Therapists in San Clemente, CA

Photo of Beth Holder - Holder Foundation, MS, Marriage & Family Therapist
Holder Foundation
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
San Clemente, CA 92672
Holder Foundation is a small community mental health non-profit 501(c)3 located in San Clemente, California. We provide services to adolescents and adults. Holder Foundation has a belief that everyone should be able to access mental health services. We provide services in English and Spanish.
Holder Foundation is a small community mental health non-profit 501(c)3 located in San Clemente, California. We provide services to adolescents and adults. Holder Foundation has a belief that everyone should be able to access mental health services. We provide services in English and Spanish.
(949) 676-8394 View (949) 676-8394
Photo of Cheryl L Davis, LCP, Psychologist
Cheryl L Davis
Psychologist, LCP
Verified Verified
San Clemente, CA 92672
Hello, my name is Cheryl Davis. I’m a licensed psychologist in Los Angeles, CA. I have years of clinical experience providing outpatient services to a diverse population of adults dealing with personal, emotional, relational, and workplace issues. I work with individuals seeking assistance with depression, anxiety, anger management, domestic violence (women, men, LGBTQ+) Transgender, trauma, life transitions (birth, divorce, death), grief and bereavement.
Hello, my name is Cheryl Davis. I’m a licensed psychologist in Los Angeles, CA. I have years of clinical experience providing outpatient services to a diverse population of adults dealing with personal, emotional, relational, and workplace issues. I work with individuals seeking assistance with depression, anxiety, anger management, domestic violence (women, men, LGBTQ+) Transgender, trauma, life transitions (birth, divorce, death), grief and bereavement.
(949) 264-5106 View (949) 264-5106
Photo of Amie Lowery-Luyties - Amie Lowery-Luyties, MFT, MFT, Marriage & Family Therapist
Amie Lowery-Luyties, MFT
Marriage & Family Therapist, MFT
Verified Verified
7 Endorsed
San Clemente, CA 92672
My goal is to provide a, safe and non-judgmental place where I can help my client's reach their full potential by processing feelings, improving communication, and exploring family issues that may be a barrier to success. I have worked with adults, children, adolescents, couples, and families with various issues including: Depression, Coming Out Issues, Increasing Intimacy, Sexual Identity, Self Esteem, Increasing Happiness, Stress Management, Bereavement, Internalized homophobia, Anxiety, Relationship Issues, and Help with Lifestyle Choices. I work with both LGBTQI and heterosexual people.
My goal is to provide a, safe and non-judgmental place where I can help my client's reach their full potential by processing feelings, improving communication, and exploring family issues that may be a barrier to success. I have worked with adults, children, adolescents, couples, and families with various issues including: Depression, Coming Out Issues, Increasing Intimacy, Sexual Identity, Self Esteem, Increasing Happiness, Stress Management, Bereavement, Internalized homophobia, Anxiety, Relationship Issues, and Help with Lifestyle Choices. I work with both LGBTQI and heterosexual people.
(562) 310-9741 View (562) 310-9741
Photo of Bryan Vasquez, CATCIII, Drug & Alcohol Counselor
Bryan Vasquez
Drug & Alcohol Counselor, CATCIII
Verified Verified
San Clemente, CA 92673
Struggling with addiction & feel rehab isn’t an option? Want to adjust your relationship with a substance instead of being told you must quit? Leaving your family, job, school or responsibilities for an extended period of time is not always needed to get yourself healthy & on track. If you or a loved one are struggling with addiction, I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard-feelings of anxiety, guilt, & shame. You may have tried cutting back or stopping on your own, only to find yourself engaging in the same unhelpful behavior. I specialize in Moderation & abstinence based approaches.
Struggling with addiction & feel rehab isn’t an option? Want to adjust your relationship with a substance instead of being told you must quit? Leaving your family, job, school or responsibilities for an extended period of time is not always needed to get yourself healthy & on track. If you or a loved one are struggling with addiction, I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard-feelings of anxiety, guilt, & shame. You may have tried cutting back or stopping on your own, only to find yourself engaging in the same unhelpful behavior. I specialize in Moderation & abstinence based approaches.
(657) 214-4613 View (657) 214-4613
Photo of Dr. Robyn Igelman | Beach Walk Talk, PhD, Psychologist
Dr. Robyn Igelman | Beach Walk Talk
Psychologist, PhD
Verified Verified
San Clemente, CA 92672
Waitlist for new clients
