Photo of Sara Gilbert, Marriage & Family Therapist in 95823, CA
Sara Gilbert
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
Hi! My name is Sara Gilbert, and I am a Licensed Marriage and Family Therapist based in California. I work with adults and adolescents via Telehealth and specialize in relationship issues, anxiety, grief/loss, and increasing self-empowerment. I use Strength-based, Humanistic, and Mindfulness approaches to help you to create an inner union and learn a deeper sense of freedom and joy.
Hi! My name is Sara Gilbert, and I am a Licensed Marriage and Family Therapist based in California. I work with adults and adolescents via Telehealth and specialize in relationship issues, anxiety, grief/loss, and increasing self-empowerment. I use Strength-based, Humanistic, and Mindfulness approaches to help you to create an inner union and learn a deeper sense of freedom and joy.
(916) 461-7234 View (916) 461-7234
Photo of Wesley Hardcastle-Orr, Clinical Social Work/Therapist in 95823, CA
Wesley Hardcastle-Orr
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
Hi, there! I am Wes Hardcastle-Orr, LCSW. I provide Video Telehealth utilizing Cognitive Behavioral Therapy, Solution Focused, and Motivational Interviewing techniques. Additionally, I use a strengths-based model to build upon your existing strengths. I specialize in Depression, Anxiety, Stress, Addictions, Trauma & LGBTQ+ issues. I have a great deal of experience working with both active duty service members and veterans as I recently left the VA.
Hi, there! I am Wes Hardcastle-Orr, LCSW. I provide Video Telehealth utilizing Cognitive Behavioral Therapy, Solution Focused, and Motivational Interviewing techniques. Additionally, I use a strengths-based model to build upon your existing strengths. I specialize in Depression, Anxiety, Stress, Addictions, Trauma & LGBTQ+ issues. I have a great deal of experience working with both active duty service members and veterans as I recently left the VA.
(916) 702-3720 View (916) 702-3720
Photo of Mary Baez, Marriage & Family Therapist in 95823, CA
Mary Baez
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823  (Online Only)
Hi, my name is Mary Baez, therapist. I am licensed in the state of California as a Marriage and Family. My license number is 48302. I have been in the mental health field for 16 years. My first concern s building rapport and trust with clients. My approach is holistic and eclectic. I believe it is important to address the mind-body connection in mental health and I tailor my interventions to the individual needs of my clients thus taking an eclectic approach.
Hi, my name is Mary Baez, therapist. I am licensed in the state of California as a Marriage and Family. My license number is 48302. I have been in the mental health field for 16 years. My first concern s building rapport and trust with clients. My approach is holistic and eclectic. I believe it is important to address the mind-body connection in mental health and I tailor my interventions to the individual needs of my clients thus taking an eclectic approach.
(916) 299-6232 View (916) 299-6232
Photo of Nicole Vaccher, Marriage & Family Therapist in 95823, CA
Nicole Vaccher
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
Hi! My name is Nicole Vaccher and I am a Licensed Marriage and Family Therapist. For the past 5 years I have practiced therapy in a variety of settings with various clients accumulating multiple approaches to best serve my clients. For the past almost 2 years I have worked with first responders and their family's treating anxiety, depression, suicidal ideation, marital issues, divorce, family, PTSD, stress, and grief. I embrace Solution-Focused Therapy techniques and approaches in most of my sessions to provide my clients with goal setting that promotes healing progress.
Hi! My name is Nicole Vaccher and I am a Licensed Marriage and Family Therapist. For the past 5 years I have practiced therapy in a variety of settings with various clients accumulating multiple approaches to best serve my clients. For the past almost 2 years I have worked with first responders and their family's treating anxiety, depression, suicidal ideation, marital issues, divorce, family, PTSD, stress, and grief. I embrace Solution-Focused Therapy techniques and approaches in most of my sessions to provide my clients with goal setting that promotes healing progress.
(916) 226-9800 View (916) 226-9800
Photo of Christina Harner, Marriage & Family Therapist in 95823, CA
Christina Harner
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
Hi! I'm Christina Harner, a licensed marriage and family therapist. I'm also an active-duty military spouse and a veteran myself. believe therapy works for those that want to make change. I have worked extensively with couples dealing with domestic violence, cultural concerns, work-life balance, and military communities. I typically work with adults (over 18) that experience anxiety, depression, and stress due to relationship issues, work-life balance (or lack of), and family issues. As a parent (and one of 9 siblings) I relate well to the complex dynamics in merging family life and work life.
Hi! I'm Christina Harner, a licensed marriage and family therapist. I'm also an active-duty military spouse and a veteran myself. believe therapy works for those that want to make change. I have worked extensively with couples dealing with domestic violence, cultural concerns, work-life balance, and military communities. I typically work with adults (over 18) that experience anxiety, depression, and stress due to relationship issues, work-life balance (or lack of), and family issues. As a parent (and one of 9 siblings) I relate well to the complex dynamics in merging family life and work life.
