Therapists in Big Bear Lake, CA

Photo of Josh Marshall, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Josh Marshall
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Big Bear Lake, CA 92315
Life stressors and adverse experiences can become overwhelming. Many people find themselves in a place where they could benefit from some extra support. My goal is to explore with you what is holding you back from feeling more aware of and connected with the direction of your life. I provide a welcoming, non-judgmental space to help you discover inner wounds, wisdom, and healing.
Life stressors and adverse experiences can become overwhelming. Many people find themselves in a place where they could benefit from some extra support. My goal is to explore with you what is holding you back from feeling more aware of and connected with the direction of your life. I provide a welcoming, non-judgmental space to help you discover inner wounds, wisdom, and healing.
(909) 351-0743 View (909) 351-0743
Photo of Thomas Nabors, LMFT, CSAT, Marriage & Family Therapist
Thomas Nabors
Marriage & Family Therapist, LMFT, CSAT
Verified Verified
Big Bear Lake, CA 92315  (Online Only)
I view therapy as a safe space where clients can feel empowered to share their stories as they experience them. My primary goal as a clinician is not to “fix” you, my goal is to support you on your internal journey as you cultivate the skills necessary to grow and heal in a conducive manner. My function as a clinician is to help clients navigate and dissect their stories as a way to help them understand the meaning behind their experiences. I always encourage my clients to come to therapy as they are and we will begin the therapeutic process from there. I DO NOT work with MINORS, COUPLES, and FAMILIES.
I view therapy as a safe space where clients can feel empowered to share their stories as they experience them. My primary goal as a clinician is not to “fix” you, my goal is to support you on your internal journey as you cultivate the skills necessary to grow and heal in a conducive manner. My function as a clinician is to help clients navigate and dissect their stories as a way to help them understand the meaning behind their experiences. I always encourage my clients to come to therapy as they are and we will begin the therapeutic process from there. I DO NOT work with MINORS, COUPLES, and FAMILIES.
(323) 433-5829 View (323) 433-5829
Photo of Jennifer Patricia Jeter, MFT, Marriage & Family Therapist
Jennifer Patricia Jeter
Marriage & Family Therapist, MFT
Verified Verified
Big Bear Lake, CA 92315
I believe that the goal of "happiness" we are all striving for, is not that of elation, but inner peace. Without an understanding of this subtle difference, many of us can find ourselves on a slightly different path than we have intended. Much of my work focuses on helping my clients find acceptance in themselves in order to listen to their own voices and create a life that is fulfilling. I believe that each of my clients are the experts in their own lives. In that way, our sessions become a joint process--rather than an "expert/patient" experience.
I believe that the goal of "happiness" we are all striving for, is not that of elation, but inner peace. Without an understanding of this subtle difference, many of us can find ourselves on a slightly different path than we have intended. Much of my work focuses on helping my clients find acceptance in themselves in order to listen to their own voices and create a life that is fulfilling. I believe that each of my clients are the experts in their own lives. In that way, our sessions become a joint process--rather than an "expert/patient" experience.
(619) 866-6656 View (619) 866-6656

