Therapists in Arroyo Grande, CA

Photo of Rachel Van Wickle - Trauma Therapist, Marriage & Family Therapist in Arroyo Grande, CA
Rachel Van Wickle - Trauma Therapist
Marriage & Family Therapist, LMFT
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
You feel like you've been hijacked by the trauma you've experienced. Sometimes your body is in panic mode- racing heart, sweaty palms, flashbacks, and hyper-vigilance. Other times you feel completely disconnected- numbing out through technology, emotionless, and exhausted. You can't seem to make sense of what you're supposed to do to feel better. You feel broken, alone, and helpless. As a certified clinical trauma professional (CCTP) I have experience working with individuals just like you. I specialize in survivors of sexual trauma and medical professionals who have experienced trauma (and/or vicarious trauma).
You feel like you've been hijacked by the trauma you've experienced. Sometimes your body is in panic mode- racing heart, sweaty palms, flashbacks, and hyper-vigilance. Other times you feel completely disconnected- numbing out through technology, emotionless, and exhausted. You can't seem to make sense of what you're supposed to do to feel better. You feel broken, alone, and helpless. As a certified clinical trauma professional (CCTP) I have experience working with individuals just like you. I specialize in survivors of sexual trauma and medical professionals who have experienced trauma (and/or vicarious trauma).
(805) 870-8852 View (805) 870-8852
Colleen Sebastian, LMFT Sebastian Family Therapy
Marriage & Family Therapist, MC, LMFT
Verified Verified
Arroyo Grande, CA 93420
Not accepting new clients
Is your child struggling with anxiety, low self-esteem, or difficulty expressing emotions safely? Are they having a difficult time coping with a trauma or loss? Maybe you want to strengthen your relationship with your child. Play is the natural way that children express themselves, and they need a special environment filled with toys and games to help them with the hard work of learning new skills and addressing unpleasant memories. Play and art therapy can be used to resolve trauma, teach and practice coping skills, increase emotional regulation, decrease anxiety and enhance attachments.
Is your child struggling with anxiety, low self-esteem, or difficulty expressing emotions safely? Are they having a difficult time coping with a trauma or loss? Maybe you want to strengthen your relationship with your child. Play is the natural way that children express themselves, and they need a special environment filled with toys and games to help them with the hard work of learning new skills and addressing unpleasant memories. Play and art therapy can be used to resolve trauma, teach and practice coping skills, increase emotional regulation, decrease anxiety and enhance attachments.
(805) 779-0903 View (805) 779-0903
Photo of Ronald D Uggla, Marriage & Family Therapist in Arroyo Grande, CA
Ronald D Uggla
Marriage & Family Therapist, MS, LMFT
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
Sometimes life can feel overwhelming and life events begin to impact your joy, fulfillment; your ability to do the things you need to do. You may be struggling with work, engaging in meaningful activities, parenting effectively, or spending quality time with family and friends. Seeking out help and support through therapy can be a great way to help you find your way back to self-confidence, energy, and the motivation to get back to living a happy, fulfilling life.
Sometimes life can feel overwhelming and life events begin to impact your joy, fulfillment; your ability to do the things you need to do. You may be struggling with work, engaging in meaningful activities, parenting effectively, or spending quality time with family and friends. Seeking out help and support through therapy can be a great way to help you find your way back to self-confidence, energy, and the motivation to get back to living a happy, fulfilling life.
(805) 800-8932 View (805) 800-8932
Photo of Elizabeth M Crawford, Marriage & Family Therapist in Arroyo Grande, CA
Elizabeth M Crawford
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arroyo Grande, CA 93420
Are you feeling anxiety, despair, or mood swings that make it difficult to function or cope? Are you trying to navigate relationship challenges and can’t seem to figure out what is wrong or how to fix things? Are you having trouble finding a therapist who deeply, truly understands what it feels like to have depression, anxiety, or mania? If you answered yes to any of the above questions, I am here for you and I may be able to help. For private pay clients you may request a Good Faith Estimate for the anticipated cost of services.
Are you feeling anxiety, despair, or mood swings that make it difficult to function or cope? Are you trying to navigate relationship challenges and can’t seem to figure out what is wrong or how to fix things? Are you having trouble finding a therapist who deeply, truly understands what it feels like to have depression, anxiety, or mania? If you answered yes to any of the above questions, I am here for you and I may be able to help. For private pay clients you may request a Good Faith Estimate for the anticipated cost of services.
