Therapists in Old North Sacramento, Sacramento, CA

Photo of Joey K Yamada, MA, LMFT, Marriage & Family Therapist
Joey K Yamada
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Old North Sacramento, Sacramento, CA 95815
If you are reading this, take heart, as you've already demonstrated your courage. Many people, if not most, never seek the help they need, professionally or personally. As a therapist, my philosophy is that every person is unique in their own way, and this requires a unique solution to the challenges you face. People are incredibly complex, and many times this is why cookie cutter interventions often fall flat, because the client is not fully understood before interventions are prescribed.
If you are reading this, take heart, as you've already demonstrated your courage. Many people, if not most, never seek the help they need, professionally or personally. As a therapist, my philosophy is that every person is unique in their own way, and this requires a unique solution to the challenges you face. People are incredibly complex, and many times this is why cookie cutter interventions often fall flat, because the client is not fully understood before interventions are prescribed.
(916) 602-4690 View (916) 602-4690
Photo of Rebecca L Sawyer, MFT, Marriage & Family Therapist
Rebecca L Sawyer
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Old North Sacramento, Sacramento, CA 95815
Not accepting new clients
I provide a supportive place for clients to talk. Some need help with anxiety and depression. Some want to lower stress and improve relationships. Often I support folks in identifying needs, improving communication and understanding patterns. Many need support to just be able to slow down in this fast paced world. Clients may begin to notice a renewed sense of well-being. Many clients notice that childhood wounds continue to impact their thoughts, feelings and behaviors. I listen with empathy and compassion and work collaboratively - to help find growth, new insight and enhanced life satisfaction.
I provide a supportive place for clients to talk. Some need help with anxiety and depression. Some want to lower stress and improve relationships. Often I support folks in identifying needs, improving communication and understanding patterns. Many need support to just be able to slow down in this fast paced world. Clients may begin to notice a renewed sense of well-being. Many clients notice that childhood wounds continue to impact their thoughts, feelings and behaviors. I listen with empathy and compassion and work collaboratively - to help find growth, new insight and enhanced life satisfaction.
(530) 495-4091 View (530) 495-4091
Photo of Christina (Tina) N. Moylan, LMFT, Marriage & Family Therapist
Christina (Tina) N. Moylan
Marriage & Family Therapist, LMFT
Verified Verified
Old North Sacramento, Sacramento, CA 95815
Psychosis is a treatable condition. I truly believe this because I have seen recovery and restoration of functioning happen for many of the clients I have worked with in both inpatient and outpatient settings over the years. I am delighted to now be offering my services in the private practice setting.
Psychosis is a treatable condition. I truly believe this because I have seen recovery and restoration of functioning happen for many of the clients I have worked with in both inpatient and outpatient settings over the years. I am delighted to now be offering my services in the private practice setting.
(916) 379-7327 View (916) 379-7327
Photo of Eddie Posadas - Benessere Marriage and Family Therapy, Inc, MS, LMFT, Marriage & Family Therapist
Benessere Marriage and Family Therapy, Inc
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Old North Sacramento, Sacramento, CA 95815
Waitlist for new clients
I am an Air Force veteran with a passionate in helping others. I was born in the Philippines but raised in Maryland. After graduating from high school, I made the decision to serve in the United States Air Force as an Equal Opportunity Advisor. During my time in the military, I came face-to-face with trauma and learned about the complexity of the human brain. It became evident to me that having a trusted person by your side can alleviate emotional intensity.
I am an Air Force veteran with a passionate in helping others. I was born in the Philippines but raised in Maryland. After graduating from high school, I made the decision to serve in the United States Air Force as an Equal Opportunity Advisor. During my time in the military, I came face-to-face with trauma and learned about the complexity of the human brain. It became evident to me that having a trusted person by your side can alleviate emotional intensity.
