Therapists in San Francisco, CA

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Photo of Kym E Sites, Marriage & Family Therapist in San Francisco, CA
Kym E Sites
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94115
I have over 25 years of providing individual therapy to adults, children and adolescents. I also work with couples. My clinical experience and training will be the guide in working collaboratively with you to make sense of how you might be avoiding feelings with counterproductive activities or are overwhelmed by emotions and thoughts that prevent you from living a more satisfying life. My specialty areas include: issues related to separation and divorce, child therapy and interventions for early childhood issues. I am interested in understanding the impact of intergenerational trauma. I have experience working with symptoms from trauma.
I have over 25 years of providing individual therapy to adults, children and adolescents. I also work with couples. My clinical experience and training will be the guide in working collaboratively with you to make sense of how you might be avoiding feelings with counterproductive activities or are overwhelmed by emotions and thoughts that prevent you from living a more satisfying life. My specialty areas include: issues related to separation and divorce, child therapy and interventions for early childhood issues. I am interested in understanding the impact of intergenerational trauma. I have experience working with symptoms from trauma.
(415) 263-9113 View (415) 263-9113
Photo of Daniel Jin Blum, Psychologist in San Francisco, CA
Daniel Jin Blum
Psychologist, PhD, DBSM
Verified Verified
San Francisco, CA 94140  (Online Only)
Having difficulties sleeping? Lacking the energy to perform at your best? As a Stanford trained sleep psychologist and Diplomate in Behavioral Sleep Medicine, I provide evidenced-based treatment for individuals coping with a wide range of concerns including trouble sleeping, anxiety and performance. I am passionate about helping people optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
Having difficulties sleeping? Lacking the energy to perform at your best? As a Stanford trained sleep psychologist and Diplomate in Behavioral Sleep Medicine, I provide evidenced-based treatment for individuals coping with a wide range of concerns including trouble sleeping, anxiety and performance. I am passionate about helping people optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
(415) 801-3612 View (415) 801-3612
Photo of Dr. Anthony Morice, Psychologist in San Francisco, CA
Dr. Anthony Morice
Psychologist, PsyD
Verified Verified
San Francisco, CA 94104
Are you struggling with anxiety, depression, addiction, or maybe just a lack of direction in life? Are these problems getting in the way of you pursuing your goals, or maybe draining on your relationships? With over 10 years of clinical experience working with diverse populations experiencing these issues, I have developed a passion for helping people find peace, meaning, and connection in their lives. Together, we’ll navigate the underlying factors contributing to your situation, and empower you to regain control and rediscover joy in your life.
Are you struggling with anxiety, depression, addiction, or maybe just a lack of direction in life? Are these problems getting in the way of you pursuing your goals, or maybe draining on your relationships? With over 10 years of clinical experience working with diverse populations experiencing these issues, I have developed a passion for helping people find peace, meaning, and connection in their lives. Together, we’ll navigate the underlying factors contributing to your situation, and empower you to regain control and rediscover joy in your life.
(415) 569-1539 View (415) 569-1539
Photo of Sarah Weller, Marriage & Family Therapist in San Francisco, CA
Sarah Weller
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115
Are you seeking support to navigate life's challenges and cultivate lasting change? I'm here to walk alongside you on your journey towards healing and growth. I offer in-person psychotherapy sessions for individuals and couples seeking support and transformation. With a specialization in Eye Movement Desensitization Reprocessing (EMDR), an evidence-based therapy renowned for its effectiveness in treating anxiety, depression, trauma, and more, I provide a safe and nurturing environment where healing can take place.
Are you seeking support to navigate life's challenges and cultivate lasting change? I'm here to walk alongside you on your journey towards healing and growth. I offer in-person psychotherapy sessions for individuals and couples seeking support and transformation. With a specialization in Eye Movement Desensitization Reprocessing (EMDR), an evidence-based therapy renowned for its effectiveness in treating anxiety, depression, trauma, and more, I provide a safe and nurturing environment where healing can take place.
