Therapists in 92114

Photo of Gabriela Quintero, Marriage & Family Therapist, LMFT
Gabriela Quintero
Marriage & Family Therapist, LMFT
San Diego, CA 92114
I work with clients that have a wide range of mental health challenges including, anxiety, depression, trauma, self-esteem, grief, & relational problems. I enjoy working with diverse population to address intersectional concepts that impact mental health. I take pleasure in working with young adults and adults. I believe people deserve to be happy, successful. I always strive to help find the strength and motivation to work towards that happiness and success.
I work with clients that have a wide range of mental health challenges including, anxiety, depression, trauma, self-esteem, grief, & relational problems. I enjoy working with diverse population to address intersectional concepts that impact mental health. I take pleasure in working with young adults and adults. I believe people deserve to be happy, successful. I always strive to help find the strength and motivation to work towards that happiness and success.
(858) 519-8002 View (858) 519-8002
Photo of Aniel Ponce, Psychologist, PsyD
Aniel Ponce
Psychologist, PsyD
3 Endorsed
San Diego, CA 92114
Hi there! I’m a psychologist who focuses on neurodiversity, working with people who have unique ways of experiencing the world, like those with autism, ADHD, and other neurodiverse traits. I understand that each person may face challenges related to communication, sensory sensitivities, executive function, or social interactions. My focus is on helping you with these aspects through understanding and personalized support. A lot of my clients come to me looking for clarity about their neurological differences and practical ways to handle everyday life. They want to understand themselves better and find strategies that work for them
Hi there! I’m a psychologist who focuses on neurodiversity, working with people who have unique ways of experiencing the world, like those with autism, ADHD, and other neurodiverse traits. I understand that each person may face challenges related to communication, sensory sensitivities, executive function, or social interactions. My focus is on helping you with these aspects through understanding and personalized support. A lot of my clients come to me looking for clarity about their neurological differences and practical ways to handle everyday life. They want to understand themselves better and find strategies that work for them
(858) 422-1618 View (858) 422-1618
Photo of Aileen Tran - Aileen Tran: Trauma + Neurodiversity Therapist , Marriage & Family Therapist Associate, MA, AMFT
Aileen Tran: Trauma + Neurodiversity Therapist
Marriage & Family Therapist Associate, MA, AMFT
1 Endorsed
Serves Area
Welcome! I am glad you have landed on my page! In my practice I work with clients who are interested in processing trauma and having a deeper relationship with themselves. I specifically work with clients who have experienced childhood or developmental traumas. I have a passion for working with the neurodivergent community (ADHD, Autistic or PDA clients) and providing a safe space for processing trauma from a neurodivergent affirming lens. As a neurodivergent person myself, and the parent of neurodivergent children, I have a deep passion for creating a safe space for all neuro-types and finding a type of therapy that fits you.
Welcome! I am glad you have landed on my page! In my practice I work with clients who are interested in processing trauma and having a deeper relationship with themselves. I specifically work with clients who have experienced childhood or developmental traumas. I have a passion for working with the neurodivergent community (ADHD, Autistic or PDA clients) and providing a safe space for processing trauma from a neurodivergent affirming lens. As a neurodivergent person myself, and the parent of neurodivergent children, I have a deep passion for creating a safe space for all neuro-types and finding a type of therapy that fits you.
(619) 329-8364 View (619) 329-8364
Photo of Ayoung Choi, Marriage & Family Therapist Associate, AMFT
Ayoung Choi
Marriage & Family Therapist Associate, AMFT
2 Endorsed
Serves Area
Do you often feel overwhelmed by persistent anxiety, social pressures, or lack the motivation and joy you used to feel? Are you struggling to manage relationships, navigate a major life transition, or simply feel like yourself? As a therapist specializing in dysfunctional thought and behavior patterns that lead to depression, anxiety, low-self esteem, etc., I work with neurodivergent individuals, teenagers, and individuals from diverse backgrounds. Together, we can develop a plan to achieve personal growth and regain balance and meaning into your life.