(916) 249-1069 View (916) 249-1069
Photo of Renee Becnel, LMFT, Marriage & Family Therapist
Renee Becnel
Marriage & Family Therapist, LMFT
Verified Verified
Old North Sacramento, Sacramento, CA 95815
Not accepting new clients
As a licensed Marriage Family Therapist with over 25 years experience in the mental health field, my goal is to help individuals, couples and families to sort through difficult personal or work related issues. If you feel stuck and are dealing with relationship issues, anxiety, depression, grief, illness, work and life transitions, having someone to help you address problems when you need it most can enhance self awareness and bring clarity to your life. Please acknowledge yourself for having the courage to seek help now.
As a licensed Marriage Family Therapist with over 25 years experience in the mental health field, my goal is to help individuals, couples and families to sort through difficult personal or work related issues. If you feel stuck and are dealing with relationship issues, anxiety, depression, grief, illness, work and life transitions, having someone to help you address problems when you need it most can enhance self awareness and bring clarity to your life. Please acknowledge yourself for having the courage to seek help now.
(530) 385-8963 View (530) 385-8963
Photo of Clark S. Marshall, LMFT, Marriage & Family Therapist
Clark S. Marshall
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Old North Sacramento, Sacramento, CA 95815
A trusting and genuine relationship with your therapist is the most important part of the therapeutic process. This is why, despite the theoretic perspective, I strive to accomplish an authentic relationship with each and every person, family or couple that comes to see me. Whether your goals are to recover from trauma, evolve or repair your relationships, or to build a happier sense of a self, it all starts with a trusting well defined attachment to your therapist. Thank you for reading my profile and I look forward to hearing from you.
A trusting and genuine relationship with your therapist is the most important part of the therapeutic process. This is why, despite the theoretic perspective, I strive to accomplish an authentic relationship with each and every person, family or couple that comes to see me. Whether your goals are to recover from trauma, evolve or repair your relationships, or to build a happier sense of a self, it all starts with a trusting well defined attachment to your therapist. Thank you for reading my profile and I look forward to hearing from you.
(916) 502-8298 View (916) 502-8298
Photo of La Fawn Carey-Toles, LMFT, Marriage & Family Therapist
La Fawn Carey-Toles
Marriage & Family Therapist, LMFT
Verified Verified
Old North Sacramento, Sacramento, CA 95815
Hello! My name is La Fawn, and I am a licensed Marriage and Family Therapist with over 10 years of experience working with children, teens, adults, and families. I provide support to individuals struggling with anxiety, depression, trauma, self-esteem, anger, marital discord, sexual identity, infertility, and grief and loss. My practice is based on a narrative and solution-focused approach geared towards helping individuals find their voice and become experts in their own lives while actively working towards solutions.
Hello! My name is La Fawn, and I am a licensed Marriage and Family Therapist with over 10 years of experience working with children, teens, adults, and families. I provide support to individuals struggling with anxiety, depression, trauma, self-esteem, anger, marital discord, sexual identity, infertility, and grief and loss. My practice is based on a narrative and solution-focused approach geared towards helping individuals find their voice and become experts in their own lives while actively working towards solutions.
(916) 674-0254 View (916) 674-0254
Photo of Cristina R Kosakowski, LCSW, Clinical Social Work/Therapist
Cristina R Kosakowski
Clinical Social Work/Therapist, LCSW
Verified Verified
Old North Sacramento, Sacramento, CA 95815  (Online Only)
Not accepting new clients
Are you at a point in your life where you are feeling in need of judgement free support and guidance to increase your quality of life? Are those around you suggesting you seek outside support? Are you struggling with sudden changes, transitions, obstacles? Have you experienced difficult events that are making it hard to be the best version of you? Do you need support around parenting, relationships, your career, or managing symptoms that are affecting these areas of your life? Is your child having challenging emotions? You have taken a great first step towards healing. Finding a therapist you can trust and connect with is critical.
