Photo of Dr. Sopagna Eap-Braje, Psychologist in 94104, CA
Dr. Sopagna Eap-Braje
Psychologist, PhD
Verified Verified
San Francisco, CA 94104  (Online Only)
I specialize in using cognitive behavioral techniques to help people struggling with anxiety, depression, OCD, social phobia, and trauma. I have a direct, solution-focused, and empathic style that works best with people who are looking to change cognitive and behavioral patterns that are limiting their potential to be a more authentic and intentional version of themselves. My therapeutic approach is evidence-based and action-oriented.
I specialize in using cognitive behavioral techniques to help people struggling with anxiety, depression, OCD, social phobia, and trauma. I have a direct, solution-focused, and empathic style that works best with people who are looking to change cognitive and behavioral patterns that are limiting their potential to be a more authentic and intentional version of themselves. My therapeutic approach is evidence-based and action-oriented.
(858) 358-7193 View (858) 358-7193
Photo of Greg Bodin, Marriage & Family Therapist in 94104, CA
Greg Bodin
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94104
Anxiety is something you’ve struggled with for a long time. While you seem to be functioning OK on the outside, inside you’re dealing with feelings of dread, catastrophic thoughts that you can’t seem to stop, and constantly feeling like you need to plan for what could go wrong. The good news is that therapy can help you struggle less with anxiety. You and I will work together to help you relate to anxiety more effectively and focus on building a full and vital life.
Anxiety is something you’ve struggled with for a long time. While you seem to be functioning OK on the outside, inside you’re dealing with feelings of dread, catastrophic thoughts that you can’t seem to stop, and constantly feeling like you need to plan for what could go wrong. The good news is that therapy can help you struggle less with anxiety. You and I will work together to help you relate to anxiety more effectively and focus on building a full and vital life.
(415) 942-8794 View (415) 942-8794
Photo of Dr. Anthony Morice, Psychologist in 94104, CA
Dr. Anthony Morice
Psychologist, PsyD
Verified Verified
San Francisco, CA 94104
Are you struggling with anxiety, depression, addiction, or maybe just a lack of direction in life? Are these problems getting in the way of you pursuing your goals, or maybe draining on your relationships? With over 10 years of clinical experience working with diverse populations experiencing these issues, I have developed a passion for helping people find peace, meaning, and connection in their lives. Together, we’ll navigate the underlying factors contributing to your situation, and empower you to regain control and rediscover joy in your life.
Are you struggling with anxiety, depression, addiction, or maybe just a lack of direction in life? Are these problems getting in the way of you pursuing your goals, or maybe draining on your relationships? With over 10 years of clinical experience working with diverse populations experiencing these issues, I have developed a passion for helping people find peace, meaning, and connection in their lives. Together, we’ll navigate the underlying factors contributing to your situation, and empower you to regain control and rediscover joy in your life.
(415) 569-1539 View (415) 569-1539
Photo of Alexandria Adeosun Psychotherapy , Marriage & Family Therapist in 94104, CA
Alexandria Adeosun Psychotherapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94104
Hi! I specialize in treating individuals who are struggling with anxiety, depression, life transitions, and relationship issues. Additionally, I work with couples and families who are experiencing conflict.
Hi! I specialize in treating individuals who are struggling with anxiety, depression, life transitions, and relationship issues. Additionally, I work with couples and families who are experiencing conflict.
(415) 841-2263 View (415) 841-2263
Photo of Andrew Nelson Peterson, Marriage & Family Therapist in 94104, CA
Andrew Nelson Peterson
Marriage & Family Therapist, LMFT, CCSOTS
Verified Verified
San Francisco, CA 94104
I specialize in working with individuals and couples who are experiencing challenges with addiction, emotional trauma/ptsd, depression & anxiety as well as issues regarding relationship negotiation, conflict resolution, intimacy, sex and sexuality. I focus on self-understanding, individual strengths, developing stronger communication skills and coping skills. My approach is collaborative, interactive, eclectic and engaging. I believe that therapy is a partnership as no-one should have to struggle with any of these issues alone. I work with my clients to better understand that there is a solution, that change is possibe and that there is Hope.
I specialize in working with individuals and couples who are experiencing challenges with addiction, emotional trauma/ptsd, depression & anxiety as well as issues regarding relationship negotiation, conflict resolution, intimacy, sex and sexuality. I focus on self-understanding, individual strengths, developing stronger communication skills and coping skills. My approach is collaborative, interactive, eclectic and engaging. I believe that therapy is a partnership as no-one should have to struggle with any of these issues alone. I work with my clients to better understand that there is a solution, that change is possibe and that there is Hope.
(628) 600-1369 View (628) 600-1369
Photo of Whitney Keilman, Psychologist in 94104, CA
Whitney Keilman
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
