Therapists in San Antonio, TX

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Photo of Susana Castillo, Licensed Professional Counselor in San Antonio, TX
Susana Castillo
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
San Antonio, TX 78227  (Online Only)
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
(210) 706-0567 View (210) 706-0567
Photo of Ashley Moïse in San Antonio, TX
Ashley Moïse
MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78254  (Online Only)
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
(210) 672-1451 View (210) 672-1451
Photo of Michael Allen Kent, Licensed Professional Counselor in San Antonio, TX
Michael Allen Kent
Licensed Professional Counselor, MA
Verified Verified
San Antonio, TX 78250  (Online Only)
Another night of distancing from your partner. Loneliness sets in and produces such an insecure feeling. Out of this arises resentment, emotional numbness, and feeling of being neglected. So many difficult emotions to process and the sense of being overwhelmed leads to criticism, shouting matches and conflict that seems to have no resolution. Your stomach is in knots, brain fog sets in and depression is the icing on the cake that produces a lack of desire that leaves you wondering if your marriage is over. Such a deep feeling of being overwhelmed seems unfixable. But there is hope and your relationship can flourish!
Another night of distancing from your partner. Loneliness sets in and produces such an insecure feeling. Out of this arises resentment, emotional numbness, and feeling of being neglected. So many difficult emotions to process and the sense of being overwhelmed leads to criticism, shouting matches and conflict that seems to have no resolution. Your stomach is in knots, brain fog sets in and depression is the icing on the cake that produces a lack of desire that leaves you wondering if your marriage is over. Such a deep feeling of being overwhelmed seems unfixable. But there is hope and your relationship can flourish!
(210) 405-2281 x838 View (210) 405-2281 x838
Photo of Rocketa Grace Naron, Marriage & Family Therapist in San Antonio, TX
Rocketa Grace Naron
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78258
I see both therapy and coaching as personal training for the psyche. My ideal client is one that is motivated to talk and work with me to develop deeper understandings of themselves and others and create positive changes within themselves and the systems within which they interact. I am also very excited to have added dating coaching to my list of services offered and would love to discuss with you all that dating coaching is and all that it can potentially do for you! Recently added Generating Possibility, Together! to the practice, check out this great group!
I see both therapy and coaching as personal training for the psyche. My ideal client is one that is motivated to talk and work with me to develop deeper understandings of themselves and others and create positive changes within themselves and the systems within which they interact. I am also very excited to have added dating coaching to my list of services offered and would love to discuss with you all that dating coaching is and all that it can potentially do for you! Recently added Generating Possibility, Together! to the practice, check out this great group!
(210) 526-0660 View (210) 526-0660
Photo of Amanda Reyes, Clinical Social Work/Therapist in San Antonio, TX
Amanda Reyes
Clinical Social Work/Therapist, LCSW, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78230
Hello! I am a Licensed Clinical Social Worker here to help you navigate emotional hardships and invest in your mental health and well-being.
Hello! I am a Licensed Clinical Social Worker here to help you navigate emotional hardships and invest in your mental health and well-being.
(210) 972-6884 View (210) 972-6884
Photo of Bettsie Elyn Specia, Clinical Social Work/Therapist in San Antonio, TX
Bettsie Elyn Specia
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78209
I am a genuine listener who engages others by getting to know them, while exploring needs and goals. I believe that problem-solving begins with discovery of our inner strengths which can be used to foster healing and growth. As one begins to identify these resources and learns to use them, she/he is empowered to make changes and gain understanding about self and others previously thought impossible. While work in therapy can be difficult at times, it does not always have to be "serious business". Many people do not know how to have fun and learning this skill is always healing.
I am a genuine listener who engages others by getting to know them, while exploring needs and goals. I believe that problem-solving begins with discovery of our inner strengths which can be used to foster healing and growth. As one begins to identify these resources and learns to use them, she/he is empowered to make changes and gain understanding about self and others previously thought impossible. While work in therapy can be difficult at times, it does not always have to be "serious business". Many people do not know how to have fun and learning this skill is always healing.
(210) 255-2069 View (210) 255-2069
Photo of Bonnie N Valles, Licensed Master Social Worker in San Antonio, TX
Bonnie N Valles
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
San Antonio, TX 78258
Bonnie is well versed in mental health and addiction giving her the experience to work in dual diagnosis environment. Her experience is diverse, and includes working with Veterans, children/adolescents, school settings, families and couples, as well as with the courts as a Liaison and an evaluator.
