Therapists in San Francisco, CA
Kira Quinn-Cushner
Psychologist, PhD
Verified Verified
San Francisco, CA 94109
Not accepting new clients
We live in a difficult and increasingly complex world, and often we struggle and suffer because life can be immensely difficult. This does not mean we are broken or irreversibly damaged, it means we are human and in need of support. Providing the therapeutic containment necessary for healing and change in a comfortable environment is my passion. I am a licensed psychologist versed in a number of therapeutic orientations and treatment modalities; this allows me to adopt an eclectic approach in our work together, where we can collaborate and tailor treatment to your individual needs and goals. I look forward to connecting with you!
We live in a difficult and increasingly complex world, and often we struggle and suffer because life can be immensely difficult. This does not mean we are broken or irreversibly damaged, it means we are human and in need of support. Providing the therapeutic containment necessary for healing and change in a comfortable environment is my passion. I am a licensed psychologist versed in a number of therapeutic orientations and treatment modalities; this allows me to adopt an eclectic approach in our work together, where we can collaborate and tailor treatment to your individual needs and goals. I look forward to connecting with you!
Lisa Bialy
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
I help individuals, couples, and families identify their goals, face their fears, and explore old patterns of behavior so they can make the desired changes in their lives that lead to more meaningful, happy futures as well as better relationships with themselves and others. I am interested in why we keep doing things that don't seem to work. My approach is both pragmatic and depth oriented and my style is collaborative.
I help individuals, couples, and families identify their goals, face their fears, and explore old patterns of behavior so they can make the desired changes in their lives that lead to more meaningful, happy futures as well as better relationships with themselves and others. I am interested in why we keep doing things that don't seem to work. My approach is both pragmatic and depth oriented and my style is collaborative.
Marlana Pierson
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105 (Online Only)
I am passionate about helping individuals better understand how their thoughts and emotions impact behavior to make positive changes. I specialize in working with adults experiencing depression, anxiety, self-harm, trauma, life transitions, and relationship issues. I use an empathetic yet direct approach to help increase self-awareness to look inward at yourself, and relationships, and dive into the past to discover unwanted patterns with the goal of creating a life worth living. Additionally, I have experience supporting parents of teens who are struggling to balance child care, work responsibilities, and self-care.
I am passionate about helping individuals better understand how their thoughts and emotions impact behavior to make positive changes. I specialize in working with adults experiencing depression, anxiety, self-harm, trauma, life transitions, and relationship issues. I use an empathetic yet direct approach to help increase self-awareness to look inward at yourself, and relationships, and dive into the past to discover unwanted patterns with the goal of creating a life worth living. Additionally, I have experience supporting parents of teens who are struggling to balance child care, work responsibilities, and self-care.
Melanie Richards Horn
Psychologist, PhD
Verified Verified
San Francisco, CA 94118 (Online Only)
You may be seeking help with a difficult relationship, a painful loss, anxiety, depression, or a sense of feeling "stuck" in some way. The goal of therapy is to increase your ability to face life's challenges with greater confidence, energy and creativity. Psychotherapy can help you develop a greater sense of your potential. My approach invites an engaging dialogue geared to your needs and goals.
You may be seeking help with a difficult relationship, a painful loss, anxiety, depression, or a sense of feeling "stuck" in some way. The goal of therapy is to increase your ability to face life's challenges with greater confidence, energy and creativity. Psychotherapy can help you develop a greater sense of your potential. My approach invites an engaging dialogue geared to your needs and goals.
Erica L Spartos
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94132
I welcome individuals, families and adolescents to my private practice. A few of my specialties: Standard EMDR therapy protocols to resolve trauma and other related symptoms; Teaching coping & life skills to safely & effectively improve sleep and reduce stress, anxiety & depression; Helping adolescents and young people thrive by addressing low-self-esteem, relationship issues, ADHD and behavioral challenges; Supporting individuals and families through issues around substance use & co-occurring disorders; Providing a compassionate and supportive place for you to explore balance, self-awareness and life satisfaction.
