Therapists in Hillcrest, San Diego, CA

Photo of Scott Altamirano, LMFT, Marriage & Family Therapist
Scott Altamirano
Marriage & Family Therapist, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
With over a decade of experience, I considering myself a tough and compassionate therapist who will help you get to the truth. I specialize in complex cases, including LGBT issues, trauma, domestic violence, addiction, porn addiction, avoidant attachment, and personality disorders like borderline and narcissism.
With over a decade of experience, I considering myself a tough and compassionate therapist who will help you get to the truth. I specialize in complex cases, including LGBT issues, trauma, domestic violence, addiction, porn addiction, avoidant attachment, and personality disorders like borderline and narcissism.
(619) 824-1786 View (619) 824-1786
Photo of Rebecca Moore, PhD, Psychologist
Rebecca Moore
Psychologist, PhD
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
Our work together will help you to increase your self-awareness and your thoughts in a way that will allow you to learn better ways to manage and relieve symptoms of depression or anxiety. For example, you might be feeling symptoms such as relationship issues, sadness anger, insomnia, stress, worry or social phobias which we can change. My approach aims to help you attract and maintain healthy personal and professional relationships. We will work together to reduce stress, depression , anxiety, improve your relationships and improve your overall quality of life.
Our work together will help you to increase your self-awareness and your thoughts in a way that will allow you to learn better ways to manage and relieve symptoms of depression or anxiety. For example, you might be feeling symptoms such as relationship issues, sadness anger, insomnia, stress, worry or social phobias which we can change. My approach aims to help you attract and maintain healthy personal and professional relationships. We will work together to reduce stress, depression , anxiety, improve your relationships and improve your overall quality of life.
(619) 492-3346 View (619) 492-3346
Photo of Claudia Orsi, LMFT, Marriage & Family Therapist
Claudia Orsi
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Hillcrest, San Diego, CA 92103
Our story affects the way we define our identities and give meaning to our lives. Sometimes our stories become a barrier to living our lives to the fullest and finding fulfillment in our relationships. I focus on empowering you to re-story your experiences so you can move out of limiting interpretations and arrive at, or renew, your preferred identity that is congruent with your values.
Our story affects the way we define our identities and give meaning to our lives. Sometimes our stories become a barrier to living our lives to the fullest and finding fulfillment in our relationships. I focus on empowering you to re-story your experiences so you can move out of limiting interpretations and arrive at, or renew, your preferred identity that is congruent with your values.
(619) 431-4982 View (619) 431-4982
Photo of Caroline Hanna, LMFT, Marriage & Family Therapist
Caroline Hanna
Marriage & Family Therapist, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103
Caroline Hanna is LMFT 143838 in California. She works with individuals, young women, teens, children, and families. She is trained in EMDR and Trauma Focus-CBT. I use various modalities to meet their needs and create a therapeutic approach that feels suitable and comfortable for their personality. This process will be offered in a safe, caring, supportive environment with compassion and free of shame and judgment.
Caroline Hanna is LMFT 143838 in California. She works with individuals, young women, teens, children, and families. She is trained in EMDR and Trauma Focus-CBT. I use various modalities to meet their needs and create a therapeutic approach that feels suitable and comfortable for their personality. This process will be offered in a safe, caring, supportive environment with compassion and free of shame and judgment.
(858) 879-6087 View (858) 879-6087
Photo of Pei-Ying [Ann] Lo, PsyD, Pre-Licensed Professional
Pei-Ying [Ann] Lo
Pre-Licensed Professional, PsyD
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
Hello there, my name is Pei-Ying Lo (羅佩英), and I also go by Ann. I am a Post-Doctoral Fellow and Psychological Associate who is currently working towards full licensure under the supervision of Dr. Shawnee Brew. With my background and training, I bring a distinctive viewpoint on the therapeutic process and the external pressures we encounter. Let’s collaborate to discover the next steps for whatever you present, finding a balance between the challenges and the joys.