(707) 234-8654 View (707) 234-8654
Photo of Eileen Wright, Marriage & Family Therapist in Arroyo Grande, CA
Eileen Wright
Marriage & Family Therapist, MS, LMFT
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
Things have been hard for people lately. You are not alone if you have been feeling stretched too thin. Relationships can be challenging; learning communication skills to express yourself authentically to your partner is what I can offer couples. Understanding your own feelings first, learning emotional language to communicate those feelings, and learning how to listen and be heard in your relationship is the basis of what I do when working with couples. For parents, I help you see your child as a whole person from birth, and assist you in becoming a confident leader, developing healthy attachments, and fostering emotional security.
Things have been hard for people lately. You are not alone if you have been feeling stretched too thin. Relationships can be challenging; learning communication skills to express yourself authentically to your partner is what I can offer couples. Understanding your own feelings first, learning emotional language to communicate those feelings, and learning how to listen and be heard in your relationship is the basis of what I do when working with couples. For parents, I help you see your child as a whole person from birth, and assist you in becoming a confident leader, developing healthy attachments, and fostering emotional security.
(562) 732-4419 View (562) 732-4419
Photo of Carie Randolph, Marriage & Family Therapist in Arroyo Grande, CA
Carie Randolph
Marriage & Family Therapist, MA, LMFT
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
It's important to find a therapist with whom you can connect and feel safe. With empathy and compassion, my focus is to creat a safe environment so that you are able to share that which is most vulnerable and I hold the space, a positive attitude, that focuses on your ability to grow and heal. Whether you come as a family, couple, individual, my goal is to help you to get past the stuck places, learn new skills, help you connect with your feelings with more depth and help you to make the changes that will enrich your life.
It's important to find a therapist with whom you can connect and feel safe. With empathy and compassion, my focus is to creat a safe environment so that you are able to share that which is most vulnerable and I hold the space, a positive attitude, that focuses on your ability to grow and heal. Whether you come as a family, couple, individual, my goal is to help you to get past the stuck places, learn new skills, help you connect with your feelings with more depth and help you to make the changes that will enrich your life.
(805) 285-3907 View (805) 285-3907
Photo of Dr. Linnea C Hagens, Psychological Associate in Arroyo Grande, CA
Dr. Linnea C Hagens
Psychological Associate, PhD
Verified Verified
Arroyo Grande, CA 93420
My name is Dr. Linnea Hagens, a clinical psychological associate for Dr. Tammy Dobbs. I provide personalized therapy aimed to relieve emotional distress and develop goals of improving some aspects of your life. Therapy sessions include examining and gaining insight into life choices and difficulties faced.
My name is Dr. Linnea Hagens, a clinical psychological associate for Dr. Tammy Dobbs. I provide personalized therapy aimed to relieve emotional distress and develop goals of improving some aspects of your life. Therapy sessions include examining and gaining insight into life choices and difficulties faced.
(805) 386-9145 View (805) 386-9145
Photo of Lacey Consuelo McPhetridge, Psychological Associate in Arroyo Grande, CA
Lacey Consuelo McPhetridge
Psychological Associate, MS, RPA
Verified Verified
Arroyo Grande, CA 93420
If you are looking for a therapist that understands the neurodivergent mind, then I may be the right match for you. I aim to aide clients in understanding that how their brain works doesn't mean they are broken. I work collaboratively with my clients to identify strategies that will help them reach their personal goals. If you are looking for a therapist that will support your unique qualities while helping you achieve your personal goals, then I'd love to meet with you.
If you are looking for a therapist that understands the neurodivergent mind, then I may be the right match for you. I aim to aide clients in understanding that how their brain works doesn't mean they are broken. I work collaboratively with my clients to identify strategies that will help them reach their personal goals. If you are looking for a therapist that will support your unique qualities while helping you achieve your personal goals, then I'd love to meet with you.
(805) 973-0076 View (805) 973-0076
Photo of Marie Worsham, Psychologist in Arroyo Grande, CA
Marie Worsham
Psychologist, PhD
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
