Therapists in San Jose, CA

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Photo of Ann Margaret Stillingfleet, MA, LMFT, Marriage & Family Therapist
Ann Margaret Stillingfleet
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95126
I choose to see life's challenges as invitations to know ourselves more honestly, and to accept ourselves as we are. I believe that when individuals are self-aware they experience life as more meaningful and challenges as less distressing. I help individuals struggling with depression, anxiety, life transitions and relationship issues, to embrace their wholeness and strengthen inner resources not yet recognized. From this place of knowing and alternate or adjusted perspective, individuals develop compassion for self and other, gain confidence in relationships, and feel more assured in their ability to address the challenges life presents.
I choose to see life's challenges as invitations to know ourselves more honestly, and to accept ourselves as we are. I believe that when individuals are self-aware they experience life as more meaningful and challenges as less distressing. I help individuals struggling with depression, anxiety, life transitions and relationship issues, to embrace their wholeness and strengthen inner resources not yet recognized. From this place of knowing and alternate or adjusted perspective, individuals develop compassion for self and other, gain confidence in relationships, and feel more assured in their ability to address the challenges life presents.
(408) 752-5875 View (408) 752-5875
Photo of Carolina Sang, MA, AMFT, Marriage & Family Therapist Associate
Carolina Sang
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Jose, CA 95126
Are you finding it difficult to express your needs with someone in your life? Are you concerned that you and your loved one keep misunderstanding each other due to differences in cultural or gendered communication styles? Maybe you're going through a life transition that's adding to your stress levels, and leaving you both feeling in the dark about how to give and receive support? Or perhaps you are happy in your partnership, but are eager to grow together and deepen your bond even further? I can shine a light on those areas of difficulty for you both that remain obscured from view, and illuminate a new way forward.
Are you finding it difficult to express your needs with someone in your life? Are you concerned that you and your loved one keep misunderstanding each other due to differences in cultural or gendered communication styles? Maybe you're going through a life transition that's adding to your stress levels, and leaving you both feeling in the dark about how to give and receive support? Or perhaps you are happy in your partnership, but are eager to grow together and deepen your bond even further? I can shine a light on those areas of difficulty for you both that remain obscured from view, and illuminate a new way forward.
(408) 583-5437 View (408) 583-5437
Photo of Tobey Allen, LMFT, Marriage & Family Therapist
Tobey Allen
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95148
Hello I'm Tobey Allen, a licensed Marriage and Family Therapist with an integrative approach to my work. I work with individuals who are coping with life transitions, including chronic health conditions, midlife changes, bereavement, and the stressors of aging parents. My specialties include Cognitive Behavioral Therapy, art therapy, stress management, including mindfulness and guided imagery and grief support.
Hello I'm Tobey Allen, a licensed Marriage and Family Therapist with an integrative approach to my work. I work with individuals who are coping with life transitions, including chronic health conditions, midlife changes, bereavement, and the stressors of aging parents. My specialties include Cognitive Behavioral Therapy, art therapy, stress management, including mindfulness and guided imagery and grief support.
(408) 676-4025 View (408) 676-4025
Photo of Lana Shatil, MA, APCC, AMFT, Pre-Licensed Professional
Lana Shatil
Pre-Licensed Professional, MA, APCC, AMFT
Verified Verified
San Jose, CA 95126
I help people struggling with depression, anxiety, PTSD, relational issues, and career challenges/changes. There is no need to stay awake at night with troubling thoughts, feel lonely even when in a relationship, and use distractions of substances, media, sex, or work. I invite you to take ownership of your life. I believe in a holistic approach to healing with the mind, heart, body, and spirit integrated. I use the Internal Family System (IFS), Trauma processing with CBT, and Emotional and Somatic Experiencing.
I help people struggling with depression, anxiety, PTSD, relational issues, and career challenges/changes. There is no need to stay awake at night with troubling thoughts, feel lonely even when in a relationship, and use distractions of substances, media, sex, or work. I invite you to take ownership of your life. I believe in a holistic approach to healing with the mind, heart, body, and spirit integrated. I use the Internal Family System (IFS), Trauma processing with CBT, and Emotional and Somatic Experiencing.
