Therapists in San Francisco, CA

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Photo of Alex Gallegos, Marriage & Family Therapist in San Francisco, CA
Alex Gallegos
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94132
Hello, my name is Alex Gallegos and I'm a licensed marriage and family therapist (Lic. 101393) in California. I have been providing treatment for 14 years in mental health. I have provided therapy for adults, children, families, couples, and support groups. Some of the areas related to mental health that I have addressed are depression, anxiety, trauma, grief and loss, domestic violence, and parenting problems, and I work with fathers struggling to parent their children as a result of historical trauma.
Hello, my name is Alex Gallegos and I'm a licensed marriage and family therapist (Lic. 101393) in California. I have been providing treatment for 14 years in mental health. I have provided therapy for adults, children, families, couples, and support groups. Some of the areas related to mental health that I have addressed are depression, anxiety, trauma, grief and loss, domestic violence, and parenting problems, and I work with fathers struggling to parent their children as a result of historical trauma.
(415) 849-7926 View (415) 849-7926
Photo of Lia Akhilanda, Clinical Social Work/Therapist in San Francisco, CA
Lia Akhilanda
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94121  (Online Only)
I see therapy as emotional digestion: pausing life to say what needs to be said, to listen to what needs to stay, and to release what is no longer needed. Therapy, for me, is not just a professional service; it's a commitment to being present, consistent and reliable for my clients. Let's work together to deepen your self-awareness through psychotherapeutic methods, as well as what you uniquely may be interested in considering through contemplative and somatic practices. I'm down-to-earth and want to understand what’s really important to you.
I see therapy as emotional digestion: pausing life to say what needs to be said, to listen to what needs to stay, and to release what is no longer needed. Therapy, for me, is not just a professional service; it's a commitment to being present, consistent and reliable for my clients. Let's work together to deepen your self-awareness through psychotherapeutic methods, as well as what you uniquely may be interested in considering through contemplative and somatic practices. I'm down-to-earth and want to understand what’s really important to you.
(628) 345-4190 View (628) 345-4190
Photo of Lea Reyes | Relationships, Marriage & Family Therapist in San Francisco, CA
Lea Reyes | Relationships
Marriage & Family Therapist, LMFT, LPC, MS
Verified Verified
San Francisco, CA 94123  (Online Only)
Struggles in your relationship can be overwhelming and confusing where you're constantly arguing over small things and feel a growing distance as a couple. "How did things get to this point and how do I fix it?" I want you to know that I understand because I have been in your shoes. I know the pain and frustration that comes with feeling disconnected in a relationship.
Struggles in your relationship can be overwhelming and confusing where you're constantly arguing over small things and feel a growing distance as a couple. "How did things get to this point and how do I fix it?" I want you to know that I understand because I have been in your shoes. I know the pain and frustration that comes with feeling disconnected in a relationship.
(714) 912-1745 View (714) 912-1745
Photo of Liz (Hayman) Flick, Marriage & Family Therapist in San Francisco, CA
Liz (Hayman) Flick
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115
We all find ourselves at times where we feel lost and confused. Things in our lives may not be going the way we want or we may find ourselves coming up against repeated stumbling blocks in certain areas of our lives. I believe that therapy can help us reconnect to parts of ourselves that we have forgotten about or lost track of. Having these parts back on board helps us to find deeper connection with ourselves, others and the world around us and leads to greater life fulfillment.
We all find ourselves at times where we feel lost and confused. Things in our lives may not be going the way we want or we may find ourselves coming up against repeated stumbling blocks in certain areas of our lives. I believe that therapy can help us reconnect to parts of ourselves that we have forgotten about or lost track of. Having these parts back on board helps us to find deeper connection with ourselves, others and the world around us and leads to greater life fulfillment.