Peak functioning and success in life are holistic endeavors that impact & are impacted by all aspects of your life. I am committed to helping you identify and explore your strengths, struggles, personal goals, and values as a means to you becoming the most balanced and successful version of yourself.
Peak functioning and success in life are holistic endeavors that impact & are impacted by all aspects of your life. I am committed to helping you identify and explore your strengths, struggles, personal goals, and values as a means to you becoming the most balanced and successful version of yourself.
(805) 600-0574 View (805) 600-0574
Photo of Tim Connely, Marriage & Family Therapist in Arroyo Grande, CA
Tim Connely
Marriage & Family Therapist, MS, LMFT, MEd
Verified Verified
Arroyo Grande, CA 93420
There are things about relationships that all of us find challenging. Communication with your spouse, partner, or children for some. Trauma experienced by yourself or someone close to you. We could insert 100 other examples here, but no one should have to try to figure it out on their own. There is someone out there that can support you on your journey, and I hope that person is me.
There are things about relationships that all of us find challenging. Communication with your spouse, partner, or children for some. Trauma experienced by yourself or someone close to you. We could insert 100 other examples here, but no one should have to try to figure it out on their own. There is someone out there that can support you on your journey, and I hope that person is me.
(805) 270-7273 View (805) 270-7273
Photo of Katty (Coffron) Richardson, PhD, LMFT, LPCC, Marriage & Family Therapist in Arroyo Grande, CA
Katty (Coffron) Richardson, PhD, LMFT, LPCC
Marriage & Family Therapist, PhD, LPCC, LMFT
Verified Verified
6 Endorsed
Arroyo Grande, CA 93420
Waitlist for new clients
Both life and relationships can be challenging and it is easy to feel confused or hopeless as to how to make things better. You may be struggling with individual issues, such as stress, anxiety, depression, or low self-esteem. Or possibly you are dealing with relationship troubles. You may be longing for love and instead feeling disconnected, alone, and hurt. There are answers and options! I have invested in mastering well-researched, scientifically-proven approaches to individual/couples counseling that will help you get back on track! You can call or text me at 805-975-8399. I offer Teletherapy and I can bill any PPO plan for you.
Both life and relationships can be challenging and it is easy to feel confused or hopeless as to how to make things better. You may be struggling with individual issues, such as stress, anxiety, depression, or low self-esteem. Or possibly you are dealing with relationship troubles. You may be longing for love and instead feeling disconnected, alone, and hurt. There are answers and options! I have invested in mastering well-researched, scientifically-proven approaches to individual/couples counseling that will help you get back on track! You can call or text me at 805-975-8399. I offer Teletherapy and I can bill any PPO plan for you.
(805) 975-8399 View (805) 975-8399
Photo of Janel A Chavez, Clinical Social Work/Therapist in Arroyo Grande, CA
Janel A Chavez
Clinical Social Work/Therapist, LCSW
Verified Verified
Arroyo Grande, CA 93420
Hello! I am currently accepting new clients In-Person and Virtual. No late afternoon times currently available. Life can be very challenging sometimes, and talking with an unbiased person can be very helpful. If you would like help with life's every day challenges, are looking to improve your quality of life, or are seeking help to resolve major life issues stemming from past or present circumstances, I provide a confidential and comfortable environment where you can work through your personal challenges. Servicios en Español están disponibles. If you have any questions please call, leave a message and I'll get back to you asap.
Hello! I am currently accepting new clients In-Person and Virtual. No late afternoon times currently available. Life can be very challenging sometimes, and talking with an unbiased person can be very helpful. If you would like help with life's every day challenges, are looking to improve your quality of life, or are seeking help to resolve major life issues stemming from past or present circumstances, I provide a confidential and comfortable environment where you can work through your personal challenges. Servicios en Español están disponibles. If you have any questions please call, leave a message and I'll get back to you asap.
(805) 244-8690 View (805) 244-8690
Photo of Alexandra Seastrunk, Marriage & Family Therapist in Arroyo Grande, CA
Alexandra Seastrunk
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Arroyo Grande, CA 93420
When you are feeling overwhelmed, lost, restless, or insecure, therapy can help you reconnect to your inner sense of calm and safety. I help adults who are struggling with anxiety, depression, or relational trauma feel more grounded and trusting of themselves. No matter what you are facing, I want you to know that you are not alone in this life. Therapy can offer care and guidance that will support you during this phase of your healing journey.
