Therapists in 95678

Photo of Steve DeCristofaro, Marriage & Family Therapist, MA, LMFT
Steve DeCristofaro
Marriage & Family Therapist, MA, LMFT
Roseville, CA 95678
Reaching out for help isn’t always easy. It can feel overwhelming to know where to start. Maybe you feel stuck in old patterns of thinking and behaving, frustrated that you can’t seem to break free. Perhaps conversations with your partner keep ending in conflict, leaving you discouraged and disconnected. You might even feel like everyone else has life figured out while you’re still searching for your place and purpose. These experiences can be painful, isolating, and frightening. It’s natural to long for clarity, peace, and healing.
Reaching out for help isn’t always easy. It can feel overwhelming to know where to start. Maybe you feel stuck in old patterns of thinking and behaving, frustrated that you can’t seem to break free. Perhaps conversations with your partner keep ending in conflict, leaving you discouraged and disconnected. You might even feel like everyone else has life figured out while you’re still searching for your place and purpose. These experiences can be painful, isolating, and frightening. It’s natural to long for clarity, peace, and healing.
(916) 794-3256 View (916) 794-3256
Photo of Alec Burrola, Licensed Professional Clinical Counselor, LPCC, LEP
Alec Burrola
Licensed Professional Clinical Counselor, LPCC, LEP
1 Endorsed
Roseville, CA 95678
Hi, I’m Alec! I offer both individual therapy and comprehensive diagnostic testing to support you or your family's unique needs. If you’re a teen or adult feeling overwhelmed, misunderstood, or navigating big transitions, I provide a warm, collaborative space where you can feel genuinely heard and build practical tools for everyday life. For school-aged youth, I specialize in thorough evaluations for ADHD, autism, learning disabilities (including dyslexia and dyscalculia), and other neurodevelopmental concerns.
Hi, I’m Alec! I offer both individual therapy and comprehensive diagnostic testing to support you or your family's unique needs. If you’re a teen or adult feeling overwhelmed, misunderstood, or navigating big transitions, I provide a warm, collaborative space where you can feel genuinely heard and build practical tools for everyday life. For school-aged youth, I specialize in thorough evaluations for ADHD, autism, learning disabilities (including dyslexia and dyscalculia), and other neurodevelopmental concerns.
(279) 239-3261 View (279) 239-3261
Photo of Nathalie Davis, Marriage & Family Therapist, LMFT
Nathalie Davis
Marriage & Family Therapist, LMFT
1 Endorsed
Roseville, CA 95678
Therapy offers a space for individuals to explore their past, present and future self. Your story matters. The more we try to hide, keep quiet or ignore our journey the harder it seems to find out what truly matters to us. Therapy can often be the last resort for many individuals and families suffering. I'd love for it to be the first option to a path of fulfillment. I still remember my first therapy session, the relief I felt when the therapist normalized my experience. It felt as if a weight had been lifted. A weight I carried for too long. I'd love to be the person who can offer relief and support to you and your loved ones.
Therapy offers a space for individuals to explore their past, present and future self. Your story matters. The more we try to hide, keep quiet or ignore our journey the harder it seems to find out what truly matters to us. Therapy can often be the last resort for many individuals and families suffering. I'd love for it to be the first option to a path of fulfillment. I still remember my first therapy session, the relief I felt when the therapist normalized my experience. It felt as if a weight had been lifted. A weight I carried for too long. I'd love to be the person who can offer relief and support to you and your loved ones.
(916) 866-3433 View (916) 866-3433
Photo of Jeff Machgan, Marriage & Family Therapist, MA, MDiv, LMFT
Jeff Machgan
Marriage & Family Therapist, MA, MDiv, LMFT
2 Endorsed
Roseville, CA 95678
Life often feels like a roller coaster. Our story is full of ups, downs and surprising turns. Maybe we lose our job or spouse, or face a major life transition. A child may move to a new school, have parents separate. Sometimes we experience a traumatic event. These things impact us, they shape our story. But we get to set the pace and the direction of where our story will go. Reaching out for therapy is a powerful step in writing the rest of your story, and you are about to take the next brave step in your story by seeking help.
Life often feels like a roller coaster. Our story is full of ups, downs and surprising turns. Maybe we lose our job or spouse, or face a major life transition. A child may move to a new school, have parents separate. Sometimes we experience a traumatic event. These things impact us, they shape our story. But we get to set the pace and the direction of where our story will go. Reaching out for therapy is a powerful step in writing the rest of your story, and you are about to take the next brave step in your story by seeking help.
