Therapists in Bakersfield, CA

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Photo of Coleen Keiser Najac, LPCC, AMFT
Coleen Keiser Najac
Licensed Professional Clinical Counselor, LPCC, AMFT
Verified Verified
1 Endorsed
Bakersfield, CA 93309
People are fabulously interesting and I believe your story matters. Together, using science-based theories & interventions, we can sort through feelings and behaviors that may seem destructive, confusing, or just too overwhelming to sort out alone. To be curious, with an openness to self-discovery, we can evolve & heal. I work with teens & individuals navigating depression &/or anxiety, or phase of life issues. I am passionate about working with couples to improve meaningful communication, or reconnecting when promises have been broken. I also work with incarcerated youth & adults, planting seeds of hope & transformation.
People are fabulously interesting and I believe your story matters. Together, using science-based theories & interventions, we can sort through feelings and behaviors that may seem destructive, confusing, or just too overwhelming to sort out alone. To be curious, with an openness to self-discovery, we can evolve & heal. I work with teens & individuals navigating depression &/or anxiety, or phase of life issues. I am passionate about working with couples to improve meaningful communication, or reconnecting when promises have been broken. I also work with incarcerated youth & adults, planting seeds of hope & transformation.
(661) 403-5308 View (661) 403-5308
Photo of Dusty McLeod, LCSW, Clinical Social Work/Therapist
Dusty McLeod
Clinical Social Work/Therapist, LCSW
Verified Verified
Bakersfield, CA 93309
My therapeutic approach is nonjudgmental and client-centered. I want my clients to feel respected and supported, and by using an integrative method of various strategies and treatment modalities, I help you further develop your sense of choice and empowerment to improve your current situation and overall well-being.
My therapeutic approach is nonjudgmental and client-centered. I want my clients to feel respected and supported, and by using an integrative method of various strategies and treatment modalities, I help you further develop your sense of choice and empowerment to improve your current situation and overall well-being.
(661) 473-2303 View (661) 473-2303
Photo of Pamela Shakir, MSW, LCSW, Clinical Social Work/Therapist
Pamela Shakir
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bakersfield, CA 93301  (Online Only)
We all have a story. Some of our stories leave footprints that triggers us to not be our best selves leaving us in a sunken place for various reasons. Let us admit it, life happens. In order to be a better you, I believe that healing and happiness begins within ourselves. All that means is telling your own story when you are ready is the most effective way to heal. I provide a warm and nurturing environment that will allow you to work on your innermost deep concerns and surface concerns. My approach is down to earth, non-judgmental, supportive, and honest.
We all have a story. Some of our stories leave footprints that triggers us to not be our best selves leaving us in a sunken place for various reasons. Let us admit it, life happens. In order to be a better you, I believe that healing and happiness begins within ourselves. All that means is telling your own story when you are ready is the most effective way to heal. I provide a warm and nurturing environment that will allow you to work on your innermost deep concerns and surface concerns. My approach is down to earth, non-judgmental, supportive, and honest.
(661) 546-9149 View (661) 546-9149
Photo of Hector Barajas, LMFT, Marriage & Family Therapist
Hector Barajas
Marriage & Family Therapist, LMFT
Verified Verified
Bakersfield, CA 93307
My name is Hector Barajas, and I am a bilingual (Spanish) Licensed Marriage and Family Therapist who is passionate about helping children, adolescents and families meet their full potential. I work with children and teens who are struggling with emotional dysregulation, defiance, anger, depression and social-emotional challenges. My expertise lies in working with children, and teen/adolescents who suffer from depression, anxiety, anger and defiance. I specialize in treating adolescents and juveniles in a group setting.
My name is Hector Barajas, and I am a bilingual (Spanish) Licensed Marriage and Family Therapist who is passionate about helping children, adolescents and families meet their full potential. I work with children and teens who are struggling with emotional dysregulation, defiance, anger, depression and social-emotional challenges. My expertise lies in working with children, and teen/adolescents who suffer from depression, anxiety, anger and defiance. I specialize in treating adolescents and juveniles in a group setting.