Hello there, my name is Pei-Ying Lo (羅佩英), and I also go by Ann. I am a Post-Doctoral Fellow and Psychological Associate who is currently working towards full licensure under the supervision of Dr. Shawnee Brew. With my background and training, I bring a distinctive viewpoint on the therapeutic process and the external pressures we encounter. Let’s collaborate to discover the next steps for whatever you present, finding a balance between the challenges and the joys.
(619) 923-0691 View (619) 923-0691
Photo of Julie Kyker, LMFT, Marriage & Family Therapist
Julie Kyker
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Hillcrest, San Diego, CA 92103
COUPLES: Are you struggling with feeling close and connected with your partner or other loved ones? Do you feel like you get caught in the same cycle over little (and big) topics? Do you want to become best friends and lovers again? INDIVIDUALS: Do you want to feel more free to be yourself? More confident in your choices? Perhaps there are some emotional wounds that need healing and/or you need to feel less alone with yourself and with those you love. ALL: Do you want to love and respect the opposite sex (or your own) better? Feel safer in relationships again? It's never too late to uncover your true self and to truly live.
COUPLES: Are you struggling with feeling close and connected with your partner or other loved ones? Do you feel like you get caught in the same cycle over little (and big) topics? Do you want to become best friends and lovers again? INDIVIDUALS: Do you want to feel more free to be yourself? More confident in your choices? Perhaps there are some emotional wounds that need healing and/or you need to feel less alone with yourself and with those you love. ALL: Do you want to love and respect the opposite sex (or your own) better? Feel safer in relationships again? It's never too late to uncover your true self and to truly live.
(619) 376-1135 View (619) 376-1135
Photo of Lynn Lunceford, PsyD, Psychologist
Lynn Lunceford
Psychologist, PsyD
Verified Verified
1 Endorsed
Hillcrest, San Diego, CA 92103
Not accepting new clients
Do you find yourself struggling with things that used to feel easy? Are you worried about a job, money, or relationship that seems to be slipping through your fingers? Do you have a child who’s struggling and things seem to be getting worse? It can feel like your world is collapsing in on you and no one understands what you’re going through. Do you find you’re having trouble sleeping, concentrating, or just communicating? Even though you’re doing the best that you can, you just might need a little help getting things back on track.
Do you find yourself struggling with things that used to feel easy? Are you worried about a job, money, or relationship that seems to be slipping through your fingers? Do you have a child who’s struggling and things seem to be getting worse? It can feel like your world is collapsing in on you and no one understands what you’re going through. Do you find you’re having trouble sleeping, concentrating, or just communicating? Even though you’re doing the best that you can, you just might need a little help getting things back on track.
(619) 324-3773 View (619) 324-3773
Photo of John Gavegnano, MA, LMFT, Marriage & Family Therapist
John Gavegnano
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
I specialize in trauma, depression and anxiety and help people remove barriers that prevent them from achieving their highest potential. The process includes learning new habits, unlearning old habits, and uncovering and breaking unhealthy cycles. I graduated from Pepperdine University in Malibu, CA and have 16 years of experience as a psychotherapist.
I specialize in trauma, depression and anxiety and help people remove barriers that prevent them from achieving their highest potential. The process includes learning new habits, unlearning old habits, and uncovering and breaking unhealthy cycles. I graduated from Pepperdine University in Malibu, CA and have 16 years of experience as a psychotherapist.
(650) 910-3016 View (650) 910-3016
Photo of Erica Basso - Therapy For High-Achieving Women, LMFT, Marriage & Family Therapist
Erica Basso - Therapy For High-Achieving Women
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Hillcrest, San Diego, CA 92103  (Online Only)
No one would believe you struggle with anxiety or self-esteem because your life looks great from the outside. You're successful, it appears you have it all. So why are you not happy? You may have had thoughts that you don't need therapy, that's for people who look like they're struggling and maybe you should just suck it up and be 'grateful'. I work with high-achieving women to overcome anxiety, perfectionism, relationship challenges, and more. You're not doing it wrong and the answer is not that you need to just do more or try harder. Mental health is complex and no one is immune to struggling with their mental health.
