Therapists in Downtown, San Diego, CA

Photo of Asher I Johnson PhD Prof Corp Psychologist, Psychologist in Downtown, San Diego, CA
Asher I Johnson PhD Prof Corp Psychologist
Psychologist, PhD
Verified Verified
3 Endorsed
Downtown, San Diego, CA 92101
If you struggle with anger management, sexual aggression, sex/pornography addiction, poor self-regulation/impulse control, anxiety, depression, trauma, antisocial, narcissistic, and psychopathic/sociopathic personalities, in need of a forensic psychological evaluation or testing, have a criminal record and/or required to register as a sex offender, have adult ADHD, difficulty with maintaining healthy relationships, low self-esteem, problems with healthy masculine expression, then you have found someone with the expertise, ability, and willingness to help.
If you struggle with anger management, sexual aggression, sex/pornography addiction, poor self-regulation/impulse control, anxiety, depression, trauma, antisocial, narcissistic, and psychopathic/sociopathic personalities, in need of a forensic psychological evaluation or testing, have a criminal record and/or required to register as a sex offender, have adult ADHD, difficulty with maintaining healthy relationships, low self-esteem, problems with healthy masculine expression, then you have found someone with the expertise, ability, and willingness to help.
(619) 815-8501 View (619) 815-8501
Photo of Becca Lantry, Associate Marriage & Family Therapist in Downtown, San Diego, CA
Becca Lantry
Associate Marriage & Family Therapist, MA, MS
Verified Verified
3 Endorsed
Downtown, San Diego, CA 92101  (Online Only)
I believe that you are the expert of your own experiences. Together we can collaborate to come to a place in life that you prefer. I implement a tailored approach that meets your needs by fusing approaches from Narrative Family Therapy, Solution Focused Therapy, Collaborative Therapy, Dialectical Behavioral Therapy, and Expressive Arts Therapy practices. If you think I may be a good fit for you, feel free to text, call or email Becca for a free 15 minute consultation.
I believe that you are the expert of your own experiences. Together we can collaborate to come to a place in life that you prefer. I implement a tailored approach that meets your needs by fusing approaches from Narrative Family Therapy, Solution Focused Therapy, Collaborative Therapy, Dialectical Behavioral Therapy, and Expressive Arts Therapy practices. If you think I may be a good fit for you, feel free to text, call or email Becca for a free 15 minute consultation.
(619) 393-4016 View (619) 393-4016
Photo of Kenneth Gregg, Clinical Social Work/Therapist in Downtown, San Diego, CA
Kenneth Gregg
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
I am an experienced therapist, working in the SF Bay Area with hundreds of clients on a wide range of issues. I also work with people in transition and who are wanting to understand themselves in a deeper way. I treat my clients as individuals and together we develop goals for our work together. I value the unique relationship I have with each of my clients. My clients tell me they have felt better by working with me and that they have found me easy to talk to about important topics.
I am an experienced therapist, working in the SF Bay Area with hundreds of clients on a wide range of issues. I also work with people in transition and who are wanting to understand themselves in a deeper way. I treat my clients as individuals and together we develop goals for our work together. I value the unique relationship I have with each of my clients. My clients tell me they have felt better by working with me and that they have found me easy to talk to about important topics.
(510) 513-8048 View (510) 513-8048
Photo of Sarah Greco, Marriage & Family Therapist in Downtown, San Diego, CA
Sarah Greco
Marriage & Family Therapist, LMFT
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
It is my calling to help encourage people to value their personal stories. This is done by recognizing their strengths and using them for healing, recovery, finding balance, and discovering their worth. Prior to becoming a therapist, I managed a program serving severely mentally ill, homeless adults. I was privileged to support this routinely under-served population here in San Diego, giving me a renewed perspective on the value and worth of every human life.
It is my calling to help encourage people to value their personal stories. This is done by recognizing their strengths and using them for healing, recovery, finding balance, and discovering their worth. Prior to becoming a therapist, I managed a program serving severely mentally ill, homeless adults. I was privileged to support this routinely under-served population here in San Diego, giving me a renewed perspective on the value and worth of every human life.
(510) 694-0347 View (510) 694-0347
Photo of Jay Alarcon, Marriage & Family Therapist in Downtown, San Diego, CA
Jay Alarcon
Marriage & Family Therapist, LMFT, CEDS, MBA
Verified Verified
Downtown, San Diego, CA 92120
Coming to therapy can feel vulnerable and scary, but it is a brave step towards the life you want and deserve. I am guided by evidence based techniques, educated insight, and genuine curiosity. I work to nurture my clients’ sensitivities, strengths, hopes, and desires for a meaningful and fulfilling existence. I help individuals tap into their inner strength and thrive, to connect to their passions, couples seeking effective communication techniques and highly sensitive people understand their trait and harness their superpower! I support individuals from diverse backgrounds and sexual orientations, navigate cultural challenges