(916) 252-5569 View (916) 252-5569
Photo of Eric Burns, Marriage & Family Therapist in 95823, CA
Eric Burns
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95823  (Online Only)
Your mental health is very important. Whether you are struggling with a new problem or one that has been on-going, an emotional problem or a bio-chemical one, or even relationship challenges, getting support can make a world of difference. Establishing a safe environment to talk and building a trusting relationship is essential in building a therapeutic relationship. I provide a warm and caring environment for you to trust and share intimate thoughts and feelings, including at times, conflicting thoughts, anxious feelings, depressed mood, traumatic events, etc.
Your mental health is very important. Whether you are struggling with a new problem or one that has been on-going, an emotional problem or a bio-chemical one, or even relationship challenges, getting support can make a world of difference. Establishing a safe environment to talk and building a trusting relationship is essential in building a therapeutic relationship. I provide a warm and caring environment for you to trust and share intimate thoughts and feelings, including at times, conflicting thoughts, anxious feelings, depressed mood, traumatic events, etc.
(916) 252-4151 View (916) 252-4151
Photo of Jay Lytton, Clinical Social Work/Therapist in 95823, CA
Jay Lytton
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
My name is Jay Lytton. I am a Licensed Clinical Social Worker (LCSW) in Woodland Hills, CA and I work with clients statewide via telehealth in California. I primarily work with adults and some of the areas I specialize in are anxiety, stress, and depression. My approach to therapy is both evidence-based and eclectic in nature. Every person has a unique set of experiences and I tailor my approach to your individual needs and goals. Some of the theoretical approaches I utilize include motivational interviewing, CBT, and other strength-based modalities.
My name is Jay Lytton. I am a Licensed Clinical Social Worker (LCSW) in Woodland Hills, CA and I work with clients statewide via telehealth in California. I primarily work with adults and some of the areas I specialize in are anxiety, stress, and depression. My approach to therapy is both evidence-based and eclectic in nature. Every person has a unique set of experiences and I tailor my approach to your individual needs and goals. Some of the theoretical approaches I utilize include motivational interviewing, CBT, and other strength-based modalities.
(916) 794-9347 View (916) 794-9347
Photo of Matthew Gahagan, Marriage & Family Therapist in 95823, CA
Matthew Gahagan
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
(916) 776-5358 View (916) 776-5358
Photo of Edgar Cervantes, Marriage & Family Therapist in 95823, CA
Edgar Cervantes
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
My name is Edgar Cervantes, I am a Licensed Marriage and Family Therapist. I have worked with diverse populations including 6 months old to 92 years old struggling with anxiety, depression, and drugs addiction. I have a multidimensional approach to work with my clients. However, I am more inclined to provide services from client center and DBT approach.
My name is Edgar Cervantes, I am a Licensed Marriage and Family Therapist. I have worked with diverse populations including 6 months old to 92 years old struggling with anxiety, depression, and drugs addiction. I have a multidimensional approach to work with my clients. However, I am more inclined to provide services from client center and DBT approach.
(916) 735-4608 View (916) 735-4608
Photo of Elizabeth Cappel-Rice, Licensed Professional Clinical Counselor in 95823, CA
Elizabeth Cappel-Rice
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Sacramento, CA 95823
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
(916) 439-8287 View (916) 439-8287
Photo of Jennifer Christeson, Clinical Social Work/Therapist in 95823, CA
Jennifer Christeson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
Allow me to be your guide as we work together to identify and harness your strengths, empowering you to achieve your personal, professional and relationship goals. Heal old wounds while you cultivate self compassion and create lasting change. I utilize an eclectic approach drawing from strength based, mindfulness based cognitive, solutions focused brief , and gottman couples therapies and have over 30 years experience working with individuals, couples and groups .
Allow me to be your guide as we work together to identify and harness your strengths, empowering you to achieve your personal, professional and relationship goals. Heal old wounds while you cultivate self compassion and create lasting change. I utilize an eclectic approach drawing from strength based, mindfulness based cognitive, solutions focused brief , and gottman couples therapies and have over 30 years experience working with individuals, couples and groups .
(916) 659-7812 View (916) 659-7812
Photo of Randall Freitas, Clinical Social Work/Therapist in 95823, CA
Randall Freitas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95823  (Online Only)
