Therapists in San Diego, CA

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Photo of Alice Lim, Psychologist, PsyD
Alice Lim
Psychologist, PsyD
2 Endorsed
San Diego, CA 92103
I am a psychologist, licensed in NYS and CA, offering individual and group teletherapy to adolescents and young adults in both states. I also offer walk talk therapy in San Diego, CA.
I am a psychologist, licensed in NYS and CA, offering individual and group teletherapy to adolescents and young adults in both states. I also offer walk talk therapy in San Diego, CA.
(619) 949-3591 View (619) 949-3591
Photo of Connor Seidler, Marriage & Family Therapist, LMFT
Connor Seidler
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Connor Seidler MS LMFT 146060, I have been practicing therapy for the past 7 years. I have a strong basis in systemic therapy, with a particular area of focus in relational therapy. I operate from Narrative Therapy, Internal Family Systems, and Emotion Focused Therapy in my practice. My hope is that I can contribute towards individuals and relationships building insight and moving towards the change they wish to see in their life.
Hello, my name is Connor Seidler MS LMFT 146060, I have been practicing therapy for the past 7 years. I have a strong basis in systemic therapy, with a particular area of focus in relational therapy. I operate from Narrative Therapy, Internal Family Systems, and Emotion Focused Therapy in my practice. My hope is that I can contribute towards individuals and relationships building insight and moving towards the change they wish to see in their life.
(747) 277-8543 View (747) 277-8543
Photo of Andrea Bosman, Marriage & Family Therapist Associate, AMFT
Andrea Bosman
Marriage & Family Therapist Associate, AMFT
3 Endorsed
Online Only
Hi, I’m Andrea! I provide a warm, grounded, and gently direct space for teens, young adults, and couples to explore thoughts, feelings, and patterns that may be holding them back. I specialize in supporting clients struggling with anxiety, emotional overwhelm, life transitions, identity exploration, and religious or spiritual concerns. I believe therapy is a place to process as you are, a space to face hard truths, build resilience, and stay true to yourself while finding lasting hope and healing. It’s a place to process, to vent, to cope, and to simply be.
Hi, I’m Andrea! I provide a warm, grounded, and gently direct space for teens, young adults, and couples to explore thoughts, feelings, and patterns that may be holding them back. I specialize in supporting clients struggling with anxiety, emotional overwhelm, life transitions, identity exploration, and religious or spiritual concerns. I believe therapy is a place to process as you are, a space to face hard truths, build resilience, and stay true to yourself while finding lasting hope and healing. It’s a place to process, to vent, to cope, and to simply be.
(858) 946-4284 View (858) 946-4284
Photo of Caitanya Cook, Clinical Social Work/Therapist, LCSW
Caitanya Cook
Clinical Social Work/Therapist, LCSW
2 Endorsed
San Diego, CA 92104
Let’s be real: You’ve been through some shit. You’ve carried so much—navigating trauma, addiction, and challenges that most people can’t even begin to understand. You deserve a space where you don’t have to explain or justify your experiences—a space where you are seen, heard, and supported without judgment about your past. That’s exactly why I do this. As a Clinical Director and Licensed Therapist, I work with individuals who feel stuck, misunderstood, and underestimated. Trauma survivors, sex workers, people in recovery, and high-functioning people who are falling apart to heal without giving up who you are.
Let’s be real: You’ve been through some shit. You’ve carried so much—navigating trauma, addiction, and challenges that most people can’t even begin to understand. You deserve a space where you don’t have to explain or justify your experiences—a space where you are seen, heard, and supported without judgment about your past. That’s exactly why I do this. As a Clinical Director and Licensed Therapist, I work with individuals who feel stuck, misunderstood, and underestimated. Trauma survivors, sex workers, people in recovery, and high-functioning people who are falling apart to heal without giving up who you are.
(619) 505-2697 View (619) 505-2697
Photo of Jennifer Lundy-Aguerre - Positive Change Counseling Center, Marriage & Family Therapist, MFT, PsyD, LCSW, LPCC
Positive Change Counseling Center
Marriage & Family Therapist, MFT, PsyD, LCSW, LPCC
4 Endorsed
San Diego, CA 92117
We look forward to working with you to reach your goals in therapy. Our compassionate therapists are trained in solution-focused, evidence-based practices to help you meet your goals. Whether you would like to attend therapy on your own, with your partner or spouse, as a family, or have your child participate, our therapists are ready to support you. You can be rest assured you are entering a non-judgmental and discrete environment when you walk through our door. Call us today to begin making positive changes in your life.
