Therapists in San Diego, CA

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Photo of Stephanie Rosenfeld - Clear Mind Counseling San Diego, Marriage & Family Therapist, LMFT, MA
Clear Mind Counseling San Diego
Marriage & Family Therapist, LMFT, MA
1 Endorsed
San Diego, CA 92122
The best approach to mental well-being is simple: consistent, incremental change coupled with healthy thoughts leads to a more satisfying life. Changing the way we act affects the way we feel and the way we view ourselves. When working with me, you are guided towards intentional living and healthy thought processes. You are given a blueprint to follow that takes the guesswork out of change. You’ll be given straightforward instruction that enables you to create a better life for yourself! By focusing on changing your behavior instead of analyzing emotions, you can more quickly find relief, and start living well.
The best approach to mental well-being is simple: consistent, incremental change coupled with healthy thoughts leads to a more satisfying life. Changing the way we act affects the way we feel and the way we view ourselves. When working with me, you are guided towards intentional living and healthy thought processes. You are given a blueprint to follow that takes the guesswork out of change. You’ll be given straightforward instruction that enables you to create a better life for yourself! By focusing on changing your behavior instead of analyzing emotions, you can more quickly find relief, and start living well.
(858) 943-3120 View (858) 943-3120
Photo of Allison Delgado, Pre-Licensed Professional, AMFT
Allison Delgado
Pre-Licensed Professional, AMFT
Online Only
Therapy is so much more than the act of talking and assessing the mind. Therapy is a limitless place to explore one’s own reality and how it relates to others, and the world. Therapy can be found in somatic expression, in various forms of art, in connection with nature, and in the healing of self, and relationship with others. As an environmentalist, practitioner of yoga, and dancer, I value both traditional and alternative forms of healing that focus on the utmost well-being of the client(s).
Therapy is so much more than the act of talking and assessing the mind. Therapy is a limitless place to explore one’s own reality and how it relates to others, and the world. Therapy can be found in somatic expression, in various forms of art, in connection with nature, and in the healing of self, and relationship with others. As an environmentalist, practitioner of yoga, and dancer, I value both traditional and alternative forms of healing that focus on the utmost well-being of the client(s).
(619) 598-1245 View (619) 598-1245
Photo of Taylor Tica, Licensed Professional Clinical Counselor, MA, LPCC
Taylor Tica
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
Online Only
Now Accepting Clients! It’s easy to feel like you have to have it all together, especially when the world expects excellence from you. But even the strongest individuals need a safe place to land. I believe you already have the tools for growth within you, sometimes you just need a compassionate, judgment-free space to find them. Whether you are navigating a difficult season or striving to reach new personal heights, I am here to walk alongside you. Let’s explore your story together and turn your inner "noise" into clarity and satisfaction.
Now Accepting Clients! It’s easy to feel like you have to have it all together, especially when the world expects excellence from you. But even the strongest individuals need a safe place to land. I believe you already have the tools for growth within you, sometimes you just need a compassionate, judgment-free space to find them. Whether you are navigating a difficult season or striving to reach new personal heights, I am here to walk alongside you. Let’s explore your story together and turn your inner "noise" into clarity and satisfaction.
(619) 373-1850 View (619) 373-1850
Photo of Jessica Cruz, Marriage & Family Therapist, LMFT, LPCC
Jessica Cruz
Marriage & Family Therapist, LMFT, LPCC
San Diego, CA 92123
You don’t have to keep living inside the patterns that once kept you safe. For many of us raised between cultures, love was learned through silence, self-sacrifice, or survival. As a second-generation Asian American therapist, I honor the grief, loyalty, and tenderness carried across generations. I walk alongside AAPI and immigrant clients as they soften old defenses, make sense of inherited stories, and slowly reconnect with parts of themselves that long to feel safe, seen, and held.
