Therapists in San Antonio, TX

View neighborhoods in San Antonio
Photo of Hannalore Mueller, LPC Associate in San Antonio, TX
Hannalore Mueller
LPC Associate, MEd, LPC-A
Verified Verified
3 Endorsed
San Antonio, TX 78251  (Online Only)
I’m committed to creating a safe space for you to be heard and to heal while you seek understanding and growth. Together, we'll explore your story, set goals, and empower you to find balance and fulfillment. As your therapist, I offer diverse, adaptable support, ensuring a journey tailored to your unique path.
I’m committed to creating a safe space for you to be heard and to heal while you seek understanding and growth. Together, we'll explore your story, set goals, and empower you to find balance and fulfillment. As your therapist, I offer diverse, adaptable support, ensuring a journey tailored to your unique path.
(726) 336-2465 View (726) 336-2465
Photo of Dr. Blake Martin, Psychologist in San Antonio, TX
Dr. Blake Martin
Psychologist, PhD
Verified Verified
4 Endorsed
San Antonio, TX 78212
Feeling worn down? You're not alone. You've achieved a great deal, proven yourself as someone who tackles challenges head-on. Yet, lately, you've been hitting roadblocks. Maybe it's anxiety, depression, or a past trauma weighing on you. And life is only getting harder. As a licensed psychologist, I'm equipped to help you find your way again. In therapy, we'll partner together to set goals based on what matters most to you. Then, we'll select an evidence-based approach to address your concerns, and I'll tailor it to your unique needs and background. Working together, we'll help you move towards what matters most to you.
Feeling worn down? You're not alone. You've achieved a great deal, proven yourself as someone who tackles challenges head-on. Yet, lately, you've been hitting roadblocks. Maybe it's anxiety, depression, or a past trauma weighing on you. And life is only getting harder. As a licensed psychologist, I'm equipped to help you find your way again. In therapy, we'll partner together to set goals based on what matters most to you. Then, we'll select an evidence-based approach to address your concerns, and I'll tailor it to your unique needs and background. Working together, we'll help you move towards what matters most to you.
(210) 879-4712 View (210) 879-4712
Photo of Celina Alexis Lopez, Licensed Professional Counselor in San Antonio, TX
Celina Alexis Lopez
Licensed Professional Counselor, MS, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78205
Welcome to my counseling practice! Are you struggling with feelings of overwhelm, low self-esteem, perfectionism, burned out by life or relationships, or just not good enough? If so, give me a call, send me an email, or go to my website and submit an form and we can schedule a free phone consultation. I have helped hundreds of clients overcome these struggles and more. My office (in person or virtual), is a safe place to explore your thoughts, emotions, and experiences in order to be the best version of yourself.
Welcome to my counseling practice! Are you struggling with feelings of overwhelm, low self-esteem, perfectionism, burned out by life or relationships, or just not good enough? If so, give me a call, send me an email, or go to my website and submit an form and we can schedule a free phone consultation. I have helped hundreds of clients overcome these struggles and more. My office (in person or virtual), is a safe place to explore your thoughts, emotions, and experiences in order to be the best version of yourself.
(210) 742-5445 View (210) 742-5445
Photo of TLC Counseling and Consulting, LLC, Licensed Professional Counselor in San Antonio, TX
TLC Counseling and Consulting, LLC
Licensed Professional Counselor, MEd, LPC-A
Verified Verified
San Antonio, TX 78256
Life is a journey and how you choose to live in it every day is up to you and only you. Embrace what is right in front of you and move away from dwelling on the past. Set goals in order to live in the gift of today and strategize on what opportunities are ahead in your future. Everyone needs someone to talk to, everyone. Do you need to re-engage with life? Is something holding you back? Let's work together so that you can be free of internal critical voices, which often fuel unnecessary anxiety, fear, distraction and self-doubt.
Life is a journey and how you choose to live in it every day is up to you and only you. Embrace what is right in front of you and move away from dwelling on the past. Set goals in order to live in the gift of today and strategize on what opportunities are ahead in your future. Everyone needs someone to talk to, everyone. Do you need to re-engage with life? Is something holding you back? Let's work together so that you can be free of internal critical voices, which often fuel unnecessary anxiety, fear, distraction and self-doubt.
