Therapists in San Jose, CA

View neighborhoods in San Jose
Photo of Robin Hunter, Marriage & Family Therapist in San Jose, CA
Robin Hunter
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95111
Hello, my name is Robin Hunter, and I am a Licensed Marriage Family Therapist with a focus on individuals, couples, and families. I have many years of experience both in Private Practice and as a Clinical Supervisor in Outpatient County Mental Health Clinics in Southern California. I prefer working on short-term issues that I can assist you in resolving and provide you with resources so you can identify future issues as they arise and resolve them before they become problematic.
Hello, my name is Robin Hunter, and I am a Licensed Marriage Family Therapist with a focus on individuals, couples, and families. I have many years of experience both in Private Practice and as a Clinical Supervisor in Outpatient County Mental Health Clinics in Southern California. I prefer working on short-term issues that I can assist you in resolving and provide you with resources so you can identify future issues as they arise and resolve them before they become problematic.
(669) 322-8330 View (669) 322-8330
Photo of Charlene Mahabali, Marriage & Family Therapist in San Jose, CA
Charlene Mahabali
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95123
Hello, my name is Charlene Mahabali and I am a License Marriage and Family Therapist. I have been practicing for 9 years. I use CBT during sessions. I like to help client decrease their anxiety and depression. I would like to work with 18 and over that are having difficulty with life stressors, anxiety, and depression. The approach I used when providing therapy is CBT and solution-focused. I use a warm welcoming tone. I like to meet the client where they are at. I would like to work with the client to help them achieve their goals.
Hello, my name is Charlene Mahabali and I am a License Marriage and Family Therapist. I have been practicing for 9 years. I use CBT during sessions. I like to help client decrease their anxiety and depression. I would like to work with 18 and over that are having difficulty with life stressors, anxiety, and depression. The approach I used when providing therapy is CBT and solution-focused. I use a warm welcoming tone. I like to meet the client where they are at. I would like to work with the client to help them achieve their goals.
(669) 322-5699 View (669) 322-5699
Photo of Maria Medvedev, Marriage & Family Therapist in San Jose, CA
Maria Medvedev
Marriage & Family Therapist, LMFT, CHT, CFRC
Verified Verified
San Jose, CA 95125  (Online Only)
Everyone deserves clarity, positivity, and happiness in their lives. I am here to explore and collaboratively work with clients. The goal is to empower and teach tools to assist in coping with challenges and transitions in life. Furthermore, I work at the pace of each person to ensure they feel safe when processing difficult material.
Everyone deserves clarity, positivity, and happiness in their lives. I am here to explore and collaboratively work with clients. The goal is to empower and teach tools to assist in coping with challenges and transitions in life. Furthermore, I work at the pace of each person to ensure they feel safe when processing difficult material.
(408) 409-8497 View (408) 409-8497
Photo of Julie-Mae Wallingford in San Jose, CA
Julie-Mae Wallingford
MEd, BCBA
Verified Verified
San Jose, CA 95110
I go by 'Julie-Mae,' and I'm passionate about helping people overcome challenges, build resilience, and achieve their full potential. I'm thrilled to introduce myself as a Board Certified Behavior Analyst, therapist, Executive Director, and Founder of Maehaven Behavioral Consulting & Therapy, a nurturing space dedicated to supporting individuals on their journey to behavioral and social wellness. My ideal client would work collaboratively with me through Telehealth to develop and execute evidence-based behavioral treatment. All ages, abilities, and demographics are welcome.
I go by 'Julie-Mae,' and I'm passionate about helping people overcome challenges, build resilience, and achieve their full potential. I'm thrilled to introduce myself as a Board Certified Behavior Analyst, therapist, Executive Director, and Founder of Maehaven Behavioral Consulting & Therapy, a nurturing space dedicated to supporting individuals on their journey to behavioral and social wellness. My ideal client would work collaboratively with me through Telehealth to develop and execute evidence-based behavioral treatment. All ages, abilities, and demographics are welcome.
