Therapists in Truckee, CA

Photo of Nikki Riley, Marriage & Family Therapist Associate in Truckee, CA
Nikki Riley
Marriage & Family Therapist Associate, MA, AMFT
Verified
Truckee, CA 96161
My therapeutic approach comes from a place of love. I believe in meeting clients where they are, without judgment or discrimination. My style is integrated and person-centered, focusing on awareness of the here and now as a tool for change. I am sensitive to the influence of our environments and how that shapes us. Often we are guided by the stories we tell ourselves and the stories others tell us. It is important to assess our stories to determine if they are relevant or if they are someone else’s stories. It is through the exploration of the past and present that we are able to support a healthy future.
My therapeutic approach comes from a place of love. I believe in meeting clients where they are, without judgment or discrimination. My style is integrated and person-centered, focusing on awareness of the here and now as a tool for change. I am sensitive to the influence of our environments and how that shapes us. Often we are guided by the stories we tell ourselves and the stories others tell us. It is important to assess our stories to determine if they are relevant or if they are someone else’s stories. It is through the exploration of the past and present that we are able to support a healthy future.
(530) 451-0057 View (530) 451-0057
Photo of Alaina Reichwald, Marriage & Family Therapist in Truckee, CA
Alaina Reichwald
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161
Each client comes into my practice from their own profound life experience. Whether a child that needs support dealing with grief and loss; or an adolescent trying to grow into their own sense of being; or an adult navigating challenges at work or in relationships with others. I believe that when things show up in our lives it is a great invitation to meet that experience with openness even in the discomfort that may come with it. And to ask what it is trying to teach us about ourselves and our place in the world. What do we need to create to experience relief and growth?
Each client comes into my practice from their own profound life experience. Whether a child that needs support dealing with grief and loss; or an adolescent trying to grow into their own sense of being; or an adult navigating challenges at work or in relationships with others. I believe that when things show up in our lives it is a great invitation to meet that experience with openness even in the discomfort that may come with it. And to ask what it is trying to teach us about ourselves and our place in the world. What do we need to create to experience relief and growth?
(530) 288-4188 View (530) 288-4188
Photo of Danielle B. Grossman, Marriage & Family Therapist in Truckee, CA
Danielle B. Grossman
Marriage & Family Therapist, MFT
Verified
Truckee, CA 96161
Specialist in family, friend and romantic relationships, anxiety, eating issues and substance use. Yale University (magna cum laude), BA. California Institute for Integral Studies, MA. 20 years experience working with individuals and couples. Clinical supervisor. Trauma informed/trauma focused. I am affirming, non-judgmental and active in sessions. I integrate CBT, DBT, attachment, neuroscience, mindfulness and somatics to support you in shifting patterns that may no longer be serving you. ••Therapy must be a place where you are understood, respected and believed - and where you get help that is actually helpful for you.••
Specialist in family, friend and romantic relationships, anxiety, eating issues and substance use. Yale University (magna cum laude), BA. California Institute for Integral Studies, MA. 20 years experience working with individuals and couples. Clinical supervisor. Trauma informed/trauma focused. I am affirming, non-judgmental and active in sessions. I integrate CBT, DBT, attachment, neuroscience, mindfulness and somatics to support you in shifting patterns that may no longer be serving you. ••Therapy must be a place where you are understood, respected and believed - and where you get help that is actually helpful for you.••
(530) 316-4989 View (530) 316-4989
Photo of Perrine Portillo, Psychologist in Truckee, CA
Perrine Portillo
Psychologist, PsyD
Verified
Truckee, CA 96161
Welcome! I am a Licensed Clinical Psychologist who works with adolescents, adults, and couples. I have a unique experience helping clients with ADHD, identity concerns, relationship conflict, and adoption. I also enjoy supporting clients with addressing insomnia, mood disorders (anxiety, depression, and bipolar disorder), parenting challenges, and school issues. Additionally, I welcome those who may be seeking a therapist who is part of the BIPOC community.