When you are feeling overwhelmed, lost, restless, or insecure, therapy can help you reconnect to your inner sense of calm and safety. I help adults who are struggling with anxiety, depression, or relational trauma feel more grounded and trusting of themselves. No matter what you are facing, I want you to know that you are not alone in this life. Therapy can offer care and guidance that will support you during this phase of your healing journey.
(805) 515-4154 View (805) 515-4154
Photo of Adrienne Wilson, Marriage & Family Therapist in Arroyo Grande, CA
Adrienne Wilson
Marriage & Family Therapist, LMFT, MS
Verified Verified
2 Endorsed
Arroyo Grande, CA 93420  (Online Only)
I value opportunities to connect with my clients in unique and creative ways through humor, a love of animals, art, and connecting with nature. Through art, writing, and creative outlets I believe we can heal, and work towards integrating the broken parts of self. My approach to the therapeutic process is collaborative and goal-driven. I see my role in clients' lives as one that is temporary; my goal is to equip you with the tools, insights, and renewed hope that will allow you to move forward without need for my help.
I value opportunities to connect with my clients in unique and creative ways through humor, a love of animals, art, and connecting with nature. Through art, writing, and creative outlets I believe we can heal, and work towards integrating the broken parts of self. My approach to the therapeutic process is collaborative and goal-driven. I see my role in clients' lives as one that is temporary; my goal is to equip you with the tools, insights, and renewed hope that will allow you to move forward without need for my help.
(805) 633-8022 View (805) 633-8022
Photo of Silvia Ortiz, Psychologist in Arroyo Grande, CA
Silvia Ortiz
Psychologist, PhD
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
During my 31 years as a psychologist, I have worked with a wide range of conditions. I particularly focus on Depression, Anxiety Disorders, Post Traumatic Stress Disorder, Substance Abuse, Grief, Domestic Abuse, Obesity, and Self Esteem. I provide services to adults and elderly individuals. When indicated I collaborate with Doctors and Psychiatrists to ensure effective treatment.
During my 31 years as a psychologist, I have worked with a wide range of conditions. I particularly focus on Depression, Anxiety Disorders, Post Traumatic Stress Disorder, Substance Abuse, Grief, Domestic Abuse, Obesity, and Self Esteem. I provide services to adults and elderly individuals. When indicated I collaborate with Doctors and Psychiatrists to ensure effective treatment.
(805) 256-1174 View (805) 256-1174
Photo of Ashley Gray, Marriage & Family Therapist in Arroyo Grande, CA
Ashley Gray
Marriage & Family Therapist, MS, LMFT
Verified Verified
Arroyo Grande, CA 93420  (Online Only)
We may often find ourselves trying to cope with our struggles on our own - and we might make it work for a while, but over time we can become exhausted, worn down, and confused. I believe reaching out and seeking therapy is a powerful way to support and care for ourselves. In therapy, we acknowledge our challenges, explore our stories & strengths, and learn new skills to promote change, healing, growth and resilience. My goal as a therapist is to create an environment that is open, welcoming, affirming and supportive, building a safe space for you to work towards feeling better, feeling more connected, and being your best self.
We may often find ourselves trying to cope with our struggles on our own - and we might make it work for a while, but over time we can become exhausted, worn down, and confused. I believe reaching out and seeking therapy is a powerful way to support and care for ourselves. In therapy, we acknowledge our challenges, explore our stories & strengths, and learn new skills to promote change, healing, growth and resilience. My goal as a therapist is to create an environment that is open, welcoming, affirming and supportive, building a safe space for you to work towards feeling better, feeling more connected, and being your best self.
(805) 243-1042 View (805) 243-1042
Photo of Elisabeth C Box, Marriage & Family Therapist in Arroyo Grande, CA
Elisabeth C Box
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Arroyo Grande, CA 93420
Are you struggling with sadness or anxiety? Navigating life's ups and downs is difficult for everyone and, often, it is nice to have an unbiased ear to talk to or get objective advice from. Elisabeth especially enjoys helping people who are struggling with anxiety and depression because they are common ailments that respond well to therapy. Elisabeth uses evidenced-based practices which have been clinically proven to reduce or eliminate the physical discomfort of anxiety, soothe the emotional impact of depression and heal traumatic wounds. We can transform our stumbling blocks into stepping stones, one day at a time!