(210) 796-5860 View (210) 796-5860
Photo of Angelica M Montalvo, Licensed Professional Counselor Associate in San Antonio, TX
Angelica M Montalvo
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
San Antonio, TX 78228
My clients come from diverse backgrounds, cultures, lifestyles, values, and beliefs. When they walk into counseling, they have found themselves in a place where they feel stuck in life, whether it be from depression, anxiety, addiction, past trauma, or a breakdown in relationships. As a counselor, it is my privilege to walk with them through these “stuck moments” and begin discovering those places of healing, growth, reconciliation, confidence, and trust.
My clients come from diverse backgrounds, cultures, lifestyles, values, and beliefs. When they walk into counseling, they have found themselves in a place where they feel stuck in life, whether it be from depression, anxiety, addiction, past trauma, or a breakdown in relationships. As a counselor, it is my privilege to walk with them through these “stuck moments” and begin discovering those places of healing, growth, reconciliation, confidence, and trust.
(210) 940-2061 View (210) 940-2061
Photo of Christopher Lange, Licensed Professional Counselor in San Antonio, TX
Christopher Lange
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78232
I entered the field of counseling because of a desire to help those in crisis or who are experiencing difficulties in their lives. I realized I wanted to be a counselor while working at a local community college. I saw students who were struggling academically but were very bright. I came to understand that there are many factors that go into being successful at life. I have always had a helping nature but didn’t fully understand why people behaved they way they did. Through my education and experience I can now help people in their personal lives, relationships and careers.
I entered the field of counseling because of a desire to help those in crisis or who are experiencing difficulties in their lives. I realized I wanted to be a counselor while working at a local community college. I saw students who were struggling academically but were very bright. I came to understand that there are many factors that go into being successful at life. I have always had a helping nature but didn’t fully understand why people behaved they way they did. Through my education and experience I can now help people in their personal lives, relationships and careers.
(210) 390-1513 View (210) 390-1513
Photo of Judy Villarreal Lpca Supervised By Melissa Ortiz Lpcs, LPC Intern in San Antonio, TX
Judy Villarreal Lpca Supervised By Melissa Ortiz Lpcs
LPC Intern, MA, LPC-A
Verified Verified
1 Endorsed
San Antonio, TX 78211  (Online Only)
Welcome! My name is Judy Villarreal and I am a Licensed Professional Counselor-Associate. I would love to help guide you through this challenging time in your life as you learn about yourself and work through the process to a better life of happiness and healing. I work with individuals, couples, and families in several areas including anxiety, coping skills, depression, family conflict, relationship issues, self-esteem, stress, and trauma.
Welcome! My name is Judy Villarreal and I am a Licensed Professional Counselor-Associate. I would love to help guide you through this challenging time in your life as you learn about yourself and work through the process to a better life of happiness and healing. I work with individuals, couples, and families in several areas including anxiety, coping skills, depression, family conflict, relationship issues, self-esteem, stress, and trauma.
(210) 361-7185 View (210) 361-7185
Photo of Dr. Claire C Loucka, Marriage & Family Therapist in San Antonio, TX
Dr. Claire C Loucka
Marriage & Family Therapist, PhD, LMFT-S
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
Therapy from the comfort and privacy of your own home, online sessions! Sometimes life gets messy, it can feel like everything is all jumbled up in knots with no way to untangle things—that’s where I come in. I am a disentanglement expert. As a solution-orientated therapist I am most interested in exploring your strengths and resources as the building blocks for therapy and change.
Therapy from the comfort and privacy of your own home, online sessions! Sometimes life gets messy, it can feel like everything is all jumbled up in knots with no way to untangle things—that’s where I come in. I am a disentanglement expert. As a solution-orientated therapist I am most interested in exploring your strengths and resources as the building blocks for therapy and change.
(210) 741-8848 View (210) 741-8848
Photo of Karen Rudd, Licensed Professional Counselor in San Antonio, TX
Karen Rudd
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78212
Life can be overwhelming. Do you experience anxiety, depression, low self esteem or relationship issues and need guidance to move forward? Together, we will identify and explore these issues. We will create goals so you can better understand the changes needed to make a difference in your life.