Coming to therapy can feel vulnerable and scary, but it is a brave step towards the life you want and deserve. I am guided by evidence based techniques, educated insight, and genuine curiosity. I work to nurture my clients’ sensitivities, strengths, hopes, and desires for a meaningful and fulfilling existence. I help individuals tap into their inner strength and thrive, to connect to their passions, couples seeking effective communication techniques and highly sensitive people understand their trait and harness their superpower! I support individuals from diverse backgrounds and sexual orientations, navigate cultural challenges
(858) 360-8251 View (858) 360-8251
Photo of Ally Higdon, Psychologist in Downtown, San Diego, CA
Ally Higdon
Psychologist, PsyD
Verified Verified
3 Endorsed
Downtown, 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 Lauren Carnine, Licensed Professional Clinical Counselor in Downtown, San Diego, CA
Lauren Carnine
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
I am a licensed professional clinical counsel or licensed in California with over five years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, personality disorders, and substance use.
I am a licensed professional clinical counsel or licensed in California with over five years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, personality disorders, and substance use.
(858) 221-4703 View (858) 221-4703
Photo of Ginelle Guckenburg, Marriage & Family Therapist Associate in Downtown, San Diego, CA
Ginelle Guckenburg
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Downtown, San Diego, CA 92101
You might be feeling stuck in your relationships. You’re struggling to be vulnerable and fully present with not only loved ones, but with yourself. You’re falling into a repetitive cycle that leaves you feeling exhausted, frustrated, and alone. You’re ready to dig into your attachment history and start breaking down the shields that used to protect you, but are now a barrier to vulnerability. You know it's time to do the deep work and cultivate the self-acceptance and relationships you long for.
You might be feeling stuck in your relationships. You’re struggling to be vulnerable and fully present with not only loved ones, but with yourself. You’re falling into a repetitive cycle that leaves you feeling exhausted, frustrated, and alone. You’re ready to dig into your attachment history and start breaking down the shields that used to protect you, but are now a barrier to vulnerability. You know it's time to do the deep work and cultivate the self-acceptance and relationships you long for.
(619) 432-3245 View (619) 432-3245
Photo of Jackie Jacobo, Marriage & Family Therapist Associate in Downtown, San Diego, CA
Jackie Jacobo
Marriage & Family Therapist Associate, MS, APCC, AMFT
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
On your best days, you know that you’re an icon; but on your tough days you feel shame, loneliness, depression and self-criticism. And anxiety is basically part of your personality at this point. I’m here to remind you that YOU are not the problem. For real! The systems and social environments you have been in are the problem. I’m here to uproot those damaging beliefs that were put on you and in you and that continually get in the way of you remembering the iconic baddie you are. Let’s get underneath the layers of shame and unlearn cultural and systemic bullshit together.
On your best days, you know that you’re an icon; but on your tough days you feel shame, loneliness, depression and self-criticism. And anxiety is basically part of your personality at this point. I’m here to remind you that YOU are not the problem. For real! The systems and social environments you have been in are the problem. I’m here to uproot those damaging beliefs that were put on you and in you and that continually get in the way of you remembering the iconic baddie you are. Let’s get underneath the layers of shame and unlearn cultural and systemic bullshit together.
(619) 404-6132 View (619) 404-6132
Photo of A. Castro, Pre-Licensed Professional in Downtown, San Diego, CA
A. Castro
Pre-Licensed Professional, MA, APCC
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
Coming from a mixed background is incredible! But sometimes it can feel like you are not enough or you’re doing too much at the same. damn. time! No matter what you do, someone isn’t going to like it. It's as if all your different parts are kept separate and it's hard to feel like anyone can see or know the whole you. This feeling keeps you closed off from others - and yourself. You’re constantly regulating yourself and “acting right” but that shit is painful. You don’t ever feel fully free.
Coming from a mixed background is incredible! But sometimes it can feel like you are not enough or you’re doing too much at the same. damn. time! No matter what you do, someone isn’t going to like it. It's as if all your different parts are kept separate and it's hard to feel like anyone can see or know the whole you. This feeling keeps you closed off from others - and yourself. You’re constantly regulating yourself and “acting right” but that shit is painful. You don’t ever feel fully free.
(619) 853-3326 View (619) 853-3326
Photo of Taylor Damiani, Psychologist in Downtown, San Diego, CA
Taylor Damiani
Psychologist, PhD
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
I approach people with the belief that they are more than their pain, and want more than just an end to the suffering in their life. People want to lead meaningful lives. I view the relationship as the primary vehicle for helping clients feel accepted, cared for, and ultimately, open to change. My approach is genuine, compassionate, collaborative, and non-judgmental. I aim to provide culturally sensitive, trauma informed therapy, honoring your strengths, experiences, and intersecting identities. My goal is to help you to live a life that feels rich and meaningful to you.