More Therapists Nearby

Photo of Teje Aliberti, MA, MFT, LPCC, Marriage & Family Therapist
Teje Aliberti
Marriage & Family Therapist, MA, MFT, LPCC
Verified Verified
1 Endorsed
Big Bear, CA 92314
Effective Talk Therapy for Individuals & Couples. Relationships are one of the most important aspects of our lives and yet they can be so problematic, stressful and confusing. Whether you are struggling with a partner, spouse, family member, child, parent or co-worker, it can be helpful to speak with a relationship specialist. Therapy Where You Need it. When You Need It. Dually Licensed and honored to be Serving all California and Hawaii Residents. Easy scheduling and reliable effective support. For quick online scheduling and additional information, please visit: www.TejeCounseling.com
Effective Talk Therapy for Individuals & Couples. Relationships are one of the most important aspects of our lives and yet they can be so problematic, stressful and confusing. Whether you are struggling with a partner, spouse, family member, child, parent or co-worker, it can be helpful to speak with a relationship specialist. Therapy Where You Need it. When You Need It. Dually Licensed and honored to be Serving all California and Hawaii Residents. Easy scheduling and reliable effective support. For quick online scheduling and additional information, please visit: www.TejeCounseling.com
(949) 234-6576 View (949) 234-6576
Photo of Norina Verduzco-Murphy, MSW, LCSW, Clinical Social Work/Therapist
Norina Verduzco-Murphy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Big Bear, CA 92314
As a licensed therapist, I see my role as one in which I assist clients in creating an emotional, physical and spiritual balance in their lives. My therapy style is based on a variety of approaches with consideration of each client's values, cultural identity, strengths, and life experiences. I am particularly skilled in working with parenting, children, living with chronic pain/illness, trauma,survivors of child abuse, depression/anxiety, grief, postpartum mood d/o, and pregnancy/infant loss. I enjoy working collaboratively with clients to help them make lasting change.
As a licensed therapist, I see my role as one in which I assist clients in creating an emotional, physical and spiritual balance in their lives. My therapy style is based on a variety of approaches with consideration of each client's values, cultural identity, strengths, and life experiences. I am particularly skilled in working with parenting, children, living with chronic pain/illness, trauma,survivors of child abuse, depression/anxiety, grief, postpartum mood d/o, and pregnancy/infant loss. I enjoy working collaboratively with clients to help them make lasting change.
(909) 962-1629 View (909) 962-1629
Photo of Dawn Hull, MSW, LCSW, LISW, Clinical Social Work/Therapist
Dawn Hull
Clinical Social Work/Therapist, MSW, LCSW, LISW
Verified Verified
Big Bear, CA 92314  (Online Only)
Waitlist for new clients
I believe that everyone deserves to live a life that makes them excited to wake up in the morning. Unfortunately, many people live imprisoned in negativity brought upon by childhood trauma, abusive relationships, or toxic work environments. One of the bravest things you can do is begin to understand your own story and take steps to create a life worth living. My goal is to provide a safe place to work through your pain to understand the patterns that have kept you feeling stuck and help you get on a path towards self-compassion, healthy relationships, and overall contentment.
I believe that everyone deserves to live a life that makes them excited to wake up in the morning. Unfortunately, many people live imprisoned in negativity brought upon by childhood trauma, abusive relationships, or toxic work environments. One of the bravest things you can do is begin to understand your own story and take steps to create a life worth living. My goal is to provide a safe place to work through your pain to understand the patterns that have kept you feeling stuck and help you get on a path towards self-compassion, healthy relationships, and overall contentment.
(909) 324-6171 View (909) 324-6171
Photo of Gina Weiss, MS, LMFT, Marriage & Family Therapist
Gina Weiss
Marriage & Family Therapist, MS, LMFT
Verified Verified
Big Bear, CA 92314
I most enjoy working with clients who are willing to look within and accept responsibility (not blame) for their thoughts, feelings and behavior. I feel especially honored to work with clients who have had traumatic childhood experiences, including sexual abuse. Although these events can have devastating consequences, I have found that survivors of childhood trauma can also be catapulted to higher than usual levels of consciousness and well-being when the traumas are healed. In other words, therapy is a very gratifying journey to walk with a client. I work well with anxiety, depression, chronic pain, eating disorders and dissociative disorders.
