Therapists in Walnut Creek, CA

Photo of Micaela Maria Vicuna, Marriage & Family Therapist in Walnut Creek, CA
Micaela Maria Vicuna
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Walnut Creek, CA 94596
It’s hard to be human. There are no manuals on how to deal with our thoughts and emotions. Sitting with vulnerability can be scary and uncomfortable. As a Client-Centered clinician I plan to meet you in the here and now and help get you to where you want to be in a holistically happy and healthy manner. We all could use a bit of guidance, and at times, a push in the right direction.
It’s hard to be human. There are no manuals on how to deal with our thoughts and emotions. Sitting with vulnerability can be scary and uncomfortable. As a Client-Centered clinician I plan to meet you in the here and now and help get you to where you want to be in a holistically happy and healthy manner. We all could use a bit of guidance, and at times, a push in the right direction.
(209) 231-4832 View (209) 231-4832
Photo of Kathryn Schroeder, Licensed Professional Clinical Counselor in Walnut Creek, CA
Kathryn Schroeder
Licensed Professional Clinical Counselor, MS, LPCC, SEP
Verified Verified
2 Endorsed
Walnut Creek, CA 94596
Do you feel alone in the midst of overwhelming emotions? Or maybe you feel lost, numb, or not fully alive? When we experience loss, grief, trauma, or any number of life transitions, we often experience disconnection and dis-integration. This may help us to temporarily from feeling pain, but it also severs our connection to joy and spontaneity. You are not alone. Let me help you find your way back to wholeness through integrating your whole being, your relationship with yourself, and your connection with others.
Do you feel alone in the midst of overwhelming emotions? Or maybe you feel lost, numb, or not fully alive? When we experience loss, grief, trauma, or any number of life transitions, we often experience disconnection and dis-integration. This may help us to temporarily from feeling pain, but it also severs our connection to joy and spontaneity. You are not alone. Let me help you find your way back to wholeness through integrating your whole being, your relationship with yourself, and your connection with others.
(925) 794-8292 View (925) 794-8292
Photo of Saadia Faouzi, Marriage & Family Therapist in Walnut Creek, CA
Saadia Faouzi
Marriage & Family Therapist, MFT, MA, PhD
Verified Verified
Walnut Creek, CA 94598
Are you unhappy? Do you feel less and less motivated and it's getting hard for you to be yourself fully? Are you anxious? Depressed? Angry? Do you feel misunderstood and blamed? Are you overwhelmed? Do you feel lost and you don't know what to do? My therapy services can help you. Using therapy tools that work, I will help you overcome the road blocks that are on the way to your true self and to your happiness. My therapy services are client centered, individualized and strength based. Most importantly, they are tailored to meet your values and cultural needs.
Are you unhappy? Do you feel less and less motivated and it's getting hard for you to be yourself fully? Are you anxious? Depressed? Angry? Do you feel misunderstood and blamed? Are you overwhelmed? Do you feel lost and you don't know what to do? My therapy services can help you. Using therapy tools that work, I will help you overcome the road blocks that are on the way to your true self and to your happiness. My therapy services are client centered, individualized and strength based. Most importantly, they are tailored to meet your values and cultural needs.
(408) 763-4115 View (408) 763-4115
Photo of Victor Leonard Bernstein, Psychologist in Walnut Creek, CA
Victor Leonard Bernstein
Psychologist, PhD
Verified Verified
Walnut Creek, CA 94596
Hi, I've been in practice since 1980, I work best with adults and adolescents. My areas of interest are individual and couple therapy. Specific areas are stress disorders, eating disorders, sexual problems, substance abuse, anger, relationship problems, depression and anxiety disorders and coaching. I look at where you are emotionally, nutritionally, your physical fitness level and medical status.I do an evaluation and design a treatment plan to reach your goals.
Hi, I've been in practice since 1980, I work best with adults and adolescents. My areas of interest are individual and couple therapy. Specific areas are stress disorders, eating disorders, sexual problems, substance abuse, anger, relationship problems, depression and anxiety disorders and coaching. I look at where you are emotionally, nutritionally, your physical fitness level and medical status.I do an evaluation and design a treatment plan to reach your goals.
(925) 275-5487 View (925) 275-5487
Photo of Sana Therapy Collective, Clinical Social Work/Therapist in Walnut Creek, CA
Sana Therapy Collective
Clinical Social Work/Therapist
Verified Verified
Walnut Creek, CA 94596
