Therapists in Core, San Diego, CA

Photo of Michael Bjornson, Psychologist in Core, San Diego, CA
Michael Bjornson
Psychologist, LCP
Verified Verified
Core, San Diego, CA 92101
Hello, my name is Dr. Michael Bjornson. Most of my clients simply refer to me as Dr. "B". I have been a licensed clinical psychologist for over 26 years, with active licenses in California, Utah, and Wyoming. I am honored that you are considering me to help you in whatever life challenges have led you to seek help. Whether this may be your first-time seeking help or not, I recognize starting therapy is a big decision requiring courage and trust in another human being, to be there for you in a professional, caring capacity, to facilitate and guide you through important and difficult concerns.
Hello, my name is Dr. Michael Bjornson. Most of my clients simply refer to me as Dr. "B". I have been a licensed clinical psychologist for over 26 years, with active licenses in California, Utah, and Wyoming. I am honored that you are considering me to help you in whatever life challenges have led you to seek help. Whether this may be your first-time seeking help or not, I recognize starting therapy is a big decision requiring courage and trust in another human being, to be there for you in a professional, caring capacity, to facilitate and guide you through important and difficult concerns.
(424) 396-5080 View (424) 396-5080
Photo of Wallace Murray in Core, San Diego, CA
Wallace Murray
RTC, CH, HT
Not Verified Not Verified
Core, San Diego, CA 92101  (Online Only)
I have a private practice working one-to-one, in groups, and online with clients from all over the world, guiding others to un-cover possibilities and paths to life. I am a Registered Therapeutic Counsellor, a Counselling Hypnotherapist, a Compassionate Inquiry Practitioner, a Master Practitioner of NLP, a Humanistic Neuro-Linguistic Programming Practitioner, and a helper with ceremonial medicine. Following both modern therapeutic methods as well as Indigenous modalities, I help others to un-cover what they come to know.
I have a private practice working one-to-one, in groups, and online with clients from all over the world, guiding others to un-cover possibilities and paths to life. I am a Registered Therapeutic Counsellor, a Counselling Hypnotherapist, a Compassionate Inquiry Practitioner, a Master Practitioner of NLP, a Humanistic Neuro-Linguistic Programming Practitioner, and a helper with ceremonial medicine. Following both modern therapeutic methods as well as Indigenous modalities, I help others to un-cover what they come to know.
(619) 333-7426 View (619) 333-7426
Photo of Ally Higdon, Psychologist in Core, San Diego, CA
Ally Higdon
Psychologist, PsyD
Verified Verified
3 Endorsed
Core, San Diego, CA 92101  (Online Only)
Hi there! I'm Ally Higdon and my passion and specialty lies in helping those experiencing trauma/PTSD, anxiety, OCD, phobias, and identity concerns. I equally enjoy helping clients address self-esteem issues, relationship concerns, stress management, and depression. I specialize in working with college-age young adults, millennials, and Military/Veteran populations. You can feel confident in the treatment you'll receive as I've worked in various settings including three college counseling centers, a private practice, a community mental health center, and the VA.
Hi there! I'm Ally Higdon and my passion and specialty lies in helping those experiencing trauma/PTSD, anxiety, OCD, phobias, and identity concerns. I equally enjoy helping clients address self-esteem issues, relationship concerns, stress management, and depression. I specialize in working with college-age young adults, millennials, and Military/Veteran populations. You can feel confident in the treatment you'll receive as I've worked in various settings including three college counseling centers, a private practice, a community mental health center, and the VA.
(858) 923-4563 View (858) 923-4563
Photo of Lyudmila Kisina, Marriage & Family Therapist in Core, San Diego, CA
Lyudmila Kisina
Marriage & Family Therapist, LMFT, LAADC
Verified Verified
Core, San Diego, CA 92101  (Online Only)
Welcome! You have taken an important step towards a journey of healing! As a licensed therapist and addiction counselor, I offer a holistic journey of healing and self-discovery, guided by the evidence-based practice of modern psychology. Our approach targets solution, not just symptom relief. When we are impacted by past hurts, disappointment, shame, or trauma - we may begin seeking ways to avoid ourselves. Addictions, codependent relationships, anxiety, depression, isolation - may start to manifest in your life. My work focuses on resolving these symptoms, by addressing the root causes, empowering you to build lasting change.
Welcome! You have taken an important step towards a journey of healing! As a licensed therapist and addiction counselor, I offer a holistic journey of healing and self-discovery, guided by the evidence-based practice of modern psychology. Our approach targets solution, not just symptom relief. When we are impacted by past hurts, disappointment, shame, or trauma - we may begin seeking ways to avoid ourselves. Addictions, codependent relationships, anxiety, depression, isolation - may start to manifest in your life. My work focuses on resolving these symptoms, by addressing the root causes, empowering you to build lasting change.
(858) 428-2638 View (858) 428-2638
Photo of Brittany Grace, Marriage & Family Therapist in Core, San Diego, CA
Brittany Grace
Marriage & Family Therapist, LMFT
Verified Verified
Core, San Diego, CA 92101  (Online Only)
I am a Licensed Marriage and Family Therapist who provides therapy to individuals and couples throughout California and Virginia. My services are provided via tele-health therapy. I conduct therapy through a mindfulness approach, utilizing strength-based, cognitive behavioral therapy and dialectical behavioral therapy. Born and raised in San Diego, I completed my undergraduate degree in Psychology and my master's degree in Counseling with a specialization in Marriage and Family Therapy at San Diego State University.
I am a Licensed Marriage and Family Therapist who provides therapy to individuals and couples throughout California and Virginia. My services are provided via tele-health therapy. I conduct therapy through a mindfulness approach, utilizing strength-based, cognitive behavioral therapy and dialectical behavioral therapy. Born and raised in San Diego, I completed my undergraduate degree in Psychology and my master's degree in Counseling with a specialization in Marriage and Family Therapy at San Diego State University.
(619) 333-5774 View (619) 333-5774
Photo of Keileisha Weaver, Licensed Professional Clinical Counselor in Core, San Diego, CA
Keileisha Weaver
