (210) 972-4737
Photo of Bettsie Elyn Specia, Clinical Social Work/Therapist, LCSW
Bettsie Elyn Specia
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78209
I am a genuine listener who engages others by getting to know them, while exploring needs and goals. I believe that problem-solving begins with discovery of our inner strengths which can be used to foster healing and growth. As one begins to identify these resources and learns to use them, she/he is empowered to make changes and gain understanding about self and others previously thought impossible. While work in therapy can be difficult at times, it does not always have to be "serious business". Many people do not know how to have fun and learning this skill is always healing.
I am a genuine listener who engages others by getting to know them, while exploring needs and goals. I believe that problem-solving begins with discovery of our inner strengths which can be used to foster healing and growth. As one begins to identify these resources and learns to use them, she/he is empowered to make changes and gain understanding about self and others previously thought impossible. While work in therapy can be difficult at times, it does not always have to be "serious business". Many people do not know how to have fun and learning this skill is always healing.
(210) 255-2069 View (210) 255-2069
Photo of Tracey Ungar, Psychologist, PhD
Tracey Ungar
Psychologist, PhD
2 Endorsed
Online Only
I am a psychologist with thirty years' experience as a therapist, educator, ADHD coach, psychedelics integrator, and interior design consultant. I provide psychotherapy and integration via tele-health. I offer on-site visits for design consultation. I am licensed in Texas and New York. I received my degrees from New York University and Long Island University. In 2009, I moved to Texas to work with deploying active duty servicemembers and became a Certified Trauma Specialist. I have expertise in ADHD, depression, PTSD, MCS/TILT, psychedelic integration, interior design consultation for wellness, and racial/cultural Identity.
I am a psychologist with thirty years' experience as a therapist, educator, ADHD coach, psychedelics integrator, and interior design consultant. I provide psychotherapy and integration via tele-health. I offer on-site visits for design consultation. I am licensed in Texas and New York. I received my degrees from New York University and Long Island University. In 2009, I moved to Texas to work with deploying active duty servicemembers and became a Certified Trauma Specialist. I have expertise in ADHD, depression, PTSD, MCS/TILT, psychedelic integration, interior design consultation for wellness, and racial/cultural Identity.
(210) 441-9870 View (210) 441-9870
Photo of Belinda Richardson - Grace For Life Cnslng & Consulting Assocs, Marriage & Family Therapist, PhD, LMFT
Grace For Life Cnslng & Consulting Assocs
Marriage & Family Therapist, PhD, LMFT
2 Endorsed
San Antonio, TX 78209
Not accepting new clients
I want to help empower you and put you on a positive path to growth and well-being. My goal is to help you uncover your true potential and lead a fulfilled life. We can't change the past, but we can work together to understand and resolve challenges in your life, that have roots in the past. We will face behavior patterns or negative perceptions that are keeping you from having a fulfilling and meaningful life. I will help you move in a new direction in your life. I look forward to working with you to achieve your goals.
I want to help empower you and put you on a positive path to growth and well-being. My goal is to help you uncover your true potential and lead a fulfilled life. We can't change the past, but we can work together to understand and resolve challenges in your life, that have roots in the past. We will face behavior patterns or negative perceptions that are keeping you from having a fulfilling and meaningful life. I will help you move in a new direction in your life. I look forward to working with you to achieve your goals.
(210) 598-5120 View (210) 598-5120
Photo of Elaine Brandon, Licensed Professional Counselor, MA, LPC-S
Elaine Brandon
Licensed Professional Counselor, MA, LPC-S
Alamo Heights, TX 78209
Elaine earned her Bachelor of Business Administration in Finance in 1987 however, quickly discovered that she wanted more. She went back to school and earned her Master of Arts in Educational Psychology: Guidance and Counseling both from the University of Texas at San Antonio. She has been a Licensed Professional Counselor LPC since 1998, working with adolescents, young adults, and families that exhibit at risk behaviors including running away, truancy, substance abuse, and family conflict, have experienced trauma as well as abuse, and are struggling with symptoms of depression, anxiety, suicidal ideation/attempts, and self-harm
Elaine earned her Bachelor of Business Administration in Finance in 1987 however, quickly discovered that she wanted more. She went back to school and earned her Master of Arts in Educational Psychology: Guidance and Counseling both from the University of Texas at San Antonio. She has been a Licensed Professional Counselor LPC since 1998, working with adolescents, young adults, and families that exhibit at risk behaviors including running away, truancy, substance abuse, and family conflict, have experienced trauma as well as abuse, and are struggling with symptoms of depression, anxiety, suicidal ideation/attempts, and self-harm
(210) 903-5908 View (210) 903-5908
Photo of Victor Taylor, Licensed Professional Counselor, LPC
Victor Taylor
Licensed Professional Counselor, LPC
San Antonio, TX 78209
