Therapists in San Francisco, CA

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Photo of Daniel Geer, Clinical Social Work/Therapist in San Francisco, CA
Daniel Geer
Clinical Social Work/Therapist, LCSW, BC-DMT
Verified Verified
San Francisco, CA 94102
Welcome to my psychotherapy practice. I work with adults 18yrs. and up in individual and couples therapy. I have worked with a wide range of client symptoms and issues over many years of work in mental health. I have extensive experience in short-term therapy and am good at keeping the therapy focused on the task at hand once goals have been collaboratively set. I really enjoy getting to know the individual strengths and needs of each client and adapting my approach to be as effective as possible.
Welcome to my psychotherapy practice. I work with adults 18yrs. and up in individual and couples therapy. I have worked with a wide range of client symptoms and issues over many years of work in mental health. I have extensive experience in short-term therapy and am good at keeping the therapy focused on the task at hand once goals have been collaboratively set. I really enjoy getting to know the individual strengths and needs of each client and adapting my approach to be as effective as possible.
(415) 798-2892 View (415) 798-2892
Photo of Dr. Alexandra Davidson, Psychologist in San Francisco, CA
Dr. Alexandra Davidson
Psychologist, PsyD
Verified Verified
San Francisco, CA 94103  (Online Only)
I am passionate about helping clients understand and rise above that unwanted presence that has likely been a steady companion for some time — anxiety. This anxious part of the brain can have quite a loud voice, triggering uncomfortable symptoms that lead you to avoid what you fear. You can then become stuck in a smaller, less vibrant life, one where you stop pursuing what matters most. Anxiety can show up in the form of worry that is difficult to control, public speaking anxiety, social anxiety, panic attacks, phobias, OCD, health anxiety, and work stress/burnout. I also treat insomnia, which can be a related problem.
I am passionate about helping clients understand and rise above that unwanted presence that has likely been a steady companion for some time — anxiety. This anxious part of the brain can have quite a loud voice, triggering uncomfortable symptoms that lead you to avoid what you fear. You can then become stuck in a smaller, less vibrant life, one where you stop pursuing what matters most. Anxiety can show up in the form of worry that is difficult to control, public speaking anxiety, social anxiety, panic attacks, phobias, OCD, health anxiety, and work stress/burnout. I also treat insomnia, which can be a related problem.
(415) 481-4255 View (415) 481-4255
Photo of Dustin Kerrone, Marriage & Family Therapist in San Francisco, CA
Dustin Kerrone
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115  (Online Only)
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
(415) 704-1903 View (415) 704-1903
Photo of Joanna Lay, Marriage & Family Therapist Associate in San Francisco, CA
Joanna Lay
Marriage & Family Therapist Associate, MA, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94123
It’s girl dinner again tonight. Glass of AIX in hand, you can finally start to feel your shoulders relax. Luke’s makes it so easy: Humboldt fog + rustic bakery crackers + Castelvetrano olives. You deserve it after all: first comforting your boss who was triggered after annual review and then your sister when she called you sobbing because her ex just reactivated his tinder profile–you know exactly how to support everyone else. So, it doesn’t make sense that you were on the verge of a panic attack (again) today, but look at how well you’re handling it.
It’s girl dinner again tonight. Glass of AIX in hand, you can finally start to feel your shoulders relax. Luke’s makes it so easy: Humboldt fog + rustic bakery crackers + Castelvetrano olives. You deserve it after all: first comforting your boss who was triggered after annual review and then your sister when she called you sobbing because her ex just reactivated his tinder profile–you know exactly how to support everyone else. So, it doesn’t make sense that you were on the verge of a panic attack (again) today, but look at how well you’re handling it.
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Hengameh Roohi
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
I enjoy working with both adults and adolescents. Of the adults, many struggle with dissatisfaction in the midst of success. They see their life as good “on paper”, but still, they feel emptiness, or a lack of clear direction or purpose. For some, this looks like chronic anxiety, or symptoms of depression. Others struggle with compulsive shopping, eating, or substance use. Relationships are important to my clients. Many struggle with disconnection from their loved ones, their lives, or themselves. I help them to overcome barriers to connection, so that they can find more fulfillment.