My name is Randall Freitas and I am a Licensed Clinical Social Worker (LCSW) in California. I have over ten years of experience and have worked with people from many ages and backgrounds successfully. Much of the work that I have done has been with clients that have experienced trauma. If you need a safe place to talk about stress, anxiety, anger management, past trauma, being a survivor of abuse and/or grief processing please reach out to me so that we can schedule an intake interview. I treat all clients with respect and dignity. I am an ally and member of the LGBTQIA+ community. I'm looking forward to speaking with you soon.
My name is Randall Freitas and I am a Licensed Clinical Social Worker (LCSW) in California. I have over ten years of experience and have worked with people from many ages and backgrounds successfully. Much of the work that I have done has been with clients that have experienced trauma. If you need a safe place to talk about stress, anxiety, anger management, past trauma, being a survivor of abuse and/or grief processing please reach out to me so that we can schedule an intake interview. I treat all clients with respect and dignity. I am an ally and member of the LGBTQIA+ community. I'm looking forward to speaking with you soon.
(916) 251-1458 View (916) 251-1458
Guneet Kaur
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823  (Online Only)
Highly motivated; willing to take responsibility for their life; prioritize therapy work; willing to be challenged; exploring gender identity, living authentically, self compassion; people who are wanting support with making changes in their life; transitions; boundaries + interdependence; relationships; practical coping skills;
Highly motivated; willing to take responsibility for their life; prioritize therapy work; willing to be challenged; exploring gender identity, living authentically, self compassion; people who are wanting support with making changes in their life; transitions; boundaries + interdependence; relationships; practical coping skills;
(916) 623-7489 View (916) 623-7489
Photo of Trudy Kammerer, Marriage & Family Therapist in 95823, CA
Trudy Kammerer
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95823
With over 10 years of expertise in multiple evidence-based practices, including CBT, DBT, ACT, psychodynamic, trauma-informed care, relational, mindfulness-based, and existential, I work with clients to build a toolbox to manage their mental health. I enjoy working with a diverse population with various mental health needs. My experience ranges from adolescent students to aging retired adults. I provide therapeutic services to address anxiety, depression, PTSD, ADHD, substance abuse, divorce, domestic violence, trauma, adjustment to major life events, loss, grief, communication skills, and interpersonal relationship issues.
With over 10 years of expertise in multiple evidence-based practices, including CBT, DBT, ACT, psychodynamic, trauma-informed care, relational, mindfulness-based, and existential, I work with clients to build a toolbox to manage their mental health. I enjoy working with a diverse population with various mental health needs. My experience ranges from adolescent students to aging retired adults. I provide therapeutic services to address anxiety, depression, PTSD, ADHD, substance abuse, divorce, domestic violence, trauma, adjustment to major life events, loss, grief, communication skills, and interpersonal relationship issues.
(916) 848-7387 View (916) 848-7387
Photo of Shannon Morgan, Clinical Social Work/Therapist in 95823, CA
Shannon Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
Greetings, I hope this message finds you well! My name is Shannon, I have been a Licensed Clinical Social Worker in California since 2012. I received my Master of Social Work degree from San Francisco State University. I have over 10 years of experience working with clients with a wide range of concerns including anxiety, relationship issues, parenting problems, and career challenges. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is culturally respectful/inclusive, reflective, empathic, and interactive. I believe in treating anyone with respect, sensitivity, and compassion.
Greetings, I hope this message finds you well! My name is Shannon, I have been a Licensed Clinical Social Worker in California since 2012. I received my Master of Social Work degree from San Francisco State University. I have over 10 years of experience working with clients with a wide range of concerns including anxiety, relationship issues, parenting problems, and career challenges. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is culturally respectful/inclusive, reflective, empathic, and interactive. I believe in treating anyone with respect, sensitivity, and compassion.
(916) 527-9523 View (916) 527-9523
Photo of Trava Goodwin, Clinical Social Work/Therapist in 95823, CA
Trava Goodwin
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
My name is Trava Goodwin and I am a Licensed Clinical Social Worker (LCSW) based in San Diego, CA, and I provide telehealth services statewide. I work with adults who have difficulty managing stress and coping, anxiety, depression, relationships, and adjusting to major life changes. I implement Cognitive Behavioral Therapy, Solution focused therapy, Strengths-based Therapy, Humanistic therapy, Compassion-Focused therapy, Motivational interviewing, Christian counseling, and/or coaching techniques to help improve my clients' quality of life.
My name is Trava Goodwin and I am a Licensed Clinical Social Worker (LCSW) based in San Diego, CA, and I provide telehealth services statewide. I work with adults who have difficulty managing stress and coping, anxiety, depression, relationships, and adjusting to major life changes. I implement Cognitive Behavioral Therapy, Solution focused therapy, Strengths-based Therapy, Humanistic therapy, Compassion-Focused therapy, Motivational interviewing, Christian counseling, and/or coaching techniques to help improve my clients' quality of life.
