Therapists in Walnut Creek, CA

Photo of Joseph E Fielding, Marriage & Family Therapist Associate in Walnut Creek, CA
Joseph E Fielding
Marriage & Family Therapist Associate, MA, AMFT, CCAPP
Verified Verified
Walnut Creek, CA 94595
It can be difficult reaching out for help when experiencing psychological pain, it is an act of hope making the call and asking for help. I have spent the last ten years developing tools and gaining experience in providing assistance with these issues. I treat every case as unique and in a warm and empathetic way support your specific healing needs.
It can be difficult reaching out for help when experiencing psychological pain, it is an act of hope making the call and asking for help. I have spent the last ten years developing tools and gaining experience in providing assistance with these issues. I treat every case as unique and in a warm and empathetic way support your specific healing needs.
(925) 255-7337 View (925) 255-7337
Photo of Janice Corrie Tizon Williams, Associate Marriage & Family Therapist in Walnut Creek, CA
Janice Corrie Tizon Williams
Associate Marriage & Family Therapist
Verified Verified
1 Endorsed
Walnut Creek, CA 94595
My specialty is utilizing expressive arts in the therapy space, which can include a variety of art forms, such as visual arts (drawing, painting, collaging), poetry, lyric writing, music, and movement. The arts provide an outlet for freedom of expression, shed light into one’s experience and bring confidence to our presences. Whether clients prefer talk-therapy or other creative avenues to support their process, I am committed to meeting my clients wherever they are on their therapeutic journey, while remaining curious, creative, collaborative, culturally humble, and strengths-based.
My specialty is utilizing expressive arts in the therapy space, which can include a variety of art forms, such as visual arts (drawing, painting, collaging), poetry, lyric writing, music, and movement. The arts provide an outlet for freedom of expression, shed light into one’s experience and bring confidence to our presences. Whether clients prefer talk-therapy or other creative avenues to support their process, I am committed to meeting my clients wherever they are on their therapeutic journey, while remaining curious, creative, collaborative, culturally humble, and strengths-based.
(510) 495-1838 View (510) 495-1838
Photo of Amanda Somberg, Marriage & Family Therapist in Walnut Creek, CA
Amanda Somberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94597
I know how desperate you feel, having the same fight again and again with no resolution. You try harder, but your partner just seems to sabotage you. So you fight back, "lose it," and feel guilty. You reminisce about the past, hoping the future will get better. If this vignette strikes a chord, please know that I specialize in relationships at "marital death's doorstep." Grandiosity, rage, and shame become empathy, cooperation, and mutual respect. Hope and love do flourish again. This is a big promise, so call for a free 20-minute phone consultation. A happier life is out there.
I know how desperate you feel, having the same fight again and again with no resolution. You try harder, but your partner just seems to sabotage you. So you fight back, "lose it," and feel guilty. You reminisce about the past, hoping the future will get better. If this vignette strikes a chord, please know that I specialize in relationships at "marital death's doorstep." Grandiosity, rage, and shame become empathy, cooperation, and mutual respect. Hope and love do flourish again. This is a big promise, so call for a free 20-minute phone consultation. A happier life is out there.
(925) 588-4777 View (925) 588-4777
Photo of Elizabeth A Rogers-Fortis, Marriage & Family Therapist in Walnut Creek, CA
Elizabeth A Rogers-Fortis
Marriage & Family Therapist, MFT, SEP
Verified Verified
1 Endorsed
Walnut Creek, CA 94596  (Online Only)
Not accepting new clients
In a life transition? Not feeling your best? Want to improve your relationship or recover from a stressful one? I can help you reach your goals. Check out my website and schedule a complimentary session!
In a life transition? Not feeling your best? Want to improve your relationship or recover from a stressful one? I can help you reach your goals. Check out my website and schedule a complimentary session!
(510) 878-4436 View (510) 878-4436
Photo of Janet Goldstein-Ball, Marriage & Family Therapist in Walnut Creek, CA
Janet Goldstein-Ball
Marriage & Family Therapist, LMFT
Verified Verified
Walnut Creek, CA 94597  (Online Only)
My theoretical orientation is a combination of Psychodynamic therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and mindfulness. What this means is we do spend time looking at our past, but also focus on what's not working in the present and building the skills you need in order to start making changes and to live a more fulfilling life.
