Therapists in Sacramento, CA

View neighborhoods in Sacramento
Photo of Center for Focused Change, Marriage & Family Therapist Associate in Sacramento, CA
Center for Focused Change
Marriage & Family Therapist Associate
Verified Verified
Sacramento, CA 95825  (Online Only)
Tired of debating, searching, calling, and waiting for accessible counseling services? Change is within reach. For you, your couple, or your family member, our affordable fees make it easier than ever to get started.
Tired of debating, searching, calling, and waiting for accessible counseling services? Change is within reach. For you, your couple, or your family member, our affordable fees make it easier than ever to get started.
(916) 269-3133 View (916) 269-3133
Photo of Myrna Klassen, Marriage & Family Therapist in Sacramento, CA
Myrna Klassen
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
With 40 years of experience in walking alongside clients to help them achieve the changes they desire, I still get great joy as I see clients make those changes. If you have relationship issues, anxiety or depression, or just don't know the next step to make your life what you want it to be, I have experience in all of these areas and more, and would love to help you achieve your goals. Since the beginning of the COVID pandemic, many people have discovered that issues that were simmering have come to the surface and they are ready to process and heal old wounds or improve their relationships. You might be one of them!
With 40 years of experience in walking alongside clients to help them achieve the changes they desire, I still get great joy as I see clients make those changes. If you have relationship issues, anxiety or depression, or just don't know the next step to make your life what you want it to be, I have experience in all of these areas and more, and would love to help you achieve your goals. Since the beginning of the COVID pandemic, many people have discovered that issues that were simmering have come to the surface and they are ready to process and heal old wounds or improve their relationships. You might be one of them!
(916) 459-1278 View (916) 459-1278
Photo of Dulce Camacho, Clinical Social Work/Therapist in Sacramento, CA
Dulce Camacho
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95814  (Online Only)
I have extensive experience working with a diverse population specifically with those in the medical setting. I practice a Strength-Based approach to help empower my clients so they can work toward healing and personal growth. I offer a safe environment to help navigate emotional stress. I specialize in anxiety, depression, burnout, and life transitions.
I have extensive experience working with a diverse population specifically with those in the medical setting. I practice a Strength-Based approach to help empower my clients so they can work toward healing and personal growth. I offer a safe environment to help navigate emotional stress. I specialize in anxiety, depression, burnout, and life transitions.
(424) 655-3480 View (424) 655-3480
Photo of Sophia Miller, Pre-Licensed Professional in Sacramento, CA
Sophia Miller
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
(916) 623-7320 View (916) 623-7320
Photo of Eryn Reeder, Clinical Social Work/Therapist in Sacramento, CA
Eryn Reeder
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95816  (Online Only)
You are a thoughtful, creative, and driven individual. Your friends, loved ones, and colleagues heavily depend on you, often leaving you feeling depleted. Your engery is often so focused on caring for others, that you forget to make space for your own wants and needs. Stressors associated with being a member of a marginalized community impact your day to day life. You desire to gain a better understanding of your identity or sexuality but need the space to do so. You constantly feel overwhelmed and on edge, due to feelings of anxiety, depression, life transitions or triggers related to past trauma.
You are a thoughtful, creative, and driven individual. Your friends, loved ones, and colleagues heavily depend on you, often leaving you feeling depleted. Your engery is often so focused on caring for others, that you forget to make space for your own wants and needs. Stressors associated with being a member of a marginalized community impact your day to day life. You desire to gain a better understanding of your identity or sexuality but need the space to do so. You constantly feel overwhelmed and on edge, due to feelings of anxiety, depression, life transitions or triggers related to past trauma.
(916) 796-1327 View (916) 796-1327
Photo of Resiliency In Life in Sacramento, CA
Resiliency In Life
MA
Verified Verified
1 Endorsed
Sacramento, CA 95814  (Online Only)
As a seasoned life and career coach, I am dedicated to empowering individuals to unlock their full potential and achieve their personal and professional goals. With 20 years of experience in coaching, mentoring, and guiding clients from diverse backgrounds, I have cultivated a deep understanding of the challenges people face in navigating life transitions, career changes, and personal growth journeys. My approach is grounded in empathy, authenticity, and a genuine desire to see my clients thrive. I believe in the transformative power of coaching to inspire self-discovery, cultivate resilience, and foster meaningful change.