(661) 690-2208 View (661) 690-2208
Photo of Gianna Flores Heatherly, MS, LMFT, CAMS-II, Marriage & Family Therapist
Gianna Flores Heatherly
Marriage & Family Therapist, MS, LMFT, CAMS-II
Verified Verified
1 Endorsed
Bakersfield, CA 93309
Offering Telehealth therapy and limited in-person apts. Do you struggle to engage in family and social relationships? Are you experiencing big life transitions and don’t know what to do? Is Anxiety, worry, nervousness, or intrusive thoughts getting the best of you? Are you feeling sad, unmotivated, and finding it hard to concentrate? Are you struggling with making sense of past trauma and unhealthy coping? If so, then I can assist in making sense of these concerns.
Offering Telehealth therapy and limited in-person apts. Do you struggle to engage in family and social relationships? Are you experiencing big life transitions and don’t know what to do? Is Anxiety, worry, nervousness, or intrusive thoughts getting the best of you? Are you feeling sad, unmotivated, and finding it hard to concentrate? Are you struggling with making sense of past trauma and unhealthy coping? If so, then I can assist in making sense of these concerns.
(661) 768-1526 View (661) 768-1526
Photo of Felicia Ponce, MS, LMFT, Marriage & Family Therapist
Felicia Ponce
Marriage & Family Therapist, MS, LMFT
Verified Verified
Bakersfield, CA 93308
I find purpose in creating a safe space for clients to explore and process their thoughts and feelings, while ensuring they feel seen, heard, and understood. Clients who are a good match are seeking new ways to find expansion and authenticity in their lives, while adding to adaptive coping skills. Over the last 15 years, I have gained experience in providing treatment for a variety of concerns including depression, anxiety, grief, relational issues, parenting, trauma, abuse, and risk management.
I find purpose in creating a safe space for clients to explore and process their thoughts and feelings, while ensuring they feel seen, heard, and understood. Clients who are a good match are seeking new ways to find expansion and authenticity in their lives, while adding to adaptive coping skills. Over the last 15 years, I have gained experience in providing treatment for a variety of concerns including depression, anxiety, grief, relational issues, parenting, trauma, abuse, and risk management.
(661) 443-4994 View (661) 443-4994
Photo of Lorena Martin, LMFT, Marriage & Family Therapist
Lorena Martin
Marriage & Family Therapist, LMFT
Verified Verified
Bakersfield, CA 93305
Hi there, I'm Lorena! I'm a Licensed Marriage and Family Therapist (LMFT) based in Inland Empire, California, and working with new clients statewide via telehealth. I work with adolescents and adults and specialize in anxiety, stress, depression, grief and loss, trauma, parenting, and life events, using Cognitive Behavioral Therapy, Trauma Focus Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy to help clients begin to feel better.
Hi there, I'm Lorena! I'm a Licensed Marriage and Family Therapist (LMFT) based in Inland Empire, California, and working with new clients statewide via telehealth. I work with adolescents and adults and specialize in anxiety, stress, depression, grief and loss, trauma, parenting, and life events, using Cognitive Behavioral Therapy, Trauma Focus Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy to help clients begin to feel better.
(661) 493-8708 View (661) 493-8708
Photo of Frances “Charleen” Crean, LCSW, Clinical Social Work/Therapist
Frances “Charleen” Crean
Clinical Social Work/Therapist, LCSW
Verified Verified
Bakersfield, CA 93308
Thirty-plus years of clinical practice provides me with the skills to help those wishing to make changes in their life.
Thirty-plus years of clinical practice provides me with the skills to help those wishing to make changes in their life.
(661) 690-2177 View (661) 690-2177
Photo of April L King, LMFT, Marriage & Family Therapist
April L King
Marriage & Family Therapist, LMFT
Verified Verified
Bakersfield, CA 93390  (Online Only)
Ready for a change but feel stuck? Email me so we can talk about your needs and determine if we are a good fit. I look forward to chatting soon!
Ready for a change but feel stuck? Email me so we can talk about your needs and determine if we are a good fit. I look forward to chatting soon!
View
Photo of Rachel Lorraine Lanier, MS, LMFT, APCC, Marriage & Family Therapist
Rachel Lorraine Lanier
Marriage & Family Therapist, MS, LMFT, APCC
Verified Verified
1 Endorsed
Bakersfield, CA 93301
Not accepting new clients
