Therapists in San Carlos, CA

Photo of Jennifer Shao, Marriage & Family Therapist, LMFT
Jennifer Shao
Marriage & Family Therapist, LMFT
Online Only
Thank you for taking another step toward wellness and healing. Therapy is best facilitated by a good fit and a collaborative kind relationship, so I want to tell you in plain language about my approach. I believe in making space for pain and letting in light around shame. I'm invested in nurturing your innate creativity and natural bent towards healing and growth. I believe in weeping with you, while cherishing the moments we can laugh through the pain.
Thank you for taking another step toward wellness and healing. Therapy is best facilitated by a good fit and a collaborative kind relationship, so I want to tell you in plain language about my approach. I believe in making space for pain and letting in light around shame. I'm invested in nurturing your innate creativity and natural bent towards healing and growth. I believe in weeping with you, while cherishing the moments we can laugh through the pain.
(650) 719-5214 View (650) 719-5214
Photo of Paul S Slattery, Marriage & Family Therapist, LMFT
Paul S Slattery
Marriage & Family Therapist, LMFT
1 Endorsed
San Carlos, CA 94070
Suffering is a certainty in our lives, but sometimes it becomes more than we can bear. Oftentimes, we can become caught up in blaming ourselves- and though sometimes there can be truth to the notion, it's not true enough to guide us towards healing. We may feel slowed down, stuck, agitated, angry, frustrated or sad. There is nothing wrong or unacceptable with you or your feelings in my practice. They are part of your truth that will guide you to a deeper level of knowing.
Suffering is a certainty in our lives, but sometimes it becomes more than we can bear. Oftentimes, we can become caught up in blaming ourselves- and though sometimes there can be truth to the notion, it's not true enough to guide us towards healing. We may feel slowed down, stuck, agitated, angry, frustrated or sad. There is nothing wrong or unacceptable with you or your feelings in my practice. They are part of your truth that will guide you to a deeper level of knowing.
(650) 418-2395 View (650) 418-2395
Photo of Meghan Noel-Klees McDaniel, Marriage & Family Therapist Associate, MEEd, MCP
Meghan Noel-Klees McDaniel
Marriage & Family Therapist Associate, MEEd, MCP
1 Endorsed
San Carlos, CA 94070
I specialize in working with multicultural, neurodiverse, genderqueer/questioning individuals, children, & their families. I understand the complexities of navigating the waters of anxiety, depression, ADHD, divorce, remarriage, step-families, half-siblings, & blending cultures, especially when children are involved. I have worked with children, parents, & teachers in schools & nonprofits for the past 15+ years. I have a working knowledge of public & private school sectors & I believe in wrap around support between parents, schools, & mental health clinicians.
I specialize in working with multicultural, neurodiverse, genderqueer/questioning individuals, children, & their families. I understand the complexities of navigating the waters of anxiety, depression, ADHD, divorce, remarriage, step-families, half-siblings, & blending cultures, especially when children are involved. I have worked with children, parents, & teachers in schools & nonprofits for the past 15+ years. I have a working knowledge of public & private school sectors & I believe in wrap around support between parents, schools, & mental health clinicians.
(650) 668-2172 View (650) 668-2172
Photo of Taryn Weinkam, Psychologist, PhD
Taryn Weinkam
Psychologist, PhD
1 Endorsed
San Carlos, CA 94070
Welcome! I assist people on their healing journey in the forms of psychotherapy, movement, and breathwork. In therapy, we work on increasing awareness, processing relevant past events, and building a life that is aligned with your values. I guide people to tune into their bodies, regulate their breathing, and strengthen intuition. I have an open, curious, and nonjudgmental presence as it is my hope that you feel safe in being your authentic self! Let's talk about culture, traditions, and ancestral lineage. Let's gieve and heal from all the ways in which this world is damaging.
Welcome! I assist people on their healing journey in the forms of psychotherapy, movement, and breathwork. In therapy, we work on increasing awareness, processing relevant past events, and building a life that is aligned with your values. I guide people to tune into their bodies, regulate their breathing, and strengthen intuition. I have an open, curious, and nonjudgmental presence as it is my hope that you feel safe in being your authentic self! Let's talk about culture, traditions, and ancestral lineage. Let's gieve and heal from all the ways in which this world is damaging.
(650) 502-5421 View (650) 502-5421
Photo of Bernadette Shu, Marriage & Family Therapist, MS, LMFT
Bernadette Shu
Marriage & Family Therapist, MS, LMFT
San Carlos, CA 94070