I welcome individuals, families and adolescents to my private practice. A few of my specialties: Standard EMDR therapy protocols to resolve trauma and other related symptoms; Teaching coping & life skills to safely & effectively improve sleep and reduce stress, anxiety & depression; Helping adolescents and young people thrive by addressing low-self-esteem, relationship issues, ADHD and behavioral challenges; Supporting individuals and families through issues around substance use & co-occurring disorders; Providing a compassionate and supportive place for you to explore balance, self-awareness and life satisfaction.
Aaron Trinh
Psychologist, PsyD
Verified Verified
San Francisco, CA 94102
Waitlist for new clients
Change is an inevitable challenge we face, particularly when it is unexpected. Sometimes, this challenge can be difficult to cope with, and can develop into anxiety, depression, or stress-induced physiological symptoms. I enjoy helping people who are trying to adjust to change, whether it be at work or in their relationships. As a licensed clinical psychologist, I utilize a personalized approach to help you make the adjustments necessary to overcome stress and anxiety. I will work with you collaboratively to clarify your goals and find a treatment approach that will work best.
Change is an inevitable challenge we face, particularly when it is unexpected. Sometimes, this challenge can be difficult to cope with, and can develop into anxiety, depression, or stress-induced physiological symptoms. I enjoy helping people who are trying to adjust to change, whether it be at work or in their relationships. As a licensed clinical psychologist, I utilize a personalized approach to help you make the adjustments necessary to overcome stress and anxiety. I will work with you collaboratively to clarify your goals and find a treatment approach that will work best.
Ania Wertz
Psychologist, PhD, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115
People may think you've got it together. You may even be quite successful. But underneath you may feel sad, anxious, insecure, or empty. You may have habits you don't like or conflicts you don't understand. The goal is not to "fix" you, but to provide you with insights that allow you to be more effective and satisfied. Therapy is not a one-size-fits-all toolbox. I will help you manage your unique struggles, balancing practical coping skills with an in-depth understanding of you as a person, which leads to your growth and self-acceptance.
People may think you've got it together. You may even be quite successful. But underneath you may feel sad, anxious, insecure, or empty. You may have habits you don't like or conflicts you don't understand. The goal is not to "fix" you, but to provide you with insights that allow you to be more effective and satisfied. Therapy is not a one-size-fits-all toolbox. I will help you manage your unique struggles, balancing practical coping skills with an in-depth understanding of you as a person, which leads to your growth and self-acceptance.
Cecilia (Ceci) Walken
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94104 (Online Only)
Are you Neurodivergent or wonder if you might be? Do your challenges with focus make getting treatment tricky? You are not alone. Many people I work with have struggled for years to get treatment - or even a diagnosis. I offer Neurodivergent affirming therapy (ADHD, AuDHD) and group therapy. Are you group curious? If yes, I look forward to connecting with you. I currently offer weekly support groups to adults in California. I also offer climate anxiety support - individual and group. Groups meet both online and in person and serve people in California.
Are you Neurodivergent or wonder if you might be? Do your challenges with focus make getting treatment tricky? You are not alone. Many people I work with have struggled for years to get treatment - or even a diagnosis. I offer Neurodivergent affirming therapy (ADHD, AuDHD) and group therapy. Are you group curious? If yes, I look forward to connecting with you. I currently offer weekly support groups to adults in California. I also offer climate anxiety support - individual and group. Groups meet both online and in person and serve people in California.
Sophia Winter
Psychologist, PhD
Verified Verified
San Francisco, CA 94118
I have extensive experience providing individual therapy. My clients are often struggling with unhealthy or unsatisfying relationships. They may be having difficulty setting boundaries or are limited due to fear of closeness. I also work with students and professionals who are experiencing dissatisfaction, burnout, or imposter syndrome. Together, we work to identify and remove barriers that are getting in the way. I work best with clients who are interested in understanding themselves, their histories, and patterns of thought and feeling. Through therapy, people are able to make lasting, meaningful changes in their lives.