At Sana, we understand what it's like to go through pain, trauma, or depression. Isolation, impulsivity, or hopelessness become the only friends you know. You might have feelings of emptiness or conflict that make little sense. Trauma has been the backdrop of your life for as long as you can remember, and you're tired. Your goal is to recover, to find contentment, or just move through the world with a bit more ease. You have personal dreams and desires and would love to one day reach them.
At Sana, we understand what it's like to go through pain, trauma, or depression. Isolation, impulsivity, or hopelessness become the only friends you know. You might have feelings of emptiness or conflict that make little sense. Trauma has been the backdrop of your life for as long as you can remember, and you're tired. Your goal is to recover, to find contentment, or just move through the world with a bit more ease. You have personal dreams and desires and would love to one day reach them.
(925) 744-5997 View (925) 744-5997
Photo of Jean Williams, Clinical Social Work/Therapist in Walnut Creek, CA
Jean Williams
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Walnut Creek, CA 94595  (Online Only)
I am a psychotherapist who also has a certificate as an empowerment life coach. My life coach certificate is from the Empowerment Institute, Rhinebeck, New York. I received my Master of Science degree in Social Work from Columbia University's School of Social Work. The impact of trauma and discrimination in ones life experience is explored during the treatment process. I have had significant success in working with women (and men) who are living with anxiety and/or depressive symptoms.
I am a psychotherapist who also has a certificate as an empowerment life coach. My life coach certificate is from the Empowerment Institute, Rhinebeck, New York. I received my Master of Science degree in Social Work from Columbia University's School of Social Work. The impact of trauma and discrimination in ones life experience is explored during the treatment process. I have had significant success in working with women (and men) who are living with anxiety and/or depressive symptoms.
(407) 559-7929 View (407) 559-7929
Photo of Bay Area Child Counseling, Marriage & Family Therapist in Walnut Creek, CA
Bay Area Child Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94596
Are you worried about your teenager's mood, behavior, or difficulty communicating? Struggling with daily tasks and routines when it comes to your child? Feel like you've exhausted all parenting approaches without seeing results? Think that parenting shouldn't be this challenging? It is heartbreaking when our children suffer, and we are unsure how to help them. you've come to the right place. I'm here to offer you a free 30-minute phone consultation to determine how I can assist you. Together, we can explore solutions.
Are you worried about your teenager's mood, behavior, or difficulty communicating? Struggling with daily tasks and routines when it comes to your child? Feel like you've exhausted all parenting approaches without seeing results? Think that parenting shouldn't be this challenging? It is heartbreaking when our children suffer, and we are unsure how to help them. you've come to the right place. I'm here to offer you a free 30-minute phone consultation to determine how I can assist you. Together, we can explore solutions.
(707) 986-0481 View (707) 986-0481
Photo of Galina Litvin, Marriage & Family Therapist in Walnut Creek, CA
Galina Litvin
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Walnut Creek, CA 94596
As a mental health therapist I work from a client centered focus. I support and guide you in managing your mental health concerns. You maybe experiencing symptoms such as depression, anxiety, trauma, stress, or relationship issues. If you have a desire to understand and address the root causes of your life challenges, and you are willing to engage in the therapeutic process to make positive changes in your life then I'd love to work with you. I use a non-judgmental, empathetic therapeutic approach. I work to provide a safe and supportive environment to explore your thoughts and feelings, which in turn helps you grow as human being.
As a mental health therapist I work from a client centered focus. I support and guide you in managing your mental health concerns. You maybe experiencing symptoms such as depression, anxiety, trauma, stress, or relationship issues. If you have a desire to understand and address the root causes of your life challenges, and you are willing to engage in the therapeutic process to make positive changes in your life then I'd love to work with you. I use a non-judgmental, empathetic therapeutic approach. I work to provide a safe and supportive environment to explore your thoughts and feelings, which in turn helps you grow as human being.
(925) 361-3853 View (925) 361-3853
Photo of Lynne Eilers, Marriage & Family Therapist in Walnut Creek, CA
Lynne Eilers
Marriage & Family Therapist, BS, MS, MFT