Therapy is your opportunity to receive support, validation, and guidance. We will work together to address your concerns in a safe, accepting and non-judgmental environment. I focus on helping women at various stages of life who are going through traumatic experiences, stressful life transitions, grief & loss and anxiety & depression. I'm also trained to help perinatal/ postpartum women and mothers. In addition to my clinical training, I bring 15 years of Corporate sector experience to this field.
Therapy is your opportunity to receive support, validation, and guidance. We will work together to address your concerns in a safe, accepting and non-judgmental environment. I focus on helping women at various stages of life who are going through traumatic experiences, stressful life transitions, grief & loss and anxiety & depression. I'm also trained to help perinatal/ postpartum women and mothers. In addition to my clinical training, I bring 15 years of Corporate sector experience to this field.
(650) 549-9842 View (650) 549-9842
Photo of Alexandra Evans, Associate Professional Clinical Counselor, MA, APCC, CD/PCD
Alexandra Evans
Associate Professional Clinical Counselor, MA, APCC, CD/PCD
San Carlos, CA 94070
I work with both perinatal clients and adolescent girls navigating times of growth, transition, and emotional change. Whether you’re adjusting to pregnancy, postpartum life, the early years of parenting, or if you're a pre-teen or teen navigating the challenges of self-discovery, you don’t have to face it alone. I’m an Associate Professional Clinical Counselor at Mills Perinatal Wellness Group and a DONA-certified birth and postpartum doula. My practice is grounded in cultural humility and inclusivity, honoring the diverse ways people give birth, parent, and define family across cultures and communities.
I work with both perinatal clients and adolescent girls navigating times of growth, transition, and emotional change. Whether you’re adjusting to pregnancy, postpartum life, the early years of parenting, or if you're a pre-teen or teen navigating the challenges of self-discovery, you don’t have to face it alone. I’m an Associate Professional Clinical Counselor at Mills Perinatal Wellness Group and a DONA-certified birth and postpartum doula. My practice is grounded in cultural humility and inclusivity, honoring the diverse ways people give birth, parent, and define family across cultures and communities.
(650) 376-8122 View (650) 376-8122
Photo of Monica Reynoso Pang, Marriage & Family Therapist, MFT
Monica Reynoso Pang
Marriage & Family Therapist, MFT
San Carlos, CA 94070
I truly enjoy helping individuals navigate through the internal and interpersonal conflicts that prevent them from having satisfying relationships with those they love. My research and experience has been focused on helping individuals clearly identify the stumbling blocks that keep them stuck in unhealthy behavioral patterns. Although I enjoy working with individuals of all backgrounds and beliefs, my passion is to work with those seeking to make Jesus the center of their therapeutic process. I'd love to walk with you through your journey of seeking wholeness, true spirituality and real purpose.
I truly enjoy helping individuals navigate through the internal and interpersonal conflicts that prevent them from having satisfying relationships with those they love. My research and experience has been focused on helping individuals clearly identify the stumbling blocks that keep them stuck in unhealthy behavioral patterns. Although I enjoy working with individuals of all backgrounds and beliefs, my passion is to work with those seeking to make Jesus the center of their therapeutic process. I'd love to walk with you through your journey of seeking wholeness, true spirituality and real purpose.
(408) 899-5858 View (408) 899-5858
Photo of Marcie Kay, Marriage & Family Therapist, MS, LMFT, MBA, APCC
Marcie Kay
Marriage & Family Therapist, MS, LMFT, MBA, APCC
San Carlos, CA 94070
Waitlist for new clients
I create a safe and nurturing therapeutic space for adults, couples & teens who are facing major life transitions such as college, career, divorce, or personal loss in finding a joyful and fulfilling path forward. I also provide empathetic guidance to the “sandwich generation” – women and men who are raising children while also caring for their elderly parents and struggling with anxiety and depression as they attempt to juggle it all. I help families navigate the complexities of raising children, adolescents and emerging adults in a healthy, cohesive way.
I create a safe and nurturing therapeutic space for adults, couples & teens who are facing major life transitions such as college, career, divorce, or personal loss in finding a joyful and fulfilling path forward. I also provide empathetic guidance to the “sandwich generation” – women and men who are raising children while also caring for their elderly parents and struggling with anxiety and depression as they attempt to juggle it all. I help families navigate the complexities of raising children, adolescents and emerging adults in a healthy, cohesive way.
(650) 686-5489 View (650) 686-5489
