Therapists in San Francisco, CA

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Photo of Sean Monsarrat, Marriage & Family Therapist in San Francisco, CA
Sean Monsarrat
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94131  (Online Only)
It is natural to encounter challenges beyond our understanding and ability to manage that induce stress, anxiety and depression. We may have reached a puzzling crossroads in life, we may be in conflict with ourselves and others, or we may want more harmony and direction in our lives. We may have been deeply wounded or traumatized in childhood. Sometimes all we know is we feel anxious, depressed, or something is missing or wrong. Psychotherapy offers powerful approaches to these issues, and the transformation we seek comes naturally from a genuine, healthy human relationship with a skilled, compassionate psychotherapist.
It is natural to encounter challenges beyond our understanding and ability to manage that induce stress, anxiety and depression. We may have reached a puzzling crossroads in life, we may be in conflict with ourselves and others, or we may want more harmony and direction in our lives. We may have been deeply wounded or traumatized in childhood. Sometimes all we know is we feel anxious, depressed, or something is missing or wrong. Psychotherapy offers powerful approaches to these issues, and the transformation we seek comes naturally from a genuine, healthy human relationship with a skilled, compassionate psychotherapist.
(415) 997-2909 View (415) 997-2909
Photo of Elizabeth Lebrun- Arrow Psychotherapy, Registered Psychological Associate in San Francisco, CA
Elizabeth Lebrun- Arrow Psychotherapy
Registered Psychological Associate, PsyD
Verified Verified
San Francisco, CA 94131
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
(415) 360-0413 View (415) 360-0413
Photo of Randi-Marie Owens, Marriage & Family Therapist in San Francisco, CA
Randi-Marie Owens
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102
Randi-Marie Owens is a Licensed Marriage and Family Therapist in California who started practicing in 2018. She has a Bachelor's Degree in Psychology and a Master's Degree in Psychology from Brandman University. Randi-Marie believes in guiding others to increase happiness and meet their mental health goals through an authentic therapeutic relationship, education, and skill building. In her spare time, Randi-Marie enjoys riding motorcycles, cooking, baking, and working out.
Randi-Marie Owens is a Licensed Marriage and Family Therapist in California who started practicing in 2018. She has a Bachelor's Degree in Psychology and a Master's Degree in Psychology from Brandman University. Randi-Marie believes in guiding others to increase happiness and meet their mental health goals through an authentic therapeutic relationship, education, and skill building. In her spare time, Randi-Marie enjoys riding motorcycles, cooking, baking, and working out.
(628) 345-8546 View (628) 345-8546
Photo of Shira Appell, Marriage & Family Therapist in San Francisco, CA
Shira Appell
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94123
Do you feel like you aren't good enough? Do you struggle with issues of self esteem or self worth? Do you want to explore mind-body connection & the way stress or emotional pain lives in our bodies? If these are themes for you or in your relationships, then perhaps we might work well together. I center my work around self compassion. Only from a place of self kindness can we feel grounded within ourselves to develop a compassionate relationship with others around us. I use mindfulness and somatic body oriented work in order to help us connect deeper with our self, our inner knowing and to be able to cultivate trust with ourselves.
Do you feel like you aren't good enough? Do you struggle with issues of self esteem or self worth? Do you want to explore mind-body connection & the way stress or emotional pain lives in our bodies? If these are themes for you or in your relationships, then perhaps we might work well together. I center my work around self compassion. Only from a place of self kindness can we feel grounded within ourselves to develop a compassionate relationship with others around us. I use mindfulness and somatic body oriented work in order to help us connect deeper with our self, our inner knowing and to be able to cultivate trust with ourselves.
(628) 229-2098 View (628) 229-2098
Photo of Ivette Huerta, Marriage & Family Therapist in San Francisco, CA
Ivette Huerta
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
I have been working with the adults, parents, and families for over 20 years. I want to provide helping hands through your journey with the goal of you finding your self-worth and self-awareness. Life causes anxiety and frustrations, but with my guidance you will develop and strengthen yourself into a healthy individual. Through practical individual therapy, a change in your relationship will unfold before your eyes. I believe in creating a safe space for a client and taking time for self-care. I have worked with adults and families who've struggled with depression, anxiety, and trauma.
I have been working with the adults, parents, and families for over 20 years. I want to provide helping hands through your journey with the goal of you finding your self-worth and self-awareness. Life causes anxiety and frustrations, but with my guidance you will develop and strengthen yourself into a healthy individual. Through practical individual therapy, a change in your relationship will unfold before your eyes. I believe in creating a safe space for a client and taking time for self-care. I have worked with adults and families who've struggled with depression, anxiety, and trauma.
