Therapists in 92110

Photo of Nevena Assenova, Clinical Social Work/Therapist in 92110, CA
Nevena Assenova
Clinical Social Work/Therapist, LCSW
Verified
San Diego, CA 92110  (Online Only)
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
(619) 393-5905 View (619) 393-5905
Photo of Elizabeth 'betsy' Muirhead, Marriage & Family Therapist Associate in 92110, CA
Elizabeth 'betsy' Muirhead
Marriage & Family Therapist Associate, MA, AMFT
Verified
1 Endorsed
San Diego, CA 92110
Are you in a current life transition or struggling to find your overall purpose? I believe you can create meaningful change by enhancing your understanding of beliefs, patterns, and relational dynamics that no longer benefit you. During our work together, I will utilize evidence-based methods to assist you in developing healthier ways of interacting with yourself and others. My therapeutic approach is diverse, drawing on a range of theoretical frameworks. I will rely on you to be the expert in your own life as I work as an active and attentive guide towards the path of healing and growth.
Are you in a current life transition or struggling to find your overall purpose? I believe you can create meaningful change by enhancing your understanding of beliefs, patterns, and relational dynamics that no longer benefit you. During our work together, I will utilize evidence-based methods to assist you in developing healthier ways of interacting with yourself and others. My therapeutic approach is diverse, drawing on a range of theoretical frameworks. I will rely on you to be the expert in your own life as I work as an active and attentive guide towards the path of healing and growth.
(619) 503-7562 View (619) 503-7562
Photo of Mark Veldkamp, Counselor in 92110, CA
Mark Veldkamp
Counselor, MA, LPCC
Verified
1 Endorsed
San Diego, CA 92110
Are you overwhelmed by stress, worry, or loss? Has your job taken over your life? Do you feel stuck, lost, or unsure where to turn? My name is Mark Veldkamp. I am a Licensed Professional Clinical Counselor based in San Diego, California offering in person and virtual sessions to California residents with a variety emotional and mental health needs. I started my practice because I believe that no one should have to face life’s challenges alone and that everyone deserves support. No matter how bad things might seem, no matter how helpless you feel, there is hope. You deserve a life filled with joy and meaning.
Are you overwhelmed by stress, worry, or loss? Has your job taken over your life? Do you feel stuck, lost, or unsure where to turn? My name is Mark Veldkamp. I am a Licensed Professional Clinical Counselor based in San Diego, California offering in person and virtual sessions to California residents with a variety emotional and mental health needs. I started my practice because I believe that no one should have to face life’s challenges alone and that everyone deserves support. No matter how bad things might seem, no matter how helpless you feel, there is hope. You deserve a life filled with joy and meaning.
(424) 332-0496 View (424) 332-0496
Photo of Gretchen J. Penner, Clinical Social Work/Therapist in 92110, CA
Gretchen J. Penner
Clinical Social Work/Therapist, MSW, LCSW
Verified
4 Endorsed
San Diego, CA 92110
IS ANXIETY STEALING YOUR JOY? Do you suffer from anxiety, depression, panic attacks, feelings of loneliness and/or emptiness? Are you struggling with life changes, loss, feelings of hopelessness? Are you fearful about finding/losing love? Do you suffer with feelings of worthlessness or feel incapable of being loved? Healthy connections are a primary need that we all have. Healthy attachments help us regulate our emotions to live a joyful and peaceful life. Sometimes through life experiences, our ability to attach and connect in healthy ways gets disrupted, negatively impacting our lives and our ability to regulate our emotions.
IS ANXIETY STEALING YOUR JOY? Do you suffer from anxiety, depression, panic attacks, feelings of loneliness and/or emptiness? Are you struggling with life changes, loss, feelings of hopelessness? Are you fearful about finding/losing love? Do you suffer with feelings of worthlessness or feel incapable of being loved? Healthy connections are a primary need that we all have. Healthy attachments help us regulate our emotions to live a joyful and peaceful life. Sometimes through life experiences, our ability to attach and connect in healthy ways gets disrupted, negatively impacting our lives and our ability to regulate our emotions.
(619) 324-3803 View (619) 324-3803
Photo of Heidi M Rodenberger, Psychologist in 92110, CA
Heidi M Rodenberger
Psychologist, PsyD
Verified
San Diego, CA 92110