We look forward to working with you to reach your goals in therapy. Our compassionate therapists are trained in solution-focused, evidence-based practices to help you meet your goals. Whether you would like to attend therapy on your own, with your partner or spouse, as a family, or have your child participate, our therapists are ready to support you. You can be rest assured you are entering a non-judgmental and discrete environment when you walk through our door. Call us today to begin making positive changes in your life.
(619) 733-6414 View (619) 733-6414
Photo of Pia Khandekar, Psychologist, PsyD
Pia Khandekar
Psychologist, PsyD
3 Endorsed
San Diego, CA 92108
Do you find your mind racing, unable to focus, or replaying past experiences over and over? Are you feeling overwhelmed by stress, exhausted by professional burnout, or weighed down by depression and anxiety? Finding relief from your symptoms is a real possibility. Together, in therapy we can develop practical and effective strategies to help you move forward with confidence and strength. Psychotherapy is designed to help you find clarity, build resilience, and achieve lasting freedom from worry. Let's work together to help you find the path to true contentment and emotional wellbeing.
Do you find your mind racing, unable to focus, or replaying past experiences over and over? Are you feeling overwhelmed by stress, exhausted by professional burnout, or weighed down by depression and anxiety? Finding relief from your symptoms is a real possibility. Together, in therapy we can develop practical and effective strategies to help you move forward with confidence and strength. Psychotherapy is designed to help you find clarity, build resilience, and achieve lasting freedom from worry. Let's work together to help you find the path to true contentment and emotional wellbeing.
(858) 923-5102 View (858) 923-5102
Photo of Dr. Hedieh Azadmehr, Psychologist, PhD, SEP
Dr. Hedieh Azadmehr
Psychologist, PhD, SEP
1 Endorsed
San Diego, CA 92130
Do traumas from the past hold you back? Are you stuck in addiction and tired of stigmas and judgments? Every time you tried to change, the intrusive negative thoughts and anxiety overwhelm you. it's so scary to think about sharing your secrets with a stranger. I understand how traumatic past experience sets a limit on individuals ability to deal with stress, where the drugs become the solution and how the two are connected. Whether you are struggling with addition, rejection or loss, abuse or trauma, I am here to help. I integrate various therapeutic modalities to tailor treatment based on every individual's unique needs.
Do traumas from the past hold you back? Are you stuck in addiction and tired of stigmas and judgments? Every time you tried to change, the intrusive negative thoughts and anxiety overwhelm you. it's so scary to think about sharing your secrets with a stranger. I understand how traumatic past experience sets a limit on individuals ability to deal with stress, where the drugs become the solution and how the two are connected. Whether you are struggling with addition, rejection or loss, abuse or trauma, I am here to help. I integrate various therapeutic modalities to tailor treatment based on every individual's unique needs.
(858) 758-4409 View (858) 758-4409
Photo of Karly Worth, Associate Professional Clinical Counselor, MA, APCC
Karly Worth
Associate Professional Clinical Counselor, MA, APCC
2 Endorsed
San Diego, CA 92109
I enjoy working with motivated and ambitious couples and individuals who are willing to put in the time and effort that it takes to work on themselves. I believe that starting therapy takes courage; it shows that a person wants more for themselves, their relationship, and their partner. You may have struggled with expressing your needs or advocating for yourself in the past – I can help you to better understand your needs and learn to set boundaries when stress feels unbearable.
I enjoy working with motivated and ambitious couples and individuals who are willing to put in the time and effort that it takes to work on themselves. I believe that starting therapy takes courage; it shows that a person wants more for themselves, their relationship, and their partner. You may have struggled with expressing your needs or advocating for yourself in the past – I can help you to better understand your needs and learn to set boundaries when stress feels unbearable.
(619) 344-8819 View (619) 344-8819
Photo of Amy Woh, Marriage & Family Therapist, MA, LMFT
Amy Woh
Marriage & Family Therapist, MA, LMFT
1 Endorsed
San Diego, CA 92104
On the outside, your life might look put together—job, education, relationships. But inside, it can feel very different. You may be carrying stress, anxiety, depression, or the lingering pain of past experiences. I work with individuals, often those of Asian ancestry, who are trying to navigate the tension between cultural/familial/societal expectations, and their own needs and values.