Are you struggling with anxiety/panic, depression, trauma, loss or grief? Are you using unhealthy or ineffective coping strategies to get through your day? You want to do better but you just aren't sure where to start? I can help. I specialize in working with adults, couples, teens, and families who are highly motivated & typically successful in school, at work, and at home but find themselves no longer able to cope with life's stressors on their own. Whether it is grief & loss, work stress, relationship issues, alcohol/substance use, depression or anxiety, I can help you get your life and relationships back on track.
Are you struggling with anxiety/panic, depression, trauma, loss or grief? Are you using unhealthy or ineffective coping strategies to get through your day? You want to do better but you just aren't sure where to start? I can help. I specialize in working with adults, couples, teens, and families who are highly motivated & typically successful in school, at work, and at home but find themselves no longer able to cope with life's stressors on their own. Whether it is grief & loss, work stress, relationship issues, alcohol/substance use, depression or anxiety, I can help you get your life and relationships back on track.
(949) 288-2584 View (949) 288-2584
Photo of Bridgette Atallah, PsyD, Psychologist
Bridgette Atallah
Psychologist, PsyD
Verified Verified
5 Endorsed
San Clemente, CA 92673
Beginning therapy is a deeply personal, courageous decision. Whether it is your first time seeking treatment, or you are looking for a change, I am here to work with you to create a happier, more fulfilling life. I believe building a strong therapeutic relationship is a critical foundation for future change. As such, I strive to provide warmth and empathy while utilizing an open, non-judgmental style. I also believe therapy should be a collaborative process, and will work with together with you as a partner in your treatment journey. I use this collaborative style with everyone I work with, from young children and teens to adults.
Beginning therapy is a deeply personal, courageous decision. Whether it is your first time seeking treatment, or you are looking for a change, I am here to work with you to create a happier, more fulfilling life. I believe building a strong therapeutic relationship is a critical foundation for future change. As such, I strive to provide warmth and empathy while utilizing an open, non-judgmental style. I also believe therapy should be a collaborative process, and will work with together with you as a partner in your treatment journey. I use this collaborative style with everyone I work with, from young children and teens to adults.
(949) 247-8186 View (949) 247-8186
Photo of Alexandra Armas, MA, Marriage & Family Therapist
Alexandra Armas
Marriage & Family Therapist, MA
Verified Verified
2 Endorsed
San Clemente, CA 92672  (Online Only)
It is my hope to walk alongside you on your journey toward self discovery. Whether you are seeking help exploring a current or past issue, soul searching, or just looking for someone to talk to, the therapy room is a safe place to grow. When experiencing pain in relationships or feeling alone, beginning this road toward healing can seem daunting. There is courage in reaching out for support to restore your heart, body, and mind. I am committed to accompanying you in building secure and fulfilling relationships, providing warm and empathic services for children, adolescents, adults, families, and couples.
It is my hope to walk alongside you on your journey toward self discovery. Whether you are seeking help exploring a current or past issue, soul searching, or just looking for someone to talk to, the therapy room is a safe place to grow. When experiencing pain in relationships or feeling alone, beginning this road toward healing can seem daunting. There is courage in reaching out for support to restore your heart, body, and mind. I am committed to accompanying you in building secure and fulfilling relationships, providing warm and empathic services for children, adolescents, adults, families, and couples.
(949) 247-8387 View (949) 247-8387
Photo of Donna Petit, CPC, Pre-Licensed Professional
Donna Petit
Pre-Licensed Professional, CPC
Verified Verified
4 Endorsed
San Clemente, CA 92672
Thank you for stopping by and taking a second to get to know me. I am a certified professional life coach specializing in relationships and mental health. The long journey that brought me to this place in my life included growing up in southern California and moving up to Cal Poly, SLO where I earned a bachelor’s degree in psychology/human development. For our first ten years as a family, we lived wherever the Marine Corps sent us! I’ve spent most of the last three decades trying to build healthy, connected, resilient relationships with my husband and our three kids. They have all grown up now - I guess we all have!