(408) 351-8078 View (408) 351-8078
Photo of Jamie Stern, AMFT, Marriage & Family Therapist Associate
Jamie Stern
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Jose, CA 95125
Are you going through internal struggle due to trauma? Do you feel anxious and depressed about the future? Do you struggle with family issues and relationship issues? I’m willing to meet you where you are, help you process unwanted thoughts and emotions, and help develop an action plan to effectively cultivate your healing and growth. I’m here to help you explore unresolved feelings (anxiety, depression, anger, helplessness, grief, etc.) and develop skills to effectively cope with them. Thus, you can feel relieved and fulfilled in your relationship with yourself and others.
Are you going through internal struggle due to trauma? Do you feel anxious and depressed about the future? Do you struggle with family issues and relationship issues? I’m willing to meet you where you are, help you process unwanted thoughts and emotions, and help develop an action plan to effectively cultivate your healing and growth. I’m here to help you explore unresolved feelings (anxiety, depression, anger, helplessness, grief, etc.) and develop skills to effectively cope with them. Thus, you can feel relieved and fulfilled in your relationship with yourself and others.
(408) 351-8421 View (408) 351-8421
Photo of Taisia McMahon, MA, MFT, Marriage & Family Therapist
Taisia McMahon
Marriage & Family Therapist, MA, MFT
Verified Verified
San Jose, CA 95128
I provide a space where you are free to explore and share yourself. I strive to create an environment that allows you to safely discuss, reflect, uncover, and change. You may come as you are to address the things that are affecting you today.
I provide a space where you are free to explore and share yourself. I strive to create an environment that allows you to safely discuss, reflect, uncover, and change. You may come as you are to address the things that are affecting you today.
(408) 533-8604 View (408) 533-8604
Photo of Brandon Hyatt, LMFT, Marriage & Family Therapist
Brandon Hyatt
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Jose, CA 95128  (Online Only)
My approach as a therapist is simple, I meet my clients where they are so we can reach their goals collaboratively. As a therapist, I work for my clients and understand that we are all different and that what works for some won't work for others. My job is to help people achieve the change/goals/ etc that they want to achieve. To accomplish that I work collaboratively with my clients to understand their goals, what contributes to their situation, and what skills/changes we need to create/uncover to create the changes they are looking for.
My approach as a therapist is simple, I meet my clients where they are so we can reach their goals collaboratively. As a therapist, I work for my clients and understand that we are all different and that what works for some won't work for others. My job is to help people achieve the change/goals/ etc that they want to achieve. To accomplish that I work collaboratively with my clients to understand their goals, what contributes to their situation, and what skills/changes we need to create/uncover to create the changes they are looking for.
(415) 548-2983 View (415) 548-2983
Photo of Martha Cervantes, LMFT, Marriage & Family Therapist
Martha Cervantes
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95112  (Online Only)
Finding a therapist, you can trust can be intimidating and scheduling the first session can feel overwhelming. You have taken the first step towards self-discovery, healing, and personal growth. I am here to provide guidance toward reaching insight, confidence, improving relationships with self and others, and an opportunity to break patterns. I provide a safe, warm, and accepting space to allow you to freely express your feelings, thoughts, and experiences. I specialize in areas of coping with anxiety, depression, parenting challenges, creating meaning, acculturation challenges and empowering you to be your best self.
Finding a therapist, you can trust can be intimidating and scheduling the first session can feel overwhelming. You have taken the first step towards self-discovery, healing, and personal growth. I am here to provide guidance toward reaching insight, confidence, improving relationships with self and others, and an opportunity to break patterns. I provide a safe, warm, and accepting space to allow you to freely express your feelings, thoughts, and experiences. I specialize in areas of coping with anxiety, depression, parenting challenges, creating meaning, acculturation challenges and empowering you to be your best self.