(415) 488-8144 View (415) 488-8144
Photo of Melanie Chinchilla, Psychologist in San Francisco, CA
Melanie Chinchilla
Psychologist, PhD, MS
Verified Verified
18 Endorsed
San Francisco, CA 94110
Are you overwhelmed by the number of things you "have to do" when you don't "want to do" any of them? Some days, you might feel stuck in a rut and can’t get out. You might feel like are holding everything together, but you aren’t enjoying your life. You may question the direction of your life. When you stop to think about it, you may realize don't like the path you are on. Yet, you aren’t sure whether it's scarier that you don’t often question the path or how often you continue to march down the path knowing how you feel. Yes, it’s a scary place to be, but you gathered up the courage to take the first step. Most people don't.
Are you overwhelmed by the number of things you "have to do" when you don't "want to do" any of them? Some days, you might feel stuck in a rut and can’t get out. You might feel like are holding everything together, but you aren’t enjoying your life. You may question the direction of your life. When you stop to think about it, you may realize don't like the path you are on. Yet, you aren’t sure whether it's scarier that you don’t often question the path or how often you continue to march down the path knowing how you feel. Yes, it’s a scary place to be, but you gathered up the courage to take the first step. Most people don't.
(415) 304-8302 View (415) 304-8302
Photo of J Patrick Gannon, Psychologist in San Francisco, CA
J Patrick Gannon
Psychologist, PhD
Verified Verified
San Francisco, CA 94118
I think I work best with clients who are motivated to address specific issues in their lives that hold them back in some way. Having a goal and wanting more for themselves in their personal lives, and work lives, gives the therapy the direction and purpose that increases its effectiveness. People are complex and everyone deserves to be treated as unique individuals with their own set of needs, preferences and interpersonal styles. My job is to fit into their psychological world to understand how to help them best--an "informed collaboration" that is purposeful and intentional.
I think I work best with clients who are motivated to address specific issues in their lives that hold them back in some way. Having a goal and wanting more for themselves in their personal lives, and work lives, gives the therapy the direction and purpose that increases its effectiveness. People are complex and everyone deserves to be treated as unique individuals with their own set of needs, preferences and interpersonal styles. My job is to fit into their psychological world to understand how to help them best--an "informed collaboration" that is purposeful and intentional.
(415) 341-9857 View (415) 341-9857
Photo of Bonnie Harrison, Clinical Social Work/Therapist in San Francisco, CA
Bonnie Harrison
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
1 Endorsed
San Francisco, CA 94114
Sometimes we need extra support to get through difficult times in our lives, or a sounding board when making difficult decisions. I am here to provide a safe space for you on your path towards positive change and healing. If you are looking for a change in your life or struggling with feelings of depression, anxiety, grief or trauma, please reach out for a free consultation. If you are not sure if therapy is right for you, I am happy to discuss what you are looking for and support you wherever you are in this process.
Sometimes we need extra support to get through difficult times in our lives, or a sounding board when making difficult decisions. I am here to provide a safe space for you on your path towards positive change and healing. If you are looking for a change in your life or struggling with feelings of depression, anxiety, grief or trauma, please reach out for a free consultation. If you are not sure if therapy is right for you, I am happy to discuss what you are looking for and support you wherever you are in this process.
(415) 630-5734 View (415) 630-5734
Photo of Spark All Wellness, Clinical Social Work/Therapist in San Francisco, CA
Spark All Wellness
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
San Francisco, CA 94115
It’s ok to not be ok. As moms, we want nothing more than to keep our children safe and raise them to be fulfilled and happy. When unexpected trauma occurs, it upsets the life we had envisioned for them, and brings fear, uncertainty, and other big emotions that no child should have to handle - and no parent could be prepared to handle. We can't change what happened, but we can walk with you and your child to make sure you aren't navigating the process alone.
It’s ok to not be ok. As moms, we want nothing more than to keep our children safe and raise them to be fulfilled and happy. When unexpected trauma occurs, it upsets the life we had envisioned for them, and brings fear, uncertainty, and other big emotions that no child should have to handle - and no parent could be prepared to handle. We can't change what happened, but we can walk with you and your child to make sure you aren't navigating the process alone.