(408) 789-8530 View (408) 789-8530
Photo of Anna Nguyen, Psychologist in San Jose, CA
Anna Nguyen
Psychologist, PsyD
Verified Verified
1 Endorsed
San Jose, CA 95110  (Online Only)
Hello, I am a California licensed psychologist with 7 years of experience in clinical work. I was a research and development engineer for 20 years; I became interested in mental health 11 years ago and it has been a humbling journey. I enjoy listen to your stories and life struggles whether it is due to mental illnesses, relationships, or changes. My diverse background equip me with the experience to better serve you. I hold a PsyD, M.A. Pastoral Ministry, and M.S. in Computer Science.
Hello, I am a California licensed psychologist with 7 years of experience in clinical work. I was a research and development engineer for 20 years; I became interested in mental health 11 years ago and it has been a humbling journey. I enjoy listen to your stories and life struggles whether it is due to mental illnesses, relationships, or changes. My diverse background equip me with the experience to better serve you. I hold a PsyD, M.A. Pastoral Ministry, and M.S. in Computer Science.
(408) 915-3394 View (408) 915-3394
Photo of Kate Sutton, Psychologist in San Jose, CA
Kate Sutton
Psychologist, PhD
Verified Verified
San Jose, CA 95120
Let’s talk about sex and relationships! I am here to help you feel comfortable working through the hard stuff, and sex and relationship issues can be some of the hardest stuff for people to talk about. Together, we’ll create a comfortable, judgment-free space to explore your wants and needs, improve communication with others in your life, and promote intimate, meaningful, and healthy (sexual) relationships. My aim is to help you, and any potentially involved partner(s), to reach your full personal, relationship, and sexual potential in order to lead your happiest and most fulfilling life.
Let’s talk about sex and relationships! I am here to help you feel comfortable working through the hard stuff, and sex and relationship issues can be some of the hardest stuff for people to talk about. Together, we’ll create a comfortable, judgment-free space to explore your wants and needs, improve communication with others in your life, and promote intimate, meaningful, and healthy (sexual) relationships. My aim is to help you, and any potentially involved partner(s), to reach your full personal, relationship, and sexual potential in order to lead your happiest and most fulfilling life.
(833) 922-1505 View (833) 922-1505
Photo of Stacey Simpson (Formerly Pinneke), Marriage & Family Therapist Associate in San Jose, CA
Stacey Simpson (Formerly Pinneke)
Marriage & Family Therapist Associate, MA, AMFT, APCC, NCC
Verified Verified
San Jose, CA 95128
Therapy is essential to healing from crisis-related trauma, however it does not always have to be crisis responsive. You may want to change self-defeating behaviors or develop or improve your sense of purpose. While the influence of life experience from infancy through adulthood is undeniable, I specialize in using person-centered therapy that focuses on the present with strengths-based, solutions-oriented emphasis and holistic and mindfulness practices that nurture self- awareness.
Therapy is essential to healing from crisis-related trauma, however it does not always have to be crisis responsive. You may want to change self-defeating behaviors or develop or improve your sense of purpose. While the influence of life experience from infancy through adulthood is undeniable, I specialize in using person-centered therapy that focuses on the present with strengths-based, solutions-oriented emphasis and holistic and mindfulness practices that nurture self- awareness.
(408) 418-2593 View (408) 418-2593
Photo of Maria Barrera Pacheco, Marriage & Family Therapist in San Jose, CA
Maria Barrera Pacheco
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95126
Hi there, welcome! Are you struggling with depression, anxiety, relationship issues, or maybe you’re feeling stuck? Are you a parent in search for therapy for your child? Or are you looking for family therapy? I can support you with working through these issues. Looking for help is a big step and you have been courageous to do that! If you feel ready to see some change in your life and allow yourself the time to heal in therapy, I can provide a safe space where you can process these challenges and experience a balanced life.
Hi there, welcome! Are you struggling with depression, anxiety, relationship issues, or maybe you’re feeling stuck? Are you a parent in search for therapy for your child? Or are you looking for family therapy? I can support you with working through these issues. Looking for help is a big step and you have been courageous to do that! If you feel ready to see some change in your life and allow yourself the time to heal in therapy, I can provide a safe space where you can process these challenges and experience a balanced life.
