Photo of Maxwell Trzcinski, Psychologist in 92126, CA
Maxwell Trzcinski
Psychologist, PhD
Verified Verified
San Diego, CA 92126
Considering therapy is difficult and reaching out to a therapist requires courage. Whether you are beginning to look for a therapist or if you are ready to initiate an initial conversation, I respect your willingness to consider something new, to ask for help, to prioritize your needs, and or to pursue growth. My practice is focused on assisting those feeling held back, burnt out, stuck, scared, frustrated, overwhelmed, and insufficient to move toward a life of vitality, connection, peace, health, and flexibility.
Considering therapy is difficult and reaching out to a therapist requires courage. Whether you are beginning to look for a therapist or if you are ready to initiate an initial conversation, I respect your willingness to consider something new, to ask for help, to prioritize your needs, and or to pursue growth. My practice is focused on assisting those feeling held back, burnt out, stuck, scared, frustrated, overwhelmed, and insufficient to move toward a life of vitality, connection, peace, health, and flexibility.
(858) 746-7724 View (858) 746-7724
Photo of Roxanne Cueva, Marriage & Family Therapist in 92126, CA
Roxanne Cueva
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92126  (Online Only)
Struggling with low self esteem and low confidence can be very tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
Struggling with low self esteem and low confidence can be very tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
(858) 358-7920 View (858) 358-7920
Photo of Alexis Sword, Marriage & Family Therapist in 92126, CA
Alexis Sword
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92126  (Online Only)
Over 2,600 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy!  Treating: Adults and Children via Remote Therapy ages 9-99yrs. 25+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.   As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results.
Over 2,600 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy!  Treating: Adults and Children via Remote Therapy ages 9-99yrs. 25+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.   As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results.
(310) 340-0671 View (310) 340-0671
Photo of Ellen M Greenfield, Psychologist in 92126, CA
Ellen M Greenfield
Psychologist, PhD
Verified Verified
San Diego, CA 92126
My primary goal in working with individuals, couples, and families is to help you achieve your full potential and lead a life in the present that is fulfilling and meaningful. We achieve this through a structured, non-confrontational approach where together, we will search for patterns in your life that are causing you difficulties. I am a cognitive-behavioral therapist with 15 years experience in private practice. My office is conveniently located just west of the 15 freeway and Miramar Road. For more detailed information about my services, please visit my website at Cognitivebehaviortherapy.net
My primary goal in working with individuals, couples, and families is to help you achieve your full potential and lead a life in the present that is fulfilling and meaningful. We achieve this through a structured, non-confrontational approach where together, we will search for patterns in your life that are causing you difficulties. I am a cognitive-behavioral therapist with 15 years experience in private practice. My office is conveniently located just west of the 15 freeway and Miramar Road. For more detailed information about my services, please visit my website at Cognitivebehaviortherapy.net
(619) 822-1692 View (619) 822-1692
Photo of Gabriel Mejia, Clinical Social Work/Therapist in 92126, CA
Gabriel Mejia
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92126
Hello, my name is Gabriel Mejia, and I am a practicing Licensed Clinical Social Worker (LCSW). I approach therapy as a professional whose aim is to improve the quality of life of my clients. Working together as a unit with my clients, I hope to fill the missing puzzles pieces of what happiness, satisfaction, contentment, empowerment or peace of mind feels like. Likewise, I help clients to re-shift distorted, stressful, anxiety, depressive, overwhelming thoughts/experiences in order to gain back the calm that might be missing in their lives.
Hello, my name is Gabriel Mejia, and I am a practicing Licensed Clinical Social Worker (LCSW). I approach therapy as a professional whose aim is to improve the quality of life of my clients. Working together as a unit with my clients, I hope to fill the missing puzzles pieces of what happiness, satisfaction, contentment, empowerment or peace of mind feels like. Likewise, I help clients to re-shift distorted, stressful, anxiety, depressive, overwhelming thoughts/experiences in order to gain back the calm that might be missing in their lives.
(858) 832-2598 View (858) 832-2598
Photo of Darlene R Townes, Psychologist in 92126, CA
Darlene R Townes
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92126
Not accepting new clients
Do you struggle with negative thoughts affecting your identity, mood or behaviors? Have you been diagnosed with a chronic mental illness? Do you feel stuck in your life due to emotional or physical pain from relationships, traumatic events or marginalization? Do you long for a safe person to process these events or unspoken secrets too unbearable to speak out-loud? Maybe you are having problems in your relationships, communication, or too many non-negotiable areas. Well, you are not alone.
