Therapists in San Antonio, TX

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Photo of Catherine Lovell, Licensed Professional Counselor Associate in San Antonio, TX
Catherine Lovell
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
2 Endorsed
San Antonio, TX 78250  (Online Only)
One simple way to describe life is that it can be incredibly hard. Even in the best, most beautiful moments and more often in the darkest of times, it can be complicated, difficult, and challenging to navigate. At each chapter in our lives we are faced with new experiences, new emotions, and new possibilities that we have never been through before. And there’s no one way, fix-it-all solution, to get us through it. We simply try to figure it out as we go. If you're here reading this, this is your reminder that most people often need; you are not alone and do not have to walk this path on your own. We can figure it out together!
One simple way to describe life is that it can be incredibly hard. Even in the best, most beautiful moments and more often in the darkest of times, it can be complicated, difficult, and challenging to navigate. At each chapter in our lives we are faced with new experiences, new emotions, and new possibilities that we have never been through before. And there’s no one way, fix-it-all solution, to get us through it. We simply try to figure it out as we go. If you're here reading this, this is your reminder that most people often need; you are not alone and do not have to walk this path on your own. We can figure it out together!
(346) 222-4751 View (346) 222-4751
Photo of Ashley Moïse in San Antonio, TX
Ashley Moïse
MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78254  (Online Only)
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
(210) 672-1451 View (210) 672-1451
Photo of BCFS Resiliency Through Healing, Licensed Professional Counselor in San Antonio, TX
BCFS Resiliency Through Healing
Licensed Professional Counselor, MS, EMDR
Verified Verified
San Antonio, TX 78229
Are you feeling stuck and unsure of what to do next? Like you're treading water and doing everything you can just to keep afloat? Life is hard, and with so many challenges, it can feel overwhelming to know how to take the next steps. No matter what stage of life we are in, our life experiences are pieces of our story. Sometimes these experiences end up having a hold on us, making us feel like we are caught in the current. If you are looking for a place to feel supported on your life journey in a non-judgmental and accepting way, then you are in the right place.
Are you feeling stuck and unsure of what to do next? Like you're treading water and doing everything you can just to keep afloat? Life is hard, and with so many challenges, it can feel overwhelming to know how to take the next steps. No matter what stage of life we are in, our life experiences are pieces of our story. Sometimes these experiences end up having a hold on us, making us feel like we are caught in the current. If you are looking for a place to feel supported on your life journey in a non-judgmental and accepting way, then you are in the right place.
(210) 934-5585 View (210) 934-5585
Photo of Amanda Walton, Licensed Professional Counselor in San Antonio, TX
Amanda Walton
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
San Antonio, TX 78232  (Online Only)
I believe that everyone possesses tools to overcome any challenge in life. There are times when life has us feeling stuck and we need help finding the key to our tool box. With all the hurdles life throws, we can be left feeling hopeless, leaving us to forget tools that have helped through past obstacles. To help individuals and families overcome these life challenges, I use a strengths based approach and other evidenced-based approaches to help individuals and families reclaim their fortitude in life.
I believe that everyone possesses tools to overcome any challenge in life. There are times when life has us feeling stuck and we need help finding the key to our tool box. With all the hurdles life throws, we can be left feeling hopeless, leaving us to forget tools that have helped through past obstacles. To help individuals and families overcome these life challenges, I use a strengths based approach and other evidenced-based approaches to help individuals and families reclaim their fortitude in life.
(210) 361-5719 View (210) 361-5719
Photo of Sharna Johnson, Licensed Professional Counselor in San Antonio, TX
Sharna Johnson
Licensed Professional Counselor, LPC, MS
Verified Verified
San Antonio, TX 78234  (Online Only)
My vision for Awake To Dream Again is to help you; 1. DISCOVER the jewels hidden within by coming into a place of knowledge in what you are destined to do in life. 2. IDENTIFY what tools are needed to up root seeds of stagnation. 3. FULFILL who you are destined to be now that you have discovered and identified the crowned inner you.
My vision for Awake To Dream Again is to help you; 1. DISCOVER the jewels hidden within by coming into a place of knowledge in what you are destined to do in life. 2. IDENTIFY what tools are needed to up root seeds of stagnation. 3. FULFILL who you are destined to be now that you have discovered and identified the crowned inner you.
(254) 400-2643 View (254) 400-2643
Photo of Kayla King, Licensed Professional Counselor in San Antonio, TX
Kayla King
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
I am proud of you already for taking the first step towards growth and healing! This year is going to be the year where we put YOU first and stop allowing your anxiety, fear, depression, shame, guilt, or anger fuel your decisions and behaviors. You don't want to keep watching the days go by where you feel out of control, disconnected, and overwhelmed with stress. You want to start living each day to the absolute fullest, overflowing with laughter, peace, and meaning. You came to the right place to start this journey of unleashing your inner warrior.
