Therapists in Lafayette, CA

Photo of Beth Roosa, Psychologist in Lafayette, CA
Beth Roosa
Psychologist, PhD
Verified Verified
Lafayette, CA 94549  (Online Only)
I have 30 years experience in individual therapy with adolescents and adults. My approach is active and supportive - we will work together to clarify the changes you want and understand what causes your difficulties. Sometimes this involves exploring current situations and relationships; sometimes it means exploring aspects of your identity and how you feel about yourself. Sometimes a look at past relationships, family experiences, and early development can help to identify attachment patterns that are problematic. During this process we will support and develop your strengths and skills and discover what steps you can take.
I have 30 years experience in individual therapy with adolescents and adults. My approach is active and supportive - we will work together to clarify the changes you want and understand what causes your difficulties. Sometimes this involves exploring current situations and relationships; sometimes it means exploring aspects of your identity and how you feel about yourself. Sometimes a look at past relationships, family experiences, and early development can help to identify attachment patterns that are problematic. During this process we will support and develop your strengths and skills and discover what steps you can take.
(510) 343-7784 View (510) 343-7784
Photo of Dominic Anthony D'Ambrosio, Marriage & Family Therapist in Lafayette, CA
Dominic Anthony D'Ambrosio
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549
For thirty three years in private practice, I have had the good fortune of helping clients cope with and overcome a wide array of problems. My training and experience include many years working in residential settings, developing support programs for adolescents, engaging in scientific research, providing consultation for other mental health professionals and giving public presentations. In addition to extensive clinical experience, at the center of my work is the real care and compassion I feel for clients. I work with adults, adolescents and young adults, couples, families and groups.
For thirty three years in private practice, I have had the good fortune of helping clients cope with and overcome a wide array of problems. My training and experience include many years working in residential settings, developing support programs for adolescents, engaging in scientific research, providing consultation for other mental health professionals and giving public presentations. In addition to extensive clinical experience, at the center of my work is the real care and compassion I feel for clients. I work with adults, adolescents and young adults, couples, families and groups.
(925) 281-7051 View (925) 281-7051
Photo of Ann Steiner, Marriage & Family Therapist in Lafayette, CA
Ann Steiner
Marriage & Family Therapist
Verified Verified
Lafayette, CA 94549  (Online Only)
Waitlist for new clients
It has been my good fortune to work with adult clients who want to make changes in how they view themselves, and deepen their relationships with others. I love leading therapy groups, the ideal antidote for isolation: couples therapy with clients who want to work on improving or clarifying their relationship needs, adults dealing with life challenges such as chronic illness, depression, and hidden disabilities.
It has been my good fortune to work with adult clients who want to make changes in how they view themselves, and deepen their relationships with others. I love leading therapy groups, the ideal antidote for isolation: couples therapy with clients who want to work on improving or clarifying their relationship needs, adults dealing with life challenges such as chronic illness, depression, and hidden disabilities.
(925) 231-9087 View (925) 231-9087
Photo of Inspired Mind Counseling, Marriage & Family Therapist in Lafayette, CA
Inspired Mind Counseling
Marriage & Family Therapist, MS, JD, LMFT
Verified Verified
3 Endorsed
Lafayette, CA 94549
"Many Bay Area dual income and professional families struggle with the pressures of maintaining their lifestyles and helping their children succeed in school. Many suffer from anxiety, depression, relationship issues that are directly related to the challenges they face daily. As a former lawyer, hi-tech marketing director, and a first-time parent later in life, I am intimately familiar with these challenges. When I began practicing as a therapist, I knew I wanted to apply my life experience to help inspire busy professionals to work through the challenges, transitions, and struggles of living and thriving in the Bay Area."
"Many Bay Area dual income and professional families struggle with the pressures of maintaining their lifestyles and helping their children succeed in school. Many suffer from anxiety, depression, relationship issues that are directly related to the challenges they face daily. As a former lawyer, hi-tech marketing director, and a first-time parent later in life, I am intimately familiar with these challenges. When I began practicing as a therapist, I knew I wanted to apply my life experience to help inspire busy professionals to work through the challenges, transitions, and struggles of living and thriving in the Bay Area."
