Therapists in Sacramento, CA

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Photo of Karen Miller, Psychologist, PhD
Karen Miller
Psychologist, PhD
Sacramento, CA 95816
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
(916) 237-9569 View (916) 237-9569
Photo of Karyn Noel - Calliope Coast Therapy Group, Marriage & Family Therapist, LMFT, LPCC, LPC
Calliope Coast Therapy Group
Marriage & Family Therapist, LMFT, LPCC, LPC
1 Endorsed
Online Only
Life gets complicated sometimes. Maybe you’ve been living with the impact of sexual or relationship trauma, family wounds that leave you feeling disconnected and alone, relationship patterns you wish you could break, or navigating a life transition of becoming a college student, a new parent, or an empty nester. Perhaps you’ve been struggling with feeling at home in your body and making peace with food, overusing substances to cope with life’s stressors, anxiety and depression that keeps you feeling stuck, or struggling to cope after the loss of a loved one.
Life gets complicated sometimes. Maybe you’ve been living with the impact of sexual or relationship trauma, family wounds that leave you feeling disconnected and alone, relationship patterns you wish you could break, or navigating a life transition of becoming a college student, a new parent, or an empty nester. Perhaps you’ve been struggling with feeling at home in your body and making peace with food, overusing substances to cope with life’s stressors, anxiety and depression that keeps you feeling stuck, or struggling to cope after the loss of a loved one.
(916) 665-0353 View (916) 665-0353
Photo of Leacha Clark, Clinical Social Work/Therapist, LCSW
Leacha Clark
Clinical Social Work/Therapist, LCSW
Online Only
I'm a Licensed Clinical Social Worker with a deep commitment to supporting individuals as they navigate life's most challenging moments. With over 16 years of experience in mental health, I specialize in working with adults and adolescents dealing with anxiety, depression, trauma, grief, identity exploration, relationships, professional development, and life transitions. My approach is rooted in empathy, cultural humility, and collaboration.
I'm a Licensed Clinical Social Worker with a deep commitment to supporting individuals as they navigate life's most challenging moments. With over 16 years of experience in mental health, I specialize in working with adults and adolescents dealing with anxiety, depression, trauma, grief, identity exploration, relationships, professional development, and life transitions. My approach is rooted in empathy, cultural humility, and collaboration.
(424) 391-8105 View (424) 391-8105
Photo of Danielle Nicole Kardum, Marriage & Family Therapist, LMFT
Danielle Nicole Kardum
Marriage & Family Therapist, LMFT
Online Only
Waitlist for new clients
Have you felt as though you are sleepwalking through your life? Maybe you feel lost or as though your soul is suffering? Are you wanting to better understand yourself, improve self esteem, develop a stronger sense of authentic identity, or would like to better understand and express your feelings. Sometimes we can feel out of alignment with our values, or as if we have strayed away from our true sense of self. Sometimes we need support in finding our voice, our fierceness, our self compassion. Do you want to work holistically and explore how your past may be impacting your present and how your present may be triggering your past?
Have you felt as though you are sleepwalking through your life? Maybe you feel lost or as though your soul is suffering? Are you wanting to better understand yourself, improve self esteem, develop a stronger sense of authentic identity, or would like to better understand and express your feelings. Sometimes we can feel out of alignment with our values, or as if we have strayed away from our true sense of self. Sometimes we need support in finding our voice, our fierceness, our self compassion. Do you want to work holistically and explore how your past may be impacting your present and how your present may be triggering your past?
(916) 860-3156 View (916) 860-3156
Vanda Kim
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I’m Vanda Kim, LCSW, a licensed clinical social worker based in California. I have worked in the mental health field for over 17 years. My experience includes working in medical, school, and private practice settings, where I’ve had the privilege of supporting individuals through many of life’s challenges. I’m passionate about building genuine connections with people from diverse cultural and personal backgrounds and deeply value the unique stories and perspectives each person brings to therapy.
Hi, I’m Vanda Kim, LCSW, a licensed clinical social worker based in California. I have worked in the mental health field for over 17 years. My experience includes working in medical, school, and private practice settings, where I’ve had the privilege of supporting individuals through many of life’s challenges. I’m passionate about building genuine connections with people from diverse cultural and personal backgrounds and deeply value the unique stories and perspectives each person brings to therapy.