I am proud of you already for taking the first step towards growth and healing! This year is going to be the year where we put YOU first and stop allowing your anxiety, fear, depression, shame, guilt, or anger fuel your decisions and behaviors. You don't want to keep watching the days go by where you feel out of control, disconnected, and overwhelmed with stress. You want to start living each day to the absolute fullest, overflowing with laughter, peace, and meaning. You came to the right place to start this journey of unleashing your inner warrior.
(830) 529-7794 View (830) 529-7794
Photo of Denise Rodriguez, Licensed Professional Counselor Associate in San Antonio, TX
Denise Rodriguez
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Antonio, TX 78258
I specialize in helping individuals struggling with anxiety, depression and life transitions while empowering you to be the best version of yourself. I am trained in Cognitive Processing Therapy which is an evidenced based modality to help reduce signs and symptoms of PTSD. I utilize DBT, CBT and ACT as my main modalities in sessions. My goal is to create a warm and inviting space for your most vulnerable days. I strongly believe you have the power to live a happy and healthy life. I use a humanistic and person centered approach to help you meet your health goals to include mind, body and soul.
I specialize in helping individuals struggling with anxiety, depression and life transitions while empowering you to be the best version of yourself. I am trained in Cognitive Processing Therapy which is an evidenced based modality to help reduce signs and symptoms of PTSD. I utilize DBT, CBT and ACT as my main modalities in sessions. My goal is to create a warm and inviting space for your most vulnerable days. I strongly believe you have the power to live a happy and healthy life. I use a humanistic and person centered approach to help you meet your health goals to include mind, body and soul.
(210) 802-3450 View (210) 802-3450
Photo of Steff Brand, Licensed Professional Counselor in San Antonio, TX
Steff Brand
Licensed Professional Counselor, MS, LPC, NCC, CCATP
Verified Verified
2 Endorsed
San Antonio, TX 78209
As a counselor, I believe in empathy and open-minded approaches that are receptive to situational changes. I strive to demonstrate unconditional positive regard for all of humankind, so clients can have the space they need to write the next chapter of their story, regardless of how messy it started. I believe individuals best overcome negative changes through the support of secondary sources, and people need both intrinsic and extrinsic motivation to thrive.
As a counselor, I believe in empathy and open-minded approaches that are receptive to situational changes. I strive to demonstrate unconditional positive regard for all of humankind, so clients can have the space they need to write the next chapter of their story, regardless of how messy it started. I believe individuals best overcome negative changes through the support of secondary sources, and people need both intrinsic and extrinsic motivation to thrive.
(281) 502-8995 View (281) 502-8995
Photo of Joy Nicewander, Psychologist in San Antonio, TX
Joy Nicewander
Psychologist, PhD, LP, LSSP
Verified Verified
San Antonio, TX 78232
I specialize in comprehensive psychological assessments with children and young adults for a variety of developmental concerns including learning disorders, ADHD, Autism, intellectual disability, depression, and anxiety. As a Licensed Psychologist and Licensed Specialist in School Psychology with over 15 years of experience in both private practice and educational settings, I am uniquely positioned to offer practical recommendations to help children and young adults feel supported and be successful at home and at school.
I specialize in comprehensive psychological assessments with children and young adults for a variety of developmental concerns including learning disorders, ADHD, Autism, intellectual disability, depression, and anxiety. As a Licensed Psychologist and Licensed Specialist in School Psychology with over 15 years of experience in both private practice and educational settings, I am uniquely positioned to offer practical recommendations to help children and young adults feel supported and be successful at home and at school.
(210) 942-4905 View (210) 942-4905
Photo of Carrie George, Psychologist in San Antonio, TX
Carrie George
Psychologist, PhD
Verified Verified
San Antonio, TX 78258
Dr. Carrie George is a Psychologist in Texas who has been practicing since 1996. She has a Ph.D. in Psychology from Texas A&M University. As a psychologist Dr. George works to empower her clients with the tools needed to make impactful change in their mental health functioning. Being trained as both a School and Clinical Psychologist is beneficial with the population she serves (ages 0-25) because Dr. George is able to help families navigate and advocate for the client's needs within the multiple systems they encounter (i. e. , schools, psychiatric facilities, the family).
Dr. Carrie George is a Psychologist in Texas who has been practicing since 1996. She has a Ph.D. in Psychology from Texas A&M University. As a psychologist Dr. George works to empower her clients with the tools needed to make impactful change in their mental health functioning. Being trained as both a School and Clinical Psychologist is beneficial with the population she serves (ages 0-25) because Dr. George is able to help families navigate and advocate for the client's needs within the multiple systems they encounter (i. e. , schools, psychiatric facilities, the family).