(415) 729-2474 View (415) 729-2474
Photo of Anjna Champaneri - Expansive Therapy, Licensed Professional Clinical Counselor in San Francisco, CA
Anjna Champaneri - Expansive Therapy
Licensed Professional Clinical Counselor, ACSW
Verified Verified
San Francisco, CA 94114
My aim is to create a caring therapeutic relationship with you that is founded in empathy, trust, and respect. Together we will create a safe and open environment for brave and insightful explorations. I offer collaborative, client-centered therapy that supports the development of personal insights and practical coping skills through curiosity, mindfulness, and compassion.
My aim is to create a caring therapeutic relationship with you that is founded in empathy, trust, and respect. Together we will create a safe and open environment for brave and insightful explorations. I offer collaborative, client-centered therapy that supports the development of personal insights and practical coping skills through curiosity, mindfulness, and compassion.
(415) 903-0826 View (415) 903-0826
Photo of Grace Yan, Psychologist in San Francisco, CA
Grace Yan
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
Not accepting new clients
Over the years, I have come to understand that many of our difficulties with work and/or relationships can be traced to some forms of disconnection internally and externally, sometime manifested as depression, anxiety, existential angst, eating disorder, or addiction. I view therapy as a continuous in-depth conversation with another person in order to mend past traumas, reconnect with self and others, and develop a new perspective on life. I will bring to this journey curiosity, compassion, knowledge, experiences, and a commitment to help you strive for a healthier and more balanced life.
Over the years, I have come to understand that many of our difficulties with work and/or relationships can be traced to some forms of disconnection internally and externally, sometime manifested as depression, anxiety, existential angst, eating disorder, or addiction. I view therapy as a continuous in-depth conversation with another person in order to mend past traumas, reconnect with self and others, and develop a new perspective on life. I will bring to this journey curiosity, compassion, knowledge, experiences, and a commitment to help you strive for a healthier and more balanced life.
(415) 639-9516 View (415) 639-9516
Photo of Rebecca Small, Clinical Social Work/Therapist in San Francisco, CA
Rebecca Small
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94117
My name is Rebecca Small. I am a licensed clinical social worker (LCSW) from Los Angeles. I believe in taking an individualized approach with every client and tailoring therapy to your individual needs. I believe in meeting my clients where they are and providing a warm and safe space for them to work through what they are ready to. I focus on changing thoughts and behaviors as well as increasing utilization of positive coping skills to help improve your overall functioning and enhance your quality of life!
My name is Rebecca Small. I am a licensed clinical social worker (LCSW) from Los Angeles. I believe in taking an individualized approach with every client and tailoring therapy to your individual needs. I believe in meeting my clients where they are and providing a warm and safe space for them to work through what they are ready to. I focus on changing thoughts and behaviors as well as increasing utilization of positive coping skills to help improve your overall functioning and enhance your quality of life!
(415) 942-8389 View (415) 942-8389
Photo of Lester Wielstein, Clinical Social Work/Therapist in San Francisco, CA
Lester Wielstein
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94103
Les Wielstein, Licensed Clinical Social Worker. I believe that each person is entitled to live to their fullest potential and believe in a partnership to enable that. I utilize a Cognitive-Behavioral framework in therapy which is infused with Humanistic, Eastern, and Existential metaphors and stories to provide a caring, direct, and thoughtful approach. I am also Trauma-Informed and understand that by using both written and verbal activities I provide a pathway to a sensitive and meaningful understanding of this lived experience.
Les Wielstein, Licensed Clinical Social Worker. I believe that each person is entitled to live to their fullest potential and believe in a partnership to enable that. I utilize a Cognitive-Behavioral framework in therapy which is infused with Humanistic, Eastern, and Existential metaphors and stories to provide a caring, direct, and thoughtful approach. I am also Trauma-Informed and understand that by using both written and verbal activities I provide a pathway to a sensitive and meaningful understanding of this lived experience.
(415) 366-9419 View (415) 366-9419
Photo of Emilie C. Scovill, Marriage & Family Therapist in San Francisco, CA
Emilie C. Scovill
Marriage & Family Therapist, MFT
Verified Verified
11 Endorsed
San Francisco, CA 94102
In the fast-paced, hyper-competitive Bay Area, it can be challenging to balance all of the roles that we assume. Work, school, money, technology, and relationship stressors can leave us feeling depleted. Anxiety, depression, low self-esteem, and career dissatisfaction are some of the ways stressors may manifest. My aim is to support and help to empower you to improve your life by engaging in the life that you want to lead. This may result in increased effectiveness, happiness, and reduced suffering in all of your roles.
