Therapists in Bixby Area, Long Beach, CA

Photo of Ana Arguello, Marriage & Family Therapist, MS, LMFT
Ana Arguello
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Bixby Area, Long Beach, CA 90807
Hello and welcome! I have been in the psychology field seeing everyone and addressing almost everything! .Along the way I developed an expertise in Child Parent Psychotherapy and Rational Behavior Therapy. I also have extensive training in Interpersonal Psychotherapy for Adolescence and Postpartum Depression. I am currently a Mental Health Consultant for the School District. I also spent 15 years working at an all male prison as a bilingual therapist. Please feel free to contact me and make a significant step in understanding yourself and improving your life!
Hello and welcome! I have been in the psychology field seeing everyone and addressing almost everything! .Along the way I developed an expertise in Child Parent Psychotherapy and Rational Behavior Therapy. I also have extensive training in Interpersonal Psychotherapy for Adolescence and Postpartum Depression. I am currently a Mental Health Consultant for the School District. I also spent 15 years working at an all male prison as a bilingual therapist. Please feel free to contact me and make a significant step in understanding yourself and improving your life!
(562) 548-7758 View (562) 548-7758
Photo of Nanette Coleman, Marriage & Family Therapist, LMFT, CPLC
Nanette Coleman
Marriage & Family Therapist, LMFT, CPLC
Bixby Area, Long Beach, CA 90807
Sometimes people need a little help in life to manage stress, anxiety, depression, and/or behavioral or physical challenges. I assist clients in managing their stress and anxiety, getting around their depression, and making behavioral changes so that they can regain a sense of control. I also help those who are physically challenged or disabled in finding new hope. Most of my clients are healthy, successful people who may simply be a bit stuck and want the support of their own personal therapist or life coach to help navigate their challenges; some just need better coping skills.
Sometimes people need a little help in life to manage stress, anxiety, depression, and/or behavioral or physical challenges. I assist clients in managing their stress and anxiety, getting around their depression, and making behavioral changes so that they can regain a sense of control. I also help those who are physically challenged or disabled in finding new hope. Most of my clients are healthy, successful people who may simply be a bit stuck and want the support of their own personal therapist or life coach to help navigate their challenges; some just need better coping skills.
(562) 999-3220 View (562) 999-3220
Photo of Leah Hellerstein, Clinical Social Work/Therapist, LCSW
Leah Hellerstein
Clinical Social Work/Therapist, LCSW
Bixby Area, Long Beach, CA 90807
Hi there, I'm Leah! I am an LCSW who has clinical experience in medical social work, home health, geriatrics, end of life care. I am looking forward to building my clinical practice with Rula. My full time work is managing a team of social workers and support staff in Hospice. I have years of experience in medical systems and over 1year of work as a virtual therapist. I bring a caring, client-centered, and practical approach to my clinical work. I am trained in CBT techniques and use strengths and system-based approaches. to my work.
Hi there, I'm Leah! I am an LCSW who has clinical experience in medical social work, home health, geriatrics, end of life care. I am looking forward to building my clinical practice with Rula. My full time work is managing a team of social workers and support staff in Hospice. I have years of experience in medical systems and over 1year of work as a virtual therapist. I bring a caring, client-centered, and practical approach to my clinical work. I am trained in CBT techniques and use strengths and system-based approaches. to my work.
(562) 503-4301 View (562) 503-4301
Photo of Diana Siguenza Lizarde - Empatia Counseling Services, Clinical Social Work/Therapist, LCSW
Empatia Counseling Services
Clinical Social Work/Therapist, LCSW
1 Endorsed
Bixby Area, Long Beach, CA 90807
At Empatia, our mission is to establish a new standard for mental health care that prioritizes accessibility for individuals while ensuring sustainability for providers. We are driven by the belief that everyone should have access to high-quality mental health services that can measurably improve their lives. By reimagining the way care is delivered and expanding options to make it more affordable, we are addressing the growing need for mental health support. Our goal is to create a transformative impact, helping individuals overcome barriers and enhancing their overall well-being.
At Empatia, our mission is to establish a new standard for mental health care that prioritizes accessibility for individuals while ensuring sustainability for providers. We are driven by the belief that everyone should have access to high-quality mental health services that can measurably improve their lives. By reimagining the way care is delivered and expanding options to make it more affordable, we are addressing the growing need for mental health support. Our goal is to create a transformative impact, helping individuals overcome barriers and enhancing their overall well-being.
