Therapists in Sacramento, CA

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Photo of Kevin Cameron, Marriage & Family Therapist in Sacramento, CA
Kevin Cameron
Marriage & Family Therapist, PsyD, LMFT, CPTT
Verified Verified
Sacramento, CA 95827
Clients tend to thrive in therapy when there is a drive to change and improve their quality of life. Whether it be on an athletic field, the office, or in their relationship, those who are ready with an open mind and looking to address the things holding them back will always come out on top.
Clients tend to thrive in therapy when there is a drive to change and improve their quality of life. Whether it be on an athletic field, the office, or in their relationship, those who are ready with an open mind and looking to address the things holding them back will always come out on top.
(916) 252-5940 View (916) 252-5940
Photo of Jenna Ramirez-Kirgan, Marriage & Family Therapist Associate in Sacramento, CA
Jenna Ramirez-Kirgan
Marriage & Family Therapist Associate, MA
Verified Verified
Sacramento, CA 95821
I enjoy working with a diverse population surrounding attachment, life transitions, stressful life events/trauma, and close relationships. I am passionate about working with young adults, couples, pre-marital counseling, and LGBTQIA+ populations. Each and every one of my clients is a unique person coming in with unique experiences and challenges, meaning they require a unique approach that best fits their goals. The therapeutic relationship between a client and therapist is one of the most important factors to client success. This is why I value building trust and confidence with my clients in the beginning of therapy.
I enjoy working with a diverse population surrounding attachment, life transitions, stressful life events/trauma, and close relationships. I am passionate about working with young adults, couples, pre-marital counseling, and LGBTQIA+ populations. Each and every one of my clients is a unique person coming in with unique experiences and challenges, meaning they require a unique approach that best fits their goals. The therapeutic relationship between a client and therapist is one of the most important factors to client success. This is why I value building trust and confidence with my clients in the beginning of therapy.
(916) 776-5855 View (916) 776-5855
Photo of Darlene A. Obregon, Marriage & Family Therapist in Sacramento, CA
Darlene A. Obregon
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Hi, my name is Darlene. I am a Licensed Marriage and Family Therapist in California. I am have experience working with couples in re-establishing safety and connection in relationships. I have worked with couples with infidelity, separation and high conflict. I am also passionate about working with individuals in helping them unpack childhood emotional trauma wounds, to foster new healthy attachments. I have 10 years experience working with children and families. In family work, I help to restore connection, trust and belonging.
Hi, my name is Darlene. I am a Licensed Marriage and Family Therapist in California. I am have experience working with couples in re-establishing safety and connection in relationships. I have worked with couples with infidelity, separation and high conflict. I am also passionate about working with individuals in helping them unpack childhood emotional trauma wounds, to foster new healthy attachments. I have 10 years experience working with children and families. In family work, I help to restore connection, trust and belonging.
(916) 943-4076 View (916) 943-4076
Photo of Heather L. Damon, Clinical Social Work/Therapist in Sacramento, CA
Heather L. Damon
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95831  (Online Only)
Perhaps you are having difficulties in your primary relationships, perhaps there are stressors at work, perhaps you face a great choice and several obstacles are hindering your clarity and peace. I have been honored to witness individuals and couples overcome many barriers that initially seemed insurmountable. Based on the lived experience of those I work with I believe that a full, happy, and peaceful life is within reach for everyone who seeks it.
Perhaps you are having difficulties in your primary relationships, perhaps there are stressors at work, perhaps you face a great choice and several obstacles are hindering your clarity and peace. I have been honored to witness individuals and couples overcome many barriers that initially seemed insurmountable. Based on the lived experience of those I work with I believe that a full, happy, and peaceful life is within reach for everyone who seeks it.