I most enjoy working with clients who are willing to look within and accept responsibility (not blame) for their thoughts, feelings and behavior. I feel especially honored to work with clients who have had traumatic childhood experiences, including sexual abuse. Although these events can have devastating consequences, I have found that survivors of childhood trauma can also be catapulted to higher than usual levels of consciousness and well-being when the traumas are healed. In other words, therapy is a very gratifying journey to walk with a client. I work well with anxiety, depression, chronic pain, eating disorders and dissociative disorders.
(909) 474-7893 View (909) 474-7893
Photo of Judith Carol Henri-Farry - Judith C. Henri-Farry, LMFT, LMFT, Marriage & Family Therapist
Judith C. Henri-Farry, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Sugarloaf, CA 92386
Not accepting new clients
Are you struggling? During these uncertain times, do you sometimes feel like life is getting out of control? For over 30 years, people have been coming to me for help with transforming their broken hearts into hearts filled with LOVE, their troubled minds into minds seeking NEW VISTAS and wounded spirits into spirits filled with HOPE. You can enrich your life by learning how your brain creates change along with cognitive and emotional restructuring techniques designed to promote your own creative problem solving process.
Are you struggling? During these uncertain times, do you sometimes feel like life is getting out of control? For over 30 years, people have been coming to me for help with transforming their broken hearts into hearts filled with LOVE, their troubled minds into minds seeking NEW VISTAS and wounded spirits into spirits filled with HOPE. You can enrich your life by learning how your brain creates change along with cognitive and emotional restructuring techniques designed to promote your own creative problem solving process.
(562) 669-4167 View (562) 669-4167
Photo of Corrie Keener, LMFT, Marriage & Family Therapist
Corrie Keener
Marriage & Family Therapist, LMFT
Verified Verified
Big Bear, CA 92314
Are you looking for a Christian therapist...not just a therapist who works with Christians? Are you looking for someone who loves Jesus and can mix psychology with the Bible to create real healing? Here I am! You found me! My education was Biblically based through CBU. I am licensed as a Marriage and Family Therapist which means my education has an emphasis on relationship struggles. I have a deep passion for healing the trauma you have been dragging through life.
Are you looking for a Christian therapist...not just a therapist who works with Christians? Are you looking for someone who loves Jesus and can mix psychology with the Bible to create real healing? Here I am! You found me! My education was Biblically based through CBU. I am licensed as a Marriage and Family Therapist which means my education has an emphasis on relationship struggles. I have a deep passion for healing the trauma you have been dragging through life.
(951) 720-1207 View (951) 720-1207
Photo of Norina Murphy - Norina Verduzco-Murphy MSW, LCSW & Associates, LCSW, Clinical Social Work/Therapist
Norina Verduzco-Murphy MSW, LCSW & Associates
Clinical Social Work/Therapist, LCSW
Verified Verified
Big Bear, CA 92314
Immediate openings in Los Angeles! We strive to make therapy accessible to everyone. We accept insurance, and have weekend and evening availability, with appts offered as late as 7 pm! You will find that my associates and I offer compassion, empathy, and support as you work to heal and grow. We love children and families. Our goal is to help kids have emotional healthy childhoods and support parents in peaceful family interactions. Please see our website to read more about the qualified and amazing therapists available to help you reach your goals. We thank you for considering us in this important investment in yourself.
Immediate openings in Los Angeles! We strive to make therapy accessible to everyone. We accept insurance, and have weekend and evening availability, with appts offered as late as 7 pm! You will find that my associates and I offer compassion, empathy, and support as you work to heal and grow. We love children and families. Our goal is to help kids have emotional healthy childhoods and support parents in peaceful family interactions. Please see our website to read more about the qualified and amazing therapists available to help you reach your goals. We thank you for considering us in this important investment in yourself.
(909) 317-3360 View (909) 317-3360

