Therapists in San Diego, CA

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Photo of Tracy Wutzke, Psychologist, PsyD
Tracy Wutzke
Psychologist, PsyD
San Diego, CA 92126
Life is a journey filled with unexpected blessings—and challenges. While we naturally cherish and celebrate the good moments, it’s often the hard ones that leave us feeling overwhelmed, disconnected, or unsure of how to move forward. What do you do when your relationship feels rocky? How do you grieve the loss of a loved one or let go of a broken relationship? How do you manage a disrespectful teenager or resolve ongoing workplace stress? How do you shift from feeling isolated and misunderstood to feeling connected and valued? Seeking support in these moments is not a sign of weakness—it’s a sign of strength and courage.
Life is a journey filled with unexpected blessings—and challenges. While we naturally cherish and celebrate the good moments, it’s often the hard ones that leave us feeling overwhelmed, disconnected, or unsure of how to move forward. What do you do when your relationship feels rocky? How do you grieve the loss of a loved one or let go of a broken relationship? How do you manage a disrespectful teenager or resolve ongoing workplace stress? How do you shift from feeling isolated and misunderstood to feeling connected and valued? Seeking support in these moments is not a sign of weakness—it’s a sign of strength and courage.
(858) 298-3663 View (858) 298-3663
Photo of Sara Ullom, Marriage & Family Therapist, MA, LMFT
Sara Ullom
Marriage & Family Therapist, MA, LMFT
San Diego, CA 92127
For those struggling with anxiety and depression, Sara provides a tailored approach that addresses the root causes of these conditions, helping clients develop the skills needed to manage their symptoms and improve their quality of life. When working with children and adolescents, she focuses on promoting positive behavior and emotional regulation, equipping young clients with the tools they need to thrive. In addition to these specialties, Sara also offers support for women’s issues and relationship challenges, providing a compassionate space for clients to explore their experiences and work toward resolution.
For those struggling with anxiety and depression, Sara provides a tailored approach that addresses the root causes of these conditions, helping clients develop the skills needed to manage their symptoms and improve their quality of life. When working with children and adolescents, she focuses on promoting positive behavior and emotional regulation, equipping young clients with the tools they need to thrive. In addition to these specialties, Sara also offers support for women’s issues and relationship challenges, providing a compassionate space for clients to explore their experiences and work toward resolution.
(858) 360-1584 View (858) 360-1584
Photo of Daniel Fernandez, Licensed Professional Counselor, LPCC
Daniel Fernandez
Licensed Professional Counselor, LPCC
Online Only
Hi! My name is Daniel Fernandez, and I am a Licensed Professional Clinical Counselor based in San Diego, California. I specialize in working with adolescents and young adults (12-30 years old), who may be struggling with depression, anxiety, self-esteem issues, career stressors, trauma, relationship conflict, and substance use. Life can sometimes feel like a whirlwind of emotions, changes, and challenges. I offer a safe, nonjudgmental space where young people can explore their thoughts and build resilience.
Hi! My name is Daniel Fernandez, and I am a Licensed Professional Clinical Counselor based in San Diego, California. I specialize in working with adolescents and young adults (12-30 years old), who may be struggling with depression, anxiety, self-esteem issues, career stressors, trauma, relationship conflict, and substance use. Life can sometimes feel like a whirlwind of emotions, changes, and challenges. I offer a safe, nonjudgmental space where young people can explore their thoughts and build resilience.
(949) 267-3207 View (949) 267-3207
Photo of Samantha Weinstein Lumula, Marriage & Family Therapist, LMFT, PMH-C, M Ed
Samantha Weinstein Lumula
Marriage & Family Therapist, LMFT, PMH-C, M Ed
San Diego, CA 92128
You are worthy of support because YOU matter! I help moms and women across California manage anxiety with compassion, curiosity, and practical tools — all through virtual therapy that fits your life. Together, with compassion and humor, we will explore what’s weighing on you, develop strategies to ease anxiety, and help you reconnect with your truest, most authentic self. I believe in teaching my clients how to treat themselves with love and compassion. I encourage them to look within through a lens of acceptance and curiosity to help them on their journey to be their best selves.