Welcome! I am a Licensed Clinical Psychologist who works with adolescents, adults, and couples. I have a unique experience helping clients with ADHD, identity concerns, relationship conflict, and adoption. I also enjoy supporting clients with addressing insomnia, mood disorders (anxiety, depression, and bipolar disorder), parenting challenges, and school issues. Additionally, I welcome those who may be seeking a therapist who is part of the BIPOC community.
(530) 296-8675 View (530) 296-8675
Photo of Natalie Grindy, Marriage & Family Therapist in Truckee, CA
Natalie Grindy
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161
Not accepting new clients
Finding a place of refuge to pursue healing can be difficult, even disheartening. It takes great courage and tenacity to keep moving forward. In my therapy practice, I strive to keep a grace-filled, non-judgmental space, ultimately fostering refuge. I am passionate about how our brains have been created, the influence of life circumstances, and its ability to naturally heal. Whether you are an individual, a couple, or a family, when you are ready, I am here to walk with you.
Finding a place of refuge to pursue healing can be difficult, even disheartening. It takes great courage and tenacity to keep moving forward. In my therapy practice, I strive to keep a grace-filled, non-judgmental space, ultimately fostering refuge. I am passionate about how our brains have been created, the influence of life circumstances, and its ability to naturally heal. Whether you are an individual, a couple, or a family, when you are ready, I am here to walk with you.
(916) 436-7483 View (916) 436-7483
Photo of Jaye Weber, Marriage & Family Therapist in Truckee, CA
Jaye Weber
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161
As humans, we all have varying identities and they ebb and flow over time. Much of our distress can come from those changes in identities and that's where therapy can really help. I love to help clients uncover and examine their true identities. Whether you are a new mom grappling with the absolute rocking of your world as you knew it, a teenager trying to create and figure out who you truly are, or any other human striving to live as your authentic self - I am here for you. I look forward to the privilege of being able to walk beside you and guide you along your journey.
As humans, we all have varying identities and they ebb and flow over time. Much of our distress can come from those changes in identities and that's where therapy can really help. I love to help clients uncover and examine their true identities. Whether you are a new mom grappling with the absolute rocking of your world as you knew it, a teenager trying to create and figure out who you truly are, or any other human striving to live as your authentic self - I am here for you. I look forward to the privilege of being able to walk beside you and guide you along your journey.
(530) 387-4655 View (530) 387-4655
Photo of Shana L Wapstra Scott, Marriage & Family Therapist in Truckee, CA
Shana L Wapstra Scott
Marriage & Family Therapist, MA, MFT
Verified
Truckee, CA 96161
I have a private Marriage and Family Therapy practice. I enjoy working with adolescents, parents and individual adults. Adolescence can be a tumultuous time. I like to support and give guidance to your teen. I like to help parents find the balance of nurture and structure in raising their children. I find that working with individuals allows me to create change in the family system.
I have a private Marriage and Family Therapy practice. I enjoy working with adolescents, parents and individual adults. Adolescence can be a tumultuous time. I like to support and give guidance to your teen. I like to help parents find the balance of nurture and structure in raising their children. I find that working with individuals allows me to create change in the family system.
(530) 506-5268 View (530) 506-5268
Photo of Sharon Forsythe Therapy, Marriage & Family Therapist in Truckee, CA
Sharon Forsythe Therapy
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161  (Online Only)
Are you experiencing thought patterns that create anxiety and depression? Feeling like you are alone and no one understands? Feeling stuck? I believe we are our own best healers, I will support you to feel safe while we discover together that which is holding you back from being your most authentic self. My hope is that you will find more peace, contentment and clarity. This self discovery may feel like an emotional excavation leading to an exhilarating release of thought patterns that no longer serve you. I invite you to call me for a session and let's see if we are a good fit.
Are you experiencing thought patterns that create anxiety and depression? Feeling like you are alone and no one understands? Feeling stuck? I believe we are our own best healers, I will support you to feel safe while we discover together that which is holding you back from being your most authentic self. My hope is that you will find more peace, contentment and clarity. This self discovery may feel like an emotional excavation leading to an exhilarating release of thought patterns that no longer serve you. I invite you to call me for a session and let's see if we are a good fit.
