Therapists in San Mateo County, CA

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Photo of Marianna Krapivner, MA, LMFT, Marriage & Family Therapist
Marianna Krapivner
Marriage & Family Therapist, MA, LMFT
Verified Verified
Redwood City, CA 94063
Anyone who has ever experienced trauma cannot overlook the excruciating pain and fear it instills in the body and mind. Such pain, if left unattended may morph into depression, anxiety, chronic physical pain, and profound sense of loss and continuous grief. It can mask our identity and destroy our lifestyle. We turn out to be disoriented, stuck, and confined. Our lives become foreign to us. We find ourselves witnessing its broadcast, as opposed to fully experiencing it in the moment. Hence, we turn to our defenses in the form of compensatory behaviors, such as addiction and compulsions or lose the meaning of life.
Anyone who has ever experienced trauma cannot overlook the excruciating pain and fear it instills in the body and mind. Such pain, if left unattended may morph into depression, anxiety, chronic physical pain, and profound sense of loss and continuous grief. It can mask our identity and destroy our lifestyle. We turn out to be disoriented, stuck, and confined. Our lives become foreign to us. We find ourselves witnessing its broadcast, as opposed to fully experiencing it in the moment. Hence, we turn to our defenses in the form of compensatory behaviors, such as addiction and compulsions or lose the meaning of life.
(650) 480-3648 View (650) 480-3648
Photo of Betty Cohen, MS, NCC, MCC, LAC, GRS, Counselor
Betty Cohen
Counselor, MS, NCC, MCC, LAC, GRS
Verified Verified
Burlingame, CA 94010
Are you a student seeking a first career, experienced worker needing to make a career change or resolve a workplace issue, a returnee to work after significant time away, or someone wanting to re-career in later life to make remaining years enjoyable? Or, are you one who is grieving from an important loss like job/career, and feeling stuck in place and unable to handle your reactions? If you are facing any of these concerns, by providing active listening, support, and specific action steps, together, we will strive to realize your desire for positive change.
Are you a student seeking a first career, experienced worker needing to make a career change or resolve a workplace issue, a returnee to work after significant time away, or someone wanting to re-career in later life to make remaining years enjoyable? Or, are you one who is grieving from an important loss like job/career, and feeling stuck in place and unable to handle your reactions? If you are facing any of these concerns, by providing active listening, support, and specific action steps, together, we will strive to realize your desire for positive change.
(650) 868-5396 View (650) 868-5396
Photo of Claudio Vargas Silva, MS, LMFT, Marriage & Family Therapist
Claudio Vargas Silva
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Mateo, CA 94404  (Online Only)
I specialize in helping couples, families, and children. As human beings, we have a need to feel connected to a significant other who becomes like a safe haven and a source of security and comfort. This person helps us to face the world with confidence because we know there is someone who cares about us. When we feel disconnected from our attachment figure, we feel unprotected and life's challenges seem to be bigger and scarier. I help couples and families to feel secure in their relationship by strengthening their bond so that they become responsive, accessible and emotionally engaged with each other.
I specialize in helping couples, families, and children. As human beings, we have a need to feel connected to a significant other who becomes like a safe haven and a source of security and comfort. This person helps us to face the world with confidence because we know there is someone who cares about us. When we feel disconnected from our attachment figure, we feel unprotected and life's challenges seem to be bigger and scarier. I help couples and families to feel secure in their relationship by strengthening their bond so that they become responsive, accessible and emotionally engaged with each other.
(408) 837-7936 View (408) 837-7936
Photo of Andrew Reichart, MA, AMFT, Marriage & Family Therapist Associate
Andrew Reichart
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
South San Francisco, CA 94083  (Online Only)
I work with individual adults and couples who are seeking more peace of mind and more ease in their relationships. My areas of experience include anxiety, depression, grief, self-compassion, life purpose, relationship challenges of all sorts, and making a difference in a troubling world.
I work with individual adults and couples who are seeking more peace of mind and more ease in their relationships. My areas of experience include anxiety, depression, grief, self-compassion, life purpose, relationship challenges of all sorts, and making a difference in a troubling world.
