Therapists in Downtown, San Mateo, CA

Photo of Joseph Miller - Miller Psychological Assessments, Psychologist, PhD
Miller Psychological Assessments
Psychologist, PhD
Downtown, San Mateo, CA 94401
I specialize in assessment and diagnosis of Learning disabilities and ADHD in childhood through adulthood. My years of experience working with school districts allows me to offer superior yet efficient assessments at highly competitive rates. I can also help you navigate the special education system if needed.
I specialize in assessment and diagnosis of Learning disabilities and ADHD in childhood through adulthood. My years of experience working with school districts allows me to offer superior yet efficient assessments at highly competitive rates. I can also help you navigate the special education system if needed.
(628) 444-4189 View (628) 444-4189
Photo of Kim Bausback, Psychologist, PhD
Kim Bausback
Psychologist, PhD
2 Endorsed
Downtown, San Mateo, CA 94401
Are you feeling overwhelmed? Are your coping strategies not working as well as they used to? Are you ready for change? Therapy is a place to gain a better understanding of your challenges and a deeper awareness of your many strengths. We will work together to develop strategies that use your strengths to make your challenges feel more manageable. I conduct compassionate, client-centered psychotherapy to help you achieve your goals.
Are you feeling overwhelmed? Are your coping strategies not working as well as they used to? Are you ready for change? Therapy is a place to gain a better understanding of your challenges and a deeper awareness of your many strengths. We will work together to develop strategies that use your strengths to make your challenges feel more manageable. I conduct compassionate, client-centered psychotherapy to help you achieve your goals.
(650) 459-5983 View (650) 459-5983
Photo of Laura Purpura, Marriage & Family Therapist, LMFT
Laura Purpura
Marriage & Family Therapist, LMFT
1 Endorsed
Downtown, San Mateo, CA 94401
Welcome! I am a Licensed Marriage and Family Therapist who has been working with children, adolescents and families for over 25 years. I began my career as an elementary classroom teacher and have extensive experience in educational and therapeutic settings. I received my Master's Degree in Marriage and Family Therapy with a specialization in Art Therapy from Notre Dame de Namur University in Belmont, Ca. I received my Bachelor's Degree in Psycholgoy and teaching credential from the University of California San Diego.
Welcome! I am a Licensed Marriage and Family Therapist who has been working with children, adolescents and families for over 25 years. I began my career as an elementary classroom teacher and have extensive experience in educational and therapeutic settings. I received my Master's Degree in Marriage and Family Therapy with a specialization in Art Therapy from Notre Dame de Namur University in Belmont, Ca. I received my Bachelor's Degree in Psycholgoy and teaching credential from the University of California San Diego.
(650) 643-4146 View (650) 643-4146
Photo of Suzanne Dito, Marriage & Family Therapist, LMFT
Suzanne Dito
Marriage & Family Therapist, LMFT
4 Endorsed
Downtown, San Mateo, CA 94401
As a Licensed Marriage and Family Therapist, I specialize in grief/loss, trauma, parenting issues, anxiety and life transitions. Blending my Masters degree in Counseling Psychology from the California Institute of Integral Studies with my certifications in Yoga, Interactive Guided Imagery, Qi Gong, and meditation, I meld a variety of proven techniques to individualize your therapy based on your focused objectives. My goal is to empower children, individuals, and couples with the tools they need to face the challenges in their lives that arise authentically and self-sufficiently. My free time is spent with friends, watching movies or
As a Licensed Marriage and Family Therapist, I specialize in grief/loss, trauma, parenting issues, anxiety and life transitions. Blending my Masters degree in Counseling Psychology from the California Institute of Integral Studies with my certifications in Yoga, Interactive Guided Imagery, Qi Gong, and meditation, I meld a variety of proven techniques to individualize your therapy based on your focused objectives. My goal is to empower children, individuals, and couples with the tools they need to face the challenges in their lives that arise authentically and self-sufficiently. My free time is spent with friends, watching movies or
(650) 910-2893 View (650) 910-2893
Photo of Patrick Murphy, Clinical Social Work/Therapist, LCSW
Patrick Murphy
Clinical Social Work/Therapist, LCSW
Downtown, San Mateo, CA 94401
