Therapists in Nob Hill, San Francisco, CA

Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist
Silver Lake Psychology--San Francisco location
Psychologist
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 727-4453 View (415) 727-4453
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 300-2414 View (415) 300-2414
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 635-0586 View (415) 635-0586
Photo of Kathryn A R James, Marriage & Family Therapist, MA, MFT
Kathryn A R James
Marriage & Family Therapist, MA, MFT
Verified Verified
Nob Hill, San Francisco, CA 94109
Have you become a stranger in your own life? Do you want to create a more balanced and meaningful life? Are your patterns preventing you from achieving your goals and full potential in relationships & career? Are you trapped in the chains of depression, anxiety, or addiction? As a seasoned clinician for almost 20 years, I work to help you attain your goals and create a purposeful life in a positive, proactive, inspiring, and empathetic manner with cognitive behavioral techniques. I specialize in life transitions such as motherhood/fatherhood and aging parents, depression/anxiety, addiction/substance abuse, & grief.
Have you become a stranger in your own life? Do you want to create a more balanced and meaningful life? Are your patterns preventing you from achieving your goals and full potential in relationships & career? Are you trapped in the chains of depression, anxiety, or addiction? As a seasoned clinician for almost 20 years, I work to help you attain your goals and create a purposeful life in a positive, proactive, inspiring, and empathetic manner with cognitive behavioral techniques. I specialize in life transitions such as motherhood/fatherhood and aging parents, depression/anxiety, addiction/substance abuse, & grief.
(415) 367-0977 View (415) 367-0977
Photo of Madison Messerli, Clinical Social Work/Therapist, LCSW, LMSW
Madison Messerli
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
2 Endorsed
Online Only
Productive and profoundly exhausted, after countless deep dives with tarot and astrology, all the sparkly new planners, the podcasts, the apps. It's impossible not to question, "am I just broken?" because structure feels stifling and resting feels like you are going to crawl out of your own skin. On the outside, you keep it together—but inside, it’s like no one really sees how much energy it takes to just get through the day. You crave clarity, meaning, and a version of success that feels like you. Something quieter. Truer. Deeper.
Productive and profoundly exhausted, after countless deep dives with tarot and astrology, all the sparkly new planners, the podcasts, the apps. It's impossible not to question, "am I just broken?" because structure feels stifling and resting feels like you are going to crawl out of your own skin. On the outside, you keep it together—but inside, it’s like no one really sees how much energy it takes to just get through the day. You crave clarity, meaning, and a version of success that feels like you. Something quieter. Truer. Deeper.
(415) 301-6908 View (415) 301-6908
Photo of Serena Wong, Clinical Social Work/Therapist, LCSW
Serena Wong
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
By creating a safe, non-judgmental, and exploratory space, healing and shifts can occur. I will support you to deepen your self-awareness, transform unhelpful beliefs and patterns, improve your relationships, and learn healthy ways to manage the challenges of your daily life. I provide an empathic, humorous, supportive, and relational approach to my work. I am compassionately direct when needed. We will work together to ensure you are experiencing growth and healing. Together we will discover solutions and take steps to meet your goals.
By creating a safe, non-judgmental, and exploratory space, healing and shifts can occur. I will support you to deepen your self-awareness, transform unhelpful beliefs and patterns, improve your relationships, and learn healthy ways to manage the challenges of your daily life. I provide an empathic, humorous, supportive, and relational approach to my work. I am compassionately direct when needed. We will work together to ensure you are experiencing growth and healing. Together we will discover solutions and take steps to meet your goals.
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Photo of Lynn G Allen, Marriage & Family Therapist, LMFT
Lynn G Allen
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Nob Hill, San Francisco, CA 94109
Not accepting new clients
I am a Licensed Marriage and Family Therapist providing services via telehealth to clients in California and Florida. I have extensive experience working with adults and older adolescents who present with a wide variety of issues and concerns. Central to my practice is helping my clients to actively learn skills to feel more grounded, present, relaxed and engaged in their daily lives and relationships. At all times I am guided by evidence-based practice and what available research has shown to be effective for a given issue.