You don’t have to keep living inside the patterns that once kept you safe. For many of us raised between cultures, love was learned through silence, self-sacrifice, or survival. As a second-generation Asian American therapist, I honor the grief, loyalty, and tenderness carried across generations. I walk alongside AAPI and immigrant clients as they soften old defenses, make sense of inherited stories, and slowly reconnect with parts of themselves that long to feel safe, seen, and held.
(858) 264-2318 View (858) 264-2318
Photo of Erel Ben Ishai - Erel Ben Ishai @ Grow Through Life Counseling, Associate Professional Clinical Counselor, APCC
Erel Ben Ishai @ Grow Through Life Counseling
Associate Professional Clinical Counselor, APCC
1 Endorsed
San Diego, CA 92131
Many of my clients come to therapy wanting to better understand themselves, strengthen relationships, and build confidence in handling life’s challenges. They may be seeking support for their children, teens, or family as they navigate stress, emotions, or changes at home or school. I offer a supportive, client-centered space where we can explore challenges and uncover strengths. Drawing from approaches such as CBT, DBT, solution-focused strategies, and play and art-based interventions, I tailor sessions to each person’s needs and goals.
Many of my clients come to therapy wanting to better understand themselves, strengthen relationships, and build confidence in handling life’s challenges. They may be seeking support for their children, teens, or family as they navigate stress, emotions, or changes at home or school. I offer a supportive, client-centered space where we can explore challenges and uncover strengths. Drawing from approaches such as CBT, DBT, solution-focused strategies, and play and art-based interventions, I tailor sessions to each person’s needs and goals.
(858) 463-3679 View (858) 463-3679
Photo of Jinhui Kiang - Riverstone Educational and Psychological Services, Psychologist, EdS
雨花石专注于中英文双语的心理教育评估和独立教育评估 (IEE),帮助家庭深入了解孩子在学习与行为方面的需求,如注意力缺陷多动障碍 (ADHD)、自闭症和阅各种学习障碍。我们的目标是提供具文化敏感性且精准的评估,支持学生并引导家庭顺利参与 IEP 过程。 Riverstone specializes in bilingual (English–Mandarin) psychoeducational assessments and Independent Educational Evaluations (IEEs), helping families gain clarity on learning and behavioral needs such as ADHD, autism, and dyslexia. Our goal is to provide culturally responsive, accurate evaluations that support students and guide families through the IEP process.
雨花石专注于中英文双语的心理教育评估和独立教育评估 (IEE),帮助家庭深入了解孩子在学习与行为方面的需求,如注意力缺陷多动障碍 (ADHD)、自闭症和阅各种学习障碍。我们的目标是提供具文化敏感性且精准的评估,支持学生并引导家庭顺利参与 IEP 过程。 Riverstone specializes in bilingual (English–Mandarin) psychoeducational assessments and Independent Educational Evaluations (IEEs), helping families gain clarity on learning and behavioral needs such as ADHD, autism, and dyslexia. Our goal is to provide culturally responsive, accurate evaluations that support students and guide families through the IEP process.
(619) 489-8814 View (619) 489-8814
Photo of Loretta Lowery, Clinical Social Work/Therapist, LCSW
Loretta Lowery
Clinical Social Work/Therapist, LCSW
San Diego, CA 92108
If you're looking for support and guidance through a challenging time or you are contemplating making a change and want to explore moving in a new direction in your life, therapy is a great first step. I have 30+ years of experience working with individuals to help them get a better understanding of the issues and challenges that are creating difficulties in their lives. With compassion, warmth and a safe environment, we will work together identifying issues, gaining insights into unhealthy patterns, setting goals for the future and making the changes you desire for a more fulfilling life.
If you're looking for support and guidance through a challenging time or you are contemplating making a change and want to explore moving in a new direction in your life, therapy is a great first step. I have 30+ years of experience working with individuals to help them get a better understanding of the issues and challenges that are creating difficulties in their lives. With compassion, warmth and a safe environment, we will work together identifying issues, gaining insights into unhealthy patterns, setting goals for the future and making the changes you desire for a more fulfilling life.