Stressed about the election? Feeling overwhelmed? Experiencing worry, anxiety or depression? Struggling with Imposture syndrome, perfectionism or procrastination at work or in your personal life? I know seeking therapy can be frustrating and anxiety provoking. Therapy can help you to get unstuck and gain clarity, confidence, reduce anxiety, feel happier, develop deeper connections with friends and family, gain perspective about life's problems and disappointments, heal past wounds, establish a healthy feeling of hope and "be yourself" again.
Stressed about the election? Feeling overwhelmed? Experiencing worry, anxiety or depression? Struggling with Imposture syndrome, perfectionism or procrastination at work or in your personal life? I know seeking therapy can be frustrating and anxiety provoking. Therapy can help you to get unstuck and gain clarity, confidence, reduce anxiety, feel happier, develop deeper connections with friends and family, gain perspective about life's problems and disappointments, heal past wounds, establish a healthy feeling of hope and "be yourself" again.
(650) 374-0332 View (650) 374-0332
Photo of Maria Levy Downs - Maria Levy Downs Psychotherapy, Marriage & Family Therapist, LMFT
Maria Levy Downs Psychotherapy
Marriage & Family Therapist, LMFT
4 Endorsed
Downtown, San Mateo, CA 94401
I believe for therapy to be effective, there must be established trust, a willingness to be vulnerable and a commitment to be authentic. I work with those seeking for a more balanced sense of themselves. My style is direct, transparent, insight-oriented and Psychodynamic. I use cognitive behavioral techniques and evidence based practices to help clients achieve their goals of working through depression, managing anxiety, replenishing caregiver-burnt out and coping with life stress. I am a family educator and also believe a sense of humor (when appropriate), is necessary for this line of work. Certified SoulCollage® facilitator.
I believe for therapy to be effective, there must be established trust, a willingness to be vulnerable and a commitment to be authentic. I work with those seeking for a more balanced sense of themselves. My style is direct, transparent, insight-oriented and Psychodynamic. I use cognitive behavioral techniques and evidence based practices to help clients achieve their goals of working through depression, managing anxiety, replenishing caregiver-burnt out and coping with life stress. I am a family educator and also believe a sense of humor (when appropriate), is necessary for this line of work. Certified SoulCollage® facilitator.
(650) 435-4348 View (650) 435-4348
Photo of Amy Gervasi Mayo, Marriage & Family Therapist, MFT
Amy Gervasi Mayo
Marriage & Family Therapist, MFT
Downtown, San Mateo, CA 94401
I provide a supportive environment to help clients explore new approaches to ongoing life challenges. My optimistic and caring style support self growth and empowerment. Part of my role as a therapist is to help my clients establish realistic goals that bring about positive change. I have been working with adults and teens for over 20 years. I hope to offer a place where teens, adults, couples and families can work on healthier ways to communicate. Some techniques I use suggest that our thoughts affect how we behave. Therefore, if we work on more positive self talk, we may notice changes in our overall mood and behavior.
I provide a supportive environment to help clients explore new approaches to ongoing life challenges. My optimistic and caring style support self growth and empowerment. Part of my role as a therapist is to help my clients establish realistic goals that bring about positive change. I have been working with adults and teens for over 20 years. I hope to offer a place where teens, adults, couples and families can work on healthier ways to communicate. Some techniques I use suggest that our thoughts affect how we behave. Therefore, if we work on more positive self talk, we may notice changes in our overall mood and behavior.
(650) 438-7024 View (650) 438-7024
Photo of Jonathan Mitchelmore, Clinical Social Work/Therapist, LCSW
Jonathan Mitchelmore
Clinical Social Work/Therapist, LCSW
2 Endorsed
Downtown, San Mateo, CA 94401
Whether you're navigating anxiety, stress, depression, a particularly challenging life transition, or some form of trauma, you don't need to keep struggling alone. In fact, you don't need to keep "struggling" at all. Don't get me wrong. I'm not saying everything will get better as soon as you start therapy. Yes, I can provide the skills and tools you need to better cope with the symptoms you're facing. But healing takes effort. However, if you're ready to do the work to better understand who you are, the pain you're currently experiencing can serve as a catalyst for profound transformation, growth, and positive lasting change.