As a seasoned life and career coach, I am dedicated to empowering individuals to unlock their full potential and achieve their personal and professional goals. With 20 years of experience in coaching, mentoring, and guiding clients from diverse backgrounds, I have cultivated a deep understanding of the challenges people face in navigating life transitions, career changes, and personal growth journeys. My approach is grounded in empathy, authenticity, and a genuine desire to see my clients thrive. I believe in the transformative power of coaching to inspire self-discovery, cultivate resilience, and foster meaningful change.
(279) 972-8748 View (279) 972-8748
Photo of Melissa Stolsig, Psychologist in Sacramento, CA
Melissa Stolsig
Psychologist, PsyD, MS, MA
Verified Verified
Sacramento, CA 95811  (Online Only)
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
I work with adults of any age willing to engage in therapy to heal, grow or simply feel better. I am able to work with a variety of people from different populations due to my non-judgmental stance and curiosity about other people. I am adept at working with individuals who experience multiple problems simultaneously due to my willingness to work with other providers and supportive group/individual services. I specialize in dealing with chronic/developmental trauma, managing psychological sequelae due to chronic medical conditions, and working with anxiety and depression with cultural curiosity and humility.
(805) 312-7832 View (805) 312-7832
Photo of Rosalba Tercero, Marriage & Family Therapist in Sacramento, CA
Rosalba Tercero
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
Therapy is a collaborative process. We can work together to identify the deeper roots of your current symptoms and lifestyle choices and patterns. Solution-focused therapy can be effective and empowering. We have to trust the process.
Therapy is a collaborative process. We can work together to identify the deeper roots of your current symptoms and lifestyle choices and patterns. Solution-focused therapy can be effective and empowering. We have to trust the process.
(916) 915-0031 View (916) 915-0031
Photo of Joel Farber, Clinical Social Work/Therapist in Sacramento, CA
Joel Farber
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95833  (Online Only)
Waitlist for new clients
Hello! We all need to talk to someone, so whether it's me, another therapist, a trusted family member or a friend, I am thankful you want to talk and take care of yourself. I am an easy-going and genuinely curious therapist. My goal is to create a non-judgmental space for clients to explore their issues, gain awareness of any self-limiting patterns, learn helpful skills, and hopefully laugh a little. I believe that with support and guidance, the challenges and transitions we face can become opportunities for personal growth and a chance to re-frame our experiences in a positive way.
Hello! We all need to talk to someone, so whether it's me, another therapist, a trusted family member or a friend, I am thankful you want to talk and take care of yourself. I am an easy-going and genuinely curious therapist. My goal is to create a non-judgmental space for clients to explore their issues, gain awareness of any self-limiting patterns, learn helpful skills, and hopefully laugh a little. I believe that with support and guidance, the challenges and transitions we face can become opportunities for personal growth and a chance to re-frame our experiences in a positive way.
(530) 688-6510 View (530) 688-6510
Photo of Johnny Asencion Cuestas, Clinical Social Work/Therapist in Sacramento, CA
Johnny Asencion Cuestas
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95819  (Online Only)
Waitlist for new clients
Hello, over the last 10 years I've enjoyed working together with people as they took on the problems they faced. I've helped people work on range of problems, from challenging behaviors to other internal problem. I've worked with incredible resilient young people and adults who've had relationships with trauma, anxiety, and depression. I've also worked with young people in foster care and members of the LGBTQ community using a narrative approach. Being present and sharing space with someone trying to make a positive change in their life, has always been a great privlidge for me.
Hello, over the last 10 years I've enjoyed working together with people as they took on the problems they faced. I've helped people work on range of problems, from challenging behaviors to other internal problem. I've worked with incredible resilient young people and adults who've had relationships with trauma, anxiety, and depression. I've also worked with young people in foster care and members of the LGBTQ community using a narrative approach. Being present and sharing space with someone trying to make a positive change in their life, has always been a great privlidge for me.