I approach people with the belief that they are more than their pain, and want more than just an end to the suffering in their life. People want to lead meaningful lives. I view the relationship as the primary vehicle for helping clients feel accepted, cared for, and ultimately, open to change. My approach is genuine, compassionate, collaborative, and non-judgmental. I aim to provide culturally sensitive, trauma informed therapy, honoring your strengths, experiences, and intersecting identities. My goal is to help you to live a life that feels rich and meaningful to you.
(424) 232-0725 View (424) 232-0725
Photo of Elizabeth Collentine-Cole, Clinical Social Work/Therapist in Downtown, San Diego, CA
Elizabeth Collentine-Cole
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
My goal is to cultivate a warm, non-judgmental, inclusive space for my clients to embark on a journey of healing and self-discovery. Every client brings unique strengths, identities, histories, and relationships to our work. In our initial sessions, I focus on a client’s specific therapeutic objectives to help chart a path of growth and healing for our therapeutic work together. I have extensive experience in supporting clients who have suffered acute and chronic health challenges as well as in supporting clients who are coping with significant life transitions (relationship changes, birth, loss, career transitions, etc).
My goal is to cultivate a warm, non-judgmental, inclusive space for my clients to embark on a journey of healing and self-discovery. Every client brings unique strengths, identities, histories, and relationships to our work. In our initial sessions, I focus on a client’s specific therapeutic objectives to help chart a path of growth and healing for our therapeutic work together. I have extensive experience in supporting clients who have suffered acute and chronic health challenges as well as in supporting clients who are coping with significant life transitions (relationship changes, birth, loss, career transitions, etc).
(619) 815-7216 View (619) 815-7216
Photo of Daniel Perez, Marriage & Family Therapist in Downtown, San Diego, CA
Daniel Perez
Marriage & Family Therapist, LMFT
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
I utilize talk therapy with Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Trauma-Focused Cognitive Behavioral Therapy interventions. My approach allows individuals to get to the root cause of their issues while still having the immediate change of behavioral interventions.
I utilize talk therapy with Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Trauma-Focused Cognitive Behavioral Therapy interventions. My approach allows individuals to get to the root cause of their issues while still having the immediate change of behavioral interventions.
(415) 969-7407 View (415) 969-7407
Photo of Miguel Humara, Psychologist in Downtown, San Diego, CA
Miguel Humara
Psychologist, PhD
Verified Verified
Downtown, San Diego, CA 92101
Change your life for the better with short-term therapy that empowers you to solve your own problems fast. People in today's world face many unique challenges. Whether you are just starting out, questioning the future or regretting the past, you may need help in dealing with life's social, relational and occupational difficulties.
Change your life for the better with short-term therapy that empowers you to solve your own problems fast. People in today's world face many unique challenges. Whether you are just starting out, questioning the future or regretting the past, you may need help in dealing with life's social, relational and occupational difficulties.
(619) 693-1410 View (619) 693-1410
Photo of Jonathan Baker, Marriage & Family Therapist in Downtown, San Diego, CA
Jonathan Baker
Marriage & Family Therapist, LMFT
Verified Verified
Downtown, San Diego, CA 92138  (Online Only)
Waitlist for new clients
I have been in the counseling field for over 10 years, working with teens and adults, using evidence-based treatments to address a wide range of issues. I work using a multi-cultural and trauma-informed lens that allows me to understand your individual needs and meet you where you are in your journey. I am committed to providing an inclusive environment for all regardless of age, gender identity, race, health status, national origin, relationship status, sexual orientation, disability, ethnicity, socioeconomic status, and religion.
I have been in the counseling field for over 10 years, working with teens and adults, using evidence-based treatments to address a wide range of issues. I work using a multi-cultural and trauma-informed lens that allows me to understand your individual needs and meet you where you are in your journey. I am committed to providing an inclusive environment for all regardless of age, gender identity, race, health status, national origin, relationship status, sexual orientation, disability, ethnicity, socioeconomic status, and religion.
(619) 202-8956 View (619) 202-8956
Photo of Maureen McCartney, Marriage & Family Therapist in Downtown, San Diego, CA
Maureen McCartney
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
My career has followed my passion to help women and men cope with the stressors and trauma associated with family building and new parenthood. I bring extensive experience to my practice, with more than 15 years of counseling experience and specialized postgraduate training in fertility counseling. In addition, I am certified in Perinatal Mental Health, focusing on postpartum anxiety, depression, and other perinatal stressors. I work with many couples to help them regain their connection and strength on their path to building their family as well as adjust to their new identity as parents.
My career has followed my passion to help women and men cope with the stressors and trauma associated with family building and new parenthood. I bring extensive experience to my practice, with more than 15 years of counseling experience and specialized postgraduate training in fertility counseling. In addition, I am certified in Perinatal Mental Health, focusing on postpartum anxiety, depression, and other perinatal stressors. I work with many couples to help them regain their connection and strength on their path to building their family as well as adjust to their new identity as parents.