When I think of the concept of a person, I think of a being that is guided by a need to be loved and to give love. Love can take on many forms, but the most powerful form of love is that of self-love. Cultivating self-love and self-compassion is my personal goal of doing therapeutic work. I believe that we tend to pursue the things we feel like we want before identifying who we are. Our lack of self-acknowledgment and understanding can leave us confused and in states of distress. My hope is to join you on your path towards self-discovery, self-compassion, and, ultimately, self-love.
When I think of the concept of a person, I think of a being that is guided by a need to be loved and to give love. Love can take on many forms, but the most powerful form of love is that of self-love. Cultivating self-love and self-compassion is my personal goal of doing therapeutic work. I believe that we tend to pursue the things we feel like we want before identifying who we are. Our lack of self-acknowledgment and understanding can leave us confused and in states of distress. My hope is to join you on your path towards self-discovery, self-compassion, and, ultimately, self-love.
(661) 535-0898 View (661) 535-0898
Photo of Lindsey Watkins, MS, LMFT, Marriage & Family Therapist
Lindsey Watkins
Marriage & Family Therapist, MS, LMFT
Verified Verified
Bakersfield, CA 93308
My passion is working with children, teens, adults and parents who yearn to discover their authentic selves, explore and heal past wounds in a way that allows for deeper connection to all parts of self and to tap into, regulate with and respond to the wisdom of the body and emotions (your embodied nervous system) in a way that guides you toward fulfilled living. The approach I offer is shaped by my professional training and personal experiences as well as over a decade of work helping children and families through a local non-profit agency where I developed specialties in PTSD, anxiety, depression, body image and women's issues.
My passion is working with children, teens, adults and parents who yearn to discover their authentic selves, explore and heal past wounds in a way that allows for deeper connection to all parts of self and to tap into, regulate with and respond to the wisdom of the body and emotions (your embodied nervous system) in a way that guides you toward fulfilled living. The approach I offer is shaped by my professional training and personal experiences as well as over a decade of work helping children and families through a local non-profit agency where I developed specialties in PTSD, anxiety, depression, body image and women's issues.
(661) 501-0309 View (661) 501-0309
Photo of Amber Crume, LCSW, Clinical Social Work/Therapist
Amber Crume
Clinical Social Work/Therapist, LCSW
Verified Verified
Bakersfield, CA 93313
My name is Amber Lee Crume, and I am a Licensed Clinical Social Worker with over 15 years of experience. My greatest hope is to help people achieve a greater sense of happiness and well-being. I love being a therapist and helping you learn more about yourself, your relationships, and new proven strategies and techniques to address life's most challenging obstacles. The process really does work!
My name is Amber Lee Crume, and I am a Licensed Clinical Social Worker with over 15 years of experience. My greatest hope is to help people achieve a greater sense of happiness and well-being. I love being a therapist and helping you learn more about yourself, your relationships, and new proven strategies and techniques to address life's most challenging obstacles. The process really does work!
(661) 727-7276 View (661) 727-7276
Photo of Rachel Page, LMFT, Marriage & Family Therapist
Rachel Page
Marriage & Family Therapist, LMFT
Verified Verified
Bakersfield, CA 93307
Hi! My name is Rachel, and I am a licensed marriage and family therapist. I have been practicing therapy since 2010 and am passionate about helping others. I help people with adolescent/teen issues, grief, self esteem, trauma and PTSD, job stress, and more. I have worked in inpatient and outpatient settings, including drug and alcohol rehabilitation, with adolescents in schools, and with domestic violence services. I practice Acceptance and Commitment Therapy (ACT), Narrative Therapy, and Solution-focused therapy. Using mindfulness and ACT skills, I explore the thoughts and beliefs that create stagnation.
Hi! My name is Rachel, and I am a licensed marriage and family therapist. I have been practicing therapy since 2010 and am passionate about helping others. I help people with adolescent/teen issues, grief, self esteem, trauma and PTSD, job stress, and more. I have worked in inpatient and outpatient settings, including drug and alcohol rehabilitation, with adolescents in schools, and with domestic violence services. I practice Acceptance and Commitment Therapy (ACT), Narrative Therapy, and Solution-focused therapy. Using mindfulness and ACT skills, I explore the thoughts and beliefs that create stagnation.
(661) 732-2011 View (661) 732-2011
Photo of Angela Perez, LMFT, Marriage & Family Therapist