(831) 264-1323 View (831) 264-1323
Photo of Kimberly Garcia, Marriage & Family Therapist in San Francisco, CA
Kimberly Garcia
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94110  (Online Only)
I imagine you found yourself here because there is something in your life you are seeking to overcome. I’m here to tell you that you don’t have to walk this journey alone. No matter what you’re going through, there is hope and change is possible. I honor and respect the strength and vulnerability it takes to seek help, to give pain space to heal, and to bravely step into growth. As a therapist, I truly love what I do and genuinely care about the people with whom I work. It’s my passion to come alongside others in the midst of their challenges and to help them live from a place of authenticity, empowerment, and self-awareness.
I imagine you found yourself here because there is something in your life you are seeking to overcome. I’m here to tell you that you don’t have to walk this journey alone. No matter what you’re going through, there is hope and change is possible. I honor and respect the strength and vulnerability it takes to seek help, to give pain space to heal, and to bravely step into growth. As a therapist, I truly love what I do and genuinely care about the people with whom I work. It’s my passion to come alongside others in the midst of their challenges and to help them live from a place of authenticity, empowerment, and self-awareness.
(310) 868-2302 View (310) 868-2302
Photo of Beth Myler, Clinical Social Work/Therapist in San Francisco, CA
Beth Myler
Clinical Social Work/Therapist, LCSW, JD
Verified Verified
San Francisco, CA 94123  (Online Only)
Currently accepting new clients in California and Texas. In addition to psychotherapy for anxiety and depression, I also provide counseling and coaching to clients managing various kinds of change in their lives. I help clients navigate challenges presented by relationships, career, and changes in their health status due to aging, illness or injury. I trained as a psychotherapist after a long career as a lawyer and enjoy helping clients focus on pragmatic goals as well as developing insight and personal growth.
Currently accepting new clients in California and Texas. In addition to psychotherapy for anxiety and depression, I also provide counseling and coaching to clients managing various kinds of change in their lives. I help clients navigate challenges presented by relationships, career, and changes in their health status due to aging, illness or injury. I trained as a psychotherapist after a long career as a lawyer and enjoy helping clients focus on pragmatic goals as well as developing insight and personal growth.
(415) 200-3465 View (415) 200-3465
Photo of Kelsey Harrington, Psychologist in San Francisco, CA
Kelsey Harrington
Psychologist, PsyD
Verified Verified
San Francisco, CA 94102
People can feel stuck in their lives for many reasons. You may have vague feelings of dissatisfaction, or have an idea of what isn’t working but struggle to find a way forward. Perhaps you're feeling overwhelmed by familiar feelings from earlier difficulties or trauma that are being stirred up by current situations. My aim is to help you uncover the meanings and underlying causes of patterns of thinking, feeling, and interacting that may be holding you back. These can emerge in addressing day-to-day challenges, or while untangling old narratives formed by deeply rooted experiences.
People can feel stuck in their lives for many reasons. You may have vague feelings of dissatisfaction, or have an idea of what isn’t working but struggle to find a way forward. Perhaps you're feeling overwhelmed by familiar feelings from earlier difficulties or trauma that are being stirred up by current situations. My aim is to help you uncover the meanings and underlying causes of patterns of thinking, feeling, and interacting that may be holding you back. These can emerge in addressing day-to-day challenges, or while untangling old narratives formed by deeply rooted experiences.
(415) 598-5002 View (415) 598-5002
Photo of Jeremy Mintz, Psychologist in San Francisco, CA
Jeremy Mintz
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
I imagine you've found your way here because you're feeling stuck and needing a reason to hope that things will change. Others may not see that you're feeling this way, but you know you're in need of relief. If this sounds like what you're going through, I may be a good fit to help you.
I imagine you've found your way here because you're feeling stuck and needing a reason to hope that things will change. Others may not see that you're feeling this way, but you know you're in need of relief. If this sounds like what you're going through, I may be a good fit to help you.
(415) 964-2474 View (415) 964-2474
Photo of Julia Lehrman, Clinical Social Work/Therapist in San Francisco, CA
Julia Lehrman
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
San Francisco, CA 94115
It is my passion and a privilege to help people struggling with anxiety, depression, self-esteem, trauma, family dynamics, relationship issues, career stress, life transitions, existential angst, and finding meaning and purpose. I welcome people of all types and backgrounds into my practice. I see you as a unique individual and I look forward to getting to know you on a deep level. I am here to support you every step of the way on your journey of self-discovery and healing transformation.
