Therapists in 92154

Photo of Susan Lambert, Clinical Social Work/Therapist, LCSW
Susan Lambert
Clinical Social Work/Therapist, LCSW
Online Only
I am a therapist who is experienced in using CBT, COD, Brief Therapy, PTSD, Trauma, Grief and Loss, DBT, and Biopsychosocial therapeutic modalities. Understanding where you, the client, is now, in your quest for answers and help for your therapy needs, is where we start. I have experience in helping adults and older adults in identifying the real issues and finding answers that will help to allow for a more enlightened and often calmer existence.
I am a therapist who is experienced in using CBT, COD, Brief Therapy, PTSD, Trauma, Grief and Loss, DBT, and Biopsychosocial therapeutic modalities. Understanding where you, the client, is now, in your quest for answers and help for your therapy needs, is where we start. I have experience in helping adults and older adults in identifying the real issues and finding answers that will help to allow for a more enlightened and often calmer existence.
(619) 648-1219 View (619) 648-1219
Photo of Melody Hovsepian, Marriage & Family Therapist, LMFT
Melody Hovsepian
Marriage & Family Therapist, LMFT
Online Only
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
(858) 786-0504 View (858) 786-0504
Photo of Toppacio Rodriguez, Marriage & Family Therapist, LMFT
Toppacio Rodriguez
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Toppacio Rodriguez, but you can refer to me as Topy. My pronouns are she/her (ella/ellas). As a therapist, I will follow your lead and provide suggestions and information on what options are available. I'm a big believer that having limited expectations only provide limited opportunities. I will collaborate with you to identify challenges in your path, brainstorm with you and be on your side as you see what works best. I have had the pleasure of learning from various groups and populations. I obtained experience working in Family Preservation assisting families through the reunification process.
Hello, my name is Toppacio Rodriguez, but you can refer to me as Topy. My pronouns are she/her (ella/ellas). As a therapist, I will follow your lead and provide suggestions and information on what options are available. I'm a big believer that having limited expectations only provide limited opportunities. I will collaborate with you to identify challenges in your path, brainstorm with you and be on your side as you see what works best. I have had the pleasure of learning from various groups and populations. I obtained experience working in Family Preservation assisting families through the reunification process.
(619) 853-3973 View (619) 853-3973
Photo of Tajia Trone, Marriage & Family Therapist, LMFT
Tajia Trone
Marriage & Family Therapist, LMFT
Online Only
I am a person-centered therapist who believes in tailoring therapy to her clients individual needs and believes in going into each session with an open mind allowing the client to take hold of each session. I believe in helping the client identify situations or behaviors that have contributed to their illnesses or struggles and together we work to change these behaviors and overcome challenges. I believe that therapy should include unconditional positive regard, compassion, genuineness, and understanding where the client is at. I specialize in working to improve individuals’ self-worth, self-esteem, and self-compassion.
I am a person-centered therapist who believes in tailoring therapy to her clients individual needs and believes in going into each session with an open mind allowing the client to take hold of each session. I believe in helping the client identify situations or behaviors that have contributed to their illnesses or struggles and together we work to change these behaviors and overcome challenges. I believe that therapy should include unconditional positive regard, compassion, genuineness, and understanding where the client is at. I specialize in working to improve individuals’ self-worth, self-esteem, and self-compassion.
(619) 651-9843 View (619) 651-9843
Photo of Jill Pederson, Clinical Social Work/Therapist, LCSW
Jill Pederson
Clinical Social Work/Therapist, LCSW
Online Only
My name is Jill Pederson and I am a Licensed Clinical Social Worker (LCSW) based in Orange County, California and work with clients statewide via telehealth. I work with adolescents and young adults and specialize in anxiety, stress, depression, and behavioral issues such as defiance and difficulty managing anger. I use a variety of clinical approaches, based on the needs of my client; although I do find that Cognitive Behavioral Therapy is often a very effective approach in helping clients meet their goals.