I'm Victor Taylor, a Licensed Professional Counselor with 8 years of experience, specializing in helping clients manage anxiety and depression. I work with individuals who feel overwhelmed by persistent worry or sadness and may find it challenging to function daily, maintain relationships, or enjoy activities they once loved. My goal is to provide a safe, non-judgmental space where you can openly explore your thoughts and feelings.
I'm Victor Taylor, a Licensed Professional Counselor with 8 years of experience, specializing in helping clients manage anxiety and depression. I work with individuals who feel overwhelmed by persistent worry or sadness and may find it challenging to function daily, maintain relationships, or enjoy activities they once loved. My goal is to provide a safe, non-judgmental space where you can openly explore your thoughts and feelings.
(726) 227-0678 View (726) 227-0678
Jim Carter
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78209
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
(210) 714-2676 View (210) 714-2676
Photo of Andrea Scott, Licensed Professional Counselor, MA, LPC
Andrea Scott
Licensed Professional Counselor, MA, LPC
Alamo Heights, TX 78209
Are you seeking to live a more meaningful and balanced life? Are you feeling stuck in negative patterns of behavior and thoughts? Examining thoughts and feelings with a caring therapist who is present, connected, and objective can bring about new understanding and change. During my 18 years of practice I have gained expertise helping clients dealing with depression, anxiety, trauma, and relationship issues. I offer a supportive, non-judgmental environment in which to gain insight, address irrational fears, and develop self-compassion. I strive to help women break old patterns and create the changes they wish to see in their lives.
Are you seeking to live a more meaningful and balanced life? Are you feeling stuck in negative patterns of behavior and thoughts? Examining thoughts and feelings with a caring therapist who is present, connected, and objective can bring about new understanding and change. During my 18 years of practice I have gained expertise helping clients dealing with depression, anxiety, trauma, and relationship issues. I offer a supportive, non-judgmental environment in which to gain insight, address irrational fears, and develop self-compassion. I strive to help women break old patterns and create the changes they wish to see in their lives.
(210) 796-6998 View (210) 796-6998
Photo of Beth Stanley, Licensed Professional Counselor, LPC-S
Beth Stanley
Licensed Professional Counselor, LPC-S
San Antonio, TX 78209
Wholeness. Consciousness. Self-Compassion. Creativity. Clarity. Courage. These describe healing experiences possible through the counseling journey. By collecting your stories, hopes, concerns and visions, I will tailor therapy to fit your needs. It is an honor to walk with fellow strugglers striving for peace and transformation. I have worked in the field of psychology for thirty years. I am a Psychotherapist, Supervisor to LPC-Associates, Certified Conscious Parenting Coach and have worked as a Chaplain and Counselor for hospice patients and their families. I am laser focused, using suffering to cultivate more in your life.
Wholeness. Consciousness. Self-Compassion. Creativity. Clarity. Courage. These describe healing experiences possible through the counseling journey. By collecting your stories, hopes, concerns and visions, I will tailor therapy to fit your needs. It is an honor to walk with fellow strugglers striving for peace and transformation. I have worked in the field of psychology for thirty years. I am a Psychotherapist, Supervisor to LPC-Associates, Certified Conscious Parenting Coach and have worked as a Chaplain and Counselor for hospice patients and their families. I am laser focused, using suffering to cultivate more in your life.
(210) 405-1626 View (210) 405-1626
Photo of Karen Gulde, Licensed Professional Counselor, JD, MA, CCPS
Karen Gulde
Licensed Professional Counselor, JD, MA, CCPS
San Antonio, TX 78209
Waitlist for new clients
I believe a solid counseling relationship must grow out of authentic connection. I will laugh with you, I will cry with you, and most importantly, I will listen. I am inspired by each of my clients; I consider our time together to be a sacred space. As my client, I believe you have the strength within to make positive and constructive choices. I also know it takes courage to seek counseling. We will work collaboratively to develop goals for our time together. This is your time, your safe space to process difficult feelings, explore conflicting thoughts, and find new meaning.
I believe a solid counseling relationship must grow out of authentic connection. I will laugh with you, I will cry with you, and most importantly, I will listen. I am inspired by each of my clients; I consider our time together to be a sacred space. As my client, I believe you have the strength within to make positive and constructive choices. I also know it takes courage to seek counseling. We will work collaboratively to develop goals for our time together. This is your time, your safe space to process difficult feelings, explore conflicting thoughts, and find new meaning.
(210) 361-9375 View (210) 361-9375
Photo of Amy Rollo - Heights Family Counseling, Licensed Professional Counselor, PhD, LPC-S, LPA
Heights Family Counseling
Licensed Professional Counselor, PhD, LPC-S, LPA
Alamo Heights, TX 78209
Our belief is to establish a therapeutic relationship for each client to feel comfortable & heard, in a caring & judgment-free manner. We are a boutique counseling practice located in the Alamo Heights. We specialize in working with high achievers using a systemic appraoch. We have therapists with varying specialties including play therapy, teen therapy, adult counseling, OCD specialists, and couples counseling.