Do you struggle with negative thoughts affecting your identity, mood or behaviors? Have you been diagnosed with a chronic mental illness? Do you feel stuck in your life due to emotional or physical pain from relationships, traumatic events or marginalization? Do you long for a safe person to process these events or unspoken secrets too unbearable to speak out-loud? Maybe you are having problems in your relationships, communication, or too many non-negotiable areas. Well, you are not alone.
(858) 264-0511 View (858) 264-0511
Photo of Kandice Casillas, Licensed Professional Clinical Counselor in 92126, CA
Kandice Casillas
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Diego, CA 92126
Hello, I am Kandice Casillas, a Licensed Professional Clinical Counselor. I believe that the client is the expert in their life while I am a helper in understanding and making connections with the unknown. My areas of focus are trauma, depression, anxiety, communication, boundaries, self-acceptance, and self-compassion. I use a collection of Attachment-Based, Solution Focus, Narrative, CBT, Compassion Focused, and Client Centered approaches. I like to start with the basics of understanding the client's needs, finding coping skills that work, and then diving into the real problem at hand.
Hello, I am Kandice Casillas, a Licensed Professional Clinical Counselor. I believe that the client is the expert in their life while I am a helper in understanding and making connections with the unknown. My areas of focus are trauma, depression, anxiety, communication, boundaries, self-acceptance, and self-compassion. I use a collection of Attachment-Based, Solution Focus, Narrative, CBT, Compassion Focused, and Client Centered approaches. I like to start with the basics of understanding the client's needs, finding coping skills that work, and then diving into the real problem at hand.
(858) 331-8337 View (858) 331-8337
Photo of Kandie Brown, Clinical Social Work/Therapist in 92126, CA
Kandie Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92126
Hi, my name is Kandie Brown. I am a Licensed Clinical Social Worker (LCSW). I have a Master’s degree in Social Work from Our Lady of the Lake University, San Antonio, TX. I follow a systemic approach to therapy and believe that to understand people and their challenges it is important to understand the systems and relationships they are a part of. I believe that the therapeutic relationship should be one of authenticity, collaboration and one that feels safe and supportive. I focus on the client’s strength and resiliency. I strive to help clients find tools to cope with life’s stresses.
Hi, my name is Kandie Brown. I am a Licensed Clinical Social Worker (LCSW). I have a Master’s degree in Social Work from Our Lady of the Lake University, San Antonio, TX. I follow a systemic approach to therapy and believe that to understand people and their challenges it is important to understand the systems and relationships they are a part of. I believe that the therapeutic relationship should be one of authenticity, collaboration and one that feels safe and supportive. I focus on the client’s strength and resiliency. I strive to help clients find tools to cope with life’s stresses.
(858) 321-8665 View (858) 321-8665
Photo of Laura Lugo, Marriage & Family Therapist in 92126, CA
Laura Lugo
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126
Hi there, I'm Laura! I am an experienced Licensed Mental Health Counselor with a demonstrated history of working in the mental health care industry. Skilled in Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT) for trauma, Group Therapy for substance abuse, Crisis Intervention, Family Therapy, and Case Management. I have a background as a healthcare service professional with a Master of Science (MS) focused on Marriage and Family Therapy/Counseling from the University of Phoenix. I have a very empathetic approach to listening while providing unconditional positive regard for each member's issues and concerns.
Hi there, I'm Laura! I am an experienced Licensed Mental Health Counselor with a demonstrated history of working in the mental health care industry. Skilled in Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT) for trauma, Group Therapy for substance abuse, Crisis Intervention, Family Therapy, and Case Management. I have a background as a healthcare service professional with a Master of Science (MS) focused on Marriage and Family Therapy/Counseling from the University of Phoenix. I have a very empathetic approach to listening while providing unconditional positive regard for each member's issues and concerns.
(858) 463-5625 View (858) 463-5625
Photo of Kendra Hadley, Licensed Professional Clinical Counselor in 92126, CA
Kendra Hadley
Licensed Professional Clinical Counselor, LCPC
Verified Verified
San Diego, CA 92126
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
(858) 381-9751 View (858) 381-9751
Photo of Parva Nouri, Pre-Licensed Professional in 92126, CA
Parva Nouri
Pre-Licensed Professional, APCC, AMFT
Verified Verified
San Diego, CA 92126