My name is Jill Pederson and I am a Licensed Clinical Social Worker (LCSW) based in Orange County, California and work with clients statewide via telehealth. I work with adolescents and young adults and specialize in anxiety, stress, depression, and behavioral issues such as defiance and difficulty managing anger. I use a variety of clinical approaches, based on the needs of my client; although I do find that Cognitive Behavioral Therapy is often a very effective approach in helping clients meet their goals.
(619) 777-5413 View (619) 777-5413
Cristeta Rillera | Executive Coach & Therapist
Marriage & Family Therapist, MA, LMFT
Online Only
Are you looking for relief from stress, worry, insomnia, or low mood? Has your partnership lost its sparkle? Does your body feel on edge and exhausted? Life doesn’t have to be so hard. Let’s work together and achieve the goals that have been just out of reach. E-mail me today and let's schedule a free consult. During that consult, we will discuss your strengths and the barriers that have held you back. Together, we will develop a customized program to meet your exact needs. All of our programs include top-tier, evidence-based interventions, like EMDR, Gottman Couple Method, Cognitive Processing, and more. Call today to schedule!
Are you looking for relief from stress, worry, insomnia, or low mood? Has your partnership lost its sparkle? Does your body feel on edge and exhausted? Life doesn’t have to be so hard. Let’s work together and achieve the goals that have been just out of reach. E-mail me today and let's schedule a free consult. During that consult, we will discuss your strengths and the barriers that have held you back. Together, we will develop a customized program to meet your exact needs. All of our programs include top-tier, evidence-based interventions, like EMDR, Gottman Couple Method, Cognitive Processing, and more. Call today to schedule!
(619) 975-3653 View (619) 975-3653
Photo of Diana Pena, Clinical Social Work/Therapist, LCSW
Diana Pena
Clinical Social Work/Therapist, LCSW
Online Only
Hi! My name is Diana, I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW). I have 21+ years of mental health experience working with adults, children, and families in inpatient, outpatient, and residential settings. My experience working with various issues including transgenerational and relational trauma, familial conflict, anxiety, depression, and other disorders. My experience working with various issues including transgenerational and relational trauma, familial conflict, relationship conflict anxiety, depression, and other disorders.
Hi! My name is Diana, I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW). I have 21+ years of mental health experience working with adults, children, and families in inpatient, outpatient, and residential settings. My experience working with various issues including transgenerational and relational trauma, familial conflict, anxiety, depression, and other disorders. My experience working with various issues including transgenerational and relational trauma, familial conflict, relationship conflict anxiety, depression, and other disorders.
(619) 949-3293 View (619) 949-3293
Photo of Vanessa Jiroutek, Marriage & Family Therapist, MA, LMFT
Vanessa Jiroutek
Marriage & Family Therapist, MA, LMFT
Online Only
If you are looking for a therapist and need support, sometimes it can be difficult to choose or a discouraging process to find the right therapist to connect with. Imagine a place where you can be yourself. work towards personal goals and growth, free of judgment, with an objective professional. I work with a wide range of clients who are dealing with various issues including depression, mood disorders, OCD, ADHD, acute stress, trauma, anxiety, addictive behaviors, LGBT issues, codependency, grief and loss, life transitions, and marital issues, such as infidelity and strengthening communication skills.
If you are looking for a therapist and need support, sometimes it can be difficult to choose or a discouraging process to find the right therapist to connect with. Imagine a place where you can be yourself. work towards personal goals and growth, free of judgment, with an objective professional. I work with a wide range of clients who are dealing with various issues including depression, mood disorders, OCD, ADHD, acute stress, trauma, anxiety, addictive behaviors, LGBT issues, codependency, grief and loss, life transitions, and marital issues, such as infidelity and strengthening communication skills.
