Therapists in Pinedale, CA

Photo of Frances Echeverria Logan, MS, LMFT, Marriage & Family Therapist
Frances Echeverria Logan
Marriage & Family Therapist, MS, LMFT
Verified Verified
Pinedale, CA 93650  (Online Only)
We want to feel safe, secure and connected to ourselves, our families/friends and our communities. Obstacles to doing so can include circumstances outside of our control and also the results of our own learned patterns and behaviors. Therapy is an integral part of healing past trauma, validating one's thoughts/feelings/emotions, identifying dysfunctional patterns of engagement and learning new skills to cope. Through work with a therapist, it is possible to shape a life and relationships that include confidence, calm and presence that is so often missed in the busyness of society today.
We want to feel safe, secure and connected to ourselves, our families/friends and our communities. Obstacles to doing so can include circumstances outside of our control and also the results of our own learned patterns and behaviors. Therapy is an integral part of healing past trauma, validating one's thoughts/feelings/emotions, identifying dysfunctional patterns of engagement and learning new skills to cope. Through work with a therapist, it is possible to shape a life and relationships that include confidence, calm and presence that is so often missed in the busyness of society today.
(559) 426-8044 View (559) 426-8044
Photo of Maureen Charlotte Wolf, MA, LMFT, Marriage & Family Therapist
Maureen Charlotte Wolf
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pinedale, CA 93650
I am a Jungian oriented psychotherapist who enjoys working with couples, individuals, teens and children. I employ traditional "talk therapy" but will also work with dreams and creative expressions of the psyche through drawing, painting, sandplay and writing, depending on the client's needs and preferences. I have a master's in counseling psychology with an emphasis in depth psychology. I am seeking certification as an Imago Relationship Therapist and certification as sandplay therapist. I am well qualified to help clients with: relationship issues; depression and anxiety; trauma recovery; spiritual issues including grief and loss; and child developmental and trauma issues.
I am a Jungian oriented psychotherapist who enjoys working with couples, individuals, teens and children. I employ traditional "talk therapy" but will also work with dreams and creative expressions of the psyche through drawing, painting, sandplay and writing, depending on the client's needs and preferences. I have a master's in counseling psychology with an emphasis in depth psychology. I am seeking certification as an Imago Relationship Therapist and certification as sandplay therapist. I am well qualified to help clients with: relationship issues; depression and anxiety; trauma recovery; spiritual issues including grief and loss; and child developmental and trauma issues.
(559) 475-8719 View (559) 475-8719
Photo of Margot Tepperman, MA, MSW, LCSW, ACC, Clinical Social Work/Therapist
Margot Tepperman
Clinical Social Work/Therapist, MA, MSW, LCSW, ACC
Verified Verified
Pinedale, CA 93650
I provide a holistic counseling approach providing rapid, positive changes in areas of depression, anxiety, trauma, stress management, relationship, pain management and grief work with adults and children. My resources include the powerful technique of EMDR, Eye Movement Desensitization and Reprocessing, as well as HYPNOSIS, visual imagery and new thought. Hypnosis is a powerful, effective and immediate tool to bring about profound change. It is useful for eliminating addictive behaviors, improving sports performance, reducing anxiety while giving presentations, taking tests and also used for post surgery healing.
I provide a holistic counseling approach providing rapid, positive changes in areas of depression, anxiety, trauma, stress management, relationship, pain management and grief work with adults and children. My resources include the powerful technique of EMDR, Eye Movement Desensitization and Reprocessing, as well as HYPNOSIS, visual imagery and new thought. Hypnosis is a powerful, effective and immediate tool to bring about profound change. It is useful for eliminating addictive behaviors, improving sports performance, reducing anxiety while giving presentations, taking tests and also used for post surgery healing.
(559) 472-0863 View (559) 472-0863

