Therapists in San Francisco, CA

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Photo of Julie A Wolfert, Psychologist in San Francisco, CA
Julie A Wolfert
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94123
I work collaboratively with patients in individual therapy and while conducting neuropsychological, psychodiagnostic, and psychoeducational assessments. I provide information regarding patients' limitations, capabilities, cognitive functioning and diagnostic considerations. My interests and experience have contributed to my specializing in diagnosing and treating neuropsychological and educational disabilities (including ADHD/ADD) as well as working with individuals experiencing mood, adjustment and anxiety disorders. I assist people in the development of academic, professional and personal skills and the building of confidence in order to support reaching their highest potential. I provide behavioral pain management and work with patients who are adjusting to various disabilities.
I work collaboratively with patients in individual therapy and while conducting neuropsychological, psychodiagnostic, and psychoeducational assessments. I provide information regarding patients' limitations, capabilities, cognitive functioning and diagnostic considerations. My interests and experience have contributed to my specializing in diagnosing and treating neuropsychological and educational disabilities (including ADHD/ADD) as well as working with individuals experiencing mood, adjustment and anxiety disorders. I assist people in the development of academic, professional and personal skills and the building of confidence in order to support reaching their highest potential. I provide behavioral pain management and work with patients who are adjusting to various disabilities.
(415) 935-4901 View (415) 935-4901
Photo of Matt Grundy, Marriage & Family Therapist Associate in San Francisco, CA
Matt Grundy
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
7 Endorsed
San Francisco, CA 94131
I primarily work with complex & developmental trauma, dissociation, anxiety and depression. I hold each of us as holistic beings, organisms coming from untold generations of survival, bodies that have found vital & creative ways to adapt & survive the environments of our pasts.
I primarily work with complex & developmental trauma, dissociation, anxiety and depression. I hold each of us as holistic beings, organisms coming from untold generations of survival, bodies that have found vital & creative ways to adapt & survive the environments of our pasts.
(415) 855-3617 View (415) 855-3617
Photo of Sophia Reinders, Marriage & Family Therapist in San Francisco, CA
Sophia Reinders
Marriage & Family Therapist, PhD, MFT, REAT
Verified Verified
6 Endorsed
San Francisco, CA 94118
Are you longing for healing, transformation or a more trusting sense of self and more fulfilling life? My approach to counseling and psychotherapy with individuals and couples is holistic, creative and embodied, within a framework of Jungian psychology and creative arts therapy. With 20 plus years of clinical experience, I welcome individuals and couples struggling with life transitions, relationships, family matters, career or low self-worth, or who suffer from anxiety, depression, loss and grieving, questions of meaning or their intimate sense of spirituality. Having grown up in France and Germany, I also enjoy working with those whose mother tongue is German or French.
Are you longing for healing, transformation or a more trusting sense of self and more fulfilling life? My approach to counseling and psychotherapy with individuals and couples is holistic, creative and embodied, within a framework of Jungian psychology and creative arts therapy. With 20 plus years of clinical experience, I welcome individuals and couples struggling with life transitions, relationships, family matters, career or low self-worth, or who suffer from anxiety, depression, loss and grieving, questions of meaning or their intimate sense of spirituality. Having grown up in France and Germany, I also enjoy working with those whose mother tongue is German or French.
(415) 968-2450 View (415) 968-2450
Photo of Dan Zuiches MBA PhD, Psychologist in San Francisco, CA
Dan Zuiches MBA PhD
Psychologist, PhD, MBA
Verified Verified
San Francisco, CA 94102  (Online Only)
I work with high-functioning professionals whose stressful lives are causing relationship issues, depression, or anxiety. Whether you're employee number 4 or 4,000 in your organization, if you want a therapist who is straightforward and practical to help you better manage your life, I would like to help. By talking things through with an expert you can get a better handle on your difficulties, and realize your potential.
I work with high-functioning professionals whose stressful lives are causing relationship issues, depression, or anxiety. Whether you're employee number 4 or 4,000 in your organization, if you want a therapist who is straightforward and practical to help you better manage your life, I would like to help. By talking things through with an expert you can get a better handle on your difficulties, and realize your potential.
(415) 488-8372 View (415) 488-8372
Photo of Yotam Heineberg, Psychologist in San Francisco, CA
Yotam Heineberg
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94110
I offer online video sessions as well as in-person psychotherapy sessions. I offer heart and science-based psychotherapy to growth-oriented individuals interested in deepening their capacity for resilience, coping with life’s challenges, care, connection, and meaning. Sessions are offered in person, or online via video chat. Counseling and coaching services are all informed by evidence-based psychotherapy perspectives, emphasizing primarily Compassion-Focused Therapy and related perspectives. Furthermore, I also offer psychotherapy in Hebrew.