Are you struggling with sadness or anxiety? Navigating life's ups and downs is difficult for everyone and, often, it is nice to have an unbiased ear to talk to or get objective advice from. Elisabeth especially enjoys helping people who are struggling with anxiety and depression because they are common ailments that respond well to therapy. Elisabeth uses evidenced-based practices which have been clinically proven to reduce or eliminate the physical discomfort of anxiety, soothe the emotional impact of depression and heal traumatic wounds. We can transform our stumbling blocks into stepping stones, one day at a time!
(805) 874-6787 View (805) 874-6787
Photo of Kathleen McMahon in Arroyo Grande, CA
Kathleen McMahon
MSW, EdD, ACC
Verified Verified
Arroyo Grande, CA 93420
My practice includes working with people around career and life transitions, relationship challenges, getting unstuck, creating your best future life, leadership challenges, and college student support and success. I support my clients by helping them notice reactions and having compassion to our parts, so we can develop more choice and space in decision making and how we respond to events and things happening around us.
My practice includes working with people around career and life transitions, relationship challenges, getting unstuck, creating your best future life, leadership challenges, and college student support and success. I support my clients by helping them notice reactions and having compassion to our parts, so we can develop more choice and space in decision making and how we respond to events and things happening around us.
(831) 218-7844 View (831) 218-7844
Photo of Tricia Parido, Drug & Alcohol Counselor in Arroyo Grande, CA
Tricia Parido
Drug & Alcohol Counselor, IMAC, CATCIII, NCPLC, BS Psyc, NCIP
Verified Verified
1 Endorsed
Arroyo Grande, CA 93420  (Online Only)
Craving freedom from relentless internal battles? It's time to envision a journey of self-discovery with a certified recovery specialist. Tired of the drain from habits like drinking, dieting, and the emotional struggle? Longing for liberation from trauma, substance abuse, and anxiety with the guidance of an addiction coach? Life's too short for anything less. Beyond societal norms, your struggles delve into control needs, eating disorders, and abandonment issues—find support from a mental health coach ready to assist. It's more than chemical—it's reclaiming control, overcoming trauma, and embracing holistic well-being.
Craving freedom from relentless internal battles? It's time to envision a journey of self-discovery with a certified recovery specialist. Tired of the drain from habits like drinking, dieting, and the emotional struggle? Longing for liberation from trauma, substance abuse, and anxiety with the guidance of an addiction coach? Life's too short for anything less. Beyond societal norms, your struggles delve into control needs, eating disorders, and abandonment issues—find support from a mental health coach ready to assist. It's more than chemical—it's reclaiming control, overcoming trauma, and embracing holistic well-being.
(805) 870-9781 View (805) 870-9781
Photo of Sarah Barnard-Moreland, Psychologist in Arroyo Grande, CA
Sarah Barnard-Moreland
Psychologist, PsyD, MS, PPS
Verified Verified
1 Endorsed
Arroyo Grande, CA 93420
Hi there! My name is Sarah and I am a Christian life coach. Life coaching is a non-clinical approach to distressing life experiences that seeks to help individuals identify patterns of thinking or behaviors that are getting in the way of them living a fulfilling life. Life coaching does not diagnose any mood/behavior symptoms. My style of life coaching approaches clients' needs using time-tested practical biblical principles. It is important to know that coaching is not clinical work, and if a higher level of care is needed, clients are referred to a licensed mental health provider.
Hi there! My name is Sarah and I am a Christian life coach. Life coaching is a non-clinical approach to distressing life experiences that seeks to help individuals identify patterns of thinking or behaviors that are getting in the way of them living a fulfilling life. Life coaching does not diagnose any mood/behavior symptoms. My style of life coaching approaches clients' needs using time-tested practical biblical principles. It is important to know that coaching is not clinical work, and if a higher level of care is needed, clients are referred to a licensed mental health provider.
(805) 429-4351 View (805) 429-4351

See more therapy options for Arroyo Grande

How does your Therapist compare?

Number of Therapists in Arroyo Grande, CA

100+

Average cost per session

$150

Therapists in Arroyo Grande, CA who prioritize treating:

97% Anxiety
94% Depression
87% Relationship Issues
83% Self Esteem
79% Trauma and PTSD
75% Coping Skills
70% Stress

Average years in practice

14 Years

Top 3 insurances accepted

58% Other
37% Aetna
30% Cigna and Evernorth

How Therapists in Arroyo Grande, CA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arroyo Grande?

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.