Change, conflict, disappointment, or loss. Through our work together, I can help you navigate through troubling patterns that may have formed as a result of responding to these difficult life occurrences. As a licensed clinical psychologist, I bring extensive experience working with adolescents, young adults, and adults ranging from crisis response to long-term psychotherapy. I provide insight-oriented counseling for those who are managing depression, anxiety, relationship conflicts, and life transitions. Other clinical specialties of mine include work around grief and loss, eating disorder relapse prevention, and trauma recovery.
Change, conflict, disappointment, or loss. Through our work together, I can help you navigate through troubling patterns that may have formed as a result of responding to these difficult life occurrences. As a licensed clinical psychologist, I bring extensive experience working with adolescents, young adults, and adults ranging from crisis response to long-term psychotherapy. I provide insight-oriented counseling for those who are managing depression, anxiety, relationship conflicts, and life transitions. Other clinical specialties of mine include work around grief and loss, eating disorder relapse prevention, and trauma recovery.
(858) 207-3492 View (858) 207-3492
Photo of Janel Cullen, Marriage & Family Therapist Intern in 92110, CA
Janel Cullen
Marriage & Family Therapist Intern, MFT
Verified
2 Endorsed
San Diego, CA 92110
Therapy, at its core, is a journey of shared humanity. You are not a diagnosis, but a human being, with really good reasons for how you got to this point in life. Honoring the ways you have survived your pain cultivates your self-acceptance which is essential to my approach to transformative therapy. Whether you're caught in negative relationship patterns, repetitive self criticism, or trapped cycles of procrastination and overwhelm; together we can work to uncover the roots of your struggles, transform negative patterns, and foster your resilience.
Therapy, at its core, is a journey of shared humanity. You are not a diagnosis, but a human being, with really good reasons for how you got to this point in life. Honoring the ways you have survived your pain cultivates your self-acceptance which is essential to my approach to transformative therapy. Whether you're caught in negative relationship patterns, repetitive self criticism, or trapped cycles of procrastination and overwhelm; together we can work to uncover the roots of your struggles, transform negative patterns, and foster your resilience.
(619) 361-8027 View (619) 361-8027
Photo of Wendy Kessler in 92110, CA
Wendy Kessler
MSW, FT
San Diego, CA 92110
Grief is our natural response to loss. It is not a disorder, nor does typical grief necessitate therapeutic treatment. Grief is a normal human experience that needs to be felt and processed. But sometimes our grief becomes stalled or derailed because healthy grieving has not been modeled or taught. Grief is meant to be an active process, a life skill that can be learned - rather than a passive experience to be endured. I offer professional guidance that helps people struggling with loss to discover where or why their unique grief journey got off track, and find their way back to the path where they can move forward through loss.
Grief is our natural response to loss. It is not a disorder, nor does typical grief necessitate therapeutic treatment. Grief is a normal human experience that needs to be felt and processed. But sometimes our grief becomes stalled or derailed because healthy grieving has not been modeled or taught. Grief is meant to be an active process, a life skill that can be learned - rather than a passive experience to be endured. I offer professional guidance that helps people struggling with loss to discover where or why their unique grief journey got off track, and find their way back to the path where they can move forward through loss.
(619) 558-2845 View (619) 558-2845
Photo of Susan Heemstra, Marriage & Family Therapist in 92110, CA
Susan Heemstra
Marriage & Family Therapist, LMFT, MA
Verified
8 Endorsed
San Diego, CA 92110
Are you struggling in your relationships? Are you and your partner dealing with lack of intimacy, betrayal, addiction, or communication issues? I value effective & solution-focused therapy for couples. I help you make effective changes to feel more content and fulfilled in your relationships and life. It is a priority to understand how your background, identity, and relationships influence who you are in order to help you develop insight and useful strategies to improve your life and relationships. I practice Emotiion Focused Therapy (EFT) and have completed all 3 levels of Gottman Method training.
Are you struggling in your relationships? Are you and your partner dealing with lack of intimacy, betrayal, addiction, or communication issues? I value effective & solution-focused therapy for couples. I help you make effective changes to feel more content and fulfilled in your relationships and life. It is a priority to understand how your background, identity, and relationships influence who you are in order to help you develop insight and useful strategies to improve your life and relationships. I practice Emotiion Focused Therapy (EFT) and have completed all 3 levels of Gottman Method training.