I offer online video sessions as well as in-person psychotherapy sessions. I offer heart and science-based psychotherapy to growth-oriented individuals interested in deepening their capacity for resilience, coping with life’s challenges, care, connection, and meaning. Sessions are offered in person, or online via video chat. Counseling and coaching services are all informed by evidence-based psychotherapy perspectives, emphasizing primarily Compassion-Focused Therapy and related perspectives. Furthermore, I also offer psychotherapy in Hebrew.
(415) 901-5764 View (415) 901-5764
Photo of Alexis Bibler, Marriage & Family Therapist Associate in San Francisco, CA
Alexis Bibler
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
Congratulations on starting your therapy journey and taking charge of your mental health! I create a safe and encouraging space for adults and couples to process difficult experiences and emotions, navigate relational challenges, and get in touch with their authentic selves. I am a client-centered therapist and strive to meet you where you are on any given day. I offer a collaborative and empathetic approach so you can feel supported as you navigate life's challenges and reach your personal goals.
Congratulations on starting your therapy journey and taking charge of your mental health! I create a safe and encouraging space for adults and couples to process difficult experiences and emotions, navigate relational challenges, and get in touch with their authentic selves. I am a client-centered therapist and strive to meet you where you are on any given day. I offer a collaborative and empathetic approach so you can feel supported as you navigate life's challenges and reach your personal goals.
(415) 599-8630 View (415) 599-8630
Photo of Rachel Brandwene, Clinical Social Work/Therapist in San Francisco, CA
Rachel Brandwene
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
San Francisco, CA 94122  (Online Only)
Anxiety and stress can leave us feeling shattered, disconnected, and out of touch with our authentic selves. The constant overwhelm, isolation from misunderstood friends, and struggle to establish and uphold boundaries can be exhausting. It's possible you can't even recall a time when you didn't feel this way. But here's what's clear: you're craving relief. You're eager to cultivate fulfilling relationships free from the grip of the past. You're determined to regain confidence in asserting your needs. Above all, you're ready to rekindle self-love and embrace the future with renewed hope.
Anxiety and stress can leave us feeling shattered, disconnected, and out of touch with our authentic selves. The constant overwhelm, isolation from misunderstood friends, and struggle to establish and uphold boundaries can be exhausting. It's possible you can't even recall a time when you didn't feel this way. But here's what's clear: you're craving relief. You're eager to cultivate fulfilling relationships free from the grip of the past. You're determined to regain confidence in asserting your needs. Above all, you're ready to rekindle self-love and embrace the future with renewed hope.
(628) 203-1058 View (628) 203-1058
Photo of Alissa DiFranco, Marriage & Family Therapist in San Francisco, CA
Alissa DiFranco
Marriage & Family Therapist, MFT, CFRC
Verified Verified
San Francisco, CA 94131  (Online Only)
My style of working is thoughtful and direct. I am committed to helping people discover and enhance their emotional capacity in order to create more satisfying lives. Through the transformative experience of being deeply understood by another in an authentic, safe and honest relationship, people can transform destructive patterns into more satisfying expressions of self.
My style of working is thoughtful and direct. I am committed to helping people discover and enhance their emotional capacity in order to create more satisfying lives. Through the transformative experience of being deeply understood by another in an authentic, safe and honest relationship, people can transform destructive patterns into more satisfying expressions of self.
(415) 237-4360 View (415) 237-4360
Photo of Clarisse V Lula, Marriage & Family Therapist in San Francisco, CA
Clarisse V Lula
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94115
Life can present us with challenges we're not prepared for. Underlying issues can make it difficult to cope resulting in difficult moods -- anger or irritability, overwhelm, depression or anxiety, sadness, grief. Other reasons for therapy include relationship troubles (e.g., romantic, family, friends), unresolved trauma, demanding life transitions, stubborn self-defeating patterns, and low self-esteem undermining your life. Psychotherapy can help you move proactively through these challenges with better outcomes and more confidence.
Life can present us with challenges we're not prepared for. Underlying issues can make it difficult to cope resulting in difficult moods -- anger or irritability, overwhelm, depression or anxiety, sadness, grief. Other reasons for therapy include relationship troubles (e.g., romantic, family, friends), unresolved trauma, demanding life transitions, stubborn self-defeating patterns, and low self-esteem undermining your life. Psychotherapy can help you move proactively through these challenges with better outcomes and more confidence.