No one would believe you struggle with anxiety or self-esteem because your life looks great from the outside. You're successful, it appears you have it all. So why are you not happy? You may have had thoughts that you don't need therapy, that's for people who look like they're struggling and maybe you should just suck it up and be 'grateful'. I work with high-achieving women to overcome anxiety, perfectionism, relationship challenges, and more. You're not doing it wrong and the answer is not that you need to just do more or try harder. Mental health is complex and no one is immune to struggling with their mental health.
(747) 281-3143 View (747) 281-3143
Photo of Julie Brown, LCSW, CEAP, Clinical Social Work/Therapist
Julie Brown
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
2 Endorsed
Hillcrest, San Diego, CA 92163  (Online Only)
Would you like to enhance your overall sense of well being, confidence and quality of life? Perhaps you have been struggling for quite some time, or have recently experienced a challenging personal or professional event. I have years of experience providing compassionate, insightful and goal directed care.
Would you like to enhance your overall sense of well being, confidence and quality of life? Perhaps you have been struggling for quite some time, or have recently experienced a challenging personal or professional event. I have years of experience providing compassionate, insightful and goal directed care.
(858) 901-6383 View (858) 901-6383
Photo of Mia Najor, MA, LMFT, Marriage & Family Therapist
Mia Najor
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Hillcrest, San Diego, CA 92103
I am a licensed marriage and family therapist with experience treating mood disorders, relationship issues, and self-esteem issues. I believe deeply in the practice of mindfulness. I believe Black Lives Matter and love is love. I am a health at every size advocate. I specialize in the treatment of disordered eating, eating disorders, and body image dissatisfaction. I love empowering my clients. Since 2013, I have been working with the eating disorder population.
I am a licensed marriage and family therapist with experience treating mood disorders, relationship issues, and self-esteem issues. I believe deeply in the practice of mindfulness. I believe Black Lives Matter and love is love. I am a health at every size advocate. I specialize in the treatment of disordered eating, eating disorders, and body image dissatisfaction. I love empowering my clients. Since 2013, I have been working with the eating disorder population.
(858) 295-1338 View (858) 295-1338
Photo of Kathryn I Conklin, MA, LMFT, Marriage & Family Therapist
Kathryn I Conklin
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103
My professional experience with Grief is that it is full of Love and Life! While grief can be seriously painful, and even disorienting, it is also a time of Redesigning Life! Your Grief Journey is as unique as you are, and as unique as the relationship you are grieving. How you understand this loss, and integrate it into your life, is an important part of the Grief Journey. My 25+ years of working with families, groups, individuals and workshops, during the grieving process, has led to this perspective that Grief is full of Love and Life!
My professional experience with Grief is that it is full of Love and Life! While grief can be seriously painful, and even disorienting, it is also a time of Redesigning Life! Your Grief Journey is as unique as you are, and as unique as the relationship you are grieving. How you understand this loss, and integrate it into your life, is an important part of the Grief Journey. My 25+ years of working with families, groups, individuals and workshops, during the grieving process, has led to this perspective that Grief is full of Love and Life!
(858) 544-6416 View (858) 544-6416
Photo of Maritza Contreras, LMFT, Marriage & Family Therapist
Maritza Contreras
Marriage & Family Therapist, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
Hello, I'm Maritza Contreras, a licensed therapist committed to helping you navigate life's challenges with clarity and confidence. My therapeutic approach goes beyond traditional talk therapy; it's about taking meaningful action. Whether you're wrestling with depression, anxiety, stress, trauma, relationship complexities, emotion dysregulation, life transitions, or grief, I'm here to support you every step of the way.
Hello, I'm Maritza Contreras, a licensed therapist committed to helping you navigate life's challenges with clarity and confidence. My therapeutic approach goes beyond traditional talk therapy; it's about taking meaningful action. Whether you're wrestling with depression, anxiety, stress, trauma, relationship complexities, emotion dysregulation, life transitions, or grief, I'm here to support you every step of the way.
(619) 547-1744 View (619) 547-1744
Photo of Joshua Krause, MA, LMFT, Marriage & Family Therapist
Joshua Krause
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hillcrest, San Diego, CA 92103