Online Therapists

Photo of Yasmeen Pardo, MA, AMFT, Marriage & Family Therapist Associate
Yasmeen Pardo
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Tustin, CA 92780
As your therapist, I am here to support you in all aspects of the human experience – especially the ones that make us question ourselves. I utilize empathy, compassion, and gentle curiosity in the therapy room. As a collaborator in your process, I will help you to explore and discover while always allowing you to set the pace for your own journey. As a companion, I will be by your side when difficult emotions arise – guiding you through coping mechanisms, providing resources, and strengthening support systems.
As your therapist, I am here to support you in all aspects of the human experience – especially the ones that make us question ourselves. I utilize empathy, compassion, and gentle curiosity in the therapy room. As a collaborator in your process, I will help you to explore and discover while always allowing you to set the pace for your own journey. As a companion, I will be by your side when difficult emotions arise – guiding you through coping mechanisms, providing resources, and strengthening support systems.
(949) 694-8971 View (949) 694-8971
Photo of Dennis W Wallstrom - The New Mind: Whole Person Psychological Care, PhD, Psychologist
The New Mind: Whole Person Psychological Care
Psychologist, PhD
Verified Verified
Pomona, CA 91768
I seek to restore optimal life functioning in all its dimensions at school, work, and home. The tools we employ come from cutting-edge science, the healing power of the personal therapeutic connection, and historical spiritual practice. I collaborate expectantly and with commitment with those who seek healing from trauma, renewal in their relationships, freedom from destructive behavior patterns, stability in thought and mood, clarity in purpose and values, and a sharper life-focus.
I seek to restore optimal life functioning in all its dimensions at school, work, and home. The tools we employ come from cutting-edge science, the healing power of the personal therapeutic connection, and historical spiritual practice. I collaborate expectantly and with commitment with those who seek healing from trauma, renewal in their relationships, freedom from destructive behavior patterns, stability in thought and mood, clarity in purpose and values, and a sharper life-focus.
(909) 546-4512 View (909) 546-4512
Photo of Gianna Thompson, LMFT, Marriage & Family Therapist
Gianna Thompson
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90045
My name is Gianna and I am Licensed Marriage and Family Therapist based in California.
My name is Gianna and I am Licensed Marriage and Family Therapist based in California.
(707) 723-9153 View (707) 723-9153
Photo of Alison Shlomi, MSW, LCSW, Clinical Social Work/Therapist
Alison Shlomi
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Los Angeles, CA 90004
Are you struggling with obsessive food thoughts, unbreakable food behaviors or body hate? Has an eating disorder or food struggle stolen your brain space, relationships, confidence and ability to function? I know how this feels. You are left physically exhausted, stuck in your self-loathing thoughts and defeated. I spent the last 10+ years specializing in working with eating disorders and supporting/educating family members because I believe no one should have to feel this way. Whether this is your first stop or you've been in treatment, I am glad you are here. One thing I know for sure, we are not meant to do this alone.
Are you struggling with obsessive food thoughts, unbreakable food behaviors or body hate? Has an eating disorder or food struggle stolen your brain space, relationships, confidence and ability to function? I know how this feels. You are left physically exhausted, stuck in your self-loathing thoughts and defeated. I spent the last 10+ years specializing in working with eating disorders and supporting/educating family members because I believe no one should have to feel this way. Whether this is your first stop or you've been in treatment, I am glad you are here. One thing I know for sure, we are not meant to do this alone.
(508) 315-6852 View (508) 315-6852
Photo of Cynthia Bloore, MS, LMFT, Marriage & Family Therapist
Cynthia Bloore
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Northridge, CA 91326  (Online Only)
I provide psychotherapy and counseling for individuals struggling with anxiety and depression; substance use, abuse, and addiction; relationship difficulties; past trauma; and the effects of dysfunctional family relationships. If you are struggling in your personal or work relationships, if you are finding it hard to adjust to loss or trauma, or if you are finding it difficult to cope with the demands of everyday life, I can offer help in dealing with today's struggles--and hope for facing future challenges. I will work alongside you as you learn new ways to find success and happiness.
I provide psychotherapy and counseling for individuals struggling with anxiety and depression; substance use, abuse, and addiction; relationship difficulties; past trauma; and the effects of dysfunctional family relationships. If you are struggling in your personal or work relationships, if you are finding it hard to adjust to loss or trauma, or if you are finding it difficult to cope with the demands of everyday life, I can offer help in dealing with today's struggles--and hope for facing future challenges. I will work alongside you as you learn new ways to find success and happiness.
(805) 576-7551 View (805) 576-7551
Photo of Julie Mennen, PhD, Psychologist
Julie Mennen
Psychologist, PhD
Verified Verified
Oceanside, CA 92058
Waitlist for new clients
I try to focus on the client’s needs and how we can team up to manage symptoms and resolve areas of conflict. I have over 40 years of experience in PTSD, complex trauma, depression and anxiety. I have worked closely with the military providing confidential services to Active Duty Personnel, Family Dependents and Veterans. Military life presents a unique lifestyle and added stresses not always understood in the general population. I also enjoying working with Seniors as they navigate through life and are presented with new challenges.