Whether you're navigating anxiety, stress, depression, a particularly challenging life transition, or some form of trauma, you don't need to keep struggling alone. In fact, you don't need to keep "struggling" at all. Don't get me wrong. I'm not saying everything will get better as soon as you start therapy. Yes, I can provide the skills and tools you need to better cope with the symptoms you're facing. But healing takes effort. However, if you're ready to do the work to better understand who you are, the pain you're currently experiencing can serve as a catalyst for profound transformation, growth, and positive lasting change.
(415) 549-1647 View (415) 549-1647
Photo of Dr. Vivian Lee Pichardo, Psychologist, PsyD
Dr. Vivian Lee Pichardo
Psychologist, PsyD
2 Endorsed
Downtown, San Mateo, CA 94401
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
(628) 258-7367 View (628) 258-7367
Photo of Marialena Malejan-Roussere, Marriage & Family Therapist, MS, LMFT, CGP
Marialena Malejan-Roussere
Marriage & Family Therapist, MS, LMFT, CGP
3 Endorsed
Downtown, San Mateo, CA 94401
Do you long for more intimacy and happiness in your life? Do you know what you want and seek the support to move into bold action? I believe people have an intrinsic sense of how personal dynamics may be creating or blocking what it is desired, but often get stuck in unconscious patterns and old behaviors. Taking the time to tune into self is a valuable resource for finding one's own voice and the natural solutions that reside within. I offer support to help you manage issues, find solutions, break patterns and create more of the life you want.
Do you long for more intimacy and happiness in your life? Do you know what you want and seek the support to move into bold action? I believe people have an intrinsic sense of how personal dynamics may be creating or blocking what it is desired, but often get stuck in unconscious patterns and old behaviors. Taking the time to tune into self is a valuable resource for finding one's own voice and the natural solutions that reside within. I offer support to help you manage issues, find solutions, break patterns and create more of the life you want.
(408) 337-2947 View (408) 337-2947
Photo of Bob Livingstone, Clinical Social Work/Therapist, LCSW
Bob Livingstone
Clinical Social Work/Therapist, LCSW
Downtown, San Mateo, CA 94401
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
(650) 741-1534 View (650) 741-1534
Photo of Joanna Maung, Psychologist, PhD, PMH-C
Joanna Maung
Psychologist, PhD, PMH-C
Downtown, San Mateo, CA 94402
Balancing career, relationships, and personal well-being can feel like an uphill battle, especially when anxiety, burnout, or major life transitions take a toll. You might feel stuck, exhausted, or unsure of how to move forward—but you don’t have to navigate it alone. I’m here to support you. Together, we’ll navigate your emotions, rediscover what’s most important to you, and build coping strategies to help you move forward. Whether you’re a professional managing career stress, a new parent, or someone navigating relationship challenges, I provide a compassionate space where you can find clarity, healing, and relief.
Balancing career, relationships, and personal well-being can feel like an uphill battle, especially when anxiety, burnout, or major life transitions take a toll. You might feel stuck, exhausted, or unsure of how to move forward—but you don’t have to navigate it alone. I’m here to support you. Together, we’ll navigate your emotions, rediscover what’s most important to you, and build coping strategies to help you move forward. Whether you’re a professional managing career stress, a new parent, or someone navigating relationship challenges, I provide a compassionate space where you can find clarity, healing, and relief.
(650) 338-0283 View (650) 338-0283
Photo of Erica Nelson- Mayer, Clinical Social Work/Therapist, LCSW
Erica Nelson- Mayer
Clinical Social Work/Therapist, LCSW
1 Endorsed
Downtown, San Mateo, CA 94402
Life in the Bay Area is fast paced and demanding. There is always something else to focus on instead of your relationship. Kids. Work. Family. Once upon a time you planned to build this life with your partner, now it feels like that life is getting in between you.
Life in the Bay Area is fast paced and demanding. There is always something else to focus on instead of your relationship. Kids. Work. Family. Once upon a time you planned to build this life with your partner, now it feels like that life is getting in between you.
(650) 362-8851 View (650) 362-8851