(408) 217-1055 View (408) 217-1055
Photo of Andrea Ferriera, Marriage & Family Therapist Associate in San Jose, CA
Andrea Ferriera
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
3 Endorsed
San Jose, CA 95117
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
(408) 317-1652 View (408) 317-1652
Photo of Pankti Gada, Marriage & Family Therapist in San Jose, CA
Pankti Gada
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95132  (Online Only)
I am glad you have made it this far on your journey. Typically the clients I work with have had experiences in life that have been traumatic, often early on. They have coped through these but the wounds are not yet fully healed. Those memories hold power over their present and they are seeking a different future where they are feeling lighter, freer, more fully their true selves. They value connection with others and want to process the challenges that keep cropping up. Trauma impacts us in seen and unseen ways, and at certain points in life we hear our inner intuition - the need to feel heard, understood and guided towards healing.
I am glad you have made it this far on your journey. Typically the clients I work with have had experiences in life that have been traumatic, often early on. They have coped through these but the wounds are not yet fully healed. Those memories hold power over their present and they are seeking a different future where they are feeling lighter, freer, more fully their true selves. They value connection with others and want to process the challenges that keep cropping up. Trauma impacts us in seen and unseen ways, and at certain points in life we hear our inner intuition - the need to feel heard, understood and guided towards healing.
(408) 418-2457 View (408) 418-2457
Photo of Jeremiah Knight, Marriage & Family Therapist in San Jose, CA
Jeremiah Knight
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95112
Not accepting new clients
In therapy, I facilitate a welcoming, explorative environment through the implementation of solution focused therapy, cognitive behavioral therapy, and existentialism. For that reason, my ideal client either comes knowing what that would like to get out of therapy or is willing to work together to determine possible areas in which they would like to see improvement. Some goals set by my clients have included being happier, feeling less anxious, improving their focus on a specific habit, building their awareness on their future, improving their relationships with their significant other, and increasing their connections with others.
In therapy, I facilitate a welcoming, explorative environment through the implementation of solution focused therapy, cognitive behavioral therapy, and existentialism. For that reason, my ideal client either comes knowing what that would like to get out of therapy or is willing to work together to determine possible areas in which they would like to see improvement. Some goals set by my clients have included being happier, feeling less anxious, improving their focus on a specific habit, building their awareness on their future, improving their relationships with their significant other, and increasing their connections with others.
(408) 763-4575 View (408) 763-4575
Photo of Steve Monte, Clinical Social Work/Therapist in San Jose, CA
Steve Monte
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95131
ATTENTION PROFESSIONALS STRUGGLING WITH HIGH ANXIETY AND/OR RELATIONSHIP ISSUES (AT WORK OR HOME): You really want to talk with someone, but you're not sure who to trust. When you describe tough challenges at work or with your family, you want someone who GETS IT. The last thing you need is to discover that your counselor has too little experience to bring any new solutions to the table. You're looking for someone who's "BEEN THERE AND DONE THAT." Someone who inspires confidence with the way they approach their work, and someone who's already solved the problems you're dealing with.
ATTENTION PROFESSIONALS STRUGGLING WITH HIGH ANXIETY AND/OR RELATIONSHIP ISSUES (AT WORK OR HOME): You really want to talk with someone, but you're not sure who to trust. When you describe tough challenges at work or with your family, you want someone who GETS IT. The last thing you need is to discover that your counselor has too little experience to bring any new solutions to the table. You're looking for someone who's "BEEN THERE AND DONE THAT." Someone who inspires confidence with the way they approach their work, and someone who's already solved the problems you're dealing with.
