Therapists in Lafayette, CA

Photo of Cynthia Cutshall, Psychologist in Lafayette, CA
Cynthia Cutshall
Psychologist, PhD
Verified Verified
Lafayette, CA 94549  (Online Only)
Not accepting new clients
Psychotherapy can alleviate psychological pain, help you know yourself better, and create opportunities to build healthier relationships. We will work together to get to know you, paying attention to your cultural context. This endeavor can bring to your awareness important unnoticed or unnamed patterns that have been causing you pain or difficulty. Most importantly, sharing your story with someone who empathizes can bring great relief.
Psychotherapy can alleviate psychological pain, help you know yourself better, and create opportunities to build healthier relationships. We will work together to get to know you, paying attention to your cultural context. This endeavor can bring to your awareness important unnoticed or unnamed patterns that have been causing you pain or difficulty. Most importantly, sharing your story with someone who empathizes can bring great relief.
(925) 297-6528 View (925) 297-6528
Photo of Denise A Chmiel, Marriage & Family Therapist in Lafayette, CA
Denise A Chmiel
Marriage & Family Therapist, MA, MFT
Verified Verified
Lafayette, CA 94549  (Online Only)
I offer client-centered therapy to adults, older adults and adolescents who are experiencing distress, relationship conflict, sadness, loneliness or who are stuck in situations that feel hopeless. I offer a safe space and encourage my clients to talk about their lives, process their thoughts and feelings, and find clarity and peace of mind so that they can move forward and be their best selves. I believe that everyone does the best that they can do, and they often want to do better or feel better.
I offer client-centered therapy to adults, older adults and adolescents who are experiencing distress, relationship conflict, sadness, loneliness or who are stuck in situations that feel hopeless. I offer a safe space and encourage my clients to talk about their lives, process their thoughts and feelings, and find clarity and peace of mind so that they can move forward and be their best selves. I believe that everyone does the best that they can do, and they often want to do better or feel better.
(925) 448-9006 View (925) 448-9006
Photo of Nicole Kangas, Marriage & Family Therapist in Lafayette, CA
Nicole Kangas
Marriage & Family Therapist, PhD, MA, LMFT, JD
Verified Verified
Lafayette, CA 94549
*VIDEO/PHONE SESSIONS AVAILABLE* Do you find yourself facing difficult or unexpected struggles? Responding to life's challenges can be hard and can result in stress and unwanted feelings or symptoms. I am here to help you gain the strength, confidence, and clarity needed to tackle life’s obstacles and to feel well. I work with individuals from adolescence through adulthood who are dealing with a range of issues including stress, anxiety, depression, low self-esteem, life transitions, relationship and parenting concerns, grief and loss, trauma recovery, and more. I also help couples work through problems and strengthen their bond.
*VIDEO/PHONE SESSIONS AVAILABLE* Do you find yourself facing difficult or unexpected struggles? Responding to life's challenges can be hard and can result in stress and unwanted feelings or symptoms. I am here to help you gain the strength, confidence, and clarity needed to tackle life’s obstacles and to feel well. I work with individuals from adolescence through adulthood who are dealing with a range of issues including stress, anxiety, depression, low self-esteem, life transitions, relationship and parenting concerns, grief and loss, trauma recovery, and more. I also help couples work through problems and strengthen their bond.
(925) 660-7363 View (925) 660-7363
Photo of Kathryn Wyler, Marriage & Family Therapist in Lafayette, CA
Kathryn Wyler
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
I employ an empathic, collaborative, and highly creative approach to working with clients. I have extensive experience working with children and adolescents, and I enjoy working with parents to manage and reduce stress. I am attentive and mindful to the needs of individual clients who are wrestling with life transitions, relationship difficulties, grief and loss and anxiety. I also offer skillful supervision for graduate students in their practicum. My high-quality therapeutic services will give you the support you need to shift your mindset, manage your stress, and achieve your life goals.
I employ an empathic, collaborative, and highly creative approach to working with clients. I have extensive experience working with children and adolescents, and I enjoy working with parents to manage and reduce stress. I am attentive and mindful to the needs of individual clients who are wrestling with life transitions, relationship difficulties, grief and loss and anxiety. I also offer skillful supervision for graduate students in their practicum. My high-quality therapeutic services will give you the support you need to shift your mindset, manage your stress, and achieve your life goals.
(925) 968-4952 View (925) 968-4952
Photo of Inspired Mind Counseling, Marriage & Family Therapist in Lafayette, CA
