Therapists in San Francisco, CA

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Photo of Alana Jacobs, Psychologist in San Francisco, CA
Alana Jacobs
Psychologist, PsyD
Verified Verified
San Francisco, CA 94114
Do you find yourself feeling lonely, sad, scared, depressed, empty, or anxious? And maybe hopeless, alone, and confused about how to feel better? Whatever you're experiencing, you do not have to face it alone. With the support of a therapist & the trusting, safe space that can be developed you can work through whatever you are experiencing & find light ---- whether that be decreased suffering, inner peace, increased intimacy in your relationships, or more aliveness and authenticity in your connection with yourself and others.
Do you find yourself feeling lonely, sad, scared, depressed, empty, or anxious? And maybe hopeless, alone, and confused about how to feel better? Whatever you're experiencing, you do not have to face it alone. With the support of a therapist & the trusting, safe space that can be developed you can work through whatever you are experiencing & find light ---- whether that be decreased suffering, inner peace, increased intimacy in your relationships, or more aliveness and authenticity in your connection with yourself and others.
(424) 377-0199 View (424) 377-0199
Photo of Sherry M Freeman, Marriage & Family Therapist in San Francisco, CA
Sherry M Freeman
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94115
Therapy is about how you can feel better, how to make your life rich and satisfying. What is in your way? What stops you from being the person you want to be, from living the life you want to live? I see people of all ages, in all walks of life and help them overcome obstacles to acheiving their goals, whether that be happiness and peace or something concrete. Often it is inner blocks like anxiety and depression, that stand in your way. Other times there are experiences you've had that make it hard to feel free. Therapy can help you sort it all out, and take positive steps towards a new start.
Therapy is about how you can feel better, how to make your life rich and satisfying. What is in your way? What stops you from being the person you want to be, from living the life you want to live? I see people of all ages, in all walks of life and help them overcome obstacles to acheiving their goals, whether that be happiness and peace or something concrete. Often it is inner blocks like anxiety and depression, that stand in your way. Other times there are experiences you've had that make it hard to feel free. Therapy can help you sort it all out, and take positive steps towards a new start.
(650) 385-8707 View (650) 385-8707
Photo of Kim Williams, Marriage & Family Therapist in San Francisco, CA
Kim Williams
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94131
Kim Williams is a Licensed Marriage and Family Therapist. Kim believes in the client's ability to see their own strengths to motivate them to take control of situations that ultimately influence the life they want to live. Kim's specialties include Phase of Life Changes, LQBTQ, Anxiety, Depression, Anger Management, and Parenting. Kim also provides Anger Management, Parenting, and Domestic Violence Groups. Kim uses Solution-Focused Therapy, along with CBT, Narrative Therapy, to help clients find the skills needed to bring change and healing to their life.
Kim Williams is a Licensed Marriage and Family Therapist. Kim believes in the client's ability to see their own strengths to motivate them to take control of situations that ultimately influence the life they want to live. Kim's specialties include Phase of Life Changes, LQBTQ, Anxiety, Depression, Anger Management, and Parenting. Kim also provides Anger Management, Parenting, and Domestic Violence Groups. Kim uses Solution-Focused Therapy, along with CBT, Narrative Therapy, to help clients find the skills needed to bring change and healing to their life.
(415) 855-9188 View (415) 855-9188
Photo of Anna H McDonald, Marriage & Family Therapist in San Francisco, CA
Anna H McDonald
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94110
If you're doing mostly well, but have recently discovered that something is off, you might work well with me. I am passionate about carefully excavating til we find what's causing the disruption under the surface. If you have things that happened in your childhood or earlier adult life that you don't talk about, we might work well together. I am passionate about helping people who have experienced deep wounding from difficult experiences. I understand that healing is not linear, and that you might need a guide to find your way.
If you're doing mostly well, but have recently discovered that something is off, you might work well with me. I am passionate about carefully excavating til we find what's causing the disruption under the surface. If you have things that happened in your childhood or earlier adult life that you don't talk about, we might work well together. I am passionate about helping people who have experienced deep wounding from difficult experiences. I understand that healing is not linear, and that you might need a guide to find your way.
(628) 218-7767 View (628) 218-7767
Photo of Sara Okman, Marriage & Family Therapist in San Francisco, CA
Sara Okman
Marriage & Family Therapist, MFT
Verified Verified
10 Endorsed
San Francisco, CA 94115
Many relationships have faced challenges over the past few years. You might be feeling stuck, or struggling to resolve differences with your partner. As a certified AASECT sex therapist & long time couples counselor, I help identify& understand what lies beneath these stuck places, building true relational safety. Using easy to implement tools for healthy communication, I help couples negotiate desire discrepancy, find creative solutions for low-sexual marriages, and navigate the impact of extra-marital relationships: including infidelity repair, polyamory, & consensual non-monogamy. I am kink aware & LGBTQ+ friendly.
