Therapists in San Francisco, CA

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Photo of Michael J Milazzo, Marriage & Family Therapist in San Francisco, CA
Michael J Milazzo
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94114
Do you feel off or stuck in your personal, romantic, or professional life? Does worry and overwhelm sometimes thwart your efforts to improve yourself or get in the way of your goals? Oh yeah, and what are your goals? You've probably heard you should feel your feelings and face your fears, but how? For some of us, our emotions are too much; for others, we're not sure what we feel until the feelings are unbearable. You can get new perspectives on your emotions, inner critic, imposter syndrome, anxiety, or depression and strategies to start and keep you moving towards a fuller, more meaningful life.
Do you feel off or stuck in your personal, romantic, or professional life? Does worry and overwhelm sometimes thwart your efforts to improve yourself or get in the way of your goals? Oh yeah, and what are your goals? You've probably heard you should feel your feelings and face your fears, but how? For some of us, our emotions are too much; for others, we're not sure what we feel until the feelings are unbearable. You can get new perspectives on your emotions, inner critic, imposter syndrome, anxiety, or depression and strategies to start and keep you moving towards a fuller, more meaningful life.
(415) 969-2633 View (415) 969-2633
Photo of Livia Ondi, Marriage & Family Therapist in San Francisco, CA
Livia Ondi
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94118
Are you tired of the power struggles with your toddler or preschooler? Are you navigating life changing events with your child, such as loss, divorce, adoption, moving, traumatic accidents or events? Does your little one have challenges in life with special needs and developmental delays? One of the hardest part of parenting is seeing your child being in pain and feeling like there is nothing you can do to help. I support families with young children to transform what seems like daily survival struggles into thriving in life and in relationships.
Are you tired of the power struggles with your toddler or preschooler? Are you navigating life changing events with your child, such as loss, divorce, adoption, moving, traumatic accidents or events? Does your little one have challenges in life with special needs and developmental delays? One of the hardest part of parenting is seeing your child being in pain and feeling like there is nothing you can do to help. I support families with young children to transform what seems like daily survival struggles into thriving in life and in relationships.
(415) 855-7682 View (415) 855-7682
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 Paul E Norris, Marriage & Family Therapist in San Francisco, CA
Paul E Norris
Marriage & Family Therapist, MA
Verified Verified
San Francisco, CA 94121  (Online Only)
Seeing you leave my office feeling better and more comfortable in your skin makes my day. Hearing that your life has changed for the better makes my year. I pledge that when you come to me you will find my heart open to you no matter how you have suffered, no matter what you look like, no matter where you come from and no matter how you live your life. My goal is to look at those things you give me permission to look at and to work with you to meet your wants and needs. .
Seeing you leave my office feeling better and more comfortable in your skin makes my day. Hearing that your life has changed for the better makes my year. I pledge that when you come to me you will find my heart open to you no matter how you have suffered, no matter what you look like, no matter where you come from and no matter how you live your life. My goal is to look at those things you give me permission to look at and to work with you to meet your wants and needs. .
(510) 240-8390 View (510) 240-8390
Photo of Lee Rather, Psychologist in San Francisco, CA
Lee Rather
Psychologist, PhD
Verified Verified
San Francisco, CA 94115
I am a Licensed Psychologist who works with adults in psychotherapy, psychoanalysis, and couples therapy, Over the last 25 years, I have helped people with a wide range of problems including depression, anxiety, substance abuse, sexual concerns, interpersonal relationship issues, career obstacles, blocks in creativity, and the process of coming to terms with difficult and traumatic life situations. Usually my work extends further in helping people discover and develop a more lively and authentic sense of self, which in turn brings a sense of deeper meaningfulness and engagement in life.
I am a Licensed Psychologist who works with adults in psychotherapy, psychoanalysis, and couples therapy, Over the last 25 years, I have helped people with a wide range of problems including depression, anxiety, substance abuse, sexual concerns, interpersonal relationship issues, career obstacles, blocks in creativity, and the process of coming to terms with difficult and traumatic life situations. Usually my work extends further in helping people discover and develop a more lively and authentic sense of self, which in turn brings a sense of deeper meaningfulness and engagement in life.