(619) 663-5972 View (619) 663-5972
Photo of Hannah Orton, Marriage & Family Therapist Associate, AMFT
Hannah Orton
Marriage & Family Therapist Associate, AMFT
Online Only
Hello! My name is Hannah Orton. I am an Associate Marriage & Family Therapist working with A Place of Growth. I value working with individuals who are seeking support, growth, & healing.
Hello! My name is Hannah Orton. I am an Associate Marriage & Family Therapist working with A Place of Growth. I value working with individuals who are seeking support, growth, & healing.
(858) 519-8002 View (858) 519-8002
Photo of Michelle Cambi, Marriage & Family Therapist, LMFT
Michelle Cambi
Marriage & Family Therapist, LMFT
Online Only
Starting therapy is a brave step, and I want to honor that courage right from the beginning. Whether you're navigating a major life transition, coping with a new chronic illness diagnosis, adjusting to the unique challenges of military spouse life, or dealing with anxiety, depression, trauma, or grief, you don’t have to face it alone. As a therapist, I take a client-centered and collaborative approach. That means I believe you are the expert on your own life, and I’m here to walk alongside you as a guide and support system.
Starting therapy is a brave step, and I want to honor that courage right from the beginning. Whether you're navigating a major life transition, coping with a new chronic illness diagnosis, adjusting to the unique challenges of military spouse life, or dealing with anxiety, depression, trauma, or grief, you don’t have to face it alone. As a therapist, I take a client-centered and collaborative approach. That means I believe you are the expert on your own life, and I’m here to walk alongside you as a guide and support system.
(949) 919-5529 View (949) 919-5529
Photo of Jana Crosby, Marriage & Family Therapist, MS, LMFT
Jana Crosby
Marriage & Family Therapist, MS, LMFT
San Diego, CA 92108
I specialize in the treatment of anxiety, obsessive compulsive disorder, eating disorders, self esteem, somatic issues, and/or life transitions in adults ages 18-40. Do you feel stressed, insecure, or ashamed, constantly battling with intrusive thoughts or impulses that you may not even entirely believe, but still can't seem to let go of? Are you feeling stuck in a trap of perfectionism, alone with high levels of emotional or physical pain, confused about sense of self or life direction, or wondering why your relationships aren't as fulfilling as you'd like? If so, we might be a good match to explore potential therapy together.
I specialize in the treatment of anxiety, obsessive compulsive disorder, eating disorders, self esteem, somatic issues, and/or life transitions in adults ages 18-40. Do you feel stressed, insecure, or ashamed, constantly battling with intrusive thoughts or impulses that you may not even entirely believe, but still can't seem to let go of? Are you feeling stuck in a trap of perfectionism, alone with high levels of emotional or physical pain, confused about sense of self or life direction, or wondering why your relationships aren't as fulfilling as you'd like? If so, we might be a good match to explore potential therapy together.
(619) 650-6834 View (619) 650-6834
Photo of Teresa Manns, Marriage & Family Therapist, LMFT
Teresa Manns
Marriage & Family Therapist, LMFT
Online Only
Anxiety, depression, or trauma can make each day feel like an uphill climb, often leaving you overwhelmed, detached, or stuck in painful memories. If you're feeling weighed down by stress, struggling to manage emotions, or finding it hard to move forward, know that you're not alone. I’m here to help you navigate these challenges, discover new ways to cope, and regain a sense of control and peace in your life.
Anxiety, depression, or trauma can make each day feel like an uphill climb, often leaving you overwhelmed, detached, or stuck in painful memories. If you're feeling weighed down by stress, struggling to manage emotions, or finding it hard to move forward, know that you're not alone. I’m here to help you navigate these challenges, discover new ways to cope, and regain a sense of control and peace in your life.