Thank you for stopping by and taking a second to get to know me. I am a certified professional life coach specializing in relationships and mental health. The long journey that brought me to this place in my life included growing up in southern California and moving up to Cal Poly, SLO where I earned a bachelor’s degree in psychology/human development. For our first ten years as a family, we lived wherever the Marine Corps sent us! I’ve spent most of the last three decades trying to build healthy, connected, resilient relationships with my husband and our three kids. They have all grown up now - I guess we all have!
(949) 919-6589 View (949) 919-6589
Photo of Gina M Lukes, LMFT, Marriage & Family Therapist
Gina M Lukes
Marriage & Family Therapist, LMFT
Verified Verified
San Clemente, CA 92672
I have been working in private practice for 19 years. I specialize in young adults and individual therapy. I also love working with the military since I moved my practice to San Clemente in 2007.
I have been working in private practice for 19 years. I specialize in young adults and individual therapy. I also love working with the military since I moved my practice to San Clemente in 2007.
(949) 347-5275 View (949) 347-5275
Photo of Foojan Zeine, PsyD, MFT, Marriage & Family Therapist
Foojan Zeine
Marriage & Family Therapist, PsyD, MFT
Verified Verified
1 Endorsed
San Clemente, CA 92672
In our session, I focus on meeting you with empathy and truly understanding your needs, wants, and desires. Together, we will embark on a journey to discover whether therapy or coaching resonates best with your unique requirements. Once your goal is identified, we will walk hand in hand toward its realization. I will serve as a compassionate mirror, reflecting the aspects of yourself that may have gone unnoticed. Together, we will explore fresh perspectives on being, thinking, and behaving, paving the way for you to embrace and sustain the fulfilling life you aspire to and truly deserve through trauma-informed techniques.
In our session, I focus on meeting you with empathy and truly understanding your needs, wants, and desires. Together, we will embark on a journey to discover whether therapy or coaching resonates best with your unique requirements. Once your goal is identified, we will walk hand in hand toward its realization. I will serve as a compassionate mirror, reflecting the aspects of yourself that may have gone unnoticed. Together, we will explore fresh perspectives on being, thinking, and behaving, paving the way for you to embrace and sustain the fulfilling life you aspire to and truly deserve through trauma-informed techniques.
(818) 648-2140 View (818) 648-2140
Photo of Monica Cannon, MA, LMFT, ADHD-, CCSP, Marriage & Family Therapist
Monica Cannon
Marriage & Family Therapist, MA, LMFT, ADHD-, CCSP
Verified Verified
San Clemente, CA 92673  (Online Only)
Do you struggle with focus, motivation, stress or anxiety on a regular basis? , Do you feel like you have to do everything "perfectly" or like and imposter at work? When you look at your life do you feel like you are thriving or just surviving?
Do you struggle with focus, motivation, stress or anxiety on a regular basis? , Do you feel like you have to do everything "perfectly" or like and imposter at work? When you look at your life do you feel like you are thriving or just surviving?
(657) 385-8866 View (657) 385-8866
Photo of Karen Smith - Karen Smith Psychotherapy, LMFT, MSc, Marriage & Family Therapist
Karen Smith Psychotherapy
Marriage & Family Therapist, LMFT, MSc
Verified Verified
1 Endorsed
San Clemente, CA 92674  (Online Only)
Waitlist for new clients
My name is Karen Smith, and I am a Licensed Marriage & Family Therapist (LMFT138686), who is passionate about helping clients discover, or rediscover, their inner strength, and heal anything that is unresolved. My approach to providing therapy is taking a look at the whole picture, including the client's childhood, worldview, and current problem areas, and clearing out anything that could be holding them back from happiness and peace. I use EMDR, CBT, DBT, Psychoanalysis, and more, to uncover what led to the current undesirable thoughts and behaviors.
My name is Karen Smith, and I am a Licensed Marriage & Family Therapist (LMFT138686), who is passionate about helping clients discover, or rediscover, their inner strength, and heal anything that is unresolved. My approach to providing therapy is taking a look at the whole picture, including the client's childhood, worldview, and current problem areas, and clearing out anything that could be holding them back from happiness and peace. I use EMDR, CBT, DBT, Psychoanalysis, and more, to uncover what led to the current undesirable thoughts and behaviors.
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Photo of Vicky Rosales, LMFT, Marriage & Family Therapist
Vicky Rosales
Marriage & Family Therapist, LMFT
Verified Verified
San Clemente, CA 92672