(916) 352-7282 View (916) 352-7282
Andrea Colegrove
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95825
Through the use of self-exploration and awareness"“together we can unfold the hang-ups making you feel stuck and holding you back from feeling your best. I utilize a humanistic approach, emphasizing the value of compassion, to provide my clients the opportunity to feel seen and allow for healing. I work to teach individuals how to utilize mindfulness skills and cognitive behavioral techniques to break away from the pain and fear they may be experiencing. I have found my passion in working with women and individuals experiencing life transitions.
Through the use of self-exploration and awareness"“together we can unfold the hang-ups making you feel stuck and holding you back from feeling your best. I utilize a humanistic approach, emphasizing the value of compassion, to provide my clients the opportunity to feel seen and allow for healing. I work to teach individuals how to utilize mindfulness skills and cognitive behavioral techniques to break away from the pain and fear they may be experiencing. I have found my passion in working with women and individuals experiencing life transitions.
(916) 347-4849 View (916) 347-4849
Photo of Elizabeth Cappel-Rice, Licensed Professional Clinical Counselor in Sacramento, CA
Elizabeth Cappel-Rice
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Sacramento, CA 95823
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
(916) 439-8287 View (916) 439-8287
Photo of Nor Cal Trauma Healing Center, Clinical Social Work/Therapist in Sacramento, CA
Nor Cal Trauma Healing Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95821
If you're experiencing increased irritability, difficulty with sleep, avoiding situations that you used to enjoy or want to enjoy, struggling with feeling anxious, you might be experiencing some of the indicators of being exposed to trauma. We have all been subject to incidents and struggles in our lives that have caused us to reach out for help. It can feel heavy or even scary to ask for support. This has you searching right now for help and guidance.
If you're experiencing increased irritability, difficulty with sleep, avoiding situations that you used to enjoy or want to enjoy, struggling with feeling anxious, you might be experiencing some of the indicators of being exposed to trauma. We have all been subject to incidents and struggles in our lives that have caused us to reach out for help. It can feel heavy or even scary to ask for support. This has you searching right now for help and guidance.
(916) 345-2083 View (916) 345-2083
Photo of Cathy Brownstone, Marriage & Family Therapist in Sacramento, CA
Cathy Brownstone
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Good therapy is based more on the unique relationship between clinician and client more than a specific technique or model practiced. Research studies support this statement. I work with people to help them solve their emotional conflicts, improve their communication and resolve trauma. I am a compassionate, empathic, caring professional who provides a secure and safe environment for you to explore your feelings, thoughts, and behaviors. Whether you are in crisis, or want to focus on personal growth, I can help you uncover and discover what is most important to you and improve the quality of your life.
Good therapy is based more on the unique relationship between clinician and client more than a specific technique or model practiced. Research studies support this statement. I work with people to help them solve their emotional conflicts, improve their communication and resolve trauma. I am a compassionate, empathic, caring professional who provides a secure and safe environment for you to explore your feelings, thoughts, and behaviors. Whether you are in crisis, or want to focus on personal growth, I can help you uncover and discover what is most important to you and improve the quality of your life.
(916) 461-8523 View (916) 461-8523
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 Alex L Andrade Jr., Psychologist in Sacramento, CA
Alex L Andrade Jr.
Psychologist, PsyD
Verified Verified
2 Endorsed
Sacramento, CA 95816
When we encounter life stressors, whether anticipated or not, we experience a range of reactions. Many of which, we are not told how to deal with, yet are expected to manage. Mental health issues might complicate our ability to manage stressors, thereby worsening symptoms and making it even more difficult to handle both life and one's mental well-being. We sometimes feel as though those around us, despite their well intentions and support, do not quite understand what we are going through. We may feel unable to find our way, feel how we felt, or pursue what we hoped our life to be.
When we encounter life stressors, whether anticipated or not, we experience a range of reactions. Many of which, we are not told how to deal with, yet are expected to manage. Mental health issues might complicate our ability to manage stressors, thereby worsening symptoms and making it even more difficult to handle both life and one's mental well-being. We sometimes feel as though those around us, despite their well intentions and support, do not quite understand what we are going through. We may feel unable to find our way, feel how we felt, or pursue what we hoped our life to be.