Inspired Mind Counseling
Marriage & Family Therapist, MS, JD, LMFT
Verified Verified
3 Endorsed
Lafayette, CA 94549
"Many Bay Area dual income and professional families struggle with the pressures of maintaining their lifestyles and helping their children succeed in school. Many suffer from anxiety, depression, relationship issues that are directly related to the challenges they face daily. As a former lawyer, hi-tech marketing director, and a first-time parent later in life, I am intimately familiar with these challenges. When I began practicing as a therapist, I knew I wanted to apply my life experience to help inspire busy professionals to work through the challenges, transitions, and struggles of living and thriving in the Bay Area."
"Many Bay Area dual income and professional families struggle with the pressures of maintaining their lifestyles and helping their children succeed in school. Many suffer from anxiety, depression, relationship issues that are directly related to the challenges they face daily. As a former lawyer, hi-tech marketing director, and a first-time parent later in life, I am intimately familiar with these challenges. When I began practicing as a therapist, I knew I wanted to apply my life experience to help inspire busy professionals to work through the challenges, transitions, and struggles of living and thriving in the Bay Area."
(925) 402-4024 View (925) 402-4024
Photo of Sarah R Blackley, Marriage & Family Therapist in Lafayette, CA
Sarah R Blackley
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549  (Online Only)
Congratulations on taking the first step towards wellness! My practice is two-fold: I have a lot of experience working with couples in conflict and I also work with individuals who suffer from depression and PTSD. I believe that the relationship between therapist and client is most helpful in collaboration. I enjoy working with both couples and individuals to face life transitions and difficulties with a direct and empathetic approach.
Congratulations on taking the first step towards wellness! My practice is two-fold: I have a lot of experience working with couples in conflict and I also work with individuals who suffer from depression and PTSD. I believe that the relationship between therapist and client is most helpful in collaboration. I enjoy working with both couples and individuals to face life transitions and difficulties with a direct and empathetic approach.
(415) 763-6542 View (415) 763-6542
Photo of Marguerite Stagg, Psychologist in Lafayette, CA
Marguerite Stagg
Psychologist, MA, PsyD
Verified Verified
8 Endorsed
Lafayette, CA 94549
I offer treatment for both individuals and couples, primarily addressing depression, anxiety, stress, trauma, relational issues, family conflict, life transitions and health issues. I focus on the comprehensive picture of each person’s circumstance in order to bring about change that is sustainable and lasting for you. I will work with you in a collaborative manner, discovering your strengths in order to build upon the tools and skills that you already have to work towards your objectives.
I offer treatment for both individuals and couples, primarily addressing depression, anxiety, stress, trauma, relational issues, family conflict, life transitions and health issues. I focus on the comprehensive picture of each person’s circumstance in order to bring about change that is sustainable and lasting for you. I will work with you in a collaborative manner, discovering your strengths in order to build upon the tools and skills that you already have to work towards your objectives.
(925) 298-9705 View (925) 298-9705
Photo of Julie Weigel, Marriage & Family Therapist in Lafayette, CA
Julie Weigel
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lafayette, CA 94549  (Online Only)
NO.DOUBT you are looking for a therapist with whom you can feel safe and connected, someone who will focus on your goals and respect you. My 25 years of dedicated practice, combined with my ongoing effort to stay on top of the latest psychological research and methods, ensure that I am someone you can trust. I will notice both where you hurt and where you shine and approach your goals with cultural humility, using evidence-based techniques that honor your innate wisdom, while providing the confidence, skill, and leadership that come with 25 years of training and practice in the most challenging of settings.
NO.DOUBT you are looking for a therapist with whom you can feel safe and connected, someone who will focus on your goals and respect you. My 25 years of dedicated practice, combined with my ongoing effort to stay on top of the latest psychological research and methods, ensure that I am someone you can trust. I will notice both where you hurt and where you shine and approach your goals with cultural humility, using evidence-based techniques that honor your innate wisdom, while providing the confidence, skill, and leadership that come with 25 years of training and practice in the most challenging of settings.
(510) 878-4486 View (510) 878-4486
Photo of Bruce Sorenson, Pre-Licensed Professional in Lafayette, CA
Bruce Sorenson
Pre-Licensed Professional
Verified Verified
Lafayette, CA 94549