Do you often feel overwhelmed by persistent anxiety, social pressures, or lack the motivation and joy you used to feel? Are you struggling to manage relationships, navigate a major life transition, or simply feel like yourself? As a therapist specializing in dysfunctional thought and behavior patterns that lead to depression, anxiety, low-self esteem, etc., I work with neurodivergent individuals, teenagers, and individuals from diverse backgrounds. Together, we can develop a plan to achieve personal growth and regain balance and meaning into your life.
(619) 853-2617 View (619) 853-2617
Photo of Vangie Akridge, Licensed Educational Psychologist, PsyD, LEP
Vangie Akridge
Licensed Educational Psychologist, PsyD, LEP
Serves Area
Being a teenager can be hard and being a parent of a teenager can be challenging. Knowing that we all desire for children to be emotionally well adjusted and academically successful, it is sometimes necessary to seek support. I am available to support your family through the journey of adolescence and can provide you with valuable information about your child's learning abilities and emotional functioning and tools to navigate the education system. You are not alone. I am here to support you.
Being a teenager can be hard and being a parent of a teenager can be challenging. Knowing that we all desire for children to be emotionally well adjusted and academically successful, it is sometimes necessary to seek support. I am available to support your family through the journey of adolescence and can provide you with valuable information about your child's learning abilities and emotional functioning and tools to navigate the education system. You are not alone. I am here to support you.
(619) 870-1957 View (619) 870-1957
Photo of Andrea Sprenger, Marriage & Family Therapist, LMFT
Andrea Sprenger
Marriage & Family Therapist, LMFT
2 Endorsed
Serves Area
You're feeling stuck. You're finding yourself feeling overwhelmed and disconnected from life, others, and maybe yourself. You feel uncertain of your thoughts, wants, needs or what to do. Trauma can leave us feeling hopeless, exhausted, and alone. It can make us shut the world out, or put other's needs before our own in hope for solace. At times it can feel like change isn't possible, or if we just ignore it long enough it will resolve itself.
You're feeling stuck. You're finding yourself feeling overwhelmed and disconnected from life, others, and maybe yourself. You feel uncertain of your thoughts, wants, needs or what to do. Trauma can leave us feeling hopeless, exhausted, and alone. It can make us shut the world out, or put other's needs before our own in hope for solace. At times it can feel like change isn't possible, or if we just ignore it long enough it will resolve itself.
(512) 559-3748 View (512) 559-3748
Photo of Alexa Hall, Clinical Social Work/Therapist, LCSW
Alexa Hall
Clinical Social Work/Therapist, LCSW
Serves Area
When trauma takes over your mind and body, even everyday moments can feel overwhelming. I help adults get rapid, meaningful relief from PTSD symptoms, so life no longer revolves around avoiding triggers or fighting to keep it together. Always on guard. Drained. Stuck in memories that barge in without warning. Maybe you avoid people, places, or even sleep, just to feel safe. These are human responses to trauma, not personal flaws. I understand how consuming this can be, and we’ll work together in a way that feels safe, steady, and focused on real relief.
When trauma takes over your mind and body, even everyday moments can feel overwhelming. I help adults get rapid, meaningful relief from PTSD symptoms, so life no longer revolves around avoiding triggers or fighting to keep it together. Always on guard. Drained. Stuck in memories that barge in without warning. Maybe you avoid people, places, or even sleep, just to feel safe. These are human responses to trauma, not personal flaws. I understand how consuming this can be, and we’ll work together in a way that feels safe, steady, and focused on real relief.
(619) 738-2174 View (619) 738-2174
Photo of Roxanna Cooper, Marriage & Family Therapist, LMFT
Roxanna Cooper
Marriage & Family Therapist, LMFT
Serves Area
Starting therapy can feel like a big step. I congratulate you on starting your journey, and I’m here to make sure that it is meaningful to you. I specialize in working with individuals navigating life transitions, anxiety, depression, and trauma. I take a client-centered, collaborative approach to therapy, tailoring each session to your unique needs and goals. I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. Together, we’ll identify challenges and work on strategies to help you move forward with confidence.