(408) 889-7481 View (408) 889-7481
Photo of Jill Pittman, MA, LMFT, 52017, Marriage & Family Therapist
Jill Pittman
Marriage & Family Therapist, MA, LMFT, 52017
Verified Verified
San Jose, CA 95117  (Online Only)
This life of ours can be really f-cking hard! My goal as your therapist is to show up as my authentic self so that I can be a source of support as you navigate the many twists and turns of life. Therapy can be really tough and I believe that it takes honesty, authenticity, transparency, and connection to create the dynamic required for making change. My style is collaborative, relational, and non-shaming. Let us deconstruct the messages you have received from society so that healing can begin.
This life of ours can be really f-cking hard! My goal as your therapist is to show up as my authentic self so that I can be a source of support as you navigate the many twists and turns of life. Therapy can be really tough and I believe that it takes honesty, authenticity, transparency, and connection to create the dynamic required for making change. My style is collaborative, relational, and non-shaming. Let us deconstruct the messages you have received from society so that healing can begin.
(408) 341-6911 View (408) 341-6911
Photo of Jennifer Mass, LCSW, Clinical Social Work/Therapist
Jennifer Mass
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95122
Hi there, my name is Jennifer, and I am a Licensed Clinical Social Worker (LCSW) based in Temecula, California. I work with young adults via telehealth, specializing in anxiety, depression and life transitions using Cognitive Behavioral Therapy (CBT) and Mindfulness-based approaches. I believe authenticity and genuine connection are equally as important in the therapeutic process as the modalities that we use.
Hi there, my name is Jennifer, and I am a Licensed Clinical Social Worker (LCSW) based in Temecula, California. I work with young adults via telehealth, specializing in anxiety, depression and life transitions using Cognitive Behavioral Therapy (CBT) and Mindfulness-based approaches. I believe authenticity and genuine connection are equally as important in the therapeutic process as the modalities that we use.
(408) 716-3725 View (408) 716-3725
Photo of Jessica Diaz, LCSW
Jessica Diaz
Associate Clinical Social Worker, LCSW
Verified Verified
San Jose, CA 95118
Welcome, my name is Jessica Diaz. I am a Licensed Clinical Social Worker (LCSW) who has worked with children, adolescents, adults, couples, and families with a diverse background of areas of need. My approach to therapy is compassionate, warm, and with a no-judgment stance. I have clinical experience working with young children, adolescents, adults, couples, and families, across a variety of settings including outpatient specialty clinics, crisis intervention, trauma-focused, structured outpatient programs, and non-profits.
Welcome, my name is Jessica Diaz. I am a Licensed Clinical Social Worker (LCSW) who has worked with children, adolescents, adults, couples, and families with a diverse background of areas of need. My approach to therapy is compassionate, warm, and with a no-judgment stance. I have clinical experience working with young children, adolescents, adults, couples, and families, across a variety of settings including outpatient specialty clinics, crisis intervention, trauma-focused, structured outpatient programs, and non-profits.
(408) 547-9754 View (408) 547-9754
Photo of Veronica Ayala, MA, LMFT, Marriage & Family Therapist
Veronica Ayala
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95123  (Online Only)
Do you often feel unseen or misunderstood, anxious about social situations, or hesitant to speak your truth out of fear of judgment? Are you yearning to express your authentic self with confidence and let go of the need to please others? If you’re seeking a safe, supportive space to explore your identity and self-expression, therapy could be the next step in your journey. I’m here to help you uncover the root causes of these feelings, empower you to set healthy boundaries, boost your self-esteem and self-worth, and develop effective coping and communication skills.
Do you often feel unseen or misunderstood, anxious about social situations, or hesitant to speak your truth out of fear of judgment? Are you yearning to express your authentic self with confidence and let go of the need to please others? If you’re seeking a safe, supportive space to explore your identity and self-expression, therapy could be the next step in your journey. I’m here to help you uncover the root causes of these feelings, empower you to set healthy boundaries, boost your self-esteem and self-worth, and develop effective coping and communication skills.
