Photo of Bianca Segura, LMFT, Marriage & Family Therapist
Bianca Segura
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
San Antonio, TX 78202  (Online Only)
I specialize in helping people overcome emotional neglect by identifying what it is, what it looks like and compassionately assisting people in processing their experiences of it. In doing so, clients can gain a better understanding of why they may have difficulties with self-esteem, regulating their emotions or trusting others. I work with adolescents and adults who have experienced varying degrees of emotional neglect in their relationships with family members, caregivers, romantic partners, peers and even in their relationship with themselves.
I specialize in helping people overcome emotional neglect by identifying what it is, what it looks like and compassionately assisting people in processing their experiences of it. In doing so, clients can gain a better understanding of why they may have difficulties with self-esteem, regulating their emotions or trusting others. I work with adolescents and adults who have experienced varying degrees of emotional neglect in their relationships with family members, caregivers, romantic partners, peers and even in their relationship with themselves.
(512) 599-9962 View (512) 599-9962
Photo of Carol Y Williams, PhD, LCSW, Clinical Social Work/Therapist
Carol Y Williams
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78202
As a society, we have grown distant from each other, alone in many phases of life. We experience life situations alone and repeat problematic patterns not knowing how to change or cope. As a psychotherapist I am spiritually based and believe the family is the foundation which supports the healthy development of it's member's. As a clinician I seek to develop therapeutic relationships which prepare the person for change which positively impact their life. For over 20 years I have worked with families, couples, individuals and children in a wide variety of psychological, emotional, behavioral and cognitive challenges.
As a society, we have grown distant from each other, alone in many phases of life. We experience life situations alone and repeat problematic patterns not knowing how to change or cope. As a psychotherapist I am spiritually based and believe the family is the foundation which supports the healthy development of it's member's. As a clinician I seek to develop therapeutic relationships which prepare the person for change which positively impact their life. For over 20 years I have worked with families, couples, individuals and children in a wide variety of psychological, emotional, behavioral and cognitive challenges.
(830) 469-3326 View (830) 469-3326
Photo of Joslyn Drzymalla, MA, NCC, LPC-S, Licensed Professional Counselor
Joslyn Drzymalla
Licensed Professional Counselor, MA, NCC, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78202
Welcome to my practice! For over ten years I have worked as a licensed counselor, with experience in addictions, family violence, at-risk adolescents, and working with the HIV/AIDS population. I have specific training in Cognitive-Behavioral, Rational Emotive Behavioral, and Solution-Focused Brief therapies. These therapies have been shown through research to be effective in treating depression, anxiety, addictions, and other mental health diagnoses. I also like to incorporate relaxation, mindfulness, Dialectical Behavioral Therapy (DBT) techniques, and art therapy techniques in my work with clients.
Welcome to my practice! For over ten years I have worked as a licensed counselor, with experience in addictions, family violence, at-risk adolescents, and working with the HIV/AIDS population. I have specific training in Cognitive-Behavioral, Rational Emotive Behavioral, and Solution-Focused Brief therapies. These therapies have been shown through research to be effective in treating depression, anxiety, addictions, and other mental health diagnoses. I also like to incorporate relaxation, mindfulness, Dialectical Behavioral Therapy (DBT) techniques, and art therapy techniques in my work with clients.
(210) 625-8178 View (210) 625-8178
Photo of Edward Pacetti, LCSW, Clinical Social Work/Therapist
Edward Pacetti
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78202  (Online Only)
Feeling tired or overwhelmed? I am a good listener and can help you seek solutions to issues of concern. With 20 years of Counseling experience in the field of Behavioral Health. I am an advocate for all People with Disability and Human Rights issues. I want to help by recognizing your successes and work towards solutions of issues that may be troubling.
Feeling tired or overwhelmed? I am a good listener and can help you seek solutions to issues of concern. With 20 years of Counseling experience in the field of Behavioral Health. I am an advocate for all People with Disability and Human Rights issues. I want to help by recognizing your successes and work towards solutions of issues that may be troubling.
