Therapists in Nevada City, CA

Photo of Debra Miller, PsyD, Psychologist
Debra Miller
Psychologist, PsyD
Verified Verified
Nevada City, CA 95959
I offer in person and tele therapy. My goal is to provide a safe and caring environment. I enjoy working with a wide variety of people. I specialize in those who are struggling with depression, anxiety, chronic pain, addiction, trauma and PTSD. I work with clients who are dealing with opioid and/or benzodiazepine abuse/dependency. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
I offer in person and tele therapy. My goal is to provide a safe and caring environment. I enjoy working with a wide variety of people. I specialize in those who are struggling with depression, anxiety, chronic pain, addiction, trauma and PTSD. I work with clients who are dealing with opioid and/or benzodiazepine abuse/dependency. My style is a common sense, straight forward approach. I believe that the connection between the therapist and client is the most important piece in the therapeutic process.
(530) 475-6710 View (530) 475-6710
Photo of Eric Schlanger, LCSW, Clinical Social Work/Therapist
Eric Schlanger
Clinical Social Work/Therapist, LCSW
Verified Verified
Nevada City, CA 95959  (Online Only)
I am a licensed clinical social worker with over thirty years of experience providing psychotherapy to children, adolescents, adults and families. I have helped hundreds of clients overcome or manage a variety of life stressors. I work diligently with each client to help him or her achieve their own personal therapeutic goals. I believe in the innate healing powers of each individual and the dramatic benefits that a professional therapeutic relationship can provide. I strive to enable each client to reach their own human potential, thus living with greater meaning, purpose and satisfaction.
I am a licensed clinical social worker with over thirty years of experience providing psychotherapy to children, adolescents, adults and families. I have helped hundreds of clients overcome or manage a variety of life stressors. I work diligently with each client to help him or her achieve their own personal therapeutic goals. I believe in the innate healing powers of each individual and the dramatic benefits that a professional therapeutic relationship can provide. I strive to enable each client to reach their own human potential, thus living with greater meaning, purpose and satisfaction.
(530) 212-7104 View (530) 212-7104
Photo of Christie Marie (Batt) - White Lotus Guided Healing - Christie Marie M.A, MA
White Lotus Guided Healing - Christie Marie M.A
MA
Verified Verified
Nevada City, CA 95959
What relationships in your life would you like to be better? The quality of our relationship with others begins with our relationship with ourselves. I can guide you to achieve a deeper, more connected relationship to your higher self: the sole source of true inner peace, healing, self-awareness and transformation. We use a spiritual perspective of your comfort and understanding. Toxic shame, closely related to trauma and rooted in our past, is also a huge factor in keeping us from living the life we are meant to live. As a certified Healing Shame practitioner, I am skilled in helping you understand and transform toxic shame.
What relationships in your life would you like to be better? The quality of our relationship with others begins with our relationship with ourselves. I can guide you to achieve a deeper, more connected relationship to your higher self: the sole source of true inner peace, healing, self-awareness and transformation. We use a spiritual perspective of your comfort and understanding. Toxic shame, closely related to trauma and rooted in our past, is also a huge factor in keeping us from living the life we are meant to live. As a certified Healing Shame practitioner, I am skilled in helping you understand and transform toxic shame.
(805) 284-0652 View (805) 284-0652
Photo of Cassandra Clark, MA, LMFT, Marriage & Family Therapist
Cassandra Clark
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Nevada City, CA 95959
Not accepting new clients
My work is grounded in the belief & experience that we all have access to a deep well of unconscious wisdom, and that creative & imaginal processes are some of the most direct ways to contact it. To assist you in doing so, I use expressive arts, dreamwork, mindfulness-based cognitive therapy (MBCT), guided imagery & visualization, and other creative & imaginal approaches to enhance and deepen traditional talk therapy. As a client-centered therapist, I believe that you are the expert on your own healing. My job is to listen deeply and to put you in closer touch with your inner knowing so that you can arrive at your own answers.