Verified Verified
Walnut Creek, CA 94596  (Online Only)
Please use email for a response from me. Psychotherapy should be used to enhance the life you already live. Most of the time, we do well in our daily routines. All of us have ...let's say..our weak links. We excel in our careers, but we feel lonely, or we want to better communicate with our partner but don't know where to start. Everyone has little areas that confound us. Sometimes we need a private place to begin to find a different path.
Please use email for a response from me. Psychotherapy should be used to enhance the life you already live. Most of the time, we do well in our daily routines. All of us have ...let's say..our weak links. We excel in our careers, but we feel lonely, or we want to better communicate with our partner but don't know where to start. Everyone has little areas that confound us. Sometimes we need a private place to begin to find a different path.
(925) 291-9357 View (925) 291-9357
Photo of Christina R Sinclair, Psychologist in Walnut Creek, CA
Christina R Sinclair
Psychologist, PhD
Verified Verified
1 Endorsed
Walnut Creek, CA 94597
As a cognitive-behavioral and solution-focused therapist, my goal is to help teens and young adults uncover their true potential and lead lives that are more enjoyable, peaceful and worth celebrating. Although I see a range of issues in my practice, I specialize in treating teens who have intense difficulty managing strong or dangerous feelings. I offer parenting support to help improve the often strained relationships within the family. In addition, I work with young adults to help negotiate the challenges that present during this transitional time such as college wellness, independence, personal identity and life goals.
As a cognitive-behavioral and solution-focused therapist, my goal is to help teens and young adults uncover their true potential and lead lives that are more enjoyable, peaceful and worth celebrating. Although I see a range of issues in my practice, I specialize in treating teens who have intense difficulty managing strong or dangerous feelings. I offer parenting support to help improve the often strained relationships within the family. In addition, I work with young adults to help negotiate the challenges that present during this transitional time such as college wellness, independence, personal identity and life goals.
(510) 205-5424 View (510) 205-5424
Photo of Debbie Tate, Clinical Social Work/Therapist in Walnut Creek, CA
Debbie Tate
Clinical Social Work/Therapist, LCSW
Verified Verified
Walnut Creek, CA 94597
Deborah Tate, LCSW I am a Licensed Clinical Social Worker with over 20 years of experience. It takes tremendous courage to reach out for support and therapy can be a way to enhance and build on strengths to move forward to a better more fulfilling sense of self. My approach is to partner with adult individuals and couples to navigate through life transitions and relational issues to regain hope and stabilization in their lives. I utilize a strength-based, psychodynamic, and client centered approach. I believe in meeting my clients in their stage of change, utilizing harm reduction and motivational interviewing when appropriate.
Deborah Tate, LCSW I am a Licensed Clinical Social Worker with over 20 years of experience. It takes tremendous courage to reach out for support and therapy can be a way to enhance and build on strengths to move forward to a better more fulfilling sense of self. My approach is to partner with adult individuals and couples to navigate through life transitions and relational issues to regain hope and stabilization in their lives. I utilize a strength-based, psychodynamic, and client centered approach. I believe in meeting my clients in their stage of change, utilizing harm reduction and motivational interviewing when appropriate.
(925) 515-2466 View (925) 515-2466
Photo of Renee Fesperman, Marriage & Family Therapist in Walnut Creek, CA
Renee Fesperman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94598
As a therapist my focus is your (and your family's) emotional health and happiness. Therapy can offer strategies and coping skills as well as guidance to access your own wisdom for solving the challenges you are currently facing.
As a therapist my focus is your (and your family's) emotional health and happiness. Therapy can offer strategies and coping skills as well as guidance to access your own wisdom for solving the challenges you are currently facing.
(925) 478-4062 View (925) 478-4062
Photo of Julie Anderson, Marriage & Family Therapist in Walnut Creek, CA
Julie Anderson
Marriage & Family Therapist, MA, PhD, MFT
Verified Verified
Walnut Creek, CA 94596
As the host of my own popular radio show for eight years, I had a chance to do on a grand scale what I love most: touching people's lives in a positive way. Because of the call-in format, I became every effective at quickly identifying the underlying factors that were causing concern. Today, I continue to use my exceptional intuition and experience to rapidly guide clients in gaining insight into their problems and making changes so that they can lead more fulfilling lives. From our first hour together, you will feel confident that your issues are being addressed.