You are worthy of support because YOU matter! I help moms and women across California manage anxiety with compassion, curiosity, and practical tools — all through virtual therapy that fits your life. Together, with compassion and humor, we will explore what’s weighing on you, develop strategies to ease anxiety, and help you reconnect with your truest, most authentic self. I believe in teaching my clients how to treat themselves with love and compassion. I encourage them to look within through a lens of acceptance and curiosity to help them on their journey to be their best selves.
(858) 544-0809 View (858) 544-0809
Photo of Jenn Eng, Marriage & Family Therapist, LMFT, ATR
Jenn Eng
Marriage & Family Therapist, LMFT, ATR
Online Only
Life transitions, both expected and unforeseen, can be challenging. If you're facing changes that feel overwhelming—whether that be a career shift, relational dynamics, or personal growth—and are looking for a way to process and adapt, my practice is here for you. It's important to me that my clients feel safe, understood, and their feelings validated.
Life transitions, both expected and unforeseen, can be challenging. If you're facing changes that feel overwhelming—whether that be a career shift, relational dynamics, or personal growth—and are looking for a way to process and adapt, my practice is here for you. It's important to me that my clients feel safe, understood, and their feelings validated.
(858) 293-1065 View (858) 293-1065
Robin Pekin
Marriage & Family Therapist, MS, LMFT
San Diego, CA 92123
His clinical experience includes private practice and hospital settings. In the latter, Robin has counseled adults and adolescents struggling with acute mental health conditions, including depression, anxiety, bi-polar, psychosis, substance abuse, and PTSD. In the private practice setting, he has assisted couples, families, and individuals with serious but non-acute needs, including children and adolescents on the autism spectrum. Robin employs a variety of treatment approaches, including mindfulness-based practices, tailored to each patient's needs.
His clinical experience includes private practice and hospital settings. In the latter, Robin has counseled adults and adolescents struggling with acute mental health conditions, including depression, anxiety, bi-polar, psychosis, substance abuse, and PTSD. In the private practice setting, he has assisted couples, families, and individuals with serious but non-acute needs, including children and adolescents on the autism spectrum. Robin employs a variety of treatment approaches, including mindfulness-based practices, tailored to each patient's needs.
(858) 879-8210 View (858) 879-8210
Photo of Nancy Barnhart, Marriage & Family Therapist, LMFT, CEAP
Nancy Barnhart
Marriage & Family Therapist, LMFT, CEAP
San Diego, CA 92108
It is easy to feel overwhelmed with our personal lives as well as national and international events Often these outside events can impact our own lives which may already be difficult. This can lead to feelings of stress, anxiety, depression, sadness, fear, and confusion. Perhaps you might be dealing with a personal loss, having difficulty in a relationship, caretaking a family member, or a work situation. Having the resources and tools to live with less stress, anxiety, depression, fear, and confusion can greatly enhance your well- being. Talking with a trusted therapist can assist you in addressing and resolving these issues
It is easy to feel overwhelmed with our personal lives as well as national and international events Often these outside events can impact our own lives which may already be difficult. This can lead to feelings of stress, anxiety, depression, sadness, fear, and confusion. Perhaps you might be dealing with a personal loss, having difficulty in a relationship, caretaking a family member, or a work situation. Having the resources and tools to live with less stress, anxiety, depression, fear, and confusion can greatly enhance your well- being. Talking with a trusted therapist can assist you in addressing and resolving these issues
(619) 453-0394 View (619) 453-0394
Photo of Emily Remba - Reproductive Mental Health and Wellness, Clinical Social Work/Therapist, LCSW, PMH-C
Reproductive Mental Health and Wellness
Clinical Social Work/Therapist, LCSW, PMH-C
1 Endorsed
Online Only
Teletherapy offered throughout California! Are you struggling with the emotional toll caused by pregnancy loss/miscarriage or infertility? Perhaps you are pregnant or a new parent coping with depression or anxiety. Did you have a difficult or traumatic birth, or were separated from your baby with a NICU stay?
