Therapists in San Antonio, TX

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Photo of Sarah Lynn, Licensed Professional Counselor, LPC-S, NCC, LMHC
Sarah Lynn
Licensed Professional Counselor, LPC-S, NCC, LMHC
Online Only
I'm a Licensed Professional Counselor Supervisor and a Licensed Mental Health Counselor with over a decade of experience helping clients address trauma, relationship problems, low self-esteem, depression, anxiety, OCD, grief, body image issues and overall decreased satisfaction in life. My goal is to help clients find meaning and hope to overcome life's challenges.I tend to approach therapy in a way that honors each person's unique life story and their individual humanity. I want to help people see their inherent value and begin living in a way that honors this while challenging the self-destructive habits that we often develop.
I'm a Licensed Professional Counselor Supervisor and a Licensed Mental Health Counselor with over a decade of experience helping clients address trauma, relationship problems, low self-esteem, depression, anxiety, OCD, grief, body image issues and overall decreased satisfaction in life. My goal is to help clients find meaning and hope to overcome life's challenges.I tend to approach therapy in a way that honors each person's unique life story and their individual humanity. I want to help people see their inherent value and begin living in a way that honors this while challenging the self-destructive habits that we often develop.
(726) 727-4741 View (726) 727-4741
Photo of Chris Hjortnaes, Marriage & Family Therapist, LMFT
Chris Hjortnaes
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
It’s not easy when you are feeling alone; like no one understands you or what you have been through. When you are having flashbacks, nightmares, triggers and when you live with constant anxiety, depression and physical symptoms. It's OK to ask for help! It’s not weakness when you seek out help through therapy. On the contrary, it shows incredible strength. I provide a warm, calm, non-judgmental, supportive and safe environment. I am LGBTQ-affirming. The therapy session is yours, not mine, and we go at a pace that is comfortable to you. I am licensed in TX, NV, and CA.
It’s not easy when you are feeling alone; like no one understands you or what you have been through. When you are having flashbacks, nightmares, triggers and when you live with constant anxiety, depression and physical symptoms. It's OK to ask for help! It’s not weakness when you seek out help through therapy. On the contrary, it shows incredible strength. I provide a warm, calm, non-judgmental, supportive and safe environment. I am LGBTQ-affirming. The therapy session is yours, not mine, and we go at a pace that is comfortable to you. I am licensed in TX, NV, and CA.
(442) 267-3329 View (442) 267-3329
Photo of Andrea Tristan, Licensed Professional Counselor, MEd, LPC-S, CCTP
Andrea Tristan
Licensed Professional Counselor, MEd, LPC-S, CCTP
San Antonio, TX 78257
Hi there! I’m Andrea and I’m a Licensed Professional Counselor Supervisor (LPC-S) in San Antonio, Texas. I’ve been working as a therapist for the last 11 years in a variety of settings, collecting a broad range of experience with diverse clients. I'm passionate about working with individuals who have often felt misunderstood & mistreated by systems in their lives. I strive to build trusting & safe relationships with each client I see. My clinical training has afforded me the ability to work with a variety of issues including anxiety, depression, relationship issues, family conflict, personality disorders, and trauma.
Hi there! I’m Andrea and I’m a Licensed Professional Counselor Supervisor (LPC-S) in San Antonio, Texas. I’ve been working as a therapist for the last 11 years in a variety of settings, collecting a broad range of experience with diverse clients. I'm passionate about working with individuals who have often felt misunderstood & mistreated by systems in their lives. I strive to build trusting & safe relationships with each client I see. My clinical training has afforded me the ability to work with a variety of issues including anxiety, depression, relationship issues, family conflict, personality disorders, and trauma.
(210) 903-9197 x113 View (210) 903-9197 x113
Photo of Larry Mack - Crystal Counseling, Licensed Professional Counselor, LPC
Crystal Counseling
Licensed Professional Counselor, LPC
San Antonio, TX 78258
Our team of therapists has extensive experience helping people identify and overcome a broad range of mental health concerns. We specialized in various areas such as anxiety, depression, self-esteem, stress, men's issues, women's issues, LGBTQ issues and child/teen issues. When you meet with one of our providers you will receive the highest quality of professional service combined with a comfortable atmosphere. Our therapists provide a supportive environment to meet you where you are and help you or your loved one feel satisfied with your life and hopeful for the future.