(650) 585-0189 View (650) 585-0189
Photo of Meg Henry, MA, LMFT, Marriage & Family Therapist
Meg Henry
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Half Moon Bay, CA 94019  (Online Only)
We've all seen the stereotypical therapists on TV, but that's not what you'll find with me. I am a down-to-earth person, which is reflected in my approach as a therapist. Compassion, warmth, and believe it or not, humor is what you will experience in our work together. You first must feel comfortable with your therapist for the experience to be successful.
We've all seen the stereotypical therapists on TV, but that's not what you'll find with me. I am a down-to-earth person, which is reflected in my approach as a therapist. Compassion, warmth, and believe it or not, humor is what you will experience in our work together. You first must feel comfortable with your therapist for the experience to be successful.
(650) 898-6041 View (650) 898-6041
Photo of David B Feldman, PhD, Psychologist
David B Feldman
Psychologist, PhD
Verified Verified
Daly City, CA 94014  (Online Only)
Coming to therapy is an important life decision, and I'm here to help. I believe in a balanced approach, based in the latest research, tailored to your unique needs. I draw from many approaches, including cognitive-behavioral, psychodynamic, and mindfulness-based therapies. My work is evidence-based, culturally sensitive, strengths-oriented, and collaborative. Most importantly, I provide a safe space to work on yourself and your goals. Whether you're facing important life decisions, chronic stress, depression, anxiety, grief, or just want to live a fuller life, I have tools that can help.
Coming to therapy is an important life decision, and I'm here to help. I believe in a balanced approach, based in the latest research, tailored to your unique needs. I draw from many approaches, including cognitive-behavioral, psychodynamic, and mindfulness-based therapies. My work is evidence-based, culturally sensitive, strengths-oriented, and collaborative. Most importantly, I provide a safe space to work on yourself and your goals. Whether you're facing important life decisions, chronic stress, depression, anxiety, grief, or just want to live a fuller life, I have tools that can help.
(415) 843-4259 View (415) 843-4259
Photo of Julie Shuman, PsyD, PCC, Psychologist
Julie Shuman
Psychologist, PsyD, PCC
Verified Verified
Redwood City, CA 94063
Finding the RIGHT therapist makes all the difference in your experience and is critical to making the positive changes you desire. This is a personal decision that should meet your specific needs. It is important to pick a therapist with whom you feel comfortable and whose style fits you. My therapy style is warm, empathetic and inviting but can also be challenging. The work I do with patients is deep rooted - which means at times you may feel uncomfortable. However, my patients grow and challenge themselves in ways that continually surprise them.
Finding the RIGHT therapist makes all the difference in your experience and is critical to making the positive changes you desire. This is a personal decision that should meet your specific needs. It is important to pick a therapist with whom you feel comfortable and whose style fits you. My therapy style is warm, empathetic and inviting but can also be challenging. The work I do with patients is deep rooted - which means at times you may feel uncomfortable. However, my patients grow and challenge themselves in ways that continually surprise them.
(650) 241-8945 View (650) 241-8945
Photo of Sonia C Duggal, MS, LMFT, APCC, Marriage & Family Therapist
Sonia C Duggal
Marriage & Family Therapist, MS, LMFT, APCC
Verified Verified
San Carlos, CA 94070
Relationship stress whether as a couple or in a family, can create havoc in our life and deeply impact our wellness. If you are having troubles with your partner/spouse, children, family members and your disharmony is is taking a toll on you, I am here to help you. I have journeyed with many couples, families and individuals providing a safe space to successfully navigate the complexities of their situations and find harmony in their relationships. I bring a gentle yet directive approach. Having lived and worked in different countries, I bring experience and ease in working with individuals from many different cultures.
Relationship stress whether as a couple or in a family, can create havoc in our life and deeply impact our wellness. If you are having troubles with your partner/spouse, children, family members and your disharmony is is taking a toll on you, I am here to help you. I have journeyed with many couples, families and individuals providing a safe space to successfully navigate the complexities of their situations and find harmony in their relationships. I bring a gentle yet directive approach. Having lived and worked in different countries, I bring experience and ease in working with individuals from many different cultures.