I have extensive experience providing individual therapy. My clients are often struggling with unhealthy or unsatisfying relationships. They may be having difficulty setting boundaries or are limited due to fear of closeness. I also work with students and professionals who are experiencing dissatisfaction, burnout, or imposter syndrome. Together, we work to identify and remove barriers that are getting in the way. I work best with clients who are interested in understanding themselves, their histories, and patterns of thought and feeling. Through therapy, people are able to make lasting, meaningful changes in their lives.
Dr. Sean Robertson
MA, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94115 (Online Only)
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
Amelia Howard-Smith
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
You want to be seen, heard, and understood. This is what you’ll feel when you work with me. My approach is collaborative and tailored to your unique needs. I strive to help you make sense out of the past while guiding you to make changes for the future. I want to help you live the life you want to live, and I’m here to provide you with the tools to do just that. Together we’ll work towards gaining a deeper understanding of yourself, finding meaning in your life, self-acceptance, and empowerment. You’ll learn to manage strong and uncomfortable emotions and work through negative thought patterns.
You want to be seen, heard, and understood. This is what you’ll feel when you work with me. My approach is collaborative and tailored to your unique needs. I strive to help you make sense out of the past while guiding you to make changes for the future. I want to help you live the life you want to live, and I’m here to provide you with the tools to do just that. Together we’ll work towards gaining a deeper understanding of yourself, finding meaning in your life, self-acceptance, and empowerment. You’ll learn to manage strong and uncomfortable emotions and work through negative thought patterns.
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Leandra Lehmann
Marriage & Family Therapist, LMFT, ATR
Verified Verified
San Francisco, CA 94118 (Online Only)
For 10 years I've guided clients to create deeply satisfying lives. I value bringing respect, curiosity and kindness as we explore how your lived experiences impact you. I feel honored to help my clients come to know and accept themselves with compassion, to navigate tough situations with ease, to clarify values, and connect to their intuition. I work with women, teen girls and non-binary folks to enhance self awareness, re-write limiting beliefs, and unapologetically prioritize their needs. My clients often learn to take empowered risks with conviction, to feel more present and embodied, and to rest unapologetically.
For 10 years I've guided clients to create deeply satisfying lives. I value bringing respect, curiosity and kindness as we explore how your lived experiences impact you. I feel honored to help my clients come to know and accept themselves with compassion, to navigate tough situations with ease, to clarify values, and connect to their intuition. I work with women, teen girls and non-binary folks to enhance self awareness, re-write limiting beliefs, and unapologetically prioritize their needs. My clients often learn to take empowered risks with conviction, to feel more present and embodied, and to rest unapologetically.
Jorge Leal
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94109
Hello, I'm Jorge Leal! I am a Licensed Clinical Social worker who is passionate about supporting all of my clients who struggle with depression, anxiety, addiction, and relationship issues to improve resilience and develop meaningful relationships. My psychotherapy approach is evidence-based, with a primary focus on improving resilience and developing meaningful relationships. I work with adults of all ages from diverse social, cultural, and economic backgrounds. Typically, my clients struggle with negative thought patterns, interpersonal relationships, intense emotions, and difficulties coping with life stresses.
Hello, I'm Jorge Leal! I am a Licensed Clinical Social worker who is passionate about supporting all of my clients who struggle with depression, anxiety, addiction, and relationship issues to improve resilience and develop meaningful relationships. My psychotherapy approach is evidence-based, with a primary focus on improving resilience and developing meaningful relationships. I work with adults of all ages from diverse social, cultural, and economic backgrounds. Typically, my clients struggle with negative thought patterns, interpersonal relationships, intense emotions, and difficulties coping with life stresses.