Everyone has challenges and battles to fight. A pain-free life is not always possible. Even the strongest people amongst us need a little bit of help to work through some of life’s difficulties. Whether you struggle with depression, grief, anxiety, or other issues, you should know there is hope for better tomorrows.
Everyone has challenges and battles to fight. A pain-free life is not always possible. Even the strongest people amongst us need a little bit of help to work through some of life’s difficulties. Whether you struggle with depression, grief, anxiety, or other issues, you should know there is hope for better tomorrows.
(925) 248-4567 View (925) 248-4567
Photo of Leslye Robbins, Clinical Social Work/Therapist in Lafayette, CA
Leslye Robbins
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, CA 94549  (Online Only)
Quality psychotherapy can be life-altering, especially when one is motivated and open to the process necessary for change. I enjoy working with individuals who are looking to develop a more grounded sense of self and seeking meaning and direction in daily living. Adults of all ages come to my practice to improve and enrich their relationships with partners, children, family members, friends and colleagues. I work with Individuals who are looking to deepen trust and connection, learn communication skills, and resolve repetitive conflicts in order to cultivate resilient and joyful partnership.
Quality psychotherapy can be life-altering, especially when one is motivated and open to the process necessary for change. I enjoy working with individuals who are looking to develop a more grounded sense of self and seeking meaning and direction in daily living. Adults of all ages come to my practice to improve and enrich their relationships with partners, children, family members, friends and colleagues. I work with Individuals who are looking to deepen trust and connection, learn communication skills, and resolve repetitive conflicts in order to cultivate resilient and joyful partnership.
(415) 942-8945 View (415) 942-8945
Photo of Johanna Helen Kelly, Marriage & Family Therapist in Lafayette, CA
Johanna Helen Kelly
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
New Beginnings! New Awakenings! New Perspectives and Growth! These are just a few of the benefits of therapy you will gain. I pride myself on developing compassionate, non-judgmental therapeutic relationships with the couples and families and individuals I serve. Some unique things about me: I worked internationally as a therapist in both Hong Kong and Switzerland over the course of 6 years. I gained a significant amount of cultural competency through this amazing experience. Further, I have expertise in the field of Addiction and Recovery. Additionally, I value the competency I demonstrate with High Conflict Couples and Divorce.
New Beginnings! New Awakenings! New Perspectives and Growth! These are just a few of the benefits of therapy you will gain. I pride myself on developing compassionate, non-judgmental therapeutic relationships with the couples and families and individuals I serve. Some unique things about me: I worked internationally as a therapist in both Hong Kong and Switzerland over the course of 6 years. I gained a significant amount of cultural competency through this amazing experience. Further, I have expertise in the field of Addiction and Recovery. Additionally, I value the competency I demonstrate with High Conflict Couples and Divorce.
(925) 403-4653 View (925) 403-4653
Photo of Beth Roosa, Psychologist in Lafayette, CA
Beth Roosa
Psychologist, PhD
Verified Verified
Lafayette, CA 94549  (Online Only)
I have 30 years experience in individual therapy with adolescents and adults. My approach is active and supportive - we will work together to clarify the changes you want and understand what causes your difficulties. Sometimes this involves exploring current situations and relationships; sometimes it means exploring aspects of your identity and how you feel about yourself. Sometimes a look at past relationships, family experiences, and early development can help to identify attachment patterns that are problematic. During this process we will support and develop your strengths and skills and discover what steps you can take.
I have 30 years experience in individual therapy with adolescents and adults. My approach is active and supportive - we will work together to clarify the changes you want and understand what causes your difficulties. Sometimes this involves exploring current situations and relationships; sometimes it means exploring aspects of your identity and how you feel about yourself. Sometimes a look at past relationships, family experiences, and early development can help to identify attachment patterns that are problematic. During this process we will support and develop your strengths and skills and discover what steps you can take.
(510) 343-7784 View (510) 343-7784
Photo of Ines M Vaniman, Marriage & Family Therapist in Lafayette, CA
Ines M Vaniman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