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Core, San Diego, CA 92101
Keileisha is a therapist for San Diego based mental healthcare provider San Diego Therapy Center. San Diego Therapy Center is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Keileisha is a therapist for San Diego based mental healthcare provider San Diego Therapy Center. San Diego Therapy Center is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(619) 432-6427 View (619) 432-6427
Photo of Michelle Godinez, Clinical Social Work/Therapist in Core, San Diego, CA
Michelle Godinez
Clinical Social Work/Therapist, LCSW
Verified Verified
Core, San Diego, CA 92101  (Online Only)
I enjoy working with adolescents and adults who want to work through trauma, release unhelpful beliefs and navigate all kinds of complicated relationships. I find that my clients need to feel safe exploring painful emotions while being challenged to question unhelpful patterns getting in the way of their goals.
I enjoy working with adolescents and adults who want to work through trauma, release unhelpful beliefs and navigate all kinds of complicated relationships. I find that my clients need to feel safe exploring painful emotions while being challenged to question unhelpful patterns getting in the way of their goals.
(925) 392-6545 View (925) 392-6545
Photo of Erin Snemis, Counselor in Core, San Diego, CA
Erin Snemis
Counselor, LPCC
Verified Verified
Core, San Diego, CA 92101  (Online Only)
My goal is to help those seeking healing from trauma and regaining better management of mental health challenges. My therapy style is supportive and collaborative. I believe in meeting clients where they are in their journey and personalizing the course of treatment to their specific needs. I provide a nonjudgmental and caring environment that allows clients to comfortably work through their current challenges and reach their goals.
My goal is to help those seeking healing from trauma and regaining better management of mental health challenges. My therapy style is supportive and collaborative. I believe in meeting clients where they are in their journey and personalizing the course of treatment to their specific needs. I provide a nonjudgmental and caring environment that allows clients to comfortably work through their current challenges and reach their goals.
(858) 201-6796 View (858) 201-6796
Photo of Christiana Silva, Psychologist in Core, San Diego, CA
Christiana Silva
Psychologist, PhD
Verified Verified
Core, San Diego, CA 92101
Dr. Silva is the Chief Behavior Health Officer for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Dr. Silva is the Chief Behavior Health Officer for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(619) 916-4099 View (619) 916-4099
Photo of Elizabeth Green, Marriage & Family Therapist in Core, San Diego, CA
Elizabeth Green
Marriage & Family Therapist, LMFT
Verified Verified
Core, San Diego, CA 92101  (Online Only)
Hello, my name is Elizabeth. My pronouns are they/them/elle. I identify as a bicultural nonbinary therapist (Mexican-American). I have worked with the LGBT community for several years connecting clients to not only mental health, but medical gender affirming care as well.
Hello, my name is Elizabeth. My pronouns are they/them/elle. I identify as a bicultural nonbinary therapist (Mexican-American). I have worked with the LGBT community for several years connecting clients to not only mental health, but medical gender affirming care as well.
(619) 350-0309 View (619) 350-0309
Photo of Tatiana Itskowitz, Marriage & Family Therapist Associate in Core, San Diego, CA
Tatiana Itskowitz
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Core, San Diego, CA 92101
I am a therapist that brings compassion, curiosity, and connection to the forefront of our work together. As your therapist, I believe providing a supportive, empathetic environment is key in creating a space where you can gain insight, access your inner strength, and move forward with your healing. During the process, we may look at your past to see what beliefs still serve you and which do not, identify emotions and process them, and focus on navigating and developing your connections to others and self.
I am a therapist that brings compassion, curiosity, and connection to the forefront of our work together. As your therapist, I believe providing a supportive, empathetic environment is key in creating a space where you can gain insight, access your inner strength, and move forward with your healing. During the process, we may look at your past to see what beliefs still serve you and which do not, identify emotions and process them, and focus on navigating and developing your connections to others and self.
(562) 620-8577 View (562) 620-8577
Photo of Feji Etibo, Marriage & Family Therapist Associate in Core, San Diego, CA
Feji Etibo
Marriage & Family Therapist Associate, AMFT
Verified Verified
Core, San Diego, CA 92101
Feji is a therapist for San Diego based mental healthcare provider San Diego Therapy Center. San Diego Therapy Center is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Feji is a therapist for San Diego based mental healthcare provider San Diego Therapy Center. San Diego Therapy Center is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(442) 276-5220 View (442) 276-5220
Photo of Paula Ramos, Marriage & Family Therapist Associate in Core, San Diego, CA
Paula Ramos
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Core, San Diego, CA 92101  (Online Only)
Life is about maintaining balance in all aspects, through love. There is so much out there to learn and grow from, so why not have fun doing it? A little about me: I love going to CrossFit every morning. I am a huge nerd, constantly listening to audibles and/or podcasts such as Huberman Lab and non-fiction books. I enjoy being outdoors: snowboarding, motorcycle/dirt biking, hiking, any movement, &traveling. My parents are from Peru, so I visit there often. Tambien hablo español! Therapy can help your understanding of where your emotions come from connecting the past to the present, and decreasing the intensity by making sense of it.
Life is about maintaining balance in all aspects, through love. There is so much out there to learn and grow from, so why not have fun doing it? A little about me: I love going to CrossFit every morning. I am a huge nerd, constantly listening to audibles and/or podcasts such as Huberman Lab and non-fiction books. I enjoy being outdoors: snowboarding, motorcycle/dirt biking, hiking, any movement, &traveling. My parents are from Peru, so I visit there often. Tambien hablo español! Therapy can help your understanding of where your emotions come from connecting the past to the present, and decreasing the intensity by making sense of it.
(951) 397-0447 View (951) 397-0447