My work is grounded in the belief & experience that we all have access to a deep well of unconscious wisdom, and that creative & imaginal processes are some of the most direct ways to contact it. To assist you in doing so, I use expressive arts, dreamwork, mindfulness-based cognitive therapy (MBCT), guided imagery & visualization, and other creative & imaginal approaches to enhance and deepen traditional talk therapy. As a client-centered therapist, I believe that you are the expert on your own healing. My job is to listen deeply and to put you in closer touch with your inner knowing so that you can arrive at your own answers.
(530) 444-8829 View (530) 444-8829
Photo of Keith D. McCourtney, LMFT, Marriage & Family Therapist
Keith D. McCourtney
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Nevada City, CA 95959
I have been a licensed therapist for 19 years. I believe that the most important part of therapy is the therapeutic relationship. The therapeutic relationship is formed in a collaboration between myself and my clients in an environment of mutual acceptance and respect. In addition to my education, training and experience as a therapist, I rely on my innate skills as an active listener, my good memory and genuine caring to guide me in my approach to therapy.
I have been a licensed therapist for 19 years. I believe that the most important part of therapy is the therapeutic relationship. The therapeutic relationship is formed in a collaboration between myself and my clients in an environment of mutual acceptance and respect. In addition to my education, training and experience as a therapist, I rely on my innate skills as an active listener, my good memory and genuine caring to guide me in my approach to therapy.
(805) 248-7469 View (805) 248-7469
Photo of Timothy G. Walker, LMFT, Marriage & Family Therapist
Timothy G. Walker
Marriage & Family Therapist, LMFT
Verified Verified
Nevada City, CA 95959
Currently accepting new clients! Depression. Anxiety. Anger. Numbness. These difficult symptoms (and others) color our experience, and make life difficult! And yet, they are merely the smoke from fires sourced far deeper within the caves of Self. Together, we will follow the various strands of symptoms and sensation to their source. Then we begin to untangle the knots that bind and restrict. Let's release you from those things that are inhibiting you from embracing all this life has to offer.
Currently accepting new clients! Depression. Anxiety. Anger. Numbness. These difficult symptoms (and others) color our experience, and make life difficult! And yet, they are merely the smoke from fires sourced far deeper within the caves of Self. Together, we will follow the various strands of symptoms and sensation to their source. Then we begin to untangle the knots that bind and restrict. Let's release you from those things that are inhibiting you from embracing all this life has to offer.
(916) 252-5430 View (916) 252-5430
Photo of Debra Bernbeck, LMFT, Marriage & Family Therapist
Debra Bernbeck
Marriage & Family Therapist, LMFT
Verified Verified
Nevada City, CA 95959
I am a psychotherapist (MFT) and Coach for the Psychology of Eating. My counseling sessions online and in person aim to help couples and individuals (12 years and up) for a variety of issues, such as emotional eating, depression, anxiety, trauma, couple's conflict, codependency, self-esteem, life transitions, behavioral problems and more. I am trained couples therapist, and have passion for helping couples. I provide space for those who struggle with emotional eating and suffer silently and alone, so they can transform their relationship with their bodies and eating habits, lose weight and achieve greater self-esteem.
I am a psychotherapist (MFT) and Coach for the Psychology of Eating. My counseling sessions online and in person aim to help couples and individuals (12 years and up) for a variety of issues, such as emotional eating, depression, anxiety, trauma, couple's conflict, codependency, self-esteem, life transitions, behavioral problems and more. I am trained couples therapist, and have passion for helping couples. I provide space for those who struggle with emotional eating and suffer silently and alone, so they can transform their relationship with their bodies and eating habits, lose weight and achieve greater self-esteem.
(530) 319-5417 View (530) 319-5417
Photo of Lilliana Dunbar, ACSW
Lilliana Dunbar
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
Nevada City, CA 95959
I am a trauma-focused therapist that specializes in EMDR therapy and play therapy. I offer both individual and family therapy. I will utilize evidence-based treatments to treat a wide range of issues including anxiety, behavioral issues, depression, family conflict, historical and recent trauma, life transitions and parenting/co-parenting. Additionally, I have lots of experience working as a behavioral specialists within the school system and supporting parents navigating 504/IEP/SST plans.
I am a trauma-focused therapist that specializes in EMDR therapy and play therapy. I offer both individual and family therapy. I will utilize evidence-based treatments to treat a wide range of issues including anxiety, behavioral issues, depression, family conflict, historical and recent trauma, life transitions and parenting/co-parenting. Additionally, I have lots of experience working as a behavioral specialists within the school system and supporting parents navigating 504/IEP/SST plans.