Are you at a point in your life where you are feeling in need of judgement free support and guidance to increase your quality of life? Are those around you suggesting you seek outside support? Are you struggling with sudden changes, transitions, obstacles? Have you experienced difficult events that are making it hard to be the best version of you? Do you need support around parenting, relationships, your career, or managing symptoms that are affecting these areas of your life? Is your child having challenging emotions? You have taken a great first step towards healing. Finding a therapist you can trust and connect with is critical.
(916) 252-4094 View (916) 252-4094
Photo of Megan Noriega, MA, Marriage & Family Therapist Associate
Megan Noriega
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Old North Sacramento, Sacramento, CA 95815  (Online Only)
You don’t feel the same since it happened, and no one gets it. Not only is it on your mind all the time, it’s affecting your work, your relationships, and even what you used to enjoy. You feel alone because you don’t know anyone who’s been through this. Maybe it just happened, or maybe it feels like a lifetime ago and you don’t know why it’s still affecting you.
You don’t feel the same since it happened, and no one gets it. Not only is it on your mind all the time, it’s affecting your work, your relationships, and even what you used to enjoy. You feel alone because you don’t know anyone who’s been through this. Maybe it just happened, or maybe it feels like a lifetime ago and you don’t know why it’s still affecting you.
(530) 804-5913 View (530) 804-5913
Photo of Steve Kempster, LCSW, Clinical Social Work/Therapist
Steve Kempster
Clinical Social Work/Therapist, LCSW
Verified Verified
Old North Sacramento, Sacramento, CA 95815
Do you feel that something is holding you back? That your best Self awaits? When life presents challenges we can get stuck in emotional ruts and self-defeating thought patterns. Our relationships can falter, work feels insurmountable, or anxiety overwhelms. You do not need to take this on alone. I will support you in identifying what's holding you back and develop skills to become more adept to handle life's stressors.
Do you feel that something is holding you back? That your best Self awaits? When life presents challenges we can get stuck in emotional ruts and self-defeating thought patterns. Our relationships can falter, work feels insurmountable, or anxiety overwhelms. You do not need to take this on alone. I will support you in identifying what's holding you back and develop skills to become more adept to handle life's stressors.
(916) 584-9165 View (916) 584-9165
Photo of Claudine Martinez - Claudine Martinez, EFT Couples Therapy, LMFT, Marriage & Family Therapist
Claudine Martinez, EFT Couples Therapy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Old North Sacramento, Sacramento, CA 95815
You never thought you would be at the point of seeking couples counseling for you and your partner. In spite of your best efforts, you realize you are losing each other and are now tossed into a sea of uncertainty about your relationship. You long for deeper connection but the arguments are taking their toll. The silences have become as painful as the conflicts and this is your last hope. You're not alone. As a certified Emotionally Focused couples therapist (EFT), I help couples repair and unite against painful patterns that continue to keep them stuck.
You never thought you would be at the point of seeking couples counseling for you and your partner. In spite of your best efforts, you realize you are losing each other and are now tossed into a sea of uncertainty about your relationship. You long for deeper connection but the arguments are taking their toll. The silences have become as painful as the conflicts and this is your last hope. You're not alone. As a certified Emotionally Focused couples therapist (EFT), I help couples repair and unite against painful patterns that continue to keep them stuck.
(916) 694-0595 View (916) 694-0595
Photo of Raya Singh, MA, AMFT, Marriage & Family Therapist Associate
Raya Singh
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Old North Sacramento, Sacramento, CA 95815
