Therapists in San Antonio, TX

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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
Photo of Yesenia Vasquez, Licensed Professional Counselor in San Antonio, TX
Yesenia Vasquez
Licensed Professional Counselor, MS, LPC-S, C-DBT, CTMH
Verified Verified
San Antonio, TX 78247  (Online Only)
Waitlist for new clients
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
(956) 253-1460 View (956) 253-1460
Photo of Sarah E Fawcett, Licensed Professional Counselor in San Antonio, TX
Sarah E Fawcett
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78213
When I was a young woman, I chose to try counseling as a way of dealing with my problems. I was stuck and didn't know what else to do. Counseling changed my life. As a result, I became a counselor years later. I especially enjoy walking with clients through whatever life issues and challenges they have, whether it's a loss of joy, grief over the death of a loved one, a divorce or simply feeling overwhelmed with daily life. I'm a good listener. Hope you will contact me for an appointment.
When I was a young woman, I chose to try counseling as a way of dealing with my problems. I was stuck and didn't know what else to do. Counseling changed my life. As a result, I became a counselor years later. I especially enjoy walking with clients through whatever life issues and challenges they have, whether it's a loss of joy, grief over the death of a loved one, a divorce or simply feeling overwhelmed with daily life. I'm a good listener. Hope you will contact me for an appointment.
(830) 261-4691 View (830) 261-4691
Photo of Forrest V Fitzhugh, Counselor in San Antonio, TX
Forrest V Fitzhugh
Counselor
Not Verified Not Verified
San Antonio, TX 78253
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
(210) 569-0256 View (210) 569-0256
Photo of Hayley Matney, Licensed Professional Counselor Associate in San Antonio, TX
Hayley Matney
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
4 Endorsed
San Antonio, TX 78218  (Online Only)
Maybe you are overwhelmed, physically and emotionally exhausted, and constantly worrying. Maybe you feel alone, lost, and numb, wondering if you'll ever feel "normal" again. Please know that you are not alone. Seeking help and showing vulnerability to someone you don't know can feel intimidating, but it marks the beginning of your mental health journey!
Maybe you are overwhelmed, physically and emotionally exhausted, and constantly worrying. Maybe you feel alone, lost, and numb, wondering if you'll ever feel "normal" again. Please know that you are not alone. Seeking help and showing vulnerability to someone you don't know can feel intimidating, but it marks the beginning of your mental health journey!
(210) 953-6024 View (210) 953-6024
Photo of Sarah Picken, Clinical Social Work/Therapist in San Antonio, TX
Sarah Picken
Clinical Social Work/Therapist
Verified Verified
San Antonio, TX 78228  (Online Only)
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
(210) 791-6215 View (210) 791-6215
Photo of Kelly A Counts, Marriage & Family Therapist in San Antonio, TX
Kelly A Counts
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78257
I am a Certified EMDR Therapist and an EMDRIA Approved Consultant. I specialize in treating complex trauma, sexual trauma and the full spectrum of anxiety and stress disorders with EMDR. I am passionate about working with clients whom have been diagnosed with personality disorders, children or spouses of individuals whom have been diagnosed with personality disorders, victims of sexual abuse and survivors of incest abuse. Growth and healing is not just possible but attainable together. I approach every client as a whole and healthy being capable of unlimited growth regardless of a diagnosis or a severe history of trauma and pain.
I am a Certified EMDR Therapist and an EMDRIA Approved Consultant. I specialize in treating complex trauma, sexual trauma and the full spectrum of anxiety and stress disorders with EMDR. I am passionate about working with clients whom have been diagnosed with personality disorders, children or spouses of individuals whom have been diagnosed with personality disorders, victims of sexual abuse and survivors of incest abuse. Growth and healing is not just possible but attainable together. I approach every client as a whole and healthy being capable of unlimited growth regardless of a diagnosis or a severe history of trauma and pain.
(210) 879-7691 View (210) 879-7691
Photo of Laney Bassham, Licensed Professional Counselor in San Antonio, TX
Laney Bassham
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
Do you notice an increase in anxiety, fear, irritability, poor concentration, self-doubt, and/or struggle to navigate a loss? Are your ways of coping ineffective or maybe adding to your struggles? Is it hard to make sense of why your thoughts, feelings, behaviors, and body are responding as they do, and even more confusing as to how to make it stop? Have you sought medical and pharmaceutical support but want to address the underlying ‘why’, not just numb out the symptoms? You want connection, a sense of belonging within yourself and with others, meaning, and wellness to thrive not just survive.
Do you notice an increase in anxiety, fear, irritability, poor concentration, self-doubt, and/or struggle to navigate a loss? Are your ways of coping ineffective or maybe adding to your struggles? Is it hard to make sense of why your thoughts, feelings, behaviors, and body are responding as they do, and even more confusing as to how to make it stop? Have you sought medical and pharmaceutical support but want to address the underlying ‘why’, not just numb out the symptoms? You want connection, a sense of belonging within yourself and with others, meaning, and wellness to thrive not just survive.