Teletherapy offered throughout California! Are you struggling with the emotional toll caused by pregnancy loss/miscarriage or infertility? Perhaps you are pregnant or a new parent coping with depression or anxiety. Did you have a difficult or traumatic birth, or were separated from your baby with a NICU stay?
(858) 346-5252 View (858) 346-5252
Photo of Gerald Monk, Marriage & Family Therapist, LMFT
Gerald Monk
Marriage & Family Therapist, LMFT
Online Only
I am a licensed Marriage and Family Therapist in California since 2006. I was a registered psychologist, counselor, and family mediator in New Zealand before moving to the United States as a professor in marriage and family therapy at San Diego State University. I worked and trained in educational psychology before being immersed in narrative therapy, narrative mediation, and solution-focused therapy in the 1990s. I have worked a lot in schools with children and teens, addressed parenting challenges, helped blended families address unique crises that arise, help clients with separation and divorce.
I am a licensed Marriage and Family Therapist in California since 2006. I was a registered psychologist, counselor, and family mediator in New Zealand before moving to the United States as a professor in marriage and family therapy at San Diego State University. I worked and trained in educational psychology before being immersed in narrative therapy, narrative mediation, and solution-focused therapy in the 1990s. I have worked a lot in schools with children and teens, addressed parenting challenges, helped blended families address unique crises that arise, help clients with separation and divorce.
(323) 716-0288 View (323) 716-0288
Photo of Dr. Genevieve Price Naturopathic Doctor, ND
Dr. Genevieve Price Naturopathic Doctor
Not Verified Not Verified
San Diego, CA 92121
If you are suffering from depression or anxiety, your symptoms may often compromise your quality of life and make it difficult for you to achieve your highest goals. My goal is for you to regain control of your health and stop your disease from dictating your quality of life. I investigate the root cause of disease and address each client as a whole person - mind, body, and spirit - using natural therapies first in order to minimize harmful side effects.
If you are suffering from depression or anxiety, your symptoms may often compromise your quality of life and make it difficult for you to achieve your highest goals. My goal is for you to regain control of your health and stop your disease from dictating your quality of life. I investigate the root cause of disease and address each client as a whole person - mind, body, and spirit - using natural therapies first in order to minimize harmful side effects.
(619) 367-7754 View (619) 367-7754
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
Photo of Nancy Auvil, Marriage & Family Therapist, LMFT
Nancy Auvil
Marriage & Family Therapist, LMFT
San Diego, CA 92101
Nancy Auvil, M.S. LMFT 44728, MEd Multicultural Counseling, EMDR-Certified. Client-centered therapy, focused on treating the whole person, integrating best practices using evidence-based therapeutic interventions and unconditional positive regard. As a generalist in outpatient psychiatry for the past 10 years, I can effectively treat most mental disorders such as anxiety, depression, and trauma. I began treating problem gambling in 2008 as part of a pilot research program with UCLA and the California Office of Problem Gambling. I enjoy seeing individuals, couples, and families.
Nancy Auvil, M.S. LMFT 44728, MEd Multicultural Counseling, EMDR-Certified. Client-centered therapy, focused on treating the whole person, integrating best practices using evidence-based therapeutic interventions and unconditional positive regard. As a generalist in outpatient psychiatry for the past 10 years, I can effectively treat most mental disorders such as anxiety, depression, and trauma. I began treating problem gambling in 2008 as part of a pilot research program with UCLA and the California Office of Problem Gambling. I enjoy seeing individuals, couples, and families.
(747) 277-5304 View (747) 277-5304
Matthew Dunn
Marriage & Family Therapist, MC, LMFT
San Diego, CA 92108
Matthew has over 30 years of experience working with children, adolescents, adults, couples and families dealing with numerous issues such as: oppositional defiance, depression, anxiety, anger, grief/loss, abuse, neglect, domestic violence, relationship conflicts, severe mental illness, personality disorders, post-traumatic stress disorder, military family matters, and school related concerns. Matthew is comfortable assisting those with all types of backgrounds and utilizes a client-centered, solution-focused, and cognitive behavioral approach.