(916) 665-4057 View (916) 665-4057
Becca Tan
Marriage & Family Therapist Associate, MA, AMFT
Roseville, CA 95678
The journey of therapy is one of motivation, resilience, and self-love. It can be difficult but remaining determined and hopeful uncovers a life of light & joy that has always been waiting for you! Working with clients that are struggling with life transitions, identity, and self-esteem issues gives me the ability to help one explore the different life experiences and narratives that keep them in a painful place. I love being able to use a compassion-based orientation to help others find a strong, confident, loving and loved, version of themselves.
The journey of therapy is one of motivation, resilience, and self-love. It can be difficult but remaining determined and hopeful uncovers a life of light & joy that has always been waiting for you! Working with clients that are struggling with life transitions, identity, and self-esteem issues gives me the ability to help one explore the different life experiences and narratives that keep them in a painful place. I love being able to use a compassion-based orientation to help others find a strong, confident, loving and loved, version of themselves.
(916) 460-8554 View (916) 460-8554
Photo of Dr. Amanda Goletto, Marriage & Family Therapist, DMFT, EMDR
Dr. Amanda Goletto
Marriage & Family Therapist, DMFT, EMDR
2 Endorsed
Roseville, CA 95678
Are you feeling stuck, even after trying therapy before? Do you struggle with trauma, anxiety, relationship challenges, or grief? Whether you're a teen, adult, couple, or family, you may be seeking emotional clarity, deeper connections, or spiritual healing. Perhaps you want to process unresolved pain, improve communication, or find a sense of balance and peace in your life. If you're ready to break through what’s been holding you back and make meaningful, lasting change, I’m here to support your growth, healing, and personal transformation.
Are you feeling stuck, even after trying therapy before? Do you struggle with trauma, anxiety, relationship challenges, or grief? Whether you're a teen, adult, couple, or family, you may be seeking emotional clarity, deeper connections, or spiritual healing. Perhaps you want to process unresolved pain, improve communication, or find a sense of balance and peace in your life. If you're ready to break through what’s been holding you back and make meaningful, lasting change, I’m here to support your growth, healing, and personal transformation.
(510) 962-4749 View (510) 962-4749
Photo of Ryan Jibson, Clinical Social Work/Therapist, LCSW
Ryan Jibson
Clinical Social Work/Therapist, LCSW
2 Endorsed
Roseville, CA 95678
I specialize in working with teens. Life consistently requires us to adjust and that is hard. Are you struggling in your relationship or in your ability to communicate with your spouse, teen or parents? Do you often find yourself wondering what you can do to help yourself or a loved one? At times nothing seems to work. Reaching out to a therapist can be scary and I realize there are many options. Anxiety, depression, low confidence/self esteem, anger issues, decision making, mood disorders, poor communication skills, addiction and behavioral issues are some of the things I can help with.
I specialize in working with teens. Life consistently requires us to adjust and that is hard. Are you struggling in your relationship or in your ability to communicate with your spouse, teen or parents? Do you often find yourself wondering what you can do to help yourself or a loved one? At times nothing seems to work. Reaching out to a therapist can be scary and I realize there are many options. Anxiety, depression, low confidence/self esteem, anger issues, decision making, mood disorders, poor communication skills, addiction and behavioral issues are some of the things I can help with.
(916) 299-3773 View (916) 299-3773
Photo of Renata Akinkuowo, Clinical Social Work/Therapist, LCSW, LISW
Renata Akinkuowo
Clinical Social Work/Therapist, LCSW, LISW
2 Endorsed
Roseville, CA 95678
Welcome! It takes courage to seek support & I commend you for taking the first steps toward healing. In life we may have experiences that affect the way we view ourselves, view & interact in the world, or how we engage in relationships. There are times our past experiences or current challenges cause us to feel any number of emotions or feelings & these may have brought you to the place of desiring healing & wholeness... ‘A New Day.’ I would encourage you to have hope, healing from your experiences or traumas is possible! I offer a holistic & individualized approach tailored to help you reach positive mental health outcomes.
Welcome! It takes courage to seek support & I commend you for taking the first steps toward healing. In life we may have experiences that affect the way we view ourselves, view & interact in the world, or how we engage in relationships. There are times our past experiences or current challenges cause us to feel any number of emotions or feelings & these may have brought you to the place of desiring healing & wholeness... ‘A New Day.’ I would encourage you to have hope, healing from your experiences or traumas is possible! I offer a holistic & individualized approach tailored to help you reach positive mental health outcomes.
