Photo of Kaylan Dias, LMFT, Marriage & Family Therapist
Kaylan Dias
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Are you a woman whose life looks “good” from the outside, and yet it still feels like something is missing? You’ve accomplished a lot in life, but don’t feel the sense of fulfillment you expected. A big life change—maybe a breakup, new job, new marriage, change in family dynamic, or move—has highlighted the fact that you’re still not as happy or content as you want to be. Something is telling you that you need to make a shift (even if you’re not quite sure what it is). You want to gain deeper insight into yourself & your past experiences, and you’re ready to change your “default setting” and start creating new patterns in your life.
Are you a woman whose life looks “good” from the outside, and yet it still feels like something is missing? You’ve accomplished a lot in life, but don’t feel the sense of fulfillment you expected. A big life change—maybe a breakup, new job, new marriage, change in family dynamic, or move—has highlighted the fact that you’re still not as happy or content as you want to be. Something is telling you that you need to make a shift (even if you’re not quite sure what it is). You want to gain deeper insight into yourself & your past experiences, and you’re ready to change your “default setting” and start creating new patterns in your life.
(916) 510-0325 View (916) 510-0325
Photo of Jose Quiroz, LCSW, Clinical Social Work/Therapist
Jose Quiroz
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there, I'm Jose! My name is Jose Quiroz, I'm a Licensed Clinical Social Worker (LCSW) based in the San Bernardino/Riverside County metro area of southern California. I work in a mental health forensic hospital providing therapy to clients struggling with depression, anxiety, and chemical dependence. I use Cognitive Behavioral Therapy to assist my clients in making progress so that they may feel better.
Hi there, I'm Jose! My name is Jose Quiroz, I'm a Licensed Clinical Social Worker (LCSW) based in the San Bernardino/Riverside County metro area of southern California. I work in a mental health forensic hospital providing therapy to clients struggling with depression, anxiety, and chemical dependence. I use Cognitive Behavioral Therapy to assist my clients in making progress so that they may feel better.
(916) 378-7180 View (916) 378-7180
Photo of Elizabeth (Betsy) Gerbert, LPCC
Elizabeth (Betsy) Gerbert
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Online Only
I am a licensed professional clinical counselor (LPCC) who graduated with an M.S. in clinical counseling from Chestnut Hill College in Philadelphia, PA. I have been practicing therapy for the past 15 years specializing in both individual and family therapy. I have worked with children, tweens, adolescents, and adults. My approach to therapy is tailored to you and/or your children’s needs. I approach therapy using concepts from cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), a family systems approach, trauma-informed care, and mindfulness-based skills.
I am a licensed professional clinical counselor (LPCC) who graduated with an M.S. in clinical counseling from Chestnut Hill College in Philadelphia, PA. I have been practicing therapy for the past 15 years specializing in both individual and family therapy. I have worked with children, tweens, adolescents, and adults. My approach to therapy is tailored to you and/or your children’s needs. I approach therapy using concepts from cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), a family systems approach, trauma-informed care, and mindfulness-based skills.
(916) 237-8168 View (916) 237-8168
Photo of Kristine Hughes, LMFT, Marriage & Family Therapist
Kristine Hughes
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My name is Kristine Hughes, and I am a Licensed Marriage & Family Therapist in California. I enjoy treating individual adults and teens experiencing mood disorders such as depression and bipolar disorder, anxiety/panic attacks, substance abuse/addiction, self-harm behaviors and suicidal ideation, stress, relationship problems, abuse, and trauma. My therapeutic approach utilizes techniques from Mindfulness, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy. The most foundation and important therapeutic element however is the safe trusting relationship built with each client.
My name is Kristine Hughes, and I am a Licensed Marriage & Family Therapist in California. I enjoy treating individual adults and teens experiencing mood disorders such as depression and bipolar disorder, anxiety/panic attacks, substance abuse/addiction, self-harm behaviors and suicidal ideation, stress, relationship problems, abuse, and trauma. My therapeutic approach utilizes techniques from Mindfulness, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy. The most foundation and important therapeutic element however is the safe trusting relationship built with each client.
(916) 776-5929 View (916) 776-5929
Photo of Allison Elwood, MA, LMFT, Marriage & Family Therapist
Allison Elwood
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95820
Hi! I am currently offering virtual sessions using Zoom, Face time and Skype. I am open daily from 12:00 to 7:00, Monday through Friday I speak fluent Spanish and specialize in individual therapy. Todos los servicios están disponibles en Español y son flexibles para acomodar cualquiera sean las metas personales que Usted quiera obtener.
Hi! I am currently offering virtual sessions using Zoom, Face time and Skype. I am open daily from 12:00 to 7:00, Monday through Friday I speak fluent Spanish and specialize in individual therapy. Todos los servicios están disponibles en Español y son flexibles para acomodar cualquiera sean las metas personales que Usted quiera obtener.
(510) 606-9817 View (510) 606-9817