Life can be overwhelming. Do you experience anxiety, depression, low self esteem or relationship issues and need guidance to move forward? Together, we will identify and explore these issues. We will create goals so you can better understand the changes needed to make a difference in your life.
(210) 899-6828 View (210) 899-6828
Photo of Charles Jackson, Licensed Professional Counselor in San Antonio, TX
Charles Jackson
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78209
Charlie sees himself as a partner to clients, helping to identify struggles that interfere with an individual's growth into the person he or she wishes to be. He tailors his interventions specifically to the client’s needs. He has experience working with individuals facing a variety of conditions including depression, anxiety, mania, trouble with interpersonal relationships, and workplace stress. He has extensive experience helping military personnel and their families.
Charlie sees himself as a partner to clients, helping to identify struggles that interfere with an individual's growth into the person he or she wishes to be. He tailors his interventions specifically to the client’s needs. He has experience working with individuals facing a variety of conditions including depression, anxiety, mania, trouble with interpersonal relationships, and workplace stress. He has extensive experience helping military personnel and their families.
(210) 361-8057 View (210) 361-8057
Photo of Jonathan Felux, Pre-Licensed Professional in San Antonio, TX
Jonathan Felux
Pre-Licensed Professional
Verified Verified
1 Endorsed
San Antonio, TX 78229
Not accepting new clients
Have you been struggling, feeling off, or not found peace within yourself? Are you someone facing a transition in life? I am a counseling intern student with decades of experience as a professional in helping positions. I know the importance of having someone who truly listens and hears you, and who recognizes the resources and strengths you already possess. I am a professional who will hear you, explore your strengths with you, and help you navigate life's transitions and embrace yourself. With a guide like me to help you explore your thinking, behavior, emotions, and resources, you can find the tools and insights you need.
Have you been struggling, feeling off, or not found peace within yourself? Are you someone facing a transition in life? I am a counseling intern student with decades of experience as a professional in helping positions. I know the importance of having someone who truly listens and hears you, and who recognizes the resources and strengths you already possess. I am a professional who will hear you, explore your strengths with you, and help you navigate life's transitions and embrace yourself. With a guide like me to help you explore your thinking, behavior, emotions, and resources, you can find the tools and insights you need.
(210) 944-4981 View (210) 944-4981
Photo of Taylor Twitchell, Clinical Social Work/Therapist in San Antonio, TX
Taylor Twitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78253  (Online Only)
Hi, I'm Taylor, a licensed clinical social worker specializing in trauma, depression, anxiety, and grief and loss. Through specialized experience and training, I am uniquely able to provide relief to first responders, hospital workers, and individuals who have experienced medical accidents and trauma. On top of this, I am devoted to helping any individual find their way through the darkest moments of depression, anxiety, and grief.
Hi, I'm Taylor, a licensed clinical social worker specializing in trauma, depression, anxiety, and grief and loss. Through specialized experience and training, I am uniquely able to provide relief to first responders, hospital workers, and individuals who have experienced medical accidents and trauma. On top of this, I am devoted to helping any individual find their way through the darkest moments of depression, anxiety, and grief.
(210) 985-9751 View (210) 985-9751
Photo of Kathryn Miller, Clinical Social Work/Therapist in San Antonio, TX
Kathryn Miller
Clinical Social Work/Therapist, LCSW, BCD, CCTP
Verified Verified
San Antonio, TX 78230
As a Solution-Focused, Gottman Cert. Therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. We will unearth long-standing behavior patterns or negative perceptions by applying complementary therapy approaches and techniques. With 30 years of experience, and a Board Certified Diplomate, I must earn double the amount of continuing education as other therapists with an LCSW. My passion has become couples therapy, and I have recently become an " expert" in the field.
As a Solution-Focused, Gottman Cert. Therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. We will unearth long-standing behavior patterns or negative perceptions by applying complementary therapy approaches and techniques. With 30 years of experience, and a Board Certified Diplomate, I must earn double the amount of continuing education as other therapists with an LCSW. My passion has become couples therapy, and I have recently become an " expert" in the field.