(415) 612-6218 View (415) 612-6218
Photo of Valerie Roberts, Psychologist in San Francisco, CA
Valerie Roberts
Psychologist, PsyD
Verified Verified
San Francisco, CA 94118
Hi! I'll start by saying that I am an LGTBQ+ ally, I believe in anti-racism and I value the importance of faith in people's lives. I work hard at creating a safe space for my clients. I recognize that the work to achieve cultural competency is in life long learning and I don't tire of learning.
Hi! I'll start by saying that I am an LGTBQ+ ally, I believe in anti-racism and I value the importance of faith in people's lives. I work hard at creating a safe space for my clients. I recognize that the work to achieve cultural competency is in life long learning and I don't tire of learning.
(628) 209-6407 View (628) 209-6407
Photo of Rebecca Small, Clinical Social Work/Therapist in San Francisco, CA
Rebecca Small
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94117
My name is Rebecca Small. I am a licensed clinical social worker (LCSW) from Los Angeles. I believe in taking an individualized approach with every client and tailoring therapy to your individual needs. I believe in meeting my clients where they are and providing a warm and safe space for them to work through what they are ready to. I focus on changing thoughts and behaviors as well as increasing utilization of positive coping skills to help improve your overall functioning and enhance your quality of life!
My name is Rebecca Small. I am a licensed clinical social worker (LCSW) from Los Angeles. I believe in taking an individualized approach with every client and tailoring therapy to your individual needs. I believe in meeting my clients where they are and providing a warm and safe space for them to work through what they are ready to. I focus on changing thoughts and behaviors as well as increasing utilization of positive coping skills to help improve your overall functioning and enhance your quality of life!
(415) 942-8389 View (415) 942-8389
Photo of Kristin F Jones Affirmative Psychotherapy, Marriage & Family Therapist in San Francisco, CA
Kristin F Jones Affirmative Psychotherapy
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
San Francisco, CA 94110  (Online Only)
How does your need for certainty play out? Does it force you to try to predict? Does it persuade you to declare things that you don't actually know? Perhaps the need for certainty is powerful enough to rob you of genuine moments with loved ones or with yourself. Research finds that people who take risks (those who step into the unknown) are happier than those who merely reach for reward or gratification. Why? Because healthy risk-taking has rewards sewn into the experience when we authentically try. It builds skills in self-advocacy, self-love and self-worth.
How does your need for certainty play out? Does it force you to try to predict? Does it persuade you to declare things that you don't actually know? Perhaps the need for certainty is powerful enough to rob you of genuine moments with loved ones or with yourself. Research finds that people who take risks (those who step into the unknown) are happier than those who merely reach for reward or gratification. Why? Because healthy risk-taking has rewards sewn into the experience when we authentically try. It builds skills in self-advocacy, self-love and self-worth.
(415) 234-2081 View (415) 234-2081
Photo of Claire Perelman, Clinical Social Work/Therapist in San Francisco, CA
Claire Perelman
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
1 Endorsed
San Francisco, CA 94115
You deserve to feel deeply connected to yourself, your partner(s), and the world around you. I’m here to help. Talking about sex with your partner - or anyone - might feel like a daunting task. Having sex might feel difficult, impossible, or like too much effort - or lead to conflict with your partner. You might be questioning your sexual desires or wondering if you and your partner are still compatible. I help clients overcome their sexual and relational difficulties to feel confident in and outside the bedroom. Together, we will collaborate on how to help you reach your goals, through therapy sessions and home assignments.
You deserve to feel deeply connected to yourself, your partner(s), and the world around you. I’m here to help. Talking about sex with your partner - or anyone - might feel like a daunting task. Having sex might feel difficult, impossible, or like too much effort - or lead to conflict with your partner. You might be questioning your sexual desires or wondering if you and your partner are still compatible. I help clients overcome their sexual and relational difficulties to feel confident in and outside the bedroom. Together, we will collaborate on how to help you reach your goals, through therapy sessions and home assignments.