(415) 763-5972 View (415) 763-5972
Photo of Nancy Adams Langley, Clinical Social Work/Therapist in San Francisco, CA
Nancy Adams Langley
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94102
If you have made it to this website, you are already on your way to resolving your conflict. My primary work is with adults and couples struggling with relationship and career issues. I also specialize in mood disorders (anxiety and depression), loss and grief and in decision making. I focus on helping individuals and couples to bring awareness (mindfulness) to their feelings, bodies, moods and dreams to access their insight. From this insight, behavioral change can be explored and implemented. I provide both short and long term treatment. My style is interactive and I sometimes suggest behavioral homework.
If you have made it to this website, you are already on your way to resolving your conflict. My primary work is with adults and couples struggling with relationship and career issues. I also specialize in mood disorders (anxiety and depression), loss and grief and in decision making. I focus on helping individuals and couples to bring awareness (mindfulness) to their feelings, bodies, moods and dreams to access their insight. From this insight, behavioral change can be explored and implemented. I provide both short and long term treatment. My style is interactive and I sometimes suggest behavioral homework.
(650) 209-7975 View (650) 209-7975
Photo of Jana Gottfried, Clinical Social Work/Therapist in San Francisco, CA
Jana Gottfried
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110
Hello, my name is, Jana Gottfried, and I am a licensed clinical social worker. I am passionate about helping people work through issues around anxiety, depression, addiction, trauma, and life challenges. I work with people struggling with depression, anxiety, trauma, issues of grief, life transitions, and issues around chronic illnesses. My therapeutic approach is with cognitive behavioral therapy because CBT gives you concrete tools to gain more control over your emotions and work through issues. I also use mindfulness, creative visualization exercises, to learn how to trust your own intuition and emotions.
Hello, my name is, Jana Gottfried, and I am a licensed clinical social worker. I am passionate about helping people work through issues around anxiety, depression, addiction, trauma, and life challenges. I work with people struggling with depression, anxiety, trauma, issues of grief, life transitions, and issues around chronic illnesses. My therapeutic approach is with cognitive behavioral therapy because CBT gives you concrete tools to gain more control over your emotions and work through issues. I also use mindfulness, creative visualization exercises, to learn how to trust your own intuition and emotions.
(415) 993-4536 View (415) 993-4536
Photo of Whitney Richards, Marriage & Family Therapist in San Francisco, CA
Whitney Richards
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94122  (Online Only)
It’s a struggle to deal with anxiety, a harmful inner critic, or unsatisfying relationship dynamics. It can be hard to feel playful, to easily connect to others, to get your emotional needs met, or to feel at ease in your body. Whether you feel overwhelmed by your emotions or cut off from them, you know you want to do things differently but aren’t sure how. While I don’t work with couples, I do specialize in working with individuals who are carrying around belief systems that are keeping them anxious or detached in relationships.
It’s a struggle to deal with anxiety, a harmful inner critic, or unsatisfying relationship dynamics. It can be hard to feel playful, to easily connect to others, to get your emotional needs met, or to feel at ease in your body. Whether you feel overwhelmed by your emotions or cut off from them, you know you want to do things differently but aren’t sure how. While I don’t work with couples, I do specialize in working with individuals who are carrying around belief systems that are keeping them anxious or detached in relationships.
(628) 212-6769 View (628) 212-6769
Photo of Kirsten Maier, Psychologist in San Francisco, CA
Kirsten Maier
Psychologist, PhD
Verified Verified
San Francisco, CA 94131
I offer professional and experienced support to make enduring changes. If you are looking at this, you may be having a time of suffering or you may be looking for ways to thrive in your life. Psychotherapy is based on solid research and the world’s wisdom traditions, and is an experience between us that is unique to you. I believe it is the most important journey you can take to move towards healing and living a rich, meaningful life.
I offer professional and experienced support to make enduring changes. If you are looking at this, you may be having a time of suffering or you may be looking for ways to thrive in your life. Psychotherapy is based on solid research and the world’s wisdom traditions, and is an experience between us that is unique to you. I believe it is the most important journey you can take to move towards healing and living a rich, meaningful life.
(510) 592-6835 View (510) 592-6835
Photo of Marlana Pierson, Marriage & Family Therapist in San Francisco, CA
Marlana Pierson
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
I am passionate about helping individuals better understand how their thoughts and emotions impact behavior to make positive changes. I specialize in working with adults experiencing depression, anxiety, self-harm, trauma, life transitions, and relationship issues. I use an empathetic yet direct approach to help increase self-awareness to look inward at yourself, and relationships, and dive into the past to discover unwanted patterns with the goal of creating a life worth living. Additionally, I have experience supporting parents of teens who are struggling to balance child care, work responsibilities, and self-care.
