Therapists in Sacramento, CA

View neighborhoods in Sacramento
Photo of Barbara Bachmeier, Psychologist in Sacramento, CA
Barbara Bachmeier
Psychologist, PsyD
Verified Verified
Sacramento, CA 95864  (Online Only)
Hello fellow traveler, Life that is lived to the fullest is our greatest adventure. Sometimes, we get smacked with a road block. It is common to react with anxiety, depression, or a need to sort things out. It is normal to feel this way, yet it can seem that our ability to function optimally is affected with this happens. You can do this. You can be successful in moving through the struggle. You are not alone. I care, I will listen, I will respond, and I know what I am doing. Let me walk with you and apply my clinical knowledge as you gather new life hacks to facilitate your great journey.
Hello fellow traveler, Life that is lived to the fullest is our greatest adventure. Sometimes, we get smacked with a road block. It is common to react with anxiety, depression, or a need to sort things out. It is normal to feel this way, yet it can seem that our ability to function optimally is affected with this happens. You can do this. You can be successful in moving through the struggle. You are not alone. I care, I will listen, I will respond, and I know what I am doing. Let me walk with you and apply my clinical knowledge as you gather new life hacks to facilitate your great journey.
(916) 587-7792 View (916) 587-7792
Photo of Jasleen Kaur, Marriage & Family Therapist in Sacramento, CA
Jasleen Kaur
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
(530) 418-6181 View (530) 418-6181
Photo of Allison Altwer, Marriage & Family Therapist in Sacramento, CA
Allison Altwer
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95814  (Online Only)
My goal is to foster a comfortable environment to explore difficult thoughts and feelings in order to facilitate healing and growth. I specialize in anxiety disorders, behavioral therapies, and depression. Additional areas of focus include complex family issues, life transitions, relationship problems, parenting skills, work, and academic stress. I will assist in identify patterns of thoughts and behaviors that no longer serve you, in order to develop new strategies to help manage your symptoms more effectively. I look forward to meeting you!
My goal is to foster a comfortable environment to explore difficult thoughts and feelings in order to facilitate healing and growth. I specialize in anxiety disorders, behavioral therapies, and depression. Additional areas of focus include complex family issues, life transitions, relationship problems, parenting skills, work, and academic stress. I will assist in identify patterns of thoughts and behaviors that no longer serve you, in order to develop new strategies to help manage your symptoms more effectively. I look forward to meeting you!
(916) 794-3588 View (916) 794-3588
Jacob Pospychalla
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
I am a firm believer in perpetual personal growth and that we are constantly evolving throughout our lives; every interaction and choice progresses us through the development of self. Through this foundation I am a strong advocate of helping you understand your needs, values, and hopes as a framework to your decisions and goals. You are who you are today because of what you have experienced, and you will be who you are tomorrow because of the choices you make today.
I am a firm believer in perpetual personal growth and that we are constantly evolving throughout our lives; every interaction and choice progresses us through the development of self. Through this foundation I am a strong advocate of helping you understand your needs, values, and hopes as a framework to your decisions and goals. You are who you are today because of what you have experienced, and you will be who you are tomorrow because of the choices you make today.
(530) 298-9907 View (530) 298-9907
Photo of Bethany Coburn, Clinical Social Work/Therapist in Sacramento, CA
Bethany Coburn
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95864
Womanhood can be joyful, beautiful and also incredibly challenging. Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck.
Womanhood can be joyful, beautiful and also incredibly challenging. Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck.
(916) 439-8295 View (916) 439-8295
Photo of Arthur Day, Marriage & Family Therapist in Sacramento, CA
Arthur Day
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95831
As an African American therapist and a Professor of Psychology I understand many of the challenges that are central to feeling accepted, loved, trusted and understood. My office is a place to begin the journey toward better understanding yourself and others. It's a place to resolve conflict, clear up confusion, improve communication, address feelings and develop strategies for coping with life's many stressors.