(916) 619-5841 View (916) 619-5841
Photo of Johnny Tillis, Marriage & Family Therapist Associate in Sacramento, CA
Johnny Tillis
Marriage & Family Therapist Associate, MA, MS, AMFT
Verified Verified
Sacramento, CA 95834
Welcome! I am an Associate MFT in California. I am drawn toward helping ages 12-30 . I work with clients overcome anxiety, depression, and trauma while supporting the individual toward healing. While on the journey, I aim to meet you where you are emotionally to work collaboratively with you. Seeking help can be overwhelming, and I plan to provide a safe and non-judgmental space to identify areas you would like to develop and learn new coping skills. I will provide guidance, support, and feedback in a safe, non-judgmental therapeutic space as we work together.
Welcome! I am an Associate MFT in California. I am drawn toward helping ages 12-30 . I work with clients overcome anxiety, depression, and trauma while supporting the individual toward healing. While on the journey, I aim to meet you where you are emotionally to work collaboratively with you. Seeking help can be overwhelming, and I plan to provide a safe and non-judgmental space to identify areas you would like to develop and learn new coping skills. I will provide guidance, support, and feedback in a safe, non-judgmental therapeutic space as we work together.
(916) 823-9613 View (916) 823-9613
Photo of Kelly K Hanzy Therapy, Marriage & Family Therapist in Sacramento, CA
Kelly K Hanzy Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95818
Welcome! I specialize in providing integrative, holistic psychotherapy to individuals, couples and families from diverse social and cultural backgrounds. I am skilled in treating a wide range of mental health conditions, including depression, anxiety, trauma, grief, career/life transitions and many more. I draw upon a variety of therapeutic modalities and provide a combination of support, best practices and practical feedback to help clients resolve current problems.
Welcome! I specialize in providing integrative, holistic psychotherapy to individuals, couples and families from diverse social and cultural backgrounds. I am skilled in treating a wide range of mental health conditions, including depression, anxiety, trauma, grief, career/life transitions and many more. I draw upon a variety of therapeutic modalities and provide a combination of support, best practices and practical feedback to help clients resolve current problems.
(916) 931-4797 View (916) 931-4797
Photo of Stronger Together Licensed Counseling and Wellness, Clinical Social Work/Therapist in Sacramento, CA
Stronger Together Licensed Counseling and Wellness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95826
Are you sick and tired of being sick and tired? Feeling exhausted being overwhelmed and sad? Those who are closest to you can't see your pain because you have hidden how you truly feel by wearing a mask. Wearing a mask allows you to get through the day but fall apart when alone. In therapy you take off the mask, breathe and reveal your true feelings, gain insight into how to decrease your pain and live a more balanced healthier life. Getting help is not a sign of weakness, but strength. It takes a great deal of strength and courage to take this step towards feeling better.
Are you sick and tired of being sick and tired? Feeling exhausted being overwhelmed and sad? Those who are closest to you can't see your pain because you have hidden how you truly feel by wearing a mask. Wearing a mask allows you to get through the day but fall apart when alone. In therapy you take off the mask, breathe and reveal your true feelings, gain insight into how to decrease your pain and live a more balanced healthier life. Getting help is not a sign of weakness, but strength. It takes a great deal of strength and courage to take this step towards feeling better.
(916) 252-5035 View (916) 252-5035
Photo of Alexandra Gabrielle Garton, Marriage & Family Therapist in Sacramento, CA
Alexandra Gabrielle Garton
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95820  (Online Only)
Are you dealing with some big changes in your life? Or, have you experienced something scary and upsetting? Are you feeling weighed down by your past and unable to move forward? My role as a therapist is to help you gain power over your life. Empowerment leads to freedom and reduced fear of the world around you, and self-empowerment starts with self-compassion. As a therapist, I act as a guide in a powerful process that helps you get closer to the things you want out of life. I offer non-judgmental support and encouragement. I have often been described as calming, attentive, compassionate and easy to talk to.
Are you dealing with some big changes in your life? Or, have you experienced something scary and upsetting? Are you feeling weighed down by your past and unable to move forward? My role as a therapist is to help you gain power over your life. Empowerment leads to freedom and reduced fear of the world around you, and self-empowerment starts with self-compassion. As a therapist, I act as a guide in a powerful process that helps you get closer to the things you want out of life. I offer non-judgmental support and encouragement. I have often been described as calming, attentive, compassionate and easy to talk to.