Photo of Kathryn Anne Douglas, Counselor, MSE, LPCC
Kathryn Anne Douglas
Counselor, MSE, LPCC
Online Only
My ideal client is a parent who wants to better understand and support their neurodivergent child with compassion—not control. You may be navigating daily power struggles, school stress, or growing anxiety. I help families create more calm and connection at home and offer CBT-based therapy for children 10+ who need support with anxiety. You value autonomy, respect, and practical strategies that work in real life. My goal: a child who feels safe and confident—and a parent who feels clear, calm, and equipped.
My ideal client is a parent who wants to better understand and support their neurodivergent child with compassion—not control. You may be navigating daily power struggles, school stress, or growing anxiety. I help families create more calm and connection at home and offer CBT-based therapy for children 10+ who need support with anxiety. You value autonomy, respect, and practical strategies that work in real life. My goal: a child who feels safe and confident—and a parent who feels clear, calm, and equipped.
(217) 596-4292 View (217) 596-4292
Photo of Emily Hart, Associate Clinical Social Worker, ACSW
Emily Hart
Associate Clinical Social Worker, ACSW
San Carlos, CA 94070
Having the opportunity to assist someone on their journey of improving their mental health and reaching their goals is a privilege. I enjoy supporting people of all ages—including children, teens, and adults—as they navigate life transitions, anxiety (including social and school-based anxiety), depression, relationship struggles, low self-esteem, and traumatic life events. I specialize in working with youth, teens, and emerging adults and have experience providing therapy in school-based, community mental health, and a group private practice settings.
Having the opportunity to assist someone on their journey of improving their mental health and reaching their goals is a privilege. I enjoy supporting people of all ages—including children, teens, and adults—as they navigate life transitions, anxiety (including social and school-based anxiety), depression, relationship struggles, low self-esteem, and traumatic life events. I specialize in working with youth, teens, and emerging adults and have experience providing therapy in school-based, community mental health, and a group private practice settings.
(650) 594-6115 View (650) 594-6115
Photo of Stephanie Moody, Marriage & Family Therapist, MS, LMFT
Stephanie Moody
Marriage & Family Therapist, MS, LMFT
San Carlos, CA 94070
Are you feeling overwhelmed, anxious, or stuck? I'm here to help. As a dedicated therapist, I provide a warm and non-judgmental space where we can work together to explore your thoughts, feelings, and behaviors. Using evidence-based approaches, we'll develop practical strategies to help you overcome challenges and live a more fulfilling life. Whether you're dealing with stress, relationship issues, or personal growth, I'm committed to supporting you every step of the way. Take the first step towards positive change and contact me today. www.claritycounselingsc.com/team
Are you feeling overwhelmed, anxious, or stuck? I'm here to help. As a dedicated therapist, I provide a warm and non-judgmental space where we can work together to explore your thoughts, feelings, and behaviors. Using evidence-based approaches, we'll develop practical strategies to help you overcome challenges and live a more fulfilling life. Whether you're dealing with stress, relationship issues, or personal growth, I'm committed to supporting you every step of the way. Take the first step towards positive change and contact me today. www.claritycounselingsc.com/team
(650) 437-8832 View (650) 437-8832
Photo of Marilyn Jhung - For Therapists Facing Infidelity or Gaslighting, Clinical Social Work/Therapist, MSW, LCSW, C-PD
For Therapists Facing Infidelity or Gaslighting
Clinical Social Work/Therapist, MSW, LCSW, C-PD
2 Endorsed
Online Only
Ever been told by your partner: “Don’t use your therapy stuff on me!”, “Stop analyzing me—I’m not one of your clients!”, “Why don’t you take your own advice?!”, “You help everyone else, but you can’t even help yourself!" Even as a therapist/counselor, you can still find yourself in relationships that feel confusing, hurtful, or on the verge of falling apart. When infidelity, narcissistic dynamics, or hi-conflict patterns leave you doubting the future & yourself, it can feel disorienting—esp when you're used to helping others. You deserve a space where you don’t have to be the steady one—just a human, working through something real.
Ever been told by your partner: “Don’t use your therapy stuff on me!”, “Stop analyzing me—I’m not one of your clients!”, “Why don’t you take your own advice?!”, “You help everyone else, but you can’t even help yourself!" Even as a therapist/counselor, you can still find yourself in relationships that feel confusing, hurtful, or on the verge of falling apart. When infidelity, narcissistic dynamics, or hi-conflict patterns leave you doubting the future & yourself, it can feel disorienting—esp when you're used to helping others. You deserve a space where you don’t have to be the steady one—just a human, working through something real.