As an African American therapist and a Professor of Psychology I understand many of the challenges that are central to feeling accepted, loved, trusted and understood. My office is a place to begin the journey toward better understanding yourself and others. It's a place to resolve conflict, clear up confusion, improve communication, address feelings and develop strategies for coping with life's many stressors.
(323) 909-4138 View (323) 909-4138
Photo of Jane Teixeira, Marriage & Family Therapist in Sacramento, CA
Jane Teixeira
Marriage & Family Therapist, LMFT, MA
Verified Verified
5 Endorsed
Sacramento, CA 95816
Hello and welcome! If you'd like to create more space for joy, connection, and calm in your life, I would love to work with you! I specialize in treating depression, trauma, anxiety, stress, self-esteem issues, body image issues, and perfectionism. I use a person-centered approach and mindfulness to help create a safe space for you to reflect on your relationship patterns and goals. I also like to infuse behavioral therapy techniques to help you hone in on concrete steps you can take to make active changes in your life. I hope to help you find more meaning, creativity, and joy in life.
Hello and welcome! If you'd like to create more space for joy, connection, and calm in your life, I would love to work with you! I specialize in treating depression, trauma, anxiety, stress, self-esteem issues, body image issues, and perfectionism. I use a person-centered approach and mindfulness to help create a safe space for you to reflect on your relationship patterns and goals. I also like to infuse behavioral therapy techniques to help you hone in on concrete steps you can take to make active changes in your life. I hope to help you find more meaning, creativity, and joy in life.
(916) 634-0156 View (916) 634-0156
Photo of William Schult, Marriage & Family Therapist in Sacramento, CA
William Schult
Marriage & Family Therapist, LMFT, PPS
Verified Verified
5 Endorsed
Sacramento, CA 95825
I treat adult individuals and couples who are motivated, open-minded and committed to their own success. I enjoy working with insightful and reflective people struggling with relational issues like infidelity, intimacy, moving on from a relationship and poly/open relationships. I'm experienced working with high-demand professionals, fellow therapists, doctors and LGBT clients seeking to repair their relationships or overcome personal obstacles. I'm also the Founder/Executive Director for Couples Resource Collective and served two terms as Treasurer for the Sacramento Valley California Association of Marriage and Family Therapists.
I treat adult individuals and couples who are motivated, open-minded and committed to their own success. I enjoy working with insightful and reflective people struggling with relational issues like infidelity, intimacy, moving on from a relationship and poly/open relationships. I'm experienced working with high-demand professionals, fellow therapists, doctors and LGBT clients seeking to repair their relationships or overcome personal obstacles. I'm also the Founder/Executive Director for Couples Resource Collective and served two terms as Treasurer for the Sacramento Valley California Association of Marriage and Family Therapists.
(916) 458-4017 View (916) 458-4017
Photo of Danielle Laughter, Associate Clinical Social Worker in Sacramento, CA
Danielle Laughter
Associate Clinical Social Worker, ASW
Verified Verified
Sacramento, CA 95811
Sometimes life doesn’t go the way we plan, and it's difficult to know how to navigate through the challenges we confront. Finding a therapist can be intimidating, and it takes courage to take the first step--so congratulations! Building rapport and trust are essential toward developing a collaborative therapeutic relationship. Therapy should never be a “one size fits all” approach, and I hope to help you feel validated and supported by acknowledging your own unique life journey. I work hard at creating an emotionally safe environment where you can feel free from biases and judgment.
Sometimes life doesn’t go the way we plan, and it's difficult to know how to navigate through the challenges we confront. Finding a therapist can be intimidating, and it takes courage to take the first step--so congratulations! Building rapport and trust are essential toward developing a collaborative therapeutic relationship. Therapy should never be a “one size fits all” approach, and I hope to help you feel validated and supported by acknowledging your own unique life journey. I work hard at creating an emotionally safe environment where you can feel free from biases and judgment.