(530) 562-4046 View (530) 562-4046
Photo of Stacey Stahl, Clinical Social Work/Therapist in Truckee, CA
Stacey Stahl
Clinical Social Work/Therapist, LCSW-CA, LCSW-NV
Verified
1 Endorsed
Truckee, CA 96161
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life and that having someone provide another perspective, without judgment, can make a big difference!
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life and that having someone provide another perspective, without judgment, can make a big difference!
(530) 625-7178 View (530) 625-7178
Photo of Wendy Lair, Marriage & Family Therapist in Truckee, CA
Wendy Lair
Marriage & Family Therapist, LMFT
Verified
Truckee, CA 96161
Are you looking for a therapist who is warm and engaging, flexible and practical? I believe that developing a strong working relationship between therapist and client is the basis for growth and change. I listen to your needs first, and will work collaboratively to identify and work toward your goals. My specialties: Helping young children and their families understand development, work through challenging behaviors, anxiety, depression, anger and other mood concerns. Supporting adolescents as they strive for independence and maturity. Managing parenting stress for individuals and couples. Healing from trauma.
Are you looking for a therapist who is warm and engaging, flexible and practical? I believe that developing a strong working relationship between therapist and client is the basis for growth and change. I listen to your needs first, and will work collaboratively to identify and work toward your goals. My specialties: Helping young children and their families understand development, work through challenging behaviors, anxiety, depression, anger and other mood concerns. Supporting adolescents as they strive for independence and maturity. Managing parenting stress for individuals and couples. Healing from trauma.
(650) 683-8436 View (650) 683-8436
Photo of Karin A Sable, Marriage & Family Therapist in Truckee, CA
Karin A Sable
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161
At some point in our lives, we all face challenges that seem overwhelming. It is at these times that the act of courage can be to reach out and collaborate with another. As a counseling therapist, I will work with you to increase your awareness and understanding and help you foster a process of change with the goal of increased life satisfaction, meaning, and purpose. Whether you are experiencing depression, anxiety, relationship issues, grief and loss, post trauma symptoms or other personal challenges, I can help you define and set off on a path of symptom reduction and problem solving.
At some point in our lives, we all face challenges that seem overwhelming. It is at these times that the act of courage can be to reach out and collaborate with another. As a counseling therapist, I will work with you to increase your awareness and understanding and help you foster a process of change with the goal of increased life satisfaction, meaning, and purpose. Whether you are experiencing depression, anxiety, relationship issues, grief and loss, post trauma symptoms or other personal challenges, I can help you define and set off on a path of symptom reduction and problem solving.
(530) 419-6101 View (530) 419-6101
Photo of Kristin Slye, Marriage & Family Therapist in Truckee, CA
Kristin Slye
Marriage & Family Therapist, LMFT, REAT, MA
Verified
2 Endorsed
Truckee, CA 96161
Not accepting new clients
I'm a therapist who walks alongside people on their journey of healing and self-discovery, like a mountain guide for the soul. I listen actively and provide personalized options, ideas, and new tools. I conduct the process with thoughtful questions and insightful activities. I don’t come in with answers, for each person already has their own as the expert in their own lives. I simply help guide them to uncover what's within. All the while, I hold each person with a deep unconditional positive regard using a combination of trauma-informed talk therapy infused with expressive arts, play, eco, Jungian, and depth therapies.
I'm a therapist who walks alongside people on their journey of healing and self-discovery, like a mountain guide for the soul. I listen actively and provide personalized options, ideas, and new tools. I conduct the process with thoughtful questions and insightful activities. I don’t come in with answers, for each person already has their own as the expert in their own lives. I simply help guide them to uncover what's within. All the while, I hold each person with a deep unconditional positive regard using a combination of trauma-informed talk therapy infused with expressive arts, play, eco, Jungian, and depth therapies.
(530) 444-8024 View (530) 444-8024
Photo of Shelby Singer, Clinical Social Work/Therapist in Truckee, CA
Shelby Singer
Clinical Social Work/Therapist, LCSW
Verified
Truckee, CA 96161