(916) 249-2732 View (916) 249-2732
Photo of Olivia Wingate, Pre-Licensed Professional, AMFT
Olivia Wingate
Pre-Licensed Professional, AMFT
1 Endorsed
Roseville, CA 95678
I can help you with anxiety, grief, life transitions or relationships including premarital and couples therapy. Therapy can help clients gain insight and the tools necessary to move through pain, build resiliency, and cultivate a flourishing life. I work with children, adolescents, adults, elders, couples, families, and groups. My areas of interest include premarital counseling, couples therapy, anxiety and depression related disorders, processing grief and loss, and working with individuals in seasons of life transition. Clients state that I am welcoming, warm, effective, caring and compassionate. Call for a free consultation.
I can help you with anxiety, grief, life transitions or relationships including premarital and couples therapy. Therapy can help clients gain insight and the tools necessary to move through pain, build resiliency, and cultivate a flourishing life. I work with children, adolescents, adults, elders, couples, families, and groups. My areas of interest include premarital counseling, couples therapy, anxiety and depression related disorders, processing grief and loss, and working with individuals in seasons of life transition. Clients state that I am welcoming, warm, effective, caring and compassionate. Call for a free consultation.
(530) 688-6749 View (530) 688-6749
Photo of Kimberly Salmon - Better Life Counseling Center, Marriage & Family Therapist, LMFT
Better Life Counseling Center
Marriage & Family Therapist, LMFT
Roseville, CA 95678
Better Life Counseling Center is a practice with multiple therapists with varying experience and expertise. Please visit our website to learn more about each therapist. Kimberly Salmon will be able to get you scheduled and begin your journey to reach your own goals.
Better Life Counseling Center is a practice with multiple therapists with varying experience and expertise. Please visit our website to learn more about each therapist. Kimberly Salmon will be able to get you scheduled and begin your journey to reach your own goals.
(916) 299-8172 View (916) 299-8172
Photo of Paul Cecchettini, Psychologist, EdD
Paul Cecchettini
Psychologist, EdD
Roseville, CA 95678
My approach will be to listen to you and find out what you want and need, and we will work together on deciding the path I tend to use what therapeutic interventions are best to assist you and what will work best for you. I believe you will find that I listen and reflect well on what you are expressing and can help guide you to meeting the agreed upon goals. I like to create a safe place for someone to feel they can express themselves, their thoughts and their feelings. I am empathetic and I believe I connect well with people which helps guide people to reaching their goals. I think it is important to use some humor at times as well
My approach will be to listen to you and find out what you want and need, and we will work together on deciding the path I tend to use what therapeutic interventions are best to assist you and what will work best for you. I believe you will find that I listen and reflect well on what you are expressing and can help guide you to meeting the agreed upon goals. I like to create a safe place for someone to feel they can express themselves, their thoughts and their feelings. I am empathetic and I believe I connect well with people which helps guide people to reaching their goals. I think it is important to use some humor at times as well
(530) 203-8115 View (530) 203-8115
ZEAM Medical Group Inc.
Clinical Social Work/Therapist, MD
Roseville, CA 95678
ZEAM Medical has been convinced to offer the maximum trustful solution to clients’ problems or needs in the services, and products our company provides. ZEAM Medical offers aesthetic values, holds ownership, and is committed to providing individualized treatment and a pricing strategy with the best noticeable results ensuing in true genuine aesthetic products and services existing.
ZEAM Medical has been convinced to offer the maximum trustful solution to clients’ problems or needs in the services, and products our company provides. ZEAM Medical offers aesthetic values, holds ownership, and is committed to providing individualized treatment and a pricing strategy with the best noticeable results ensuing in true genuine aesthetic products and services existing.
(916) 378-7856 x101 View (916) 378-7856 x101
Photo of Eloisa Smith, Marriage & Family Therapist Intern, LMFT
Eloisa Smith
Marriage & Family Therapist Intern, LMFT
Roseville, CA 95678
Eloisa's specialties include mood and personality disorders, anxiety disorders, women’s health issues, self-concept and self-esteem issues, and life stages and transitions. She is also skilled in marital counseling and helps clients with marriage, family, and relationship issues.