(415) 446-1953 View (415) 446-1953
Photo of Helen Chuong Brody, Marriage & Family Therapist in San Francisco, CA
Helen Chuong Brody
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94115
I bring compassion, curiosity and extensive experience to help clients who may be stuck in repetitive patterns or struggles, or facing unexpected challenges. If you are at a loss for what to do or how to feel better, we can work together to understand what brings you to therapy, relieve distress and develop resilience to help you move forward. My style is warm, collaborative, and grounded in effective practices that calm anxiety, strengthen relationships and foster communication, connection and empathy. I create a safe and nonjudgmental space to attune and meet clients where they are every step of the way.
I bring compassion, curiosity and extensive experience to help clients who may be stuck in repetitive patterns or struggles, or facing unexpected challenges. If you are at a loss for what to do or how to feel better, we can work together to understand what brings you to therapy, relieve distress and develop resilience to help you move forward. My style is warm, collaborative, and grounded in effective practices that calm anxiety, strengthen relationships and foster communication, connection and empathy. I create a safe and nonjudgmental space to attune and meet clients where they are every step of the way.
(415) 304-8799 View (415) 304-8799
Photo of Joslyn Baxter, Psychologist in San Francisco, CA
Joslyn Baxter
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115
When we are able to maintain stability, we trust ourself and others. However it can be difficult to feel this, as we carry barriers that stand in the way. A lack of safety, overwhelm, and lasting effects of a painful past often leave us feeling misunderstood, fearful, unsure, and in pain. But, it is possible to discover the reasons behind such feelings, and how past and present day experiences are complicating life, causing confusion and pain, and holding us back. Together we will explore, gain understanding, and develop trust.
When we are able to maintain stability, we trust ourself and others. However it can be difficult to feel this, as we carry barriers that stand in the way. A lack of safety, overwhelm, and lasting effects of a painful past often leave us feeling misunderstood, fearful, unsure, and in pain. But, it is possible to discover the reasons behind such feelings, and how past and present day experiences are complicating life, causing confusion and pain, and holding us back. Together we will explore, gain understanding, and develop trust.
(415) 625-9801 View (415) 625-9801
Photo of Veronica Ghabour, Counselor in San Francisco, CA
Veronica Ghabour
Counselor, APCC
Verified Verified
San Francisco, CA 94114
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
(415) 936-8843 View (415) 936-8843
Photo of Nika Ayat, Marriage & Family Therapist in San Francisco, CA
Nika Ayat
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94102
I work with passionate people who deeply want to feel connected and loved, but find themselves hurting in relationships. My clients come from backgrounds where they weren’t taught healthy relationship skills, and they realize they're stuck in patterns they want to change, such as self-judgment or blame, self-sabotage, avoidance, relational anxiety, codependency, or abuse. My mindset is everyone is doing the best they can with what they know. With a curious mind and multicultural lens, I help make meaning of your experiences, shed light on what exists outside your awareness, and help you learn new ways of feeling connected and loved.
I work with passionate people who deeply want to feel connected and loved, but find themselves hurting in relationships. My clients come from backgrounds where they weren’t taught healthy relationship skills, and they realize they're stuck in patterns they want to change, such as self-judgment or blame, self-sabotage, avoidance, relational anxiety, codependency, or abuse. My mindset is everyone is doing the best they can with what they know. With a curious mind and multicultural lens, I help make meaning of your experiences, shed light on what exists outside your awareness, and help you learn new ways of feeling connected and loved.
(415) 914-9238 View (415) 914-9238
Photo of Jessica Lizardo, Clinical Social Work/Therapist in San Francisco, CA
Jessica Lizardo
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
When our lives are disrupted by change, trauma or high stress, and we feel forced out of our comfort zones, it can feel frightening, like we’ve lost control and our sense of purpose. For some, it may bring the feeling of disconnection to who we are at our core to who we’d like to become. We might even feel a loss of connection to our body and sense of community. The struggle and path to healing can feel like a lonely journey, and it also doesn’t have to be. My approach is to co-create a space with each individual that feels safe and welcoming to come as they are to discover new ways of living with more ease and reconnect to joy.
(415) 792-0331 View (415) 792-0331
Photo of Cecille Basila, Marriage & Family Therapist in San Francisco, CA
Cecille Basila
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94116  (Online Only)
My intention is to empower you with tools for healing, change, and personal fulfillment. I provide a holistic approach that combines ancient traditions with evidenced based practices. I believe everyone has the wisdom with in themselves to know what is needed for healing and transformation. Courageously accepting an invitation to explore your unique path in this human experience can expand your view in seeing all the different ways you can show up for life.
My intention is to empower you with tools for healing, change, and personal fulfillment. I provide a holistic approach that combines ancient traditions with evidenced based practices. I believe everyone has the wisdom with in themselves to know what is needed for healing and transformation. Courageously accepting an invitation to explore your unique path in this human experience can expand your view in seeing all the different ways you can show up for life.