(858) 290-7118 View (858) 290-7118
Photo of Nicholas Russi, Drug & Alcohol Counselor, LAADC-S, CCS
Nicholas Russi
Drug & Alcohol Counselor, LAADC-S, CCS
San Diego, CA 92154
**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 Bibiana Calderon - Cardenas, Marriage & Family Therapist, LMFT
Bibiana Calderon - Cardenas
Marriage & Family Therapist, LMFT
Online Only
Hola, I'm glad you're here! I am First Generation bilingual Spanish speaking Licensed Marriage and Family Therapist. I am based out of San Diego, CA, but work with clients statewide. I enjoy working with children, adolescents, families, and individuals serving the BIPOC and Latinx communities. I specialize in attachment issues, healing childhood, and generational trauma, FirstGen life transitions, trauma, and anxiety. I utilize modalities that best fit your needs. As a FirstGen and millennial myself, I am truly motivated to destigmatize mental health and help you heal!
Hola, I'm glad you're here! I am First Generation bilingual Spanish speaking Licensed Marriage and Family Therapist. I am based out of San Diego, CA, but work with clients statewide. I enjoy working with children, adolescents, families, and individuals serving the BIPOC and Latinx communities. I specialize in attachment issues, healing childhood, and generational trauma, FirstGen life transitions, trauma, and anxiety. I utilize modalities that best fit your needs. As a FirstGen and millennial myself, I am truly motivated to destigmatize mental health and help you heal!
(510) 767-0855 View (510) 767-0855
Photo of Julie Flores, Clinical Social Work/Therapist, LCSW
Julie Flores
Clinical Social Work/Therapist, LCSW
Online Only
Hi, my name is Julie Flores. I am a licensed clinical social worker (LCSW). My approach is client-focused and tailored to meet individual needs. I specialize in depression, anxiety, grief, chronic pain, issues of the aging and elderly, and life changes. I have practiced social work and therapy for many years and look forward to providing services and helping clients improve their lives. My focus is primarily on providing services to adults with a variety of concerns such as depression, anxiety, and adjustment-type issues. I focus on those with mild to moderate mental health concerns and would be happy to evaluate any other concerns.
Hi, my name is Julie Flores. I am a licensed clinical social worker (LCSW). My approach is client-focused and tailored to meet individual needs. I specialize in depression, anxiety, grief, chronic pain, issues of the aging and elderly, and life changes. I have practiced social work and therapy for many years and look forward to providing services and helping clients improve their lives. My focus is primarily on providing services to adults with a variety of concerns such as depression, anxiety, and adjustment-type issues. I focus on those with mild to moderate mental health concerns and would be happy to evaluate any other concerns.
(858) 428-2692 View (858) 428-2692
Photo of Melissa Sarahi Donate, Marriage & Family Therapist, MA, LMFT
Melissa Sarahi Donate
Marriage & Family Therapist, MA, LMFT
Online Only
Not accepting new clients
My name is Melissa Donate, LMFT, my passion is helping people navigate the difficulties of life. I am bilingual (English/Spanish) se habla Español. My specialty is working with children, youth, adults, LGBTQ+, and underrepresented communities experiencing depression and anxiety by providing a Person Centered approach with CBT/DBT and attachment foundations.
My name is Melissa Donate, LMFT, my passion is helping people navigate the difficulties of life. I am bilingual (English/Spanish) se habla Español. My specialty is working with children, youth, adults, LGBTQ+, and underrepresented communities experiencing depression and anxiety by providing a Person Centered approach with CBT/DBT and attachment foundations.
(619) 658-4262 View (619) 658-4262
Photo of Amy Nistor, Marriage & Family Therapist, LMFT
Amy Nistor
Marriage & Family Therapist, LMFT
Online Only
Hi I'm Amy Nistor, I am a licensed Marriage and Family Therapist that sees my role as someone that comes alongside to offer support and guidance as the client finds and owns their own individual path on their healing journey. My focus of practice is in helping those that have been psychologically, emotional and sexual abused or neglected. I help clients find how to find their own inner autonomy and sense of well-being that will give them the confidence to live their life on their terms and find healthy ways of coping and communicating with them-selves and in relationships with others.