(650) 549-9343 View (650) 549-9343
Photo of Sutha Johnson, PhD, Psychologist
Sutha Johnson
Psychologist, PhD
Verified Verified
Menlo Park, CA 94025  (Online Only)
Hi there. In therapy with me, you can expect to slow down, express your whole self, feel understood, and collaboratively work through feelings of worry, stuck or on-edge, loneliness, sadness, fear or shame. Your therapy goals are central to how I tailor treatment. My expertise are working with adults focusing on generalized/social anxiety, perfectionism, OCD, and who want to strengthen an authentic relationship with self. I also specialize in processing trauma, specifically for sexual assault survivors, adults with history of childhood abuse, and traumatic grief.
Hi there. In therapy with me, you can expect to slow down, express your whole self, feel understood, and collaboratively work through feelings of worry, stuck or on-edge, loneliness, sadness, fear or shame. Your therapy goals are central to how I tailor treatment. My expertise are working with adults focusing on generalized/social anxiety, perfectionism, OCD, and who want to strengthen an authentic relationship with self. I also specialize in processing trauma, specifically for sexual assault survivors, adults with history of childhood abuse, and traumatic grief.
(650) 749-7397 View (650) 749-7397
Photo of Margaret Owen-Wilson, PsyD, MA, Psychologist
Margaret Owen-Wilson
Psychologist, PsyD, MA
Verified Verified
3 Endorsed
Burlingame, CA 94010
I am a culturally sensitive licensed clinical psychologist who specializes in psychotherapy and psychological testing. I provide a safe, non-judgmental, and supportive space to help you and/or your child discuss and explore your current and previous stressors and work towards your own personal goals. I have a patient-centered, collaborative and strengths-based approach to treatment and I tailor each session based on your unique goals for treatment. I utilize a blend of relational, psychodynamic, and cognitive-behavioral therapy approaches to treatment. I specialize in both individual (with children, adolescents and adults) and family therapy.
I am a culturally sensitive licensed clinical psychologist who specializes in psychotherapy and psychological testing. I provide a safe, non-judgmental, and supportive space to help you and/or your child discuss and explore your current and previous stressors and work towards your own personal goals. I have a patient-centered, collaborative and strengths-based approach to treatment and I tailor each session based on your unique goals for treatment. I utilize a blend of relational, psychodynamic, and cognitive-behavioral therapy approaches to treatment. I specialize in both individual (with children, adolescents and adults) and family therapy.
(650) 826-3947 View (650) 826-3947
Photo of Sarah Rose Nagle, LCSW, Clinical Social Work/Therapist
Sarah Rose Nagle
Clinical Social Work/Therapist, LCSW
Verified Verified
Redwood City, CA 94065  (Online Only)
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
(650) 209-7692 View (650) 209-7692
Photo of Sabrina Taylor, LCSW, Clinical Social Work/Therapist
Sabrina Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94403
My name is Sabrina Taylor, and I am a Licensed Clinical Social Worker. I have been practicing for over 17 years serving adults with various challenges. With your permission, I would like to be a part of your healing process through acceptance and change-oriented strategies. Focusing on the client's strengths and solution-focused approaches, I strive to help find a unique plan to create balance and become the best version of yourself. Although we do not always cause our own problems, we can choose to manage the challenges life brings. My approach to therapy is client-centered, solution-focused, and strength-based.
My name is Sabrina Taylor, and I am a Licensed Clinical Social Worker. I have been practicing for over 17 years serving adults with various challenges. With your permission, I would like to be a part of your healing process through acceptance and change-oriented strategies. Focusing on the client's strengths and solution-focused approaches, I strive to help find a unique plan to create balance and become the best version of yourself. Although we do not always cause our own problems, we can choose to manage the challenges life brings. My approach to therapy is client-centered, solution-focused, and strength-based.
(650) 547-8859 View (650) 547-8859
Photo of Priscilla Lopez, LCSW, Clinical Social Work/Therapist
Priscilla Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
Redwood City, CA 94062
Not accepting new clients
I am a clinical therapist, specializing in individual, family and group therapy. My practice is strength-based, eclectic and solution-focused. I believe in growth, recovery, and most of all, the power of the human spirit. I sincerely look forward to working with you to achieve your goals, whatever you decide they may be; healing, recovery, building self-worth, learning coping skills, increasing mindful practices or building hope.