Matthew has over 30 years of experience working with children, adolescents, adults, couples and families dealing with numerous issues such as: oppositional defiance, depression, anxiety, anger, grief/loss, abuse, neglect, domestic violence, relationship conflicts, severe mental illness, personality disorders, post-traumatic stress disorder, military family matters, and school related concerns. Matthew is comfortable assisting those with all types of backgrounds and utilizes a client-centered, solution-focused, and cognitive behavioral approach.
(858) 434-8326 View (858) 434-8326
Photo of Karla Alonso - Embrace Individual and Family Therapy, Marriage & Family Therapist, LMFT
Embrace Individual and Family Therapy
Marriage & Family Therapist, LMFT
San Diego, CA 92108
Hello and welcome to this page! My name is Karla Alonso, Licensed Marriage and Family Therapist in California. Thank you for taking the time to learn more about how we can work together. I delight in seeing people grow and experience healing and wholeness. Whether you are struggling with painful childhood memories, attachment injuries, a sudden loss, frustrated dreams, relationship problems, or overwhelming emotions, you can get through it! Therapy is the place where I will hold the space for you to courageously show up, tell your story and continue your healing process.
Hello and welcome to this page! My name is Karla Alonso, Licensed Marriage and Family Therapist in California. Thank you for taking the time to learn more about how we can work together. I delight in seeing people grow and experience healing and wholeness. Whether you are struggling with painful childhood memories, attachment injuries, a sudden loss, frustrated dreams, relationship problems, or overwhelming emotions, you can get through it! Therapy is the place where I will hold the space for you to courageously show up, tell your story and continue your healing process.
(619) 604-7163 View (619) 604-7163
Photo of Dr. Bethany Mink - Dr. Bethany Mink | Anxiety & Trauma Therapist, Psychologist, PsyD
Dr. Bethany Mink | Anxiety & Trauma Therapist
Psychologist, PsyD
1 Endorsed
Online Only
I am a licensed Clinical Psychologist and a Somatic Experiencing Practitioner. I specialize in trauma resolution therapies such as EMDR and Somatic Experiencing. My work is polyvagal informed and an approach that seeks to heal anxiety, depression, and PTSD through nervous system regulation. I also specialize in assisting clients experiencing a faith transition or recovering from spiritual abuse. I am passionate about supporting you to have a different therapy experience, where you leave feeling like you did more than just "talk." The work I do in session is integrative and a whole-body approach to healing.
I am a licensed Clinical Psychologist and a Somatic Experiencing Practitioner. I specialize in trauma resolution therapies such as EMDR and Somatic Experiencing. My work is polyvagal informed and an approach that seeks to heal anxiety, depression, and PTSD through nervous system regulation. I also specialize in assisting clients experiencing a faith transition or recovering from spiritual abuse. I am passionate about supporting you to have a different therapy experience, where you leave feeling like you did more than just "talk." The work I do in session is integrative and a whole-body approach to healing.
(619) 292-0267 View (619) 292-0267
Photo of Jennie Nystrom, Marriage & Family Therapist, LMFT, EMDR
Jennie Nystrom
Marriage & Family Therapist, LMFT, EMDR
San Diego, CA 92103
Do you feel depressed or anxious due to childhood trauma? Do you feel disconnected in your relationships with others? I’m here to help you develop an action plan for meaningful changes. My approach to therapy is relational and person-centered. I will work alongside you in a warm and understanding environment where you can explore your emotions and find better ways to deal with the stressors in your life.
Do you feel depressed or anxious due to childhood trauma? Do you feel disconnected in your relationships with others? I’m here to help you develop an action plan for meaningful changes. My approach to therapy is relational and person-centered. I will work alongside you in a warm and understanding environment where you can explore your emotions and find better ways to deal with the stressors in your life.
(760) 281-0260 View (760) 281-0260
Photo of Jennifer Jean James, Marriage & Family Therapist, LMFT
Jennifer Jean James
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
Hello, I’m Jennifer James, LMFT, and Hypnotherapist. Since 2010, I’ve walked alongside individuals working through trauma, depression, anxiety, and emotional pain. As a Licensed Marriage and Family Therapist, I’ve helped countless clients untangle patterns of emotional suffering — especially those recovering from narcissistic abuse and unresolved trauma. I also specialize in working Highly Sensitive People (HSPs) in clearing up their trauma and stepping into their power.