(210) 762-6087 View (210) 762-6087
Photo of Carrie George, Psychologist in San Antonio, TX
Carrie George
Psychologist, PhD
Verified Verified
San Antonio, TX 78258
Dr. Carrie George is a Psychologist in Texas who has been practicing since 1996. She has a Ph.D. in Psychology from Texas A&M University. As a psychologist Dr. George works to empower her clients with the tools needed to make impactful change in their mental health functioning. Being trained as both a School and Clinical Psychologist is beneficial with the population she serves (ages 0-25) because Dr. George is able to help families navigate and advocate for the client's needs within the multiple systems they encounter (i. e. , schools, psychiatric facilities, the family).
Dr. Carrie George is a Psychologist in Texas who has been practicing since 1996. She has a Ph.D. in Psychology from Texas A&M University. As a psychologist Dr. George works to empower her clients with the tools needed to make impactful change in their mental health functioning. Being trained as both a School and Clinical Psychologist is beneficial with the population she serves (ages 0-25) because Dr. George is able to help families navigate and advocate for the client's needs within the multiple systems they encounter (i. e. , schools, psychiatric facilities, the family).
(830) 293-3301 View (830) 293-3301
Photo of Melissa Friesenhahn, Licensed Professional Counselor in San Antonio, TX
Melissa Friesenhahn
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
San Antonio, TX 78232
Waitlist for new clients
It has been a privilege to assist children, adults, and families in times of changes, uncertainty, adjustments, & struggles. I am a Licensed Professional Counselor, certified EMDR therapist, an IFS-EMDR therapist, Prepared & Enrich counselor for couples, completed Level 1 & 2 training in Gottman Method Couples Therapy, & Emotionally Focus Therapy (EFT) for couples. I am trained in numerous therapeutic approaches. In a counseling session, we will explore emotional & cognitive barriers, past & present relationships, & collaboratively devise therapy goals. There are many different reasons to seek counseling in all stages of your life.
It has been a privilege to assist children, adults, and families in times of changes, uncertainty, adjustments, & struggles. I am a Licensed Professional Counselor, certified EMDR therapist, an IFS-EMDR therapist, Prepared & Enrich counselor for couples, completed Level 1 & 2 training in Gottman Method Couples Therapy, & Emotionally Focus Therapy (EFT) for couples. I am trained in numerous therapeutic approaches. In a counseling session, we will explore emotional & cognitive barriers, past & present relationships, & collaboratively devise therapy goals. There are many different reasons to seek counseling in all stages of your life.
(210) 526-0757 View (210) 526-0757
Photo of Bertha E Rodarte, PhD clinical psychologist PLLC, Psychologist in San Antonio, TX
Bertha E Rodarte, PhD clinical psychologist PLLC
Psychologist, PhD
Verified Verified
San Antonio, TX 78259  (Online Only)
I’m a bilingual (English/Spanish) psychologist located in San Antonio, Texas. I work with individuals who need support to reclaim peace and connection. I provide internet-based psychotherapy to high functioning individuals with mood disorders, anxiety, stress, relationship concerns, and health problems. I have specialized training in bariatric evaluations/issues, trauma recovery, and chronic pain. In addition, I have extensive experience in psychological evaluations. My mission is to provide a trusting relationship where you can discover your authentic self and growth is nurtured. I provide treatment for adults.
I’m a bilingual (English/Spanish) psychologist located in San Antonio, Texas. I work with individuals who need support to reclaim peace and connection. I provide internet-based psychotherapy to high functioning individuals with mood disorders, anxiety, stress, relationship concerns, and health problems. I have specialized training in bariatric evaluations/issues, trauma recovery, and chronic pain. In addition, I have extensive experience in psychological evaluations. My mission is to provide a trusting relationship where you can discover your authentic self and growth is nurtured. I provide treatment for adults.