There are so many different reasons to seek therapy and it is my job to get you to where you want to get, as quickly as possible. I am a down to earth, experienced therapist. I use scientifically proven approaches, based on the needs and preferences of my patients. I focus on building strong relationships and providing a space where we can develop and implement a plan to make meaningful change happen. I have over 15 years of experience working in this field and feel very passionate about this work.
There are so many different reasons to seek therapy and it is my job to get you to where you want to get, as quickly as possible. I am a down to earth, experienced therapist. I use scientifically proven approaches, based on the needs and preferences of my patients. I focus on building strong relationships and providing a space where we can develop and implement a plan to make meaningful change happen. I have over 15 years of experience working in this field and feel very passionate about this work.
(925) 246-2964 View (925) 246-2964
Photo of Catherine Lamme, Clinical Social Work/Therapist in Lafayette, CA
Catherine Lamme
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, CA 94549
Welcome! Are you feeling tired of the patterns and old stories that impact the development of your vitality and the best version of your life? Does your sense of self feel fractured? Does your body seem to mirror the internal negative thought patterns that seem to block you creating the life you want to live? Do you feel like there are moments that you cannot imagine living in the internal chaos another moment? I am inspired and honored to work with adults who are motivated to heal and release the negative internal stories, especially from trauma, that have dictated their behavior in order to create their own life worth living.
Welcome! Are you feeling tired of the patterns and old stories that impact the development of your vitality and the best version of your life? Does your sense of self feel fractured? Does your body seem to mirror the internal negative thought patterns that seem to block you creating the life you want to live? Do you feel like there are moments that you cannot imagine living in the internal chaos another moment? I am inspired and honored to work with adults who are motivated to heal and release the negative internal stories, especially from trauma, that have dictated their behavior in order to create their own life worth living.
(760) 263-6052 View (760) 263-6052
Photo of Jeffrey H Kent, Marriage & Family Therapist in Lafayette, CA
Jeffrey H Kent
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
Do you suspect something is “off,” that you could be doing better? Feeling better? You could, even, be happier? What’s stopping you? Sometimes, it is anxiety or depression. Often it is an addiction to something that for a while made things better - drugs, alcohol, spending, and others. These are false strategies that promised relief, but in the end, caused more suffering. They make anxiety & depression worse, taking one down into a spiral of hopelessness and despair, even shame. You don't have to stay here. You can change.
Do you suspect something is “off,” that you could be doing better? Feeling better? You could, even, be happier? What’s stopping you? Sometimes, it is anxiety or depression. Often it is an addiction to something that for a while made things better - drugs, alcohol, spending, and others. These are false strategies that promised relief, but in the end, caused more suffering. They make anxiety & depression worse, taking one down into a spiral of hopelessness and despair, even shame. You don't have to stay here. You can change.
(925) 471-8338 View (925) 471-8338
Photo of Samantha Schaefer, Clinical Social Work/Therapist in Lafayette, CA
Samantha Schaefer
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Lafayette, CA 94549  (Online Only)
If you've ever felt like you "should" be happier, doing more or coping better, I can help. I work with high-functioning adults and teens who are feeling stuck and at the mercy of depression and anxiety, but are ready to move forward and make sustainable changes. I have specialized training in perinatal mental health, including postpartum depression and anxiety, and practice trauma-informed treatment, including EMDR. We'll work together to rediscover your authentic sense of self, learn tools that help you navigate challenges, and live your life more fully. You don’t have to face hard things alone.
If you've ever felt like you "should" be happier, doing more or coping better, I can help. I work with high-functioning adults and teens who are feeling stuck and at the mercy of depression and anxiety, but are ready to move forward and make sustainable changes. I have specialized training in perinatal mental health, including postpartum depression and anxiety, and practice trauma-informed treatment, including EMDR. We'll work together to rediscover your authentic sense of self, learn tools that help you navigate challenges, and live your life more fully. You don’t have to face hard things alone.
(925) 633-4084 View (925) 633-4084
Photo of Alejandra Haro-Garcia, Marriage & Family Therapist Associate in Lafayette, CA
Alejandra Haro-Garcia
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Lafayette, CA 94549  (Online Only)