(916) 764-3510 View (916) 764-3510
Photo of Simone Lewis, Clinical Social Work/Therapist in Sacramento, CA
Simone Lewis
Clinical Social Work/Therapist, ASW
Verified Verified
1 Endorsed
Sacramento, CA 95814  (Online Only)
I collaborate with individuals to examine how their experiences are impacting their lives, by supporting people in the journey to be able to observe their thoughts and name their experiences and priorities. I support individuals in building a foundation of strategies and skills to promote positive coping. I incorporate elements of Mindfulness, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Strengths Based and evidenced based care as a part of my therapeutic approach.
I collaborate with individuals to examine how their experiences are impacting their lives, by supporting people in the journey to be able to observe their thoughts and name their experiences and priorities. I support individuals in building a foundation of strategies and skills to promote positive coping. I incorporate elements of Mindfulness, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Strengths Based and evidenced based care as a part of my therapeutic approach.
(916) 823-9938 View (916) 823-9938
Photo of Stronger Together Licensed Counseling and Wellness, Clinical Social Work/Therapist in Sacramento, CA
Stronger Together Licensed Counseling and Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95826
Are you sick and tired of being sick and tired? Feeling exhausted being overwhelmed and sad? Those who are closest to you can't see your pain because you have hidden how you truly feel by wearing a mask. Wearing a mask allows you to get through the day but fall apart when alone. In therapy you take off the mask, breathe and reveal your true feelings, gain insight into how to decrease your pain and live a more balanced healthier life. Getting help is not a sign of weakness, but strength. It takes a great deal of strength and courage to take this step towards feeling better.
Are you sick and tired of being sick and tired? Feeling exhausted being overwhelmed and sad? Those who are closest to you can't see your pain because you have hidden how you truly feel by wearing a mask. Wearing a mask allows you to get through the day but fall apart when alone. In therapy you take off the mask, breathe and reveal your true feelings, gain insight into how to decrease your pain and live a more balanced healthier life. Getting help is not a sign of weakness, but strength. It takes a great deal of strength and courage to take this step towards feeling better.
(916) 252-5035 View (916) 252-5035
Photo of Karyn Galindo, Marriage & Family Therapist in Sacramento, CA
Karyn Galindo
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95826  (Online Only)
I believe there are times in all our lives when we need someone to help us navigate the rocky waters of life. Someone to help us to walk our own unique road and discover our individual answers. I have worked in community mental health with adults who struggle with addiction and co-occurring mental health disorders, depression, anxiety, and those who are incarcerated. My clinical leaning is a Cognitive Behavior Therapy approach. I also use Dialectical Behavior Therapy techniques along with psychoanalytic narrative and solution-focused techniques.
I believe there are times in all our lives when we need someone to help us navigate the rocky waters of life. Someone to help us to walk our own unique road and discover our individual answers. I have worked in community mental health with adults who struggle with addiction and co-occurring mental health disorders, depression, anxiety, and those who are incarcerated. My clinical leaning is a Cognitive Behavior Therapy approach. I also use Dialectical Behavior Therapy techniques along with psychoanalytic narrative and solution-focused techniques.
(424) 349-6909 View (424) 349-6909
Photo of Sally A Martin, Licensed Professional Clinical Counselor in Sacramento, CA
Sally A Martin
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Sacramento, CA 95831  (Online Only)
Not accepting new clients
No Availability for new PT clients currently-if you are experiencing a mental health emergency call 911 or the 24 hour Suicide Prevention Line: 1-800-272-8255 or text 838255. If you are in need of more intensive services call Sacramento Mental Health Team (916) 875-1055. Do you have mild to moderate symptoms associated with: Anxiety, Depression, Self-Esteem, or Trauma? Goals of: increasing positive thoughts, learning conflict resolution, communication, or boundary assertion skills? I practice evidenced-backed ways to manage stress and cope with stressors/triggers? I support transgender/gender non-conforming clients.
No Availability for new PT clients currently-if you are experiencing a mental health emergency call 911 or the 24 hour Suicide Prevention Line: 1-800-272-8255 or text 838255. If you are in need of more intensive services call Sacramento Mental Health Team (916) 875-1055. Do you have mild to moderate symptoms associated with: Anxiety, Depression, Self-Esteem, or Trauma? Goals of: increasing positive thoughts, learning conflict resolution, communication, or boundary assertion skills? I practice evidenced-backed ways to manage stress and cope with stressors/triggers? I support transgender/gender non-conforming clients.
(916) 237-9468 View (916) 237-9468

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.