Photo of Priscilla Cheng, Marriage & Family Therapist, MA, LMFT
Priscilla Cheng
Marriage & Family Therapist, MA, LMFT
6 Endorsed
Downtown, San Mateo, CA 94401
Priscilla specializes working with religious trauma, codependency, navigating Asian American identity, and self-esteem issues. This might look like letting go of fear and shame, honoring personal needs, and cultivating self-acceptance.
Priscilla specializes working with religious trauma, codependency, navigating Asian American identity, and self-esteem issues. This might look like letting go of fear and shame, honoring personal needs, and cultivating self-acceptance.
(650) 643-5062 View (650) 643-5062
Photo of Hannah Livianu, Marriage & Family Therapist Associate, AMFT, APCC, MS
Hannah Livianu
Marriage & Family Therapist Associate, AMFT, APCC, MS
Downtown, San Mateo, CA 94401
If you’re feeling stressed, anxious, struggling in a relationship, or trying to navigate a time of uncertainty and change, you aren't alone. It’s easy to lose touch with what you really want when everyone around you has an opinion about the “right” path. I work with teens, adults and couples who are feeling stuck and ready to move forward, but aren’t sure how. Together, we’ll slow things down, dig into what’s really going on, and make space for clarity and growth. I also have sub-specialties in grief/loss and am passionate about supporting individuals and couples struggling with infertility and uncertainty around having children.
If you’re feeling stressed, anxious, struggling in a relationship, or trying to navigate a time of uncertainty and change, you aren't alone. It’s easy to lose touch with what you really want when everyone around you has an opinion about the “right” path. I work with teens, adults and couples who are feeling stuck and ready to move forward, but aren’t sure how. Together, we’ll slow things down, dig into what’s really going on, and make space for clarity and growth. I also have sub-specialties in grief/loss and am passionate about supporting individuals and couples struggling with infertility and uncertainty around having children.
(650) 551-9674 View (650) 551-9674
Photo of Jenna Boyovich, Clinical Social Work/Therapist, LCSW
Jenna Boyovich
Clinical Social Work/Therapist, LCSW
1 Endorsed
Downtown, San Mateo, CA 94401
Hello, I'm Jenna, and I'm a licensed psychotherapist in the Bay Area Peninsula with over 10 years of experience treating trauma/PTSD, depression, and anxiety. My mission is to equip you with effective strategies that go beyond talk therapy; To empower you with tools to help you figure out what might be keeping you stuck or simply cycling through the same behaviors, relationships, and negative thought patterns that are preventing you from moving forward. I'm here to help you navigate through life’s hard spaces and hits, find your peace and content, and create a life worth living.
Hello, I'm Jenna, and I'm a licensed psychotherapist in the Bay Area Peninsula with over 10 years of experience treating trauma/PTSD, depression, and anxiety. My mission is to equip you with effective strategies that go beyond talk therapy; To empower you with tools to help you figure out what might be keeping you stuck or simply cycling through the same behaviors, relationships, and negative thought patterns that are preventing you from moving forward. I'm here to help you navigate through life’s hard spaces and hits, find your peace and content, and create a life worth living.
(650) 590-8029 View (650) 590-8029
Photo of Dr. Bradley A Siu, Psychologist, PsyD
Dr. Bradley A Siu
Psychologist, PsyD
Downtown, San Mateo, CA 94401
You may feel overwhelmed by life's complexities and the challenges within your relationships, seeking clarity and effective strategies to handle issues related to neurodiversity, high-performance demands, or personal and family challenges. It’s common to be a bit unsure about starting therapy, but together, we can work towards better mental health, personal growth, and even professional growth. This partnership will help you lead a more balanced and fulfilling life. In our sessions, you’ll find insights and practical tools to manage anxiety, stress, and relational conflicts, empowering you to thrive in every part of your life.
You may feel overwhelmed by life's complexities and the challenges within your relationships, seeking clarity and effective strategies to handle issues related to neurodiversity, high-performance demands, or personal and family challenges. It’s common to be a bit unsure about starting therapy, but together, we can work towards better mental health, personal growth, and even professional growth. This partnership will help you lead a more balanced and fulfilling life. In our sessions, you’ll find insights and practical tools to manage anxiety, stress, and relational conflicts, empowering you to thrive in every part of your life.