(415) 985-4279 View (415) 985-4279
Photo of Sheilah Sulliger, Marriage & Family Therapist in San Francisco, CA
Sheilah Sulliger
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102  (Online Only)
Dr. Sheilah Sulliger is a Licensed Marriage and Family Therapist in California who has been practicing since 1993. She has a Ph.D. in Counseling Psychology, an M. A. in Marriage, Family, and Child Counseling, an M.S. in Gerontology, and a B.A. in Psychology from the University of Southern California. Dr. Sulliger will do her very best to assist you in completing your therapeutic goals. In her spare time, Dr, Sulliger enjoys volunteering for an animal rescue group, taking dance lessons for tap, en pointe, jazz, and hip hop. She also enjoys jogging and working out with weights.
Dr. Sheilah Sulliger is a Licensed Marriage and Family Therapist in California who has been practicing since 1993. She has a Ph.D. in Counseling Psychology, an M. A. in Marriage, Family, and Child Counseling, an M.S. in Gerontology, and a B.A. in Psychology from the University of Southern California. Dr. Sulliger will do her very best to assist you in completing your therapeutic goals. In her spare time, Dr, Sulliger enjoys volunteering for an animal rescue group, taking dance lessons for tap, en pointe, jazz, and hip hop. She also enjoys jogging and working out with weights.
(628) 277-4419 View (628) 277-4419
Photo of Nicholas Cardé, Psychologist in San Francisco, CA
Nicholas Cardé
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94114
Trouble sleeping? I am a clinical sleep psychologist who specializes in behavioral sleep medicine and the evidence-based treatment of insomnia and sleep problems. I have over a decade of experience in helping individuals, groups and organizations learn strategies to sleep well at night and perform their best during the day. If you suffer from sleep problems, I offer expert cognitive behavioral therapy for insomnia (CBT-I) which can provide fast and effective relief from insomnia and improved sleep within just a few sessions.
Trouble sleeping? I am a clinical sleep psychologist who specializes in behavioral sleep medicine and the evidence-based treatment of insomnia and sleep problems. I have over a decade of experience in helping individuals, groups and organizations learn strategies to sleep well at night and perform their best during the day. If you suffer from sleep problems, I offer expert cognitive behavioral therapy for insomnia (CBT-I) which can provide fast and effective relief from insomnia and improved sleep within just a few sessions.
(415) 237-2063 View (415) 237-2063
Photo of Jennifer Coloma, Psychologist in San Francisco, CA
Jennifer Coloma
Psychologist, PhD
Verified Verified
3 Endorsed
San Francisco, CA 94131
“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. Creativity, liberation, and transformation — getting your power back — these are core tenants in my practice. My approach merges reflective space to spark insight with concrete tools and strategies to drive change. I draw from existential philosophy, the arts, and culture, as well as research and theory to match unique needs with individualized treatments that resonate.
“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. Creativity, liberation, and transformation — getting your power back — these are core tenants in my practice. My approach merges reflective space to spark insight with concrete tools and strategies to drive change. I draw from existential philosophy, the arts, and culture, as well as research and theory to match unique needs with individualized treatments that resonate.
(831) 221-9479 View (831) 221-9479
Photo of Zoe Becker, Marriage & Family Therapist in San Francisco, CA
Zoe Becker
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94131
Not accepting new clients
We all need special attention at times in our lives. Working on emotional problems by yourself can be hard, even when you have support in your life. If you are feeling lost, overwhelmed or are searching for self-understanding, therapy is an excellent choice. Just as finding the deeper meaning in suffering may be important, sometimes simply solving day to day practical issues is as well. Either way, the value of inner work far exceeds what we can imagine.