Hi I'm Amy Nistor, I am a licensed Marriage and Family Therapist that sees my role as someone that comes alongside to offer support and guidance as the client finds and owns their own individual path on their healing journey. My focus of practice is in helping those that have been psychologically, emotional and sexual abused or neglected. I help clients find how to find their own inner autonomy and sense of well-being that will give them the confidence to live their life on their terms and find healthy ways of coping and communicating with them-selves and in relationships with others.
(619) 789-1952 View (619) 789-1952
Photo of Cathy Lisseth Ramirez, Marriage & Family Therapist, LMFT, MA, RADT-1
Cathy Lisseth Ramirez
Marriage & Family Therapist, LMFT, MA, RADT-1
San Diego, CA 92154
Are you feeling overwhelmed and don’t know where to turn? Have you been feeling down and hopeless and don't know what to do? How about nervous, anxious, or on edge? Maybe you feel stuck and don't know who to talk to. Does it feel your partner/spouse is not meeting your needs and it’s difficult to communicate? Are you struggling to speak about your issues because you believe you will be judged? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, I am proud of you for taking the first step of reaching out.
Are you feeling overwhelmed and don’t know where to turn? Have you been feeling down and hopeless and don't know what to do? How about nervous, anxious, or on edge? Maybe you feel stuck and don't know who to talk to. Does it feel your partner/spouse is not meeting your needs and it’s difficult to communicate? Are you struggling to speak about your issues because you believe you will be judged? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, I am proud of you for taking the first step of reaching out.
(619) 768-2925 View (619) 768-2925
Photo of Mayra Garcia, Clinical Social Work/Therapist, LCSW
Mayra Garcia
Clinical Social Work/Therapist, LCSW
Online Only
My name is Mayra Garcia and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and working with clients statewide via telehealth. I work with adolescents, adults, and older adults. I specialize in depression, anxiety, stress, grief and trauma. I use Cognitive Behavioral Therapy, Dialectal Behavioral Therapy, trauma-focused, and EMDR modalities to help my clients develop a better understanding of themselves and guide them through their healing process. I provide services in English and Spanish.
My name is Mayra Garcia and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and working with clients statewide via telehealth. I work with adolescents, adults, and older adults. I specialize in depression, anxiety, stress, grief and trauma. I use Cognitive Behavioral Therapy, Dialectal Behavioral Therapy, trauma-focused, and EMDR modalities to help my clients develop a better understanding of themselves and guide them through their healing process. I provide services in English and Spanish.
(619) 633-2748 View (619) 633-2748
Photo of Karina I Rico, MA, LMFT
Karina I Rico
Verified Verified
San Diego, CA 92154
Hi, I'm a Licensed Marriage and Family Therapist based in California. I received my Masters Degree from National University and have been practicing for 5+ years.
Hi, I'm a Licensed Marriage and Family Therapist based in California. I received my Masters Degree from National University and have been practicing for 5+ years.
(619) 759-6960 View (619) 759-6960
Photo of Vera Khalitova, Marriage & Family Therapist, LMFT
Vera Khalitova
Marriage & Family Therapist, LMFT
Online Only
Life is too short not to be living your best one. As a Licensed therapist, I help individuals achieve mental wellness through creating a balanced, meaningful, and connected life. I embrace a holistic approach to therapy and specialize in treating anxiety, depression, stress, substance abuse and addictions, using effective methods like cognitive, mindfulness, existential, and values-based approaches, along with EMDR and IFS for trauma.
Life is too short not to be living your best one. As a Licensed therapist, I help individuals achieve mental wellness through creating a balanced, meaningful, and connected life. I embrace a holistic approach to therapy and specialize in treating anxiety, depression, stress, substance abuse and addictions, using effective methods like cognitive, mindfulness, existential, and values-based approaches, along with EMDR and IFS for trauma.
(619) 649-9490 View (619) 649-9490
Photo of Ruth Her, Clinical Social Work/Therapist, LCSW
Ruth Her
Clinical Social Work/Therapist, LCSW