Starting therapy can feel like a big step. I congratulate you on starting your journey, and I’m here to make sure that it is meaningful to you. I specialize in working with individuals navigating life transitions, anxiety, depression, and trauma. I take a client-centered, collaborative approach to therapy, tailoring each session to your unique needs and goals. I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. Together, we’ll identify challenges and work on strategies to help you move forward with confidence.
(949) 776-2178 View (949) 776-2178
Photo of Nicholas Russi, Drug & Alcohol Counselor, LAADC-S, CCS
Nicholas Russi
Drug & Alcohol Counselor, LAADC-S, CCS
Serves Area
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how your feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how your feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
(619) 324-3629 View (619) 324-3629
Photo of Marina Skegin-Sipes, Marriage & Family Therapist, MA, LMFT
Marina Skegin-Sipes
Marriage & Family Therapist, MA, LMFT
Serves Area
My wide ranged experience offers expertise in the following areas of therapy: Individual Therapy, Marriage/Couples Counseling, Relationship Issues, Work/Personal Life Balance, Anxiety and Stress Management, Dealing with Loss Grief Counseling, Divorce Recovery, Life Transitions, Parenting Issues. In over 20 years, I worked in psychiatric hospital settings, outpatient Day Treatment Programs, adolescent residential placements, and private practice supporting patients diagnosed with Depression, Bipolar Disorder, Anxiety Disorder, different types of Schizophrenia, Borderline Personality, Dual Diagnoses, and more
My wide ranged experience offers expertise in the following areas of therapy: Individual Therapy, Marriage/Couples Counseling, Relationship Issues, Work/Personal Life Balance, Anxiety and Stress Management, Dealing with Loss Grief Counseling, Divorce Recovery, Life Transitions, Parenting Issues. In over 20 years, I worked in psychiatric hospital settings, outpatient Day Treatment Programs, adolescent residential placements, and private practice supporting patients diagnosed with Depression, Bipolar Disorder, Anxiety Disorder, different types of Schizophrenia, Borderline Personality, Dual Diagnoses, and more
(818) 308-1205 View (818) 308-1205
Photo of Donna S Scott, Marriage & Family Therapist, MA, LMFT
Donna S Scott
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Serves Area
Are you tired of how the past creeps up into your day-to-day life? Feel sad or lonely, living as roommates instead of husband and wife? You’ve felt abandoned by God. No matter how hard you have prayed to be healed, your heart remains in pieces. The struggles in your relationships have kept you in a place of sadness and loneliness. My passion is to connect hurting people with a healing Savior, by utilizing faith-based knowledge along with clinical therapeutic training. I am dedicated to providing you with the highest quality of professional services for helping you overcome your situation.
Are you tired of how the past creeps up into your day-to-day life? Feel sad or lonely, living as roommates instead of husband and wife? You’ve felt abandoned by God. No matter how hard you have prayed to be healed, your heart remains in pieces. The struggles in your relationships have kept you in a place of sadness and loneliness. My passion is to connect hurting people with a healing Savior, by utilizing faith-based knowledge along with clinical therapeutic training. I am dedicated to providing you with the highest quality of professional services for helping you overcome your situation.
(619) 727-6909 View (619) 727-6909
Photo of Mara Justice, Psychologist, LP
Mara Justice
Psychologist, LP
Online Only
My name is Dr. Mara Justice, I am a Licensed Psychologist in California. I have a doctorate in Clinical Forensic Psychology and I have been working in the field of psychology for 6 years. My experience is working with adults in forensic setting with mood disorders and psychotic disorders by helping them understand their symptoms and develop coping skills and risk management plans. I am doing private practice part time and my availability is limited to every other Friday.
My name is Dr. Mara Justice, I am a Licensed Psychologist in California. I have a doctorate in Clinical Forensic Psychology and I have been working in the field of psychology for 6 years. My experience is working with adults in forensic setting with mood disorders and psychotic disorders by helping them understand their symptoms and develop coping skills and risk management plans. I am doing private practice part time and my availability is limited to every other Friday.
(619) 941-0737 View (619) 941-0737
Photo of Krystal Carrillo, Clinical Social Work/Therapist, LCSW
Krystal Carrillo
Clinical Social Work/Therapist, LCSW
Online Only