I believe that connections shape our everyday life and overall well-being. With that in mind, the core of my philosophy is to build a trusting and nurturing relationship with you in order for therapy to be successful. I bring compassion, warmth, and trust to each individual that I work with. I can assist in building upon your own strengths and abilities in order to live more authentically and with a greater sense of self-compassion. My practice is open to children, teenagers, and adults of all cultural backgrounds, gender identities, and sexual orientations.
I believe that connections shape our everyday life and overall well-being. With that in mind, the core of my philosophy is to build a trusting and nurturing relationship with you in order for therapy to be successful. I bring compassion, warmth, and trust to each individual that I work with. I can assist in building upon your own strengths and abilities in order to live more authentically and with a greater sense of self-compassion. My practice is open to children, teenagers, and adults of all cultural backgrounds, gender identities, and sexual orientations.
(530) 460-4495 View (530) 460-4495
Photo of Rebecca Lin Yops, Marriage & Family Therapist in Truckee, CA
Rebecca Lin Yops
Marriage & Family Therapist, MS, MFT
Truckee, CA 96161
I am able to treat a multitude of complex issues, yet I have extended knowledge and training in the following areas: *Couples therapy- I am Level 1 certified in Gottman Couples Therapy. *Teens that are dealing with academic & social pressures, substance abuse, binge drinking, anxiety/depression *Women and men diagnosed with chronic autoimmune illnesses *Postpartum Depression- I work with women & couples, during this very emotional and fragile time where support is needed. PPD can manifest suddenly within the first year of having your new baby, and can be very frightening for the new mother & family.
I am able to treat a multitude of complex issues, yet I have extended knowledge and training in the following areas: *Couples therapy- I am Level 1 certified in Gottman Couples Therapy. *Teens that are dealing with academic & social pressures, substance abuse, binge drinking, anxiety/depression *Women and men diagnosed with chronic autoimmune illnesses *Postpartum Depression- I work with women & couples, during this very emotional and fragile time where support is needed. PPD can manifest suddenly within the first year of having your new baby, and can be very frightening for the new mother & family.
(530) 652-4791 View (530) 652-4791
Photo of Stephanie Rudolph, Marriage & Family Therapist in Truckee, CA
Stephanie Rudolph
Marriage & Family Therapist, LMFT, MA
Verified
Truckee, CA 96161
I am a licensed marriage and family therapist who has devoted most of my experience to working with adolescents and their families supporting the transition from childhood to young adulthood for both parents and teens. I also work extensively with couples, both in supporting the parental relationship as well as strengthening parenting skills, as I have found that with the mounting stress in today's society, a strong home foundation improves the whole system.
I am a licensed marriage and family therapist who has devoted most of my experience to working with adolescents and their families supporting the transition from childhood to young adulthood for both parents and teens. I also work extensively with couples, both in supporting the parental relationship as well as strengthening parenting skills, as I have found that with the mounting stress in today's society, a strong home foundation improves the whole system.
(650) 209-7875 View (650) 209-7875
Photo of JoAnn Perry, Marriage & Family Therapist in Truckee, CA
JoAnn Perry
Marriage & Family Therapist, MA, LMFT
Verified
Truckee, CA 96161
I have been working in the field of healing arts for two decades. As a Marriage and Family Therapist, I have experience working with individuals, couples, teens, and adolescents. My work is grounded in the knowing that with the safety and security of the therapeutic container, one finds the willingness to feel what is authentically present, which naturally brings healing and ease of living.
I have been working in the field of healing arts for two decades. As a Marriage and Family Therapist, I have experience working with individuals, couples, teens, and adolescents. My work is grounded in the knowing that with the safety and security of the therapeutic container, one finds the willingness to feel what is authentically present, which naturally brings healing and ease of living.
(530) 607-6697 View (530) 607-6697
Photo of Dawn Spillman, Marriage & Family Therapist in Truckee, CA
Dawn Spillman
Marriage & Family Therapist, MA, MFT
Verified
Truckee, CA 96161  (Online Only)