Our team of therapists has extensive experience helping people identify and overcome a broad range of mental health concerns. We specialized in various areas such as anxiety, depression, self-esteem, stress, men's issues, women's issues, LGBTQ issues and child/teen issues. When you meet with one of our providers you will receive the highest quality of professional service combined with a comfortable atmosphere. Our therapists provide a supportive environment to meet you where you are and help you or your loved one feel satisfied with your life and hopeful for the future.
(210) 920-7873 View (210) 920-7873
Photo of Chasity Ginn Avendano - Through The Roots Therapy PLLC, LPC-Associate, LPC-A
Through The Roots Therapy PLLC
LPC-Associate, LPC-A
Online Only
I love working with client's who are ready to engage in honest self-exploration. They may be struggling with anxiety, depression, trauma, grief, relationship difficulties, or a sense of disconnection from themselves. Often, they’ve spent years prioritizing others’ needs over their own and are now beginning to question who they really are beneath the roles they’ve played. Therapy with me helps uncover harmful internal scripts and fosters emotional clarity, confidence, and deep self-trust.
I love working with client's who are ready to engage in honest self-exploration. They may be struggling with anxiety, depression, trauma, grief, relationship difficulties, or a sense of disconnection from themselves. Often, they’ve spent years prioritizing others’ needs over their own and are now beginning to question who they really are beneath the roles they’ve played. Therapy with me helps uncover harmful internal scripts and fosters emotional clarity, confidence, and deep self-trust.
(210) 762-6218 View (210) 762-6218
Photo of Ajay Kapoor, LPC-Associate, LPC-A, LCDC, NCC
Ajay Kapoor
LPC-Associate, LPC-A, LCDC, NCC
San Antonio, TX 78229
You're carrying more than anyone knows — and you're exhausted from holding it together. Maybe it's anxiety running the show, trauma showing up in your relationships, a relationship falling apart, or a kid who's struggling, and you don't know how to help. You want to stop surviving and start living. You want someone who sees all of you without judgment. I'm Ajay Kapoor — a dual-licensed therapist (LPC-A, LCDC, NCC) specializing in trauma, PTSD, anxiety, depression, relationships, sexual issues, LGBTQ+ identity, and self-esteem. Telehealth across Texas for adults, couples, teens, and adolescents. Free 15-minute consultation.
You're carrying more than anyone knows — and you're exhausted from holding it together. Maybe it's anxiety running the show, trauma showing up in your relationships, a relationship falling apart, or a kid who's struggling, and you don't know how to help. You want to stop surviving and start living. You want someone who sees all of you without judgment. I'm Ajay Kapoor — a dual-licensed therapist (LPC-A, LCDC, NCC) specializing in trauma, PTSD, anxiety, depression, relationships, sexual issues, LGBTQ+ identity, and self-esteem. Telehealth across Texas for adults, couples, teens, and adolescents. Free 15-minute consultation.
(210) 201-6828 View (210) 201-6828
Photo of Sarah Picken, Clinical Social Work/Therapist
Sarah Picken
Clinical Social Work/Therapist
1 Endorsed
Online Only
Overwhelmed with stress or emotions? Feel like you don't know where to begin to solve the problems you are encountering? At Lantana Counseling, I provide a safe space to start taking steps towards increasing your resilience and connecting to the most authentic version of yourself. Some issues that I specialize in are women's issues, PTSD, Anxiety, perfectionism, and stress management.
Overwhelmed with stress or emotions? Feel like you don't know where to begin to solve the problems you are encountering? At Lantana Counseling, I provide a safe space to start taking steps towards increasing your resilience and connecting to the most authentic version of yourself. Some issues that I specialize in are women's issues, PTSD, Anxiety, perfectionism, and stress management.
(210) 791-6215 View (210) 791-6215
Photo of Elizabeth Wymer, Licensed Professional Counselor, LPC
Elizabeth Wymer
Licensed Professional Counselor, LPC
2 Endorsed
San Antonio, TX 78212
Are you feeling sad, anxious or on edge? Do something about it! I can help you. My office offers a warm and inviting atmosphere where clients feel heard, respected, and empowered. Every individual's journey is unique, and I will provide you with a treatment plan tailored to address your specific needs and get the results that you are looking for. Requesting an appointment is easy: just go to my website and add yourself to my calendar. You can choose to add a free 15 minute consultation or a 50 minute session.