My theoretical orientation is a combination of Psychodynamic therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and mindfulness. What this means is we do spend time looking at our past, but also focus on what's not working in the present and building the skills you need in order to start making changes and to live a more fulfilling life.
(925) 489-1125 View (925) 489-1125
Photo of Sonia Kakkar, Associate Clinical Social Worker in Walnut Creek, CA
Sonia Kakkar
Associate Clinical Social Worker, ACSW
Verified Verified
2 Endorsed
Walnut Creek, CA 94596
Finding a therapist can be overwhelming. I have an extensive background working with individuals who are navigating symptoms of complex trauma, anxiety and depression. I have experience with supporting youth around managing suicidal ideation and healing from ruptures in attachments. I utilize evidenced based practices to help you explore your thoughts, behaviors and gain valuable insights into patterns to impact positive change. My approach is client centered and I work with children, adolescents, adults and families.
Finding a therapist can be overwhelming. I have an extensive background working with individuals who are navigating symptoms of complex trauma, anxiety and depression. I have experience with supporting youth around managing suicidal ideation and healing from ruptures in attachments. I utilize evidenced based practices to help you explore your thoughts, behaviors and gain valuable insights into patterns to impact positive change. My approach is client centered and I work with children, adolescents, adults and families.
(925) 275-5836 View (925) 275-5836
Photo of Deborah A Lindstrom, Marriage & Family Therapist in Walnut Creek, CA
Deborah A Lindstrom
Marriage & Family Therapist, MA, LMFT, LEP
Verified Verified
Walnut Creek, CA 94596
Not accepting new clients
Welcome to my practice! I am a Licensed Marriage and Family Therapist (LMFT 118472) and a Licensed Educational Psychologist (LEP 3619) located in the East Bay Area of California. As a licensed marriage and family therapist, I have a breadth of experience working with adults, couples, adolescents, and children. Additionally, as a licensed educational therapist, I am here to help if you or your child is having difficulty in school or at work. I provide quality psychoeducational evaluations, advocacy for 504 accommodations and IEPs, and consultations for families and districts.
Welcome to my practice! I am a Licensed Marriage and Family Therapist (LMFT 118472) and a Licensed Educational Psychologist (LEP 3619) located in the East Bay Area of California. As a licensed marriage and family therapist, I have a breadth of experience working with adults, couples, adolescents, and children. Additionally, as a licensed educational therapist, I am here to help if you or your child is having difficulty in school or at work. I provide quality psychoeducational evaluations, advocacy for 504 accommodations and IEPs, and consultations for families and districts.
(925) 291-5766 View (925) 291-5766
Photo of Elana Luban, Associate Clinical Social Worker in Walnut Creek, CA
Elana Luban
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
Walnut Creek, CA 94597  (Online Only)
I'm a telehealth therapist who's passionate about providing individualized treatment to fit my clients' specific goals. I have a compassionate, non-preachy approach but don't believe in letting my clients coast by without doing any self-work as I sit back, silently nodding. I am certified in Ketamine Assisted Psychotherapy (KAP) and Eye Movement Desensitization and Reprocessing (EMDR), both of which I offer via telehealth. I believe that central to our struggles are our unmet needs, some past, some current, which have led us to compulsive/addictive behaviors and unhealthy attachments.
I'm a telehealth therapist who's passionate about providing individualized treatment to fit my clients' specific goals. I have a compassionate, non-preachy approach but don't believe in letting my clients coast by without doing any self-work as I sit back, silently nodding. I am certified in Ketamine Assisted Psychotherapy (KAP) and Eye Movement Desensitization and Reprocessing (EMDR), both of which I offer via telehealth. I believe that central to our struggles are our unmet needs, some past, some current, which have led us to compulsive/addictive behaviors and unhealthy attachments.
(925) 477-2725 View (925) 477-2725
Photo of Alicia Dabney, Marriage & Family Therapist in Walnut Creek, CA
Alicia Dabney
Marriage & Family Therapist, LMFT, LPCC, ATR-BC
Verified Verified
2 Endorsed
Walnut Creek, CA 94596  (Online Only)