*****MESSAGE REGARDING COVID-19: I AM AVAILABLE BY PHONE AND/OR VIDEO SCHEDULING***** The opposite of change is stagnation, but change can be difficult at times and even frightening. Sometimes we need someone to help guide us down the right path and keep us on course to make the necessary changes to improve our life. Whether it's a personal change you want to make to improve your relationships or a career/lifestyle change to find more meaning in life, my role is to help you do that.
*****MESSAGE REGARDING COVID-19: I AM AVAILABLE BY PHONE AND/OR VIDEO SCHEDULING***** The opposite of change is stagnation, but change can be difficult at times and even frightening. Sometimes we need someone to help guide us down the right path and keep us on course to make the necessary changes to improve our life. Whether it's a personal change you want to make to improve your relationships or a career/lifestyle change to find more meaning in life, my role is to help you do that.
(530) 523-5874 View (530) 523-5874
Photo of Dyan Pelosi Johnson, Licensed Professional Clinical Counselor in Truckee, CA
Dyan Pelosi Johnson
Licensed Professional Clinical Counselor, MS, CRC, CCM, LPCC, LPC
Verified
Truckee, CA 96161  (Online Only)
I am a Licensed Professional Clinical Counselor, Certified Rehabilitation Counselor, and Certified Case Manager. I have worked with the teen population since 2001 in a variety of settings including wilderness therapy programs, high schools/boarding schools and rehabilitation/psychiatric hospitals. Common issues include overwhelm/stress management, anxiety, depression, anger, relationship issues and more. I enjoy working with teens to find their own path so that life moving forward can be elevated and they can become the best versions of themselves.
I am a Licensed Professional Clinical Counselor, Certified Rehabilitation Counselor, and Certified Case Manager. I have worked with the teen population since 2001 in a variety of settings including wilderness therapy programs, high schools/boarding schools and rehabilitation/psychiatric hospitals. Common issues include overwhelm/stress management, anxiety, depression, anger, relationship issues and more. I enjoy working with teens to find their own path so that life moving forward can be elevated and they can become the best versions of themselves.
(404) 323-1878 View (404) 323-1878
Photo of Paige Lundquest, Marriage & Family Therapist Associate in Truckee, CA
Paige Lundquest
Marriage & Family Therapist Associate, AMFT
Verified
Truckee, CA 96161
I support at-risk youth, young adults, & their families in transforming difficult emotional experiences into opportunities to deepen their relationship to self and the world around them. I enjoy helping my clients get in touch with their own inner wisdom and explore how one can begin navigating from that place with more ease. I believe we are all deserving of healing and I strive to be accessible and affirmative in my work with clients. I invite and welcome clients from all backgrounds, sexualities, gender identities, and various relationship styles.
I support at-risk youth, young adults, & their families in transforming difficult emotional experiences into opportunities to deepen their relationship to self and the world around them. I enjoy helping my clients get in touch with their own inner wisdom and explore how one can begin navigating from that place with more ease. I believe we are all deserving of healing and I strive to be accessible and affirmative in my work with clients. I invite and welcome clients from all backgrounds, sexualities, gender identities, and various relationship styles.
(530) 418-6254 View (530) 418-6254
Photo of Hayley Wright, Counselor in Truckee, CA
Hayley Wright
Counselor, MS, LPCC
Verified
2 Endorsed
Truckee, CA 96161
When you come to therapy, you get to be vulnerable and explore the most important piece of life -- you! My therapeutic process is tailored because I recognize that clients have different experiences and personalities. I utilize a non-judgemental and empathic approach that is friendly and kind, and sometimes challenging (if you need it!). You'll receive a customized plan that will help you recreate healthy perceptions of yourself and help you grow.
When you come to therapy, you get to be vulnerable and explore the most important piece of life -- you! My therapeutic process is tailored because I recognize that clients have different experiences and personalities. I utilize a non-judgemental and empathic approach that is friendly and kind, and sometimes challenging (if you need it!). You'll receive a customized plan that will help you recreate healthy perceptions of yourself and help you grow.
(530) 230-3923 View (530) 230-3923

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How does your Therapist compare?

Number of Therapists in Truckee, CA

60+

Average cost per session

$160

Therapists in Truckee, CA who prioritize treating:

91% Anxiety
89% Relationship Issues
88% Depression
80% Self Esteem
77% Trauma and PTSD
73% Grief
73% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

48% UnitedHealthcare UHC | UBH
48% Anthem | Elevance
48% Optum

How Therapists in Truckee, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

89% Female
10% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Truckee?

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.