Dr. Whitney Keilman is a licensed Clinical Psychologist who has been practicing since 2018. She believes in honoring a person's individuality to help them connect to their own strengths. Dr. Keilman has a Master of Arts in Psychology and a Doctor of Philosophy with an Emphasis in Health. By honoring a person's individuality, Dr. Keilman is able to help them connect to their own strengths. Through a process of collaboration, she works alongside her patients to forge behaviors and beliefs that are self-loving and self-affirming.
Dr. Whitney Keilman is a licensed Clinical Psychologist who has been practicing since 2018. She believes in honoring a person's individuality to help them connect to their own strengths. Dr. Keilman has a Master of Arts in Psychology and a Doctor of Philosophy with an Emphasis in Health. By honoring a person's individuality, Dr. Keilman is able to help them connect to their own strengths. Through a process of collaboration, she works alongside her patients to forge behaviors and beliefs that are self-loving and self-affirming.
(628) 265-8284 View (628) 265-8284
Photo of Jessica Foley, Psychologist in 94104, CA
Jessica Foley
Psychologist, PhD, ABPP-CN
Verified Verified
San Francisco, CA 94104
Dr. Jessica Foley is a board certified clinical neuropsychologist/diplomat of the American Academy of Neuropsychology, and licensed clinical psychologist in the state of California with approx. 20 years of experience conducting neuropsychological evaluation across the lifespan. She has many years of experience in conducting such evaluations in the context of neurologic (e.g., TBI, epilepsy, brain tumor, MS, movement disorders, neurodegenerative), neurodevelopmental (ADHD, Autism Spectrum Disorder, Specific Learning Disability) and psychiatric factors interfering with academic, occupational, and other aspects of everyday functioning.
Dr. Jessica Foley is a board certified clinical neuropsychologist/diplomat of the American Academy of Neuropsychology, and licensed clinical psychologist in the state of California with approx. 20 years of experience conducting neuropsychological evaluation across the lifespan. She has many years of experience in conducting such evaluations in the context of neurologic (e.g., TBI, epilepsy, brain tumor, MS, movement disorders, neurodegenerative), neurodevelopmental (ADHD, Autism Spectrum Disorder, Specific Learning Disability) and psychiatric factors interfering with academic, occupational, and other aspects of everyday functioning.
(628) 212-7955 View (628) 212-7955
Photo of The San Francisco Marriage and Couples Center, Marriage & Family Therapist in 94104, CA
The San Francisco Marriage and Couples Center
Marriage & Family Therapist, MA, MFT, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94104
At The San Francisco Marriage and Couples Center, we offer couples therapy, marriage counseling, and relationship counseling. We are an organization of professional mental health clinicians with a top priority in providing progressive and cutting edge treatment for trauma, mood, and relationship issues. Our therapists have been chosen for their expertise in helping mood, trauma, and relationship issues. Therapists who practice at The San Francisco Marriage and Couples Center provide as integrative approach to treatment offering Western talk therapy and Eastern complimentary recommendations including meditation, yoga, and qigong.
At The San Francisco Marriage and Couples Center, we offer couples therapy, marriage counseling, and relationship counseling. We are an organization of professional mental health clinicians with a top priority in providing progressive and cutting edge treatment for trauma, mood, and relationship issues. Our therapists have been chosen for their expertise in helping mood, trauma, and relationship issues. Therapists who practice at The San Francisco Marriage and Couples Center provide as integrative approach to treatment offering Western talk therapy and Eastern complimentary recommendations including meditation, yoga, and qigong.
(415) 689-9680 View (415) 689-9680
Photo of Traci Ruble, Marriage & Family Therapist in 94104, CA
Traci Ruble
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94104  (Online Only)
You are a busy, driven professional. And life has thrown you a curveball of anxiety, depression, burnout, funkiness in your relationship, or boredom. You may be brand new to seeing a therapist or a therapy regular. You are married or in a relationship where you are pissed, bored, or need to brush up on communication skills. You want a pro who has been at this 20 years who works towards YOUR goals, is a leader and collaborator, and talks like a regular person. I am not above you or below you. We do this together.
You are a busy, driven professional. And life has thrown you a curveball of anxiety, depression, burnout, funkiness in your relationship, or boredom. You may be brand new to seeing a therapist or a therapy regular. You are married or in a relationship where you are pissed, bored, or need to brush up on communication skills. You want a pro who has been at this 20 years who works towards YOUR goals, is a leader and collaborator, and talks like a regular person. I am not above you or below you. We do this together.
(415) 322-2329 View (415) 322-2329
Photo of Cate Corcoran, Psychologist in 94104, CA
Cate Corcoran
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94104
Not accepting new clients
PLEASE NOTE MY PRACTICE IS CURRENTLY FULL AS OF 5/1/23 As a fully licensed Psy.D. Clinical Psychologist, I bring years of experience to the private practice of psychotherapy. Together with you, I help discover patterns, assumptions, conflicts, and internal limitations that are holding you back from a greater sense of happiness, confidence, connection, self-understanding and future direction. My approach is tailored to your specific needs, and I treat root causes, not just symptoms. I work with couples to help move past stuck patterns, while deepening communication and connection.