(530) 441-2364 View (530) 441-2364
Photo of Katie Nerelli, MA, LMFT, Marriage & Family Therapist
Katie Nerelli
Marriage & Family Therapist, MA, LMFT
Verified Verified
Nevada City, CA 95959
I offer holistic psychotherapy to support body, mind and spirit in personal growth and well-being. My practice specializes in treating children, adolescents and families with anxiety, depression, struggles within relationships, confidence, and communication. I use an integrated approach including relational, cognitive behavioral, mindfulness, and trauma informed techniques. I provide family therapy with the goal of developing intimate, safe, and healthy relationships.
I offer holistic psychotherapy to support body, mind and spirit in personal growth and well-being. My practice specializes in treating children, adolescents and families with anxiety, depression, struggles within relationships, confidence, and communication. I use an integrated approach including relational, cognitive behavioral, mindfulness, and trauma informed techniques. I provide family therapy with the goal of developing intimate, safe, and healthy relationships.
(530) 456-7631 View (530) 456-7631
Photo of Christina Olsen, ACSW, MSW, Pre-Licensed Professional
Christina Olsen
Pre-Licensed Professional, ACSW, MSW
Verified Verified
3 Endorsed
Nevada City, CA 95959
On the outside, it appears you have it all together. You have an ideal life with a great job, a good marriage and a lot of friends. But something is off. On the inside, you feel alone: no one knows the burdens you carry. You have tried everything you know to do, but still feel depressed, anxious, and overwhelmed. You're terrified of the moment when everyone figures out you are a fraud. You know on paper you have a good life, and you're confused why you don't feel happy. You have come to the right place. Therapy can help you resolve those internal thoughts, feelings and stuck points that no one else sees.
On the outside, it appears you have it all together. You have an ideal life with a great job, a good marriage and a lot of friends. But something is off. On the inside, you feel alone: no one knows the burdens you carry. You have tried everything you know to do, but still feel depressed, anxious, and overwhelmed. You're terrified of the moment when everyone figures out you are a fraud. You know on paper you have a good life, and you're confused why you don't feel happy. You have come to the right place. Therapy can help you resolve those internal thoughts, feelings and stuck points that no one else sees.
(916) 619-5552 View (916) 619-5552
Photo of J. Lynne Rose - Coach J.Lynne Consulting, MSW, CHT
Coach J.Lynne Consulting
MSW, CHT
Verified Verified
Nevada City, CA 95959  (Online Only)
If you are a woman experiencing insomnia, stress, and excessive tension, and the weight or smoking or repetitive problems in relationships, I am a helper. I work with women who are ready to make a change in their lives, who have been through psychotherapy and know the issues but find they are stubborn, and continue to experience inner desperation or rage.
If you are a woman experiencing insomnia, stress, and excessive tension, and the weight or smoking or repetitive problems in relationships, I am a helper. I work with women who are ready to make a change in their lives, who have been through psychotherapy and know the issues but find they are stubborn, and continue to experience inner desperation or rage.
(530) 444-1248 View (530) 444-1248
Photo of Michelle Tracy - Innerlight Therapy , LMFT, Marriage & Family Therapist
Innerlight Therapy
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Nevada City, CA 95959
Sometimes the world seems dark, troubling, overwhelming. As humans we are faced with so many choices, possibilities are endless and there are so many unknowns. In the midst of uncertainty, it may seem daunting to reach out for help. Buried deep within the unknown, the darkness, the overwhelm, is the spark of inner light. You know it is there but may appear just out of reach. The light of clarity, of purpose and forward movement is a possibility, and you are ready to come out of the darkness and turn towards this light. We are dedicated to helping you uncover the layers of darkness, and find this inner light.
Sometimes the world seems dark, troubling, overwhelming. As humans we are faced with so many choices, possibilities are endless and there are so many unknowns. In the midst of uncertainty, it may seem daunting to reach out for help. Buried deep within the unknown, the darkness, the overwhelm, is the spark of inner light. You know it is there but may appear just out of reach. The light of clarity, of purpose and forward movement is a possibility, and you are ready to come out of the darkness and turn towards this light. We are dedicated to helping you uncover the layers of darkness, and find this inner light.