(512) 729-1901 View (512) 729-1901
Photo of Elyssa Marie Castillo, Licensed Professional Counselor in San Antonio, TX
Elyssa Marie Castillo
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
San Antonio, TX 78247
I currently serve as a Licensed Professional Counselor, providing counseling services including individual, group, couple and family counseling with a specialty in working with kids from as young as 2 years old.
I currently serve as a Licensed Professional Counselor, providing counseling services including individual, group, couple and family counseling with a specialty in working with kids from as young as 2 years old.
(210) 934-0533 View (210) 934-0533
Photo of Crystal Counseling, Licensed Professional Counselor in San Antonio, TX
Crystal Counseling
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78258
Our team of therapists has extensive experience helping people identify and overcome a broad range of mental health concerns. We specialized in various areas such as anxiety, depression, self-esteem, stress, men's issues, women's issues, LGBTQ issues and child/teen issues. When you meet with one of our providers you will receive the highest quality of professional service combined with a comfortable atmosphere. Our therapists provide a supportive environment to meet you where you are and help you or your loved one feel satisfied with your life and hopeful for the future.
Our team of therapists has extensive experience helping people identify and overcome a broad range of mental health concerns. We specialized in various areas such as anxiety, depression, self-esteem, stress, men's issues, women's issues, LGBTQ issues and child/teen issues. When you meet with one of our providers you will receive the highest quality of professional service combined with a comfortable atmosphere. Our therapists provide a supportive environment to meet you where you are and help you or your loved one feel satisfied with your life and hopeful for the future.
(210) 920-7873 View (210) 920-7873
Photo of Allison J. Escobar Supervised By Kirleen Neely Phd Lpc-S, LPC Associate in San Antonio, TX
Allison J. Escobar Supervised By Kirleen Neely Phd Lpc-S
LPC Associate, NCC
Verified Verified
3 Endorsed
San Antonio, TX 78253  (Online Only)
You may be feeling overwhelmed as you’re looking for a therapist and that is understandable. I like to offer a judgment free zone where you can come and be yourself. I work in tandem with the client on this journey, meet them where they are, if we encounter some road blocks we will conquer them together. I believe building rapport is one of the most important aspects of counseling, because who can teach me the most about themselves? The individual themselves I believe. The client teaches me as much as I can help them. Along this journey the client will learn coping skills and tools. We do this in a safe and welcome environment.
You may be feeling overwhelmed as you’re looking for a therapist and that is understandable. I like to offer a judgment free zone where you can come and be yourself. I work in tandem with the client on this journey, meet them where they are, if we encounter some road blocks we will conquer them together. I believe building rapport is one of the most important aspects of counseling, because who can teach me the most about themselves? The individual themselves I believe. The client teaches me as much as I can help them. Along this journey the client will learn coping skills and tools. We do this in a safe and welcome environment.
(210) 972-9504 View (210) 972-9504
Photo of Kristin Arnold, Licensed Professional Counselor in San Antonio, TX
Kristin Arnold
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
(210) 791-6910 View (210) 791-6910
Photo of Jessica Rutowski, Licensed Professional Counselor Associate in San Antonio, TX
Jessica Rutowski
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
1 Endorsed
San Antonio, TX 78201  (Online Only)
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
(726) 336-2696 View (726) 336-2696
Photo of Oscar David Montoya Jr Lcsw-S, Clinical Social Work/Therapist in San Antonio, TX
Oscar David Montoya Jr Lcsw-S
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78264  (Online Only)
We live in a society that has made vulnerability seen as weakness, ironically, it is what allows us to be human and make connections. Do you feel a struggle in making connections? Do you struggle with overwhelming feelings of pain, anger, anxiety or depression, and feel like these are what define you? Do you feel like no one will ever understand, like you are detached from the world? Have you been through a traumatic experience, that robs you of freedom? Is motivation the issue, are you fatigued from attempts at change, but never having a guiding light?
We live in a society that has made vulnerability seen as weakness, ironically, it is what allows us to be human and make connections. Do you feel a struggle in making connections? Do you struggle with overwhelming feelings of pain, anger, anxiety or depression, and feel like these are what define you? Do you feel like no one will ever understand, like you are detached from the world? Have you been through a traumatic experience, that robs you of freedom? Is motivation the issue, are you fatigued from attempts at change, but never having a guiding light?
(830) 429-5394 View (830) 429-5394
Photo of Elizabeth Woodruff, Licensed Professional Counselor Associate in San Antonio, TX
Elizabeth Woodruff
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
San Antonio, TX 78228
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may become overwhelmed or feel hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teenagers, and couples.
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may become overwhelmed or feel hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teenagers, and couples.
(210) 985-7992 View (210) 985-7992
Photo of Tyrone Samuel Charles Jr., Licensed Professional Counselor in San Antonio, TX
Tyrone Samuel Charles Jr.