Many relationships have faced challenges over the past few years. You might be feeling stuck, or struggling to resolve differences with your partner. As a certified AASECT sex therapist & long time couples counselor, I help identify& understand what lies beneath these stuck places, building true relational safety. Using easy to implement tools for healthy communication, I help couples negotiate desire discrepancy, find creative solutions for low-sexual marriages, and navigate the impact of extra-marital relationships: including infidelity repair, polyamory, & consensual non-monogamy. I am kink aware & LGBTQ+ friendly.
(415) 877-4147 View (415) 877-4147
Photo of Mark Ryan Mayo, Psychologist in San Francisco, CA
Mark Ryan Mayo
Psychologist, PsyD
Verified Verified
San Francisco, CA 94103  (Online Only)
Clinical psychologist that takes a relational and interactive approach aimed at improving the relationships we have with ourselves, others, and one's environment. I have extensive experience related to women's health issues (fellowship/residence completed at Kaiser's OB/GYN department), the interaction between one's psychological and biological health (integrated behavioral health specialist), trauma, loss, end-of-life issues, depression and panic/anxiety disorders, as well as couples and individual communication effectiveness. Trained in multiple treatment models, I take an integrative approach to aid in one's emotional well-being.
Clinical psychologist that takes a relational and interactive approach aimed at improving the relationships we have with ourselves, others, and one's environment. I have extensive experience related to women's health issues (fellowship/residence completed at Kaiser's OB/GYN department), the interaction between one's psychological and biological health (integrated behavioral health specialist), trauma, loss, end-of-life issues, depression and panic/anxiety disorders, as well as couples and individual communication effectiveness. Trained in multiple treatment models, I take an integrative approach to aid in one's emotional well-being.
(415) 715-1635 View (415) 715-1635
Photo of Pam Miller, Marriage & Family Therapist in San Francisco, CA
Pam Miller
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94117
I work well with individuals going through life transitions, in love, work, identity, grief, parenting, infertility. Psychotherapy is not one size fits all, but a relationship finely tailored to each individual(s). Your needs determine the approach I take. I have over 30 years of experience and a wide variety of approaches to choose from. My main tools are good listening, and a strong belief people can learn from their past and current experiences, if they have the support to face themselves honestly. No one is too old to learn new strategies to make life more fulfilling.
I work well with individuals going through life transitions, in love, work, identity, grief, parenting, infertility. Psychotherapy is not one size fits all, but a relationship finely tailored to each individual(s). Your needs determine the approach I take. I have over 30 years of experience and a wide variety of approaches to choose from. My main tools are good listening, and a strong belief people can learn from their past and current experiences, if they have the support to face themselves honestly. No one is too old to learn new strategies to make life more fulfilling.
(415) 766-9030 View (415) 766-9030
Photo of Dr. Sean Robertson in San Francisco, CA
Dr. Sean Robertson
MA, PsyD
Verified Verified
San Francisco, CA 94131
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
(415) 429-3730 View (415) 429-3730
Photo of Jim Christrup, Clinical Social Work/Therapist in San Francisco, CA
Jim Christrup
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94114
Are you struggling with anxiety, panic, phobias, OCD, stress, self-criticism, shyness, or excessive worry? My goal is to help you break out of old, unproductive ways of dealing with these problems and find more flexible and effective ways of responding and healing. I am an experienced and caring therapist who is supportive, engaged, and interactive. Together we focus on what matters most to you and help you move towards what you care about most deeply in your life.
Are you struggling with anxiety, panic, phobias, OCD, stress, self-criticism, shyness, or excessive worry? My goal is to help you break out of old, unproductive ways of dealing with these problems and find more flexible and effective ways of responding and healing. I am an experienced and caring therapist who is supportive, engaged, and interactive. Together we focus on what matters most to you and help you move towards what you care about most deeply in your life.
(415) 702-3775 View (415) 702-3775
Photo of Elena Felder, Marriage & Family Therapist in San Francisco, CA
Elena Felder
Marriage & Family Therapist, MFT
Verified Verified
5 Endorsed
San Francisco, CA 94102
Not accepting new clients
My practice is currently full but I encourage you to go to the Referrals page on my website for a list of EMDR therapists whose work I know and trust. I work with individuals to create a safe place to explore patterns in your relationships and areas where you are stuck in trauma or depression. I offer both brief and long-term therapy with individuals and couples using a variety of techniques and modalities including deep listening, EMDR, hypnotherapy, relaxation training, exploring connections between current struggles and past experiences and increasing body awareness.
My practice is currently full but I encourage you to go to the Referrals page on my website for a list of EMDR therapists whose work I know and trust. I work with individuals to create a safe place to explore patterns in your relationships and areas where you are stuck in trauma or depression. I offer both brief and long-term therapy with individuals and couples using a variety of techniques and modalities including deep listening, EMDR, hypnotherapy, relaxation training, exploring connections between current struggles and past experiences and increasing body awareness.