(619) 332-1912 View (619) 332-1912
Photo of Alexandria Meier, Pre-Licensed Professional in 92110, CA
Alexandria Meier
Pre-Licensed Professional, MA
Verified
San Diego, CA 92110
Therapy is for anybody who feels like they are ready to start putting effort into improving their quality of life. Approaching therapy with an open heart and mind and readiness to explore their thoughts and emotions in a non-judgmental environment will provide an opportunity to improve troubling symptoms related to mental health. I will provide that environment and help you through whatever life has thrown at you as well as whatever troubling symptoms you may be experiencing.
Therapy is for anybody who feels like they are ready to start putting effort into improving their quality of life. Approaching therapy with an open heart and mind and readiness to explore their thoughts and emotions in a non-judgmental environment will provide an opportunity to improve troubling symptoms related to mental health. I will provide that environment and help you through whatever life has thrown at you as well as whatever troubling symptoms you may be experiencing.
(619) 598-1198 View (619) 598-1198
Photo of Tina Madelyn, Clinical Social Work/Therapist in 92110, CA
Tina Madelyn
Clinical Social Work/Therapist, LCSW
Verified
San Diego, CA 92110  (Online Only)
I am a holistic and integrative psychotherapist. This means I see you through a lens of mind + body + Spirit. Therapy is a co-creation and together we discover the answers and weave new stories. I work empathically and intuitively, so you can become empowered, develop self compassion, and step fully into your sovereignty. The clients I work with typically identify with being on a spiritual path, highly sensitive/empathic, and come from a multitude of backgrounds. In addition, I provide masculine/feminine integration, jungian parts work, ancestral generational healing, and EMDR for trauma, narcissistic abuse + CPTSD.
I am a holistic and integrative psychotherapist. This means I see you through a lens of mind + body + Spirit. Therapy is a co-creation and together we discover the answers and weave new stories. I work empathically and intuitively, so you can become empowered, develop self compassion, and step fully into your sovereignty. The clients I work with typically identify with being on a spiritual path, highly sensitive/empathic, and come from a multitude of backgrounds. In addition, I provide masculine/feminine integration, jungian parts work, ancestral generational healing, and EMDR for trauma, narcissistic abuse + CPTSD.
(619) 404-4797 View (619) 404-4797
Photo of Deanna Jimenez, Marriage & Family Therapist in 92110, CA
Deanna Jimenez
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92110  (Online Only)
I am a Licensed Marriage and Family Therapist who has been in the mental health field for over 10 years. I received my Master of Arts in Marital and Family Therapy from the University of San Diego. My experience ranges from working at non-profit agencies with youth and families, to group practice settings and in university college counseling centers. I enjoy working with diverse populations and am dedicated to providing culturally sensitive services tailored to meet your individual needs.
I am a Licensed Marriage and Family Therapist who has been in the mental health field for over 10 years. I received my Master of Arts in Marital and Family Therapy from the University of San Diego. My experience ranges from working at non-profit agencies with youth and families, to group practice settings and in university college counseling centers. I enjoy working with diverse populations and am dedicated to providing culturally sensitive services tailored to meet your individual needs.
(619) 789-1295 View (619) 789-1295
Photo of Bonni Jane Cardoza, Marriage & Family Therapist in 92110, CA
Bonni Jane Cardoza
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92110
*Happiness, love, abundance, health and healing!* Counseling, coaching and consulting to manifest your best life because you deserve...All The Things! I have been a licensed marriage and family therapist for over 10 years in both California and Hawaii. Offering individual, couples, family and group therapy, I have worked with all populations, offering support in all areas from substance abuse therapy to school based behavioral health. My passion is working with women and girls to build self esteem, cultivate self empowerment and help bring about the change to manifest your best life.
*Happiness, love, abundance, health and healing!* Counseling, coaching and consulting to manifest your best life because you deserve...All The Things! I have been a licensed marriage and family therapist for over 10 years in both California and Hawaii. Offering individual, couples, family and group therapy, I have worked with all populations, offering support in all areas from substance abuse therapy to school based behavioral health. My passion is working with women and girls to build self esteem, cultivate self empowerment and help bring about the change to manifest your best life.