Online Only
Welcome to my Profile! My name is Ruth Her and I am a Licensed Clinical Social Worker. I'm happy you made the choice to find what I hope may be a safe space to express your thoughts and feelings. Not knowing what to expect from therapy can sometimes make us feel some sense of anxiety. This feeling is normal and understandable. Especially now, it is very important to take care of our mind and body. There is so much happening around us and to us. It is so important to take time to look after our mental health and well-being. During our first therapy session, it is my intent to set your heart at ease and introduce myself to you.
Welcome to my Profile! My name is Ruth Her and I am a Licensed Clinical Social Worker. I'm happy you made the choice to find what I hope may be a safe space to express your thoughts and feelings. Not knowing what to expect from therapy can sometimes make us feel some sense of anxiety. This feeling is normal and understandable. Especially now, it is very important to take care of our mind and body. There is so much happening around us and to us. It is so important to take time to look after our mental health and well-being. During our first therapy session, it is my intent to set your heart at ease and introduce myself to you.
(619) 566-1518 View (619) 566-1518
Photo of Michelle Young, Marriage & Family Therapist, EdS, MS, LMFT
Michelle Young
Marriage & Family Therapist, EdS, MS, LMFT
Online Only
You may be feeling stuck—because of past trauma, the end of a meaningful relationship, or feeling unfulfilled in your career or life path. You might carry anxiety, self-doubt, or a sense that something needs to change, but aren’t sure where to start. If you're motivated to explore your patterns and create meaningful change, you're not alone. I work with clients ready to heal and move forward with clarity and purpose. My approach is warm, compassionate, and direct. I tailor each session to meet you where you are, helping you build insight, resilience, and connection to what matters most. You don’t have to do this alone.
You may be feeling stuck—because of past trauma, the end of a meaningful relationship, or feeling unfulfilled in your career or life path. You might carry anxiety, self-doubt, or a sense that something needs to change, but aren’t sure where to start. If you're motivated to explore your patterns and create meaningful change, you're not alone. I work with clients ready to heal and move forward with clarity and purpose. My approach is warm, compassionate, and direct. I tailor each session to meet you where you are, helping you build insight, resilience, and connection to what matters most. You don’t have to do this alone.
(707) 985-0970 View (707) 985-0970
Photo of Yezet Lopez, Clinical Social Work/Therapist, LCSW
Yezet Lopez
Clinical Social Work/Therapist, LCSW
Online Only
My name is Yezet Lopez and I am a Licensed Clinical Social Worker (LCSW) based in Oxnard, California, and working with clients statewide via telehealth. I have had the privilege of working with individuals, couples, parents, teenagers, children, and families at many different phases of life and personal development, I specialize in anxiety, stress, and depressive disorder, using different modalities. Therapy is not a one-size-fits-all, I utilized Cognitive Behavioral Therapy and Strength-Based Approach Therapy to help you feel empowered to get through your challenges.
My name is Yezet Lopez and I am a Licensed Clinical Social Worker (LCSW) based in Oxnard, California, and working with clients statewide via telehealth. I have had the privilege of working with individuals, couples, parents, teenagers, children, and families at many different phases of life and personal development, I specialize in anxiety, stress, and depressive disorder, using different modalities. Therapy is not a one-size-fits-all, I utilized Cognitive Behavioral Therapy and Strength-Based Approach Therapy to help you feel empowered to get through your challenges.
(619) 453-0122 View (619) 453-0122

See more therapy options for 92154

How does your Therapist compare?

Number of Therapists in 92154

100+

Average cost per session

$160

Therapists in 92154 who prioritize treating:

94% Anxiety
89% Depression
76% Self Esteem
75% Coping Skills
73% Stress
68% Relationship Issues
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

95% Aetna
80% Cigna and Evernorth
68% Anthem

How Therapists in 92154 see their clients

69% Online Only
31% In Person and Online

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92154?

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.