As the host of my own popular radio show for eight years, I had a chance to do on a grand scale what I love most: touching people's lives in a positive way. Because of the call-in format, I became every effective at quickly identifying the underlying factors that were causing concern. Today, I continue to use my exceptional intuition and experience to rapidly guide clients in gaining insight into their problems and making changes so that they can lead more fulfilling lives. From our first hour together, you will feel confident that your issues are being addressed.
(925) 521-8780 View (925) 521-8780
Photo of Theo Kuczek, Marriage & Family Therapist in Walnut Creek, CA
Theo Kuczek
Marriage & Family Therapist, MA, MFT, CPT
Verified Verified
5 Endorsed
Walnut Creek, CA 94596
Therapy with me will have you leaving my office with tangible ways, for you or you and your loved ones, to facilitate changes in what you want in your life from the very first session. I will challenge you hard but with compassion. I enjoy helping people develop an enthusiasm for the process of self-discovery and healing. I make authentic contact with people help them cultivate a taste for their own Truths while making space to grieve the loss of old ways or relating to people and the world around them. I see starting therapy is a sign of intelligence.
Therapy with me will have you leaving my office with tangible ways, for you or you and your loved ones, to facilitate changes in what you want in your life from the very first session. I will challenge you hard but with compassion. I enjoy helping people develop an enthusiasm for the process of self-discovery and healing. I make authentic contact with people help them cultivate a taste for their own Truths while making space to grieve the loss of old ways or relating to people and the world around them. I see starting therapy is a sign of intelligence.
(925) 232-0438 View (925) 232-0438
Photo of Brian La Roy Jones, Marriage & Family Therapist Associate in Walnut Creek, CA
Brian La Roy Jones
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Walnut Creek, CA 94596  (Online Only)
Waitlist for new clients
Are you tired of feeling rejected, lonely, confused, anxious, depressed, or just plain stuck? If so, then I can show you how you can experience feeling connected, peaceful, empowered, energized, and feeling good. I'm not in the “symptom reduction” business – like most therapists. Whether you're a teen, adult, or couple, my focus is helping clients just like you experience MORE. Picture experiencing not just less of something but more...hope, love, self-control, happiness, fulfillment, freedom, confidence, affection, compassion, trust, acceptance, validation, and feeling understood.
Are you tired of feeling rejected, lonely, confused, anxious, depressed, or just plain stuck? If so, then I can show you how you can experience feeling connected, peaceful, empowered, energized, and feeling good. I'm not in the “symptom reduction” business – like most therapists. Whether you're a teen, adult, or couple, my focus is helping clients just like you experience MORE. Picture experiencing not just less of something but more...hope, love, self-control, happiness, fulfillment, freedom, confidence, affection, compassion, trust, acceptance, validation, and feeling understood.
(510) 288-7652 View (510) 288-7652
Photo of Carlynne Cuyson, Marriage & Family Therapist in Walnut Creek, CA
Carlynne Cuyson
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Walnut Creek, CA 94598
Are you noticing behavioral/emotional changes with your child? Is your child having difficulty regulating their emotions? Does your child need support with navigating life transitions (e.g. new addition to the family, loss, move to a new area)? Are you concerned about your child's coping skills? Do you feel that your child needs support with building/improving existing coping tools?
Are you noticing behavioral/emotional changes with your child? Is your child having difficulty regulating their emotions? Does your child need support with navigating life transitions (e.g. new addition to the family, loss, move to a new area)? Are you concerned about your child's coping skills? Do you feel that your child needs support with building/improving existing coping tools?
(925) 255-9762 View (925) 255-9762
Photo of Dr. Natalie A. Ma, Psychologist in Walnut Creek, CA
Dr. Natalie A. Ma
Psychologist, PhD
Verified Verified
Walnut Creek, CA 94596  (Online Only)
I am an Asian-American therapist offering culturally sensitive mental health care using DBT and EMDR. DBT helps with emotion regulation, mindfulness, and interpersonal effectiveness. EMDR addresses past trauma with precision and compassion. I honor cultural values and beliefs, creating a safe healing space for clients. Let's work together to cultivate resilience and empower you to live a life aligned with your values.