(424) 331-1039 View (424) 331-1039
Photo of Alexandra Hagnere, Marriage & Family Therapist, MS, LMFT
Alexandra Hagnere
Marriage & Family Therapist, MS, LMFT
Online Only
No matter where you are in life, what struggles you have, what things you’ve accomplished, what dreams you’re working towards, or what you’re looking to achieve you can always use a neutral party to support you through your journey.
No matter where you are in life, what struggles you have, what things you’ve accomplished, what dreams you’re working towards, or what you’re looking to achieve you can always use a neutral party to support you through your journey.
(650) 297-8063 View (650) 297-8063
Photo of Gia (Maria Regina) V. Reyes, Marriage & Family Therapist, MS, LMFT
Gia (Maria Regina) V. Reyes
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
I am Gia Reyes and I am a first-generation immigrant and mother. Knowing how overwhelming and uncomfortable life transitions can be, I provide a safe and nurturing space to process issues and life-changes, with the end-goal of achieving equilibrium in the pursuit of joy, happiness and contentment. Whether it is a teen struggling with anxieties and depression, or a couple separating, a career retirement or empty-nesting, we can find your life-purpose, at any age. I also have lived experience of how challenging it can be to move to another country, with perhaps conflicting values and traditions for the children.
I am Gia Reyes and I am a first-generation immigrant and mother. Knowing how overwhelming and uncomfortable life transitions can be, I provide a safe and nurturing space to process issues and life-changes, with the end-goal of achieving equilibrium in the pursuit of joy, happiness and contentment. Whether it is a teen struggling with anxieties and depression, or a couple separating, a career retirement or empty-nesting, we can find your life-purpose, at any age. I also have lived experience of how challenging it can be to move to another country, with perhaps conflicting values and traditions for the children.
(650) 663-5089 View (650) 663-5089
Photo of Souhad Chbeir, Licensed Professional Clinical Counselor, LPCC
Souhad Chbeir
Licensed Professional Clinical Counselor, LPCC
San Carlos, CA 94070
I have devoted my career to fostering emotional healing, resilience, and dignity in individuals and communities navigating profound life challenges. My therapeutic approach centers on empowering clients, nurturing resilience, and guiding toward deeper insight and understanding of their life experiences. My approach is rooted in holistic care and fostering meaningful growth. At the heart of my practice are four guiding pillars that shape a strong and successful therapeutic alliance: collaboration, empowerment, trust, and safe space. Ready to get started? Click on my website to book your first session—no need to call or email!
I have devoted my career to fostering emotional healing, resilience, and dignity in individuals and communities navigating profound life challenges. My therapeutic approach centers on empowering clients, nurturing resilience, and guiding toward deeper insight and understanding of their life experiences. My approach is rooted in holistic care and fostering meaningful growth. At the heart of my practice are four guiding pillars that shape a strong and successful therapeutic alliance: collaboration, empowerment, trust, and safe space. Ready to get started? Click on my website to book your first session—no need to call or email!
(650) 640-0466 View (650) 640-0466
Photo of Maria Moran, Psychologist, PsyD
Maria Moran
Psychologist, PsyD
San Carlos, CA 94070
Most people experience challenges at some point in their lives. Sometimes these challenges can be too overwhelming to tackle on our own. Whether it is facing difficult issues related to past or recent experiences, conflicted relationships, parenting, personal habits, health or employment, finding the courage and pathway to make positive changes through therapy and counseling can lead to a life full of health, wellness and growth.
Most people experience challenges at some point in their lives. Sometimes these challenges can be too overwhelming to tackle on our own. Whether it is facing difficult issues related to past or recent experiences, conflicted relationships, parenting, personal habits, health or employment, finding the courage and pathway to make positive changes through therapy and counseling can lead to a life full of health, wellness and growth.
(650) 741-4105 View (650) 741-4105
Photo of Nathaniel Silveira-Pyzik, Licensed Professional Clinical Counselor, MA, LPCC, BC-DMT
Nathaniel Silveira-Pyzik
Licensed Professional Clinical Counselor, MA, LPCC, BC-DMT
1 Endorsed
San Carlos, CA 94070