Welcome! I provide culturally affirming and trauma-informed Internal Family Systems (IFS) therapy, an experiential approach that can effectively and gently support a wide range of therapeutic needs. This includes struggles with life changes and transitions, emotional distress such as anxiety and depression, and the lingering impacts of past trauma. It is possible to heal from these emotional injuries, release burdens and beliefs about yourself that you carry as a result of painful experiences, and discover new ways of relating to yourself and others. How might these parts of you show up?
Welcome! I provide culturally affirming and trauma-informed Internal Family Systems (IFS) therapy, an experiential approach that can effectively and gently support a wide range of therapeutic needs. This includes struggles with life changes and transitions, emotional distress such as anxiety and depression, and the lingering impacts of past trauma. It is possible to heal from these emotional injuries, release burdens and beliefs about yourself that you carry as a result of painful experiences, and discover new ways of relating to yourself and others. How might these parts of you show up?
(510) 800-6124 View (510) 800-6124
Photo of Mind Matters Psychotherapy Coaching & EMDR, Clinical Social Work/Therapist in Walnut Creek, CA
Mind Matters Psychotherapy Coaching & EMDR
Clinical Social Work/Therapist, LCSW
Verified Verified
Walnut Creek, CA 94596
We are a group of clinicians committed to providing skilled, supportive therapy and coaching to our clients. Our therapists use a strength-based approach to building relationships with clients that provide the trust needed to make big change. We specialize in seeing women in transitional stages of life, including but not limited to; pre-and postpartum struggles, anxiety, eating disorders, addictive behaviors, depression, role confusion, relationship stress, parenting dynamics and trauma. We love to see couples, children and individual adults ready to move past barriers and experience more joy in relationships and life.
We are a group of clinicians committed to providing skilled, supportive therapy and coaching to our clients. Our therapists use a strength-based approach to building relationships with clients that provide the trust needed to make big change. We specialize in seeing women in transitional stages of life, including but not limited to; pre-and postpartum struggles, anxiety, eating disorders, addictive behaviors, depression, role confusion, relationship stress, parenting dynamics and trauma. We love to see couples, children and individual adults ready to move past barriers and experience more joy in relationships and life.
(925) 378-4684 View (925) 378-4684
Photo of Jessica Montellano, Marriage & Family Therapist Associate in Walnut Creek, CA
Jessica Montellano
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Walnut Creek, CA 94597  (Online Only)
Not accepting new clients
Are you feeling constantly drained? Do you have difficulty saying no to the people in your life and yes to yourself? Do you find yourself looking for an escape from your day to day life looking for a sense of calmness? I am here to help. I work to help older teens & millennial women to establish healthy boundaries, practice mindfulness, and engage in empowering conversations.
Are you feeling constantly drained? Do you have difficulty saying no to the people in your life and yes to yourself? Do you find yourself looking for an escape from your day to day life looking for a sense of calmness? I am here to help. I work to help older teens & millennial women to establish healthy boundaries, practice mindfulness, and engage in empowering conversations.
(925) 438-6195 View (925) 438-6195
Photo of Kimberly Eddy, Psychologist in Walnut Creek, CA
Kimberly Eddy
Psychologist, PsyD
Verified Verified
Walnut Creek, CA 94597
The unwavering passion and commitment I have to my work creates a safe, exploratory, space where your unique situation will feel heard and understood. The choice to begin therapy can be a difficult one and I will be there to support you fully through the process. I believe psychotherapy is a collaborative approach between client and therapist, a relationship in which significant growth and healing can take place. The therapeutic connection helps to provide understanding and to integrate all aspects of the undiscovered self. This newfound understanding helps create unlimited possibilities for growth and fulfillment.
The unwavering passion and commitment I have to my work creates a safe, exploratory, space where your unique situation will feel heard and understood. The choice to begin therapy can be a difficult one and I will be there to support you fully through the process. I believe psychotherapy is a collaborative approach between client and therapist, a relationship in which significant growth and healing can take place. The therapeutic connection helps to provide understanding and to integrate all aspects of the undiscovered self. This newfound understanding helps create unlimited possibilities for growth and fulfillment.