I am an Asian-American therapist offering culturally sensitive mental health care using DBT and EMDR. DBT helps with emotion regulation, mindfulness, and interpersonal effectiveness. EMDR addresses past trauma with precision and compassion. I honor cultural values and beliefs, creating a safe healing space for clients. Let's work together to cultivate resilience and empower you to live a life aligned with your values.
(415) 660-9562 View (415) 660-9562
Photo of Carla Guillaume, Clinical Social Work/Therapist in Walnut Creek, CA
Carla Guillaume
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Walnut Creek, CA 94598
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
Life's challenges can often leave us feeling overwhelmed and disconnected. As a Licensed Clinical Social Worker with 15 years of experience, I'm here to offer you a safe and compassionate space to explore your journey towards well-being. Whether you've experienced trauma, grapple with depression, anxiety, or face other life hurdles, I'm committed to guiding you towards a brighter future. My expertise lies in helping adolescents and adults heal from the past, build resilience, and discover their inner strength. Let's embark on this transformative journey together, where you can discover healing, hope, and happiness.
(925) 940-1147 View (925) 940-1147
Photo of Sara Donohue, Associate Marriage & Family Therapist in Walnut Creek, CA
Sara Donohue
Associate Marriage & Family Therapist, MA, AMFT, PPS
Verified Verified
Walnut Creek, CA 94595
Accepting evening clients! I'm here to help foster your journey of self-awareness, healing, and growth so you can live the life that's most fulfilling for you. I offer a warm, person-centered, and solution-focused approach coupled with a comprehensive trauma lens to treat acute and chronic mental health symptoms, such as anxiety, depression, and bi-polar mood disturbances, and relational issues, such as grief/loss, parenting issues, and other relational dynamics. With a strong background in School Psychology working at the elementary and high school levels, I can facilitate people in their journeys towards health and wellness.
Accepting evening clients! I'm here to help foster your journey of self-awareness, healing, and growth so you can live the life that's most fulfilling for you. I offer a warm, person-centered, and solution-focused approach coupled with a comprehensive trauma lens to treat acute and chronic mental health symptoms, such as anxiety, depression, and bi-polar mood disturbances, and relational issues, such as grief/loss, parenting issues, and other relational dynamics. With a strong background in School Psychology working at the elementary and high school levels, I can facilitate people in their journeys towards health and wellness.
(510) 621-6105 View (510) 621-6105
Photo of Eric Anderson, Marriage & Family Therapist in Walnut Creek, CA
Eric Anderson
Marriage & Family Therapist, MS, LMFT, CSAT-S, EMDR
Verified Verified
8 Endorsed
Walnut Creek, CA 94596
Has your addictive behavior gotten out of control? Are you struggling with pornography or compulsive sexual behavior? Do you need to repair damage caused in your relationship or rebuild trust? You are not alone and there is a way through it. I am the founder and clinical director of Pathway Therapy Center where we specialize in helping clients get through the crisis that addiction causes and work to find recovery and healing. Further, I offer weekly Men's recovery groups to help building community and reduce shame around addiction; an essential piece of the recovery process.
Has your addictive behavior gotten out of control? Are you struggling with pornography or compulsive sexual behavior? Do you need to repair damage caused in your relationship or rebuild trust? You are not alone and there is a way through it. I am the founder and clinical director of Pathway Therapy Center where we specialize in helping clients get through the crisis that addiction causes and work to find recovery and healing. Further, I offer weekly Men's recovery groups to help building community and reduce shame around addiction; an essential piece of the recovery process.
(925) 396-5267 View (925) 396-5267

See more therapy options for Walnut Creek

How does your Therapist compare?

Number of Therapists in Walnut Creek, CA

800+

Average cost per session

$180

Therapists in Walnut Creek, CA who prioritize treating:

93% Anxiety
88% Depression
80% Relationship Issues
71% Self Esteem
67% Trauma and PTSD
66% Stress
65% Grief

Average years in practice

14 Years

Top 3 insurances accepted

60% Aetna
49% Cigna and Evernorth
38% Other

How Therapists in Walnut Creek, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Walnut Creek?

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.