(562) 620-4719 View (562) 620-4719
Photo of Kathy Zorn, Marriage & Family Therapist, MS, MA
Kathy Zorn
Marriage & Family Therapist, MS, MA
1 Endorsed
Bixby Area, Long Beach, CA 90807
Are you going through some painful and confusing situations in your life? I want to be there for you...to walk with you through this valley; to support and to help you find and use your strengths (some that maybe you are unaware of). I long to help you find the right path and the courage and strength to face life's challenges. My greatest desire is that you would grow to be the person you were meant to be.
Are you going through some painful and confusing situations in your life? I want to be there for you...to walk with you through this valley; to support and to help you find and use your strengths (some that maybe you are unaware of). I long to help you find the right path and the courage and strength to face life's challenges. My greatest desire is that you would grow to be the person you were meant to be.
(562) 268-5401 View (562) 268-5401
Photo of Phillip Vazquez, Marriage & Family Therapist Associate, MS
Phillip Vazquez
Marriage & Family Therapist Associate, MS
3 Endorsed
Bixby Area, Long Beach, CA 90807
I help couples who, as much as they try to break difficult cycles, find themselves repeating them over and over. The pattern can sometimes look like one partner reaching out, increasing in intensity to feel something, to meet with someone and have their need acknowledged, but they often find themselves reaching out to someone who disconnects, goes silent, or withdraws into safety. One partner feels alone, like they are the only one who cares about the relationship. The other partner feels like they are never good enough, and find themselves bracing for a fight they'd rather avoid.
I help couples who, as much as they try to break difficult cycles, find themselves repeating them over and over. The pattern can sometimes look like one partner reaching out, increasing in intensity to feel something, to meet with someone and have their need acknowledged, but they often find themselves reaching out to someone who disconnects, goes silent, or withdraws into safety. One partner feels alone, like they are the only one who cares about the relationship. The other partner feels like they are never good enough, and find themselves bracing for a fight they'd rather avoid.
(949) 649-3224 View (949) 649-3224
Photo of Kendall Cheney, Clinical Social Work/Therapist, LCSW
Kendall Cheney
Clinical Social Work/Therapist, LCSW
1 Endorsed
Bixby Area, Long Beach, CA 90807
Do you desire a stronger relationship with yourself, family, friends and/or a romantic partner? Do you struggle with anxiety, depression, unresolved grief, trauma or self-esteem? Together, we can examine what is making you feel stuck. I want to support you in strengthening and building upon the innate skills you have to face the current difficulties in your life. By gaining insight about your thoughts, feelings and behavior it can allow you the ability to make lasting change.
Do you desire a stronger relationship with yourself, family, friends and/or a romantic partner? Do you struggle with anxiety, depression, unresolved grief, trauma or self-esteem? Together, we can examine what is making you feel stuck. I want to support you in strengthening and building upon the innate skills you have to face the current difficulties in your life. By gaining insight about your thoughts, feelings and behavior it can allow you the ability to make lasting change.
(562) 317-7548 View (562) 317-7548
Photo of Linda Cortes, Marriage & Family Therapist, LMFT
Linda Cortes
Marriage & Family Therapist, LMFT
Bixby Area, Long Beach, CA 90807
Thank you for considering therapy as a path toward self-improvement. I provide a supportive, personalized approach to help you through life’s challenges, offering feedback and practical techniques tailored to your needs. Therapy isn’t one-size-fits-all, and I take care to develop a plan that works for you. My goal is for you to leave each session feeling better and more equipped to navigate life in a way that feels right for you. I look forward to supporting you in a safe and comfortable space.
Thank you for considering therapy as a path toward self-improvement. I provide a supportive, personalized approach to help you through life’s challenges, offering feedback and practical techniques tailored to your needs. Therapy isn’t one-size-fits-all, and I take care to develop a plan that works for you. My goal is for you to leave each session feeling better and more equipped to navigate life in a way that feels right for you. I look forward to supporting you in a safe and comfortable space.
(510) 953-4366 View (510) 953-4366
Photo of Elizabeth Ruiz, Marriage & Family Therapist, LMFT , 104668
Elizabeth Ruiz