(830) 293-3301 View (830) 293-3301
Photo of Heather Shealy-Mawhirter, Licensed Professional Counselor in San Antonio, TX
Heather Shealy-Mawhirter
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78258
There is not an easy fix or a quick answer but there is a way passed what you're going through. Maybe you've asked your friends and family and you're not getting anywhere. Maybe you haven't talked to anyone about it at all. You're not broken, you're not too much, and your absolutely worth the work you can do in therapy. Sometimes you know something is wrong but don't know what or where to begin. Sometimes you know exactly what's wrong and fear there is no solution or the pain or shame or fear have convinced you not to seek the perspective and growth that can come from counseling. If now is the time for therapy, let's talk.
There is not an easy fix or a quick answer but there is a way passed what you're going through. Maybe you've asked your friends and family and you're not getting anywhere. Maybe you haven't talked to anyone about it at all. You're not broken, you're not too much, and your absolutely worth the work you can do in therapy. Sometimes you know something is wrong but don't know what or where to begin. Sometimes you know exactly what's wrong and fear there is no solution or the pain or shame or fear have convinced you not to seek the perspective and growth that can come from counseling. If now is the time for therapy, let's talk.
(210) 899-6248 View (210) 899-6248
Photo of Hannah Dixon Psychotherapy, PLLC, Licensed Professional Counselor in San Antonio, TX
Hannah Dixon Psychotherapy, PLLC
Licensed Professional Counselor, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78229
Healthy relationships with ourselves and others are challenging, yet integral to a balanced and satisfying life. I help individuals and couples target opportunities for growth and optimize connection. Our goal is to foster effective communication, increase self-awareness, and deepen empathy. You can expect to focus on your strengths, identify practical ways to navigate your concerns, and express yourself freely in a non-judgmental space. Relationships are my niche, with an added emphasis on your individual mental health needs.
Healthy relationships with ourselves and others are challenging, yet integral to a balanced and satisfying life. I help individuals and couples target opportunities for growth and optimize connection. Our goal is to foster effective communication, increase self-awareness, and deepen empathy. You can expect to focus on your strengths, identify practical ways to navigate your concerns, and express yourself freely in a non-judgmental space. Relationships are my niche, with an added emphasis on your individual mental health needs.
(361) 524-4220 View (361) 524-4220
Photo of Senovio C Sparrow, Licensed Professional Counselor in San Antonio, TX
Senovio C Sparrow
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78216  (Online Only)
From methods grounded in evidenced based modalities, DBT and CBT to name a few, I specialize in working with highly empathic individuals navigate internal dialogues and external circumstances to manifest personal happiness.
From methods grounded in evidenced based modalities, DBT and CBT to name a few, I specialize in working with highly empathic individuals navigate internal dialogues and external circumstances to manifest personal happiness.
(210) 465-1799 View (210) 465-1799
Photo of Michael Owen, Marriage & Family Therapist Associate in San Antonio, TX
Michael Owen
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
San Antonio, TX 78204
manifestwellnesstx.com When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always prided yourself on being there for the people in your life and putting everyone else first. But lately, you’ve noticed how exhausted you are all the time, how you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt.
manifestwellnesstx.com When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always prided yourself on being there for the people in your life and putting everyone else first. But lately, you’ve noticed how exhausted you are all the time, how you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt.
(210) 871-1172 View (210) 871-1172
Photo of Margaret Bean, Marriage & Family Therapist in San Antonio, TX
Margaret Bean
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My working experiences have offered me a wide range of opportunities to counsel couples, families, children, adolescents, and adults. I have knowledge in many areas including trauma, PTSD, depression, bipolar, schizophrenia, anxiety, self-esteem, multigenerational challenges, sexual assault, human trafficking, life transitions, and grief. experience working with members of the queer identity through all stages of their identity exploration and acceptance. I am also informed in various relationship practices including monogamous and alternative styles such as polyamory, kink, long-distance, and open relationships.
My working experiences have offered me a wide range of opportunities to counsel couples, families, children, adolescents, and adults. I have knowledge in many areas including trauma, PTSD, depression, bipolar, schizophrenia, anxiety, self-esteem, multigenerational challenges, sexual assault, human trafficking, life transitions, and grief. experience working with members of the queer identity through all stages of their identity exploration and acceptance. I am also informed in various relationship practices including monogamous and alternative styles such as polyamory, kink, long-distance, and open relationships.