(925) 476-0610 View (925) 476-0610
Photo of Carla Guillaume, Clinical Social Work/Therapist in Walnut Creek, CA
Carla Guillaume
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Walnut Creek, CA 94598
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
(925) 940-1147 View (925) 940-1147
Photo of Danielle Horne, Counselor in Walnut Creek, CA
Danielle Horne
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Walnut Creek, CA 94596  (Online Only)
Are you ready to move beyond emotional distress towards peace? Always there for others and not experiencing reciprocation. Not feeling seen or heard? Broken trust? Childhood trauma, grief, relationship trauma. Maybe you’re ready to move toward a fresh start and experience freedom from emotional bondage. Learn how to care for yourself, create healthy boundaries, and feel connected.
Are you ready to move beyond emotional distress towards peace? Always there for others and not experiencing reciprocation. Not feeling seen or heard? Broken trust? Childhood trauma, grief, relationship trauma. Maybe you’re ready to move toward a fresh start and experience freedom from emotional bondage. Learn how to care for yourself, create healthy boundaries, and feel connected.
(408) 459-6211 View (408) 459-6211
Photo of Jordan Werner, Marriage & Family Therapist Associate in Walnut Creek, CA
Jordan Werner
Marriage & Family Therapist Associate, MA
Verified Verified
Walnut Creek, CA 94596
Making the decision to embark on a therapeutic journey is a difficult and courageous, yet rewarding decision. It's my goal to meet you where you’re at and create an empathetic, safe, and nonjudgmental space for you to discover more about yourself and make sense of the world around you. I use a compassionate, sincere, and culturally competent approach with my clients. By engaging in meaningful discussions and self-examination, I will assist you in identifying recurring behaviors and thought patterns, gain a deeper awareness of yourself, and enhance your ability to handle difficult situations that arise in life.
Making the decision to embark on a therapeutic journey is a difficult and courageous, yet rewarding decision. It's my goal to meet you where you’re at and create an empathetic, safe, and nonjudgmental space for you to discover more about yourself and make sense of the world around you. I use a compassionate, sincere, and culturally competent approach with my clients. By engaging in meaningful discussions and self-examination, I will assist you in identifying recurring behaviors and thought patterns, gain a deeper awareness of yourself, and enhance your ability to handle difficult situations that arise in life.
(310) 564-5845 View (310) 564-5845
Photo of Gonzales Family Counseling, Marriage & Family Therapist in Walnut Creek, CA
Gonzales Family Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Walnut Creek, CA 94596
At Gonzales Family Counseling, it is our honor to develop a client centered relationship in order to promote hope, healing, and accessing one's best self. We work with children, adolescents, young adults, adults, couples, parents, and families.
At Gonzales Family Counseling, it is our honor to develop a client centered relationship in order to promote hope, healing, and accessing one's best self. We work with children, adolescents, young adults, adults, couples, parents, and families.
(707) 267-2477 View (707) 267-2477
Photo of Brian La Roy Jones, Marriage & Family Therapist Associate in Walnut Creek, CA
Brian La Roy Jones
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Walnut Creek, CA 94596  (Online Only)
Waitlist for new clients
Are you tired of feeling rejected, lonely, confused, anxious, depressed, or just plain stuck? If so, then I can show you how you can experience feeling connected, peaceful, empowered, energized, and feeling good. I'm not in the “symptom reduction” business – like most therapists. Whether you're a teen, adult, or couple, my focus is helping clients just like you experience MORE. Picture experiencing not just less of something but more...hope, love, self-control, happiness, fulfillment, freedom, confidence, affection, compassion, trust, acceptance, validation, and feeling understood.
Are you tired of feeling rejected, lonely, confused, anxious, depressed, or just plain stuck? If so, then I can show you how you can experience feeling connected, peaceful, empowered, energized, and feeling good. I'm not in the “symptom reduction” business – like most therapists. Whether you're a teen, adult, or couple, my focus is helping clients just like you experience MORE. Picture experiencing not just less of something but more...hope, love, self-control, happiness, fulfillment, freedom, confidence, affection, compassion, trust, acceptance, validation, and feeling understood.