(916) 943-4276 View (916) 943-4276
Photo of Jasmeen Kairam, Pre-Licensed Professional in Sacramento, CA
Jasmeen Kairam
Pre-Licensed Professional, AMFT, MA
Verified Verified
Sacramento, CA 95825
I have a strong interest in working with individuals who have faced trauma, especially sexual trauma, to help them rediscover their voice and feel heard. As well as, couples who are struggling with connection, infidelity and more. I acknowledge that every individual is unique and has their own story. As someone who identifies as South Asian, I understand being at the crossroads of societal pressures while trying to balance multiple expectations with various cultural considerations and the stigma that may come around mental health.
I have a strong interest in working with individuals who have faced trauma, especially sexual trauma, to help them rediscover their voice and feel heard. As well as, couples who are struggling with connection, infidelity and more. I acknowledge that every individual is unique and has their own story. As someone who identifies as South Asian, I understand being at the crossroads of societal pressures while trying to balance multiple expectations with various cultural considerations and the stigma that may come around mental health.
(916) 586-7019 View (916) 586-7019
Photo of Breaking Chains Through Change, Clinical Social Work/Therapist in Sacramento, CA
Breaking Chains Through Change
Clinical Social Work/Therapist, LCSW, EdD
Verified Verified
Sacramento, CA 95814
Hello my name is Dr. Adreena Lowe- Island. I have a Clinical background, which entails over 27 years of Social and Mental Health Services, working for a wide range of programs in the State of California. I have a keen focus on ensuring the highest quality of care and seeking to make a difference in the lives of the individuals I serve. As a Licensed Therapist, I am focused on helping individuals to find their purpose in life. My Motto is to treat through empowerment and support.
Hello my name is Dr. Adreena Lowe- Island. I have a Clinical background, which entails over 27 years of Social and Mental Health Services, working for a wide range of programs in the State of California. I have a keen focus on ensuring the highest quality of care and seeking to make a difference in the lives of the individuals I serve. As a Licensed Therapist, I am focused on helping individuals to find their purpose in life. My Motto is to treat through empowerment and support.
(279) 800-4768 View (279) 800-4768
Photo of Ceci Fuentes, Associate Professional Clinical Counselor in Sacramento, CA
Ceci Fuentes
Associate Professional Clinical Counselor, MA, APCC, PPS
Verified Verified
1 Endorsed
Sacramento, CA 95819
I’d like to start off by congratulating you on taking the courageous first step towards your healing journey. As a daughter of Mexican immigrants and a first-generation Latina, I understand the importance of having a therapist who understands the complexity of our intersecting identities. Reflecting on my personal healing journey, I recognize the value of having a therapist that makes one feel seen, heard, and understood. You are the leader of your journey. My role is to meet you where you are with kindness, tools, and guidance.
I’d like to start off by congratulating you on taking the courageous first step towards your healing journey. As a daughter of Mexican immigrants and a first-generation Latina, I understand the importance of having a therapist who understands the complexity of our intersecting identities. Reflecting on my personal healing journey, I recognize the value of having a therapist that makes one feel seen, heard, and understood. You are the leader of your journey. My role is to meet you where you are with kindness, tools, and guidance.
(916) 347-4409 View (916) 347-4409
Photo of Questella C. Alfred, Clinical Social Work/Therapist in Sacramento, CA
Questella C. Alfred
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95811  (Online Only)
My practice is grounded in the belief that we all have a deep desire and fundamental need to connect — with ourselves and with others. My practice melds: my collaborative approach + affirming, nonjudgmental, humorous and directive style + lived experiences as a West Indian, first-gen, queer, womxn + a trauma/somatic/relational focus and Afrocentric perspectives to curate a transformative process that allows you and/or your partners to experience: connection—healing—liberation.