Marriage & Family Therapist, LMFT , 104668
1 Endorsed
Bixby Area, Long Beach, CA 90807
If you are experiencing struggles with managing day to day stressors and keeping up with life expectations, I can support you with addressing your personal challenges through therapy. Life can get confusing and at times it's easier to believe the negative thoughts that keep replaying in your mind but we can work together to reduce those negative thoughts and make sense of what's happening around you. Perhaps you find yourself being triggered easily, we can built strategies, together, to help you manage these triggers. Please trust that I can support you in finding peace of mind.
If you are experiencing struggles with managing day to day stressors and keeping up with life expectations, I can support you with addressing your personal challenges through therapy. Life can get confusing and at times it's easier to believe the negative thoughts that keep replaying in your mind but we can work together to reduce those negative thoughts and make sense of what's happening around you. Perhaps you find yourself being triggered easily, we can built strategies, together, to help you manage these triggers. Please trust that I can support you in finding peace of mind.
(562) 362-3778 View (562) 362-3778
Photo of Jennifer Jackson, Marriage & Family Therapist, LMFT
Jennifer Jackson
Marriage & Family Therapist, LMFT
Bixby Area, Long Beach, CA 90807
Hi! I'm so glad you're here. Born and raised in Southern California, I received a Master of Arts in Clinical Psychology, emphasis in Marriage and Family Therapy, from Antioch University, Santa Barbara. My undergraduate degrees are in Sociology and Black Studies from UC Santa Barbara. I am passionate about the power of story to overcome shame and build resilience. I believe when you go unheard, you go unhealed.
Hi! I'm so glad you're here. Born and raised in Southern California, I received a Master of Arts in Clinical Psychology, emphasis in Marriage and Family Therapy, from Antioch University, Santa Barbara. My undergraduate degrees are in Sociology and Black Studies from UC Santa Barbara. I am passionate about the power of story to overcome shame and build resilience. I believe when you go unheard, you go unhealed.
(310) 928-2880 View (310) 928-2880
Photo of Manuel Fonseca, Marriage & Family Therapist, MA, LMFT
Manuel Fonseca
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Bixby Area, Long Beach, CA 90807
Congratulations on taking this step! This is the right time for you to make YOU a priority! I am committed to guiding you on how to improve your overall well-being. I have over 19 years of clinical experience assisting individuals, couples, and families with practical tools to help them manage & overcome difficulties in their lives – I am here to help YOU reach your absolute BEST potential.
Congratulations on taking this step! This is the right time for you to make YOU a priority! I am committed to guiding you on how to improve your overall well-being. I have over 19 years of clinical experience assisting individuals, couples, and families with practical tools to help them manage & overcome difficulties in their lives – I am here to help YOU reach your absolute BEST potential.
(626) 604-0719 View (626) 604-0719
Photo of Charles Edward Glenn, Marriage & Family Therapist, PsyD, LMFT
Charles Edward Glenn
Marriage & Family Therapist, PsyD, LMFT
Bixby Area, Long Beach, CA 90807
This practice serves patients who were sexually and physically abused as children and suffering with overwhelming stress and the inability to get unstuck in their current life functioning. I also, serve the civil and criminal justice patients who have court ordered counseling and correctional aftercare. Further I provide civil and criminal assessments for immigration and other Homeland Security patients who have denied petitions and applications due to past criminal histories. I am certified by the California Sex offender Management Board as Independent Practitioner and a CADTP as a Substance Abuse Disorder Practitioner.
This practice serves patients who were sexually and physically abused as children and suffering with overwhelming stress and the inability to get unstuck in their current life functioning. I also, serve the civil and criminal justice patients who have court ordered counseling and correctional aftercare. Further I provide civil and criminal assessments for immigration and other Homeland Security patients who have denied petitions and applications due to past criminal histories. I am certified by the California Sex offender Management Board as Independent Practitioner and a CADTP as a Substance Abuse Disorder Practitioner.
(424) 358-3243 View (424) 358-3243
Photo of Laguerda Isma, Counselor, LMHC
Laguerda Isma
Counselor, LMHC
Bixby Area, Long Beach, CA 90807
I have spent my career helping young people deal with depression, anxiety, tough experiences, and issues related to being adopted from foster care. My approach to therapy is direct, collaborative, and goal-oriented. In our sessions, I help clients explore the reasons behind their feelings. As a former teacher, I know that one approach doesn't work for everyone. That's why I use different methods, like Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy, and Motivational Interviewing, to help your child succeed.