(916) 848-2668 View (916) 848-2668
Photo of Gina Holden, Marriage & Family Therapist, MS, LMFT
Gina Holden
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Sacramento, CA 95816
I provide sessions after 5pm, on weekends & I am currently accepting individual and couple clients. My clients would tell you I am fun to work with, they feel heard, understood, and know their goals are important to me. Creating a connective, judgement free, and an explorative environment is essential in any therapeutic process. In order to develop long lasting change, in your relationships, behavior, and your life, you need a safe space. There, in that increasing place of safety, you begin to take steps toward the change you want, the goals you have, and begin to live the life you desire! I look forward to meeting you!
I provide sessions after 5pm, on weekends & I am currently accepting individual and couple clients. My clients would tell you I am fun to work with, they feel heard, understood, and know their goals are important to me. Creating a connective, judgement free, and an explorative environment is essential in any therapeutic process. In order to develop long lasting change, in your relationships, behavior, and your life, you need a safe space. There, in that increasing place of safety, you begin to take steps toward the change you want, the goals you have, and begin to live the life you desire! I look forward to meeting you!
(916) 837-8565 View (916) 837-8565
Photo of Hanna Pierson, Marriage & Family Therapist, LMFT
Hanna Pierson
Marriage & Family Therapist, LMFT
Sacramento, CA 95814
Up worrying again at 2AM, going through the motions or missing out on the full experience of joy in life's big moments? Let's change that. Hi there, I'm Hanna, I am a Licensed Marriage & Family Therapist focused on work with preteens/teens, adults, and couples. I help clients untangle old patterns, build self trust and create lives that feel calmer and more intentional. My approach is warm, compassionate, humorous, and real.
Up worrying again at 2AM, going through the motions or missing out on the full experience of joy in life's big moments? Let's change that. Hi there, I'm Hanna, I am a Licensed Marriage & Family Therapist focused on work with preteens/teens, adults, and couples. I help clients untangle old patterns, build self trust and create lives that feel calmer and more intentional. My approach is warm, compassionate, humorous, and real.
(916) 908-5078 View (916) 908-5078
Photo of Elisa Louizos, Clinical Social Work/Therapist, LCSW
Elisa Louizos
Clinical Social Work/Therapist, LCSW
Sacramento, CA 95811
I imagine you're here because you feel like something needs to change. It's reassuring to know it's never too late to ignite curiosity about what's happening, develop closer, healthier family connections, and learn to assert yourself more successfully as a parent. It takes courage to let go of what's limiting you to make room for a happier life. I can support you and your child(ren) through this process by identifying, understanding, and reworking ineffective patterns and building new skills to reduce conflict and create a better life for your family.
I imagine you're here because you feel like something needs to change. It's reassuring to know it's never too late to ignite curiosity about what's happening, develop closer, healthier family connections, and learn to assert yourself more successfully as a parent. It takes courage to let go of what's limiting you to make room for a happier life. I can support you and your child(ren) through this process by identifying, understanding, and reworking ineffective patterns and building new skills to reduce conflict and create a better life for your family.
(916) 884-6156 View (916) 884-6156
Photo of Kristina Rickards, Marriage & Family Therapist, MA, LMFT, LPCC
Kristina Rickards
Marriage & Family Therapist, MA, LMFT, LPCC
1 Endorsed
Sacramento, CA 95816
I offer a supportive atmosphere rich with self-discovery, humility, laughter, hope and common ground in the throes of daily challenges. I am especially interested in the areas of depression, anxiety, trauma, self-esteem, self-identity, transitions, relationship issues, and well beyond.
I offer a supportive atmosphere rich with self-discovery, humility, laughter, hope and common ground in the throes of daily challenges. I am especially interested in the areas of depression, anxiety, trauma, self-esteem, self-identity, transitions, relationship issues, and well beyond.
(916) 382-7481 View (916) 382-7481
Photo of Patricia Campos-Barcenas, Marriage & Family Therapist, LMFT
Patricia Campos-Barcenas
Marriage & Family Therapist, LMFT
Online Only