(916) 756-9251 View (916) 756-9251
Photo of Jason Owens, Counselor in 95823, CA
Jason Owens
Counselor, LPC
Verified Verified
Sacramento, CA 95823
My name is Jason Owens, and I'm looking forward to working with you. As a career mental health professional and educator, I bring over 20 years of experience-allowing a unique perspective to walk with you along the path toward your mental health, wellness, and life goals. Let's connect. All clients are welcome. My experience in the educational mental health field has allowed me to work with a huge variety of clients over the past 20+ years. My specialty is LGBTQIA+ counseling with clients of all ages.
My name is Jason Owens, and I'm looking forward to working with you. As a career mental health professional and educator, I bring over 20 years of experience-allowing a unique perspective to walk with you along the path toward your mental health, wellness, and life goals. Let's connect. All clients are welcome. My experience in the educational mental health field has allowed me to work with a huge variety of clients over the past 20+ years. My specialty is LGBTQIA+ counseling with clients of all ages.
(916) 252-1962 View (916) 252-1962
Photo of Anh Tran, Marriage & Family Therapist in 95823, CA
Anh Tran
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95823
Hello! My name is Anh Tran, Licensed Marriage and Family Therapist. I focus on connecting and building trust first and foremost, allowing each client to lead their treatment. Having a specialty in art therapy, I typically use art and creative modalities to support clients towards self reflection and deeper insight into themselves and discover their own wisdom throughout their treatment. I am a first generation Vietnamese-American woman of color who is passionate about dismantling the stigma around therapy, mental health, and empowering ourselves and communities to reconnect to our true self.
Hello! My name is Anh Tran, Licensed Marriage and Family Therapist. I focus on connecting and building trust first and foremost, allowing each client to lead their treatment. Having a specialty in art therapy, I typically use art and creative modalities to support clients towards self reflection and deeper insight into themselves and discover their own wisdom throughout their treatment. I am a first generation Vietnamese-American woman of color who is passionate about dismantling the stigma around therapy, mental health, and empowering ourselves and communities to reconnect to our true self.
(916) 634-1188 View (916) 634-1188
Photo of Nazanin Arkan, Marriage & Family Therapist in 95823, CA
Nazanin Arkan
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
My name is Nazanin Arkan, and I am Licensed Marriage and Family therapist with a master's in counseling psychology with over 9 years of experiences in the mental health field. I have experience working with adults with substance use challenges and high-functioning dual diagnosis patients. My treatment approach varies and is individualized as I use CBT, client centered, or mindfulness-based approach. Although my treatment approach varies, I firmly believe in the importance of getting to know the whole person and their uniqueness, and removing labels and judgments associated with them.
My name is Nazanin Arkan, and I am Licensed Marriage and Family therapist with a master's in counseling psychology with over 9 years of experiences in the mental health field. I have experience working with adults with substance use challenges and high-functioning dual diagnosis patients. My treatment approach varies and is individualized as I use CBT, client centered, or mindfulness-based approach. Although my treatment approach varies, I firmly believe in the importance of getting to know the whole person and their uniqueness, and removing labels and judgments associated with them.
(916) 999-1211 View (916) 999-1211
Photo of Felipe Amaya, Clinical Social Work/Therapist in 95823, CA
Felipe Amaya
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
My name is Felipe Amaya. I was born and raised in New Jersey from a family that immigrated to the U.S. from Colombia, South America. I was educated in Boston, but have spent the majority of my adult life in California. I am bilingual English/Spanish. In 2001, I received my Master's Degree in Social Work from California State University, Long Beach with a specialization in working with Older Adults and Families.
My name is Felipe Amaya. I was born and raised in New Jersey from a family that immigrated to the U.S. from Colombia, South America. I was educated in Boston, but have spent the majority of my adult life in California. I am bilingual English/Spanish. In 2001, I received my Master's Degree in Social Work from California State University, Long Beach with a specialization in working with Older Adults and Families.
(530) 444-6953 View (530) 444-6953

See more therapy options for 95823

How does your Therapist compare?

Number of Therapists in 95823

70+

Average cost per session

$150

Therapists in 95823 who prioritize treating:

91% Anxiety
89% Depression
82% Stress
76% Coping Skills
74% Self Esteem
70% Relationship Issues
65% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

78% Aetna
74% Cigna and Evernorth
74% MHN | Health Net

How Therapists in 95823 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 95823?

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.