Licensed Professional Counselor, MA, LPC, NCC, LCDC
Verified Verified
San Antonio, TX 78238  (Online Only)
My name is Tyrone Charles Jr. I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC) in Texas with over 5 years of experience. I have worked with clients with a wide range of concerns including drug and alcohol addiction, anxiety, depression, parenting issues, relationship issues, life transition, and veteran-related services.
My name is Tyrone Charles Jr. I am a Licensed Professional Counselor (LPC) and a Licensed Chemical Dependency Counselor (LCDC) in Texas with over 5 years of experience. I have worked with clients with a wide range of concerns including drug and alcohol addiction, anxiety, depression, parenting issues, relationship issues, life transition, and veteran-related services.
(210) 405-2448 View (210) 405-2448
Photo of Clarissa Peralta, Clinical Social Work/Therapist in San Antonio, TX
Clarissa Peralta
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78254  (Online Only)
Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. I specialize in depression/anxiety, Women’s Issues (including fertility, pregnancy, postpartum, and motherhood), career and life coaching. I am currently accepting new clients for early mornings Monday – Friday between 7:00am – 10:30 am CST. I look forward to connecting.
Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. I specialize in depression/anxiety, Women’s Issues (including fertility, pregnancy, postpartum, and motherhood), career and life coaching. I am currently accepting new clients for early mornings Monday – Friday between 7:00am – 10:30 am CST. I look forward to connecting.
(210) 794-8718 View (210) 794-8718
Photo of Arturo Bruns-Vargas, Licensed Professional Counselor Associate in San Antonio, TX
Arturo Bruns-Vargas
Licensed Professional Counselor Associate, LPC-A, MA, BA-ECE
Verified Verified
San Antonio, TX 78257
I have 15 years of experience as a professional counselor in which I have had the privilege to work with young children to teens. Throughout this time, I have had the opportunity to work with adults in individual, couples, and family counseling. Tengo 15 años de experiencia como consejera profesional en los cuales he tenido el privilegio de trabajar con niños pequeños hasta adolescentes. A lo largo de este tiempo, he tenido la oportunidad de trabajar con adultos en consejería individual, de pareja y familiar.
I have 15 years of experience as a professional counselor in which I have had the privilege to work with young children to teens. Throughout this time, I have had the opportunity to work with adults in individual, couples, and family counseling. Tengo 15 años de experiencia como consejera profesional en los cuales he tenido el privilegio de trabajar con niños pequeños hasta adolescentes. A lo largo de este tiempo, he tenido la oportunidad de trabajar con adultos en consejería individual, de pareja y familiar.
(210) 816-0121 View (210) 816-0121
Photo of Sherry Rantz, Clinical Social Work/Therapist in San Antonio, TX
Sherry Rantz
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216
I specialize in working with children and adolescents dealing with anger management, anxiety, low self-esteem, aspergers, depression, school and family problems, as well as self-identity issues. I believe in working closely with parents and families. Working together we can make things better for the family. To my work with clients, I bring thirty years of experience as a therapist in private practice, a therapist at Jewish Family Service, a school social worker, and a teacher.
I specialize in working with children and adolescents dealing with anger management, anxiety, low self-esteem, aspergers, depression, school and family problems, as well as self-identity issues. I believe in working closely with parents and families. Working together we can make things better for the family. To my work with clients, I bring thirty years of experience as a therapist in private practice, a therapist at Jewish Family Service, a school social worker, and a teacher.
(210) 618-0053 View (210) 618-0053
Photo of LIFT Behavioral Health Services LLC , Licensed Professional Counselor in San Antonio, TX
LIFT Behavioral Health Services LLC
Licensed Professional Counselor, MS, LPC, LCDC-CS
Verified Verified
San Antonio, TX 78249  (Online Only)
Embark on your path to well-being with Jesus Chavez, LPC, LCDC-CCS's affordable therapy options, tailored to fit your needs. Take advantage of flexible pricing plans, making support accessible to all. Life's twists are easier with Jesus Chavez, LPC, LCDC-CCS's guidance, like navigating a winding road. It's normal to feel a mix of emotions during tough times, but you're not alone. Beyond challenges lie brighter days; with Jesus Chavez, LPC, LCDC-CCS's help, you have the strength to navigate through them. Start your journey towards a brighter future today.
Embark on your path to well-being with Jesus Chavez, LPC, LCDC-CCS's affordable therapy options, tailored to fit your needs. Take advantage of flexible pricing plans, making support accessible to all. Life's twists are easier with Jesus Chavez, LPC, LCDC-CCS's guidance, like navigating a winding road. It's normal to feel a mix of emotions during tough times, but you're not alone. Beyond challenges lie brighter days; with Jesus Chavez, LPC, LCDC-CCS's help, you have the strength to navigate through them. Start your journey towards a brighter future today.
(830) 376-7940 View (830) 376-7940

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.