(858) 358-4643 View (858) 358-4643
Photo of Kayla Bunderson - Paradigm Psychology, Psychologist, PsyD
Paradigm Psychology
Psychologist, PsyD
6 Endorsed
Online Only
Paradigm Psychology was founded by Kayla Bunderson, Psy.D., with the understanding that life can sometimes feel like one big coping strategy. We know that choosing therapy is a bold step toward change. Our team specializes in working with adults experiencing trauma, personality disorders, anxiety, depression, relationship struggles, and major life transitions. We believe the right therapeutic fit matters, and we focus on matching you with a therapist who can support real, lasting growth. We are currently accepting new Telehealth clients in Washington and California.
Paradigm Psychology was founded by Kayla Bunderson, Psy.D., with the understanding that life can sometimes feel like one big coping strategy. We know that choosing therapy is a bold step toward change. Our team specializes in working with adults experiencing trauma, personality disorders, anxiety, depression, relationship struggles, and major life transitions. We believe the right therapeutic fit matters, and we focus on matching you with a therapist who can support real, lasting growth. We are currently accepting new Telehealth clients in Washington and California.
(619) 202-7534 View (619) 202-7534
Photo of Allee Nemecek, Marriage & Family Therapist Associate, MA, AMFT
Allee Nemecek
Marriage & Family Therapist Associate, MA, AMFT
1 Endorsed
San Diego, CA 92127
Are you feeling lost, unsure of who you are or where you fit in the world? Struggling with self-worth, questioning if you'll ever measure up? You're not alone. Many of us battle self-doubt, wondering if we're good enough or if we matter. Imagine a space where you can explore these feelings without judgment. Together, we'll untangle your sense of identity and self-worth, helping you feel confident and grounded. What if you could break free from that inner critic and live with purpose and peace? Let's work together to get you there.
Are you feeling lost, unsure of who you are or where you fit in the world? Struggling with self-worth, questioning if you'll ever measure up? You're not alone. Many of us battle self-doubt, wondering if we're good enough or if we matter. Imagine a space where you can explore these feelings without judgment. Together, we'll untangle your sense of identity and self-worth, helping you feel confident and grounded. What if you could break free from that inner critic and live with purpose and peace? Let's work together to get you there.
(858) 330-4146 View (858) 330-4146
Photo of Chang Liu, Marriage & Family Therapist, LMFT
Chang Liu
Marriage & Family Therapist, LMFT
Online Only
Chang "Raphael" Liu possesses over six years of dedicated experience supporting individuals navigating complex mental health challenges. He employs a holistic, trauma-informed approach, recognizing the profound impact past experiences have on present well-being. Raphael specializes in helping clients effectively manage symptoms associated with anxiety, depression, addiction and trauma. Furthermore, he has extensive expertise in addressing the unique developmental struggles faced by adolescents, offering targeted strategies for identity formation, peer pressure, and navigating familial transitions.
Chang "Raphael" Liu possesses over six years of dedicated experience supporting individuals navigating complex mental health challenges. He employs a holistic, trauma-informed approach, recognizing the profound impact past experiences have on present well-being. Raphael specializes in helping clients effectively manage symptoms associated with anxiety, depression, addiction and trauma. Furthermore, he has extensive expertise in addressing the unique developmental struggles faced by adolescents, offering targeted strategies for identity formation, peer pressure, and navigating familial transitions.
(858) 360-8819 View (858) 360-8819
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 within a short amount of time. Whether you would like to attend therapy on your own, with your partner, 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 within a short amount of time. Whether you would like to attend therapy on your own, with your partner, 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 Nevena Assenova, Clinical Social Work/Therapist, LCSW
Nevena Assenova
Clinical Social Work/Therapist, LCSW
Online Only
Not accepting new clients
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
(619) 393-5905 View (619) 393-5905
Photo of Joey Ritkes, Clinical Social Work/Therapist, LCSW, PhD
Joey Ritkes
Clinical Social Work/Therapist, LCSW, PhD
San Diego, CA 92101
Thank you for taking a look at my profile! My name is Joey Ritkes (he/him) and I am a mental health therapist who specializes in working with the LGBTQIA+ Community. My approach in working with clients is to create a safe, affirming, and welcoming space where clients feel comfortable sharing. I tailor the approach to fit the individual client. I celebrate the fact that everyone is unique and deserves an approach that meets their own individual needs. I prefer to work collaboratively with you to develop a plan that honors your specific goals.