On the outside, your life might look put together—job, education, relationships. But inside, it can feel very different. You may be carrying stress, anxiety, depression, or the lingering pain of past experiences. I work with individuals, often those of Asian ancestry, who are trying to navigate the tension between cultural/familial/societal expectations, and their own needs and values.
(619) 268-8227 View (619) 268-8227
Photo of Kelley Flanagan, Licensed Professional Clinical Counselor, LPCC
Kelley Flanagan
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi! I am Kelley Flanagan I am an LPCC (licensed professional clinical counselor) in the beautiful state of California. I believe that therapy is a collaborative process and being an LPCC allows me to integrate evidence-based practices to help guide individuals, couples, and families looking for their own path to self-fulfillment.
Hi! I am Kelley Flanagan I am an LPCC (licensed professional clinical counselor) in the beautiful state of California. I believe that therapy is a collaborative process and being an LPCC allows me to integrate evidence-based practices to help guide individuals, couples, and families looking for their own path to self-fulfillment.
(341) 221-3892 View (341) 221-3892
Photo of Fareed Mangisto, Marriage & Family Therapist, LMFT
Fareed Mangisto
Marriage & Family Therapist, LMFT
Online Only
Hi there, my name is Fareed Mangisto, and I am a licensed Marriage and Family Therapist based in San Diego, California, and working with clients statewide via telehealth. I work with children (5 years and up), young adults, and adult population, specializing in anxiety, depression, stress-related issues, and relationships. I work with my clients to help them address these issues, find solutions, develop effective coping techs, and address the roots of the matter from different directions to improve their quality of life and well-being.
Hi there, my name is Fareed Mangisto, and I am a licensed Marriage and Family Therapist based in San Diego, California, and working with clients statewide via telehealth. I work with children (5 years and up), young adults, and adult population, specializing in anxiety, depression, stress-related issues, and relationships. I work with my clients to help them address these issues, find solutions, develop effective coping techs, and address the roots of the matter from different directions to improve their quality of life and well-being.
(747) 588-7536 View (747) 588-7536
Photo of Mary Ann Godefroy, Licensed Professional Clinical Counselor, Ed.S, LPCC, LPC
Mary Ann Godefroy
Licensed Professional Clinical Counselor, Ed.S, LPCC, LPC
Online Only
As a licensed therapist in California and New Jersey, my psychotherapy practice centers on my commitment to maintain a supportive, non-judgmental space where clients can explore their experiences, develop effective coping strategies, and cultivate deeper self-awareness. I have extensive experience supporting clients through diverse challenges including workplace stress, midlife transitions, young adult development, trauma recovery, and interpersonal relationship challenges. I specialize in addressing depression, anxiety, relationship dynamics, stress management, substance abuse/addiction with compassionate, person-centered approach.
As a licensed therapist in California and New Jersey, my psychotherapy practice centers on my commitment to maintain a supportive, non-judgmental space where clients can explore their experiences, develop effective coping strategies, and cultivate deeper self-awareness. I have extensive experience supporting clients through diverse challenges including workplace stress, midlife transitions, young adult development, trauma recovery, and interpersonal relationship challenges. I specialize in addressing depression, anxiety, relationship dynamics, stress management, substance abuse/addiction with compassionate, person-centered approach.
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Photo of Courtney Salamone, Marriage & Family Therapist, LMFT
Courtney Salamone
Marriage & Family Therapist, LMFT
3 Endorsed
San Diego, CA 92102
Are you feeling tired of being so hard on yourself? Maybe you’re finding it difficult to feel confident in your everyday life. You second-guess your decisions, hesitate to speak up, or shrink your needs to keep the peace in your relationships. Feeling unsure of yourself is exhausting. When the inner critic starts to get louder, it can affect everything from your daily mood to the choices you make. Maybe you’ve been pushing through on your own, but now you’re ready for support.
Are you feeling tired of being so hard on yourself? Maybe you’re finding it difficult to feel confident in your everyday life. You second-guess your decisions, hesitate to speak up, or shrink your needs to keep the peace in your relationships. Feeling unsure of yourself is exhausting. When the inner critic starts to get louder, it can affect everything from your daily mood to the choices you make. Maybe you’ve been pushing through on your own, but now you’re ready for support.