My practice is grounded in the belief that we all have a deep desire and fundamental need to connect — with ourselves and with others. My practice melds: my collaborative approach + affirming, nonjudgmental, humorous and directive style + lived experiences as a West Indian, first-gen, queer, womxn + a trauma/somatic/relational focus and Afrocentric perspectives to curate a transformative process that allows you and/or your partners to experience: connection—healing—liberation.
(916) 999-7897 View (916) 999-7897
Photo of Gita Seshadri, Marriage & Family Therapist in Sacramento, CA
Gita Seshadri
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Sacramento, CA 95816
Frustrated? Unhappy? Anxious? In emotional pain? Want some validation, insight, and change? I believe that everyone is the expert of their own experience; you have lived your life longer than I have known you. With encouragement, I often use the metaphor of being a flashlight in a dark cave, shedding light on different things, however, you, as the client are in the driver's seat; I am in the passenger seat, as a co-driver. Together, we will explore your personal meanings and experiences while making larger connections to your goals. I invite you to our journey together in creating new meaning.
Frustrated? Unhappy? Anxious? In emotional pain? Want some validation, insight, and change? I believe that everyone is the expert of their own experience; you have lived your life longer than I have known you. With encouragement, I often use the metaphor of being a flashlight in a dark cave, shedding light on different things, however, you, as the client are in the driver's seat; I am in the passenger seat, as a co-driver. Together, we will explore your personal meanings and experiences while making larger connections to your goals. I invite you to our journey together in creating new meaning.
(949) 441-5655 View (949) 441-5655
Photo of Patience Silva, Clinical Social Work/Therapist in Sacramento, CA
Patience Silva
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Sacramento, CA 95816
I am a Catholic Christian therapist. I provide therapeutic services that stay true to traditional Catholic and Christian values. I especially enjoy integrating the faith into sessions, while utilizing evidenced based practices and counseling techniques. I work with individuals of all faith backgrounds, though my speciality is working with the Catholic & Christian population.
I am a Catholic Christian therapist. I provide therapeutic services that stay true to traditional Catholic and Christian values. I especially enjoy integrating the faith into sessions, while utilizing evidenced based practices and counseling techniques. I work with individuals of all faith backgrounds, though my speciality is working with the Catholic & Christian population.
(916) 252-5030 View (916) 252-5030
Photo of Colleen Cotter, Marriage & Family Therapist in Sacramento, CA
Colleen Cotter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95811
Clients that find me usually feel that trauma has informed or altered their life in some way. Or they face personal or relational distress. I meet each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and/or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
Clients that find me usually feel that trauma has informed or altered their life in some way. Or they face personal or relational distress. I meet each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and/or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
(916) 237-9292 View (916) 237-9292
Photo of Life Practice Counseling Group, Marriage & Family Therapist in Sacramento, CA
Life Practice Counseling Group
Marriage & Family Therapist, MA, MFT
Verified Verified
Sacramento, CA 95821
We are a non-profit counseling agency that offers our fees on a sliding scale ranging from $40 - $130 based on monthly income or your ability to pay. We are open days, evenings, and weekends 7 days a week from 9am - 9pm. We have a diverse staff that you can see on our website at LifePractice.org. We are also conducting Free Groups (DBT Skills and a LGBTQ+/Neurodivergent).
We are a non-profit counseling agency that offers our fees on a sliding scale ranging from $40 - $130 based on monthly income or your ability to pay. We are open days, evenings, and weekends 7 days a week from 9am - 9pm. We have a diverse staff that you can see on our website at LifePractice.org. We are also conducting Free Groups (DBT Skills and a LGBTQ+/Neurodivergent).
(916) 525-8632 View (916) 525-8632
Photo of Penelope Chui, Marriage & Family Therapist in Sacramento, CA
Penelope Chui
Marriage & Family Therapist, LMFT, LPCC, NCC, CCMHC
Verified Verified
Sacramento, CA 95822  (Online Only)
Having difficulties in your life? Experiencing emotional distress? Having relationship, family or work difficulties? Feeling anxious and overwhelmed with the demands from your spouse, children and boss? Finding you and your spouse get stuck in negative communication patterns? Are you and your family feel difficulty facing emotional, spiritual, social and physical changes or limitations? Cancer knocks at your door. You feel sacred, overwhelmed and don't know what will happen to you. As an experienced Marriage & Family Therapist, I will work with you to undergo the challenges affecting your body, mind, family, career and every aspect of your life.