Welcome! As your therapist, I create a safe, non-judgmental space to help you process challenges and find new paths moving forward. My client-centered approach supports your unique needs and fosters personal growth and self-awareness.
Welcome! As your therapist, I create a safe, non-judgmental space to help you process challenges and find new paths moving forward. My client-centered approach supports your unique needs and fosters personal growth and self-awareness.
(916) 354-6312 View (916) 354-6312
Photo of Leslie Shadrick, LCSW, Clinical Social Work/Therapist
Leslie Shadrick
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Old North Sacramento, Sacramento, CA 95815  (Online Only)
Not accepting new clients
Please note that at this time I am only providing virtual sessions. As a Clinical Social Worker and Psychotherapist, I have worked in the mental health field for over 17 years. My experience includes working with children, adolescents, emerging adults, and adults in variety of populations. I specialize in racial and sexual identity issues, anxiety, depression, trauma, life transitions, boundary setting, relationship problems, communications, and self esteem issues.
Please note that at this time I am only providing virtual sessions. As a Clinical Social Worker and Psychotherapist, I have worked in the mental health field for over 17 years. My experience includes working with children, adolescents, emerging adults, and adults in variety of populations. I specialize in racial and sexual identity issues, anxiety, depression, trauma, life transitions, boundary setting, relationship problems, communications, and self esteem issues.
(209) 554-5606 View (209) 554-5606
Photo of Michele Kellogg, LCS, 20190, Clinical Social Work/Therapist
Michele Kellogg
Clinical Social Work/Therapist, LCS, 20190
Verified Verified
1 Endorsed
Old North Sacramento, Sacramento, CA 95815
You are seeking therapy right now because there are changes you want to make. You have probably considered many avenues toward that change and are not sure where to start or how to keep yourself motivated to complete them. That is where I come in. As a professional I listen carefully to your goals, your fears, your values and all the components that go into successful decision making and change. My profession is unique in that I am privileged to hear the backstory of so many people. As I learn from each of my clients successes and challenges, I pass on what I have learned to you.
You are seeking therapy right now because there are changes you want to make. You have probably considered many avenues toward that change and are not sure where to start or how to keep yourself motivated to complete them. That is where I come in. As a professional I listen carefully to your goals, your fears, your values and all the components that go into successful decision making and change. My profession is unique in that I am privileged to hear the backstory of so many people. As I learn from each of my clients successes and challenges, I pass on what I have learned to you.
(530) 290-8961 View (530) 290-8961
Photo of Natalie Matsche - Seaside Life Services, CA-LMFT, Marriage & Family Therapist
Seaside Life Services
Marriage & Family Therapist, CA-LMFT
Verified Verified
7 Endorsed
Old North Sacramento, Sacramento, CA 95815
Experiencing symptoms of anxiety and depression? Anger disrupting your way of life? Are you finding that you are getting in your own way? Do you desire to improve your self-esteem and livelihood? Seaside Life Services is here to help! My mission is to support individuals as they embark and travel through life’s journey. To walk alongside those needing support providing opportunities and services, building upon the sequences of mental, physical, and social experiences of life. Seaside Life Services supports, respects, and welcomes all genders, races, countries of origin, sexual orientations, bodies, religions, and abilities.
Experiencing symptoms of anxiety and depression? Anger disrupting your way of life? Are you finding that you are getting in your own way? Do you desire to improve your self-esteem and livelihood? Seaside Life Services is here to help! My mission is to support individuals as they embark and travel through life’s journey. To walk alongside those needing support providing opportunities and services, building upon the sequences of mental, physical, and social experiences of life. Seaside Life Services supports, respects, and welcomes all genders, races, countries of origin, sexual orientations, bodies, religions, and abilities.
(707) 414-0761 View (707) 414-0761