(510) 907-6651 View (510) 907-6651
Photo of Rebekah Gong, Clinical Social Work/Therapist in San Francisco, CA
Rebekah Gong
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
San Francisco, CA 94116  (Online Only)
Dear fellow traveler, do you want to find calm amidst anxiety and stress, claim inner peace from past wounds, rekindle love and affection with your partner(s), seek peace with food, discover pleasure with your body, or get more clarity and acceptance about who you are? As a seasoned trauma/ relationship/ sex specialist, I help highly motivated humans like you to create the life you've been waiting for. Together, we navigate the challenges you face, not only transforming your life, but also breaking generational cycles, and fostering healing for future generations (if you choose to have them).
Dear fellow traveler, do you want to find calm amidst anxiety and stress, claim inner peace from past wounds, rekindle love and affection with your partner(s), seek peace with food, discover pleasure with your body, or get more clarity and acceptance about who you are? As a seasoned trauma/ relationship/ sex specialist, I help highly motivated humans like you to create the life you've been waiting for. Together, we navigate the challenges you face, not only transforming your life, but also breaking generational cycles, and fostering healing for future generations (if you choose to have them).
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Photo of Bay Area Center for ADD/ADHD, Psychologist in San Francisco, CA
Bay Area Center for ADD/ADHD
Psychologist
Verified Verified
2 Endorsed
San Francisco, CA 94123
At the Bay Area Center for ADD/ADHD we work collaboratively as a group to provide the most effective treatment possible. We have psychiatrists, psychologists, marriage and family therapists, and an educational therapist to help develop the best treatment for you. Who provide up-to-date evidence-based, effective treatment.
At the Bay Area Center for ADD/ADHD we work collaboratively as a group to provide the most effective treatment possible. We have psychiatrists, psychologists, marriage and family therapists, and an educational therapist to help develop the best treatment for you. Who provide up-to-date evidence-based, effective treatment.
(415) 236-3165 View (415) 236-3165
Photo of Eliot M. Lev, Associate Clinical Social Worker in San Francisco, CA
Eliot M. Lev
Associate Clinical Social Worker, ACSW, MS
Verified Verified
1 Endorsed
San Francisco, CA 94103  (Online Only)
Waitlist for new clients
In the journey towards healing and self-discovery, finding a therapist who truly understands the intersectionality of your experiences is key. As a therapist and part of the trans, queer, ethnic minority, multicultural, immigrant, trauma survivor, and (dis)ability communities, I'm dedicated to honoring all that makes you - you. The uniqueness of your journey, recognition of your experiences, and collaboration will be at the core of our work.
In the journey towards healing and self-discovery, finding a therapist who truly understands the intersectionality of your experiences is key. As a therapist and part of the trans, queer, ethnic minority, multicultural, immigrant, trauma survivor, and (dis)ability communities, I'm dedicated to honoring all that makes you - you. The uniqueness of your journey, recognition of your experiences, and collaboration will be at the core of our work.
(415) 498-1860 View (415) 498-1860
Photo of Cecille Basila, Marriage & Family Therapist in San Francisco, CA
Cecille Basila
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94116  (Online Only)
My intention is to empower you with tools for healing, change, and personal fulfillment. I provide a holistic approach that combines ancient traditions with evidenced based practices. I believe everyone has the wisdom with in themselves to know what is needed for healing and transformation. Courageously accepting an invitation to explore your unique path in this human experience can expand your view in seeing all the different ways you can show up for life.
My intention is to empower you with tools for healing, change, and personal fulfillment. I provide a holistic approach that combines ancient traditions with evidenced based practices. I believe everyone has the wisdom with in themselves to know what is needed for healing and transformation. Courageously accepting an invitation to explore your unique path in this human experience can expand your view in seeing all the different ways you can show up for life.
(415) 818-0213 View (415) 818-0213
Photo of Susan Moore, Marriage & Family Therapist in San Francisco, CA
Susan Moore
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
San Francisco, CA 94115
I believe that a core component of living is about learning and growing and expanding as our journeys unfold. And, I am passionately sympathetic about how hard this process can be, and how difficult it often is to be human! As an optimistic psychotherapist with over 20 years experience, I am convinced of the human capacity for tapping into a deep source of inner wisdom, and our innate capacity to heal. Each individual can develop the self-knowledge and self-acceptance they need to confront their challenges and to restore a compassionate perspective to their lives.
I believe that a core component of living is about learning and growing and expanding as our journeys unfold. And, I am passionately sympathetic about how hard this process can be, and how difficult it often is to be human! As an optimistic psychotherapist with over 20 years experience, I am convinced of the human capacity for tapping into a deep source of inner wisdom, and our innate capacity to heal. Each individual can develop the self-knowledge and self-acceptance they need to confront their challenges and to restore a compassionate perspective to their lives.