Online Therapists

Photo of Glen Hilton @ Grow Through Life Counseling , Marriage & Family Therapist in Core, San Diego, CA
Glen Hilton @ Grow Through Life Counseling
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92108
Hello and welcome. I collaborate with clients to co-create solutions that empower each participant to have voice and self-agency. I enjoy working with youth and families. I have been providing mental health care since 2002. I help individuals, couples, and families overcome a range of mental health and relationship issues. I have speciality experience working with gender. I enjoy connecting and support LGBTQIA+ and their families navigating any challenges.
Hello and welcome. I collaborate with clients to co-create solutions that empower each participant to have voice and self-agency. I enjoy working with youth and families. I have been providing mental health care since 2002. I help individuals, couples, and families overcome a range of mental health and relationship issues. I have speciality experience working with gender. I enjoy connecting and support LGBTQIA+ and their families navigating any challenges.
(858) 500-1591 View (858) 500-1591
Photo of Lisa Wyneken, Clinical Social Work/Therapist in Core, San Diego, CA
Lisa Wyneken
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92108
As your therapist, I hope to assist you in finding insight with the struggles of your life; whether you are struggling with substance abuse, depression, anxiety, or the loss of a loved one. I will challenge your thought process, praise your accomplishments, and assist in educating your loved ones, during this difficult time in your life.
As your therapist, I hope to assist you in finding insight with the struggles of your life; whether you are struggling with substance abuse, depression, anxiety, or the loss of a loved one. I will challenge your thought process, praise your accomplishments, and assist in educating your loved ones, during this difficult time in your life.
(619) 374-4489 View (619) 374-4489
Photo of Michelle Terazawa, Pre-Licensed Professional in Core, San Diego, CA
Michelle Terazawa
Pre-Licensed Professional, ACSW
Verified Verified
San Diego, CA 92117  (Online Only)
Michelle Terazawa, ACSW is a pre-licensed social worker under clinical supervision of Dr. Sara (Giglio) Patterson, PhD. Michelle's goal as a culturally humble, competent therapist is to foster a warm and emotionally safe environment to those struggling with life transitions and other challenges accompanied by human development and life stressors. She enjoys helping people from all walks of life discover purpose and meaning in their everyday lives despite enduring dark and difficult times. Michelle wholeheartedly believes in empowering others to shed light on their own insights into healing, recovery, and self-discovery.
Michelle Terazawa, ACSW is a pre-licensed social worker under clinical supervision of Dr. Sara (Giglio) Patterson, PhD. Michelle's goal as a culturally humble, competent therapist is to foster a warm and emotionally safe environment to those struggling with life transitions and other challenges accompanied by human development and life stressors. She enjoys helping people from all walks of life discover purpose and meaning in their everyday lives despite enduring dark and difficult times. Michelle wholeheartedly believes in empowering others to shed light on their own insights into healing, recovery, and self-discovery.
(858) 533-1782 View (858) 533-1782
Photo of Shannon J. Oliveira, Marriage & Family Therapist in Core, San Diego, CA
Shannon J. Oliveira
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
My goal as your therapist is to help you create a meaningful and enjoyable life. Whether you come to treatment to manage a pre-existing condition/diagnosis, or are looking to improve the relationships in your life; I am happy to assist you until you get to where you would like to be. In today's society; stress, anxiety, and depression can often take over our health, wellbeing, and relationships leaving one with an unsatisfactory life. In treatment we can explore the obstacles that are causing you pain or are holding you back from your full potential, and work together towards creating happiness and contentment.
My goal as your therapist is to help you create a meaningful and enjoyable life. Whether you come to treatment to manage a pre-existing condition/diagnosis, or are looking to improve the relationships in your life; I am happy to assist you until you get to where you would like to be. In today's society; stress, anxiety, and depression can often take over our health, wellbeing, and relationships leaving one with an unsatisfactory life. In treatment we can explore the obstacles that are causing you pain or are holding you back from your full potential, and work together towards creating happiness and contentment.