Having difficulties in your life? Experiencing emotional distress? Having relationship, family or work difficulties? Feeling anxious and overwhelmed with the demands from your spouse, children and boss? Finding you and your spouse get stuck in negative communication patterns? Are you and your family feel difficulty facing emotional, spiritual, social and physical changes or limitations? Cancer knocks at your door. You feel sacred, overwhelmed and don't know what will happen to you. As an experienced Marriage & Family Therapist, I will work with you to undergo the challenges affecting your body, mind, family, career and every aspect of your life.
(916) 546-1120 View (916) 546-1120
Photo of Francis David, Pre-Licensed Professional in Sacramento, CA
Francis David
Pre-Licensed Professional, ASW
Verified Verified
1 Endorsed
Sacramento, CA 95831
I help my adult clients (especially men) heal from bad relationship experiences and build better ones with those around them, whether those relationships are with peers, family or romantic partners. I also work with children, and use evidence based techniques to help with child behavioral issues and help parents create more peaceful relationships with their children. I have a breadth of experience working with children, teens and young adults in various capacities, and have something special to offer all people going through major life transitions.
I help my adult clients (especially men) heal from bad relationship experiences and build better ones with those around them, whether those relationships are with peers, family or romantic partners. I also work with children, and use evidence based techniques to help with child behavioral issues and help parents create more peaceful relationships with their children. I have a breadth of experience working with children, teens and young adults in various capacities, and have something special to offer all people going through major life transitions.
(916) 642-7301 View (916) 642-7301
Photo of Nercy Basulto Fuentes, Marriage & Family Therapist in Sacramento, CA
Nercy Basulto Fuentes
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
Sacramento, CA 95814
You’re juggling so many things at once that you’ve lost all perspective. It takes everything you’ve got to make sure your loved ones are happy, and your clients are taken care of, but the smile you’ve been holding up is starting to slip. You feel like a fraud. Everyone around you seems to know what they’re doing while you struggle to get through the week. Your job requires a lot of compassion, and there’s nothing left for you at the end of the day. You love helping others professionally, but the burnout is becoming resent. The guilt of even having these feelings is unbearable. You need a break or an outlet before you explode!
You’re juggling so many things at once that you’ve lost all perspective. It takes everything you’ve got to make sure your loved ones are happy, and your clients are taken care of, but the smile you’ve been holding up is starting to slip. You feel like a fraud. Everyone around you seems to know what they’re doing while you struggle to get through the week. Your job requires a lot of compassion, and there’s nothing left for you at the end of the day. You love helping others professionally, but the burnout is becoming resent. The guilt of even having these feelings is unbearable. You need a break or an outlet before you explode!
(916) 510-0832 View (916) 510-0832
Photo of Megan Negendank, Marriage & Family Therapist in Sacramento, CA
Megan Negendank
Marriage & Family Therapist, MS, LMFT, CST
Verified Verified
2 Endorsed
Sacramento, CA 95816
You want better emotional and physical intimacy. You've been feeling sad, disconnected and frustrated as you've been trying to work through your relationship issues yourself or with your partner. You feel stuck--you might be thinking "I love them so much, but why is this so hard?!" I help unfulfilled couples & stressed individuals create happy lives & thriving relationships. Free resources and information on how to get started is available at my website (www.lovehealgrow.com).
You want better emotional and physical intimacy. You've been feeling sad, disconnected and frustrated as you've been trying to work through your relationship issues yourself or with your partner. You feel stuck--you might be thinking "I love them so much, but why is this so hard?!" I help unfulfilled couples & stressed individuals create happy lives & thriving relationships. Free resources and information on how to get started is available at my website (www.lovehealgrow.com).
(916) 794-0894 View (916) 794-0894

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
67% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

69% Aetna
64% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.