More Therapists Nearby

Photo of Susan Diane Utter, LMFT, Marriage & Family Therapist
Susan Diane Utter
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93650  (Online Only)
Today many people are wondering what in the world is happening out there. People seem to be separating into two very different camps; and have lost the ability to consider point of view except for their own. Families are divided, friendships ended, as we hang on to the diminishing picture of how things used to be. There is no returning to how it used to be, everything is changing. Helpers such as myself can offer a space of no judgement to explore how to navigate these times. One of my favorite sayings is "just when you think it's falling apart, it's really falling together." Does this resonate with you? If so, I may be your helper.
Today many people are wondering what in the world is happening out there. People seem to be separating into two very different camps; and have lost the ability to consider point of view except for their own. Families are divided, friendships ended, as we hang on to the diminishing picture of how things used to be. There is no returning to how it used to be, everything is changing. Helpers such as myself can offer a space of no judgement to explore how to navigate these times. One of my favorite sayings is "just when you think it's falling apart, it's really falling together." Does this resonate with you? If so, I may be your helper.
(805) 395-4318 View (805) 395-4318
Photo of Nicole L Eckhardt, LPCC, NCC, Counselor
Nicole L Eckhardt
Counselor, LPCC, NCC
Verified Verified
Fresno, CA 93720  (Online Only)
I enjoy working with people in all stages of life, especially older teens, young adults, and military, veterans, and military family members. I focus on the importance of self-care since it is essential to treating the whole person and managing depression, anxiety, stress, grief, relationships, work, and other common issues. I have experience with and believe in the benefits of integrating faith and counseling, but am also respectful that this is a personal choice. My passion is to help others find peace, healing, and self-acceptance. I also value the human-animal bond and have a therapy dog in training that interacts with clients.
I enjoy working with people in all stages of life, especially older teens, young adults, and military, veterans, and military family members. I focus on the importance of self-care since it is essential to treating the whole person and managing depression, anxiety, stress, grief, relationships, work, and other common issues. I have experience with and believe in the benefits of integrating faith and counseling, but am also respectful that this is a personal choice. My passion is to help others find peace, healing, and self-acceptance. I also value the human-animal bond and have a therapy dog in training that interacts with clients.
(559) 540-8186 View (559) 540-8186
Photo of Kathleen R. Solano, MS, LMFT, Marriage & Family Therapist
Kathleen R. Solano
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fresno, CA 93711  (Online Only)
It is my focus, as a therapist, to create a safe, supportive and confidential environment in which all feel fully accepted. I believe non-judgment, respect and genuineness are key ingredients towards creating an authentic connection which sets the stage for healing to unfold. My specialties include working with adults to help them access their own internal resiliency, learn healthier ways of coping, becoming more self-aware and improve behavior. My treatment approach is working within a Humanistic model. Cognitive Behavioral Therapy, Existential and Family Systems approaches are utilized as well.
It is my focus, as a therapist, to create a safe, supportive and confidential environment in which all feel fully accepted. I believe non-judgment, respect and genuineness are key ingredients towards creating an authentic connection which sets the stage for healing to unfold. My specialties include working with adults to help them access their own internal resiliency, learn healthier ways of coping, becoming more self-aware and improve behavior. My treatment approach is working within a Humanistic model. Cognitive Behavioral Therapy, Existential and Family Systems approaches are utilized as well.
(559) 549-6143 View (559) 549-6143
Photo of Ben Bizar-Stanton, LCP, Psychologist
Ben Bizar-Stanton
Psychologist, LCP
Verified Verified
Fresno, CA 93710
Hello! My name is Ben Bizar-Stanton and I appreciate you taking the time to read this. I’m a licensed Clinical Psychologist here to help you in whatever way I can. I’m a father of two, a dog lover, food lover, and like to spend my free time doing anything I can outside unless I’m watching basketball or soccer. My clinical experience has ranged from VAs to elementary schools, to the US Air Force, to university counseling centers, and even to prison. I’ve worked with individuals ages 5-94 and have found that my niche is with individuals ages 16-60.
Hello! My name is Ben Bizar-Stanton and I appreciate you taking the time to read this. I’m a licensed Clinical Psychologist here to help you in whatever way I can. I’m a father of two, a dog lover, food lover, and like to spend my free time doing anything I can outside unless I’m watching basketball or soccer. My clinical experience has ranged from VAs to elementary schools, to the US Air Force, to university counseling centers, and even to prison. I’ve worked with individuals ages 5-94 and have found that my niche is with individuals ages 16-60.