Are you feeling sad, anxious or on edge? Do something about it! I can help you. My office offers a warm and inviting atmosphere where clients feel heard, respected, and empowered. Every individual's journey is unique, and I will provide you with a treatment plan tailored to address your specific needs and get the results that you are looking for. Requesting an appointment is easy: just go to my website and add yourself to my calendar. You can choose to add a free 15 minute consultation or a 50 minute session.
(726) 204-0582 View (726) 204-0582
Photo of Anna Wong, Marriage & Family Therapist, MA, LMFT, LPC
Anna Wong
Marriage & Family Therapist, MA, LMFT, LPC
5 Endorsed
San Antonio, TX 78229
I have experience working with individuals, families, & couples, but most of my experience is in working with teenagers. I utilize different theories and techniques, and work to develop age appropriate treatment plans, objectives, and goals in order to help the individual and their family to overcome their difficulties, and reach their optimal potential. In working with children, I utilize play therapy, which allows for children to use their natural language of play to express themselves, and to work through their problems. Let's work together towards your future! E-mail me today at annawongtherapy@gmail.com.
I have experience working with individuals, families, & couples, but most of my experience is in working with teenagers. I utilize different theories and techniques, and work to develop age appropriate treatment plans, objectives, and goals in order to help the individual and their family to overcome their difficulties, and reach their optimal potential. In working with children, I utilize play therapy, which allows for children to use their natural language of play to express themselves, and to work through their problems. Let's work together towards your future! E-mail me today at annawongtherapy@gmail.com.
(210) 714-1432 View (210) 714-1432
Photo of Tomoko Iimura, Marriage & Family Therapist, MA, LMFT
Tomoko Iimura
Marriage & Family Therapist, MA, LMFT
San Antonio, TX 78209
Sometimes a painful experience has a grip on you - so much so that you feel unable to move past it. You feel betrayed, confused, hurt, scared, desperate, or angry. You feel consumed by it, and it's affecting your relationships and your performance. You may question your life choices, and you may feel like you're at the end of your rope. Where do I go now? What do I do now? These are difficult, vulnerable moments in your life. Seeking help is a proactive and courageous act, and I will meet you where you are at. I am here to listen and provide a safe holding space for you to release the pain you have been holding in.
Sometimes a painful experience has a grip on you - so much so that you feel unable to move past it. You feel betrayed, confused, hurt, scared, desperate, or angry. You feel consumed by it, and it's affecting your relationships and your performance. You may question your life choices, and you may feel like you're at the end of your rope. Where do I go now? What do I do now? These are difficult, vulnerable moments in your life. Seeking help is a proactive and courageous act, and I will meet you where you are at. I am here to listen and provide a safe holding space for you to release the pain you have been holding in.
(210) 934-3843 View (210) 934-3843
Photo of Megan Joiner, Clinical Social Work/Therapist, LCSW
Megan Joiner
Clinical Social Work/Therapist, LCSW
1 Endorsed
San Antonio, TX 78254
Hi there! Feeling overwhelmed by anxiety, weighed down by depression, or stuck in patterns of people-pleasing? If you can relate, you’re not alone and you don’t have to navigate it by yourself. You might struggle with the fear of disappointing people or find yourself stuck in cycles of worry and intense emotional highs and lows. I enjoy working with individuals who are ready to better understand their emotions, build healthier relationships, and feel more grounded and in control of their own lives. Together, we can create a space where you can slow down, make sense of these patterns, and begin to shift them.
Hi there! Feeling overwhelmed by anxiety, weighed down by depression, or stuck in patterns of people-pleasing? If you can relate, you’re not alone and you don’t have to navigate it by yourself. You might struggle with the fear of disappointing people or find yourself stuck in cycles of worry and intense emotional highs and lows. I enjoy working with individuals who are ready to better understand their emotions, build healthier relationships, and feel more grounded and in control of their own lives. Together, we can create a space where you can slow down, make sense of these patterns, and begin to shift them.