I enjoy working with both adults and adolescents. Of the adults, many struggle with dissatisfaction in the midst of success. They see their life as good “on paper”, but still, they feel emptiness, or a lack of clear direction or purpose. For some, this looks like chronic anxiety, or symptoms of depression. Others struggle with compulsive shopping, eating, or substance use. Relationships are important to my clients. Many struggle with disconnection from their loved ones, their lives, or themselves. I help them to overcome barriers to connection, so that they can find more fulfillment.
(415) 965-7531 View (415) 965-7531
Photo of Adilia E Torres, Marriage & Family Therapist in San Francisco, CA
Adilia E Torres
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94120  (Online Only)
Healing is a gift that emerges from seeds cultivated by struggle, broken borders, and bold dreams. I am a queer mental health practitioner in the Bay Area. My daily practice as a mental health clinician is guided and shaped by culturally relevant services imbued with an Indigenous approach to healing and medicine. My work is focused on trauma-trauma-informed care and recovery services for children, youth, adults, and families impacted by (im)migration, displacement, and other forms of oppression. We individualize and collaborate with the creation of your treatment plan of care tailored to the needs of each person. English & Spanish
Healing is a gift that emerges from seeds cultivated by struggle, broken borders, and bold dreams. I am a queer mental health practitioner in the Bay Area. My daily practice as a mental health clinician is guided and shaped by culturally relevant services imbued with an Indigenous approach to healing and medicine. My work is focused on trauma-trauma-informed care and recovery services for children, youth, adults, and families impacted by (im)migration, displacement, and other forms of oppression. We individualize and collaborate with the creation of your treatment plan of care tailored to the needs of each person. English & Spanish
(415) 639-3276 View (415) 639-3276
Photo of Jessica Lizardo, Clinical Social Work/Therapist in San Francisco, CA
Jessica Lizardo
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
(415) 792-0331 View (415) 792-0331
Photo of Laura Hauben, Psychologist in San Francisco, CA
Laura Hauben
Psychologist, PsyD
Verified Verified
San Francisco, CA 94114
Major life events, both positive and negative, can require emotional adjustments that take us by surprise. Even desired life changes like parenthood, marriage, and graduation can lead to unexpected feelings. Current research on attachment confirms that humans are more resilient in the face of major life change and trauma when they feel understood and supported by another. I use psychotherapy and EMDR in my practice. In therapy I am direct, but I provide the empathy and compassion that we all need. My patients feel seen by me and in turn, seek out other fortifying relationships.
Major life events, both positive and negative, can require emotional adjustments that take us by surprise. Even desired life changes like parenthood, marriage, and graduation can lead to unexpected feelings. Current research on attachment confirms that humans are more resilient in the face of major life change and trauma when they feel understood and supported by another. I use psychotherapy and EMDR in my practice. In therapy I am direct, but I provide the empathy and compassion that we all need. My patients feel seen by me and in turn, seek out other fortifying relationships.
(415) 323-3931 View (415) 323-3931
Photo of Kerri Green, Marriage & Family Therapist in San Francisco, CA
Kerri Green
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115  (Online Only)
Are you experiencing fight, flight or freeze responses to everyday life stressors, or feeling paralyzed to make change? EMDR therapy for trauma and PTSD could be a great fit for you. Unprocessed traumatic memories can get "stuck" in your nervous system, causing you to operate from survival mechanisms that no longer serve you, and which block you from reaching your full life potential. Whether you're hoping to resolve trauma, reduce your "inner critic," find more purpose and meaning in your life, or improve your relationships, I'm here to guide you toward the growth and healing you seek.
Are you experiencing fight, flight or freeze responses to everyday life stressors, or feeling paralyzed to make change? EMDR therapy for trauma and PTSD could be a great fit for you. Unprocessed traumatic memories can get "stuck" in your nervous system, causing you to operate from survival mechanisms that no longer serve you, and which block you from reaching your full life potential. Whether you're hoping to resolve trauma, reduce your "inner critic," find more purpose and meaning in your life, or improve your relationships, I'm here to guide you toward the growth and healing you seek.