Bonnie is well versed in mental health and addiction giving her the experience to work in dual diagnosis environment. Her experience is diverse, and includes working with Veterans, children/adolescents, school settings, families and couples, as well as with the courts as a Liaison and an evaluator.
(210) 405-7658 View (210) 405-7658
Photo of Anthony James Washington, Licensed Professional Counselor in San Antonio, TX
Anthony James Washington
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78253
Not accepting new clients
The struggles that we deal with on a daily basis can be a heavy enough burden to carry, and when we compound these with life transitions, or any other past trauma, it can be completely overwhelming. Stressors at home with family or loved ones, difficulties at school, challenges at work, or life transitions are difficult to navigate, and sometimes we may benefit from seeking help professionally. I'm here to help.
The struggles that we deal with on a daily basis can be a heavy enough burden to carry, and when we compound these with life transitions, or any other past trauma, it can be completely overwhelming. Stressors at home with family or loved ones, difficulties at school, challenges at work, or life transitions are difficult to navigate, and sometimes we may benefit from seeking help professionally. I'm here to help.
(210) 762-4717 View (210) 762-4717
Photo of Anne Tuttle, Clinical Social Work/Therapist in San Antonio, TX
Anne Tuttle
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
San Antonio, TX 78216  (Online Only)
While reaching out for help can feel scary, please know that in therapy you have a lot of control and I work hard to help you feel safe. My clients often prefer the flexibility that video visits offer. Typically my clients are living stressful lives, may have a history of trauma, or be feeling overwhelmed. In particular, I'm experienced in working with people living with anxiety, depression, OCD, past trauma, people in recovery, caregivers and healthcare workers. Everyone is different, and I prefer to shape how we work together based on your individual needs and goals. I see clients virtually in both Texas and New Hampshire.
While reaching out for help can feel scary, please know that in therapy you have a lot of control and I work hard to help you feel safe. My clients often prefer the flexibility that video visits offer. Typically my clients are living stressful lives, may have a history of trauma, or be feeling overwhelmed. In particular, I'm experienced in working with people living with anxiety, depression, OCD, past trauma, people in recovery, caregivers and healthcare workers. Everyone is different, and I prefer to shape how we work together based on your individual needs and goals. I see clients virtually in both Texas and New Hampshire.
(210) 405-9560 View (210) 405-9560
Photo of Tiffany Johnson, Licensed Professional Counselor in San Antonio, TX
Tiffany Johnson
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78232  (Online Only)
Greetings! My name is Tiffany Johnson and I am a Licensed Professional Counselor. Healing is a journey not a destination. Taking one step towards therapeutic support shows your commitment to your personal healing journey. I am here to support your mental health. I build therapeutic alliance with clients from 3-100 to help them work through various emotions, set short and long term goals, while working together towards positive outcomes. I have 12 years of School Counseling experience ranging from elementary, middle, to high school. I have 21 years of experience working in Pre-K through 12th grade education.
Greetings! My name is Tiffany Johnson and I am a Licensed Professional Counselor. Healing is a journey not a destination. Taking one step towards therapeutic support shows your commitment to your personal healing journey. I am here to support your mental health. I build therapeutic alliance with clients from 3-100 to help them work through various emotions, set short and long term goals, while working together towards positive outcomes. I have 12 years of School Counseling experience ranging from elementary, middle, to high school. I have 21 years of experience working in Pre-K through 12th grade education.
(210) 774-6841 View (210) 774-6841
Micaela Brewer
Clinical Social Work/Therapist
Verified Verified
San Antonio, TX 78252  (Online Only)
Hello, I'm Micaela Brewer a licensed clinical social worker dedicated to guiding individuals on their journey to mental well-being. With 14 of experience, I bring a warm and empathetic approach to therapy. My mission is to create a safe space where you can explore challenges, discover strengths, and cultivate resilience.
Hello, I'm Micaela Brewer a licensed clinical social worker dedicated to guiding individuals on their journey to mental well-being. With 14 of experience, I bring a warm and empathetic approach to therapy. My mission is to create a safe space where you can explore challenges, discover strengths, and cultivate resilience.