Have you had a life experience or experiences recently or in the past, that have impacted how you feel about yourself? How you relate to others, and / or your enjoyment of your day to day life? I will support you towards the healing of your emotional pain, self-discovery and fulfillment. Together we will identify the issues, and build resources that will allow you to reach your goals.
Have you had a life experience or experiences recently or in the past, that have impacted how you feel about yourself? How you relate to others, and / or your enjoyment of your day to day life? I will support you towards the healing of your emotional pain, self-discovery and fulfillment. Together we will identify the issues, and build resources that will allow you to reach your goals.
(530) 287-8210 View (530) 287-8210
Photo of Krista Kleeman, Marriage & Family Therapist, MA, LMFT
Krista Kleeman
Marriage & Family Therapist, MA, LMFT
Sacramento, CA 95864
We want to be seen. We want to be heard. And most importantly we want to be loved and accepted. This is universal. However sometimes we lose our way; experience failure, depression, rejection, trauma, addiction, grief, anxiety, relationship difficulties...myriad things can keep us from our own personal success and my goal is to help my clients identity these barriers, embrace them, and work through them. The life we want is often within reach, but without healing, clarity or self-love can feel galaxies away. Let’s work collaboratively to identify what is getting in your way and what to do to build the life you want for yourself.
We want to be seen. We want to be heard. And most importantly we want to be loved and accepted. This is universal. However sometimes we lose our way; experience failure, depression, rejection, trauma, addiction, grief, anxiety, relationship difficulties...myriad things can keep us from our own personal success and my goal is to help my clients identity these barriers, embrace them, and work through them. The life we want is often within reach, but without healing, clarity or self-love can feel galaxies away. Let’s work collaboratively to identify what is getting in your way and what to do to build the life you want for yourself.
(916) 426-0797 x916600 View (916) 426-0797 x916600
Photo of Andrea Williams - Mosaic Minds Clinical Services, Licensed Educational Psychologist, PsyD, LEP
Mosaic Minds Clinical Services
Licensed Educational Psychologist, PsyD, LEP
Sacramento, CA 95834
Our ideal clients are children, teens, and young adults (including individuals with ADHD, Autism, dyslexia, dysgraphia, dyscalculia, and other learning differences) and their families. We support students who may feel misunderstood within traditional school settings, experience school anxiety, struggle with attention, organization, executive functioning, or processing information, and need support accessing appropriate educational accommodations. We also help parents navigate IEPs, 504 Plans, and educational systems with confidence while creating individualized plans that build upon each child's unique strengths.
Our ideal clients are children, teens, and young adults (including individuals with ADHD, Autism, dyslexia, dysgraphia, dyscalculia, and other learning differences) and their families. We support students who may feel misunderstood within traditional school settings, experience school anxiety, struggle with attention, organization, executive functioning, or processing information, and need support accessing appropriate educational accommodations. We also help parents navigate IEPs, 504 Plans, and educational systems with confidence while creating individualized plans that build upon each child's unique strengths.
(916) 365-4315 View (916) 365-4315
Photo of Angelina Rodriguez, Pre-Licensed Professional, MSW, ASW
Angelina Rodriguez
Pre-Licensed Professional, MSW, ASW
Sacramento, CA 95825
Maybe you're carrying the weight of trauma, navigating a painful life transition, or trying to hold your family together through an incredibly difficult time. Perhaps you're the first in your family to forge a new path, and the pressure of that — balancing cultural expectations, family responsibilities, and your own identity — feels overwhelming. Wherever you are, I want you to know you don't have to figure it out alone. Together, we'll work to build coping skills, deepen self-awareness, and help you move forward with clarity and hope. Services offered in English and Spanish.
Maybe you're carrying the weight of trauma, navigating a painful life transition, or trying to hold your family together through an incredibly difficult time. Perhaps you're the first in your family to forge a new path, and the pressure of that — balancing cultural expectations, family responsibilities, and your own identity — feels overwhelming. Wherever you are, I want you to know you don't have to figure it out alone. Together, we'll work to build coping skills, deepen self-awareness, and help you move forward with clarity and hope. Services offered in English and Spanish.