(830) 218-1693 View (830) 218-1693
Photo of Stephanie Ann Sanchez, Clinical Social Work/Therapist, LCSW
Stephanie Ann Sanchez
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78240
Do you find yourself feeling lonely and confused, wondering why your relationships don't look and feel the way you want or need them to? I know how frustrating it is when you just want to feel 'normal', but everything inside you feels far from that. You're here, taking a step towards better understanding yourself, your past, and the necessary changes for a happier life. Whether you're struggling to connect with someone you love or more importantly, yourself, I want to help you break free from distress and get you closer to living the life you desire.
Do you find yourself feeling lonely and confused, wondering why your relationships don't look and feel the way you want or need them to? I know how frustrating it is when you just want to feel 'normal', but everything inside you feels far from that. You're here, taking a step towards better understanding yourself, your past, and the necessary changes for a happier life. Whether you're struggling to connect with someone you love or more importantly, yourself, I want to help you break free from distress and get you closer to living the life you desire.
(726) 227-2965 View (726) 227-2965
Photo of Madelyn Palacios, Licensed Professional Counselor Associate, MS, NCC
Madelyn Palacios
Licensed Professional Counselor Associate, MS, NCC
1 Endorsed
Online Only
You're not sure when it became clear, but somewhere along the way, the relationship ended, and now you're left sorting through who you are without them. You replay conversations in your head, looking for the moment when things changed. You spend hours scrolling through their social media, even though it hurts. You see signs that they've moved on without you, and wonder to yourself, "How do I start over?" The grief comes in waves, often in the most unexpected moments. You deserve a space to process the relationship breakdown without a timeline. That's where therapy can help.
You're not sure when it became clear, but somewhere along the way, the relationship ended, and now you're left sorting through who you are without them. You replay conversations in your head, looking for the moment when things changed. You spend hours scrolling through their social media, even though it hurts. You see signs that they've moved on without you, and wonder to yourself, "How do I start over?" The grief comes in waves, often in the most unexpected moments. You deserve a space to process the relationship breakdown without a timeline. That's where therapy can help.
(830) 356-4553 View (830) 356-4553
Photo of Melissa Simpson, Licensed Professional Counselor, MS, LPC
Melissa Simpson
Licensed Professional Counselor, MS, LPC
Online Only
Stuck in survival mode? Crashing out? Riding the hot mess express? Maybe it is the first time sharing the deep, raw truth of your story… or maybe you’re tired of saying it over and over and feeling like other people don’t really “get” it. You don't have to pretend everything's okay or fit into a mold. I'm here for the real you. We can build your own personal path to healing. I help people do this by exploring thoughts, gaining insight, and developing tools to thrive.
Stuck in survival mode? Crashing out? Riding the hot mess express? Maybe it is the first time sharing the deep, raw truth of your story… or maybe you’re tired of saying it over and over and feeling like other people don’t really “get” it. You don't have to pretend everything's okay or fit into a mold. I'm here for the real you. We can build your own personal path to healing. I help people do this by exploring thoughts, gaining insight, and developing tools to thrive.
(726) 268-9269 View (726) 268-9269
Photo of Jan Elizabeth Kennedy, Psychologist, PhD
Jan Elizabeth Kennedy
Psychologist, PhD
Online Only
Hello, I’m Dr. Jan. Is life not treating you well? Are you feeling down, anxious or stressed out? Have you experienced a recent loss or trauma? Would you like to learn new ways of coping with changing circumstances? If you are an adult living in Texas and seeking individual online therapy please contact me. I use a veriety of established therapy techniques, including ACT and Cognitive-Behavioral therapy.
Hello, I’m Dr. Jan. Is life not treating you well? Are you feeling down, anxious or stressed out? Have you experienced a recent loss or trauma? Would you like to learn new ways of coping with changing circumstances? If you are an adult living in Texas and seeking individual online therapy please contact me. I use a veriety of established therapy techniques, including ACT and Cognitive-Behavioral therapy.