Are you finding it more difficult than usual to cope with life stressors or manage anxiety? Or are you searching for ways to take action to live a more meaningful, fulfilled life? I can help you get more specific with what is not working, identify the underlying thoughts and emotions, and find ways to access your inner wisdom in order to live a more balanced, healthy life. You know yourself best and are in the driver’s seat. I can support you along your path by reflecting back strengths and growth opportunities coupled with clinical tools to strengthen your skills and resources.
Are you finding it more difficult than usual to cope with life stressors or manage anxiety? Or are you searching for ways to take action to live a more meaningful, fulfilled life? I can help you get more specific with what is not working, identify the underlying thoughts and emotions, and find ways to access your inner wisdom in order to live a more balanced, healthy life. You know yourself best and are in the driver’s seat. I can support you along your path by reflecting back strengths and growth opportunities coupled with clinical tools to strengthen your skills and resources.
(650) 275-6270 View (650) 275-6270
Photo of Sarah L Adut, Psychologist, PhD, DBSM
Sarah L Adut
Psychologist, PhD, DBSM
Online Only
Maybe your mind won't shut off at night. Maybe you've been struggling to sleep well for months or years. Or maybe you can fall asleep perfectly fine, only not until 3 AM, making it hard to function at work and during the day. Maybe nightmares damage your sleep and mood. Maybe you're just tired of being tired. While these problems are painful, excellent therapies exist to treat them. If you would like to build deep understanding of how your mind and body work, and are willing to experiment with changing your habits, then I'm glad you've found my profile.
Maybe your mind won't shut off at night. Maybe you've been struggling to sleep well for months or years. Or maybe you can fall asleep perfectly fine, only not until 3 AM, making it hard to function at work and during the day. Maybe nightmares damage your sleep and mood. Maybe you're just tired of being tired. While these problems are painful, excellent therapies exist to treat them. If you would like to build deep understanding of how your mind and body work, and are willing to experiment with changing your habits, then I'm glad you've found my profile.
(650) 609-9906 View (650) 609-9906
Photo of Paisley Robbins, Clinical Social Work/Therapist, LCSW
Paisley Robbins
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I trust in your capacity to heal. YOU are the expert in your healing. I will encourage you to listen to your body’s wisdom and authentic inner messages, guiding you to a more meaningful understanding of your experience. I will be a witness to your ever-evolving process, highlighting your strengths and internal resources along the way.
I trust in your capacity to heal. YOU are the expert in your healing. I will encourage you to listen to your body’s wisdom and authentic inner messages, guiding you to a more meaningful understanding of your experience. I will be a witness to your ever-evolving process, highlighting your strengths and internal resources along the way.
(650) 640-0427 View (650) 640-0427
Photo of Catharine Williams, Marriage & Family Therapist, LMFT
Catharine Williams
Marriage & Family Therapist, LMFT
San Carlos, CA 94070
Are you feeling overwhelmed, anxious, or stuck? I'm here to help. I am passionate about helping clients develop the skills to live fulfilling lives. I engage clients with a warm, empathic, and active therapy style, helping clients reach their goals by providing clinical expertise, education, and compassion in a non-judgmental space. I bring a trauma-informed, client-centered, attachment-focused lens to therapy. I specialize in anxiety, depression, trauma, ADHD, motherhood, ASD, and my experience includes work with emerging adults and their parents in transition towards independence, self-assurance, and identity exploration.
Are you feeling overwhelmed, anxious, or stuck? I'm here to help. I am passionate about helping clients develop the skills to live fulfilling lives. I engage clients with a warm, empathic, and active therapy style, helping clients reach their goals by providing clinical expertise, education, and compassion in a non-judgmental space. I bring a trauma-informed, client-centered, attachment-focused lens to therapy. I specialize in anxiety, depression, trauma, ADHD, motherhood, ASD, and my experience includes work with emerging adults and their parents in transition towards independence, self-assurance, and identity exploration.
(650) 770-8812 View (650) 770-8812

See more therapy options for San Carlos

How does your Therapist compare?

Number of Therapists in San Carlos, CA

100+

Average cost per session

$200

Therapists in San Carlos, CA who prioritize treating:

97% Anxiety
88% Depression
82% Relationship Issues
74% Self Esteem
72% Stress
70% Coping Skills
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

66% Other
49% Aetna
44% Cigna and Evernorth

How Therapists in San Carlos, CA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in San Carlos?

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.