(210) 941-4997 View (210) 941-4997
Photo of Loreen D Button, Licensed Professional Counselor in San Antonio, TX
Loreen D Button
Licensed Professional Counselor, MS, LPC-S, LCDC, C-DWF, IATP
Verified Verified
San Antonio, TX 78239  (Online Only)
Not accepting new clients
I look forward to treating people that are facing some difficulties in life due to circumstancial changes, whether it be losses, marital conflicts, family conflicts, communication needs, anger management, parenting help, or stress management, just to name some. Life events occur unexpectedly and can temporarily knock us off our feet. I like to provide guidance and encouragement while helping people with the skills needed to address their situation.
I look forward to treating people that are facing some difficulties in life due to circumstancial changes, whether it be losses, marital conflicts, family conflicts, communication needs, anger management, parenting help, or stress management, just to name some. Life events occur unexpectedly and can temporarily knock us off our feet. I like to provide guidance and encouragement while helping people with the skills needed to address their situation.
(210) 864-6209 View (210) 864-6209
Photo of Tracy Mazloum , Licensed Professional Counselor in San Antonio, TX
Tracy Mazloum
Licensed Professional Counselor, MS, NCC, LPC, RPT
Verified Verified
San Antonio, TX 78212
Our attachment wounds heal within the safety of a supportive, judgment-free environment. I am a registered play therapist and I work with children ages 5-10. I also work with adults utilizing modalities such as Sandtray and EMDR. My focus with adults is complex trauma and family of origin issues.
Our attachment wounds heal within the safety of a supportive, judgment-free environment. I am a registered play therapist and I work with children ages 5-10. I also work with adults utilizing modalities such as Sandtray and EMDR. My focus with adults is complex trauma and family of origin issues.
(210) 985-3478 View (210) 985-3478
Photo of Milton Hernandez, Licensed Professional Counselor Associate in San Antonio, TX
Milton Hernandez
Licensed Professional Counselor Associate, MS, LPCA
Verified Verified
1 Endorsed
San Antonio, TX 78258  (Online Only)
My name is Milton Hernandez. I am a Licensed Professional Counseling Associate, supervised by Christia Rogers, MEd, LPC-S, NCC. I hold an MS in Clinical Mental Health Counseling from Capella University. I work with individuals, couples, and families. I am skilled in working with eating disorders, anxiety, and depression in adults. I also have capabilities in working with a variety of other conditions.
My name is Milton Hernandez. I am a Licensed Professional Counseling Associate, supervised by Christia Rogers, MEd, LPC-S, NCC. I hold an MS in Clinical Mental Health Counseling from Capella University. I work with individuals, couples, and families. I am skilled in working with eating disorders, anxiety, and depression in adults. I also have capabilities in working with a variety of other conditions.
(210) 817-5165 View (210) 817-5165
Photo of Thomas Efird, Clinical Social Work/Therapist in San Antonio, TX
Thomas Efird
Clinical Social Work/Therapist, LCSW-S, EMDR-AC, Veteran
Verified Verified
1 Endorsed
San Antonio, TX 78258
Waitlist for new clients
I've worked in the mental health field for over 23 years, serving in both the military and civilian settings. I specialize in treating unresolved trauma issues, as well as depression, stress and anxiety. Traumatic issues include childhood abuse (physical, sexual, emotional abuse and neglect), sexual assault (including military), crime/theft, car accidents, grief/loss, combat, first responders/medical professionals, veterans (including moral injury) and poor leadership. My experience has taught me that most of the time depression and anxiety are unresolved emotional wounds that haven't been fully addressed.
I've worked in the mental health field for over 23 years, serving in both the military and civilian settings. I specialize in treating unresolved trauma issues, as well as depression, stress and anxiety. Traumatic issues include childhood abuse (physical, sexual, emotional abuse and neglect), sexual assault (including military), crime/theft, car accidents, grief/loss, combat, first responders/medical professionals, veterans (including moral injury) and poor leadership. My experience has taught me that most of the time depression and anxiety are unresolved emotional wounds that haven't been fully addressed.
(210) 806-7819 View (210) 806-7819
Photo of Ann-Marie Moore, Clinical Social Work/Therapist in San Antonio, TX
Ann-Marie Moore
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78230
I believe in a client-centered approach to therapy. My focus is meeting you where you are in your life's journey, and I specialize in working with couples, adolescents, young adults, and our military; as well as those suffering from PTSD, bipolar, depression, anxiety, and all of life’s stressors. I am an ardent ally of the LGBTQIA+ community and have a passionate affinity for working with transgender youth.
I believe in a client-centered approach to therapy. My focus is meeting you where you are in your life's journey, and I specialize in working with couples, adolescents, young adults, and our military; as well as those suffering from PTSD, bipolar, depression, anxiety, and all of life’s stressors. I am an ardent ally of the LGBTQIA+ community and have a passionate affinity for working with transgender youth.
(210) 796-7808 View (210) 796-7808

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.