(916) 796-1263 View (916) 796-1263
Photo of Lucy Zhang, Marriage & Family Therapist in Sacramento, CA
Lucy Zhang
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Sacramento, CA 95816
Brene Brown says, "If we really want to live a joyful, connected, and meaningful life, we must talk about things that get in the way.” - There are times in our lives where we feel disconnected with ourselves, others, and the world around us, and instead of living with compassion, clarity, and stillness, you are stuck feeling overwhelmed, exhausted, helpless, frustrated. It's so hard to do that alone - you're not supposed to do this on your own. I am here to support you get you out of the trenches. I am passionate about helping you navigate this journey of self-discovery towards growth and healing.
Brene Brown says, "If we really want to live a joyful, connected, and meaningful life, we must talk about things that get in the way.” - There are times in our lives where we feel disconnected with ourselves, others, and the world around us, and instead of living with compassion, clarity, and stillness, you are stuck feeling overwhelmed, exhausted, helpless, frustrated. It's so hard to do that alone - you're not supposed to do this on your own. I am here to support you get you out of the trenches. I am passionate about helping you navigate this journey of self-discovery towards growth and healing.
(760) 214-9578 View (760) 214-9578
Photo of Amanda Sager, Associate Professional Clinical Counselor in Sacramento, CA
Amanda Sager
Associate Professional Clinical Counselor, APCC
Verified Verified
Sacramento, CA 95825
As a therapist specializing in first responders & their families, I offer a safe space to process trauma, manage stress (PTSD, anxiety, depression), & rebuild connections. Using techniques like Brainspotting & CBT, I empower you to heal & thrive.
As a therapist specializing in first responders & their families, I offer a safe space to process trauma, manage stress (PTSD, anxiety, depression), & rebuild connections. Using techniques like Brainspotting & CBT, I empower you to heal & thrive.
(916) 694-0433 View (916) 694-0433
Photo of Janet M Cadiz Guevarra, Marriage & Family Therapist in Sacramento, CA
Janet M Cadiz Guevarra
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95831  (Online Only)
I believe in meeting you where you are and empowering you to find your own solutions to issues such as depression, anxiety, and identity development. I foster a safe environment to process issues with relationships, grief & loss, and adjustment, through authenticity and congruency. Individuality is acknowledged and honored in our work together through the use of an integrated approach that are best suited to your needs. With experience working in the mental health field since 2004, and degrees from San Francisco State University and University of California, Davis, I am eager to be a part of your journey towards a happier and healthier life.
I believe in meeting you where you are and empowering you to find your own solutions to issues such as depression, anxiety, and identity development. I foster a safe environment to process issues with relationships, grief & loss, and adjustment, through authenticity and congruency. Individuality is acknowledged and honored in our work together through the use of an integrated approach that are best suited to your needs. With experience working in the mental health field since 2004, and degrees from San Francisco State University and University of California, Davis, I am eager to be a part of your journey towards a happier and healthier life.
(916) 621-6124 View (916) 621-6124
Photo of Riverbend Counseling Services, Counselor in Sacramento, CA
Riverbend Counseling Services
Counselor, MS, LPCC, CSAC, ICAADC
Verified Verified
4 Endorsed
Sacramento, CA 95831  (Online Only)
As a therapist I am solutions-focused, inquisitive and relate-able, and will utilize a diverse range of theoretical approaches tailored to your individual needs, including: Cognitive Behavioral Therapies (CBT/DBT), Motivational Interviewing (MI), Mindfulness-based Cognitive Therapy (MBCT), Creative & Expressive, and Trauma Informed Therapy including EMDR (Certified Through EMDRIA). By integrating various evidenced based treatment protocols, we will collaborate to get where you want to go. My process is always to ask you, the client, what it is you want, what would that look like, and what is in your way of achieving your goals.