Are you being pummeled by the waves of life? Is the tsunami of stress, anxiety, depression, change, grief and loss, leaving you feeling seasick, unmoored, and stuck in fear and survival mode? I'm here to help you get out of your head and into your life. Be it the stressors of divorce and custody, intimacy/relationships/sex and family/partner conflict, death of a loved one/loss of a job, feeling stuck, or navigating the overwhelming existential uncertainties of our world: you are not alone. Together, we will explore your values, meaning, & purpose, develop insight and resilience, and inspire and celebrate your unique inner warrior.
Are you being pummeled by the waves of life? Is the tsunami of stress, anxiety, depression, change, grief and loss, leaving you feeling seasick, unmoored, and stuck in fear and survival mode? I'm here to help you get out of your head and into your life. Be it the stressors of divorce and custody, intimacy/relationships/sex and family/partner conflict, death of a loved one/loss of a job, feeling stuck, or navigating the overwhelming existential uncertainties of our world: you are not alone. Together, we will explore your values, meaning, & purpose, develop insight and resilience, and inspire and celebrate your unique inner warrior.
(619) 941-6785 View (619) 941-6785
Photo of Ain Roost, Psychologist
Ain Roost
Psychologist
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
Seeking therapy is one of your most important decisions. Therapy can have enormous life-altering consequences. As you stand at the crossroads of your future, finding the right therapist will be vital to the success of your journey. Therapy works best when you can safely share your deepest concerns and feel truly heard. Feeling that you are in capable hands and can trust the feedback and suggestions you are given will allow you to try out new ways of being in the world.
Seeking therapy is one of your most important decisions. Therapy can have enormous life-altering consequences. As you stand at the crossroads of your future, finding the right therapist will be vital to the success of your journey. Therapy works best when you can safely share your deepest concerns and feel truly heard. Feeling that you are in capable hands and can trust the feedback and suggestions you are given will allow you to try out new ways of being in the world.
(858) 215-1957 View (858) 215-1957
Photo of Elizabeth Gerbert
Elizabeth Gerbert
Licensed Professional Clinical Counselor
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
Betsy Gerbert is a licensed professional clinical counselor (LPCC) who graduated with a M.S. in clinical counseling from Chestnut Hill College in Philadelphia, PA. Betsy has been practicing therapy for the past 15 years specializing in both individual and family therapy. She has worked with children, tweens, adolescents, and adults. Her approach to therapy is tailored to you and/or your children’s needs. Betsy approaches therapy using concepts from cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), a family systems approach, trauma informed care, and mindfulness-based skills.
Betsy Gerbert is a licensed professional clinical counselor (LPCC) who graduated with a M.S. in clinical counseling from Chestnut Hill College in Philadelphia, PA. Betsy has been practicing therapy for the past 15 years specializing in both individual and family therapy. She has worked with children, tweens, adolescents, and adults. Her approach to therapy is tailored to you and/or your children’s needs. Betsy approaches therapy using concepts from cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), a family systems approach, trauma informed care, and mindfulness-based skills.
(619) 738-6754 View (619) 738-6754
Photo of Dr. Araceli López-Arenas, PhD, MPH, Psychologist
Dr. Araceli López-Arenas
Psychologist, PhD, MPH
Verified Verified
1 Endorsed
Hillcrest, San Diego, CA 92103  (Online Only)
Waitlist for new clients
Hi and welcome! I want to congratulate you for taking the first step in recognizing that you may need support in the areas that you are struggling with. Step two is finding a provider that you feel comfortable working with. You are likely resilient AF, find that you are in need of support, and probably take care of others, but who takes care of you? This is a place to be taken care of when you care for the rest of the world. If you are motivated to make changes in your life, then let’s schedule a phone consult to determine if you would like to start working with me.
Hi and welcome! I want to congratulate you for taking the first step in recognizing that you may need support in the areas that you are struggling with. Step two is finding a provider that you feel comfortable working with. You are likely resilient AF, find that you are in need of support, and probably take care of others, but who takes care of you? This is a place to be taken care of when you care for the rest of the world. If you are motivated to make changes in your life, then let’s schedule a phone consult to determine if you would like to start working with me.
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Photo of Tess Owens, LMFT, MA, Marriage & Family Therapist