It is my passion and a privilege to help people struggling with anxiety, depression, self-esteem, trauma, family dynamics, relationship issues, career stress, life transitions, existential angst, and finding meaning and purpose. I welcome people of all types and backgrounds into my practice. I see you as a unique individual and I look forward to getting to know you on a deep level. I am here to support you every step of the way on your journey of self-discovery and healing transformation.
(415) 650-4509 View (415) 650-4509
Photo of Natalie M. Mills, Marriage & Family Therapist in San Francisco, CA
Natalie M. Mills
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94102
I work with individuals and couples who want to shift relational problem patterns by healing from trauma, deepening their self-awareness, and strengthening their connections with others. I offer tools to help people gain insight into their behavior, learn how to effectively manage their thoughts, emotions, and behaviors, and ameliorate destructive cycles. Collaboratively, my clients and I improve their self-concepts. I use a relational, attachment-based framework and draw on EMDR therapy when indicated.
I work with individuals and couples who want to shift relational problem patterns by healing from trauma, deepening their self-awareness, and strengthening their connections with others. I offer tools to help people gain insight into their behavior, learn how to effectively manage their thoughts, emotions, and behaviors, and ameliorate destructive cycles. Collaboratively, my clients and I improve their self-concepts. I use a relational, attachment-based framework and draw on EMDR therapy when indicated.
(415) 301-7713 View (415) 301-7713
Photo of Andrea Miller, Psychologist in San Francisco, CA
Andrea Miller
Psychologist, PsyD
Verified Verified
5 Endorsed
San Francisco, CA 94115
Are you a midlife woman who feels anxious & frustrated even though your life looks like it checks off all the “boxes”? Have you mastered looking like you’ve got it “all-together” yet deep down you fear being found out as “not-good-enough”? You have dedicated years of your life to meeting other’s needs. You have tried to live up to the many “shoulds” imposed on you by society. You ought to feel on top of the world & yet on the inside you feel burnt out, frustrated & numb. Your overthinking, worrying & negative thoughts routinely hijack your inner peace and joy. It’s been a long time since you’ve thought about what YOU need or want.
Are you a midlife woman who feels anxious & frustrated even though your life looks like it checks off all the “boxes”? Have you mastered looking like you’ve got it “all-together” yet deep down you fear being found out as “not-good-enough”? You have dedicated years of your life to meeting other’s needs. You have tried to live up to the many “shoulds” imposed on you by society. You ought to feel on top of the world & yet on the inside you feel burnt out, frustrated & numb. Your overthinking, worrying & negative thoughts routinely hijack your inner peace and joy. It’s been a long time since you’ve thought about what YOU need or want.
(650) 618-1280 View (650) 618-1280
Photo of Dr. Mariel Barcebal, Psychologist in San Francisco, CA
Dr. Mariel Barcebal
Psychologist, PsyD
Verified Verified
San Francisco, CA 94102  (Online Only)
And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom. ― Anais Nin. Choosing to start therapy is so powerful as it means that you are looking to create a shift within yourself and what you've been doing is no longer serving you. Have you noticed yourself feeling stuck and overwhelmed within the negative cycle of your circumstances & deeply established emotional patterns? Do you identify as a people pleaser, shrinking yourself & prioritizing others' needs over your own? I will work collaboratively with you to break intergenerational trauma patterns at its source & move forward anew.
And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom. ― Anais Nin. Choosing to start therapy is so powerful as it means that you are looking to create a shift within yourself and what you've been doing is no longer serving you. Have you noticed yourself feeling stuck and overwhelmed within the negative cycle of your circumstances & deeply established emotional patterns? Do you identify as a people pleaser, shrinking yourself & prioritizing others' needs over your own? I will work collaboratively with you to break intergenerational trauma patterns at its source & move forward anew.