(530) 508-9023 View (530) 508-9023
Photo of Jenny Emblom, MA, Marriage & Family Therapist Associate
Jenny Emblom
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Nevada City, CA 95959
I believe there is medicine underneath every issue that can open up great healing and shifts in one’s life when approached from a conscious, loving place. I support clients with an integrative approach and wholeheartedly believe in the power of attuning the body, mind, and soul.
I believe there is medicine underneath every issue that can open up great healing and shifts in one’s life when approached from a conscious, loving place. I support clients with an integrative approach and wholeheartedly believe in the power of attuning the body, mind, and soul.
(805) 874-5348 View (805) 874-5348
Photo of Ayya Elzarka, Pre-Licensed Professional
Ayya Elzarka
Pre-Licensed Professional
Verified Verified
Nevada City, CA 95959  (Online Only)
Every human was created with an innate capacity to heal. Over the course of our lives, we can encounter challenges and accumulate experiences that distance us from that amazing capacity that we hold. While these obstacles can leave us with experiences of pain or suffering, it is through moving through them that we open the door for a deep transformation where we can come to know our true selves. Whether you feel overtaken by depression, anxiety, overwhelm, or trauma, this inner knowledge awaits as a path to healing.
Every human was created with an innate capacity to heal. Over the course of our lives, we can encounter challenges and accumulate experiences that distance us from that amazing capacity that we hold. While these obstacles can leave us with experiences of pain or suffering, it is through moving through them that we open the door for a deep transformation where we can come to know our true selves. Whether you feel overtaken by depression, anxiety, overwhelm, or trauma, this inner knowledge awaits as a path to healing.
(530) 654-4915 View (530) 654-4915
Photo of Aaron Galloway, MA, LPC, NCC, EMDR-II, Licensed Professional Counselor
Aaron Galloway
Licensed Professional Counselor, MA, LPC, NCC, EMDR-II
Verified Verified
2 Endorsed
Nevada City, CA 95959
I specialize in treating people experiencing relational challenges, life transitions, PTSD, anxiety, depression, and substance use issues. The healing journey is not a one-size-fits-all experience, so I draw on my training in EMDR, ketamine-assisted psychotherapy, Gestalt therapy, attachment therapy, somatic therapy, wilderness therapy, Polyvagal theory, and addictions counseling to best meet you where you are in your process. Let's work together to co-create an individualized plan for you.
I specialize in treating people experiencing relational challenges, life transitions, PTSD, anxiety, depression, and substance use issues. The healing journey is not a one-size-fits-all experience, so I draw on my training in EMDR, ketamine-assisted psychotherapy, Gestalt therapy, attachment therapy, somatic therapy, wilderness therapy, Polyvagal theory, and addictions counseling to best meet you where you are in your process. Let's work together to co-create an individualized plan for you.
(720) 664-5216 View (720) 664-5216
Photo of Spencer Campbell, MA, LMFT, Marriage & Family Therapist
Spencer Campbell
Marriage & Family Therapist, MA, LMFT
Verified Verified
Nevada City, CA 95959
I have been practicing psychotherapy since 2004 and am currently serving as the Director of the Center for Transformational Therapy in Nevada City. I have developed a process called Awareness-Based Emotional Processing to help my clients expand their feeling capacity and establish emotional well-being individually and in relationship.
I have been practicing psychotherapy since 2004 and am currently serving as the Director of the Center for Transformational Therapy in Nevada City. I have developed a process called Awareness-Based Emotional Processing to help my clients expand their feeling capacity and establish emotional well-being individually and in relationship.
(530) 924-0614 View (530) 924-0614
Photo of Betty A Murphy, LMFT, MA, Marriage & Family Therapist
Betty A Murphy
Marriage & Family Therapist, LMFT, MA
Verified Verified
Nevada City, CA 95959
I would welcome clients who are seeking insight into their own issues and how those issues relate to their relationships with others. I offer a warm, welcoming, non-judgemental environment in which one can gently be guided toward finding their own answers to the challenges they face in this current, tumultuous world.
I would welcome clients who are seeking insight into their own issues and how those issues relate to their relationships with others. I offer a warm, welcoming, non-judgemental environment in which one can gently be guided toward finding their own answers to the challenges they face in this current, tumultuous world.
(442) 282-7408 View (442) 282-7408
Photo of Shannon Casey Welch, Marriage & Family Therapist Associate
Shannon Casey Welch
Marriage & Family Therapist Associate
Verified Verified