Online Therapists

Photo of Cathy Ann Intemann, MS, LMFT, Marriage & Family Therapist
Cathy Ann Intemann
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95864
Waitlist for new clients
As a therapist, I believe simply in a person's ability to change whether it is drawing on the strengths one already has or stepping into the fear and excitement of new discovery. My role is to offer you a safe and respectful place where I acknowledge you, provide compassion for where you have been and support for where you will go. Therapy is a unique relationship built on trust. While I will cheerlead with you, I will also provide a mirror for you to find your own truth and that requires honest engagement and exploration of self. Life can be a challenge and if you are wanting to explore purpose and joy, I invite you to my practice.
As a therapist, I believe simply in a person's ability to change whether it is drawing on the strengths one already has or stepping into the fear and excitement of new discovery. My role is to offer you a safe and respectful place where I acknowledge you, provide compassion for where you have been and support for where you will go. Therapy is a unique relationship built on trust. While I will cheerlead with you, I will also provide a mirror for you to find your own truth and that requires honest engagement and exploration of self. Life can be a challenge and if you are wanting to explore purpose and joy, I invite you to my practice.
(916) 890-2477 View (916) 890-2477
Photo of Shirley Duarte, LMFT, Marriage & Family Therapist
Shirley Duarte
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95828
I am a licensed therapist who is a compassionate and motivated individual with excellent listening skills, capable of quickly building rapport with clients. With over 12 years of experience, I have worked extensively with clients dealing with trauma, depression, anxiety, and grief. I also have extensive experience with neurodivergent clients, such as those diagnosed with autism spectrum disorder. Some clients are comfortable just being heard by their therapist, and others might seek a transformative process utilizing unique tools from specific modalities.
I am a licensed therapist who is a compassionate and motivated individual with excellent listening skills, capable of quickly building rapport with clients. With over 12 years of experience, I have worked extensively with clients dealing with trauma, depression, anxiety, and grief. I also have extensive experience with neurodivergent clients, such as those diagnosed with autism spectrum disorder. Some clients are comfortable just being heard by their therapist, and others might seek a transformative process utilizing unique tools from specific modalities.
(818) 450-5830 View (818) 450-5830
Photo of Maria Estante - Exposure Therapy Designs, Counselor
Exposure Therapy Designs
Counselor
Verified Verified
2 Endorsed
Sacramento, CA 95816  (Online Only)
Welcome to Exposure Therapy Designs! We’re here to provide virtual EMDR (Eye Movement Desensitization Response), Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE) for PTSD, and Exposure and Response Prevention (ERP) with Acceptance and Commitment Therapy (ACT) for OCD. Our clinicians offer teletherapy for residents of California, Delaware, Florida, Hawaii, Indiana, Massachusetts, Nevada, South Carolina, Vermont, and Virginia. Scheduling link: www.picktime.com/ExposureTherapyDesigns
Welcome to Exposure Therapy Designs! We’re here to provide virtual EMDR (Eye Movement Desensitization Response), Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE) for PTSD, and Exposure and Response Prevention (ERP) with Acceptance and Commitment Therapy (ACT) for OCD. Our clinicians offer teletherapy for residents of California, Delaware, Florida, Hawaii, Indiana, Massachusetts, Nevada, South Carolina, Vermont, and Virginia. Scheduling link: www.picktime.com/ExposureTherapyDesigns
(530) 292-7445 View (530) 292-7445
Photo of Jessa Mohaddess Westmoreland, PsyD, Pre-Licensed Professional
Jessa Mohaddess Westmoreland
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
Many of us feel disconnected from ourselves and experience symptoms that constrict our lives and relationships. My goal as a therapist is to provide a safe environment where people can comfortably explore their longstanding, repetitive patterns, work through past trauma, integrate previously disowned parts of self, and discover their inner strengths. Using a holistic and integrative approach grounded in psychodynamic theory, I am committed to helping my clients gain insight and self-awareness and feel empowered to alter their present experiences by making intentional decisions that align with their values.
Many of us feel disconnected from ourselves and experience symptoms that constrict our lives and relationships. My goal as a therapist is to provide a safe environment where people can comfortably explore their longstanding, repetitive patterns, work through past trauma, integrate previously disowned parts of self, and discover their inner strengths. Using a holistic and integrative approach grounded in psychodynamic theory, I am committed to helping my clients gain insight and self-awareness and feel empowered to alter their present experiences by making intentional decisions that align with their values.
(916) 398-2827 View (916) 398-2827
Photo of Anne Rose, LMFT, Marriage & Family Therapist
Anne Rose
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95831  (Online Only)
It can be a lonely and overwhelming feeling to realize that your life doesn't match who you were meant to be. I will help you identify the origin of your maladaptive coping skills, the effect early issues have on you in the present day, and help you learn new, healthy behaviors to live a better and more fulfilling life. I have over 18 years of experience working with individuals, couples and families dealing with dual diagnoses, trauma and PTSD, substance abuse, personality disorders, mood disorders and thought disorders.
It can be a lonely and overwhelming feeling to realize that your life doesn't match who you were meant to be. I will help you identify the origin of your maladaptive coping skills, the effect early issues have on you in the present day, and help you learn new, healthy behaviors to live a better and more fulfilling life. I have over 18 years of experience working with individuals, couples and families dealing with dual diagnoses, trauma and PTSD, substance abuse, personality disorders, mood disorders and thought disorders.
(323) 445-4295 View (323) 445-4295

See more therapy options for Old North Sacramento, Sacramento

How does your Therapist compare?

Number of Therapists in Old North Sacramento, Sacramento, CA

10+

Average cost per session

$160

Therapists in Old North Sacramento, Sacramento, CA who prioritize treating:

100% Anxiety
93% Relationship Issues
87% Depression
73% Self Esteem
73% Life Transitions
67% Trauma and PTSD
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

67% Optum
56% Managed Health Network (MHN)
56% UnitedHealthcare UHC | UBH

How Therapists in Old North Sacramento, Sacramento, CA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Old North Sacramento, Sacramento?

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.