(415) 818-0213 View (415) 818-0213
Photo of Nata Bolsheva in San Francisco, CA
Nata Bolsheva
PhD, FNCCCE, FNCPC, FABFEI, CFC
Verified Verified
San Francisco, CA 94118
Travel throughout US and Canada. In Home Visit. Telecommunication though SKYPE, ZOOM, DOXY. Artemis-Forensic Expert Services Center, based in San Francisco, and serving Bay Area, has helped many people who need assistance with issues concerning their well being for many years. We could help to coordinate parenting - a child-focused alternative dispute resolution process to assists high conflict parents to implement their parenting plan by facilitating the resolution of their disputes in a timely manner, educating parents about children’s needs, and with prior approval of the parties and/or the court.
Travel throughout US and Canada. In Home Visit. Telecommunication though SKYPE, ZOOM, DOXY. Artemis-Forensic Expert Services Center, based in San Francisco, and serving Bay Area, has helped many people who need assistance with issues concerning their well being for many years. We could help to coordinate parenting - a child-focused alternative dispute resolution process to assists high conflict parents to implement their parenting plan by facilitating the resolution of their disputes in a timely manner, educating parents about children’s needs, and with prior approval of the parties and/or the court.
(628) 600-1694 View (628) 600-1694
Photo of Dante Altamirano, Marriage & Family Therapist Associate in San Francisco, CA
Dante Altamirano
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
3 Endorsed
San Francisco, CA 94109
Everyone deserves a safe pace. I'm here to meet you where you’re at and reach the goals that are important to you. Let’s talk and figure out what your next journey looks like.
Everyone deserves a safe pace. I'm here to meet you where you’re at and reach the goals that are important to you. Let’s talk and figure out what your next journey looks like.
(628) 215-4807 View (628) 215-4807
Photo of Jenna Kemp, Marriage & Family Therapist in San Francisco, CA
Jenna Kemp
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94118
Hi! I am Jenna. I’m a Licensed Marriage and Family Therapist based in San Francisco. I meet with clients online, so if you are located anywhere in California, we can work together. I believe that therapy is a collaborative process of honoring each individual's unique experience to foster growth, healing, and change. I provide a safe, authentic, confidential, judgment-free environment. I draw from a Cognitive Behavioral and Client-Centered approach, believing that the client is an expert on their life. My approach is collaborative, genuine, caring, and directive.
Hi! I am Jenna. I’m a Licensed Marriage and Family Therapist based in San Francisco. I meet with clients online, so if you are located anywhere in California, we can work together. I believe that therapy is a collaborative process of honoring each individual's unique experience to foster growth, healing, and change. I provide a safe, authentic, confidential, judgment-free environment. I draw from a Cognitive Behavioral and Client-Centered approach, believing that the client is an expert on their life. My approach is collaborative, genuine, caring, and directive.
(415) 862-8186 View (415) 862-8186
Photo of Daniel J. Kugler, Marriage & Family Therapist in San Francisco, CA
Daniel J. Kugler
Marriage & Family Therapist, STD, MFT
Verified Verified
San Francisco, CA 94109
Not accepting new clients
I am a compassionate and practical therapist with many years of experience. I work with people having relationship problems, anxiety, depression, job difficulties or life transitions. My treatment focuses on problem-solving in the here and now, short term or long term. I offer reasonable fees and evening appointments.
I am a compassionate and practical therapist with many years of experience. I work with people having relationship problems, anxiety, depression, job difficulties or life transitions. My treatment focuses on problem-solving in the here and now, short term or long term. I offer reasonable fees and evening appointments.
(650) 385-8227 View (650) 385-8227
Photo of Pamela Lopez, Clinical Social Work/Therapist in San Francisco, CA
Pamela Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94117
We are currently surviving, learning to navigate our lives during a health crisis. With such a fast pace, I deeply believe therapy provides us the container to check in with ourselves and find that moment to catch up. I invite you to give yourself the gift of three deep breaths - inhale deeply and exhale slowly letting something go repeat another two times. No matter what brings you into therapy, I aim to create a safe space alongside you. Every person is an expert on their own lives and I am here to simply help as WE discover and learn the tools to live a life that feels most authentic to YOU.
We are currently surviving, learning to navigate our lives during a health crisis. With such a fast pace, I deeply believe therapy provides us the container to check in with ourselves and find that moment to catch up. I invite you to give yourself the gift of three deep breaths - inhale deeply and exhale slowly letting something go repeat another two times. No matter what brings you into therapy, I aim to create a safe space alongside you. Every person is an expert on their own lives and I am here to simply help as WE discover and learn the tools to live a life that feels most authentic to YOU.
(415) 366-3970 View (415) 366-3970

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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