Gabe Kenney - Your Own Words
Marriage & Family Therapist Associate, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94127
Our world is full of stories and it can be hard to decide which of these stories truly serve you. The people in our lives may have lots of ideas about what we should think or do, and it can be hard to cut through the white noise to identify what you really want. Do you ever feel so lost in others' stories that you find it difficult to hear yourself? With so many story tellers around you, is there any space for you to be the author? You have a story to tell. Whether you're anxious about a looming exam, processing the passing of a loved one, or just living your life, your story should be heard - and respected - fully.
Our world is full of stories and it can be hard to decide which of these stories truly serve you. The people in our lives may have lots of ideas about what we should think or do, and it can be hard to cut through the white noise to identify what you really want. Do you ever feel so lost in others' stories that you find it difficult to hear yourself? With so many story tellers around you, is there any space for you to be the author? You have a story to tell. Whether you're anxious about a looming exam, processing the passing of a loved one, or just living your life, your story should be heard - and respected - fully.
Denise Vite
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94105 (Online Only)
I believe that we all have a deep longing to feel heard and understood. Having the right therapist to guide you through the vulnerable process of sharing your story is an important step to finding the path to healing. My approach is collaborative, compassionate, and centered on meeting your individual needs. Building a strong therapeutic alliance between therapist and client tends to facilitate greater change for a person. It is important to me to continually assess our fit and make sure I support you in a way that is helping you make positive changes in your life.
I believe that we all have a deep longing to feel heard and understood. Having the right therapist to guide you through the vulnerable process of sharing your story is an important step to finding the path to healing. My approach is collaborative, compassionate, and centered on meeting your individual needs. Building a strong therapeutic alliance between therapist and client tends to facilitate greater change for a person. It is important to me to continually assess our fit and make sure I support you in a way that is helping you make positive changes in your life.
Annu Sood
Marriage & Family Therapist
Verified Verified
3 Endorsed
San Francisco, CA 94103 (Online Only)
Hello! My name is Annu, and I am a therapist in San Francisco (and online). I work with immigrants and adult-children of immigrants....also known as Third Culture Kids (TCK) or First Generation Americans. I work with multi-cultural and multi-racial couples, many of whom are people of color. I work with successful, career-driven achievers. I belong to each of these demographics - my parents immigrated to the US in 1971, and I worked in the corporate world for nearly 2 decades, climbing the corporate ladder rapidly before pivoting my career by going back to school to study counseling psychology. I work virtually via Zoom or phone.
Hello! My name is Annu, and I am a therapist in San Francisco (and online). I work with immigrants and adult-children of immigrants....also known as Third Culture Kids (TCK) or First Generation Americans. I work with multi-cultural and multi-racial couples, many of whom are people of color. I work with successful, career-driven achievers. I belong to each of these demographics - my parents immigrated to the US in 1971, and I worked in the corporate world for nearly 2 decades, climbing the corporate ladder rapidly before pivoting my career by going back to school to study counseling psychology. I work virtually via Zoom or phone.
Shannon Gallina
Psychologist, PhD
Verified Verified
San Francisco, CA 94105 (Online Only)
I am passionate about helping people feel better. I am trained to treat a variety of issues, but I have an emphasis on treating anxiety. Other common issues that I treat are relationship issues, OCD, depression, life transitions, family conflict, co-dependency, and self-esteem. My personal style is warm, supportive, and direct. I am solution-focused and like to give my clients specific coping strategies to use.
I am passionate about helping people feel better. I am trained to treat a variety of issues, but I have an emphasis on treating anxiety. Other common issues that I treat are relationship issues, OCD, depression, life transitions, family conflict, co-dependency, and self-esteem. My personal style is warm, supportive, and direct. I am solution-focused and like to give my clients specific coping strategies to use.