I am a Licensed Marriage and Family Therapist providing services via telehealth to clients in California and Florida. I have extensive experience working with adults and older adolescents who present with a wide variety of issues and concerns. Central to my practice is helping my clients to actively learn skills to feel more grounded, present, relaxed and engaged in their daily lives and relationships. At all times I am guided by evidence-based practice and what available research has shown to be effective for a given issue.
(415) 630-5810 View (415) 630-5810
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 532-8835 View (415) 532-8835
Photo of Colleen Becket-Davenport, Psychologist, PsyD
Colleen Becket-Davenport
Psychologist, PsyD
Verified Verified
Online Only
I am a licensed clinical psychologist located in San Francisco, CA. My practice serves adults living anywhere in California or New York. I specialize in the treatment of trauma/PTSD, depression, and problems with relationships and adjustment during life transitions. I am currently accepting new patients for remote, weekday evening sessions.
I am a licensed clinical psychologist located in San Francisco, CA. My practice serves adults living anywhere in California or New York. I specialize in the treatment of trauma/PTSD, depression, and problems with relationships and adjustment during life transitions. I am currently accepting new patients for remote, weekday evening sessions.
(833) 245-7136 View (833) 245-7136
Photo of M J Barrett, MA
M J Barrett
MA
Verified Verified
1 Endorsed
Online Only
For the past 12 years I have helped people through relationship issues, anxiety, depression, parenting issues, life transitions, to name a few. Reaching out is the BEST first step you can take for yourself, you are not alone - Life throws curve balls and they can be hard to dodge.
For the past 12 years I have helped people through relationship issues, anxiety, depression, parenting issues, life transitions, to name a few. Reaching out is the BEST first step you can take for yourself, you are not alone - Life throws curve balls and they can be hard to dodge.
(628) 265-3400 View (628) 265-3400
Photo of Stacey J Dana, Marriage & Family Therapist, JD, MS, LMFT
Stacey J Dana
Marriage & Family Therapist, JD, MS, LMFT
Verified Verified
Online Only
I collaborate with adults confronting anxiety, depression, relationship issues, work stress and life transitions. My approach is warm, engaging, and outcome-focused. In a safe environment, we will work together to address problematic relational patterns, negative thoughts and feelings, and unproductive coping styles that keep you feeling stuck and emotionally distressed.
I collaborate with adults confronting anxiety, depression, relationship issues, work stress and life transitions. My approach is warm, engaging, and outcome-focused. In a safe environment, we will work together to address problematic relational patterns, negative thoughts and feelings, and unproductive coping styles that keep you feeling stuck and emotionally distressed.
(415) 649-5162 View (415) 649-5162
Photo of Jaxx Alutalica, Marriage & Family Therapist, MA, MFT, CST
Jaxx Alutalica
Marriage & Family Therapist, MA, MFT, CST
Not Verified Not Verified
2 Endorsed
Nob Hill, San Francisco, CA 94109
As a sex therapist, I specialize in topics surrounding BDSM and kink, sex work, polyamory, gender identity and queer issues. Whether you're inspired to explore new aspects of your gender or sexual identity, seeking to reignite intimacy, rekindle passion, entertain untapped desires, or reconnect with your deep felt sense of self, all of you is welcome in my office. We often find ourselves longing to seek more congruence in our lives, to weave together all the pieces of ourselves to step into our wisdom and grow our self expression. Learning to deepen the intimacy with yourself and others is the first step along a lifelong journey.
As a sex therapist, I specialize in topics surrounding BDSM and kink, sex work, polyamory, gender identity and queer issues. Whether you're inspired to explore new aspects of your gender or sexual identity, seeking to reignite intimacy, rekindle passion, entertain untapped desires, or reconnect with your deep felt sense of self, all of you is welcome in my office. We often find ourselves longing to seek more congruence in our lives, to weave together all the pieces of ourselves to step into our wisdom and grow our self expression. Learning to deepen the intimacy with yourself and others is the first step along a lifelong journey.
(415) 360-6832 View (415) 360-6832
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Nob Hill, San Francisco, CA 94109
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 965-0819 View (415) 965-0819
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 494-8347 View (415) 494-8347
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 855-2722 View (415) 855-2722
Photo of Juliet Baxter, Marriage & Family Therapist, MA, LMFT
Juliet Baxter
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Online Only
Do you struggle with anxiety and people pleasing tendencies that affect your ability to function and your relationships? Now more than ever, people are feeling anxious and overwhelmed by having to manage their relationships, careers, and general life obstacles.
Do you struggle with anxiety and people pleasing tendencies that affect your ability to function and your relationships? Now more than ever, people are feeling anxious and overwhelmed by having to manage their relationships, careers, and general life obstacles.