Hi! My name is Krystal Carrillo, and I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW) based in San Diego, CA. I have over 10 years of experience working in the mental health field. I am passionate about helping adults with diverse backgrounds who struggle with daily life stressors, boundaries, and feelings of self-worth. I utilize Cognitive Behavioral Therapy, Solution Focused Brief Therapy, and a Person-Centered approach.
Hi! My name is Krystal Carrillo, and I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW) based in San Diego, CA. I have over 10 years of experience working in the mental health field. I am passionate about helping adults with diverse backgrounds who struggle with daily life stressors, boundaries, and feelings of self-worth. I utilize Cognitive Behavioral Therapy, Solution Focused Brief Therapy, and a Person-Centered approach.
(747) 349-4619 View (747) 349-4619
Photo of Austin Harvell, Clinical Social Work/Therapist, MSW, LCSW
Austin Harvell
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
I work well with adults who feel stressed, overwhelmed, or unsure of their next step. Many are juggling work, relationships, or major changes and want a space to slow down and sort things out. I aim to bring a calm, steady presence and a thoughtful, honest style that helps people feel respected and heard, including LGBTQ+ clients looking for an affirming space. Most people I work with want to feel more grounded and have a clearer sense of direction as they move through their daily lives.
I work well with adults who feel stressed, overwhelmed, or unsure of their next step. Many are juggling work, relationships, or major changes and want a space to slow down and sort things out. I aim to bring a calm, steady presence and a thoughtful, honest style that helps people feel respected and heard, including LGBTQ+ clients looking for an affirming space. Most people I work with want to feel more grounded and have a clearer sense of direction as they move through their daily lives.
(619) 471-8236 View (619) 471-8236
Photo of Katherine Castanares, Marriage & Family Therapist, LMFT
Katherine Castanares
Marriage & Family Therapist, LMFT
Online Only
Hello! My name is Katherine, and I am a Licensed Marriage and Family Therapist in California. I am also a woman in my 40's and Filipino American. As a therapist I am dedicated to helping individuals navigate life’s challenges with compassion, cultural sensitivity, and empowerment. As a Filipino American, I bring an awareness of cultural identity, intergenerational dynamics, and the complexities of balancing community and self. I strive to create a safe, inclusive, and collaborative space where healing and growth can flourish.
Hello! My name is Katherine, and I am a Licensed Marriage and Family Therapist in California. I am also a woman in my 40's and Filipino American. As a therapist I am dedicated to helping individuals navigate life’s challenges with compassion, cultural sensitivity, and empowerment. As a Filipino American, I bring an awareness of cultural identity, intergenerational dynamics, and the complexities of balancing community and self. I strive to create a safe, inclusive, and collaborative space where healing and growth can flourish.
(619) 369-1655 View (619) 369-1655
Photo of Kandice Nelson, Licensed Professional Clinical Counselor, LPCC
Kandice Nelson
Licensed Professional Clinical Counselor, LPCC
Online Only
Do you feel like you’re doing just enough to get by, but stuck in survival mode? Are you feeling anxious, depressed, and like the world is weighing you down? I can help! I am here to listen and offer a space that feels safe and allows you to be authentically you, free of judgment, and confidential for you to grow and process your experiences.
Do you feel like you’re doing just enough to get by, but stuck in survival mode? Are you feeling anxious, depressed, and like the world is weighing you down? I can help! I am here to listen and offer a space that feels safe and allows you to be authentically you, free of judgment, and confidential for you to grow and process your experiences.
(619) 393-6004 View (619) 393-6004
Photo of Berenice Badillo, Marriage & Family Therapist, LMFT
Berenice Badillo
Marriage & Family Therapist, LMFT
Online Only
Sometimes it becomes challenging managing the ebb and flow of life, and we become isolated, stressed, and overwhelmed. Our past wounds always seem to sneak up on us when we least expect them. Life transitions can be difficult in that they take much adjustment and effort. There is such a pressing need to invest in yourself and in the building of healthy relationships. You may need to spark the parts of yourself that harness your inner vitality and make life worth living.