Angela Perez
Marriage & Family Therapist, LMFT
Verified Verified
Bakersfield, CA 93309
My name is Angela Perez, and I am a Licensed Marriage and Family Therapist. For the past 21 years, I have worked in community mental health in the South Los Angeles Area serving children, teens, and adults dealing with grief/loss, trauma, depression, and anxiety. Some of the approaches I use are Trauma-Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, and Interpersonal Psychotherapy. I best describe myself as an “Eclectic Therapist.” My approach to therapy varies based on the needs of the clients I serve.
My name is Angela Perez, and I am a Licensed Marriage and Family Therapist. For the past 21 years, I have worked in community mental health in the South Los Angeles Area serving children, teens, and adults dealing with grief/loss, trauma, depression, and anxiety. Some of the approaches I use are Trauma-Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, and Interpersonal Psychotherapy. I best describe myself as an “Eclectic Therapist.” My approach to therapy varies based on the needs of the clients I serve.
(661) 727-7432 View (661) 727-7432
Photo of Roelie Sanchez - Roe Sanchez, LMFT, RPT, EMDR-C, MS, LMFT, RPT, Marriage & Family Therapist
Roe Sanchez, LMFT, RPT, EMDR-C
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
Bakersfield, CA 93309
Waitlist for new clients
Do you constantly worry about different things? are you tired of overthinking? Do you want to process a painful life event that has left you hurt or afraid? Do you want to make sense of how to align with your values and faith? Are you wondering why your relationship is not working out or if you should stay together? You've had enough of the same patterns and are ready to make some changes in your life. Does your child have frequent emotional outbursts? Does your child/ teen struggle with anxiety? I see adults, teens, and children who deal w/ anxiety, panic attacks, trauma, phobias, selective mutism, low self esteem, grief, and ADHD.
Do you constantly worry about different things? are you tired of overthinking? Do you want to process a painful life event that has left you hurt or afraid? Do you want to make sense of how to align with your values and faith? Are you wondering why your relationship is not working out or if you should stay together? You've had enough of the same patterns and are ready to make some changes in your life. Does your child have frequent emotional outbursts? Does your child/ teen struggle with anxiety? I see adults, teens, and children who deal w/ anxiety, panic attacks, trauma, phobias, selective mutism, low self esteem, grief, and ADHD.
(661) 593-4055 View (661) 593-4055
Photo of April Jannise, LCSW, Clinical Social Work/Therapist
April Jannise
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bakersfield, CA 93305
Hi, my name is April Jannise, and I am an LCSW. I have been in practice since 1996 and I am experienced in treating children and adults. I generally use Cognitive Behavioral Therapy as well as Solution Focused Therapy, Mindfulness, Trauma Focused Therapy, and Behavior Modification. I really enjoy building relationships with people, and I believe in having fun while addressing life's stressful issues. I typically work with people ages 13 and up. I have a strong background working with people who are experiencing anxiety, depression, life transitions, and/or trauma-related issues.
Hi, my name is April Jannise, and I am an LCSW. I have been in practice since 1996 and I am experienced in treating children and adults. I generally use Cognitive Behavioral Therapy as well as Solution Focused Therapy, Mindfulness, Trauma Focused Therapy, and Behavior Modification. I really enjoy building relationships with people, and I believe in having fun while addressing life's stressful issues. I typically work with people ages 13 and up. I have a strong background working with people who are experiencing anxiety, depression, life transitions, and/or trauma-related issues.
(661) 762-4337 View (661) 762-4337
Photo of Kara Meeks, LCSW, Clinical Social Work/Therapist
Kara Meeks
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bakersfield, CA 93311
Waitlist for new clients
Close your eyes, take a deep breath in and exhale. What comes to mind...broken relationships? Feelings of shame and guilt? Depression or anxiety? Intrusive memories? Addiction? Lack of goals or motivation? Welcome to a safe, non-judgmental space for you to explore your life experiences, determine how they helped form who you are today, and gain insight to heal core issues. A space to discover your authentic self, living genuinely and with purpose. I would be honored to support you on your journey to healing past wounds and transforming those experiences into empowerment and authenticity.