Hi, my name is Vicky Rosales. I am a Licensed Marriage and Family Therapist (LMFT) based in Los Angeles, CA. I am a Trauma-Informed Therapist and understand the importance of the mind, body, and spirit connection. My expertise is working with youth and families impacted by the child welfare and juvenile justice system, providing both individual and family therapy. I am dedicated to creating a therapeutic relationship where you can express your emotions and life experience without judgment.
Hi, my name is Vicky Rosales. I am a Licensed Marriage and Family Therapist (LMFT) based in Los Angeles, CA. I am a Trauma-Informed Therapist and understand the importance of the mind, body, and spirit connection. My expertise is working with youth and families impacted by the child welfare and juvenile justice system, providing both individual and family therapy. I am dedicated to creating a therapeutic relationship where you can express your emotions and life experience without judgment.
(949) 990-3801 View (949) 990-3801
Photo of Alexandra Smith - Alexandra Smith, LMFT, MS, LMFT, Marriage & Family Therapist
Alexandra Smith, LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Clemente, CA 92673  (Online Only)
I am a Licensed Marriage & Family Therapist in California, Illinois, and Missouri, specializing in supporting individuals and couples through pre-conception, pregnancy, postpartum, and the toddler years. I also work extensively with autistic and highly sensitive parents. Whether you're navigating the complexities of new parenthood, embracing your neurodivergent identity, or managing overwhelm as a neurodivergent parent, I offer a compassionate and supportive space for exploration, healing, and growth.
I am a Licensed Marriage & Family Therapist in California, Illinois, and Missouri, specializing in supporting individuals and couples through pre-conception, pregnancy, postpartum, and the toddler years. I also work extensively with autistic and highly sensitive parents. Whether you're navigating the complexities of new parenthood, embracing your neurodivergent identity, or managing overwhelm as a neurodivergent parent, I offer a compassionate and supportive space for exploration, healing, and growth.
(657) 232-7627 View (657) 232-7627
Photo of Piper A Walsh, PhD, Psychologist
Piper A Walsh
Psychologist, PhD
Verified Verified
San Clemente, CA 92672
Do you feel stressed out, irritable, or sad? Is your work or home life raising levels of anxiety or making you feel depressed? Or, perhaps, you're simply feeling overwhelmed and unsure of what to do next. I'd like to help. You may be at a point in your life where change feels inevitable, yet, you don't know what to do. This can be very difficult place to be. Oftentimes, positive change can emerge from the most trying of life circumstances. Talking issues over with a caring professional can help you make decisions that feel right for you.
Do you feel stressed out, irritable, or sad? Is your work or home life raising levels of anxiety or making you feel depressed? Or, perhaps, you're simply feeling overwhelmed and unsure of what to do next. I'd like to help. You may be at a point in your life where change feels inevitable, yet, you don't know what to do. This can be very difficult place to be. Oftentimes, positive change can emerge from the most trying of life circumstances. Talking issues over with a caring professional can help you make decisions that feel right for you.
(949) 391-3808 View (949) 391-3808
Photo of Dr. Lidar Shany, Jungian, Analyst, IAAP, CGJIZ
Dr. Lidar Shany
Jungian, Analyst, IAAP, CGJIZ
Verified Verified
1 Endorsed
San Clemente, CA 92673
Are you in search of depth, meaning, transformation and healing? I help clients achieve those. Are you suffering from postpartum depression or confusion ? It is my expertise to work with women in childbirth phase. If you wish to resolve difficulties in relationship, or work through your childhood trauma, attachment and early life complexities; if you want to ease PTSD and anxiety symptoms, or to feel the heaviness and blackness of depression lightened, I am experienced in helping clients achieve these.
Are you in search of depth, meaning, transformation and healing? I help clients achieve those. Are you suffering from postpartum depression or confusion ? It is my expertise to work with women in childbirth phase. If you wish to resolve difficulties in relationship, or work through your childhood trauma, attachment and early life complexities; if you want to ease PTSD and anxiety symptoms, or to feel the heaviness and blackness of depression lightened, I am experienced in helping clients achieve these.
(949) 779-6115 View (949) 779-6115
Photo of Rick McCarthy, MFT, CCTP, Marriage & Family Therapist
Rick McCarthy
Marriage & Family Therapist, MFT, CCTP
Verified Verified
San Clemente, CA 92673