Our belief is to establish a therapeutic relationship for each client to feel comfortable & heard, in a caring & judgment-free manner. We are a boutique counseling practice located in the Alamo Heights. We specialize in working with high achievers using a systemic appraoch. We have therapists with varying specialties including play therapy, teen therapy, adult counseling, OCD specialists, and couples counseling.
(210) 791-0773 View (210) 791-0773
Photo of Catherine Wooten, Licensed Professional Counselor, PhD, LPC
Catherine Wooten
Licensed Professional Counselor, PhD, LPC
San Antonio, TX 78209
Not accepting new clients
I am a Licensed Professional Counselor (LPC) in the state of Texas. Throughout the years, I have worked with individuals, couples, children, families, and groups presenting with a broad spectrum of concerns. I have extensive experience working with survivors of sexual assault and domestic violence. Presenting problems have ranged from depression and anxiety, to marital/relational discord, to parenting issues with children and adolescents, to individuals who want to better themselves by maximizing personal potential in life.
I am a Licensed Professional Counselor (LPC) in the state of Texas. Throughout the years, I have worked with individuals, couples, children, families, and groups presenting with a broad spectrum of concerns. I have extensive experience working with survivors of sexual assault and domestic violence. Presenting problems have ranged from depression and anxiety, to marital/relational discord, to parenting issues with children and adolescents, to individuals who want to better themselves by maximizing personal potential in life.
(210) 988-6688 View (210) 988-6688
Photo of Courtenay W McAlpin, Clinical Social Work/Therapist, LCSW, MBA
Courtenay W McAlpin
Clinical Social Work/Therapist, LCSW, MBA
San Antonio, TX 78209
We all experience pain, stress, fears and heartache in life. These feelings are unpleasant, but they help us reach out to learn better ways. Better ways to relax, let go, communicate, teach, love, and live with joy and freedom. I have helped others for 24 years to find their power, to feel, live and love better. It is my purpose and my passion. If you and/or someone you care about is stuck, hurting, addicted or anxious, I can help. I am in recovery myself, so there is no judgement. I understand. Call me for a free phone consultation. If I am in session, leave your number and I will call you back.
We all experience pain, stress, fears and heartache in life. These feelings are unpleasant, but they help us reach out to learn better ways. Better ways to relax, let go, communicate, teach, love, and live with joy and freedom. I have helped others for 24 years to find their power, to feel, live and love better. It is my purpose and my passion. If you and/or someone you care about is stuck, hurting, addicted or anxious, I can help. I am in recovery myself, so there is no judgement. I understand. Call me for a free phone consultation. If I am in session, leave your number and I will call you back.
(210) 343-5094 View (210) 343-5094
Photo of Esmeralda Barraza, Counselor, MS, LPC
Esmeralda Barraza
Counselor, MS, LPC
Alamo Heights, TX 78209
Esmeralda Barraza is a Licensed Professional Counselor in Texas who has been practicing since 2019. Growing up Esmeralda heard stigmas and false narratives about getting help. There was a shame associated with receiving counseling. Esmeralda now knows that providing education about what counseling could be, could help save a life. Outside of work, Esmeralda enjoys spending quality time with family, baking/cooking, and attempting to farm.
Esmeralda Barraza is a Licensed Professional Counselor in Texas who has been practicing since 2019. Growing up Esmeralda heard stigmas and false narratives about getting help. There was a shame associated with receiving counseling. Esmeralda now knows that providing education about what counseling could be, could help save a life. Outside of work, Esmeralda enjoys spending quality time with family, baking/cooking, and attempting to farm.
(210) 899-7014 View (210) 899-7014
Photo of Hugo Picazo, Clinical Social Work/Therapist, LCSW
Hugo Picazo
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78209
I am a Clinical Social Worker with 13 years of experience in the mental health field. I specialize in working with children, adolescents, and families, focusing on emotional wellness, behavioral strategies, and self-empowerment. I help clients build self-acceptance and confidence to overcome destructive thoughts, depression, and anxiety.
I am a Clinical Social Worker with 13 years of experience in the mental health field. I specialize in working with children, adolescents, and families, focusing on emotional wellness, behavioral strategies, and self-empowerment. I help clients build self-acceptance and confidence to overcome destructive thoughts, depression, and anxiety.
(726) 213-6773 View (726) 213-6773
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See more therapy options for 78209

How does your Therapist compare?

Number of Therapists in 78209

300+

Average cost per session

$140

Therapists in 78209 who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
70% Trauma and PTSD
68% Stress
67% Coping Skills
66% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

90% Aetna
76% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in 78209 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78209?

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.