In the fast-paced, hyper-competitive Bay Area, it can be challenging to balance all of the roles that we assume. Work, school, money, technology, and relationship stressors can leave us feeling depleted. Anxiety, depression, low self-esteem, and career dissatisfaction are some of the ways stressors may manifest. My aim is to support and help to empower you to improve your life by engaging in the life that you want to lead. This may result in increased effectiveness, happiness, and reduced suffering in all of your roles.
(415) 942-8475 View (415) 942-8475
Photo of Erma Kyriakos Couples Therapist, Marriage & Family Therapist Associate in San Francisco, CA
Erma Kyriakos Couples Therapist
Marriage & Family Therapist Associate, AMFT, MA, BME
Verified Verified
3 Endorsed
San Francisco, CA 94122  (Online Only)
My approach is client-centered, warm and engaged. I am direct but not directive. I support individuals and couples to increase awareness, improve communication skills, and strengthen relationship capacities. I have experience supporting grief processing, affect/mood regulation, religious trauma, survivors of sexual assault, and can help those experiencing anxiety, and depression. I believe you deserve a therapist that will both listen and offer meaningful and caring feedback. I see us as co-explorers in this work and believe the research that shows a good relationship between client and therapist is key to the self-growth process.
My approach is client-centered, warm and engaged. I am direct but not directive. I support individuals and couples to increase awareness, improve communication skills, and strengthen relationship capacities. I have experience supporting grief processing, affect/mood regulation, religious trauma, survivors of sexual assault, and can help those experiencing anxiety, and depression. I believe you deserve a therapist that will both listen and offer meaningful and caring feedback. I see us as co-explorers in this work and believe the research that shows a good relationship between client and therapist is key to the self-growth process.
(415) 761-3494 View (415) 761-3494
Photo of Sabrina Rayner, Marriage & Family Therapist Intern in San Francisco, CA
Sabrina Rayner
Marriage & Family Therapist Intern, MA
Verified Verified
San Francisco, CA 94110
Together we'll co-create a space to share the feelings, thoughts, and desires that can feel difficult to say out loud let alone to another person. We'll go even deeper and explore why and how this affects you. Change can feel so scary that we'd rather not do anything different. You are not alone, together we can move through the cycle of feeling stuck to connect with personal growth and joy. Somatic therapy includes the body in a reflective process that can build a sense of wholeness. It's a place to cultivate awareness and acceptance of ourselves, our challenges, and our happiness.
Together we'll co-create a space to share the feelings, thoughts, and desires that can feel difficult to say out loud let alone to another person. We'll go even deeper and explore why and how this affects you. Change can feel so scary that we'd rather not do anything different. You are not alone, together we can move through the cycle of feeling stuck to connect with personal growth and joy. Somatic therapy includes the body in a reflective process that can build a sense of wholeness. It's a place to cultivate awareness and acceptance of ourselves, our challenges, and our happiness.
(415) 862-4961 View (415) 862-4961
Photo of Crystal Barrera, Clinical Social Work/Therapist in San Francisco, CA
Crystal Barrera
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122  (Online Only)
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
(415) 903-9997 View (415) 903-9997
Photo of Mariana Prutton, Marriage & Family Therapist in San Francisco, CA
Mariana Prutton
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94121  (Online Only)
Are you ready to stop binge eating? Do you wish you could stop thinking about food all the time? Do you hate your body? Are you ready to finally heal your relationship with food and your body? You can make peace with food and your body so food and negative body image don't dominate your life anymore.
Are you ready to stop binge eating? Do you wish you could stop thinking about food all the time? Do you hate your body? Are you ready to finally heal your relationship with food and your body? You can make peace with food and your body so food and negative body image don't dominate your life anymore.
(415) 843-8595 View (415) 843-8595
Photo of Josh Rothenberg, Psychologist in San Francisco, CA
Josh Rothenberg
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94129
Waitlist for new clients
I provide psychotherapy for individual adults and adolescents, offering therapeutic support and interventions which are tailored to the unique needs and personalities of those whom I am fortunate to serve. Working from a disciplined eclectic perspective, I collaborate with my patients to discover new and more helpful ways to cope with life's challenges and work towards their goals and aspirations. Whether the work is short- or long-term in nature, my approach is grounded in the belief that every person deserves and benefits most from a course of treatment which is individually tailored to their specific strengths and challenges.
I provide psychotherapy for individual adults and adolescents, offering therapeutic support and interventions which are tailored to the unique needs and personalities of those whom I am fortunate to serve. Working from a disciplined eclectic perspective, I collaborate with my patients to discover new and more helpful ways to cope with life's challenges and work towards their goals and aspirations. Whether the work is short- or long-term in nature, my approach is grounded in the belief that every person deserves and benefits most from a course of treatment which is individually tailored to their specific strengths and challenges.