(726) 238-3245 View (726) 238-3245
Photo of Kimberly Dunlap, Licensed Professional Counselor, MA, LPC
Kimberly Dunlap
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78232
You are not alone! When trying to cope with life’s ups and downs it can be helpful to seek counsel from one who can remain objective. As a Licensed Professional Counselor I work to facilitate: marriage *relationships * personal growth * life transitions * grief/loss * mental health diagnosis * substance abuse recovery * parenting the special needs child
You are not alone! When trying to cope with life’s ups and downs it can be helpful to seek counsel from one who can remain objective. As a Licensed Professional Counselor I work to facilitate: marriage *relationships * personal growth * life transitions * grief/loss * mental health diagnosis * substance abuse recovery * parenting the special needs child
(210) 742-5092 View (210) 742-5092
Photo of Tracy Leigh Wells, Counselor, LPCC
Tracy Leigh Wells
Counselor, LPCC
1 Endorsed
San Antonio, TX 78213
I am honored to be on this healing journey with you. I would love to assist you with finding new vitality in your life and relationships. I have extensive experience with counseling diverse populations in the areas of trauma, anxiety, impulsivity, dissociative, and depressive symptomology. I can assist with stress management, relational problems, and navigating life adjustments. I have completed the STAR Three Tier Training for Counseling Veterans. I am looking forward to working with military and first responders to assist with trauma processing and adjustments.
I am honored to be on this healing journey with you. I would love to assist you with finding new vitality in your life and relationships. I have extensive experience with counseling diverse populations in the areas of trauma, anxiety, impulsivity, dissociative, and depressive symptomology. I can assist with stress management, relational problems, and navigating life adjustments. I have completed the STAR Three Tier Training for Counseling Veterans. I am looking forward to working with military and first responders to assist with trauma processing and adjustments.
(726) 232-5049 View (726) 232-5049
Photo of Leonor Carlos, Clinical Social Work/Therapist, LCSW, LCDC
Leonor Carlos
Clinical Social Work/Therapist, LCSW, LCDC
Online Only
Not accepting new clients
I’m passionate about helping clients move forward and find balance in their lives. Together, we work to uncover what’s keeping you feeling stuck and build the tools to manage emotions, communicate confidently, and nurture healthier relationships. My goal is to help you grow, heal, and achieve the personal goals that matter most to you.
I’m passionate about helping clients move forward and find balance in their lives. Together, we work to uncover what’s keeping you feeling stuck and build the tools to manage emotions, communicate confidently, and nurture healthier relationships. My goal is to help you grow, heal, and achieve the personal goals that matter most to you.
(210) 941-3966 View (210) 941-3966
Photo of Britney Vincent, Licensed Professional Counselor, MS, LPC , NBCC
Britney Vincent
Licensed Professional Counselor, MS, LPC , NBCC
1 Endorsed
San Antonio, TX 78230
Sometimes, life can feel overwhelming—you might feel like you’re falling behind, unmotivated, or struggling to express yourself. Maybe you feel alone, unheard, or stuck in the past, dealing with the weight of events like a betrayal or childhood trauma. It can feel like your story is out of order, or like you’re trying to piece together a puzzle with missing pieces.
Sometimes, life can feel overwhelming—you might feel like you’re falling behind, unmotivated, or struggling to express yourself. Maybe you feel alone, unheard, or stuck in the past, dealing with the weight of events like a betrayal or childhood trauma. It can feel like your story is out of order, or like you’re trying to piece together a puzzle with missing pieces.
(726) 208-7295 View (726) 208-7295
Photo of Chiara M. Scott, Licensed Professional Counselor, MA, LPC-S
Chiara M. Scott
Licensed Professional Counselor, MA, LPC-S
Online Only
As an experienced therapist my passion is to help individuals find healthy perceptions of themselves and teach useful and practical skills to strengthen your relationships. I'm a Licensed Professional Counselor Supervisor in Texas that believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also work hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
As an experienced therapist my passion is to help individuals find healthy perceptions of themselves and teach useful and practical skills to strengthen your relationships. I'm a Licensed Professional Counselor Supervisor in Texas that believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also work hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
(210) 361-8723 View (210) 361-8723

See more therapy options for San Antonio

How does your Therapist compare?

Number of Therapists in San Antonio, TX

3,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
85% Depression
69% Self Esteem
68% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
78% Cigna and Evernorth
77% BlueCross and BlueShield

How Therapists in San Antonio, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.