(628) 237-4464 View (628) 237-4464
Photo of Kayla Haberern, Licensed Professional Clinical Counselor, MA, LPCC, R-DMT
Kayla Haberern
Licensed Professional Clinical Counselor, MA, LPCC, R-DMT
Verified Verified
1 Endorsed
Nob Hill, San Francisco, CA 94109
Welcome to Feet in the Sand Holistic Therapy, helping you grow and flourish in mind, body, and soul. Whether you are seeking therapy for yourself, your family, or your child, getting support can be a very difficult process, so I honor your wisdom and your steps in your healing journey. With many years of experience, I specialize in working with infants and children, families, and pregnant and postpartum women as well as supervises focusing on Dance/Movement Therapy. I deeply care about you as a client and my heart is truly in this work. Providing psychotherapy, therapeutic groups, workshops, trainings, and clinical supervision.
Welcome to Feet in the Sand Holistic Therapy, helping you grow and flourish in mind, body, and soul. Whether you are seeking therapy for yourself, your family, or your child, getting support can be a very difficult process, so I honor your wisdom and your steps in your healing journey. With many years of experience, I specialize in working with infants and children, families, and pregnant and postpartum women as well as supervises focusing on Dance/Movement Therapy. I deeply care about you as a client and my heart is truly in this work. Providing psychotherapy, therapeutic groups, workshops, trainings, and clinical supervision.
(628) 257-8438 View (628) 257-8438
Photo of Brandy Dunn - Silver Lake Psychology--San Francisco location, Psychologist, PsyD
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Online Only
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 268-8735 View (415) 268-8735
Photo of Ashley Ryan Cook, Marriage & Family Therapist, LMFT
Ashley Ryan Cook
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Helping ambitious women move from burnout & anxiety to clarity & alignment. You're successful on paper, but inside, you feel overwhelmed, stuck, or unsure of your next step. The career and life you’ve built don’t feel as fulfilling as you expected. Maybe stress and anxiety are taking a toll on your well-being, or you’re questioning if you’re on the right path. You don’t just want to survive—you want to design a life that feels meaningful, aligned, and energizing. I specialize in working with women in their 20s and 30s who are navigating burnout, career transitions, stress, and anxiety.
Helping ambitious women move from burnout & anxiety to clarity & alignment. You're successful on paper, but inside, you feel overwhelmed, stuck, or unsure of your next step. The career and life you’ve built don’t feel as fulfilling as you expected. Maybe stress and anxiety are taking a toll on your well-being, or you’re questioning if you’re on the right path. You don’t just want to survive—you want to design a life that feels meaningful, aligned, and energizing. I specialize in working with women in their 20s and 30s who are navigating burnout, career transitions, stress, and anxiety.
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Photo of Victoria Zurkan, Marriage & Family Therapist, MS, LMFT
Victoria Zurkan
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
I've been licensed since 2006. My experience in addiction is extensive, including work in inpatient, outpatient and detox. I tailor each client's treatment needs individually using evidence based EMDR, CBT, DBT and psychodynamic therapy. Together we will learn to pay close attention to aspects of yourself that you may be unable to touch on your own. I look for patterns in either behavior or thoughts. Examining past family dynamics and reaching unconscious behavior, I connect that information to how it affects our current lives. Currently I am doing telemedicine with couples, individuals and I run CBT and DBT addiction groups.
I've been licensed since 2006. My experience in addiction is extensive, including work in inpatient, outpatient and detox. I tailor each client's treatment needs individually using evidence based EMDR, CBT, DBT and psychodynamic therapy. Together we will learn to pay close attention to aspects of yourself that you may be unable to touch on your own. I look for patterns in either behavior or thoughts. Examining past family dynamics and reaching unconscious behavior, I connect that information to how it affects our current lives. Currently I am doing telemedicine with couples, individuals and I run CBT and DBT addiction groups.
(628) 214-2234 View (628) 214-2234
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See more therapy options for Nob Hill, San Francisco

How does your Therapist compare?

Number of Therapists in Nob Hill, San Francisco, CA

200+

Average cost per session

$200

Therapists in Nob Hill, San Francisco, CA who prioritize treating:

95% Anxiety
89% Depression
86% Relationship Issues
78% Self Esteem
71% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

72% Aetna
56% UnitedHealthcare UHC | UBH
54% Optum

How Therapists in Nob Hill, San Francisco, CA see their clients

50% Online Only
50% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nob Hill, San Francisco?

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.