(661) 463-9791 View (661) 463-9791
Photo of Jessica L. Criner - RESET Trauma & Family Counseling Center, MS, LMFT, Marriage & Family Therapist
RESET Trauma & Family Counseling Center
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Fresno, CA 93729  (Online Only)
There are seasons in life that are very unpredictable, 2020 for example! If you are finding that the last few months, weeks, maybe even years have been full of overwhelming amounts of change, transition and uncertainty, your are not alone. I understand the uncertainty of life can cause depression, anxiety, and unresolved traumas to arise. My goal is to assist you with getting to the heart of the issues you are enduring, while embracing the resiliency and strength it took for you to make it this far. Emotional healing and relief is near.
There are seasons in life that are very unpredictable, 2020 for example! If you are finding that the last few months, weeks, maybe even years have been full of overwhelming amounts of change, transition and uncertainty, your are not alone. I understand the uncertainty of life can cause depression, anxiety, and unresolved traumas to arise. My goal is to assist you with getting to the heart of the issues you are enduring, while embracing the resiliency and strength it took for you to make it this far. Emotional healing and relief is near.
(209) 391-2420 View (209) 391-2420
Photo of Nathalene P Vang - Cultural Family Therapy-Nathalene Vang, AMFT, Marriage & Family Therapist Associate
Cultural Family Therapy-Nathalene Vang
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
At Cultural Family Therapy, where we are committed to guiding children, adolescents, adults, couples, and the LGBTQ+ community on their personal paths and challenges in life. Our approach helps identify unhealthy thoughts/behaviors and actions that can cause depression, conflict within relationships, anxiety, triggers and provide skills and support to promote inner self-confidence and different outlooks on life. Please check out our website and email us about our clinician's availability!
At Cultural Family Therapy, where we are committed to guiding children, adolescents, adults, couples, and the LGBTQ+ community on their personal paths and challenges in life. Our approach helps identify unhealthy thoughts/behaviors and actions that can cause depression, conflict within relationships, anxiety, triggers and provide skills and support to promote inner self-confidence and different outlooks on life. Please check out our website and email us about our clinician's availability!
(559) 414-8456 View (559) 414-8456
Photo of Alexandra Garcia, MS, Marriage & Family Therapist
Alexandra Garcia
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
Fresno, CA 93710
Alexandra believes in having a collaborative relationship with clients to explore and process therapeutic goals. By having a collaborative relationship, clients and therapist can work together to gain insights and promote healing together. Alexandra works collaboratively with clients to create unique therapeutic goals for clients' needs, and by building upon their strengths to foster growth and change. Alexandra’s goals are to promote a comfortable and safe environment to achieve healing through working towards therapeutic goals.
Alexandra believes in having a collaborative relationship with clients to explore and process therapeutic goals. By having a collaborative relationship, clients and therapist can work together to gain insights and promote healing together. Alexandra works collaboratively with clients to create unique therapeutic goals for clients' needs, and by building upon their strengths to foster growth and change. Alexandra’s goals are to promote a comfortable and safe environment to achieve healing through working towards therapeutic goals.
(559) 236-7092 View (559) 236-7092
Photo of Leticia J Chavez, PsyD, Psychologist
Leticia J Chavez
Psychologist, PsyD
Verified Verified
2 Endorsed
Fresno, CA 93704
I work with adults and adolescents who are coping with various concerns such as depression, anxiety, and posttraumatic stress disorder. I also work effectively with individuals experiencing situational stressors such as bereavement, relationship conflicts, or loss. In a supportive and confidential environment, I help clients reduce emotional distress, understand problematic behaviors, and develop tools to improve their quality of life.
I work with adults and adolescents who are coping with various concerns such as depression, anxiety, and posttraumatic stress disorder. I also work effectively with individuals experiencing situational stressors such as bereavement, relationship conflicts, or loss. In a supportive and confidential environment, I help clients reduce emotional distress, understand problematic behaviors, and develop tools to improve their quality of life.
(559) 717-4885 View (559) 717-4885
Photo of Loua Vang, MS
Loua Vang
Associate Professional Clinical Counselor, MS
Verified Verified
1 Endorsed
Fresno, CA 93710