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Photo of Nelly Vela, Licensed Professional Counselor Associate in San Antonio, TX
Nelly Vela
Licensed Professional Counselor Associate, MEd, NCC, LPC A
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
(210) 549-7793 View (210) 549-7793
Photo of Dawn Fey Hedgepeth, Clinical Social Work/Therapist in San Antonio, TX
Dawn Fey Hedgepeth
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78213
As a clinical therapist with 25 years of experience working with teens and adults, I believe that connection, joy, curiosity and hope are essential for a meaningful and fulfilling life. My approach to therapy is collaborative and I am passionate about helping my clients achieve their goals and live their best lives. I specialize in working with anxiety, depression, and trauma. I understand that these challenges can be overwhelming and isolating, You are not alone, and there is hope for a better future. I would be honored to partner with you on your journey to healing.
As a clinical therapist with 25 years of experience working with teens and adults, I believe that connection, joy, curiosity and hope are essential for a meaningful and fulfilling life. My approach to therapy is collaborative and I am passionate about helping my clients achieve their goals and live their best lives. I specialize in working with anxiety, depression, and trauma. I understand that these challenges can be overwhelming and isolating, You are not alone, and there is hope for a better future. I would be honored to partner with you on your journey to healing.
(210) 985-8349 View (210) 985-8349
Photo of Transform & Renew, PLLC, Licensed Professional Counselor in San Antonio, TX
Transform & Renew, PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78230
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self , obsessions, or trauma that affects your day-to-day life, ability to function, and relationships? Do you feel numb, exhausted, anxious, overwhelmed or lost by just getting through the day, or just meeting the demands of your work or home? Do you hope that your relationships were improved? Now more than ever, people are feeling anxiousness and uncertain about their relationships, their well-being, and finding themselves after trauma. There is hope and support to go from stuck to unstuck. You can transform your life with our help.
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self , obsessions, or trauma that affects your day-to-day life, ability to function, and relationships? Do you feel numb, exhausted, anxious, overwhelmed or lost by just getting through the day, or just meeting the demands of your work or home? Do you hope that your relationships were improved? Now more than ever, people are feeling anxiousness and uncertain about their relationships, their well-being, and finding themselves after trauma. There is hope and support to go from stuck to unstuck. You can transform your life with our help.
(210) 348-3564 View (210) 348-3564
Photo of Kimberly Dunlap, Licensed Professional Counselor in San Antonio, TX
Kimberly Dunlap
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78232
You are not alone! When trying to cope with life’s ups and downs it can be helpful to seek counsel from one who can remain objective. As a Licensed Professional Counselor I work to facilitate: marriage *relationships * personal growth * life transitions * grief/loss * mental health diagnosis * substance abuse recovery * parenting the special needs child
You are not alone! When trying to cope with life’s ups and downs it can be helpful to seek counsel from one who can remain objective. As a Licensed Professional Counselor I work to facilitate: marriage *relationships * personal growth * life transitions * grief/loss * mental health diagnosis * substance abuse recovery * parenting the special needs child
(210) 742-5092 View (210) 742-5092
Photo of Sara Hamilton, Psychologist in San Antonio, TX
Sara Hamilton
Psychologist, PsyD
Verified Verified
San Antonio, TX 78240
Do you frequently ask yourself "Why do I keep doing this?!" If so, we are likely to be a good fit. I seek to help my clients better understand their emotional needs and respond to them in healthy ways so that they feel better at work, at play, in relationships, and in their own skin. My particular interest is with those seeking to lose weight, and working with those clients from a Health At Every Size perspective. After working with hundreds of weight loss surgery clients, I have a unique understanding among mental health professionals of the challenges that come before and after bariatric surgery.
Do you frequently ask yourself "Why do I keep doing this?!" If so, we are likely to be a good fit. I seek to help my clients better understand their emotional needs and respond to them in healthy ways so that they feel better at work, at play, in relationships, and in their own skin. My particular interest is with those seeking to lose weight, and working with those clients from a Health At Every Size perspective. After working with hundreds of weight loss surgery clients, I have a unique understanding among mental health professionals of the challenges that come before and after bariatric surgery.