(210) 762-6356 View (210) 762-6356
Photo of Kelly Anderson, MA, Licensed Professional Counselor
Kelly Anderson
Licensed Professional Counselor, MA
Verified Verified
San Antonio, TX 78202
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
(210) 791-0903 View (210) 791-0903
Photo of Denise M. Filer, LCSW-S, Clinical Social Work/Therapist
Denise M. Filer
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78202
If you have come to the realization you are emotionally and mentally blocked; then it is time for a change. If those behavior patterns and thoughts have gotten in the way of you experiencing the deeper meaning of life and enjoyment let me facilitate your growth so that you can transform your life and live to the fullest. I Specialize in: • Depression • Grief • Addiction • Sexual Abuse • LGBTQ •PTSD • Personality Disorders •Co-occurring diseases •and Trauma .
If you have come to the realization you are emotionally and mentally blocked; then it is time for a change. If those behavior patterns and thoughts have gotten in the way of you experiencing the deeper meaning of life and enjoyment let me facilitate your growth so that you can transform your life and live to the fullest. I Specialize in: • Depression • Grief • Addiction • Sexual Abuse • LGBTQ •PTSD • Personality Disorders •Co-occurring diseases •and Trauma .
(830) 254-5603 View (830) 254-5603
Photo of Patricia Viscaino, MS, LPC, NCC
Patricia Viscaino
MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78202  (Online Only)
Sometimes it’s difficult for individuals who have experienced a tragic event or challenging childhood, to come to terms with it as adults. Unresolved issues can originate from the past, and somehow manifest through certain behavior. As a therapist I believe collaborating with the client is important so that we can explore the issues together. Gaining insight is beneficial for a client to understand the root cause of the behavior. Check out my website try4you.net
Sometimes it’s difficult for individuals who have experienced a tragic event or challenging childhood, to come to terms with it as adults. Unresolved issues can originate from the past, and somehow manifest through certain behavior. As a therapist I believe collaborating with the client is important so that we can explore the issues together. Gaining insight is beneficial for a client to understand the root cause of the behavior. Check out my website try4you.net
(726) 208-7598 View (726) 208-7598
Photo of Lillian Maria Morales-Speer - Life Revised Counseling, MEd, NCC, Licensed Professional Counselor
Life Revised Counseling
Licensed Professional Counselor, MEd, NCC
Verified Verified
San Antonio, TX 78202
Waitlist for new clients
I work with professionals experiencing challenges maintaining a balanced work-life equilibrium and with emotional health imbalances stemming from the demanding nature of their professional life. My clients feel persistent worry, a pervasive sense of overwhelm, mood disturbances, strained interpersonal relationships, and/or a pronounced lack of self-care. They experience anxiety and depression, worsened by their demanding careers. Their goal is to regain control over their emotional state, manage stress, and nurture their overall well-being. Their motivation is to alleviate suffering, mend relationships, and prioritize self-care.
I work with professionals experiencing challenges maintaining a balanced work-life equilibrium and with emotional health imbalances stemming from the demanding nature of their professional life. My clients feel persistent worry, a pervasive sense of overwhelm, mood disturbances, strained interpersonal relationships, and/or a pronounced lack of self-care. They experience anxiety and depression, worsened by their demanding careers. Their goal is to regain control over their emotional state, manage stress, and nurture their overall well-being. Their motivation is to alleviate suffering, mend relationships, and prioritize self-care.
(210) 940-4632 View (210) 940-4632
Photo of Lillian Maria Morales-Speer, NCC, Licensed Professional Counselor
Lillian Maria Morales-Speer
Licensed Professional Counselor, NCC
Verified Verified
San Antonio, TX 78202
Waitlist for new clients
I work with professionals experiencing challenges maintaining a balanced work-life equilibrium and with emotional health imbalances stemming from the demanding nature of their professional life. My clients feel persistent worry, a pervasive sense of overwhelm, mood disturbances, strained interpersonal relationships, and/or a pronounced lack of self-care. They experience anxiety and depression, worsened by their demanding careers. Their goal is to regain control over their emotional state, manage stress, and nurture their overall well-being. Their motivation is to alleviate suffering, mend relationships, and prioritize self-care.