(510) 405-4674 View (510) 405-4674
Photo of Gerardo Joshua Salinas, Clinical Social Work/Therapist in San Jose, CA
Gerardo Joshua Salinas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Jose, CA 95112
My Goal is to provide a space that feels warm, non-judgmental and more importantly helpful. I work with adults, teens, and children who are experiencing trauma, depression, anxiety, and grief. I believe that navigating these experiences feels better when we get to work through them with someone else. I offer Talk Therapy, Play Therapy, Mindfulness Techniques, Art Therapy, and Cognitive Behavioral Therapy, to help resolve conflict, improve communication, and work to resolve trauma with a focus on early attachment and developmental needs. I also offer parent coaching to help with challenging behaviors at school or in the home.
My Goal is to provide a space that feels warm, non-judgmental and more importantly helpful. I work with adults, teens, and children who are experiencing trauma, depression, anxiety, and grief. I believe that navigating these experiences feels better when we get to work through them with someone else. I offer Talk Therapy, Play Therapy, Mindfulness Techniques, Art Therapy, and Cognitive Behavioral Therapy, to help resolve conflict, improve communication, and work to resolve trauma with a focus on early attachment and developmental needs. I also offer parent coaching to help with challenging behaviors at school or in the home.
(831) 263-4141 View (831) 263-4141
Photo of Deborah Kjar, Marriage & Family Therapist in San Jose, CA
Deborah Kjar
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Jose, CA 95128
I believe living a successful life is a process. I have to laugh at the expression,"Expect the Unexpected," because it is so true! In order to navigate through a life of uncertainty, you may need support or guidance during the more difficult stages. I am here so you don't have to go it alone. My goal is to create a safe environment for you to explore your personal needs. I would be honored to assist you with navigating life transitions such as job relocations, marriage conflicts, parenting challenges, major life decisions or empty nest syndrome.
I believe living a successful life is a process. I have to laugh at the expression,"Expect the Unexpected," because it is so true! In order to navigate through a life of uncertainty, you may need support or guidance during the more difficult stages. I am here so you don't have to go it alone. My goal is to create a safe environment for you to explore your personal needs. I would be honored to assist you with navigating life transitions such as job relocations, marriage conflicts, parenting challenges, major life decisions or empty nest syndrome.
(408) 703-5627 View (408) 703-5627
Photo of Therapy By Choice, Marriage & Family Therapist in San Jose, CA
Therapy By Choice
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95128
If you are going through a major life transition and can use a therapist who empowers you, gets you energized about life, helps you find your emotional balance and helps you see your transition from a different point of view then let’s get started! In couples or individual therapy, I can help you to focus on your goals, teach you how to self-soothe, manage stress and anxiety, keep depression in check and calm anger with strategies that are unique to you.Please email, text or call today for a free consultation.
If you are going through a major life transition and can use a therapist who empowers you, gets you energized about life, helps you find your emotional balance and helps you see your transition from a different point of view then let’s get started! In couples or individual therapy, I can help you to focus on your goals, teach you how to self-soothe, manage stress and anxiety, keep depression in check and calm anger with strategies that are unique to you.Please email, text or call today for a free consultation.
(408) 900-2690 View (408) 900-2690
Photo of Jerry Kao, Marriage & Family Therapist in San Jose, CA
Jerry Kao
Marriage & Family Therapist, MA, BCBA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95131  (Online Only)
Telling someone that you barely know about your darkest secrets can be scary. However, the fact that you are thinking about getting counseling at this moment shows strength and courage. As someone who has gone through the process of seeking help with a professional therapist, I can understand your fears and hesitation. That's why I strive to understand my clients at a personal, heart to heart level. I see the process of counseling as similar to going on a journey, with lessons to be learned and blessings to be celebrated. I hope I can be a useful guide on this personal journey of yours!
Telling someone that you barely know about your darkest secrets can be scary. However, the fact that you are thinking about getting counseling at this moment shows strength and courage. As someone who has gone through the process of seeking help with a professional therapist, I can understand your fears and hesitation. That's why I strive to understand my clients at a personal, heart to heart level. I see the process of counseling as similar to going on a journey, with lessons to be learned and blessings to be celebrated. I hope I can be a useful guide on this personal journey of yours!