I have spent my career helping young people deal with depression, anxiety, tough experiences, and issues related to being adopted from foster care. My approach to therapy is direct, collaborative, and goal-oriented. In our sessions, I help clients explore the reasons behind their feelings. As a former teacher, I know that one approach doesn't work for everyone. That's why I use different methods, like Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy, and Motivational Interviewing, to help your child succeed.
(562) 534-4123 View (562) 534-4123
Photo of Tina Luke, Clinical Social Work/Therapist, LCSW
Tina Luke
Clinical Social Work/Therapist, LCSW
Bixby Area, Long Beach, CA 90807
My name is Tina Luke, a licensed clinical social worker. I work with clients struggling with various forms of anxiety, managing stress, trauma, depression, social and specific phobias, relationships transitions, self-esteem concerns, life transitions, brief crisis intervention and PTSD. I like to use a strength based approach to allow identifying of strengths of the client to draw from when advancing into sessions. My main approach is cognitive behavioral therapy. My approach to therapy is ensuring that the client is being heard and that services are tailored to meet the needs of the client.
My name is Tina Luke, a licensed clinical social worker. I work with clients struggling with various forms of anxiety, managing stress, trauma, depression, social and specific phobias, relationships transitions, self-esteem concerns, life transitions, brief crisis intervention and PTSD. I like to use a strength based approach to allow identifying of strengths of the client to draw from when advancing into sessions. My main approach is cognitive behavioral therapy. My approach to therapy is ensuring that the client is being heard and that services are tailored to meet the needs of the client.
(657) 216-7356 View (657) 216-7356
Photo of Mary Ann Mayer, Clinical Social Work/Therapist, MSW, LSCW
Mary Ann Mayer
Clinical Social Work/Therapist, MSW, LSCW
Bixby Area, Long Beach, CA 90807
I am a Licensed Clinical Social Worker (LCSW) with 14+ years of experience assisting clients in living better with mental and emotional health issues. I have worked extensively with PTSD, depression, anxiety, Military & Veterans, Bipolar spectrum disorders, and assisting clients with developing better boundaries at work, in relationships, and with family and friends. I operate from a non-judgmental, down-to-earth, no-nonsense approach, with warmth, genuine care and concern, and good humor.
I am a Licensed Clinical Social Worker (LCSW) with 14+ years of experience assisting clients in living better with mental and emotional health issues. I have worked extensively with PTSD, depression, anxiety, Military & Veterans, Bipolar spectrum disorders, and assisting clients with developing better boundaries at work, in relationships, and with family and friends. I operate from a non-judgmental, down-to-earth, no-nonsense approach, with warmth, genuine care and concern, and good humor.
(424) 247-5283 View (424) 247-5283
Photo of Emily DeVercelly, Marriage & Family Therapist, MA, LMFT
Emily DeVercelly
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Bixby Area, Long Beach, CA 90807
Does it feel like your brain is always on? That your head is full of worst case scenarios and "what if" thoughts like, "what if you don't do or eat the 'right thing?'" Or "what if the thing you fear most comes true?" You've always excelled and done the "right" things, yet you still struggle to trust yourself. On the outside you may seem like you have it together but on the inside you feel exhausted, overwhelmed, irritable, and like you're somehow always behind.
Does it feel like your brain is always on? That your head is full of worst case scenarios and "what if" thoughts like, "what if you don't do or eat the 'right thing?'" Or "what if the thing you fear most comes true?" You've always excelled and done the "right" things, yet you still struggle to trust yourself. On the outside you may seem like you have it together but on the inside you feel exhausted, overwhelmed, irritable, and like you're somehow always behind.
(424) 396-0360 View (424) 396-0360
Photo of Erika Carter, Marriage & Family Therapist, MA
Erika Carter
Marriage & Family Therapist, MA
Bixby Area, Long Beach, CA 90807
Whether you are feeling overwhelmed, hopeless, or just feel alone carrying the weight of your trauma, I am here to help you begin your journey towards healing. I provide treatment for children and their families that experience depression, anxiety, disruptive behaviors, trauma, low self-esteem, grief, autism spectrum, parenting skills, and other mental health issues. I approach each of my clients with a kind, compassionate, and caring approach to form a genuine therapeutic bond where you will feel comfortable, be understood, and have hope knowing you do not have to carry the burden alone.