(858) 943-4456 View (858) 943-4456
Photo of Greta Mueller, Marriage & Family Therapist Associate, MA, AMFT
Greta Mueller
Marriage & Family Therapist Associate, MA, AMFT
2 Endorsed
San Diego, CA 92108
You might be holding it all together on the outside, going to work, highschool, or college, showing up for friends and family, yet inside wondering, “Is this really it?” Maybe you’re navigating relationship struggles, self-doubt, or the pressure to do it all perfectly. Life transitions can feel exciting and overwhelming at the same time. You want to feel more confident and connected to yourself, but it’s hard to quiet the swirl in your head, manage the stress, and fully trust your own voice. Therapy can be a place to sort through the noise, pause, and reconnect with what matters most to you.
You might be holding it all together on the outside, going to work, highschool, or college, showing up for friends and family, yet inside wondering, “Is this really it?” Maybe you’re navigating relationship struggles, self-doubt, or the pressure to do it all perfectly. Life transitions can feel exciting and overwhelming at the same time. You want to feel more confident and connected to yourself, but it’s hard to quiet the swirl in your head, manage the stress, and fully trust your own voice. Therapy can be a place to sort through the noise, pause, and reconnect with what matters most to you.
(619) 367-7595 View (619) 367-7595
Photo of Tonsinetta James, Clinical Social Work/Therapist, LCSW
Tonsinetta James
Clinical Social Work/Therapist, LCSW
Online Only
Ms. James is a licensed therapist at Bonmente, a full-service mental health clinic that offers online appointments, accepts insurance (Aetna, Anthem, Blue Cross, Cigna, United, and more), and has same-week appointments available. She has extensive expertise in clinical assessment, psychotherapy, crisis intervention, and program management for clients with complex mental health, trauma, and substance use disorders. She has served as an adjunct professor at the USC Suzanne Dworak-Peck School of Social Work and is recognized for her ethical practice, strong leadership, and commitment to delivering high-quality, evidence-based care.
Ms. James is a licensed therapist at Bonmente, a full-service mental health clinic that offers online appointments, accepts insurance (Aetna, Anthem, Blue Cross, Cigna, United, and more), and has same-week appointments available. She has extensive expertise in clinical assessment, psychotherapy, crisis intervention, and program management for clients with complex mental health, trauma, and substance use disorders. She has served as an adjunct professor at the USC Suzanne Dworak-Peck School of Social Work and is recognized for her ethical practice, strong leadership, and commitment to delivering high-quality, evidence-based care.
(619) 759-5113 View (619) 759-5113
Photo of Margarita McFadden, Associate Professional Clinical Counselor, APCC
Margarita McFadden
Associate Professional Clinical Counselor, APCC
2 Endorsed
San Diego, CA 92119
For many of us, seasons of life can come when it feels like everything is falling apart. In those seasons we all deserve a soft place to land. Therapy can be that place. And you deserve a therapist who sees, hears, and understands you. I believe that establishing a good working relationship with you requires acknowledging who I am and how I see the world. As a queer, multicultural Chicana and White woman, born and raised in San Diego (unceded Kumeyaay territory), my identities and lived experiences inform my approach to therapy.
For many of us, seasons of life can come when it feels like everything is falling apart. In those seasons we all deserve a soft place to land. Therapy can be that place. And you deserve a therapist who sees, hears, and understands you. I believe that establishing a good working relationship with you requires acknowledging who I am and how I see the world. As a queer, multicultural Chicana and White woman, born and raised in San Diego (unceded Kumeyaay territory), my identities and lived experiences inform my approach to therapy.
(619) 598-1567 View (619) 598-1567
Photo of Russell Leedy, MA, LEP, PPS
Russell Leedy
Verified Verified
San Diego, CA 92103
I typically work with teenagers who struggle with anxiety, depression, anger, and family issues. As someone who grew up with a diverse set of interests and hobbies, but also clinical anxiety and OCD, early on I learned the benefit of having a trusted person to go to for objective advice. I try to pass on what I've learned through a life of ups and downs, and do it in a relatable and welcoming way. I've spent many years working in schools helping to normalize the private struggles that kids carry and I've found an immense amount of joy in getting to help both them and their families get to a better place.