We all need special attention at times in our lives. Working on emotional problems by yourself can be hard, even when you have support in your life. If you are feeling lost, overwhelmed or are searching for self-understanding, therapy is an excellent choice. Just as finding the deeper meaning in suffering may be important, sometimes simply solving day to day practical issues is as well. Either way, the value of inner work far exceeds what we can imagine.
(415) 799-3470 View (415) 799-3470
Photo of Alyssa Casimiro, Clinical Social Work/Therapist in San Francisco, CA
Alyssa Casimiro
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94108  (Online Only)
I work with AAPI Millennial and Generation Z women grappling with anxiety and imposter syndrome. My mission is to empower you to reclaim self-confidence, discover clarity, and embrace your authentic selves. Whether you're navigating life transitions or seeking to explore generational trauma and family patterns, I'm here to provide support and guidance every step of the way. With a profound connection to Guam, the birthplace of my parents, I'm rooted in the rich tapestry of Chamoru culture, fostering a deep appreciation for the values of community and family.
I work with AAPI Millennial and Generation Z women grappling with anxiety and imposter syndrome. My mission is to empower you to reclaim self-confidence, discover clarity, and embrace your authentic selves. Whether you're navigating life transitions or seeking to explore generational trauma and family patterns, I'm here to provide support and guidance every step of the way. With a profound connection to Guam, the birthplace of my parents, I'm rooted in the rich tapestry of Chamoru culture, fostering a deep appreciation for the values of community and family.
(925) 744-6216 x4 View (925) 744-6216 x4
Photo of Mehreen Zahoor, Marriage & Family Therapist in San Francisco, CA
Mehreen Zahoor
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
San Francisco, CA 94123  (Online Only)
I’m changing what I’ve written here. The world feels like a dumpster fire and I’m human enough to admit it. Are you feeling anxious and depressed? Do you need a safe space to talk about the frustration and fears you’re facing? I want to offer you that. We have been called resilient in the face of adversity for so long. And it’s intensely tiring to be glorified and honored for a having survival response. That’s what it is- survival. Therapy can be a place where you can leave your resiliency at the door and share your vulnerabilities.
I’m changing what I’ve written here. The world feels like a dumpster fire and I’m human enough to admit it. Are you feeling anxious and depressed? Do you need a safe space to talk about the frustration and fears you’re facing? I want to offer you that. We have been called resilient in the face of adversity for so long. And it’s intensely tiring to be glorified and honored for a having survival response. That’s what it is- survival. Therapy can be a place where you can leave your resiliency at the door and share your vulnerabilities.
(415) 881-3784 View (415) 881-3784
Photo of Maria Lentzou, Marriage & Family Therapist in San Francisco, CA
Maria Lentzou
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94115
I work with children, teens and adults, in individual sessions and groups. Adults and teens: I see you as creative, resourceful, and whole on your own. I am here to help you heal wounds that keep you stuck and don't let you believe in your own strengths and intuition. I can offer curious questions, valuable resources and tools to add to your own toolbelt, new perspectives, and challenges that honor your goals and what you need to live your best life. I also provide Authentic Movement groups and experiential creative workshops.
I work with children, teens and adults, in individual sessions and groups. Adults and teens: I see you as creative, resourceful, and whole on your own. I am here to help you heal wounds that keep you stuck and don't let you believe in your own strengths and intuition. I can offer curious questions, valuable resources and tools to add to your own toolbelt, new perspectives, and challenges that honor your goals and what you need to live your best life. I also provide Authentic Movement groups and experiential creative workshops.
(415) 862-1656 View (415) 862-1656
Photo of Malaena Grace Waldman, Marriage & Family Therapist in San Francisco, CA
Malaena Grace Waldman
Marriage & Family Therapist, MA, MFT, MIM
Verified Verified
8 Endorsed
San Francisco, CA 94123
In my experience, external circumstances directly reflect internal workings. Therefore, to change our outside life, the work must start within. My practice is about meeting ourselves in the present moment with the understanding that as we feel into our pain, expansion of experience is opened, allowing for greater expressions of love and joy. The therapy becomes a place to be with what we so often deny ourselves, the tenderness, shakiness, fear, suffering, connectedness, love, bliss, and so much more.