Sometimes it becomes challenging managing the ebb and flow of life, and we become isolated, stressed, and overwhelmed. Our past wounds always seem to sneak up on us when we least expect them. Life transitions can be difficult in that they take much adjustment and effort. There is such a pressing need to invest in yourself and in the building of healthy relationships. You may need to spark the parts of yourself that harness your inner vitality and make life worth living.
(619) 367-8005 View (619) 367-8005
Photo of Patricia Ulloa-Green, Marriage & Family Therapist, LMFT
Patricia Ulloa-Green
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
Greetings! I'm Patricia Ulloa-Green, a licensed Marriage and Family Therapist with an extensive 24-year background in the mental health field. Dedicated to assisting individuals navigating adversity, I bring a passion for helping others discover creative solutions tailored to their unique needs. Having triumphed over my own challenges, I approach therapy with a deep understanding of life's complexities. In today's world, trauma is pervasive, and my goal is to provide compassion, kindness, and empathy as we embark on your healing journey together.
Greetings! I'm Patricia Ulloa-Green, a licensed Marriage and Family Therapist with an extensive 24-year background in the mental health field. Dedicated to assisting individuals navigating adversity, I bring a passion for helping others discover creative solutions tailored to their unique needs. Having triumphed over my own challenges, I approach therapy with a deep understanding of life's complexities. In today's world, trauma is pervasive, and my goal is to provide compassion, kindness, and empathy as we embark on your healing journey together.
(760) 623-0758 View (760) 623-0758
Photo of Vernay Justiceroyster, Marriage & Family Therapist, LMFT, LAADC, TTS, SAP
Vernay Justiceroyster
Marriage & Family Therapist, LMFT, LAADC, TTS, SAP
2 Endorsed
Online Only
Infidelity can shake the foundation of even the strongest relationship. If you’re feeling hurt, angry, disconnected, or unsure whether your relationship can survive, you don’t have to navigate this alone. I work with individuals and couples struggling with betrayal, broken trust, and emotional distance. Many of the clients I work with are also navigating substance use or recovery. Together, we focus on healing relational wounds, rebuilding safety, and creating honest, meaningful connection.
Infidelity can shake the foundation of even the strongest relationship. If you’re feeling hurt, angry, disconnected, or unsure whether your relationship can survive, you don’t have to navigate this alone. I work with individuals and couples struggling with betrayal, broken trust, and emotional distance. Many of the clients I work with are also navigating substance use or recovery. Together, we focus on healing relational wounds, rebuilding safety, and creating honest, meaningful connection.
(619) 345-7153 View (619) 345-7153
Photo of Kristina Hall, Marriage & Family Therapist Associate, MS, AMFT
Kristina Hall
Marriage & Family Therapist Associate, MS, AMFT
Online Only
So happy YOU are taking the first step to improving your life! Have you been feeling overwhelmed? Having relationship issues? Are you unhappy and unsure why? Ready to break unhealthy cycles? Or do you just need a safe place to process your thoughts and emotions? I work with individuals and couples experiencing stress, anxiety, postpartum, trauma, depression, family or relationship conflict, anger, communication, self-esteem issues, and cultural systemic oppression. I also provide Parenting Therapy to moms, dads, couples, and expecting parents.
So happy YOU are taking the first step to improving your life! Have you been feeling overwhelmed? Having relationship issues? Are you unhappy and unsure why? Ready to break unhealthy cycles? Or do you just need a safe place to process your thoughts and emotions? I work with individuals and couples experiencing stress, anxiety, postpartum, trauma, depression, family or relationship conflict, anger, communication, self-esteem issues, and cultural systemic oppression. I also provide Parenting Therapy to moms, dads, couples, and expecting parents.
(323) 918-3289 View (323) 918-3289

See more therapy options for 92114

How does your Therapist compare?

Number of Therapists in 92114

40+

Average cost per session

$165

Therapists in 92114 who prioritize treating:

87% Anxiety
83% Depression
63% Family Conflict
63% Stress
61% Trauma and PTSD
59% Self Esteem
57% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

97% Aetna
83% Cigna and Evernorth
81% UnitedHealthcare UHC | UBH

How Therapists in 92114 see their clients

74% Online Only
26% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92114?

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.