(415) 936-1823 View (415) 936-1823
Photo of Scott D Altamirano, Marriage & Family Therapist in San Francisco, CA
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Francisco, CA 94103  (Online Only)
Accepting clients May 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
Accepting clients May 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
(650) 789-5893 View (650) 789-5893
Photo of Psychoanalysis For Artists - Peter Merritt Dobey in San Francisco, CA
Psychoanalysis For Artists - Peter Merritt Dobey
MA
Verified Verified
San Francisco, CA 94109
Drawing from my background as editor of an arts magazine and a contemporary artist, I offer tailored psychoanalytic consulting services aimed at helping artists and other individuals tap into their imagination, surmount creative blocks, and unearth fresh inspiration. My practice is rooted in the belief that engaging with existential and metaphysical concepts, as well as understanding one's vocational essence, can pave the way for transformative growth and the realization of personal aspirations.
Drawing from my background as editor of an arts magazine and a contemporary artist, I offer tailored psychoanalytic consulting services aimed at helping artists and other individuals tap into their imagination, surmount creative blocks, and unearth fresh inspiration. My practice is rooted in the belief that engaging with existential and metaphysical concepts, as well as understanding one's vocational essence, can pave the way for transformative growth and the realization of personal aspirations.
(424) 339-1147 View (424) 339-1147
Photo of Julia Lehrman, Clinical Social Work/Therapist in San Francisco, CA
Julia Lehrman
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
San Francisco, CA 94115
It is my passion and a privilege to help people struggling with anxiety, depression, self-esteem, trauma, family dynamics, relationship issues, career stress, life transitions, existential angst, and finding meaning and purpose. I welcome people of all types and backgrounds into my practice. I see you as a unique individual and I look forward to getting to know you on a deep level. I am here to support you every step of the way on your journey of self-discovery and healing transformation.
It is my passion and a privilege to help people struggling with anxiety, depression, self-esteem, trauma, family dynamics, relationship issues, career stress, life transitions, existential angst, and finding meaning and purpose. I welcome people of all types and backgrounds into my practice. I see you as a unique individual and I look forward to getting to know you on a deep level. I am here to support you every step of the way on your journey of self-discovery and healing transformation.
(415) 650-4509 View (415) 650-4509
Photo of Rebekah Hsieh, Licensed Professional Clinical Counselor in San Francisco, CA
Rebekah Hsieh
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Francisco, CA 94105  (Online Only)
In helping people, I lean toward a strengths-based, attachment, and systems approach. I strongly believe that a significant change in one person can impact the entire system. I also believe that a holistic, mindfulness and cognitive approach coupled with behavioral changes is effective for many clients. Additionally, I interweave my trauma-informed background to support clients through their presenting concerns. It's my strong belief, however that each individual is a unique being. I thoroughly enjoy partnering with my clients throughout the therapeutic process while addressing their objectives for therapy.
In helping people, I lean toward a strengths-based, attachment, and systems approach. I strongly believe that a significant change in one person can impact the entire system. I also believe that a holistic, mindfulness and cognitive approach coupled with behavioral changes is effective for many clients. Additionally, I interweave my trauma-informed background to support clients through their presenting concerns. It's my strong belief, however that each individual is a unique being. I thoroughly enjoy partnering with my clients throughout the therapeutic process while addressing their objectives for therapy.
(415) 949-3265 View (415) 949-3265
Photo of Victoria Storr, Marriage & Family Therapist in San Francisco, CA
Victoria Storr
Marriage & Family Therapist, MFT, MS
Verified Verified
San Francisco, CA 94118
Hello, I’m Victoria Storr and I guide clients towards a self-chosen life. One where they feel empowered and confident. Sounds nice right? I promise you, it feels even better. I could imagine you’re a bit skeptical. I’m sure you’re thinking that living the life of your dreams is not possible for you because of past mistakes, current circumstances, or because it hasn’t worked before. I meet all of my clients in this exact moment in their story; The specifics change but the root of the issue is often the same: people living in patterns of thoughts and actions which keep them trapped and hold them back.
Hello, I’m Victoria Storr and I guide clients towards a self-chosen life. One where they feel empowered and confident. Sounds nice right? I promise you, it feels even better. I could imagine you’re a bit skeptical. I’m sure you’re thinking that living the life of your dreams is not possible for you because of past mistakes, current circumstances, or because it hasn’t worked before. I meet all of my clients in this exact moment in their story; The specifics change but the root of the issue is often the same: people living in patterns of thoughts and actions which keep them trapped and hold them back.
(628) 201-6907 View (628) 201-6907

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.