(707) 674-6193 View (707) 674-6193
Photo of Patricia Cline, Clinical Social Work/Therapist in Core, San Diego, CA
Patricia Cline
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92104  (Online Only)
I am a licensed psychotherapist focused on working with adults and elders (65+). I work with clients to help them be better able to manage life's challenges, increase self esteem and improve communication skills. In my work, I favor a holistic approach, where all aspects of the person - mental, emotional, behavioral, physical - are addressed, and I employ a blend of psychodynamic, cognitive behavioral and mindfulness methods, to enable people to learn to shift their thinking, change their behavior, and live in the present with a more balanced life, and a deeper sense of well being.
I am a licensed psychotherapist focused on working with adults and elders (65+). I work with clients to help them be better able to manage life's challenges, increase self esteem and improve communication skills. In my work, I favor a holistic approach, where all aspects of the person - mental, emotional, behavioral, physical - are addressed, and I employ a blend of psychodynamic, cognitive behavioral and mindfulness methods, to enable people to learn to shift their thinking, change their behavior, and live in the present with a more balanced life, and a deeper sense of well being.
(619) 651-9297 View (619) 651-9297
Photo of Kelly Ann Riley, Marriage & Family Therapist in Core, San Diego, CA
Kelly Ann Riley
Marriage & Family Therapist, MFT, RPT-S
Verified Verified
1 Endorsed
San Diego, CA 92108  (Online Only)
I specialize in three areas: couples counseling/relationship counseling, parenting issues, and play therapy for children. My professional experience has concentrated on helping all types of couples: single, married, and married with children. I am a certified Co-Parenting Specialist, which is a specialization that addresses parenting issues that arise from divorce. I am also a Play Therapist with substantial training in play therapy as well as many years of experience working with children, including classroom experience both before and after becoming a licensed therapist.
I specialize in three areas: couples counseling/relationship counseling, parenting issues, and play therapy for children. My professional experience has concentrated on helping all types of couples: single, married, and married with children. I am a certified Co-Parenting Specialist, which is a specialization that addresses parenting issues that arise from divorce. I am also a Play Therapist with substantial training in play therapy as well as many years of experience working with children, including classroom experience both before and after becoming a licensed therapist.
(619) 796-5950 View (619) 796-5950
Photo of Brianna Pepiton, Psychologist in Core, San Diego, CA
Brianna Pepiton
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92109
I believe everyone can benefit from a safe place to process the past and present and realize goals for the future. In my work people can expect me to provide a safe, open and engaged relationship to address life hopes and challenges. Meeting people where they're at is the most important starting point. Then together we help someone envision the future and realize their potential.
I believe everyone can benefit from a safe place to process the past and present and realize goals for the future. In my work people can expect me to provide a safe, open and engaged relationship to address life hopes and challenges. Meeting people where they're at is the most important starting point. Then together we help someone envision the future and realize their potential.
(619) 313-5145 View (619) 313-5145

See more therapy options for Core, San Diego

How does your Therapist compare?

Number of Therapists in Core, San Diego, CA

10+

Average cost per session

$145

Therapists in Core, San Diego, CA who prioritize treating:

100% Anxiety
92% Depression
85% Trauma and PTSD
85% Life Transitions
77% Coping Skills
69% Relationship Issues
69% Grief

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
78% Cigna and Evernorth
67% BlueCross and BlueShield

How Therapists in Core, San Diego, CA see their clients

61% Online Only
39% In Person and Online

Gender breakdown

70% Female
20% Male
10% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Core, 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.