(213) 335-2236 View (213) 335-2236
Photo of Adilia E Torres, Marriage & Family Therapist in San Francisco, CA
Adilia E Torres
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94120  (Online Only)
Healing is a gift that emerges from seeds cultivated by struggle, broken borders, and bold dreams. I am a queer mental health practitioner in the Bay Area. My daily practice as a mental health clinician is guided and shaped by culturally relevant services imbued with an Indigenous approach to healing and medicine. My work is focused on trauma-trauma-informed care and recovery services for children, youth, adults, and families impacted by (im)migration, displacement, and other forms of oppression. We individualize and collaborate with the creation of your treatment plan of care tailored to the needs of each person. English & Spanish
Healing is a gift that emerges from seeds cultivated by struggle, broken borders, and bold dreams. I am a queer mental health practitioner in the Bay Area. My daily practice as a mental health clinician is guided and shaped by culturally relevant services imbued with an Indigenous approach to healing and medicine. My work is focused on trauma-trauma-informed care and recovery services for children, youth, adults, and families impacted by (im)migration, displacement, and other forms of oppression. We individualize and collaborate with the creation of your treatment plan of care tailored to the needs of each person. English & Spanish
(415) 639-3276 View (415) 639-3276
Photo of Melinda Joyner, Associate Clinical Social Worker in San Francisco, CA
Melinda Joyner
Associate Clinical Social Worker
Verified Verified
San Francisco, CA 94118  (Online Only)
I am a therapist that will invest in you. I am a licensed Master's level Social Worker that has worked in multiple states. I have worked with various populations that include victims of Domestic Violence and Rape Crisis. I have worked with teens and young adults suffering from Depression and Anxiety. I have helped new and older parents find balance. I'm experienced in working with Sex workers. I provided therapeutic services for individuals with HIV/AIDS and other STI's. I will listen to you and help you to achieve the best possible outcome for your situation. With commitment anything is possible
I am a therapist that will invest in you. I am a licensed Master's level Social Worker that has worked in multiple states. I have worked with various populations that include victims of Domestic Violence and Rape Crisis. I have worked with teens and young adults suffering from Depression and Anxiety. I have helped new and older parents find balance. I'm experienced in working with Sex workers. I provided therapeutic services for individuals with HIV/AIDS and other STI's. I will listen to you and help you to achieve the best possible outcome for your situation. With commitment anything is possible
(415) 862-3477 View (415) 862-3477
Photo of Stephanie Wertz Fletcher, Marriage & Family Therapist in San Francisco, CA
Stephanie Wertz Fletcher
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94118
In person(!) and virtual availability: stephanie-fletcher.clientsecure.me Hello, and welcome! I take an open minded, curious, down to earth approach creating a warm and safe environment. We will go at your pace, digging deep when you are ready or scratching the surface of what is on your mind and in your heart. Whether you have pervasive anxiety, unresolved trauma, fears, an unexpected transition, or even desire a mental and emotional 'tune up' I am here. Let's get started! I am here for you.
In person(!) and virtual availability: stephanie-fletcher.clientsecure.me Hello, and welcome! I take an open minded, curious, down to earth approach creating a warm and safe environment. We will go at your pace, digging deep when you are ready or scratching the surface of what is on your mind and in your heart. Whether you have pervasive anxiety, unresolved trauma, fears, an unexpected transition, or even desire a mental and emotional 'tune up' I am here. Let's get started! I am here for you.
(415) 570-6752 View (415) 570-6752
Photo of Dustyn Salomon, Associate Marriage & Family Therapist in San Francisco, CA
Dustyn Salomon
Associate Marriage & Family Therapist, AMFT, APCC
Verified Verified
San Francisco, CA 94117
I am committed to guiding individuals towards building healthier relationships and habits in every aspect of their life. My holistic approach focuses on addressing and exploring the relational and behavioral patterns that impact mental health. I believe that every person has the inherent capacity to make positive changes in their life, and sometimes it just takes the right support and guidance to take the first step towards growth.
I am committed to guiding individuals towards building healthier relationships and habits in every aspect of their life. My holistic approach focuses on addressing and exploring the relational and behavioral patterns that impact mental health. I believe that every person has the inherent capacity to make positive changes in their life, and sometimes it just takes the right support and guidance to take the first step towards growth.
(650) 719-7580 View (650) 719-7580

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How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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.