(808) 460-6382 View (808) 460-6382
Photo of Michael Ceccon, Counselor in 92110, CA
Michael Ceccon
Counselor, MS, LPCC
Verified
San Diego, CA 92110  (Online Only)
Are you feeling frustrated, confused, stressed, depressed, or lost? Are you working to create more meaning, fulfillment, and happiness in your life?  Living a human life means learning to live with the human condition. That means challenges with mortality, relationships, conflict, emotionality, suffering, and change, among others. Therapy can help you respond to life events that may be challenging and confusing, events you may not be equipped to address. It can support the development of insight and behavior change to navigate life challenges in novel ways.
Are you feeling frustrated, confused, stressed, depressed, or lost? Are you working to create more meaning, fulfillment, and happiness in your life?  Living a human life means learning to live with the human condition. That means challenges with mortality, relationships, conflict, emotionality, suffering, and change, among others. Therapy can help you respond to life events that may be challenging and confusing, events you may not be equipped to address. It can support the development of insight and behavior change to navigate life challenges in novel ways.
(619) 350-2980 View (619) 350-2980
Photo of Maggie Burgess, Clinical Social Work/Therapist in 92110, CA
Maggie Burgess
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
San Diego, CA 92110
There is a way to get past problems that seem insurmountable. There is a way out of the darkness and paralyzing stress. It starts by sharing with a trustworthy therapist who can guide you to think about your situation from a new angle, and approach your problems with new strategies.
There is a way to get past problems that seem insurmountable. There is a way out of the darkness and paralyzing stress. It starts by sharing with a trustworthy therapist who can guide you to think about your situation from a new angle, and approach your problems with new strategies.
(619) 468-7657 View (619) 468-7657
Photo of Brittani Stumbo, Marriage & Family Therapist in 92110, CA
Brittani Stumbo
Marriage & Family Therapist, LMFT
Verified
2 Endorsed
San Diego, CA 92110  (Online Only)
Waitlist for new clients
I am a Licensed Marriage and Family Therapist and Sports Psychology Consultant who believes we all come with strengths. My approach is genuine, strength based, non traditional, focused on your individualized needs, full of humor, and drawing from many evidenced based practices to find effective results for you. Life gets tough at times trying to juggle who we are, heal from past experiences, and adapt to expectations placed on us. I am here to provide you with a safe space to have some real-talk about the struggles of transitions, trauma, relationships, and overall identity making.
I am a Licensed Marriage and Family Therapist and Sports Psychology Consultant who believes we all come with strengths. My approach is genuine, strength based, non traditional, focused on your individualized needs, full of humor, and drawing from many evidenced based practices to find effective results for you. Life gets tough at times trying to juggle who we are, heal from past experiences, and adapt to expectations placed on us. I am here to provide you with a safe space to have some real-talk about the struggles of transitions, trauma, relationships, and overall identity making.
(619) 547-0429 View (619) 547-0429
Photo of Patrizia I Spiga, Marriage & Family Therapist in 92110, CA
Patrizia I Spiga
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92110
Are you a people-pleasing person? Afraid of hurting others' feelings by saying no to them? Do you chronically worry, feel depressed and irritable? Do you experience explosive anger towards your family? Anxiety may make you feel tense and have uncomfortable physical sensations such as racing heartbeat, nausea, or difficulty breathing. In a supportive environment, I can teach you skills to discover why anxiety, or low self-confidence and fear of independence control your life. We'll focus on understanding the source of these and other challenges so that with a new awareness you may reclaim your real self.
Are you a people-pleasing person? Afraid of hurting others' feelings by saying no to them? Do you chronically worry, feel depressed and irritable? Do you experience explosive anger towards your family? Anxiety may make you feel tense and have uncomfortable physical sensations such as racing heartbeat, nausea, or difficulty breathing. In a supportive environment, I can teach you skills to discover why anxiety, or low self-confidence and fear of independence control your life. We'll focus on understanding the source of these and other challenges so that with a new awareness you may reclaim your real self.