I have been in practice in the area for over 40 years, working with a very diverse population, including individual's, adults, adolescents, and couples with a wide variety of concerns and complex life challenges. I taught for 28 years, first as an associate professor of psychology at Marymount College, and have taught graduate courses at Loyola Marymount University and Pepperdine University. Twice, I have been the recipient of the Lampert Award from Pacificare Behavioral Health, which quantifies client outcomes. In effect, my therapeutic effectiveness has been ranked in the top one percent of over 10,000 participating therapists.
I have been in practice in the area for over 40 years, working with a very diverse population, including individual's, adults, adolescents, and couples with a wide variety of concerns and complex life challenges. I taught for 28 years, first as an associate professor of psychology at Marymount College, and have taught graduate courses at Loyola Marymount University and Pepperdine University. Twice, I have been the recipient of the Lampert Award from Pacificare Behavioral Health, which quantifies client outcomes. In effect, my therapeutic effectiveness has been ranked in the top one percent of over 10,000 participating therapists.
(424) 343-2830 View (424) 343-2830
Photo of Kristen Gioscia - Be Well Therapy , MA, AMFT, Marriage & Family Therapist Associate
Be Well Therapy
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Clemente, CA 92672
My typical client is navigating the complexities of relationships, from dating and family dynamics to career stress. They feel stuck in unhealthy patterns, struggle with emotional regulation, and seek deeper connections. They want to heal past wounds, improve self-awareness, and build healthy, fulfilling relationships. I offer a safe, non-judgmental space where we’ll explore attachment and emotional well-being. With a blend of empathy and strategic guidance, I help clients find emotional balance, confidence, and the relationships they deserve.
My typical client is navigating the complexities of relationships, from dating and family dynamics to career stress. They feel stuck in unhealthy patterns, struggle with emotional regulation, and seek deeper connections. They want to heal past wounds, improve self-awareness, and build healthy, fulfilling relationships. I offer a safe, non-judgmental space where we’ll explore attachment and emotional well-being. With a blend of empathy and strategic guidance, I help clients find emotional balance, confidence, and the relationships they deserve.
(949) 787-3198 View (949) 787-3198
Photo of Maureen Aquilina, LCSW, Clinical Social Work/Therapist
Maureen Aquilina
Clinical Social Work/Therapist, LCSW
Verified Verified
San Clemente, CA 92672  (Online Only)
I embrace a compassionate, non-judgmental and collaborative approach to therapy. My practice includes working with clients experiencing anxiety, depression, difficult life transitions, aging and bereavement. As humans we experience a full range of emotions - no emotion is without purpose.
I embrace a compassionate, non-judgmental and collaborative approach to therapy. My practice includes working with clients experiencing anxiety, depression, difficult life transitions, aging and bereavement. As humans we experience a full range of emotions - no emotion is without purpose.
(949) 264-5847 View (949) 264-5847
Photo of Beth Julia Anderson, MA, LMFT, Marriage & Family Therapist
Beth Julia Anderson
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Clemente, CA 92672
Couples counseling could be the best gift you give to yourself and your partner. Did you know that couples wait on average 7 years being unhappy before they finally seek counseling? Are you ready to try something new? Now is a great time to do away with habits that interfere with you having a great relationship, and learn some new ways of connecting with your partner! I love helping couples build a strong foundation for a healthy, lasting relationship.
Couples counseling could be the best gift you give to yourself and your partner. Did you know that couples wait on average 7 years being unhappy before they finally seek counseling? Are you ready to try something new? Now is a great time to do away with habits that interfere with you having a great relationship, and learn some new ways of connecting with your partner! I love helping couples build a strong foundation for a healthy, lasting relationship.
(949) 446-1298 View (949) 446-1298
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How does your Therapist compare?

Number of Therapists in San Clemente, CA

200+

Average cost per session

$175

Therapists in San Clemente, CA who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
77% Self Esteem
74% Coping Skills
68% Stress
64% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

73% Cigna and Evernorth
69% Aetna
69% UnitedHealthcare UHC | UBH

How Therapists in San Clemente, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Clemente?

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.