I work with professionals experiencing challenges maintaining a balanced work-life equilibrium and with emotional health imbalances stemming from the demanding nature of their professional life. My clients feel persistent worry, a pervasive sense of overwhelm, mood disturbances, strained interpersonal relationships, and/or a pronounced lack of self-care. They experience anxiety and depression, worsened by their demanding careers. Their goal is to regain control over their emotional state, manage stress, and nurture their overall well-being. Their motivation is to alleviate suffering, mend relationships, and prioritize self-care.
(210) 405-6140 View (210) 405-6140
Photo of Dr. DAVID Walter LABRIE - REACH Psychology, PhD, Psychologist
REACH Psychology
Psychologist, PhD
Verified Verified
San Antonio, TX 78202
If you’ve experienced trauma, are an adult with ADHD, or are somebody with anxiety, depression or other concern, there is no substitute for training and experience. I have the highest level of mental health training (Ph.D. Clinical Psychologist) and have over 23-years of experience delivering convenient clinical care. Convenient means being available at times that work best for you. Twenty-years of active-duty military service, including four deployments, and multiple responses to hurricanes, accidents, and critical incident taught me the importance of delivering care at a time and place most comfortable and convenient for you.
If you’ve experienced trauma, are an adult with ADHD, or are somebody with anxiety, depression or other concern, there is no substitute for training and experience. I have the highest level of mental health training (Ph.D. Clinical Psychologist) and have over 23-years of experience delivering convenient clinical care. Convenient means being available at times that work best for you. Twenty-years of active-duty military service, including four deployments, and multiple responses to hurricanes, accidents, and critical incident taught me the importance of delivering care at a time and place most comfortable and convenient for you.
(469) 529-5459 View (469) 529-5459
Photo of Amy Abbasov, MEd, LPC-S, Licensed Professional Counselor
Amy Abbasov
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
San Antonio, TX 78202  (Online Only)
Hello, I am glad you are here! Whether you are seeking change for a healthier, happier life, or just need a non judgmental ear to listen, I am here to support and empower you. I have worked with clients with a wide range of concerns including depression, anxiety, family conflicts, coping with grief and loss, parenting issues, social behavior, and crisis counseling. I have an open minded, compassionate approach. My counseling style really depends on the client and what best fits the situation (no one person is the same). I take an integrative approach to therapy.
Hello, I am glad you are here! Whether you are seeking change for a healthier, happier life, or just need a non judgmental ear to listen, I am here to support and empower you. I have worked with clients with a wide range of concerns including depression, anxiety, family conflicts, coping with grief and loss, parenting issues, social behavior, and crisis counseling. I have an open minded, compassionate approach. My counseling style really depends on the client and what best fits the situation (no one person is the same). I take an integrative approach to therapy.
(806) 450-0029 View (806) 450-0029
Photo of Kai Rockwell, LMSW, Pre-Licensed Professional
Kai Rockwell
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
San Antonio, TX 78202  (Online Only)
I'm an LMSW with a passion for social work, currently on the journey towards my doctorate. My expertise lies in cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), mindfulness therapeutic interventions, and somatic processing.
I'm an LMSW with a passion for social work, currently on the journey towards my doctorate. My expertise lies in cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), mindfulness therapeutic interventions, and somatic processing.
(737) 510-4214 View (737) 510-4214
Photo of Stacey Rooks, LPC, LCDC, Licensed Professional Counselor
Stacey Rooks
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78202
Life presents us with challenges and triumphs. I believe everyone can benefit from support. I am here to walk this journey with you, as you acquire the necessary skills to live a happier and more fulfilled life. I am deeply dedicated to this field and view it as an honor to collaborate with my clients to determine the best course of treatment for them. I am committed to continually expanding my knowledge through lifelong learning and embracing new opportunities for growth in this field.