I am a clinical therapist, specializing in individual, family and group therapy. My practice is strength-based, eclectic and solution-focused. I believe in growth, recovery, and most of all, the power of the human spirit. I sincerely look forward to working with you to achieve your goals, whatever you decide they may be; healing, recovery, building self-worth, learning coping skills, increasing mindful practices or building hope.
(650) 670-3807 View (650) 670-3807
Photo of Noma P. Smith, MSW, LCSW, Clinical Social Work/Therapist
Noma P. Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
San Mateo, CA 94402
Hello, welcome to my profile. I'd like to introduce myself and give you a sense of who I am as a clinician. If you prefer not to read, please don’t hesitate to reach out for a phone consultation. My aim is to help you help yourself. You are both the expert on yourself and you also know what you want more than anyone else. As your therapist I develop an authentic bond to support you in this process of change that you wish to make. I am an advocate for your voice, and your needs at any point along the healing journey. While my job is to guide you through the process, at the end of the day true recovery is your journey.
Hello, welcome to my profile. I'd like to introduce myself and give you a sense of who I am as a clinician. If you prefer not to read, please don’t hesitate to reach out for a phone consultation. My aim is to help you help yourself. You are both the expert on yourself and you also know what you want more than anyone else. As your therapist I develop an authentic bond to support you in this process of change that you wish to make. I am an advocate for your voice, and your needs at any point along the healing journey. While my job is to guide you through the process, at the end of the day true recovery is your journey.
(408) 583-6867 View (408) 583-6867
Photo of Elizabeth Coudright, LCSW, Clinical Social Work/Therapist
Elizabeth Coudright
Clinical Social Work/Therapist, LCSW
Verified Verified
Menlo Park, CA 94025  (Online Only)
Every journey begins with a first step and asking for help is no small task. Together, we can work to create the life you find fulfilling. I will help you build your problem-solving skills and let go of old patterns that no longer fit, allowing you to embrace life with confidence and enthusiasm. You are the expert in your life and have the power to heal. Together, we will walk through the process of developing deeper self-awareness, greater self-acceptance, better coping skills and strengthening your resolve.
Every journey begins with a first step and asking for help is no small task. Together, we can work to create the life you find fulfilling. I will help you build your problem-solving skills and let go of old patterns that no longer fit, allowing you to embrace life with confidence and enthusiasm. You are the expert in your life and have the power to heal. Together, we will walk through the process of developing deeper self-awareness, greater self-acceptance, better coping skills and strengthening your resolve.
(310) 889-0295 View (310) 889-0295
Photo of Kristina Hillhouse, LCSW, Clinical Social Work/Therapist
Kristina Hillhouse
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94402  (Online Only)
Hello and Welcome! Are you looking to feel more empowered in your daily life, gain a deeper understanding of yourself, or effectively manage life's challenges? Many of us grapple with uncertainty and demotivation that impact our relationships, careers, and overall well-being. While we often turn to work, meditation, or social activities for solace, these may sometimes feel overwhelming or unsatisfying. In such moments, therapy can be a valuable tool to help us reconnect with ourselves and strive for greater authenticity and fulfillment.
Hello and Welcome! Are you looking to feel more empowered in your daily life, gain a deeper understanding of yourself, or effectively manage life's challenges? Many of us grapple with uncertainty and demotivation that impact our relationships, careers, and overall well-being. While we often turn to work, meditation, or social activities for solace, these may sometimes feel overwhelming or unsatisfying. In such moments, therapy can be a valuable tool to help us reconnect with ourselves and strive for greater authenticity and fulfillment.
(650) 434-7223 View (650) 434-7223
Photo of Laura Hamilton, LCSW, Clinical Social Work/Therapist
Laura Hamilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Menlo Park, CA 94025
The burning question: "Should I be concerned by my child's behavior, lack of communication, or new friends... or is this just a phase"? There are many variables as to why children/adolescents begin acting differently and sometimes this is just a natural progression in your child becoming their own individual. However, other times these are warning signs that something problematic is involved and you are correct to be concerned.