(650) 521-0707 View (650) 521-0707
Photo of Pamela Lopez, Clinical Social Work/Therapist in San Francisco, CA
Pamela Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94117
We are currently surviving, learning to navigate our lives during a health crisis. With such a fast pace, I deeply believe therapy provides us the container to check in with ourselves and find that moment to catch up. I invite you to give yourself the gift of three deep breaths - inhale deeply and exhale slowly letting something go repeat another two times. No matter what brings you into therapy, I aim to create a safe space alongside you. Every person is an expert on their own lives and I am here to simply help as WE discover and learn the tools to live a life that feels most authentic to YOU.
We are currently surviving, learning to navigate our lives during a health crisis. With such a fast pace, I deeply believe therapy provides us the container to check in with ourselves and find that moment to catch up. I invite you to give yourself the gift of three deep breaths - inhale deeply and exhale slowly letting something go repeat another two times. No matter what brings you into therapy, I aim to create a safe space alongside you. Every person is an expert on their own lives and I am here to simply help as WE discover and learn the tools to live a life that feels most authentic to YOU.
(415) 366-3970 View (415) 366-3970
Photo of Andrew Benson, Clinical Social Work/Therapist in San Francisco, CA
Andrew Benson
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94105  (Online Only)
Are you needing support in navigating through life's challenges? Whether you're experiencing anxiety or depression, or just going through a rough time I am here to help you every step of the way with compassionate and understanding care. I’m passionate about supporting you in identifying the narratives and stories that we may absorb from childhood experiences and culture (parents/caregivers, family, teachers, media, etc.), and seeing if they still align with what is truly important to you in your life today.
Are you needing support in navigating through life's challenges? Whether you're experiencing anxiety or depression, or just going through a rough time I am here to help you every step of the way with compassionate and understanding care. I’m passionate about supporting you in identifying the narratives and stories that we may absorb from childhood experiences and culture (parents/caregivers, family, teachers, media, etc.), and seeing if they still align with what is truly important to you in your life today.
(805) 301-6189 View (805) 301-6189
Photo of Aviva Euripides, Marriage & Family Therapist in San Francisco, CA
Aviva Euripides
Marriage & Family Therapist, LMFT, lacana
Verified Verified
San Francisco, CA 94121  (Online Only)
I am an experienced clinician and gauge our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Jacques Siboni at Lutecium Paris, www.lutecium.org.
I am an experienced clinician and gauge our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Jacques Siboni at Lutecium Paris, www.lutecium.org.
(415) 301-5219 View (415) 301-5219
Photo of Will Koehler, Marriage & Family Therapist in San Francisco, CA
Will Koehler
Marriage & Family Therapist, MA, MFT
Verified Verified
6 Endorsed
San Francisco, CA 94114  (Online Only)
If any of the following ring true for you, I can help. You get stuck in the downward spiral of self doubt and criticism. You have trouble organizing your life, and are struggling to deepen relationships, feeling like an outsider much of the time. You have difficulty managing intense emotions and find yourself in conflict with loved ones. You have or suspect you have ADHD. You want to better understand yourself.
If any of the following ring true for you, I can help. You get stuck in the downward spiral of self doubt and criticism. You have trouble organizing your life, and are struggling to deepen relationships, feeling like an outsider much of the time. You have difficulty managing intense emotions and find yourself in conflict with loved ones. You have or suspect you have ADHD. You want to better understand yourself.
(415) 275-6990 View (415) 275-6990
Photo of Caroline P. Smith, Clinical Social Work/Therapist in San Francisco, CA
Caroline P. Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
(415) 805-9963 View (415) 805-9963
Photo of Carol Bernstein, Clinical Social Work/Therapist in San Francisco, CA
Carol Bernstein
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110
Carol Bernstein, Licensed Clinical Social Worker (LCSW) My therapeutic approach is infused with a passion for creating and providing open and interactive dialogue, empowering adults of all ages to meet life's problems, transitions, and tough decisions with greater confidence and awareness. Utilizing techniques from evidence-based Cognitive-Behavioral, short-term problem-solving therapy, motivational interviewing, and mindfulness practices.
Carol Bernstein, Licensed Clinical Social Worker (LCSW) My therapeutic approach is infused with a passion for creating and providing open and interactive dialogue, empowering adults of all ages to meet life's problems, transitions, and tough decisions with greater confidence and awareness. Utilizing techniques from evidence-based Cognitive-Behavioral, short-term problem-solving therapy, motivational interviewing, and mindfulness practices.