Whether you are feeling overwhelmed, hopeless, or just feel alone carrying the weight of your trauma, I am here to help you begin your journey towards healing. I provide treatment for children and their families that experience depression, anxiety, disruptive behaviors, trauma, low self-esteem, grief, autism spectrum, parenting skills, and other mental health issues. I approach each of my clients with a kind, compassionate, and caring approach to form a genuine therapeutic bond where you will feel comfortable, be understood, and have hope knowing you do not have to carry the burden alone.
(424) 381-0277 View (424) 381-0277
Photo of Ana Arguello, Marriage & Family Therapist, MS, MFT
Ana Arguello
Marriage & Family Therapist, MS, MFT
Bixby Area, Long Beach, CA 90807
I am well versed in numerous modalities, among them; Individual therapy to address possible lifestyle changes, your relationship issues and goals. Couples therapy to address interpersonal and intrapersonal conflict Child psychotherapy ,(play therapy and dyadic therapy) from 0 to 5 years old through specialized training. Family therapy to increase effective communication within family dynamics. Crisis management as past occupational experience includes drug treatment and law enforcement crisis situations. Mental health consultant in educational settings, and occasional speaker in mental health related topics. I am fully bilingual
I am well versed in numerous modalities, among them; Individual therapy to address possible lifestyle changes, your relationship issues and goals. Couples therapy to address interpersonal and intrapersonal conflict Child psychotherapy ,(play therapy and dyadic therapy) from 0 to 5 years old through specialized training. Family therapy to increase effective communication within family dynamics. Crisis management as past occupational experience includes drug treatment and law enforcement crisis situations. Mental health consultant in educational settings, and occasional speaker in mental health related topics. I am fully bilingual
(562) 655-8568 View (562) 655-8568
Photo of Alexandra Hattick, Clinical Social Work/Therapist, MSW, LCSW
Alexandra Hattick
Clinical Social Work/Therapist, MSW, LCSW
Bixby Area, Long Beach, CA 90807
Waitlist for new clients
I work with adults and adolescents in Long Beach and surrounding areas struggling with ADHD, trauma, anxiety, shame, and difficult or difficult relationship patterns. Many clients feel “too sensitive,” stuck in people-pleasing or fawning, or trapped in cycles of self-criticism. I especially enjoy working with ADHD/AuDHDers, people with creative streaks, helpers, and LGBTQ+ folks. Some are healing from trauma (ex. childhood, relational, sexual assault); others want healthier relationships without losing themselves. I help clients build self-compassion, nervous system awareness, and practical skills so lasting change becomes possible.
I work with adults and adolescents in Long Beach and surrounding areas struggling with ADHD, trauma, anxiety, shame, and difficult or difficult relationship patterns. Many clients feel “too sensitive,” stuck in people-pleasing or fawning, or trapped in cycles of self-criticism. I especially enjoy working with ADHD/AuDHDers, people with creative streaks, helpers, and LGBTQ+ folks. Some are healing from trauma (ex. childhood, relational, sexual assault); others want healthier relationships without losing themselves. I help clients build self-compassion, nervous system awareness, and practical skills so lasting change becomes possible.
(562) 655-7952 View (562) 655-7952
Photo of Ryan Flannery, Licensed Professional Clinical Counselor, LPCC
Ryan Flannery
Licensed Professional Clinical Counselor, LPCC
Online Only
I am a Licensed Professional Clinical Counselor (LPCC) based out of Southern California (Long Beach). I work with young people and adults in an individual setting, and I specialize in men's issues, substance use disorders, trauma, anxiety, depression, and anger issues. It is my goal to support you in getting back on track and finding your way again.
I am a Licensed Professional Clinical Counselor (LPCC) based out of Southern California (Long Beach). I work with young people and adults in an individual setting, and I specialize in men's issues, substance use disorders, trauma, anxiety, depression, and anger issues. It is my goal to support you in getting back on track and finding your way again.
(213) 510-2715 View (213) 510-2715

How does your Therapist compare?

Number of Therapists in Bixby Area, Long Beach, CA

30+

Average cost per session

$165

Therapists in Bixby Area, Long Beach, CA who prioritize treating:

89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
86% Depression
76% Trauma and PTSD
76% Complex PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% Cigna and Evernorth
84% Optum
80% Aetna

How Therapists in Bixby Area, Long Beach, CA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bixby Area?

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.