(510) 288-7652 View (510) 288-7652
Photo of Debbie Thomas, Marriage & Family Therapist in Walnut Creek, CA
Debbie Thomas
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Walnut Creek, CA 94598
Not accepting new clients
Working with couples my approach integrates CBT, Psychodynamic, Solution Focused therapies and Mindfulness. Couples can count on learning and practicing effective communication skills, emotional intelligence, and self-awareness. Practicing these skills will help deepen your connection, intimacy, and emotional-attunement with your partner to build the relationship you really want. My work with individuals focuses on support and strategies during times of grief and loss, relationship struggles, and life transitions.
Working with couples my approach integrates CBT, Psychodynamic, Solution Focused therapies and Mindfulness. Couples can count on learning and practicing effective communication skills, emotional intelligence, and self-awareness. Practicing these skills will help deepen your connection, intimacy, and emotional-attunement with your partner to build the relationship you really want. My work with individuals focuses on support and strategies during times of grief and loss, relationship struggles, and life transitions.
(925) 478-3694 View (925) 478-3694
Photo of Paige Harkness Carmichael, Marriage & Family Therapist in Walnut Creek, CA
Paige Harkness Carmichael
Marriage & Family Therapist, MA, MFT, PMH-C
Verified Verified
Walnut Creek, CA 94598
Not accepting new clients
NOT accepting new clients at this time. I provide effective and meaningful therapy to adults and couples. My style is both interactive and warm, and I focus on maintaining a space that facilitates growth and understanding. I believe quality therapy has the potential to be a powerful tool in removing roadblocks put in place by trauma, stress, mental illness, and previously ingrained behavioral patterns. I will use my experience in combination with empathy and natural intuition to help you on your journey. I look forward to hearing from you.
NOT accepting new clients at this time. I provide effective and meaningful therapy to adults and couples. My style is both interactive and warm, and I focus on maintaining a space that facilitates growth and understanding. I believe quality therapy has the potential to be a powerful tool in removing roadblocks put in place by trauma, stress, mental illness, and previously ingrained behavioral patterns. I will use my experience in combination with empathy and natural intuition to help you on your journey. I look forward to hearing from you.
(925) 275-5652 View (925) 275-5652
Photo of Gina Vance in Walnut Creek, CA
Gina Vance
CMHT, CCHT, RBT, CLC
Verified Verified
Walnut Creek, CA 94596
If you've been journeying into self discovery and growth and are ready for a gentle quantum leap into your unique power, beauty and ability to express and collaborate with your multi-dimensional self, consider the potential rewards of learning to quickly and easily journey into your mind and body to explore, encounter and understand ways you can heal the pain of your despair and serve your highest purpose in fulfilling ways. Our work together will honor all aspects of you and all experiences you have endured and survived, as you successfully close completed chapters and author new satisfying successes.
If you've been journeying into self discovery and growth and are ready for a gentle quantum leap into your unique power, beauty and ability to express and collaborate with your multi-dimensional self, consider the potential rewards of learning to quickly and easily journey into your mind and body to explore, encounter and understand ways you can heal the pain of your despair and serve your highest purpose in fulfilling ways. Our work together will honor all aspects of you and all experiences you have endured and survived, as you successfully close completed chapters and author new satisfying successes.
(415) 275-4221 View (415) 275-4221

See more therapy options for Walnut Creek

How does your Therapist compare?

Number of Therapists in Walnut Creek, CA

800+

Average cost per session

$180

Therapists in Walnut Creek, CA who prioritize treating:

93% Anxiety
88% Depression
79% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
66% Stress
65% Grief

Average years in practice

14 Years

Top 3 insurances accepted

61% Aetna
49% Cigna and Evernorth
38% Anthem | Elevance

How Therapists in Walnut Creek, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Walnut Creek?

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.