(619) 357-4104 View (619) 357-4104
Photo of Lara Touckly, Counselor in 92110, CA
Lara Touckly
Counselor, MA, LPCC
Verified
1 Endorsed
San Diego, CA 92110  (Online Only)
Fuck! Is this as good as it gets? Changes, traumas, relationships, stressors, expectations, life! I dodge right, to get hit from the left. I come up for air, to be pulled back into the current. And sometimes, I just can’t even.
Fuck! Is this as good as it gets? Changes, traumas, relationships, stressors, expectations, life! I dodge right, to get hit from the left. I come up for air, to be pulled back into the current. And sometimes, I just can’t even.
(619) 598-1405 View (619) 598-1405
Photo of The Heart of the Matter Relationship Counseling, Marriage & Family Therapist in 92110, CA
The Heart of the Matter Relationship Counseling
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
San Diego, CA 92110
We believe people possess the inner strength, imagination, and determination to meet life’s challenges, but sometimes we get stuck and forget that we have these abilities. Individual therapy presents an opportunity to understand your feelings, thoughts and behaviors in new ways. There are times when the challenges in life may lead to anxiety, depression, helplessness and despair. You may be feeling frightened, insecure, alone and lacking direction. We take the time to listen to your problems and understand your situation to help you live a fuller, more joyful and positive life.
We believe people possess the inner strength, imagination, and determination to meet life’s challenges, but sometimes we get stuck and forget that we have these abilities. Individual therapy presents an opportunity to understand your feelings, thoughts and behaviors in new ways. There are times when the challenges in life may lead to anxiety, depression, helplessness and despair. You may be feeling frightened, insecure, alone and lacking direction. We take the time to listen to your problems and understand your situation to help you live a fuller, more joyful and positive life.
(619) 768-2395 x92106 View (619) 768-2395 x92106
Photo of Well Being First Psychology Associates, APC, Psychologist in 92110, CA
Well Being First Psychology Associates, APC
Psychologist, PsyD
Verified
San Diego, CA 92110  (Online Only)
Are you stressed, feeling overwhelmed by issues at work, issues with children, parents or your relationship? Do you and your partner have same argument over and over without resolving anything? Do you hide your emotional problems, not knowing where to turn to start feeling clearer and feeling better? Do you struggle with a life change, such as a losing a partner, that has turned your life upside down? Do you or your family member have a problem with drugs or alcohol?
Are you stressed, feeling overwhelmed by issues at work, issues with children, parents or your relationship? Do you and your partner have same argument over and over without resolving anything? Do you hide your emotional problems, not knowing where to turn to start feeling clearer and feeling better? Do you struggle with a life change, such as a losing a partner, that has turned your life upside down? Do you or your family member have a problem with drugs or alcohol?
(619) 870-8238 View (619) 870-8238
Photo of Amy L Juleson, Marriage & Family Therapist Associate in 92110, CA
Amy L Juleson
Marriage & Family Therapist Associate, AMFT
Verified
1 Endorsed
San Diego, CA 92110
I have experience in treating individual adults of all ages and enjoy working with couples desiring deeper connection, intimacy, and improved communication and conflict resolution skills. I specialize in working with attachment injuries, trauma, grief and loss, depression and anxiety management, relationship concerns, and major life transitions. I am here to hold space for my clients and help them realize their strengths and how they relate to themselves and others.
I have experience in treating individual adults of all ages and enjoy working with couples desiring deeper connection, intimacy, and improved communication and conflict resolution skills. I specialize in working with attachment injuries, trauma, grief and loss, depression and anxiety management, relationship concerns, and major life transitions. I am here to hold space for my clients and help them realize their strengths and how they relate to themselves and others.
(619) 345-5206 View (619) 345-5206

See more therapy options for 92110

How does your Therapist compare?

Number of Therapists in 92110

200+

Average cost per session

$150

Therapists in 92110 who prioritize treating:

96% Anxiety
91% Depression
83% Relationship Issues
79% Self Esteem
75% Coping Skills
72% Trauma and PTSD
69% Grief

Average years in practice

11 Years

Top 3 insurances accepted

70% Cigna and Evernorth
59% Aetna
54% UnitedHealthcare UHC | UBH

How Therapists in 92110 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 92110?

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.