(650) 457-8505 View (650) 457-8505
Photo of Krysta Banazek, Marriage & Family Therapist, MFT
Krysta Banazek
Marriage & Family Therapist, MFT
1 Endorsed
Downtown, San Mateo, CA 94401
I help clients define how they want their lives to be different and help them identify the steps they will need to take to reach their goals. I've built a practice with the goal of strengthening families by increasing communication between its members and helping them focus on problem solving versus placing blame. Adults going through a life transition is a specialty - relationship issues, birth of a baby, balancing work & family, divorce and blended families. I also have a passion for children/adolescents and their welfare. I can provide valuable support to help them work through the challenges they are facing.
I help clients define how they want their lives to be different and help them identify the steps they will need to take to reach their goals. I've built a practice with the goal of strengthening families by increasing communication between its members and helping them focus on problem solving versus placing blame. Adults going through a life transition is a specialty - relationship issues, birth of a baby, balancing work & family, divorce and blended families. I also have a passion for children/adolescents and their welfare. I can provide valuable support to help them work through the challenges they are facing.
(650) 200-3906 View (650) 200-3906
Photo of Little Munchkins - Little Munchkins Therapy/ New Leaf , Licensed Professional Counselor, LPCC, AMFT
Little Munchkins Therapy/ New Leaf
Licensed Professional Counselor, LPCC, AMFT
Downtown, San Mateo, CA 94401
Take some time away from the demand of daily life to focus on yourself. This is a time for you to work on your goals and have support in areas that are most important to you. Each of our counselors is here to provide you with individualized support. This approach allows you to meet with one of our counselors and design a plan that is best suited to fit your needs and busy schedule.
Take some time away from the demand of daily life to focus on yourself. This is a time for you to work on your goals and have support in areas that are most important to you. Each of our counselors is here to provide you with individualized support. This approach allows you to meet with one of our counselors and design a plan that is best suited to fit your needs and busy schedule.
(650) 629-2357 View (650) 629-2357
Photo of Carol Jaron, Marriage & Family Therapist, MS, MFT, CHT
Carol Jaron
Marriage & Family Therapist, MS, MFT, CHT
Downtown, San Mateo, CA 94401
Your mind and body make a powerful, interwoven pair. Is your body expressing what the thoughts are repressing? Easing and gently lifting your sense of heaviness from anxiety, depression, grief, isolation and emptiness of spirit can be closer than you ever believed! Let me guide you to the other side of "stuck" in your personal and professional relationships, emotions, body issues, and success. When we are in a session all the focus is on being fully present for,and deeply listening to you, offering a clear, kind and soothing direction, towards releasing unhealthy thought patterns by integrating with body feelings.
Your mind and body make a powerful, interwoven pair. Is your body expressing what the thoughts are repressing? Easing and gently lifting your sense of heaviness from anxiety, depression, grief, isolation and emptiness of spirit can be closer than you ever believed! Let me guide you to the other side of "stuck" in your personal and professional relationships, emotions, body issues, and success. When we are in a session all the focus is on being fully present for,and deeply listening to you, offering a clear, kind and soothing direction, towards releasing unhealthy thought patterns by integrating with body feelings.
(650) 684-1374 View (650) 684-1374

See more therapy options for Downtown, San Mateo

How does your Therapist compare?

Number of Therapists in Downtown, San Mateo, CA

80+

Average cost per session

$197

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

87% Anxiety
82% Depression
77% Relationship Issues
77% Self Esteem
60% Stress
59% Trauma and PTSD
58% Grief

Average years in practice

11 Years

Top 3 insurances accepted

71% Other
42% Aetna
34% Cigna and Evernorth

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

65% In Person and Online
35% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, San Mateo?

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.