(830) 448-2056 View (830) 448-2056
Photo of Laura Duran, Licensed Professional Counselor in San Antonio, TX
Laura Duran
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78209  (Online Only)
Do you find yourself struggling with depression, anxiety, issues around self-worth, or difficulty navigating life transitions, despite appearing successful and driven in your professional life? As a therapist, I specialize in working with individuals who are ready to tackle their emotional challenges and improve their overall well-being. My clients are ready to make positive changes in their lives and leave behind patterns of feeling stuck or overwhelmed. They're eager to find a balance between success and happiness, and they're seeking a safe and affirming space to do so.
Do you find yourself struggling with depression, anxiety, issues around self-worth, or difficulty navigating life transitions, despite appearing successful and driven in your professional life? As a therapist, I specialize in working with individuals who are ready to tackle their emotional challenges and improve their overall well-being. My clients are ready to make positive changes in their lives and leave behind patterns of feeling stuck or overwhelmed. They're eager to find a balance between success and happiness, and they're seeking a safe and affirming space to do so.
(432) 888-9109 View (432) 888-9109
Photo of Kyle R Keller, Licensed Professional Counselor in San Antonio, TX
Kyle R Keller
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78258
Do you find yourself reliving unpleasant memories from your past? These could be situations of childhood abuse/neglect, the horrors of war, or single traumatic events (such as car accidents, assaults, or any situations in which your life or the life of a loved one was threatened). If this is the case, you might have Post Traumatic Stress Disorder, which is common in civilian and military populations. THE GOOD NEWS IS THERE IS A SOLUTION. There is a powerful therapy called EMDR which has proven to be effective with not only PTSD, but also many other mental health disorders, because more often than not, trauma is the core issue.
Do you find yourself reliving unpleasant memories from your past? These could be situations of childhood abuse/neglect, the horrors of war, or single traumatic events (such as car accidents, assaults, or any situations in which your life or the life of a loved one was threatened). If this is the case, you might have Post Traumatic Stress Disorder, which is common in civilian and military populations. THE GOOD NEWS IS THERE IS A SOLUTION. There is a powerful therapy called EMDR which has proven to be effective with not only PTSD, but also many other mental health disorders, because more often than not, trauma is the core issue.
(210) 899-0734 x5 View (210) 899-0734 x5
Photo of Melissa Venegas (Specializing In Life Transitions), LPC-Associate in San Antonio, TX
Melissa Venegas (Specializing In Life Transitions)
LPC-Associate, MA
Verified Verified
San Antonio, TX 78250  (Online Only)
Moving from one environment to a new one physically, mentally, emotionally or all at once can be overwhelming to say the least! Going from a dual income household to being a single parent, moving locations, adapting to new communities, converting religions or making career changes? Leaving a life you knew behind and jumping into your new one takes a lot of adjusting. You are not alone, I am here to support you in your journey with Mental Wellness. Prioritizing time for your Mental Health will help navigate and allow you to adapt appropriately to your circumstance
Moving from one environment to a new one physically, mentally, emotionally or all at once can be overwhelming to say the least! Going from a dual income household to being a single parent, moving locations, adapting to new communities, converting religions or making career changes? Leaving a life you knew behind and jumping into your new one takes a lot of adjusting. You are not alone, I am here to support you in your journey with Mental Wellness. Prioritizing time for your Mental Health will help navigate and allow you to adapt appropriately to your circumstance
(210) 239-1780 View (210) 239-1780
Photo of Lauretta Akpoyoware, Licensed Professional Counselor in San Antonio, TX
Lauretta Akpoyoware
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78247
My goal as your therapist is to guide you to identify your inner strengths during the therapeutic relationship. I specialize in everyday life problems, mood disorders, depression, anxiety, self-esteem, addiction and adjustment issues. I have experience working with people from all walks of life, and assisting individual clients, couples and families experiencing relationship issues. I currently provide individual therapy services to clients experiencing suicidal thoughts, mental health, substance abuse, and PTSD utilizing a client centered, solution focused approach to assist clients in therapy.
My goal as your therapist is to guide you to identify your inner strengths during the therapeutic relationship. I specialize in everyday life problems, mood disorders, depression, anxiety, self-esteem, addiction and adjustment issues. I have experience working with people from all walks of life, and assisting individual clients, couples and families experiencing relationship issues. I currently provide individual therapy services to clients experiencing suicidal thoughts, mental health, substance abuse, and PTSD utilizing a client centered, solution focused approach to assist clients in therapy.
(210) 981-6738 View (210) 981-6738

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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