(408) 403-5578 View (408) 403-5578
Photo of Stacey Alvarez, LMFT, Marriage & Family Therapist
Stacey Alvarez
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95128
Sometimes having compassion for ourselves is much harder than extending compassion to others. It’s difficult when we are dealing with thoughts that convince us we are broken or stuck, or when we are facing issues that seem larger than us, issues that appear beyond what our personal power can handle. Along with these thoughts of uncertainty come feelings such as anxiety, sadness, shame, and grief, all of which we struggle to avoid. This can make living a valued existence appear difficult or impossible. Yet it is. You don’t need to go it alone. I can see that power within you, even if you are unable to see this in yourself.
Sometimes having compassion for ourselves is much harder than extending compassion to others. It’s difficult when we are dealing with thoughts that convince us we are broken or stuck, or when we are facing issues that seem larger than us, issues that appear beyond what our personal power can handle. Along with these thoughts of uncertainty come feelings such as anxiety, sadness, shame, and grief, all of which we struggle to avoid. This can make living a valued existence appear difficult or impossible. Yet it is. You don’t need to go it alone. I can see that power within you, even if you are unable to see this in yourself.
(669) 254-3725 View (669) 254-3725
Photo of Michelle S. Myers, MA, LMFT, Marriage & Family Therapist
Michelle S. Myers
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95160  (Online Only)
15 years licensed now, I offer all my experience in partnering with you to eliminate debilitating self-hate, anxiety and depression. I will co-create with you to transform your trauma into your wisdom and truth. The fact that you're seeking support lets me know that you value your life and you have a wealth of strength and heart. I hope to be a lantern on your path, shining light on places that might be passed over, painful, or forgotten. We will pace ourselves safely on this journey towards self-knowledge and self-acceptance.
15 years licensed now, I offer all my experience in partnering with you to eliminate debilitating self-hate, anxiety and depression. I will co-create with you to transform your trauma into your wisdom and truth. The fact that you're seeking support lets me know that you value your life and you have a wealth of strength and heart. I hope to be a lantern on your path, shining light on places that might be passed over, painful, or forgotten. We will pace ourselves safely on this journey towards self-knowledge and self-acceptance.
(408) 681-8648 View (408) 681-8648
Photo of Nancy Chau, LMFT, Marriage & Family Therapist
Nancy Chau
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95131  (Online Only)
My authenticity in sessions help me build a strong connection and relationship with clients to begin their journey of growth and healing. It is believed that the healing process begins with a therapeutic relationship. Through our relationship, I aim to help you develop healthy interactions in your own life, providing a safe and non-judgmental space where you can gain the confidence needed to express feelings you may struggle to communicate elsewhere. My directive approach encourages you to apply the insights and skills gained in therapy to make meaningful changes in your life, towards your ideal vision of well-being.
My authenticity in sessions help me build a strong connection and relationship with clients to begin their journey of growth and healing. It is believed that the healing process begins with a therapeutic relationship. Through our relationship, I aim to help you develop healthy interactions in your own life, providing a safe and non-judgmental space where you can gain the confidence needed to express feelings you may struggle to communicate elsewhere. My directive approach encourages you to apply the insights and skills gained in therapy to make meaningful changes in your life, towards your ideal vision of well-being.
(408) 351-8557 View (408) 351-8557
Photo of Sharla Mize, LPCC, Licensed Professional Counselor
Sharla Mize
Licensed Professional Counselor, LPCC
Verified Verified
1 Endorsed
San Jose, CA 95120  (Online Only)
I am interested in helping people make their minds and bodies a safe place to live. If anxiety and depression seem to be constant companions, or you struggle to meet your goals, I can help you. If you have trouble managing relationships - they run hot and cold, you run hot and cold, there are things we can do in session to remedy that. If you don't even know what you want, exactly, but you know there is something more out there for you, we can identify that and figure out what gets in your way of moving forward and living freely.
I am interested in helping people make their minds and bodies a safe place to live. If anxiety and depression seem to be constant companions, or you struggle to meet your goals, I can help you. If you have trouble managing relationships - they run hot and cold, you run hot and cold, there are things we can do in session to remedy that. If you don't even know what you want, exactly, but you know there is something more out there for you, we can identify that and figure out what gets in your way of moving forward and living freely.