I'm a compassionate therapist and an unstoppable force of transformation. With a captivating blend of legal expertise and profound insights into the human psyche, I've embarked on a soulful journey to empower others. Specializing in igniting inner sparks, I guide children, teens, and adults towards a life they truly love. Through cutting-edge techniques, we'll unravel the layers, liberate your true potential, and ignite lasting change. With fluency in both English and Farsi, I embrace diverse cultures and their rich tapestry of experiences. Let's rewrite your story together and unleash the vibrant essence within.
I'm a compassionate therapist and an unstoppable force of transformation. With a captivating blend of legal expertise and profound insights into the human psyche, I've embarked on a soulful journey to empower others. Specializing in igniting inner sparks, I guide children, teens, and adults towards a life they truly love. Through cutting-edge techniques, we'll unravel the layers, liberate your true potential, and ignite lasting change. With fluency in both English and Farsi, I embrace diverse cultures and their rich tapestry of experiences. Let's rewrite your story together and unleash the vibrant essence within.
(858) 533-2806 View (858) 533-2806
Photo of Monique Nguyen, Clinical Social Work/Therapist in 92126, CA
Monique Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92126
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
(858) 391-4899 View (858) 391-4899
Photo of Daniel Leone, Marriage & Family Therapist in 92126, CA
Daniel Leone
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126
I welcome you! My name is Daniel Leone and I work as a Licensed Marriage and Family Therapist. My experience is focused mainly on relationship issues, anxiety, depression, trauma and substance use. Therapy will provide you with the space and safety to talk about your traumas, struggles and concerns without judgement. As a therapist I had the opportunity to work with kids (9 to 12), teens, adults and couples.
I welcome you! My name is Daniel Leone and I work as a Licensed Marriage and Family Therapist. My experience is focused mainly on relationship issues, anxiety, depression, trauma and substance use. Therapy will provide you with the space and safety to talk about your traumas, struggles and concerns without judgement. As a therapist I had the opportunity to work with kids (9 to 12), teens, adults and couples.
(858) 923-5930 View (858) 923-5930
Photo of Leslie Westbrook, Marriage & Family Therapist in 92126, CA
Leslie Westbrook
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126
Hi, my name is Leslie Westbrook, and I am an LMFT (127260). I am passionate about helping clients achieve their goals, and I believe I have the skills and knowledge to do just that. I'm excited to learn more about you and how I can help. My approach to providing therapy is to create a safe and nonjudgmental space for clients to explore their thoughts, feelings, and experiences. I believe in taking an integrative approach that draws from a variety of therapeutic modalities, such as cognitive behavioral therapy, person-centered therapy, and mindfulness-based therapies.
Hi, my name is Leslie Westbrook, and I am an LMFT (127260). I am passionate about helping clients achieve their goals, and I believe I have the skills and knowledge to do just that. I'm excited to learn more about you and how I can help. My approach to providing therapy is to create a safe and nonjudgmental space for clients to explore their thoughts, feelings, and experiences. I believe in taking an integrative approach that draws from a variety of therapeutic modalities, such as cognitive behavioral therapy, person-centered therapy, and mindfulness-based therapies.
(858) 330-2804 View (858) 330-2804
Photo of Center for Thoughtful Lasting Change, Inc, LPC Intern in 92126, CA
Center for Thoughtful Lasting Change, Inc
LPC Intern, MA
Verified Verified
San Diego, CA 92126
Waitlist for new clients
Hello, my name is Noah Liker. If you’re reading this then you have already made the first step towards building the best version of yourself. Finding the right therapist to work with can be daunting, so I hope reading this can provide some comfort to you. Maybe a lack of control, a feeling of loneliness, or perhaps hidden insecurities have prevented you from enjoying everything that life has to offer. The journey to understand these thoughts and feelings begins today.
Hello, my name is Noah Liker. If you’re reading this then you have already made the first step towards building the best version of yourself. Finding the right therapist to work with can be daunting, so I hope reading this can provide some comfort to you. Maybe a lack of control, a feeling of loneliness, or perhaps hidden insecurities have prevented you from enjoying everything that life has to offer. The journey to understand these thoughts and feelings begins today.
(858) 221-9748 x6624 View (858) 221-9748 x6624
Photo of Ashlyn Taylor, Marriage & Family Therapist in 92126, CA
Ashlyn Taylor
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126  (Online Only)
Thank you for being here and congratulations on beginning your healing journey! I am currently accepting clients located in California who have morning and early afternoon availability. If you are looking to prioritize your mental health and improve your quality of life, I am here to help.
Thank you for being here and congratulations on beginning your healing journey! I am currently accepting clients located in California who have morning and early afternoon availability. If you are looking to prioritize your mental health and improve your quality of life, I am here to help.