Life presents us with challenges and triumphs. I believe everyone can benefit from support. I am here to walk this journey with you, as you acquire the necessary skills to live a happier and more fulfilled life. I am deeply dedicated to this field and view it as an honor to collaborate with my clients to determine the best course of treatment for them. I am committed to continually expanding my knowledge through lifelong learning and embracing new opportunities for growth in this field.
(726) 232-1400 View (726) 232-1400
Photo of Mike Ryan - Mike & Kim Couples Coaching, LPC, Licensed Professional Counselor
Mike & Kim Couples Coaching
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78202
Has your relationship become toxic? Should you separate or get married? We will help you get those answers and more by giving you REAL practical tools through a powerfully unique CO-LED coaching approach that you won’t find offered in most practices. We are both married and licensed clinicians that conduct coaching sessions together with the couple; then Mike meets with the male and Kim meets with the female, for one on one individual session. We focus on relationships in crisis situations that NEED real change and real solutions FAST. This is the support you have been looking for. Call for a free consultation today!
Has your relationship become toxic? Should you separate or get married? We will help you get those answers and more by giving you REAL practical tools through a powerfully unique CO-LED coaching approach that you won’t find offered in most practices. We are both married and licensed clinicians that conduct coaching sessions together with the couple; then Mike meets with the male and Kim meets with the female, for one on one individual session. We focus on relationships in crisis situations that NEED real change and real solutions FAST. This is the support you have been looking for. Call for a free consultation today!
(469) 217-6371 View (469) 217-6371
Photo of Meghan Garcia, MEd, LPC-A, LPC Intern
Meghan Garcia
LPC Intern, MEd, LPC-A
Verified Verified
2 Endorsed
San Antonio, TX 78202  (Online Only)
It makes perfect sense that you're exhausted. You spend much of your time thinking about what could go wrong or what others are thinking. You feel energy crashes throughout the day, your mind chatters at night, and your dreams are so vivid that it leaves you restless. It seems as though you and your partner can never see eye-to-eye, and when you're not arguing with them, you're wrestling with issues with your parents. You've spent much of your life taking care of others - walking on eggshells, afraid of judgement, constantly questioning if you're good enough - I know this because I've lived it. Now is the time to take care of YOU.
It makes perfect sense that you're exhausted. You spend much of your time thinking about what could go wrong or what others are thinking. You feel energy crashes throughout the day, your mind chatters at night, and your dreams are so vivid that it leaves you restless. It seems as though you and your partner can never see eye-to-eye, and when you're not arguing with them, you're wrestling with issues with your parents. You've spent much of your life taking care of others - walking on eggshells, afraid of judgement, constantly questioning if you're good enough - I know this because I've lived it. Now is the time to take care of YOU.
(956) 405-6740 View (956) 405-6740
Photo of Kristen Drake, MS, NCC, LPC-A, EMDR, LPC Intern
Kristen Drake
LPC Intern, MS, NCC, LPC-A, EMDR
Verified Verified
4 Endorsed
San Antonio, TX 78202
Do you feel alone, misunderstood, and unheard? It is my joy and honor to partner with you, whether it's to process difficult life transitions, grief and loss, trauma and/or abuse, or address anxiety and panic while promoting and advocating for your growth and empowerment. My goal is to create a conducive therapeutic environment that allows you the space to process what is needed and to help you feel equipped in your day-to-day life.
Do you feel alone, misunderstood, and unheard? It is my joy and honor to partner with you, whether it's to process difficult life transitions, grief and loss, trauma and/or abuse, or address anxiety and panic while promoting and advocating for your growth and empowerment. My goal is to create a conducive therapeutic environment that allows you the space to process what is needed and to help you feel equipped in your day-to-day life.
(817) 765-5348 View (817) 765-5348
Photo of Brenda Rodriguez, MEd, LPC, Licensed Professional Counselor
Brenda Rodriguez
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78202  (Online Only)
Not accepting new clients
Life is full of change and it can become overwhelming to manage at times. So much so, that they make other areas of our life much more difficult. By gaining awareness of our thought process and emotions, we can create healthier responses to life stressors. I am here to provide support and guidance in your journey of self-discovery. We can work together in creating a healthier version of you whether that's professionally, emotionally, spiritually, or socially.