(415) 993-6329 View (415) 993-6329
Photo of Yasmin K Decuire, Marriage & Family Therapist in San Francisco, CA
Yasmin K Decuire
Marriage & Family Therapist, MFT, MA
Verified Verified
San Francisco, CA 94131
It takes courage to admit that you can no longer face life's challenges alone. It is also the most important step towards change. My style is warm, interactive and intuitive. I integrate various therapeutic methodologies, which enables me to creatively meet your distinctive, personal needs. In addition to talk therapy I offer Expressive Arts and Guided Imagery to help us connect with and process negative, painful, and fearful emotions.
It takes courage to admit that you can no longer face life's challenges alone. It is also the most important step towards change. My style is warm, interactive and intuitive. I integrate various therapeutic methodologies, which enables me to creatively meet your distinctive, personal needs. In addition to talk therapy I offer Expressive Arts and Guided Imagery to help us connect with and process negative, painful, and fearful emotions.
(415) 423-3935 View (415) 423-3935
Photo of Tasha Jackson, Marriage & Family Therapist in San Francisco, CA
Tasha Jackson
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94102  (Online Only)
Sometimes we all need a little support. Whether you’re struggling with work, navigating personal issues, going through a break up, or dealing with a past trauma—you are not alone. For many, it helps to talk with a professional to get a new perspective. If you’re new to therapy, my practice is a welcoming safe space for anyone who wants to “get un-stuck,” (whatever that may mean for you).
Sometimes we all need a little support. Whether you’re struggling with work, navigating personal issues, going through a break up, or dealing with a past trauma—you are not alone. For many, it helps to talk with a professional to get a new perspective. If you’re new to therapy, my practice is a welcoming safe space for anyone who wants to “get un-stuck,” (whatever that may mean for you).
(628) 313-4090 View (628) 313-4090
Photo of Melodie Del Rio, Marriage & Family Therapist in San Francisco, CA
Melodie Del Rio
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94122
I work with adults (individual and couple's therapy), children, and adolescents. Special interests include: life transitions, relationship problems, loss and grief (including pregnancy loss), stress and anxiety, depression, parenting concerns, children/ adolescents and identity.
I work with adults (individual and couple's therapy), children, and adolescents. Special interests include: life transitions, relationship problems, loss and grief (including pregnancy loss), stress and anxiety, depression, parenting concerns, children/ adolescents and identity.
(415) 390-5620 View (415) 390-5620
Photo of Dr. Mini Rattu, Psychologist in San Francisco, CA
Dr. Mini Rattu
Psychologist, PsyD, MS
Verified Verified
San Francisco, CA 94102  (Online Only)
Are you feeling burned out, anxious about getting things done, or having recurring distressing thoughts? Do you feel stagnant to reach your higher potential? Or maybe you struggle with low self esteem and poor confidence to communicate your needs. Well, you’re not alone! My name is Dr. Mini and I am a Licensed Psychologist with a passion for helping people on their mental health journeys. Life can be tough at times, but with the right support, you’ll learn to turn your obstacles into stepping stones into a better future.
Are you feeling burned out, anxious about getting things done, or having recurring distressing thoughts? Do you feel stagnant to reach your higher potential? Or maybe you struggle with low self esteem and poor confidence to communicate your needs. Well, you’re not alone! My name is Dr. Mini and I am a Licensed Psychologist with a passion for helping people on their mental health journeys. Life can be tough at times, but with the right support, you’ll learn to turn your obstacles into stepping stones into a better future.
(415) 943-4929 View (415) 943-4929
Martha Lybarger
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94115
Time to get your life back on track? Tired of the same old fights? Is your addiction hijacking your life? Wondering if you can continue to deal with the chaos around you? You can take your life back, find some peace and learn how to better communicate with your partner and yourself. We all have deep needs for tenderness, sharing and love.
Time to get your life back on track? Tired of the same old fights? Is your addiction hijacking your life? Wondering if you can continue to deal with the chaos around you? You can take your life back, find some peace and learn how to better communicate with your partner and yourself. We all have deep needs for tenderness, sharing and love.
(415) 969-7728 View (415) 969-7728

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.