(619) 614-7896 View (619) 614-7896
Photo of Crystal Calderon, Marriage & Family Therapist in Downtown, San Diego, CA
Crystal Calderon
Marriage & Family Therapist, LMFT
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
My collaborative approach helps me meet you where you are and work towards creating a deeper understanding of your life views and personal perceptions. I believe in providing a safe space to really hear what you have to say and the journey you are embarking on. Through compassion, empathy, and collaboration, I am honored to help guide you through embracing your strengths and promoting resiliency. I am an open-minded and non-judgmental therapist who demonstrates a conversational type of treatment while making true connections to what can be at the root of any obstacles that may present.
My collaborative approach helps me meet you where you are and work towards creating a deeper understanding of your life views and personal perceptions. I believe in providing a safe space to really hear what you have to say and the journey you are embarking on. Through compassion, empathy, and collaboration, I am honored to help guide you through embracing your strengths and promoting resiliency. I am an open-minded and non-judgmental therapist who demonstrates a conversational type of treatment while making true connections to what can be at the root of any obstacles that may present.
(510) 369-1179 View (510) 369-1179
Photo of Tiffany Lin Lasky, Clinical Social Work/Therapist in Downtown, San Diego, CA
Tiffany Lin Lasky
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Downtown, San Diego, CA 92101
Is there an aspect of your career, relationships, or identity that needs sorting out? Are you struggling to make decisions as you prepare to take the next step in your life? Maybe you are feeling anxious or depressed and having difficulty managing stress. I'm here to help. I currently specialize in working with individuals and couples who have struggles with depression, anxiety, relationship issues, difficulty managing stress, life adjustment, trauma, grief and loss, and familial conflict. I utilize a trauma-informed, culturally sensitive approach to help you in your journey toward growth and healing.
Is there an aspect of your career, relationships, or identity that needs sorting out? Are you struggling to make decisions as you prepare to take the next step in your life? Maybe you are feeling anxious or depressed and having difficulty managing stress. I'm here to help. I currently specialize in working with individuals and couples who have struggles with depression, anxiety, relationship issues, difficulty managing stress, life adjustment, trauma, grief and loss, and familial conflict. I utilize a trauma-informed, culturally sensitive approach to help you in your journey toward growth and healing.
(619) 374-3408 View (619) 374-3408
Photo of Elijah Monsivais, Licensed Professional Counselor in Downtown, San Diego, CA
Elijah Monsivais
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Downtown, San Diego, CA 92101  (Online Only)
I like to provided a relaxed atmosphere where we can explore your life story, find your strengths, direction and start helping you to heal. I have had the opportunity to work with people of all ages from older adults to teens and children as small as 3 years old with variety of experiences from life changes, anxiety/ depression, families, behavior issues, lgbtq issues, careers, biploar, schizoaffective, psychosis and more.
I like to provided a relaxed atmosphere where we can explore your life story, find your strengths, direction and start helping you to heal. I have had the opportunity to work with people of all ages from older adults to teens and children as small as 3 years old with variety of experiences from life changes, anxiety/ depression, families, behavior issues, lgbtq issues, careers, biploar, schizoaffective, psychosis and more.
(210) 672-1151 View (210) 672-1151
Photo of Andrew Toscano, Clinical Social Work/Therapist in Downtown, San Diego, CA
Andrew Toscano
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, San Diego, CA 92101  (Online Only)
I believe that therapy should be accessible to all. I aim to provide a safe, empathic, and comfortable environment that allows an individual to address their mental health needs at their own pace. I have worked in acute medical settings, homeless services, community mental health, higher education, and HIV+ case management. I am a firm advocate for expanding access and enhancing therapeutic experiences for queer, Latinx, and BIPOC individuals. As an LGBTQIA+ affirmative therapist, I support clients of any gender identity or expression.
I believe that therapy should be accessible to all. I aim to provide a safe, empathic, and comfortable environment that allows an individual to address their mental health needs at their own pace. I have worked in acute medical settings, homeless services, community mental health, higher education, and HIV+ case management. I am a firm advocate for expanding access and enhancing therapeutic experiences for queer, Latinx, and BIPOC individuals. As an LGBTQIA+ affirmative therapist, I support clients of any gender identity or expression.
(619) 304-0167 View (619) 304-0167

See more therapy options for Downtown, San Diego

How does your Therapist compare?

Number of Therapists in Downtown, San Diego, CA

600+

Average cost per session

$171

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

93% Anxiety
88% Depression
74% Stress
72% Relationship Issues
69% Trauma and PTSD
69% Self Esteem
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
64% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

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

57% Online Only
43% In Person and Online

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, 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.