(916) 222-7977 View (916) 222-7977
Photo of Nicole Nelson, Marriage & Family Therapist, LMFT, LPCC
Nicole Nelson
Marriage & Family Therapist, LMFT, LPCC
Sacramento, CA 95825
Not accepting new clients
I want to help you better know, understand, and most importantly accept yourself. All too often we carry around with us hidden beliefs that we are not acceptable as we are. We say to ourselves: "If only I were better at..." "I am just a fraud..." "If anyone really knew who I was..." We feel that we should be a certain way first in order to be deserving of the relationships that we really want. My goal is to help you work through these unhelpful core beliefs and ultimately have a more full and fulfilling life.
I want to help you better know, understand, and most importantly accept yourself. All too often we carry around with us hidden beliefs that we are not acceptable as we are. We say to ourselves: "If only I were better at..." "I am just a fraud..." "If anyone really knew who I was..." We feel that we should be a certain way first in order to be deserving of the relationships that we really want. My goal is to help you work through these unhelpful core beliefs and ultimately have a more full and fulfilling life.
(916) 382-7460 View (916) 382-7460
Photo of Isabella Cabrales, Associate Clinical Social Worker, ASW
Isabella Cabrales
Associate Clinical Social Worker, ASW
1 Endorsed
Sacramento, CA 95825
Waitlist for new clients
You might be feeling overwhelmed, anxious, or stretched thin, even if you’re doing your best to keep it together. Maybe school, family changes, ADHD, or emotional stress feels heavier than it should, and you’re not sure how to put it into words. You want support that feels safe, patient, and understanding, not rushed or judgmental. You may be looking for someone who truly listens, honors your background, and can support you in English or Spanish. More than anything, you want to feel grounded, understood, and hopeful about what’s next.
You might be feeling overwhelmed, anxious, or stretched thin, even if you’re doing your best to keep it together. Maybe school, family changes, ADHD, or emotional stress feels heavier than it should, and you’re not sure how to put it into words. You want support that feels safe, patient, and understanding, not rushed or judgmental. You may be looking for someone who truly listens, honors your background, and can support you in English or Spanish. More than anything, you want to feel grounded, understood, and hopeful about what’s next.
(916) 818-3052 View (916) 818-3052
Photo of Max Christian, Pre-Licensed Professional, MA
Max Christian
Pre-Licensed Professional, MA
1 Endorsed
Sacramento, CA 95818
Not accepting new clients
Life can be overwhelming, painful, and uncertain—but you don’t have to navigate it alone. My name is Max, and I would be honored to walk alongside you on your healing journey. My goal is to offer compassion in moments of suffering, support self-discovery during times of confusion, and help cultivate the motivation to live a life aligned with your values and sense of fulfillment. As an undergraduate, I provided affirming care for LGBTQ+ students through the Sac State Pride Center. There, I counseled peers facing the challenges of young adulthood—interpersonal conflict, emotional regulation, identity development, and life transitions.
Life can be overwhelming, painful, and uncertain—but you don’t have to navigate it alone. My name is Max, and I would be honored to walk alongside you on your healing journey. My goal is to offer compassion in moments of suffering, support self-discovery during times of confusion, and help cultivate the motivation to live a life aligned with your values and sense of fulfillment. As an undergraduate, I provided affirming care for LGBTQ+ students through the Sac State Pride Center. There, I counseled peers facing the challenges of young adulthood—interpersonal conflict, emotional regulation, identity development, and life transitions.
(916) 823-8112 View (916) 823-8112
Photo of Rachel Xian, Pre-Licensed Professional, MA, APCC
Rachel Xian
Pre-Licensed Professional, MA, APCC
Sacramento, CA 95827
No one comes to therapy because everything is going right. You’re here because things can’t go on like this. Something has to change. But what? That’s what I’m here for: to help you find a way forward. I believe that times of confusion and strife are also opportunities for breakthroughs. They call us to pause our old ways of thinking, and to begin the tough but rewarding exploration of our selves. My goal is to help you help yourself. To do that, we’ll need to enter your pain in search of clarity. Eventually, that clarity will become your guiding light to a meaningful life.