PLEASE NOTE MY PRACTICE IS CURRENTLY FULL AS OF 5/1/23 As a fully licensed Psy.D. Clinical Psychologist, I bring years of experience to the private practice of psychotherapy. Together with you, I help discover patterns, assumptions, conflicts, and internal limitations that are holding you back from a greater sense of happiness, confidence, connection, self-understanding and future direction. My approach is tailored to your specific needs, and I treat root causes, not just symptoms. I work with couples to help move past stuck patterns, while deepening communication and connection.
(415) 237-4366 View (415) 237-4366
Photo of Karla Schlags, Marriage & Family Therapist in 94104, CA
Karla Schlags
Marriage & Family Therapist, LMFT
Verified Verified
8 Endorsed
San Francisco, CA 94104
I am the founder of a group practice, California Integrative Counseling Center, located in downtown San Francisco. Our team specializes in treating individuals with ADHD, Autism Spectrum Disorder, mood disorders, career challenges, relationship issues, and those going through life transitions. We provide individual therapy, group therapy for Adults with ADHD, couples therapy, teen therapy, and family therapy.
I am the founder of a group practice, California Integrative Counseling Center, located in downtown San Francisco. Our team specializes in treating individuals with ADHD, Autism Spectrum Disorder, mood disorders, career challenges, relationship issues, and those going through life transitions. We provide individual therapy, group therapy for Adults with ADHD, couples therapy, teen therapy, and family therapy.
(415) 524-0582 x1 View (415) 524-0582 x1
Photo of Sarah Sherertz, Marriage & Family Therapist in 94104, CA
Sarah Sherertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94104
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
(415) 429-6893 View (415) 429-6893
Photo of J. C. Chance, Marriage & Family Therapist in 94104, CA
J. C. Chance
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
San Francisco, CA 94104
Becoming our most alive and authentic self is the goal of psychotherapy. If you are like many of the people that I work with, you have felt that being yourself wasn't accepted or valued in relationships, your family, or the world in general. In therapy, you have the opportunity to non-judgmentally challenge and change these learned beliefs and grow into your true self. I am especially interested in working with couples, relationship problems, anxiety, trauma, sex and sexuality, and LGBTQ.
Becoming our most alive and authentic self is the goal of psychotherapy. If you are like many of the people that I work with, you have felt that being yourself wasn't accepted or valued in relationships, your family, or the world in general. In therapy, you have the opportunity to non-judgmentally challenge and change these learned beliefs and grow into your true self. I am especially interested in working with couples, relationship problems, anxiety, trauma, sex and sexuality, and LGBTQ.
(415) 787-4872 View (415) 787-4872
Photo of Brad Byrum, Marriage & Family Therapist in 94104, CA
Brad Byrum
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
(650) 381-1297 View (650) 381-1297
Photo of Graham (Woo) Holoch, Marriage & Family Therapist Associate in 94104, CA
Graham (Woo) Holoch
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94104
I specialize in working with teenagers, young adults, adult couples, and families with a member or members on the ASD, and/or diagnosed with ADHD. I am dedicated to supporting neurodiverse folx in identifying and engaging with their goals. My areas of experience include transitioning life stages, "failure to launch" syndrome, social skills, finding community, anxiety, depression, supporting people diagnosed and undiagnosed with ADHD, and the nuanced experience of being on the Autism Spectrum.
I specialize in working with teenagers, young adults, adult couples, and families with a member or members on the ASD, and/or diagnosed with ADHD. I am dedicated to supporting neurodiverse folx in identifying and engaging with their goals. My areas of experience include transitioning life stages, "failure to launch" syndrome, social skills, finding community, anxiety, depression, supporting people diagnosed and undiagnosed with ADHD, and the nuanced experience of being on the Autism Spectrum.
(415) 548-7954 x2 View (415) 548-7954 x2
Photo of Shoshana Polansky, Marriage & Family Therapist in 94104, CA
Shoshana Polansky
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Francisco, CA 94104  (Online Only)
You’re a driven person but your personal or romantic relationships seem to be a struggle. Why is it sometimes easier to meet your professional needs and not your personal needs? You might struggle with vulnerability or feel confused about your relationship. I specialize in helping people create better relationships and clear obstacles to those relationships.
You’re a driven person but your personal or romantic relationships seem to be a struggle. Why is it sometimes easier to meet your professional needs and not your personal needs? You might struggle with vulnerability or feel confused about your relationship. I specialize in helping people create better relationships and clear obstacles to those relationships.
(415) 799-5836 View (415) 799-5836
Photo of Brian Thompson, Marriage & Family Therapist in 94104, CA
Brian Thompson
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94104