In my experience, external circumstances directly reflect internal workings. Therefore, to change our outside life, the work must start within. My practice is about meeting ourselves in the present moment with the understanding that as we feel into our pain, expansion of experience is opened, allowing for greater expressions of love and joy. The therapy becomes a place to be with what we so often deny ourselves, the tenderness, shakiness, fear, suffering, connectedness, love, bliss, and so much more.
(415) 465-5958 View (415) 465-5958
Photo of Crystal Barrera, Clinical Social Work/Therapist in San Francisco, CA
Crystal Barrera
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122  (Online Only)
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
(415) 903-9997 View (415) 903-9997
Photo of Barbara Ochsner-Walsh, Marriage & Family Therapist in San Francisco, CA
Barbara Ochsner-Walsh
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94116
With more than 20 yrs as a life coach and now a clinical psychologist as well, I work with the elderly and their family members who are experiencing gerontological issues. This can be either within the family or in a residential setting. I work with couples in primary relationships with external issues that can include unemployment, substance abuse, parenting, as well as those specific to the relationship such as communication difficulties and maintaining a healthy sexual/intimate life. For individuals who are stuck in any area, together we'll identify the issues and how to resolve them.
With more than 20 yrs as a life coach and now a clinical psychologist as well, I work with the elderly and their family members who are experiencing gerontological issues. This can be either within the family or in a residential setting. I work with couples in primary relationships with external issues that can include unemployment, substance abuse, parenting, as well as those specific to the relationship such as communication difficulties and maintaining a healthy sexual/intimate life. For individuals who are stuck in any area, together we'll identify the issues and how to resolve them.
(415) 980-5232 View (415) 980-5232
Photo of Samantha Franklin, Clinical Social Work/Therapist in San Francisco, CA
Samantha Franklin
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94104
If you are feeling overwhelmed with difficult life circumstances, we can work together to define challenges and find solutions. I am an interactive, down-to-earth therapist. I find the resilience of people to be truly inspiring. I believe therapy can help to resolve life crises, restore hope and guide you towards living a more fulfilling life. With renewed inspiration, energy and clarity, you can heal and overcome your challenges. With over 15 years of experience, I have helped many people move forward with their lives.
If you are feeling overwhelmed with difficult life circumstances, we can work together to define challenges and find solutions. I am an interactive, down-to-earth therapist. I find the resilience of people to be truly inspiring. I believe therapy can help to resolve life crises, restore hope and guide you towards living a more fulfilling life. With renewed inspiration, energy and clarity, you can heal and overcome your challenges. With over 15 years of experience, I have helped many people move forward with their lives.
(415) 886-1758 View (415) 886-1758
Photo of Daniel Jackson, Psychologist in San Francisco, CA
Daniel Jackson
Psychologist, PhD
Verified Verified
San Francisco, CA 94105  (Online Only)
My approach to therapy starts with building a foundation of collaboration, safety, and trust. Therapy works best when you are able to make a commitment to personal betterment, healing, and change. Change can apply to your ways of thinking, relationship interactions, and habits. Even small changes can make a big difference in quality of life. I also pay close to attention to what your strengths are and what you value, and encourage you to trust and use those strengths while living out those values in order to create a greater sense of well-being.
My approach to therapy starts with building a foundation of collaboration, safety, and trust. Therapy works best when you are able to make a commitment to personal betterment, healing, and change. Change can apply to your ways of thinking, relationship interactions, and habits. Even small changes can make a big difference in quality of life. I also pay close to attention to what your strengths are and what you value, and encourage you to trust and use those strengths while living out those values in order to create a greater sense of well-being.
(415) 943-2530 View (415) 943-2530

See more therapy options for San Francisco

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.