Tess Owens
Marriage & Family Therapist, LMFT, MA
Verified Verified
Hillcrest, San Diego, CA 92103
Qualified to provide individual and family therapy. I have gained an in-depth understanding and passion for relational and family systems, trauma-informed care and experiential interventions. I am an empathic and insightful therapist with a talent for empowering clients towards positive growth. I have a successful history of achievement in academic, training and work experiences. Trained in assessment, diagnosis, treatment planning and providing psychotherapy to adults & adolescents with a wide variety of presenting problems including, depression, anxiety, trauma, dual diagnosis, self esteem, identity, relapse and addiction.
Qualified to provide individual and family therapy. I have gained an in-depth understanding and passion for relational and family systems, trauma-informed care and experiential interventions. I am an empathic and insightful therapist with a talent for empowering clients towards positive growth. I have a successful history of achievement in academic, training and work experiences. Trained in assessment, diagnosis, treatment planning and providing psychotherapy to adults & adolescents with a wide variety of presenting problems including, depression, anxiety, trauma, dual diagnosis, self esteem, identity, relapse and addiction.
(619) 431-4106 View (619) 431-4106
Photo of Abigail R Hitchen, PsyD, Psychologist
Abigail R Hitchen
Psychologist, PsyD
Verified Verified
2 Endorsed
Hillcrest, San Diego, CA 92103  (Online Only)
Please note all services are 100% virtual. I provide a non-judgmental, compassionate space for you to explore issues with a holistic focus. I believe the mind-body connection is essential, and that the stories we tell ourselves create our lives. Together we will strive for empowerment, coping skills, authentic living, and more trust in your ability to manage life's difficulties. As a licensed Clinical Psychologist I work with individuals who struggle with a wide range of issues including depression, anxiety, trauma, relationship issues, life transitions, grief/loss, self esteem/worth, boundaries, and much more.
Please note all services are 100% virtual. I provide a non-judgmental, compassionate space for you to explore issues with a holistic focus. I believe the mind-body connection is essential, and that the stories we tell ourselves create our lives. Together we will strive for empowerment, coping skills, authentic living, and more trust in your ability to manage life's difficulties. As a licensed Clinical Psychologist I work with individuals who struggle with a wide range of issues including depression, anxiety, trauma, relationship issues, life transitions, grief/loss, self esteem/worth, boundaries, and much more.
(858) 492-7003 View (858) 492-7003
Photo of Emily Treichler, PhD, Psychologist
Emily Treichler
Psychologist, PhD
Verified Verified
Hillcrest, San Diego, CA 92103  (Online Only)
I most often work with folks who are experiencing significant emotional distress, whether due to trauma, psychosis, chronic illness, or discrimination. It is my honor as a therapist to meet each client exactly where they are and use therapy as an opportunity for growth, validation, and empowerment. I enjoy collaborating with you to understand you values, preferences, and goals, and identify an approach that is most likely to be helpful for you- while leaving lots of room to tailor to your needs. Ultimately, therapy should help light a path forward towards a life you find meaningful, empowering, and joyful- something we all deserve.
I most often work with folks who are experiencing significant emotional distress, whether due to trauma, psychosis, chronic illness, or discrimination. It is my honor as a therapist to meet each client exactly where they are and use therapy as an opportunity for growth, validation, and empowerment. I enjoy collaborating with you to understand you values, preferences, and goals, and identify an approach that is most likely to be helpful for you- while leaving lots of room to tailor to your needs. Ultimately, therapy should help light a path forward towards a life you find meaningful, empowering, and joyful- something we all deserve.
(619) 514-3136 View (619) 514-3136
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How does your Therapist compare?

Number of Therapists in Hillcrest, San Diego, CA

400+

Average cost per session

$175

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

93% Anxiety
89% Depression
74% Relationship Issues
71% Stress
67% Trauma and PTSD
67% Self Esteem
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

76% Aetna
62% Cigna and Evernorth
44% UnitedHealthcare UHC | UBH

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

53% Online Only
47% In Person and Online

Gender breakdown

71% Female
25% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hillcrest, 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.