Close your eyes, take a deep breath in and exhale. What comes to mind...broken relationships? Feelings of shame and guilt? Depression or anxiety? Intrusive memories? Addiction? Lack of goals or motivation? Welcome to a safe, non-judgmental space for you to explore your life experiences, determine how they helped form who you are today, and gain insight to heal core issues. A space to discover your authentic self, living genuinely and with purpose. I would be honored to support you on your journey to healing past wounds and transforming those experiences into empowerment and authenticity.
(661) 463-3986 View (661) 463-3986
Photo of Stephanie H Espinosa, LCSW, Clinical Social Work/Therapist
Stephanie H Espinosa
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Bakersfield, CA 93309  (Online Only)
Welcome, my name is Stephanie H. Espinosa and I am a Licensed Clinical Social Worker. Congratulations on taking the first step towards a better you! Often times, the pressures of life, our core beliefs and societal influences can significantly impact our lives in an adverse way. As a result, we often get stuck in self-destructive cycles and lose hope that our lives can be different. We habitually self-medicate with food, alcohol, drugs, work and/or sex to seek a moment of escape and even happiness.
Welcome, my name is Stephanie H. Espinosa and I am a Licensed Clinical Social Worker. Congratulations on taking the first step towards a better you! Often times, the pressures of life, our core beliefs and societal influences can significantly impact our lives in an adverse way. As a result, we often get stuck in self-destructive cycles and lose hope that our lives can be different. We habitually self-medicate with food, alcohol, drugs, work and/or sex to seek a moment of escape and even happiness.
(661) 426-2572 View (661) 426-2572
Photo of Vicki Underwood, LCSW, CCM, Clinical Social Work/Therapist
Vicki Underwood
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
Bakersfield, CA 93309
We all struggle at times and our struggles are our own, do not compare what may feel catastrophic to you to what others are dealing with. I have been practicing for 15 years and revolve my practice around person-centered therapy; non-judgment, genuineness & positive regard. I will accept you for who you are and we will start where you are. My goal is to help you reach your goals. I find that humor, compassion, and authenticity allow my clients to feel comfortable and progress at the same time. Since 2010, I have provided intensive therapy at institutional, residential, and outpatient levels of care for adults and adolescents.
We all struggle at times and our struggles are our own, do not compare what may feel catastrophic to you to what others are dealing with. I have been practicing for 15 years and revolve my practice around person-centered therapy; non-judgment, genuineness & positive regard. I will accept you for who you are and we will start where you are. My goal is to help you reach your goals. I find that humor, compassion, and authenticity allow my clients to feel comfortable and progress at the same time. Since 2010, I have provided intensive therapy at institutional, residential, and outpatient levels of care for adults and adolescents.
(661) 215-6319 View (661) 215-6319
Photo of Jonathan Fonseca, LCSW, Clinical Social Work/Therapist
Jonathan Fonseca
Clinical Social Work/Therapist, LCSW
Verified Verified
Bakersfield, CA 93312
Hello, I am Jonathan Fonseca, LCSW CA. License number 115200. As your licensed therapist, I am here to support you on your journey of self-discovery, healing, and personal transformation. Together, we will explore your thoughts, emotions, and experiences, and work towards fostering resilience, finding clarity, and cultivating a sense of inner peace. Thank you for choosing me as your therapist.
Hello, I am Jonathan Fonseca, LCSW CA. License number 115200. As your licensed therapist, I am here to support you on your journey of self-discovery, healing, and personal transformation. Together, we will explore your thoughts, emotions, and experiences, and work towards fostering resilience, finding clarity, and cultivating a sense of inner peace. Thank you for choosing me as your therapist.
(661) 927-0623 View (661) 927-0623
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How does your Therapist compare?

Number of Therapists in Bakersfield, CA

500+

Average cost per session

$150

Therapists in Bakersfield, CA who prioritize treating:

93% Anxiety
89% Depression
79% Coping Skills
73% Self Esteem
69% Stress
67% Relationship Issues
61% Grief

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
84% Cigna and Evernorth
83% UnitedHealthcare UHC | UBH

How Therapists in Bakersfield, CA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bakersfield?

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.