Photo of Ernie Demis, LCSW, Clinical Social Work/Therapist
Ernie Demis
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
In therapy, it's often said to do what works because patients often present with unique conditions that require special thought. Cognitive behavioral therapy is the foundation of my treatment as it offers the best results I've seen with the adult population I have treated in recent years. However, I also draw on my experience in a more psycho-dynamic treatment world of the past.
In therapy, it's often said to do what works because patients often present with unique conditions that require special thought. Cognitive behavioral therapy is the foundation of my treatment as it offers the best results I've seen with the adult population I have treated in recent years. However, I also draw on my experience in a more psycho-dynamic treatment world of the past.
(916) 884-2328 View (916) 884-2328
Photo of Jeannette L Phelan, MS, LMFT, Marriage & Family Therapist
Jeannette L Phelan
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sacramento, CA 95820
I approach therapy with passion and a deep respect for the therapeutic process. And while therapy can bring about positive changes, it can be difficult and painful at times .It requires courage and commitment to be willing to trust the process. I am humbled and grateful be a part of someones journey and healing. The clients i work with include individuals, couples, and families that are experiencing depression, PTSD, communication issues, negative self image, and low self worth. Modalities may include EMDR, CBT, Psychodynamic, Client-Centered, DBT and others as appropriate.
I approach therapy with passion and a deep respect for the therapeutic process. And while therapy can bring about positive changes, it can be difficult and painful at times .It requires courage and commitment to be willing to trust the process. I am humbled and grateful be a part of someones journey and healing. The clients i work with include individuals, couples, and families that are experiencing depression, PTSD, communication issues, negative self image, and low self worth. Modalities may include EMDR, CBT, Psychodynamic, Client-Centered, DBT and others as appropriate.
(916) 546-1166 View (916) 546-1166
Photo of Kimberlin Borca Leon, LCSW, Clinical Social Work/Therapist
Kimberlin Borca Leon
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I work with families, teens, and individuals whose pain shows up as deep emotional hurt, heightened sensitivity to certain situations, overwhelm, or conflict in close relationships—even violent or suicidal thoughts and behaviors. If you're seeking a warm, collaborative therapist to support you or a loved one in addressing relational pain and its symptoms, we may be a great fit. For parents seeking therapy for their teens, I take a family-centered approach focused on enhancing safety, wellness, and connection within the whole family.
I work with families, teens, and individuals whose pain shows up as deep emotional hurt, heightened sensitivity to certain situations, overwhelm, or conflict in close relationships—even violent or suicidal thoughts and behaviors. If you're seeking a warm, collaborative therapist to support you or a loved one in addressing relational pain and its symptoms, we may be a great fit. For parents seeking therapy for their teens, I take a family-centered approach focused on enhancing safety, wellness, and connection within the whole family.
(916) 352-6059 View (916) 352-6059
Photo of Erica Romero, LMFT, Marriage & Family Therapist
Erica Romero
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
(916) 382-7409 View (916) 382-7409
Photo of Heather Waddle, LCSW, CCTP, Clinical Social Work/Therapist
Heather Waddle
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
1 Endorsed
Online Only
Hello! I'm Heather, a Licensed Clinical Social Worker, with a background spanning nearly 15 years. Together we will go at your unique pace, ensuring that you feel safe and supported along the way. I primarily work with women, young adults, and professionals experiencing a range of symptoms and life stressors related to relationships, anxiety, depression, ADHD, trauma, and life transitions. Many of my clients are dealing with changes like starting out in their career, relationship beginnings or endings, or loss of a loved one. I provide personalized support to help you thrive in your personal and professional life.
Hello! I'm Heather, a Licensed Clinical Social Worker, with a background spanning nearly 15 years. Together we will go at your unique pace, ensuring that you feel safe and supported along the way. I primarily work with women, young adults, and professionals experiencing a range of symptoms and life stressors related to relationships, anxiety, depression, ADHD, trauma, and life transitions. Many of my clients are dealing with changes like starting out in their career, relationship beginnings or endings, or loss of a loved one. I provide personalized support to help you thrive in your personal and professional life.
(916) 623-1980 View (916) 623-1980
Photo of Mel Mello, Psychologist
Mel Mello
Psychologist
Verified Verified
Online Only
As a Licensed Psychologist and Board-Certified Behavior Analyst, I am passionate about helping individuals and families navigate the unique challenges and celebrate the distinct strengths that come with neurodevelopmental differences. My practice focuses primarily on supporting individuals with autism spectrum disorder, anxiety, and ADHD. I focus on neurodiversity affirming care. I believe in taking a comprehensive, individualized approach to therapy, recognizing that each person's experiences and needs are unique.