As an associate professional clinical counselor, Loua works with individuals expereincing depression, grief, anxiety and other issues. Her approach to therapy comes from an integrative and holistic perspective that tailors each client’s treatment to their unique needs. Loua enjoys working with and getting to know clients from all different populations and age groups. In therapy, she values creating a nonjudgmental and safe place for clients to share, process, and reflect. She does this through the incorporation of CBT, mindfulness, and deep breathing exercises into sessions.
As an associate professional clinical counselor, Loua works with individuals expereincing depression, grief, anxiety and other issues. Her approach to therapy comes from an integrative and holistic perspective that tailors each client’s treatment to their unique needs. Loua enjoys working with and getting to know clients from all different populations and age groups. In therapy, she values creating a nonjudgmental and safe place for clients to share, process, and reflect. She does this through the incorporation of CBT, mindfulness, and deep breathing exercises into sessions.
(559) 785-3995 View (559) 785-3995
Photo of Melissa Tihin - Central Valley Family Therapy, LMFT, Marriage & Family Therapist
Central Valley Family Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93720
Central Valley Family Therapy is a group practice whose sole focus is providing individuals, couples and families support through all walks of life. Our clinicians recognize the importance of quality treatment for each and every client that walks through our doors. We welcome clients with culturally diverse identities, backgrounds, socio-economic statuses, and experiences. We believe that every person who seeks support should have access to quality mental health services. Our focus is not only on your unique therapeutic goals, but in providing our clients with a warm, friendly and nurturing environment.
Central Valley Family Therapy is a group practice whose sole focus is providing individuals, couples and families support through all walks of life. Our clinicians recognize the importance of quality treatment for each and every client that walks through our doors. We welcome clients with culturally diverse identities, backgrounds, socio-economic statuses, and experiences. We believe that every person who seeks support should have access to quality mental health services. Our focus is not only on your unique therapeutic goals, but in providing our clients with a warm, friendly and nurturing environment.
(559) 206-0268 View (559) 206-0268
Photo of Jeremy Horn, LMFT, Marriage & Family Therapist
Jeremy Horn
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93711
My name is Jeremy, and I am a Licensed Marriage and Family Therapist. I work with individuals, couples, and families. I have worked with ages 6 to 86 on all issues relating to being human and striving for more out of their current situation that has them stuck. I am a Veteran of the U.S. Army. I have traveled the globe in many High-Tech industries, built relationships, and teamed up with people from all walks of life, religions, orientations, identities, and backgrounds before becoming a Therapist. As they say, the best authors are those who have lived life; I feel the same applies to a good therapist.
My name is Jeremy, and I am a Licensed Marriage and Family Therapist. I work with individuals, couples, and families. I have worked with ages 6 to 86 on all issues relating to being human and striving for more out of their current situation that has them stuck. I am a Veteran of the U.S. Army. I have traveled the globe in many High-Tech industries, built relationships, and teamed up with people from all walks of life, religions, orientations, identities, and backgrounds before becoming a Therapist. As they say, the best authors are those who have lived life; I feel the same applies to a good therapist.
(415) 723-5680 View (415) 723-5680
Photo of Candyce Spruel, LMFT, Marriage & Family Therapist
Candyce Spruel
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
Hi I am Candyce Spruel a Licensed Marriage & Family Therapist (LMFT). I have been counseling for over 20 years. I am a client centered humanistic therapist. I approach every situation with a non-judgmental and empathic view. I am client focused and I met my clients where they are. I work with clients who have symptoms of anxiety, depression and psychosis. Many of my clients are survivors of childhood trauma.
Hi I am Candyce Spruel a Licensed Marriage & Family Therapist (LMFT). I have been counseling for over 20 years. I am a client centered humanistic therapist. I approach every situation with a non-judgmental and empathic view. I am client focused and I met my clients where they are. I work with clients who have symptoms of anxiety, depression and psychosis. Many of my clients are survivors of childhood trauma.
(559) 648-9299 View (559) 648-9299
Photo of Tessa Gillispie, LMFT, Marriage & Family Therapist
Tessa Gillispie
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Fresno, CA 93720