As a therapist I am solutions-focused, inquisitive and relate-able, and will utilize a diverse range of theoretical approaches tailored to your individual needs, including: Cognitive Behavioral Therapies (CBT/DBT), Motivational Interviewing (MI), Mindfulness-based Cognitive Therapy (MBCT), Creative & Expressive, and Trauma Informed Therapy including EMDR (Certified Through EMDRIA). By integrating various evidenced based treatment protocols, we will collaborate to get where you want to go. My process is always to ask you, the client, what it is you want, what would that look like, and what is in your way of achieving your goals.
(916) 312-4066 View (916) 312-4066
Photo of Rick James Kelly, Clinical Social Work/Therapist in Sacramento, CA
Rick James Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Sacramento, CA 95816  (Online Only)
Accepting new clients! -EMDR/Brainspotting trained- Did something happen to you that you can't bounce back from? Give me a call or text directly at 530-636-0789. I'll respond as soon as I can! Emotional wounds can run deeper than anything that bleeds and it all adds up - exhaustion, withdrawal, feelings of inadequacy. These issues can turn our lives upside down where we don't feel like ourselves anymore (rude). How do I know? I've also been through depression, anxiety and ADHD. Thankfully, it's not a life sentence and through our therapy together you can feel alive again and be the person you want to be.
Accepting new clients! -EMDR/Brainspotting trained- Did something happen to you that you can't bounce back from? Give me a call or text directly at 530-636-0789. I'll respond as soon as I can! Emotional wounds can run deeper than anything that bleeds and it all adds up - exhaustion, withdrawal, feelings of inadequacy. These issues can turn our lives upside down where we don't feel like ourselves anymore (rude). How do I know? I've also been through depression, anxiety and ADHD. Thankfully, it's not a life sentence and through our therapy together you can feel alive again and be the person you want to be.
(530) 207-8848 View (530) 207-8848
Photo of Catherine O'Brien, Marriage & Family Therapist in Sacramento, CA
Catherine O'Brien
Marriage & Family Therapist, MA, LMFT, PPS
Verified Verified
Sacramento, CA 95818
Do you feel like all the other new parents seem to have it all together? Do you get easily irritated, anxious, and overwhelmed at the simplest things? Do you feel guilty because you have such a beautiful and good baby, but still feel like crap? Do you find yourself asking WHAT IS WRONG WITH ME? Having a baby changes everything! Even when you have longed for a baby the fatigue and exhaustion have the better of you. Your relationship has changed with your partner and not always for the better.
Do you feel like all the other new parents seem to have it all together? Do you get easily irritated, anxious, and overwhelmed at the simplest things? Do you feel guilty because you have such a beautiful and good baby, but still feel like crap? Do you find yourself asking WHAT IS WRONG WITH ME? Having a baby changes everything! Even when you have longed for a baby the fatigue and exhaustion have the better of you. Your relationship has changed with your partner and not always for the better.
(916) 668-6408 View (916) 668-6408
Photo of Jessa Mohaddess Westmoreland, Pre-Licensed Professional in Sacramento, CA
Jessa Mohaddess Westmoreland
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
Many of us feel disconnected from ourselves and experience symptoms that constrict our lives and relationships. My goal as a therapist is to provide a safe environment where people can comfortably explore their longstanding, repetitive patterns, work through past trauma, integrate previously disowned parts of self, and discover their inner strengths. Using a holistic and integrative approach grounded in psychodynamic theory, I am committed to helping my clients gain insight and self-awareness and feel empowered to alter their present experiences by making intentional decisions that align with their values.
Many of us feel disconnected from ourselves and experience symptoms that constrict our lives and relationships. My goal as a therapist is to provide a safe environment where people can comfortably explore their longstanding, repetitive patterns, work through past trauma, integrate previously disowned parts of self, and discover their inner strengths. Using a holistic and integrative approach grounded in psychodynamic theory, I am committed to helping my clients gain insight and self-awareness and feel empowered to alter their present experiences by making intentional decisions that align with their values.