(925) 402-4024 View (925) 402-4024
Photo of Ros Wyatt, Marriage & Family Therapist Associate in Lafayette, CA
Ros Wyatt
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Lafayette, CA 94549
Are you struggling in your life right now?  Are you going through a challenging life transition, experiencing difficulties in your relationships, feeling anxious or depressed? You are very far from being alone.  There are times in our lives when we all need support and guidance, and seeking therapy shows both your courage and your desire to create change in your life.  I work to create a warm and welcoming environment and bring both empathy and humor to our collaboration. My aim is to create a trusting relationship where my clients feel safe and heard.
Are you struggling in your life right now?  Are you going through a challenging life transition, experiencing difficulties in your relationships, feeling anxious or depressed? You are very far from being alone.  There are times in our lives when we all need support and guidance, and seeking therapy shows both your courage and your desire to create change in your life.  I work to create a warm and welcoming environment and bring both empathy and humor to our collaboration. My aim is to create a trusting relationship where my clients feel safe and heard.
(925) 431-6279 View (925) 431-6279
Photo of Sage Behavioral Health / Sidra Gifford, MHS, LCSW, Clinical Social Work/Therapist in Lafayette, CA
Sage Behavioral Health / Sidra Gifford, MHS, LCSW
Clinical Social Work/Therapist, MHS, LCSW
Verified Verified
Lafayette, CA 94549  (Online Only)
Relationships are hard! It seems impossible to find a strong connection with someone. And then when you do, your anxiety, insecurity, and unhelpful coping skills get in the way of maintaining and deepening that connection. I can help. I am an empathic and compassionate - yet directive - psychotherapist/coach who loves helping people do the courageous work necessary to develop and maintain meaningful relationships.
Relationships are hard! It seems impossible to find a strong connection with someone. And then when you do, your anxiety, insecurity, and unhelpful coping skills get in the way of maintaining and deepening that connection. I can help. I am an empathic and compassionate - yet directive - psychotherapist/coach who loves helping people do the courageous work necessary to develop and maintain meaningful relationships.
(323) 677-4342 View (323) 677-4342
Photo of Julie Weigel, Marriage & Family Therapist in Lafayette, CA
Julie Weigel
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lafayette, CA 94549  (Online Only)
For the past 25 years, I have been providing individual, couples and family therapy to a diverse clientele with a wide range of emotional and behavioral issues. I provide a comfortable and supportive atmosphere and genuinely care about all of my clients. Using my training in the latest methodologies, I help you know and accept yourself better and to improve your relationships through development of assertive communication and attuned listening skills. I place an emphasis on your strengths and tailor my approach to your unique needs, in order to be most effective in helping you attain the personal growth you're striving for.
For the past 25 years, I have been providing individual, couples and family therapy to a diverse clientele with a wide range of emotional and behavioral issues. I provide a comfortable and supportive atmosphere and genuinely care about all of my clients. Using my training in the latest methodologies, I help you know and accept yourself better and to improve your relationships through development of assertive communication and attuned listening skills. I place an emphasis on your strengths and tailor my approach to your unique needs, in order to be most effective in helping you attain the personal growth you're striving for.
(510) 878-4486 View (510) 878-4486
Photo of Erika Lonergan, Marriage & Family Therapist Associate in Lafayette, CA
Erika Lonergan
Marriage & Family Therapist Associate, AMFT, APCC, MA
Verified Verified
Lafayette, CA 94549
My desire to become a therapist came to me a bit later in life. As a result, I bring 20 years experience of being a parent as well as a lot of life experience. I grew up with a sister with intellectual disability and it had a profound impact on my childhood, but it wasn’t until much later that I realized it was still affecting me as an adult. Early life experiences and relationships form us in ways we may never realize. Siblings often find themselves falling back into their past patterns even as adults. Therapy can be a safe place to explore these dynamics and bring the past into the present.
My desire to become a therapist came to me a bit later in life. As a result, I bring 20 years experience of being a parent as well as a lot of life experience. I grew up with a sister with intellectual disability and it had a profound impact on my childhood, but it wasn’t until much later that I realized it was still affecting me as an adult. Early life experiences and relationships form us in ways we may never realize. Siblings often find themselves falling back into their past patterns even as adults. Therapy can be a safe place to explore these dynamics and bring the past into the present.