3 Endorsed
Nevada City, CA 95959
Not accepting new clients
I bring to this work a deep belief in the strength and resiliency of the human spirit. As a psychodynamic therapist I offer a warm, empathic presence as we create a safe container within which to explore trauma, confusion, grief, or just a pervasive sense of discomfort with life as it is. Bringing attention, care, and insight to that which lies beneath the experience of suffering, we allow for the possibility of deep inner healing and growth. The integration of mind, body, and heart offers a way through pain, a way forward. I would be honored to accompany you on your journey towards greater ease, inner peace and embodied well-being.
I bring to this work a deep belief in the strength and resiliency of the human spirit. As a psychodynamic therapist I offer a warm, empathic presence as we create a safe container within which to explore trauma, confusion, grief, or just a pervasive sense of discomfort with life as it is. Bringing attention, care, and insight to that which lies beneath the experience of suffering, we allow for the possibility of deep inner healing and growth. The integration of mind, body, and heart offers a way through pain, a way forward. I would be honored to accompany you on your journey towards greater ease, inner peace and embodied well-being.
(805) 257-0780 View (805) 257-0780
Photo of Susie Rafferty Glad, MSW, LCSW, Clinical Social Work/Therapist
Susie Rafferty Glad
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Nevada City, CA 95959  (Online Only)
Looking for a passionate and seasoned psychotherapist? For 30 years I have promoted therapeutic change with a wide array of issues/ages. I have a special interest/ intensive training/expertise in these specialty areas: Couples work, ADD/ADHD, Asperger's, Depression/Seasonal Affective Disorder, Foster/Adoption, Adolescents/Young Adults, Compulsive Eating, Parenting, Life Transitions, Employment issues. Prior to moving to California, I lived/worked in Pittsburgh, Philadelphia, Tucson, and Seattle, delighting in providing therapy to diverse cultural populations. Clinically grounded and savvy, as well as highly intuitive. Direct yet gentle. Helping people heal is my life passion, I delight in the individuality of each person.
Looking for a passionate and seasoned psychotherapist? For 30 years I have promoted therapeutic change with a wide array of issues/ages. I have a special interest/ intensive training/expertise in these specialty areas: Couples work, ADD/ADHD, Asperger's, Depression/Seasonal Affective Disorder, Foster/Adoption, Adolescents/Young Adults, Compulsive Eating, Parenting, Life Transitions, Employment issues. Prior to moving to California, I lived/worked in Pittsburgh, Philadelphia, Tucson, and Seattle, delighting in providing therapy to diverse cultural populations. Clinically grounded and savvy, as well as highly intuitive. Direct yet gentle. Helping people heal is my life passion, I delight in the individuality of each person.
(530) 513-6934 View (530) 513-6934
Photo of Lynne Rose - J Lynne Heart Coach, MSW, CHT
J Lynne Heart Coach
MSW, CHT
Verified Verified
Nevada City, CA 95959  (Online Only)
Coach J. Lynne specializes in women's facilitation. Feel deeply calm and see clearly within to feel healing. Clients often see into their own real-time observation of their life from deep inside. She guides individuals ready to change, through the process of changing, helping them land in their new lifestyle of a healed outlook and feeling better. This typically feels good, gaining new confidence, freedom from pain (physical or emotional), and quitting bad habits such as smoking, binge-eating, and other compulsions such as hand-washing or codependency. If you are ready to take action and make a change Coach J. Lynne is a fit!
Coach J. Lynne specializes in women's facilitation. Feel deeply calm and see clearly within to feel healing. Clients often see into their own real-time observation of their life from deep inside. She guides individuals ready to change, through the process of changing, helping them land in their new lifestyle of a healed outlook and feeling better. This typically feels good, gaining new confidence, freedom from pain (physical or emotional), and quitting bad habits such as smoking, binge-eating, and other compulsions such as hand-washing or codependency. If you are ready to take action and make a change Coach J. Lynne is a fit!
(530) 207-8934 View (530) 207-8934

See more therapy options for Nevada City

How does your Therapist compare?

Number of Therapists in Nevada City, CA

100+

Average cost per session

$150

Therapists in Nevada City, CA who prioritize treating:

88% Anxiety
86% Depression
81% Relationship Issues
79% Trauma and PTSD
79% Self Esteem
70% Grief
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

57% Medi-Cal
40% Other
34% Anthem | Elevance

How Therapists in Nevada City, CA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Nevada City?

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.