As a Licensed Psychologist and Board-Certified Behavior Analyst, I am passionate about helping individuals and families navigate the unique challenges and celebrate the distinct strengths that come with neurodevelopmental differences. My practice focuses primarily on supporting individuals with autism spectrum disorder, anxiety, and ADHD. I focus on neurodiversity affirming care. I believe in taking a comprehensive, individualized approach to therapy, recognizing that each person's experiences and needs are unique.
(916) 545-9487 View (916) 545-9487
Photo of Olivia Schulz, LMFT, Marriage & Family Therapist
Olivia Schulz
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hi there, I'm Olivia, an LMFT based in Sacramento, CA. I am a Woman, Mother, Wife, and Therapist, in that order. I am a Latina and have lived in California my entire life. I have experience with children, teens, foster youth, at-risk youth, young adults, young professionals, persons in the helping field, and couples. I have experience working with issues and diagnoses such as addiction, recovery, self-harm, life transitions, parental loss, blended families, LGBTQ, parent-child relational issues, communication issues, anger, mood disorders, depression, anxiety, and trauma.
Hi there, I'm Olivia, an LMFT based in Sacramento, CA. I am a Woman, Mother, Wife, and Therapist, in that order. I am a Latina and have lived in California my entire life. I have experience with children, teens, foster youth, at-risk youth, young adults, young professionals, persons in the helping field, and couples. I have experience working with issues and diagnoses such as addiction, recovery, self-harm, life transitions, parental loss, blended families, LGBTQ, parent-child relational issues, communication issues, anger, mood disorders, depression, anxiety, and trauma.
(562) 268-4115 View (562) 268-4115
Photo of Susan Badra, LCSW, Clinical Social Work/Therapist
Susan Badra
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Susan Badra, LCSW 111642. I am licensed in California with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, lgbt-related issues, & trauma and abuse. I work with my clients to create an open and safe environment where thoughts and feelings ca be shared without fear of judgement. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
Susan Badra, LCSW 111642. I am licensed in California with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, lgbt-related issues, & trauma and abuse. I work with my clients to create an open and safe environment where thoughts and feelings ca be shared without fear of judgement. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(916) 237-1425 View (916) 237-1425
Photo of Amy Groven, LMFT, Marriage & Family Therapist
Amy Groven
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95820
Do you always feel on edge? Did something traumatic happen? Trauma is a disruption to the nervous system that often creates patterns and loops that extend into many areas of a person's life. It can affect our bodies, our minds and the way we relate to other people. Sometimes the way people survive their trauma brings them more pain, adds to the chaos, and reinforces negative beliefs that perpetuate the cycle as well as causing other mental health issues grow- such as depression and anxiety. I work with people of various cultures, sexual orientations, and gender identities and know that trauma is non-discriminatory.
Do you always feel on edge? Did something traumatic happen? Trauma is a disruption to the nervous system that often creates patterns and loops that extend into many areas of a person's life. It can affect our bodies, our minds and the way we relate to other people. Sometimes the way people survive their trauma brings them more pain, adds to the chaos, and reinforces negative beliefs that perpetuate the cycle as well as causing other mental health issues grow- such as depression and anxiety. I work with people of various cultures, sexual orientations, and gender identities and know that trauma is non-discriminatory.
(916) 249-8340 View (916) 249-8340
Photo of Alexandra Gabrielle Garton, LMFT, Marriage & Family Therapist
Alexandra Gabrielle Garton
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Online Only
Are you dealing with some big changes in your life? Or, have you experienced something scary and upsetting? Are you feeling weighed down by your past and unable to move forward? My role as a therapist is to help you gain power over your life. Empowerment leads to freedom and reduced fear of the world around you, and self-empowerment starts with self-compassion. As a therapist, I act as a guide in a powerful process that helps you get closer to the things you want out of life. I offer non-judgmental support and encouragement. I have often been described as calming, attentive, compassionate and easy to talk to.
Are you dealing with some big changes in your life? Or, have you experienced something scary and upsetting? Are you feeling weighed down by your past and unable to move forward? My role as a therapist is to help you gain power over your life. Empowerment leads to freedom and reduced fear of the world around you, and self-empowerment starts with self-compassion. As a therapist, I act as a guide in a powerful process that helps you get closer to the things you want out of life. I offer non-judgmental support and encouragement. I have often been described as calming, attentive, compassionate and easy to talk to.
(916) 943-4276 View (916) 943-4276
Photo of Cindy McCrea, LMFT, MS, Marriage & Family Therapist
Cindy McCrea
Marriage & Family Therapist, LMFT, MS
Verified Verified
Sacramento, CA 95820
When the way you usually handle things is no longer working for you, it's time to look in to changing yourself. Change your thoughts and you really can change your world. Difficulties with others in your life as well as emotions you are struggling with can be looked at differently and lead to increased peace and happiness. Panic, Anxiety, Excessive Worry, Depression and Anger can all arise from thoughts that trigger your fight or flight response. Change your thinking and you can change how you feel and how you behave.