(408) 351-9803 View (408) 351-9803
Photo of La Wanda Marrero, LMFT, Marriage & Family Therapist
La Wanda Marrero
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95111
Hello, I am La Wanda Marrero, Licensed Marriage & Family Therapist LMFT139411. I have been in practice for over 10 years. My approach is strength-based, to meet you, the client, right where you are. My area of focus is stress reduction and client goal orientation. I work with clients who have made a decision to support themselves in making realistic changes and lifestyle improvements that decrease stress, depression, and anxiety with a trauma-informed informed and natural heart approach.
Hello, I am La Wanda Marrero, Licensed Marriage & Family Therapist LMFT139411. I have been in practice for over 10 years. My approach is strength-based, to meet you, the client, right where you are. My area of focus is stress reduction and client goal orientation. I work with clients who have made a decision to support themselves in making realistic changes and lifestyle improvements that decrease stress, depression, and anxiety with a trauma-informed informed and natural heart approach.
(408) 869-5676 View (408) 869-5676
Photo of Bridget Balajadia - Bridget Balajadia, Lupine Counseling, LCSW, PMH-C, Clinical Social Work/Therapist
Bridget Balajadia, Lupine Counseling
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
5 Endorsed
San Jose, CA 95127  (Online Only)
Has motherhood not been what you expected it would be? Maybe you are finding yourself wondering if being a mom is supposed to be this hard or if there is something wrong with you. Maybe you had a horrible event happen during your pregnancy or birth. Maybe you just know that you are not feeling like the best version of yourself and it feels like nothing is helping you feel better. You know that you want to feel like yourself again - you want to feel confident in your ability to parent, you want to feel attached to your baby, you want to find peace.
Has motherhood not been what you expected it would be? Maybe you are finding yourself wondering if being a mom is supposed to be this hard or if there is something wrong with you. Maybe you had a horrible event happen during your pregnancy or birth. Maybe you just know that you are not feeling like the best version of yourself and it feels like nothing is helping you feel better. You know that you want to feel like yourself again - you want to feel confident in your ability to parent, you want to feel attached to your baby, you want to find peace.
(408) 669-4071 View (408) 669-4071
Photo of Dr. Wesley Kobashigawa, PhD, LMFT, Marriage & Family Therapist
Dr. Wesley Kobashigawa
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Jose, CA 95152
Healing isn't always linear. I believe it is important to honor your emotions and prioritize the things in your life that bring you joy and purpose. In my practice I focus on serving adolescents, college and graduate students, and young professionals going through life-stage transitions. I am passionate about working with API and Indigenous groups, and those transitioning to the mainland from Hawaii. My specialty areas include intergenerational familial conflict, issues surrounding acculturation, interracial relationship dynamics, and stress reduction with medical students.
Healing isn't always linear. I believe it is important to honor your emotions and prioritize the things in your life that bring you joy and purpose. In my practice I focus on serving adolescents, college and graduate students, and young professionals going through life-stage transitions. I am passionate about working with API and Indigenous groups, and those transitioning to the mainland from Hawaii. My specialty areas include intergenerational familial conflict, issues surrounding acculturation, interracial relationship dynamics, and stress reduction with medical students.
(650) 881-4956 View (650) 881-4956
Photo of Rachael E Barreto, LCSW, Clinical Social Work/Therapist
Rachael E Barreto
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95153  (Online Only)
I am a licensed clinical social worker specializing in the treatment of adult ADHD. I utilize a variety of therapeutic techniques and coaching strategies based in neuroscience to help clients improve cognition and executive functioning skills, emotional awareness and intelligence, and overall functioning in school, work, relationships and daily life.
I am a licensed clinical social worker specializing in the treatment of adult ADHD. I utilize a variety of therapeutic techniques and coaching strategies based in neuroscience to help clients improve cognition and executive functioning skills, emotional awareness and intelligence, and overall functioning in school, work, relationships and daily life.
(650) 955-1705 View (650) 955-1705
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How does your Therapist compare?

Number of Therapists in San Jose, CA

2,000+

Average cost per session

$185

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
72% Self Esteem
69% Stress
67% Coping Skills
64% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
71% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Jose?

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.