Are you ready to up-level your self understanding? Wow, navigating life and relationships can get confusing and overwhelming so quickly! It is my pleasure to help turn the tensions and pain you're experiencing into opportunities for growth and expansion. If you're ready to make changes and welcome in new ways of being, now is the time. I work with individuals, couples, and groups. We will find the nourishment within the pain while not losing track of what feels good...laughter is not uncommon in my office. If you are interested in working in a group, check out IRL Men below.
Are you ready to up-level your self understanding? Wow, navigating life and relationships can get confusing and overwhelming so quickly! It is my pleasure to help turn the tensions and pain you're experiencing into opportunities for growth and expansion. If you're ready to make changes and welcome in new ways of being, now is the time. I work with individuals, couples, and groups. We will find the nourishment within the pain while not losing track of what feels good...laughter is not uncommon in my office. If you are interested in working in a group, check out IRL Men below.
(628) 227-5620 View (628) 227-5620
Photo of Octave - Financial District SF Clinic, Psychologist in 94104, CA
Octave - Financial District SF Clinic
Psychologist, PhD, PsyD, LCSW, LMFT
Verified Verified
San Francisco, CA 94104  (Online Only)
Octave is a modern practice creating a new standard for mental health care that’s both high-quality and accessible. With in-person and virtual clinics in California, Connecticut, Florida, New Jersey, New York, Texas, and Washington D.C., we partner with you to develop personalized plans that can include individual, couples, and family therapy to best suit your needs. Grounded in science, our approach enables you to experience profound change that is just as measurable as it is meaningful. Learn more at www.findoctave.com
Octave is a modern practice creating a new standard for mental health care that’s both high-quality and accessible. With in-person and virtual clinics in California, Connecticut, Florida, New Jersey, New York, Texas, and Washington D.C., we partner with you to develop personalized plans that can include individual, couples, and family therapy to best suit your needs. Grounded in science, our approach enables you to experience profound change that is just as measurable as it is meaningful. Learn more at www.findoctave.com
(415) 634-1043 View (415) 634-1043
Photo of Kavitha Goldowitz, Marriage & Family Therapist in 94104, CA
Kavitha Goldowitz
Marriage & Family Therapist, MA, MFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
I have over 10 years experience working with individuals and couples. My area of expertise includes working with ethnic and multicultural population and addressing issues related to couples in inter-racial marriages, struggles with cultural assimilation and family relationship dynamics. I speak 5 languages and I am keenly aware of the specific issues faced by Indian-Americans in particular and Asian Americans and Latinos in general, especially with regards to struggles with personal and cultural identity. I offer brief and long term models of therapy. I also provide tele-therapy (online) in addition to face-to-face counseling.
I have over 10 years experience working with individuals and couples. My area of expertise includes working with ethnic and multicultural population and addressing issues related to couples in inter-racial marriages, struggles with cultural assimilation and family relationship dynamics. I speak 5 languages and I am keenly aware of the specific issues faced by Indian-Americans in particular and Asian Americans and Latinos in general, especially with regards to struggles with personal and cultural identity. I offer brief and long term models of therapy. I also provide tele-therapy (online) in addition to face-to-face counseling.
(707) 549-6681 View (707) 549-6681
Photo of Heidi Landgraf Breakthrough Neurotherapy, Counselor in 94104, CA
Heidi Landgraf Breakthrough Neurotherapy
Counselor, LPCC, RSMT, RYT
Verified Verified
San Francisco, CA 94104
I work in tandem with psychotherapy and neurofeedback to recover your true resilience. I can work in either modality alone, however the two together have a synergistic effect, producing quicker results. Neurofeedback assists in restoring optimal brain health, while psychotherapy can help you become aware of your thinking patterns, and assist you in creating better emotional balance. You can feel awake and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADD, PTSD or other traumas, I can help free you from old blockages and restore your original, true nature.
I work in tandem with psychotherapy and neurofeedback to recover your true resilience. I can work in either modality alone, however the two together have a synergistic effect, producing quicker results. Neurofeedback assists in restoring optimal brain health, while psychotherapy can help you become aware of your thinking patterns, and assist you in creating better emotional balance. You can feel awake and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADD, PTSD or other traumas, I can help free you from old blockages and restore your original, true nature.
(415) 534-4205 View (415) 534-4205

How does your Therapist compare?

Number of Therapists in 94104

300+

Average cost per session

$200

Therapists in 94104 who prioritize treating:

95% Anxiety
90% Relationship Issues
90% Depression
79% Self Esteem
74% Trauma and PTSD
71% Grief
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

48% Aetna
48% Cigna and Evernorth
41% UnitedHealthcare UHC | UBH

How Therapists in 94104 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

72% Female
26% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94104?

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.