Eloisa's specialties include mood and personality disorders, anxiety disorders, women’s health issues, self-concept and self-esteem issues, and life stages and transitions. She is also skilled in marital counseling and helps clients with marriage, family, and relationship issues.
(916) 546-7368 View (916) 546-7368
Photo of Brent Veney, Clinical Social Work/Therapist, LCSW
Brent Veney
Clinical Social Work/Therapist, LCSW
1 Endorsed
Roseville, CA 95678
Therapy that moves you forward, that is, if you are ready! You aren't here because life is perfect but because something feels off, stuck, or overwhelming and you are ready to actually deal with it. Maybe you've done therapy before, but didn't quite get to the deeper issues. Maybe you've never done therapy but know you don't want surface level sessions with no progress. You want change. Clarity. A space where you can be fully honest without being judged or boxed in. Whether you're dealing with stress, anxiety, trauma, relationship issues, or burnout, we'll work through it in a way that feels intentional, honest, and sustainable.
Therapy that moves you forward, that is, if you are ready! You aren't here because life is perfect but because something feels off, stuck, or overwhelming and you are ready to actually deal with it. Maybe you've done therapy before, but didn't quite get to the deeper issues. Maybe you've never done therapy but know you don't want surface level sessions with no progress. You want change. Clarity. A space where you can be fully honest without being judged or boxed in. Whether you're dealing with stress, anxiety, trauma, relationship issues, or burnout, we'll work through it in a way that feels intentional, honest, and sustainable.
(424) 232-0527 View (424) 232-0527
Photo of Dr. Caroline Kiss, Clinical Social Work/Therapist
Dr. Caroline Kiss
Clinical Social Work/Therapist
Roseville, CA 95678
Do you want to stop feeling alone, confused, and overwhelmed? Please do not hesitate to contact me as I can help guide you in overcoming both your current and past obstacles in order to build a better and more manageable future for yourself. I have extensive experience working in private practice and in healthcare settings on multi-disciplinary teams in several large cities including New York City, Toronto, Los Angeles, and San Francisco. I have studied Naturopathic Medicine, in addition to holding two master's degrees from Columbia University in the City of New York in Social Work and Public Health.
Do you want to stop feeling alone, confused, and overwhelmed? Please do not hesitate to contact me as I can help guide you in overcoming both your current and past obstacles in order to build a better and more manageable future for yourself. I have extensive experience working in private practice and in healthcare settings on multi-disciplinary teams in several large cities including New York City, Toronto, Los Angeles, and San Francisco. I have studied Naturopathic Medicine, in addition to holding two master's degrees from Columbia University in the City of New York in Social Work and Public Health.
(818) 253-9986 View (818) 253-9986
Photo of Sahebjit 'tj' Singh, Marriage & Family Therapist, MS, LMFT
Sahebjit 'tj' Singh
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Roseville, CA 95678
How's the scrolling for a therapist going?Unable to tell what therapist is best for what got you scrolling? tired of the patterns you feel stuck in? I hear you, been there. I’m Sahebjit “TJ” Singh, a depth therapist focuses providing support others in getting to the root of their issues. A support that focuses on healing the core wounds that still bleed into your identity, relationships, and life. Been through my own journey of healing and rebuilding myself that created a passion to support others that stuck in patterns created from traumatic experiences. Spent over 12 years in mental health that strengthed my resolve.
How's the scrolling for a therapist going?Unable to tell what therapist is best for what got you scrolling? tired of the patterns you feel stuck in? I hear you, been there. I’m Sahebjit “TJ” Singh, a depth therapist focuses providing support others in getting to the root of their issues. A support that focuses on healing the core wounds that still bleed into your identity, relationships, and life. Been through my own journey of healing and rebuilding myself that created a passion to support others that stuck in patterns created from traumatic experiences. Spent over 12 years in mental health that strengthed my resolve.
(916) 249-2856 View (916) 249-2856
Photo of Ashlee Janzen, Marriage & Family Therapist, MS, LMFT
Ashlee Janzen
Marriage & Family Therapist, MS, LMFT
Roseville, CA 95678
Relationships with ourselves or others is one of the most profound things we will do in our lives. My practice focus includes Infertility, First-responders and/or their spouses with an emphasis on Marriage & Family dynamics this line of work can bring, and Postpartum preparation & support. In therapy, we travel to the deepest wounds which is often difficult to do alone. It is my goal to give my clients a safe and judgement-free therapeutic environment where they can find freedom, healing, and wholeness.