(626) 669-3462 View (626) 669-3462
Photo of Veiss Zandieh, Marriage & Family Therapist in San Jose, CA
Veiss Zandieh
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
San Jose, CA 95129
Congratulations on taking the courageous step to begin therapy. As we all know, life can be challenging and demanding at times. This may lead us to feeling sad, angry, hopeless or confused. We may feel stuck and not know how to move forward; which can be a very lonely and scary place to be as well. However, you are not alone and healing is possible! My role as a therapist is to provide a safe place and offer warmth and empathy throughout this collaborative process, in order to help you in exploring your thoughts and feelings, as well as guide you in developing insight and identifying skills to achieve the thriving life you deserve.
Congratulations on taking the courageous step to begin therapy. As we all know, life can be challenging and demanding at times. This may lead us to feeling sad, angry, hopeless or confused. We may feel stuck and not know how to move forward; which can be a very lonely and scary place to be as well. However, you are not alone and healing is possible! My role as a therapist is to provide a safe place and offer warmth and empathy throughout this collaborative process, in order to help you in exploring your thoughts and feelings, as well as guide you in developing insight and identifying skills to achieve the thriving life you deserve.
(669) 222-6755 View (669) 222-6755
Photo of Jorge Garcia, Marriage & Family Therapist in San Jose, CA
Jorge Garcia
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95110  (Online Only)
I have experience working with those struggling with symptoms of trauma, grief and loss, depression, anxiety, interpersonal relationships, life transitions, parenting, communication, and low self-esteem. My practice is inclusive, non-judgmental, culturally responsive, and affirming of LGBTQ+ communities. I offer services in English and Spanish.
I have experience working with those struggling with symptoms of trauma, grief and loss, depression, anxiety, interpersonal relationships, life transitions, parenting, communication, and low self-esteem. My practice is inclusive, non-judgmental, culturally responsive, and affirming of LGBTQ+ communities. I offer services in English and Spanish.
(408) 665-7288 View (408) 665-7288
Photo of Noreen Raja-Halpern, Clinical Social Work/Therapist in San Jose, CA
Noreen Raja-Halpern
Clinical Social Work/Therapist, MSW, ASW
Verified Verified
1 Endorsed
San Jose, CA 95117
Each of us deserve to be seen, heard, and valued. At the foundation of my clinical practice, it is my intention to honor who you are, where you come from, and where you want to go. In fostering meaningful, authentic therapeutic relationships, I engage clients from the strengths-based approach and the holistic perspective, exploring and embracing the idea that our mental health can be shaped by the social, emotional, spiritual, and physical parts of ourselves.
Each of us deserve to be seen, heard, and valued. At the foundation of my clinical practice, it is my intention to honor who you are, where you come from, and where you want to go. In fostering meaningful, authentic therapeutic relationships, I engage clients from the strengths-based approach and the holistic perspective, exploring and embracing the idea that our mental health can be shaped by the social, emotional, spiritual, and physical parts of ourselves.
(408) 404-5347 View (408) 404-5347
Photo of Dr. Thu Dang in San Jose, CA
Dr. Thu Dang
PhD, MA
Verified Verified
San Jose, CA 95133  (Online Only)
Not accepting new clients
I am not accepting new clients. Hello! I am a certified coaching therapist and have been practicing since 2005. I have a Ph.D. and MA in clinical psychology and I have worked at universities, community counseling centers, and Kaiser Permanente. "What is coaching?" you might ask. Coaching is the use of positive psychology to focus on your strengths (rather than deficits) to help you reach your goals. Your goals can include being better able to communicate with your loved ones or coworkers, improve working relationships with management and/or employees, conflict management, and assertiveness training.
I am not accepting new clients. Hello! I am a certified coaching therapist and have been practicing since 2005. I have a Ph.D. and MA in clinical psychology and I have worked at universities, community counseling centers, and Kaiser Permanente. "What is coaching?" you might ask. Coaching is the use of positive psychology to focus on your strengths (rather than deficits) to help you reach your goals. Your goals can include being better able to communicate with your loved ones or coworkers, improve working relationships with management and/or employees, conflict management, and assertiveness training.
(408) 351-0030 View (408) 351-0030

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in San Jose?

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.