I am passionate about helping individuals better understand how their thoughts and emotions impact behavior to make positive changes. I specialize in working with adults experiencing depression, anxiety, self-harm, trauma, life transitions, and relationship issues. I use an empathetic yet direct approach to help increase self-awareness to look inward at yourself, and relationships, and dive into the past to discover unwanted patterns with the goal of creating a life worth living. Additionally, I have experience supporting parents of teens who are struggling to balance child care, work responsibilities, and self-care.
(415) 949-2198 View (415) 949-2198
Photo of Jessica Lizardo, Clinical Social Work/Therapist in San Francisco, CA
Jessica Lizardo
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
(415) 792-0331 View (415) 792-0331
Photo of Vesna Lubina Westbrook, Marriage & Family Therapist in San Francisco, CA
Vesna Lubina Westbrook
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94114  (Online Only)
I work with clients who are (highly) sensitive, empathic, or intuitive. Sensitive people have a finely attuned nervous system that is a huge gift when made conscious. They experience life deeply, yet don't always feel easily understood by others. Growing up, they often experienced not fitting in, and have adapted to a largely non-sensitive world in myriad ways that didn't always serve their best interest. I support sensitive people on their path to finding their voice, experiencing genuine relationships, purposeful work, and reclaiming their space in the world.
I work with clients who are (highly) sensitive, empathic, or intuitive. Sensitive people have a finely attuned nervous system that is a huge gift when made conscious. They experience life deeply, yet don't always feel easily understood by others. Growing up, they often experienced not fitting in, and have adapted to a largely non-sensitive world in myriad ways that didn't always serve their best interest. I support sensitive people on their path to finding their voice, experiencing genuine relationships, purposeful work, and reclaiming their space in the world.
(530) 270-3224 View (530) 270-3224
Photo of Sarah K Spencer Psychotherapy Inc., Marriage & Family Therapist in San Francisco, CA
Sarah K Spencer Psychotherapy Inc.
Marriage & Family Therapist, LMFT
Not Verified Not Verified
San Francisco, CA 94118
My practice focuses on working with individuals, couples, adolescents and their families from a family system perspective. I believe that all of us benefit from recognizing who we are within the construct of our larger social dynamics. I am a psychodynamic and interactive therapist, focusing on your strengths as a means to work through your challenges. I will work with you to identify your therapeutic goals, and we will explore how best to reach your desired outcomes. I am creative, empathetic and very pragmatic. Therapy is a journey, we will work hard together to make the most of your energy, finances and time.
My practice focuses on working with individuals, couples, adolescents and their families from a family system perspective. I believe that all of us benefit from recognizing who we are within the construct of our larger social dynamics. I am a psychodynamic and interactive therapist, focusing on your strengths as a means to work through your challenges. I will work with you to identify your therapeutic goals, and we will explore how best to reach your desired outcomes. I am creative, empathetic and very pragmatic. Therapy is a journey, we will work hard together to make the most of your energy, finances and time.
(415) 991-7568 View (415) 991-7568
Photo of Heather Wassarman, Psychologist in San Francisco, CA
Heather Wassarman
Psychologist, PhD
Verified Verified
San Francisco, CA 94114
I specialize in Cognitive-Behavioral Therapy (CBT) and Exposure/Response Prevention (ERP) for adults with OCD and anxiety disorders (such as generalized anxiety, panic, and phobias). I'm also experienced in working with depression, bipolar, bulimia and binge eating, and other disorders. In addition, I have an interest in health psychology and enjoy working with people on issues like weight management, smoking cessation, and coping with medical problems.
I specialize in Cognitive-Behavioral Therapy (CBT) and Exposure/Response Prevention (ERP) for adults with OCD and anxiety disorders (such as generalized anxiety, panic, and phobias). I'm also experienced in working with depression, bipolar, bulimia and binge eating, and other disorders. In addition, I have an interest in health psychology and enjoy working with people on issues like weight management, smoking cessation, and coping with medical problems.
(415) 399-0255 View (415) 399-0255
Photo of Kelli Clark, Clinical Social Work/Therapist in San Francisco, CA
Kelli Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94110  (Online Only)
In my clinical practice, I emphasize a psychodynamic approach to look at your past and present and how that may influence how you make decisions moving forward. I also use a relationship-based therapy approach with a strength-based frame to help you develop coping skills and protective factors against stressors and negative relationships. I do well with those who are experiencing symptoms of Depression, Anxiety and Somatic Mind-Body connection.