The burning question: "Should I be concerned by my child's behavior, lack of communication, or new friends... or is this just a phase"? There are many variables as to why children/adolescents begin acting differently and sometimes this is just a natural progression in your child becoming their own individual. However, other times these are warning signs that something problematic is involved and you are correct to be concerned.
(650) 209-7632 View (650) 209-7632
Photo of Leanne Ashley Richter - Meru Health, LMFT, Marriage & Family Therapist
Meru Health
Marriage & Family Therapist, LMFT
Verified Verified
San Mateo, CA 94401  (Online Only)
Meru Health is an app based program that has been clinically proven to deliver measurable results. This is effective mental health care for real-life schedules. Our holistic mind-body approach combines behavioral science, technology, and therapist support. Mental health isn’t just mental. That’s why we connect mind and body via continuous, personalized care from a dedicated therapist; self-paced lessons and activities; and a wearable HRVB device that shows the real-time interplay of emotional and physical responses. This is the next wave of mental health care.
Meru Health is an app based program that has been clinically proven to deliver measurable results. This is effective mental health care for real-life schedules. Our holistic mind-body approach combines behavioral science, technology, and therapist support. Mental health isn’t just mental. That’s why we connect mind and body via continuous, personalized care from a dedicated therapist; self-paced lessons and activities; and a wearable HRVB device that shows the real-time interplay of emotional and physical responses. This is the next wave of mental health care.
(650) 613-5018 View (650) 613-5018
Photo of Molika Loshi, PhD, Psychologist
Molika Loshi
Psychologist, PhD
Verified Verified
3 Endorsed
Redwood City, CA 94063
Are you longing for deeper connections, authenticity, or fulfillment in your relationships? I specialize in guiding individuals like you towards meaningful connections and authentic living. If you find yourself struggling with feelings of disconnection, difficulty forming genuine relationships, or a desire to live more authentically, you're not alone. I'm dedicated to helping clients navigate the intricacies of human connection and cultivate authenticity in their interactions. Whether you're facing relationship challenges, grappling with communication issues, or simply seeking personal growth, I offer a safe, supportive space.
Are you longing for deeper connections, authenticity, or fulfillment in your relationships? I specialize in guiding individuals like you towards meaningful connections and authentic living. If you find yourself struggling with feelings of disconnection, difficulty forming genuine relationships, or a desire to live more authentically, you're not alone. I'm dedicated to helping clients navigate the intricacies of human connection and cultivate authenticity in their interactions. Whether you're facing relationship challenges, grappling with communication issues, or simply seeking personal growth, I offer a safe, supportive space.
(510) 930-3038 View (510) 930-3038
Photo of Nanette Riendeau, MA, LMFT, Marriage & Family Therapist
Nanette Riendeau
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Carlos, CA 94070  (Online Only)
The anxiety, worry, and overwhelm is too much. You're tired of feeling unhappy and unfulfilled in your life and relationships and grieving what you thought life should have been. You want to feel satisfaction, confidence, and peace. You want to stop trying to meet everyone else's endless expectations. This is good news, it means you're ready to make change.
The anxiety, worry, and overwhelm is too much. You're tired of feeling unhappy and unfulfilled in your life and relationships and grieving what you thought life should have been. You want to feel satisfaction, confidence, and peace. You want to stop trying to meet everyone else's endless expectations. This is good news, it means you're ready to make change.
(628) 877-8745 View (628) 877-8745
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How does your Therapist compare?

Number of Therapists in San Mateo County, CA

1,000+

Average cost per session

$200

Therapists in San Mateo County, CA who prioritize treating:

93% Anxiety
87% Depression
77% Relationship Issues
71% Self Esteem
66% Stress
63% Trauma and PTSD
62% Grief

Average years in practice

13 Years

Top 3 insurances accepted

69% Aetna
59% Cigna and Evernorth
53% UnitedHealthcare UHC | UBH

How Therapists in San Mateo County, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in San Mateo County?

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.