No one comes to therapy because everything is going right. You’re here because things can’t go on like this. Something has to change. But what? That’s what I’m here for: to help you find a way forward. I believe that times of confusion and strife are also opportunities for breakthroughs. They call us to pause our old ways of thinking, and to begin the tough but rewarding exploration of our selves. My goal is to help you help yourself. To do that, we’ll need to enter your pain in search of clarity. Eventually, that clarity will become your guiding light to a meaningful life.
(916) 909-1756 View (916) 909-1756
Photo of Clint Pyeatt, Marriage & Family Therapist Associate
Clint Pyeatt
Marriage & Family Therapist Associate
3 Endorsed
Sacramento, CA 95825
I work with individuals and couples who are engaged and motivated to reach their goals and fulfill their potential. Together, we can work to identify your wants and strengths surrounding many topics, to include LGBTQ+ concerns, family conflict, relationship distress, anxiety, and addictions. I have experience working with individuals from marginalized communities, law enforcement, and mental health professionals. I have research experience with Serious Mental Illness (SMI) and neurocognitive processing, addictions, and behavioral health interventions within specific populations.
I work with individuals and couples who are engaged and motivated to reach their goals and fulfill their potential. Together, we can work to identify your wants and strengths surrounding many topics, to include LGBTQ+ concerns, family conflict, relationship distress, anxiety, and addictions. I have experience working with individuals from marginalized communities, law enforcement, and mental health professionals. I have research experience with Serious Mental Illness (SMI) and neurocognitive processing, addictions, and behavioral health interventions within specific populations.
(916) 848-2913 View (916) 848-2913
Photo of Michelle Sum, Marriage & Family Therapist, LMFT
Michelle Sum
Marriage & Family Therapist, LMFT
Online Only
Congrats on doing something extremely difficult by reaching out for help. I'm here to support you through whatever internal or external battle you may be facing. No judgment or personal agenda — just a safe space to talk, explore, and get back to feeling like you again. While I tend to rely heavily on Cognitive-Behavioral Therapy (CBT), I also recognize that a "one size fits all" is not a realistic way of viewing behavioral change. For this reason, I will adapt my approach to fit the needs of my client. This may include more narrative and processing therapy or motivational interviewing to build motivation for change.
Congrats on doing something extremely difficult by reaching out for help. I'm here to support you through whatever internal or external battle you may be facing. No judgment or personal agenda — just a safe space to talk, explore, and get back to feeling like you again. While I tend to rely heavily on Cognitive-Behavioral Therapy (CBT), I also recognize that a "one size fits all" is not a realistic way of viewing behavioral change. For this reason, I will adapt my approach to fit the needs of my client. This may include more narrative and processing therapy or motivational interviewing to build motivation for change.
(341) 208-3542 View (341) 208-3542
Photo of Stephanie Chiri, Clinical Social Work/Therapist, LCSW
Stephanie Chiri
Clinical Social Work/Therapist, LCSW
Online Only
My name is Stephanie and I’m a Licensed Clinical Social Worker. I work with adult individuals who want more balance in their lives and to improve their relationship with themselves and others. The clients I work with want to understand how to feel better, how to think more productively, and how to utilize their strengths in a way that will bring them closer to their goals. As a therapist, I am committed to creating a safe and inclusive space for all individuals to explore their thoughts, feelings, and experiences. Central to my practice are the principles of anti-racism, LGBTQ+ allyship, and a feminist perspective.
My name is Stephanie and I’m a Licensed Clinical Social Worker. I work with adult individuals who want more balance in their lives and to improve their relationship with themselves and others. The clients I work with want to understand how to feel better, how to think more productively, and how to utilize their strengths in a way that will bring them closer to their goals. As a therapist, I am committed to creating a safe and inclusive space for all individuals to explore their thoughts, feelings, and experiences. Central to my practice are the principles of anti-racism, LGBTQ+ allyship, and a feminist perspective.
(925) 308-2480 View (925) 308-2480

See more therapy options for Sacramento

How does your Therapist compare?

Number of Therapists in Sacramento, CA

2,000+

Average cost per session

$159

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
84% Depression
70% Relationship Issues
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
65% Cigna and Evernorth
57% Anthem

How Therapists in Sacramento, CA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.