Shevi Loewinger
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Francisco, CA 94123
We all experience some level of depression, anxiety and low self esteem at some point in our lives. It can feel lonely and isolating. It affects our desires and aliveness, our ability to feel joy, fulfillment, and connection. We are craving to be understood and seen and have more clarity about our place in the world. We crave to find peace, self love and love from others. Healing starts with our relationship, client and therapist. Together we build a safe and brave space to meet the fears, to rediscover your intuition and creativity and to understand your unique experience, needs and wants.
We all experience some level of depression, anxiety and low self esteem at some point in our lives. It can feel lonely and isolating. It affects our desires and aliveness, our ability to feel joy, fulfillment, and connection. We are craving to be understood and seen and have more clarity about our place in the world. We crave to find peace, self love and love from others. Healing starts with our relationship, client and therapist. Together we build a safe and brave space to meet the fears, to rediscover your intuition and creativity and to understand your unique experience, needs and wants.
Beth Cassel
Marriage & Family Therapist, MA, MFT, SEP
Verified Verified
San Francisco, CA 94115
Successful therapy means developing the capacity for the full range of feelings. My role is to help you to respond rather than react from an emotionally charged place. I help you release behavior patterns that may inhibit healthy growth.I support you in adding meaning and depth to your life while accomplishing your chosen goals. Somatic and trauma focused therapies and my warm, flexible, interactive approach augment our collaboration. You determine the pace of our work as I keep in mind your uniqueness and need for safety. When a problem solving approach is needed, I offer tools to combat anxiety and navigate through hardships.
Successful therapy means developing the capacity for the full range of feelings. My role is to help you to respond rather than react from an emotionally charged place. I help you release behavior patterns that may inhibit healthy growth.I support you in adding meaning and depth to your life while accomplishing your chosen goals. Somatic and trauma focused therapies and my warm, flexible, interactive approach augment our collaboration. You determine the pace of our work as I keep in mind your uniqueness and need for safety. When a problem solving approach is needed, I offer tools to combat anxiety and navigate through hardships.
Christina Frenzel
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
San Francisco, CA 94158 (Online Only)
I specialize in treating individuals, couples, and families affected by chronic illness (diabetes, autoimmune disorders, medical trauma, chronic pain), neurodivergence (ADHD, autism, anxiety, executive dysfunction, emotional dysregulation), and relationship issues (communication, codependency, social anxiety, dating, narcissistic abuse). I utilize a variety of evidence-based modalities tailored to every client’s unique and individual needs. My style is warm, nurturing, collaborative , and non-judgmental. I hope to support you in growing a deeper sense of awareness, creativity, connection, confidence, and purpose in your life.
I specialize in treating individuals, couples, and families affected by chronic illness (diabetes, autoimmune disorders, medical trauma, chronic pain), neurodivergence (ADHD, autism, anxiety, executive dysfunction, emotional dysregulation), and relationship issues (communication, codependency, social anxiety, dating, narcissistic abuse). I utilize a variety of evidence-based modalities tailored to every client’s unique and individual needs. My style is warm, nurturing, collaborative , and non-judgmental. I hope to support you in growing a deeper sense of awareness, creativity, connection, confidence, and purpose in your life.
See more therapy options for San Francisco
Nearby Searches for San Francisco
- Alameda
- Albany
- Belvedere
- Belvedere Tiburon
- Brisbane
- Daly City
- Emeryville
- Oakland
- San Bruno
- Sausalito
- South San Francisco
- Tiburon
How does your Therapist compare?
Number of Therapists in San Francisco, CA
3,000+
Average cost per session
$189
Therapists in San Francisco, CA who prioritize treating:
93% | Anxiety |
87% | Depression |
81% | Relationship Issues |
75% | Self Esteem |
70% | Trauma and PTSD |
68% | Stress |
66% | Life Transitions |
Average years in practice
12 Years
Top 3 insurances accepted
69% | Aetna |
55% | UnitedHealthcare UHC | UBH |
54% | Cigna and Evernorth |
How Therapists in San Francisco, CA see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
75% | Female | |
23% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in San Francisco?
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
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.
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.
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.