Our everyday life challenges may feel overwhelming, and you may want to learn new techniques to manage difficult times to alleviate those challenges. Searching for a therapist to work with in partnership to process life challenges is essential and can also be overwhelming. Considering me as your therapist, I want you to know that I am committed to listening and validating your experience and emotions. I want to acknowledge the strength and courage it takes to make the first step in connecting to therapy services. Everyone can change, grow, and build resilience at their own pace in an empathetic and non-judgmental environment.
Our everyday life challenges may feel overwhelming, and you may want to learn new techniques to manage difficult times to alleviate those challenges. Searching for a therapist to work with in partnership to process life challenges is essential and can also be overwhelming. Considering me as your therapist, I want you to know that I am committed to listening and validating your experience and emotions. I want to acknowledge the strength and courage it takes to make the first step in connecting to therapy services. Everyone can change, grow, and build resilience at their own pace in an empathetic and non-judgmental environment.
View
Photo of Juliann Eva Kauffman, Psychologist in Lafayette, CA
Juliann Eva Kauffman
Psychologist, EdD
Verified Verified
Lafayette, CA 94549
Not accepting new clients
I welcome those who are ready to begin or continue their processes of healing and path finding in this challenging and wondrous life. I work with clients in a variety of ways. One of my primary approaches is to address the beliefs that each person has internalized during his or her life. These beliefs direct our choices. Erroneous beliefs about self, others, and the world at large put limits on us and hold us back from healthy relations and personal empowerment. My professional commitment includes honoring my clients' diverse world views as they work toward improving their lives.
I welcome those who are ready to begin or continue their processes of healing and path finding in this challenging and wondrous life. I work with clients in a variety of ways. One of my primary approaches is to address the beliefs that each person has internalized during his or her life. These beliefs direct our choices. Erroneous beliefs about self, others, and the world at large put limits on us and hold us back from healthy relations and personal empowerment. My professional commitment includes honoring my clients' diverse world views as they work toward improving their lives.
(925) 392-5484 View (925) 392-5484
Photo of TheraThrive Counseling & Assessment , Counselor in Lafayette, CA
TheraThrive Counseling & Assessment
Counselor, PhD, LPCC, BC-TMH
Verified Verified
11 Endorsed
Lafayette, CA 94549
If you feel overwhelmed by anxiety, emotional intensity, high sensitivity, loneliness, insomnia, or relationship problems, or if your child or teen struggles with excessive worry, moodiness or sadness, you don't need to manage alone. We are a group of authentic and interactive therapists who are strengths-based in our approach. Let us help you (or your child, teen, family member) gain insight and understanding, learn emotional regulation, improve your relationships, alleviate stress and anxiety, improve satisfaction at work/school, and experience well-being and empowerment. www.TheraThrive.com
If you feel overwhelmed by anxiety, emotional intensity, high sensitivity, loneliness, insomnia, or relationship problems, or if your child or teen struggles with excessive worry, moodiness or sadness, you don't need to manage alone. We are a group of authentic and interactive therapists who are strengths-based in our approach. Let us help you (or your child, teen, family member) gain insight and understanding, learn emotional regulation, improve your relationships, alleviate stress and anxiety, improve satisfaction at work/school, and experience well-being and empowerment. www.TheraThrive.com
(925) 350-8130 View (925) 350-8130
Photo of Marla Lane-Parks, Marriage & Family Therapist in Lafayette, CA
Marla Lane-Parks
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549
For nine years I have had hands-on experience working with individuals, children, couples and families, and have helped my clients deal with the various challenges life brought them. Diversity and inclusion are core beliefs of mine. I feel that every person has value that can be enriched and strengthened.
For nine years I have had hands-on experience working with individuals, children, couples and families, and have helped my clients deal with the various challenges life brought them. Diversity and inclusion are core beliefs of mine. I feel that every person has value that can be enriched and strengthened.
(925) 326-6067 View (925) 326-6067

How does your Therapist compare?

Number of Therapists in Lafayette, CA

300+

Average cost per session

$185

Therapists in Lafayette, CA who prioritize treating:

91% Anxiety
89% Depression
79% Relationship Issues
69% Grief
67% Self Esteem
62% Trauma and PTSD
62% Stress

Average years in practice

16 Years

Top 3 insurances accepted

53% Aetna
45% Other
44% Cigna and Evernorth

How Therapists in Lafayette, CA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lafayette?

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.