(916) 398-2827 View (916) 398-2827
Photo of Jennifer L Moore, Clinical Social Work/Therapist in Sacramento, CA
Jennifer L Moore
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
Taking a closer look at a difficult experience takes strength and I appreciate your reaching out for guidance and support. Whether to manage a recent event, like a significant loss or transition, or to process an early issue that continues to impact your sense of worth, my role is to come to understand your experience and to externalize the issue so we can approach it in a way that is manageable. We will examine to what degree practiced coping strategies support current needs and we will call on strengths and supports that serve you. I will offer you information and strategies useful in developing a sense of wellbeing.
Taking a closer look at a difficult experience takes strength and I appreciate your reaching out for guidance and support. Whether to manage a recent event, like a significant loss or transition, or to process an early issue that continues to impact your sense of worth, my role is to come to understand your experience and to externalize the issue so we can approach it in a way that is manageable. We will examine to what degree practiced coping strategies support current needs and we will call on strengths and supports that serve you. I will offer you information and strategies useful in developing a sense of wellbeing.
(279) 346-4558 View (279) 346-4558
Photo of Troy Mickle, Marriage & Family Therapist in Sacramento, CA
Troy Mickle
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
In my therapeutic practice, I emphasize a secure environment for those seeking therapeutic support. With a foundation in empathy, I establish a professional alliance, enabling clients to express their innermost thoughts and concerns. Leveraging evidence-based modalities, I tailor strategies to each client's unique needs. Through active listening and strategic guidance, I aid clients in achieving clarity and enhancing coping skills. My ultimate goal is to empower individuals and couples to harness their innate resilience, deepen self-awareness, and foster personal growth.
In my therapeutic practice, I emphasize a secure environment for those seeking therapeutic support. With a foundation in empathy, I establish a professional alliance, enabling clients to express their innermost thoughts and concerns. Leveraging evidence-based modalities, I tailor strategies to each client's unique needs. Through active listening and strategic guidance, I aid clients in achieving clarity and enhancing coping skills. My ultimate goal is to empower individuals and couples to harness their innate resilience, deepen self-awareness, and foster personal growth.
(916) 237-8393 View (916) 237-8393
Photo of Jill Jeffers Clark, Psychologist in Sacramento, CA
Jill Jeffers Clark
Psychologist, PhD, MA
Verified Verified
Sacramento, CA 95815
My passion is working with couples to help them have a more meaningful connection with each other. I also help adults overcome obstacles such as relationship issues, anxiety, negative thoughts, trauma, etc. in order to reach their goals. I have over 25 years of experience treating children, teens and helping parents use evidence-based strategies that work.
My passion is working with couples to help them have a more meaningful connection with each other. I also help adults overcome obstacles such as relationship issues, anxiety, negative thoughts, trauma, etc. in order to reach their goals. I have over 25 years of experience treating children, teens and helping parents use evidence-based strategies that work.
(916) 943-4214 View (916) 943-4214
Photo of Carla L Wills, Clinical Social Work/Therapist in Sacramento, CA
Carla L Wills
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Sacramento, CA 95829
My focus is helping others overcome anxiety, depression, and trauma, while improving communication, relationships, and overall quality of life. If you're seeking support and guidance on your journey towards emotional well-being you've come to the right place. Using evidence-based techniques I create a safe and nurturing environment where we can address your unique challenges. Take the first step towards a happier, more fulfilling life by scheduling a free consultation today.
My focus is helping others overcome anxiety, depression, and trauma, while improving communication, relationships, and overall quality of life. If you're seeking support and guidance on your journey towards emotional well-being you've come to the right place. Using evidence-based techniques I create a safe and nurturing environment where we can address your unique challenges. Take the first step towards a happier, more fulfilling life by scheduling a free consultation today.
(916) 602-4088 View (916) 602-4088

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.