(760) 274-0470 View (760) 274-0470
Photo of Jim Carter, Psychologist in 92126, CA
Jim Carter
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92126  (Online Only)
Are you seeking specialized treatment approaches supported by clinical research studies? Do you want an experienced and compassionate therapist to guide you in this process? I utilize Cognitive Behavior Therapies (CBT) and Motivational Interviewing (MI) to help clients with anxiety, depression, OCD, PTSD, insomnia, and substance use. My clients are usually highly motivated to work collaboratively and achieve specific results. I serve clients in person at my North County San Diego office, and via teletherapy throughout California.
Are you seeking specialized treatment approaches supported by clinical research studies? Do you want an experienced and compassionate therapist to guide you in this process? I utilize Cognitive Behavior Therapies (CBT) and Motivational Interviewing (MI) to help clients with anxiety, depression, OCD, PTSD, insomnia, and substance use. My clients are usually highly motivated to work collaboratively and achieve specific results. I serve clients in person at my North County San Diego office, and via teletherapy throughout California.
(858) 752-3520 View (858) 752-3520
Photo of Tracy Wutzke, Psychologist in 92126, CA
Tracy Wutzke
Psychologist, PsyD
Verified Verified
San Diego, CA 92126
Come enjoy the process of growth through therapy and become happier and more fulfilled. Life brings many unexpected blessings and challenges. We all love to cherish and celebrate the blessings. But what do you do when your relationship is rocky? How do you grieve the loss of a relationship or a loved one? How do you manage a disrespectful teenager? How do you find solutions for workplace challenges? How do you move from feeling isolated and misunderstood to feeling connected and loved? Seeking help when needed demonstrates strength and courage.
Come enjoy the process of growth through therapy and become happier and more fulfilled. Life brings many unexpected blessings and challenges. We all love to cherish and celebrate the blessings. But what do you do when your relationship is rocky? How do you grieve the loss of a relationship or a loved one? How do you manage a disrespectful teenager? How do you find solutions for workplace challenges? How do you move from feeling isolated and misunderstood to feeling connected and loved? Seeking help when needed demonstrates strength and courage.
(858) 298-3663 View (858) 298-3663
Photo of Amanda Torre, Marriage & Family Therapist in 92126, CA
Amanda Torre
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126
Hello! I am so excited that you are ready and eager to work through whatever you may be facing. Although you may be experiencing some distressing times you will get through it! Healing and hope is available if you are willing to receive. So open up your heart and mind and be ready to receive when you schedule your appointment with me. I look forward to hearing from you and learning the ways I can collaborate with you to establish the plans God has for you! Commit to the Lord whatever you do, and he will establish your plans. Proverbs 16:3
Hello! I am so excited that you are ready and eager to work through whatever you may be facing. Although you may be experiencing some distressing times you will get through it! Healing and hope is available if you are willing to receive. So open up your heart and mind and be ready to receive when you schedule your appointment with me. I look forward to hearing from you and learning the ways I can collaborate with you to establish the plans God has for you! Commit to the Lord whatever you do, and he will establish your plans. Proverbs 16:3
(619) 304-7826 View (619) 304-7826
Photo of Maren Jorgensen, Marriage & Family Therapist in 92126, CA
Maren Jorgensen
Marriage & Family Therapist, LMFT, CST
Verified Verified
8 Endorsed
San Diego, CA 92126  (Online Only)
Receiving therapy should no longer be a taboo. Confiding in others and receiving professional help is something we all do in many facets of our life. Most of us see a doctor or go get our car fixed when we have issues with our physical health or a tire is loose, so why not see a therapist to help improve our mental health? Therapy can also be preventative. Why wait before issues feel too far out of reach?
Receiving therapy should no longer be a taboo. Confiding in others and receiving professional help is something we all do in many facets of our life. Most of us see a doctor or go get our car fixed when we have issues with our physical health or a tire is loose, so why not see a therapist to help improve our mental health? Therapy can also be preventative. Why wait before issues feel too far out of reach?
(858) 221-6961 View (858) 221-6961

How does your Therapist compare?

Number of Therapists in 92126

100+

Average cost per session

$160

Therapists in 92126 who prioritize treating:

94% Anxiety
92% Depression
71% Trauma and PTSD
69% Stress
63% Relationship Issues
62% Life Transitions
61% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
75% Cigna and Evernorth
65% Optum

How Therapists in 92126 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92126?

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.