In my clinical practice, I emphasize a psychodynamic approach to look at your past and present and how that may influence how you make decisions moving forward. I also use a relationship-based therapy approach with a strength-based frame to help you develop coping skills and protective factors against stressors and negative relationships. I do well with those who are experiencing symptoms of Depression, Anxiety and Somatic Mind-Body connection.
(415) 573-1773 View (415) 573-1773
Photo of Cecilia M. Lopez, Marriage & Family Therapist in San Francisco, CA
Cecilia M. Lopez
Marriage & Family Therapist, EdD, LMFT
Verified Verified
San Francisco, CA 94142  (Online Only)
Do you feel stuck, overwhelmed, stressed, or struggle with anxiety, anger or depression? If so, you are in the right place. Do you have goals you'd like to achieve (any goal imaginable) and are struggling to reach these goals? If so, you are ALSO in the right place. I can provide you the tools to be more in control of your thoughts, emotions and behaviors, live your life in a "flow state," and actualize your dreams and desires.
Do you feel stuck, overwhelmed, stressed, or struggle with anxiety, anger or depression? If so, you are in the right place. Do you have goals you'd like to achieve (any goal imaginable) and are struggling to reach these goals? If so, you are ALSO in the right place. I can provide you the tools to be more in control of your thoughts, emotions and behaviors, live your life in a "flow state," and actualize your dreams and desires.
(669) 271-7138 View (669) 271-7138
Photo of Koo Im Robbins, Marriage & Family Therapist in San Francisco, CA
Koo Im Robbins
Marriage & Family Therapist, JD, MA, LMFT
Verified Verified
San Francisco, CA 94111  (Online Only)
Relationships are core to our identity and play a fundamental role in the quality of our life, shaping who we are, and how we perceive ourselves. Relationships are endowed with our heart’s deepest longings: to be seen, loved and accepted for ourselves, to find healing and wholeness, and to reach our greatest potential. It is no wonder that relational conflicts can, at times, feel so gut-wrenching, heartbreaking, and terrible.
Relationships are core to our identity and play a fundamental role in the quality of our life, shaping who we are, and how we perceive ourselves. Relationships are endowed with our heart’s deepest longings: to be seen, loved and accepted for ourselves, to find healing and wholeness, and to reach our greatest potential. It is no wonder that relational conflicts can, at times, feel so gut-wrenching, heartbreaking, and terrible.
(415) 625-6180 View (415) 625-6180
Photo of Nacera Mekki in San Francisco, CA
Nacera Mekki
Coach
Verified Verified
San Francisco, CA 94110  (Online Only)
Hello! I am dedicated to enhancing balance and clarity in both mind and body. My approach is centered on allowing your experiences to unfold naturally, providing guidance that aids in integrating and reconnecting with a fuller sense of self.
Hello! I am dedicated to enhancing balance and clarity in both mind and body. My approach is centered on allowing your experiences to unfold naturally, providing guidance that aids in integrating and reconnecting with a fuller sense of self.
(415) 909-3173 View (415) 909-3173
Photo of Scott D Altamirano, Marriage & Family Therapist in San Francisco, CA
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Francisco, CA 94103  (Online Only)
Accepting clients Apr 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
Accepting clients Apr 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
(650) 789-5893 View (650) 789-5893
Photo of Mishanda Freeman, Clinical Social Work/Therapist in San Francisco, CA
Mishanda Freeman
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94105  (Online Only)
Are you struggling to keep up with your relationships, work, and health? Are you having difficulty coping with life's many stressors? I help empower clients to build positive coping skills and help manage their life stressors. Together, we can identify what's not working and get you back to balance. I have experience working with individuals dealing with depression, anxiety, chronic pain/illness, work stress, life transitions, and general mental health concerns. We will use an integrative approach to address the needs of your mind, body, and spirit.
Are you struggling to keep up with your relationships, work, and health? Are you having difficulty coping with life's many stressors? I help empower clients to build positive coping skills and help manage their life stressors. Together, we can identify what's not working and get you back to balance. I have experience working with individuals dealing with depression, anxiety, chronic pain/illness, work stress, life transitions, and general mental health concerns. We will use an integrative approach to address the needs of your mind, body, and spirit.
(415) 366-6901 View (415) 366-6901

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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.