(210) 899-7261 View (210) 899-7261
Photo of Cathy Lazo, Marriage & Family Therapist in San Antonio, TX
Cathy Lazo
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78253  (Online Only)
As a Licensed Marriage and Family Therapist, I have a sincere appreciation, respect, and concern for others. You should be provided every opportunity to succeed and thrive in life empowered with skills to manage daily challenges. Life's dynamics and the interpretation of life's events are unique to each individual, couple, or family. Make your healing, desired changes, and goals a priority. We can travel this journey together.
As a Licensed Marriage and Family Therapist, I have a sincere appreciation, respect, and concern for others. You should be provided every opportunity to succeed and thrive in life empowered with skills to manage daily challenges. Life's dynamics and the interpretation of life's events are unique to each individual, couple, or family. Make your healing, desired changes, and goals a priority. We can travel this journey together.
(210) 338-8861 View (210) 338-8861
Photo of Dena Willeford, Licensed Professional Counselor in San Antonio, TX
Dena Willeford
Licensed Professional Counselor, MA, LPC, AAT, NCC
Verified Verified
San Antonio, TX 78258
Sometimes we can feel like we are struggling in life, not fulfilling our purpose, or are unhappy with current circumstances. Through our counseling journey, I will walk alongside of you to find what's impeding your happiness, gratification, purpose, and well-being. We will determine what is interfering with your goals and establish a practical strategy to attaining them. In a welcoming and judge-free environment, we will look at the challenges you face, your thoughts and ideas surrounding your circumstances, and the feelings that you are experiencing. We will use open and honest communication throughout our counseling journey.
Sometimes we can feel like we are struggling in life, not fulfilling our purpose, or are unhappy with current circumstances. Through our counseling journey, I will walk alongside of you to find what's impeding your happiness, gratification, purpose, and well-being. We will determine what is interfering with your goals and establish a practical strategy to attaining them. In a welcoming and judge-free environment, we will look at the challenges you face, your thoughts and ideas surrounding your circumstances, and the feelings that you are experiencing. We will use open and honest communication throughout our counseling journey.
(210) 405-2837 View (210) 405-2837
Photo of Becca Allen Counseling, Licensed Professional Counselor in San Antonio, TX
Becca Allen Counseling
Licensed Professional Counselor, LPC, NCC, CEDS, PMH-C, LMHC
Verified Verified
San Antonio, TX 78209
Hi! Welcome to Becca Allen Counseling. Are you struggling finding it hard to relax, being overly cautious, hyper detail focused or perfectionistic? Do you often have chronic treatment resistant anxiety and or depression? You might be over controlled. What is overcontrol you ask? Overcontrol or OC is having too much self control. Too much of anything can be problematic. Self-control is the ability to inhibit urges, impulses, behaviors, or desires to delay gratification in order to pursue a long term goal. Self control is often associated with success and happiness.
Hi! Welcome to Becca Allen Counseling. Are you struggling finding it hard to relax, being overly cautious, hyper detail focused or perfectionistic? Do you often have chronic treatment resistant anxiety and or depression? You might be over controlled. What is overcontrol you ask? Overcontrol or OC is having too much self control. Too much of anything can be problematic. Self-control is the ability to inhibit urges, impulses, behaviors, or desires to delay gratification in order to pursue a long term goal. Self control is often associated with success and happiness.
(210) 934-0137 View (210) 934-0137
Photo of Tori Parker, Licensed Professional Counselor Associate in San Antonio, TX
Tori Parker
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
San Antonio, TX 78232  (Online Only)
There are times when we may feel stuck and not know what to do. We may be unsure of what the next best steps are for our lives. I’m here to help you figure out those solutions for your lives while learning how to give yourself grace and forgiveness. It has been shown that when we make small changes, it can create a new trajectory in our life. I’m here to help you determine what small change you can make to live a more fulfilled life. Supervised by Larry Mack, LPC-S
There are times when we may feel stuck and not know what to do. We may be unsure of what the next best steps are for our lives. I’m here to help you figure out those solutions for your lives while learning how to give yourself grace and forgiveness. It has been shown that when we make small changes, it can create a new trajectory in our life. I’m here to help you determine what small change you can make to live a more fulfilled life. Supervised by Larry Mack, LPC-S
(210) 864-9529 View (210) 864-9529

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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.