(415) 360-3599 View (415) 360-3599
Photo of Yu Hang 'ronald' Deng, Marriage & Family Therapist in San Francisco, CA
Yu Hang 'ronald' Deng
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94122  (Online Only)
I received my B.A. degree in University of California, Davis, with a major in Psychology, and my M.A. degree from John F. Kennedy University in the Counseling Psychology program. My expertise includes mental health counseling, such as depressive/anxiety disorders, communication, family, intimacy and/or relationship issues for individuals, groups, couples, and families, drug addiction treatment, and gambling addiction. As a licensed Marriage and Family Therapist, I strongly believe in human potential, and my goal is to help my clients to discover and utilize the tools they have already possessed!
I received my B.A. degree in University of California, Davis, with a major in Psychology, and my M.A. degree from John F. Kennedy University in the Counseling Psychology program. My expertise includes mental health counseling, such as depressive/anxiety disorders, communication, family, intimacy and/or relationship issues for individuals, groups, couples, and families, drug addiction treatment, and gambling addiction. As a licensed Marriage and Family Therapist, I strongly believe in human potential, and my goal is to help my clients to discover and utilize the tools they have already possessed!
(415) 367-4238 View (415) 367-4238
Photo of David Laing, Marriage & Family Therapist in San Francisco, CA
David Laing
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94109
Helping clients heal from mental health issues like addiction, anger, depression, psychosis, anxiety, trauma, and relationship problems are incredibly rewarding. In the last 12 years, I have practiced in a wide variety of settings and have used many different modalities. I have incorporated boxing and adventure-based interventions to help clients heal from various disorders.
Helping clients heal from mental health issues like addiction, anger, depression, psychosis, anxiety, trauma, and relationship problems are incredibly rewarding. In the last 12 years, I have practiced in a wide variety of settings and have used many different modalities. I have incorporated boxing and adventure-based interventions to help clients heal from various disorders.
(213) 471-8583 View (213) 471-8583
Photo of Charlene A. Dunkley, Clinical Social Work/Therapist in San Francisco, CA
Charlene A. Dunkley
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
When life feels like a high-pressure balancing act, therapy can help. I work with clients seeking more ease and grace as they walk through a difficult world. My speciality is supporting Black women and other women of color, clients from immigrant backgrounds, and people from marginalized communities. Many of my clients are also helping professionals who need some space to get out of the "helper" role and focus on themselves for a change.
When life feels like a high-pressure balancing act, therapy can help. I work with clients seeking more ease and grace as they walk through a difficult world. My speciality is supporting Black women and other women of color, clients from immigrant backgrounds, and people from marginalized communities. Many of my clients are also helping professionals who need some space to get out of the "helper" role and focus on themselves for a change.
(415) 741-5533 View (415) 741-5533
Photo of LeKisha Marie Mixon, Psychologist in San Francisco, CA
LeKisha Marie Mixon
Psychologist, PsyD, MA
Verified Verified
4 Endorsed
San Francisco, CA 94109
Dr. LeKisha Mixon is a licensed clinical forensic psychologist who values multi cultural competence in assessment and healing.Her assessment process includes consideration of cultural dynamics on presenting questions. Her experience in assessment is in evaluating criminal and civil law inquiries. In Psychotherapy, Dr. Mixon enjoys facilitating a healing environment where individuals can look at aspects of themselves that are no longer serving life fulfillment and expand into aspects of themselves that are strengths.She is committed to social justice and offers community experiences for cultural explorations into social issues.
Dr. LeKisha Mixon is a licensed clinical forensic psychologist who values multi cultural competence in assessment and healing.Her assessment process includes consideration of cultural dynamics on presenting questions. Her experience in assessment is in evaluating criminal and civil law inquiries. In Psychotherapy, Dr. Mixon enjoys facilitating a healing environment where individuals can look at aspects of themselves that are no longer serving life fulfillment and expand into aspects of themselves that are strengths.She is committed to social justice and offers community experiences for cultural explorations into social issues.
(510) 660-0914 View (510) 660-0914
Photo of Chaney Statler, Marriage & Family Therapist in San Francisco, CA
Chaney Statler
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
When I encounter clients who are seeking love or career satisfaction, we start exploring their values and life dreams to identify what they want. Together we will cast a vision for their life with short and long term goals. Many have already seen several chapters of their life, and now look to develop a deeper more comprehensive picture of what has already happened.
When I encounter clients who are seeking love or career satisfaction, we start exploring their values and life dreams to identify what they want. Together we will cast a vision for their life with short and long term goals. Many have already seen several chapters of their life, and now look to develop a deeper more comprehensive picture of what has already happened.
(415) 858-0947 View (415) 858-0947

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

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.