Thank you for taking a look at my profile! My name is Joey Ritkes (he/him) and I am a mental health therapist who specializes in working with the LGBTQIA+ Community. My approach in working with clients is to create a safe, affirming, and welcoming space where clients feel comfortable sharing. I tailor the approach to fit the individual client. I celebrate the fact that everyone is unique and deserves an approach that meets their own individual needs. I prefer to work collaboratively with you to develop a plan that honors your specific goals.
(760) 437-1207 View (760) 437-1207
Photo of Veronica Viesca, Marriage & Family Therapist, PhD, LMFT
Veronica Viesca
Marriage & Family Therapist, PhD, LMFT
4 Endorsed
San Diego, CA 92108
When life feels overwhelming, whether in your relationships, family, or sense of self, it can be hard to know where to begin. Many of the individuals and couples I work with are carrying stress, emotional exhaustion, or patterns that no longer serve them, even though they’re doing their best to hold everything together. Therapy can be a place to slow down, feel understood, and begin making sense of what’s happening, without judgment or pressure to have it all figured out.
When life feels overwhelming, whether in your relationships, family, or sense of self, it can be hard to know where to begin. Many of the individuals and couples I work with are carrying stress, emotional exhaustion, or patterns that no longer serve them, even though they’re doing their best to hold everything together. Therapy can be a place to slow down, feel understood, and begin making sense of what’s happening, without judgment or pressure to have it all figured out.
(858) 261-5483 View (858) 261-5483
Photo of Noelle Vitor, Clinical Social Work/Therapist, LCSW
Noelle Vitor
Clinical Social Work/Therapist, LCSW
Online Only
Feeling overwhelmed, stuck, or uncertain about your next steps—personally or professionally? You’re not alone. Whether you're facing burnout, anxiety, challenges with substance use, or navigating a difficult life change, support is available. Together, we’ll create a space for clarity, confidence, and meaningful change. You deserve to feel grounded, capable, and purposeful again.
Feeling overwhelmed, stuck, or uncertain about your next steps—personally or professionally? You’re not alone. Whether you're facing burnout, anxiety, challenges with substance use, or navigating a difficult life change, support is available. Together, we’ll create a space for clarity, confidence, and meaningful change. You deserve to feel grounded, capable, and purposeful again.
(858) 321-8707 View (858) 321-8707
Photo of Holly Siegrist, Psychologist, PhD, PsyD
Holly Siegrist
Psychologist, PhD, PsyD
Online Only
Hi, I'm Dr. Holly Siegrist. I have 16 years of clinical experience, and I take a strength-based approach. I work with clients on spirituality and meaning-making, creativity, dream analysis, relationship issues, trauma, anxiety, depression, stress related to disability and other discrimination, grief, chronic illness, losses, and life change. My interests are in social justice, coping with discrimination, health and wellness, and resilience. I also offer academic advising, career counseling, and financial planning support. My therapy style is warm and welcoming, and I'm here to assist you with your goals!
Hi, I'm Dr. Holly Siegrist. I have 16 years of clinical experience, and I take a strength-based approach. I work with clients on spirituality and meaning-making, creativity, dream analysis, relationship issues, trauma, anxiety, depression, stress related to disability and other discrimination, grief, chronic illness, losses, and life change. My interests are in social justice, coping with discrimination, health and wellness, and resilience. I also offer academic advising, career counseling, and financial planning support. My therapy style is warm and welcoming, and I'm here to assist you with your goals!
(619) 943-2806 View (619) 943-2806

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:

93% Anxiety
86% Depression
72% Relationship Issues
69% Self Esteem
68% Trauma and PTSD
67% Stress
60% Grief

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
72% Cigna and Evernorth
56% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% Online Only
45% 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 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.