Feeling overwhelmed by life, anxiety, or relationship stress and looking for a safe space to explore and heal? Are you wanting to understand yourself more deeply and improve your relationships with those around you? If so, I’d love to partner with you to explore and make sense of your inner world. I specialize in supporting teens, young adults, and women as they navigate life’s challenges, including anxiety, low self-esteem, difficult relationship dynamics, and past relationship trauma. I also offer support for women dealing with postpartum struggles. Together, we will create a shared space for you to feel seen, known, and heard.
Feeling overwhelmed by life, anxiety, or relationship stress and looking for a safe space to explore and heal? Are you wanting to understand yourself more deeply and improve your relationships with those around you? If so, I’d love to partner with you to explore and make sense of your inner world. I specialize in supporting teens, young adults, and women as they navigate life’s challenges, including anxiety, low self-esteem, difficult relationship dynamics, and past relationship trauma. I also offer support for women dealing with postpartum struggles. Together, we will create a shared space for you to feel seen, known, and heard.
(559) 838-4182 View (559) 838-4182
Photo of Giselle Josephine Facemire, Marriage & Family Therapist Associate
Giselle Josephine Facemire
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Fresno, CA 93710
As a Registered Associate Marriage and Family Therapist, I enjoy working with families, children, adolescents and adults. I hope to be a guiding voice for those who are brave enough to reach out for help and willing to work towards attaining their goals as well as those who are struggling and need guidance toward the light out of the darkness. My approach to therapy involves using my own life experiences and curiosity to empathize and validate my client(s). I walk alongside you, help you process, and assist you in learning the tools and skills you need to attain your treatment goals.
As a Registered Associate Marriage and Family Therapist, I enjoy working with families, children, adolescents and adults. I hope to be a guiding voice for those who are brave enough to reach out for help and willing to work towards attaining their goals as well as those who are struggling and need guidance toward the light out of the darkness. My approach to therapy involves using my own life experiences and curiosity to empathize and validate my client(s). I walk alongside you, help you process, and assist you in learning the tools and skills you need to attain your treatment goals.
(559) 838-4232 View (559) 838-4232
Photo of Jamal L Jones, LMFT, Marriage & Family Therapist
Jamal L Jones
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93720
How did you end up here? Stuck in an unfulfilling marriage and paralyzed by fear. Your anxiety and other men’s issues are causing you to struggle to connect, communicate and resolve conflict with your spouse. It is having a negative impact on how you show up as a parent. Now might be the time for you to connect with a marriage counselor who can help.
How did you end up here? Stuck in an unfulfilling marriage and paralyzed by fear. Your anxiety and other men’s issues are causing you to struggle to connect, communicate and resolve conflict with your spouse. It is having a negative impact on how you show up as a parent. Now might be the time for you to connect with a marriage counselor who can help.
(559) 254-4838 View (559) 254-4838
Photo of Shelley Betts - Hope & Healing Christian Counseling , Pastoral Counselor
Hope & Healing Christian Counseling
Pastoral Counselor
Verified Verified
Fresno, CA 93710
Hope & Healing Christian Counseling is a 501 (c)(3) nonprofit organization that provides Biblically-based counseling for adults, youth, couples and families.
Hope & Healing Christian Counseling is a 501 (c)(3) nonprofit organization that provides Biblically-based counseling for adults, youth, couples and families.
(559) 379-6642 View (559) 379-6642
Photo of Julie Hitchcock, LMFT, Marriage & Family Therapist
Julie Hitchcock
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93710
I am here to offer hope and healing to individuals, couples, and families for the many difficulties and challenges that life can present. I have a love for people and a passion for assisting individuals and couples in gaining insight into their lives and in their relationships. By gaining this insight and understanding, this can lead to emotional healing, closer relationships, healthier lifestyles, and inner peace.
I am here to offer hope and healing to individuals, couples, and families for the many difficulties and challenges that life can present. I have a love for people and a passion for assisting individuals and couples in gaining insight into their lives and in their relationships. By gaining this insight and understanding, this can lead to emotional healing, closer relationships, healthier lifestyles, and inner peace.
(512) 877-6414 View (512) 877-6414

See more therapy options for Pinedale

How does your Therapist compare?

Number of Therapists in Pinedale, CA

< 10

Therapists in Pinedale, CA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Grief
100% Spirituality
100% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Magellan

How Therapists in Pinedale, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Pinedale?

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.