I try to focus on the client’s needs and how we can team up to manage symptoms and resolve areas of conflict. I have over 40 years of experience in PTSD, complex trauma, depression and anxiety. I have worked closely with the military providing confidential services to Active Duty Personnel, Family Dependents and Veterans. Military life presents a unique lifestyle and added stresses not always understood in the general population. I also enjoying working with Seniors as they navigate through life and are presented with new challenges.
(442) 239-4201 View (442) 239-4201
Photo of Katharine Shiota, LCSW, Clinical Social Work/Therapist
Katharine Shiota
Clinical Social Work/Therapist, LCSW
Verified Verified
Glendale, CA 91203  (Online Only)
Therapy with me is rooted in Cognitive Behavioral Therapy and I am a certified diplomat through the Academy of Cognitive and Behavioral Therapies. I work hard to provide a non-judgmental and safe space and I welcome feedback from clients. I have experience and training working with clients who are struggling with anxiety, depression, OCD, difficulties with emotion regulation, and trauma. I want to collaboratively identify areas of difficulty and create a plan of treatment that makes you feel comfortable and confident about improvement in your mental health.
Therapy with me is rooted in Cognitive Behavioral Therapy and I am a certified diplomat through the Academy of Cognitive and Behavioral Therapies. I work hard to provide a non-judgmental and safe space and I welcome feedback from clients. I have experience and training working with clients who are struggling with anxiety, depression, OCD, difficulties with emotion regulation, and trauma. I want to collaboratively identify areas of difficulty and create a plan of treatment that makes you feel comfortable and confident about improvement in your mental health.
(669) 305-7176 View (669) 305-7176
Photo of Erika Chawla, LPCC, LCPC
Erika Chawla
Licensed Professional Clinical Counselor, LPCC, LCPC
Verified Verified
Los Angeles, CA 90025
Sharing space with another human being can be so transformative. Whether you are struggling with symptoms of anxiety or depression, using substances to cope with uncomfortable feelings, or going through a life transition, I'm glad you are seeking help. Maybe you can't quite identify what is wrong but you would like to talk to a well-practiced professional.
Sharing space with another human being can be so transformative. Whether you are struggling with symptoms of anxiety or depression, using substances to cope with uncomfortable feelings, or going through a life transition, I'm glad you are seeking help. Maybe you can't quite identify what is wrong but you would like to talk to a well-practiced professional.
(331) 258-5608 View (331) 258-5608
Photo of Lanesha Ziegler, LCSW, Clinical Social Work/Therapist
Lanesha Ziegler
Clinical Social Work/Therapist, LCSW
Verified Verified
Pomona, CA 91766
Hello there, I'm Raquel Ziegler, Licensed Clinical Social Worker (LCSW), and for over 4 years, I've dedicated myself to empowering individuals to embrace lives filled with joy and fulfillment. Let's embark on a journey of self-discovery together so we can unlock your true potential and create the vibrant, fulfilling life you deserve. I understand choosing a therapist is a deeply personal decision that takes time and care. So, feel free to schedule a free phone consultation to determine if we are the right fit for each other. I look forward to speaking with you!
Hello there, I'm Raquel Ziegler, Licensed Clinical Social Worker (LCSW), and for over 4 years, I've dedicated myself to empowering individuals to embrace lives filled with joy and fulfillment. Let's embark on a journey of self-discovery together so we can unlock your true potential and create the vibrant, fulfilling life you deserve. I understand choosing a therapist is a deeply personal decision that takes time and care. So, feel free to schedule a free phone consultation to determine if we are the right fit for each other. I look forward to speaking with you!
(626) 648-4983 View (626) 648-4983
Photo of Joel Gamache, LMFT, Marriage & Family Therapist
Joel Gamache
Marriage & Family Therapist, LMFT
Verified Verified
North Hills, CA 91343
My name is Joel Gamache. I am an LMFT in California, working with teens, adults, and couples in a psychodynamic approach. I specialize in traumatic stress, resolving childhood experiences, panic/anxiety attacks, thoughts of death, marital conflict, and relational communication. I use a combination of body-based therapies, self-compassion, attachment theory, object relations theory. I typically ask about what is currently happening in people's lives and use that to explore unresolved experiences in the past.
My name is Joel Gamache. I am an LMFT in California, working with teens, adults, and couples in a psychodynamic approach. I specialize in traumatic stress, resolving childhood experiences, panic/anxiety attacks, thoughts of death, marital conflict, and relational communication. I use a combination of body-based therapies, self-compassion, attachment theory, object relations theory. I typically ask about what is currently happening in people's lives and use that to explore unresolved experiences in the past.
(747) 246-7167 View (747) 246-7167

See more therapy options for Big Bear Lake

How does your Therapist compare?

Number of Therapists in Big Bear Lake, CA

< 10

Therapists in Big Bear Lake, CA who prioritize treating:

100% Depression
100% Anxiety
100% Coping Skills
100% Self Esteem
67% Relationship Issues
67% Life Coaching
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Anthem
50% Aetna

How Therapists in Big Bear Lake, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

66% Male
34% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Big Bear Lake?

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.