I typically work with teenagers who struggle with anxiety, depression, anger, and family issues. As someone who grew up with a diverse set of interests and hobbies, but also clinical anxiety and OCD, early on I learned the benefit of having a trusted person to go to for objective advice. I try to pass on what I've learned through a life of ups and downs, and do it in a relatable and welcoming way. I've spent many years working in schools helping to normalize the private struggles that kids carry and I've found an immense amount of joy in getting to help both them and their families get to a better place.
(619) 353-9917 View (619) 353-9917
Photo of Sue Boyd, Clinical Social Work/Therapist, LCSW, BCD
Sue Boyd
Clinical Social Work/Therapist, LCSW, BCD
9 Endorsed
San Diego, CA 92108
Are you a parent who is struggling with your child or teen? Does your child or teen have out of control or really big behaviors? Do they self harm or have suicidal thoughts? Do you want your family back? I can help. I work with parents through a type of therapy called Dialectical Behavior Therapy (DBT) to help them help their children and teens. My team of therapists work directly with the children and teens to help them gain emotional & behavioral control, & I work with parents to help them get their life back. We provide much more than traditional talk therapy & we help you get results!
Are you a parent who is struggling with your child or teen? Does your child or teen have out of control or really big behaviors? Do they self harm or have suicidal thoughts? Do you want your family back? I can help. I work with parents through a type of therapy called Dialectical Behavior Therapy (DBT) to help them help their children and teens. My team of therapists work directly with the children and teens to help them gain emotional & behavioral control, & I work with parents to help them get their life back. We provide much more than traditional talk therapy & we help you get results!
(619) 787-6676 View (619) 787-6676
Photo of Alexis Zepeda, Marriage & Family Therapist Associate, AMFT
Alexis Zepeda
Marriage & Family Therapist Associate, AMFT
1 Endorsed
San Diego, CA 92117
Hello, I'm Alexis. I'm passionate about working with diverse populations, including children, teens, adults, families, and couples. I am dedicated to creating a safe, supportive, and positive therapeutic environment where clients feel heard, understood, and empowered. I work collaboratively with clients to develop individualized coping skills and practical tools tailored to each client’s unique needs, strengths, and goals. I have experience working with children, teens, families, and adults, including those experiencing depression, anxiety, life stressors and neurodiversity. ​
Hello, I'm Alexis. I'm passionate about working with diverse populations, including children, teens, adults, families, and couples. I am dedicated to creating a safe, supportive, and positive therapeutic environment where clients feel heard, understood, and empowered. I work collaboratively with clients to develop individualized coping skills and practical tools tailored to each client’s unique needs, strengths, and goals. I have experience working with children, teens, families, and adults, including those experiencing depression, anxiety, life stressors and neurodiversity. ​
(858) 943-3852 View (858) 943-3852
Photo of Lauren Hoover, Marriage & Family Therapist, LMFT
Lauren Hoover
Marriage & Family Therapist, LMFT
Online Only
Therapy can feel daunting at times, and my goal is to create a welcoming space where you feel comfortable and supported from the moment we begin. I strive to offer a warm, non-judgmental environment that encourages open and honest conversation. I aim to help you connect with your thoughts and emotions in a way that fosters self-compassion, while providing the tools you need to live your most authentic and fulfilling life. Clients I primarily work with are wanting to navigate: Anxiety, Depression, Trauma, stress, Sex/Sexuality/Gender Expression, identity development, developing healthy relationships, and navigating life transitions.
Therapy can feel daunting at times, and my goal is to create a welcoming space where you feel comfortable and supported from the moment we begin. I strive to offer a warm, non-judgmental environment that encourages open and honest conversation. I aim to help you connect with your thoughts and emotions in a way that fosters self-compassion, while providing the tools you need to live your most authentic and fulfilling life. Clients I primarily work with are wanting to navigate: Anxiety, Depression, Trauma, stress, Sex/Sexuality/Gender Expression, identity development, developing healthy relationships, and navigating life transitions.
(858) 786-0152 View (858) 786-0152

See more therapy options for San Diego

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$175

Therapists in San Diego, CA who prioritize treating:

92% Anxiety
86% Depression
71% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
66% Stress
59% Grief

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
72% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% Online Only
45% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Diego?

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.