(341) 895-0211 View (341) 895-0211
Photo of Lisa Cohen Bennett, Psychologist in Lafayette, CA
Lisa Cohen Bennett
Psychologist, PhD
Verified Verified
Lafayette, CA 94549
As a psychologist, teacher, mother and trauma specialist, I enjoy working with teens, young adults, adults and couples who are trying to feel better. If you are wanting to stop the challenging patterns in your life, we may be a good fit. If you are wanting to find (or re-find) the joy in life, we may be a good fit. If you are wondering how your history may be affecting your current life, we may be a good fit. If you are looking for a psychotherapist who will help you help yourself, we may be a good fit. You and I will develop a warm, accepting, compassionate environment where we work to establish hope. Give it a try!
As a psychologist, teacher, mother and trauma specialist, I enjoy working with teens, young adults, adults and couples who are trying to feel better. If you are wanting to stop the challenging patterns in your life, we may be a good fit. If you are wanting to find (or re-find) the joy in life, we may be a good fit. If you are wondering how your history may be affecting your current life, we may be a good fit. If you are looking for a psychotherapist who will help you help yourself, we may be a good fit. You and I will develop a warm, accepting, compassionate environment where we work to establish hope. Give it a try!
(925) 248-4815 View (925) 248-4815
Photo of TheraThrive Counseling & Assessment , Counselor in Lafayette, CA
TheraThrive Counseling & Assessment
Counselor, PhD, LPCC, BC-TMH
Verified Verified
11 Endorsed
Lafayette, CA 94549
If you feel overwhelmed by anxiety, emotional intensity, high sensitivity, loneliness, insomnia, or relationship problems, or if your child or teen struggles with excessive worry, moodiness or sadness, you don't need to manage alone. We are a group of authentic and interactive therapists who are strengths-based in our approach. Let us help you (or your child, teen, family member) gain insight and understanding, learn emotional regulation, improve your relationships, alleviate stress and anxiety, improve satisfaction at work/school, and experience well-being and empowerment. www.TheraThrive.com
If you feel overwhelmed by anxiety, emotional intensity, high sensitivity, loneliness, insomnia, or relationship problems, or if your child or teen struggles with excessive worry, moodiness or sadness, you don't need to manage alone. We are a group of authentic and interactive therapists who are strengths-based in our approach. Let us help you (or your child, teen, family member) gain insight and understanding, learn emotional regulation, improve your relationships, alleviate stress and anxiety, improve satisfaction at work/school, and experience well-being and empowerment. www.TheraThrive.com
(925) 350-8130 View (925) 350-8130
Photo of Yaye Diallo, Marriage & Family Therapist in Lafayette, CA
Yaye Diallo
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549
Hello Healers, Life is not always easy, we have good days and bad days; however, we try our best to push through despite the hurdles we may be facing. Struggling with Anxiety, Depression, and/or life stressors can be intense; however, identifying these concerns and working on them step by step can be extremely beneficial for one's life.
Hello Healers, Life is not always easy, we have good days and bad days; however, we try our best to push through despite the hurdles we may be facing. Struggling with Anxiety, Depression, and/or life stressors can be intense; however, identifying these concerns and working on them step by step can be extremely beneficial for one's life.
(925) 633-5379 View (925) 633-5379
Photo of Charlene Bianchi, Marriage & Family Therapist in Lafayette, CA
Charlene Bianchi
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
Are you dealing with high stress, grief, loss, trauma? Have you been experiencing anxiety, trouble sleeping, feeling depressed or overwhelmed? Would you like to gain control over the fear, anxiety, stress, or trauma? Would you like to develop strong coping skills to empower yourself & build confidence & self-esteem? Depression and PTSD don't always look the way described in media. If something feels off, you just don't feel like yourself, your mood has changed, energy is low, or you feel hopeless please reach out for a free consultation. We can create a customized treatment plan to address your specific areas of concern.
Are you dealing with high stress, grief, loss, trauma? Have you been experiencing anxiety, trouble sleeping, feeling depressed or overwhelmed? Would you like to gain control over the fear, anxiety, stress, or trauma? Would you like to develop strong coping skills to empower yourself & build confidence & self-esteem? Depression and PTSD don't always look the way described in media. If something feels off, you just don't feel like yourself, your mood has changed, energy is low, or you feel hopeless please reach out for a free consultation. We can create a customized treatment plan to address your specific areas of concern.