Life is full of change and it can become overwhelming to manage at times. So much so, that they make other areas of our life much more difficult. By gaining awareness of our thought process and emotions, we can create healthier responses to life stressors. I am here to provide support and guidance in your journey of self-discovery. We can work together in creating a healthier version of you whether that's professionally, emotionally, spiritually, or socially.
(512) 661-0516 View (512) 661-0516
Photo of Jessica H. Smith, LCSW-S, Clinical Social Work/Therapist
Jessica H. Smith
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78202
The world can be a tough place for neurodivergent folks. ADHD, autism, chronic illness, trauma, disability and mental health struggles can sometimes make meeting your own basic, everyday needs feel exhausting. Keeping up with the responsibilities and demands of life might leave you feeling overwhelmed, stuck, ashamed, lonely or embarrassed. Other people don't seem to understand why it's so hard for you and sometimes neither do you! You have so many strengths, but it feels like they're buried under layers of self-doubt, frustration and burnout. You're not broken. Your needs are different. You deserve support. We SO get it.
The world can be a tough place for neurodivergent folks. ADHD, autism, chronic illness, trauma, disability and mental health struggles can sometimes make meeting your own basic, everyday needs feel exhausting. Keeping up with the responsibilities and demands of life might leave you feeling overwhelmed, stuck, ashamed, lonely or embarrassed. Other people don't seem to understand why it's so hard for you and sometimes neither do you! You have so many strengths, but it feels like they're buried under layers of self-doubt, frustration and burnout. You're not broken. Your needs are different. You deserve support. We SO get it.
(832) 400-5239 View (832) 400-5239
Photo of Sarah Benefiel - Foresight Mental Health Texas, PC, Licensed Professional Counselor
Foresight Mental Health Texas
Licensed Professional Counselor, PC
Verified Verified
San Antonio, TX 78202
Foresight Mental Health’s integrated team of professionals includes licensed therapists and nutrition providers in Texas dedicated to working with clients to provide individualized and personal care. We believe in providing care that is accessible and affordable, which is why we are in network with most major insurers and provide both telehealth and in-person services.
Foresight Mental Health’s integrated team of professionals includes licensed therapists and nutrition providers in Texas dedicated to working with clients to provide individualized and personal care. We believe in providing care that is accessible and affordable, which is why we are in network with most major insurers and provide both telehealth and in-person services.
(210) 985-8405 View (210) 985-8405
Photo of Justin Alexander, LPC, Licensed Professional Counselor
Justin Alexander
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78202  (Online Only)
Experiencing depression and anxiety can be extremely difficult at any age. Sadness, lack of enjoyment in things, lack of motivation, sleep difficulties, difficulty with concentration, thoughts of being a failure/worthlessness/hopelessness, and overthinking are just a few of the many symptoms that can impact social life, work, school, parenting, and relationships. Anxiety is often accompanied with depression as well and impact overall quality of life. Often times it feels like there is no control. Within therapy, there is the rejuvenation of control and an increase in overall satisfaction with life.
Experiencing depression and anxiety can be extremely difficult at any age. Sadness, lack of enjoyment in things, lack of motivation, sleep difficulties, difficulty with concentration, thoughts of being a failure/worthlessness/hopelessness, and overthinking are just a few of the many symptoms that can impact social life, work, school, parenting, and relationships. Anxiety is often accompanied with depression as well and impact overall quality of life. Often times it feels like there is no control. Within therapy, there is the rejuvenation of control and an increase in overall satisfaction with life.
(361) 264-2714 View (361) 264-2714

See more therapy options for 78202

How does your Therapist compare?

Number of Therapists in 78202

30+

Average cost per session

$135

Therapists in 78202 who prioritize treating:

89% Anxiety
84% Depression
82% Relationship Issues
76% Self Esteem
71% Stress
66% Coping Skills
66% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
82% BlueCross and BlueShield
79% UnitedHealthcare UHC | UBH

How Therapists in 78202 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

85% Female
12% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 78202?

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.