When the way you usually handle things is no longer working for you, it's time to look in to changing yourself. Change your thoughts and you really can change your world. Difficulties with others in your life as well as emotions you are struggling with can be looked at differently and lead to increased peace and happiness. Panic, Anxiety, Excessive Worry, Depression and Anger can all arise from thoughts that trigger your fight or flight response. Change your thinking and you can change how you feel and how you behave.
(916) 546-1316 View (916) 546-1316
Photo of Dayna Garcia De Alba, LCSW, Clinical Social Work/Therapist
Dayna Garcia De Alba
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello and welcome! My name is Dayna Garcia De Alba, and I am a Licensed Clinical Social Worker. I am passionate about helping my clients achieve their therapy goals. I have 10 years of experience working with children, teens, and families dealing with medical issues and major life changes. My approach is client centered. We will start where you are at, addressing what you want to address in a judgment-free setting. My goal is to help foster a sense of adaptability and empower you to navigate life’s challenges.
Hello and welcome! My name is Dayna Garcia De Alba, and I am a Licensed Clinical Social Worker. I am passionate about helping my clients achieve their therapy goals. I have 10 years of experience working with children, teens, and families dealing with medical issues and major life changes. My approach is client centered. We will start where you are at, addressing what you want to address in a judgment-free setting. My goal is to help foster a sense of adaptability and empower you to navigate life’s challenges.
(657) 837-6169 View (657) 837-6169
Photo of Teri-Lee Hedman, LCSW, Clinical Social Work/Therapist
Teri-Lee Hedman
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello, my name is Teri Hedman and I am a licensed clinical social worker. I take a holistic approach to healing and I would love to partner with you on your journey. I have a strong background in supporting folks navigating trauma and addiction. I believe whether or not we have a substance addiction, we all have something to “recover” from in the epic journey that is our life. I have found that in this process, we also can discover and reclaim our true selves and reorient to living a thriving life. I also have specialized training focused on supporting women, especially in the postpartum period and other transitions.
Hello, my name is Teri Hedman and I am a licensed clinical social worker. I take a holistic approach to healing and I would love to partner with you on your journey. I have a strong background in supporting folks navigating trauma and addiction. I believe whether or not we have a substance addiction, we all have something to “recover” from in the epic journey that is our life. I have found that in this process, we also can discover and reclaim our true selves and reorient to living a thriving life. I also have specialized training focused on supporting women, especially in the postpartum period and other transitions.
(510) 939-9150 View (510) 939-9150
Photo of Jose Juarez, LMFT, Marriage & Family Therapist
Jose Juarez
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Dr. Jose J. Juarez is a licensed Marriage and Family Therapist. His approach to therapy is that there has to be a collaboration between the client and their provider in order to meet the client's needs. Dr. Juarez is an aasect Certified Sex Therapist specializing in mental health-related challenges associated with the LGBTQIA+ and BIPOC communities. Dr. Juarez utilizes evidence-based therapeutic interventions to collaborate with clients and help them meet their treatment goals. Dr. Juarez has extensive post-graduate training in CBT and DBT, which are effective forms of therapy for most mental health challenges.
Dr. Jose J. Juarez is a licensed Marriage and Family Therapist. His approach to therapy is that there has to be a collaboration between the client and their provider in order to meet the client's needs. Dr. Juarez is an aasect Certified Sex Therapist specializing in mental health-related challenges associated with the LGBTQIA+ and BIPOC communities. Dr. Juarez utilizes evidence-based therapeutic interventions to collaborate with clients and help them meet their treatment goals. Dr. Juarez has extensive post-graduate training in CBT and DBT, which are effective forms of therapy for most mental health challenges.
(951) 370-2562 View (951) 370-2562
Photo of Kenneth McNeill, LPCC
Kenneth McNeill
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Sacramento, CA 95820
There are literally hundreds of therapy approaches. And yet, effective treatment always involves the same truth: No matter what kind it is, in order to really get anywhere you have to 'experience' something, not just talk about it.
There are literally hundreds of therapy approaches. And yet, effective treatment always involves the same truth: No matter what kind it is, in order to really get anywhere you have to 'experience' something, not just talk about it.
(530) 261-8581 View (530) 261-8581
1

See more therapy options for 95820

How does your Therapist compare?

Number of Therapists in 95820

90+

Average cost per session

$150

Therapists in 95820 who prioritize treating:

95% Anxiety
81% Depression
78% Coping Skills
74% Self Esteem
70% Relationship Issues
69% Stress
68% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

75% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH
69% Optum

How Therapists in 95820 see their clients

72% Online Only
28% In Person and Online

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 95820?

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.