(925) 403-4780 View (925) 403-4780
Photo of Jocelyne Gardner, Clinical Social Work/Therapist in Lafayette, CA
Jocelyne Gardner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lafayette, CA 94549
​​I specialize in supporting parents. I help clients who are coping with stressful circumstances such as a challenging or neurodivergent child, a serious medical diagnosis, divorce, co-parenting, infidelity, a career crisis or the loss of a loved one.
​​I specialize in supporting parents. I help clients who are coping with stressful circumstances such as a challenging or neurodivergent child, a serious medical diagnosis, divorce, co-parenting, infidelity, a career crisis or the loss of a loved one.
(510) 270-4090 View (510) 270-4090
Photo of Complex Trauma And Identity Healing Catherine Lamme, Clinical Social Work/Therapist in Lafayette, CA
Complex Trauma And Identity Healing Catherine Lamme
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lafayette, CA 94549
Welcome! Are you feeling tired of the patterns and old stories that impact the development of your vitality and the best version of your life? Does your sense of self feel fractured? Does your body seem to mirror the internal negative thought patterns that seem to block you creating the life you want to live? Do you feel like there are moments that you cannot imagine living in the internal chaos another moment? I am inspired and honored to work with adults who are motivated to heal and release the negative internal stories, especially from trauma, that have dictated their behavior in order to create their own life worth living.
Welcome! Are you feeling tired of the patterns and old stories that impact the development of your vitality and the best version of your life? Does your sense of self feel fractured? Does your body seem to mirror the internal negative thought patterns that seem to block you creating the life you want to live? Do you feel like there are moments that you cannot imagine living in the internal chaos another moment? I am inspired and honored to work with adults who are motivated to heal and release the negative internal stories, especially from trauma, that have dictated their behavior in order to create their own life worth living.
(760) 263-6052 View (760) 263-6052
Photo of Julia Brochstein, Marriage & Family Therapist in Lafayette, CA
Julia Brochstein
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lafayette, CA 94549
As your psychotherapist, I will listen to your unique lived experience. My approach is direct, client-centered, and prioritizes cultural sensitivity. While the majority of my practice focuses on improving one's relationship with food and body, I also collaborate with parents of teens in recovery from disordered eating, and people who struggle to cope with trauma, anxiety, or depressed mood. In your course of treatment we can navigate issues such as perfectionism, low self-esteem, body image distress, family issues and disordered eating behaviors. I will help you feel confident, safe and empowered in your body and in your life.
As your psychotherapist, I will listen to your unique lived experience. My approach is direct, client-centered, and prioritizes cultural sensitivity. While the majority of my practice focuses on improving one's relationship with food and body, I also collaborate with parents of teens in recovery from disordered eating, and people who struggle to cope with trauma, anxiety, or depressed mood. In your course of treatment we can navigate issues such as perfectionism, low self-esteem, body image distress, family issues and disordered eating behaviors. I will help you feel confident, safe and empowered in your body and in your life.
(925) 319-6181 View (925) 319-6181
Photo of Reuel Evans, Marriage & Family Therapist in Lafayette, CA
Reuel Evans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
Life can be stressful due to relationship issues, the workplace, loss, navigating home and family life or other life challenges. I am here to support you as work through these difficulties. Our collaborative journey will help guide you in a direction where you feel more able to face and overcome the challenges you are experiencing. During our sessions I will provide you with a safe, empathetic, and non judgmental environment where you can explore and address any personal struggles and hardships that you may be experiencing.
Life can be stressful due to relationship issues, the workplace, loss, navigating home and family life or other life challenges. I am here to support you as work through these difficulties. Our collaborative journey will help guide you in a direction where you feel more able to face and overcome the challenges you are experiencing. During our sessions I will provide you with a safe, empathetic, and non judgmental environment where you can explore and address any personal struggles and hardships that you may be experiencing.
(925) 393-0490 View (925) 393-0490
Photo of Debbie Halliday, Marriage & Family Therapist in Lafayette, CA
Debbie Halliday