Relationships with ourselves or others is one of the most profound things we will do in our lives. My practice focus includes Infertility, First-responders and/or their spouses with an emphasis on Marriage & Family dynamics this line of work can bring, and Postpartum preparation & support. In therapy, we travel to the deepest wounds which is often difficult to do alone. It is my goal to give my clients a safe and judgement-free therapeutic environment where they can find freedom, healing, and wholeness.
(916) 252-1417 View (916) 252-1417
Photo of Olivia Wright, Marriage & Family Therapist, LMFT, MA
Olivia Wright
Marriage & Family Therapist, LMFT, MA
4 Endorsed
Roseville, CA 95678
In the beginning, your relationship felt fun, connected and loving, but now there’s distance between you. When you talk, neither of you feel like you’re getting anywhere. There may be some painful experiences that haven’t been healed, and some trust has been eroded. The possibility of enjoying each other again, as partners, lovers and friends, is one you and your partner feel ready to explore. I work with couples to help them learn to communicate more meaningfully and build stronger bonds for a more connected and joyful relationship. I am also certified in Systemic Affair Recovery to help couples heal hurts & betrayals.
In the beginning, your relationship felt fun, connected and loving, but now there’s distance between you. When you talk, neither of you feel like you’re getting anywhere. There may be some painful experiences that haven’t been healed, and some trust has been eroded. The possibility of enjoying each other again, as partners, lovers and friends, is one you and your partner feel ready to explore. I work with couples to help them learn to communicate more meaningfully and build stronger bonds for a more connected and joyful relationship. I am also certified in Systemic Affair Recovery to help couples heal hurts & betrayals.
(916) 398-2408 View (916) 398-2408
Photo of Kimberlie Nunley - Kimberlie Nunley, LCSW, Mental Health Therapist, Clinical Social Work/Therapist, LCSW
Kimberlie Nunley, LCSW, Mental Health Therapist
Clinical Social Work/Therapist, LCSW
1 Endorsed
Roseville, CA 95678
This is your journey and you deserve specialized support …Are you having trouble functioning while experiencing unproductive anxiety symptoms, thoughts, feelings, actions? Are they working against you, controlling you, keeping you from experiencing the relationships and the life that you want for yourself? Many mental health challenges are rooted in past traumatic events and in fears of the future. How would it feel to be in charge of your responses to your environment? I have my own lived experience for healing with and through trauma anxiety, and I have a passion to help others along their healing journey.
This is your journey and you deserve specialized support …Are you having trouble functioning while experiencing unproductive anxiety symptoms, thoughts, feelings, actions? Are they working against you, controlling you, keeping you from experiencing the relationships and the life that you want for yourself? Many mental health challenges are rooted in past traumatic events and in fears of the future. How would it feel to be in charge of your responses to your environment? I have my own lived experience for healing with and through trauma anxiety, and I have a passion to help others along their healing journey.
(530) 771-6614 View (530) 771-6614
Photo of Joshua Singer, Marriage & Family Therapist, LMFT, CCHT
Joshua Singer
Marriage & Family Therapist, LMFT, CCHT
1 Endorsed
Roseville, CA 95678
My fervent passion for counseling and unwavering belief in people are the cornerstones of my therapeutic work. In my role as facilitator I listen deeply to your concerns, worries, joys, and important life stories. We will embark on an interesting experience that helps you to become more in tune with yourself and others and more appreciative of your own skills and gifts. Together, we take steps to help you relieve the burdens of stress, worry and other overwhelming emotions so that you feel more at ease and confident in living your best life.
My fervent passion for counseling and unwavering belief in people are the cornerstones of my therapeutic work. In my role as facilitator I listen deeply to your concerns, worries, joys, and important life stories. We will embark on an interesting experience that helps you to become more in tune with yourself and others and more appreciative of your own skills and gifts. Together, we take steps to help you relieve the burdens of stress, worry and other overwhelming emotions so that you feel more at ease and confident in living your best life.
(916) 560-1316 View (916) 560-1316

See more therapy options for 95678

How does your Therapist compare?

Number of Therapists in 95678

200+

Average cost per session

$150

Therapists in 95678 who prioritize treating:

94% Anxiety
88% Depression
75% Relationship Issues
70% Trauma and PTSD
68% Self Esteem
65% Grief
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
63% Optum
59% UnitedHealthcare UHC | UBH

How Therapists in 95678 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 95678?

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.