Hello, I’m Jennifer James, LMFT, and Hypnotherapist. Since 2010, I’ve walked alongside individuals working through trauma, depression, anxiety, and emotional pain. As a Licensed Marriage and Family Therapist, I’ve helped countless clients untangle patterns of emotional suffering — especially those recovering from narcissistic abuse and unresolved trauma. I also specialize in working Highly Sensitive People (HSPs) in clearing up their trauma and stepping into their power.
(619) 738-6751 View (619) 738-6751
Photo of Lauren LeBlanc, Marriage & Family Therapist Associate, MA
Lauren LeBlanc
Marriage & Family Therapist Associate, MA
1 Endorsed
Online Only
My clients are often in the middle of a life transition that has quietly reshaped how they see themselves and their role in the world. Many are caregivers or the steady one for others, while feeling overwhelmed, stretched thin, or disconnected inside. In therapy, we make sense of what feels tangled, process what’s been carried for too long, and create space for you to reconnect with yourself. From there, we begin to move forward with more clarity, steadiness, and a deeper sense of self-trust.
My clients are often in the middle of a life transition that has quietly reshaped how they see themselves and their role in the world. Many are caregivers or the steady one for others, while feeling overwhelmed, stretched thin, or disconnected inside. In therapy, we make sense of what feels tangled, process what’s been carried for too long, and create space for you to reconnect with yourself. From there, we begin to move forward with more clarity, steadiness, and a deeper sense of self-trust.
(619) 413-7643 View (619) 413-7643
Photo of Hannah Friesen, Marriage & Family Therapist, MA, LMFT
Hannah Friesen
Marriage & Family Therapist, MA, LMFT
1 Endorsed
San Diego, CA 92117
You’ve been holding it all together, but lately it maybe feels like you’re falling apart inside. Life moves fast, and you're constantly juggling everything: work, relationships, expectations. But no matter how hard you try, it still feels like you’re stuck, anxious, overwhelmed, or just tired. The weight of it all can be so heavy, but you don’t have to carry it all by yourself. Whether you’re struggling with anxiety, relationship stress, or the lingering effects of trauma, therapy can be a space where we untangle the chaos and begin to truly heal.
You’ve been holding it all together, but lately it maybe feels like you’re falling apart inside. Life moves fast, and you're constantly juggling everything: work, relationships, expectations. But no matter how hard you try, it still feels like you’re stuck, anxious, overwhelmed, or just tired. The weight of it all can be so heavy, but you don’t have to carry it all by yourself. Whether you’re struggling with anxiety, relationship stress, or the lingering effects of trauma, therapy can be a space where we untangle the chaos and begin to truly heal.
(619) 815-4179 View (619) 815-4179
Photo of Kimberly Caparso, Marriage & Family Therapist, MS, ED, LMFT
Kimberly Caparso
Marriage & Family Therapist, MS, ED, LMFT
San Diego, CA 92128
Not accepting new clients
Many situations in life can cause stress, depression, and anxiety, challenging us to make very difficult changes in our lives. In order to successfully negotiate these life changes, the support of a therapist may be necessary to regain confidence in ourselves, and in turn improve relationships with others. It is a big step to begin your search for a therapist, and therefore I give you credit for taking this first step! It is important to find a therapist that you are comfortable with. Life is a journey and we all definitely need some assistance with bumps along way!
Many situations in life can cause stress, depression, and anxiety, challenging us to make very difficult changes in our lives. In order to successfully negotiate these life changes, the support of a therapist may be necessary to regain confidence in ourselves, and in turn improve relationships with others. It is a big step to begin your search for a therapist, and therefore I give you credit for taking this first step! It is important to find a therapist that you are comfortable with. Life is a journey and we all definitely need some assistance with bumps along way!
(619) 369-1278 View (619) 369-1278

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

12 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.