Marriage & Family Therapist, MA, MFT, SEP
Verified Verified
2 Endorsed
Lafayette, CA 94549
Are you tired of feeling overwhelmed, or stressed, or just not like yourself? Are you feeling frustrated in your relationships? Sometimes messages or experiences from the past, faulty beliefs, or challenging relationships keep us stuck and out of touch with our well- being. Couples are helped when each has an opportunity to feel heard, and when early attachment styles and emotions underlying the problem can be better understood.
Are you tired of feeling overwhelmed, or stressed, or just not like yourself? Are you feeling frustrated in your relationships? Sometimes messages or experiences from the past, faulty beliefs, or challenging relationships keep us stuck and out of touch with our well- being. Couples are helped when each has an opportunity to feel heard, and when early attachment styles and emotions underlying the problem can be better understood.
(925) 286-4415 View (925) 286-4415
Photo of Christina Iglesia, Psychologist in Lafayette, CA
Christina Iglesia
Psychologist, PsyD
Verified Verified
2 Endorsed
Lafayette, CA 94549
Telehealth & In-Person options for CA & NY Residents. Your decision to pursue therapy is an important and personal one. Whether you are looking to address lingering issues or searching for support for ongoing concerns, you do not need to do it alone. Therapy is one of the few opportunities in which you are encouraged to explore and express your authentic self, allowing for deeper personal connections and engagement in life.
Telehealth & In-Person options for CA & NY Residents. Your decision to pursue therapy is an important and personal one. Whether you are looking to address lingering issues or searching for support for ongoing concerns, you do not need to do it alone. Therapy is one of the few opportunities in which you are encouraged to explore and express your authentic self, allowing for deeper personal connections and engagement in life.
(925) 448-9291 View (925) 448-9291
Photo of Sarene Russum, Marriage & Family Therapist in Lafayette, CA
Sarene Russum
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549
I SPECIALIZE IN WORKING WITH TEEN GIRLS AND ADULT WOMEN. I am a warm and compassionate therapist. I work with clients to promote understanding and awareness to be able to move beyond obstacles and find a level of acceptance and healing. It takes courage to come to therapy, to feel difficult feelings, to talk about them and to figure out how to cope with them. Therapy is a process, change/healing take time and commitment. I feel passionate about helping people know themselves and feel worthy. I continue to be in awe of people's bravery in the therapeutic process and feel privileged to be a witness.
I SPECIALIZE IN WORKING WITH TEEN GIRLS AND ADULT WOMEN. I am a warm and compassionate therapist. I work with clients to promote understanding and awareness to be able to move beyond obstacles and find a level of acceptance and healing. It takes courage to come to therapy, to feel difficult feelings, to talk about them and to figure out how to cope with them. Therapy is a process, change/healing take time and commitment. I feel passionate about helping people know themselves and feel worthy. I continue to be in awe of people's bravery in the therapeutic process and feel privileged to be a witness.
(925) 357-9631 View (925) 357-9631
Photo of Teri 'sachi' Swanberg, Marriage & Family Therapist Associate in Lafayette, CA
Teri 'sachi' Swanberg
Marriage & Family Therapist Associate, AMFT
Verified Verified
Lafayette, CA 94549
My belief is everything is interconnected. When we hurt in one area of our lives, often times the other areas hurt with it. As simple as it may sound, sometimes feeling our feelings can be hard work. Truly understanding and being honest with authentic selves can be challenging and sometimes scary. No one should have to do this alone. Together, we can deeply listen and nurture your authentic self to help you heal and grow. We are not just talking together, we are experiencing. To learn more, visit my website at: nakaimatherapy.com
My belief is everything is interconnected. When we hurt in one area of our lives, often times the other areas hurt with it. As simple as it may sound, sometimes feeling our feelings can be hard work. Truly understanding and being honest with authentic selves can be challenging and sometimes scary. No one should have to do this alone. Together, we can deeply listen and nurture your authentic self to help you heal and grow. We are not just talking together, we are experiencing. To learn more, visit my website at: nakaimatherapy.com
(415) 496-0915 View (415) 496-0915

How does your Therapist compare?

Number of Therapists in Lafayette, CA

300+

Average cost per session

$185

Therapists in Lafayette, CA who prioritize treating:

91% Anxiety
89% Depression
79% Relationship Issues
70% Grief
67% Self Esteem
63% Stress
63% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

54% Aetna
47% Other
45% Cigna and Evernorth

How Therapists in Lafayette, CA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lafayette?

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.