Therapists in San Antonio, TX

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Photo of Rachel Saenz, MS, LPC, CGP, Licensed Professional Counselor
Rachel Saenz
Licensed Professional Counselor, MS, LPC, CGP
Verified Verified
2 Endorsed
San Antonio, TX 78229
Hello, my name is Rachel Saenz and I am passionate about helping people through their grief journey and helping them move through their feelings while also providing a safe space for them to express their thoughts. The majority of my practice focuses on grief/bereavement, trauma/PTSD, C-PTSD symptoms, anxiety, depression, and pregnancy/postpartum issues. My approaches include person centered therapy where you are met with unconditional positive regard and a safe space. I also use Cognitive Behavioral Therapy to help challenge all the troubling thoughts running through our minds.
Hello, my name is Rachel Saenz and I am passionate about helping people through their grief journey and helping them move through their feelings while also providing a safe space for them to express their thoughts. The majority of my practice focuses on grief/bereavement, trauma/PTSD, C-PTSD symptoms, anxiety, depression, and pregnancy/postpartum issues. My approaches include person centered therapy where you are met with unconditional positive regard and a safe space. I also use Cognitive Behavioral Therapy to help challenge all the troubling thoughts running through our minds.
(210) 903-5842 View (210) 903-5842
Photo of Rosie Cantu, MSW, LCSW, Clinical Social Work/Therapist
Rosie Cantu
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Antonio, TX 78213
I believe that we are all here on borrowed time and that tomorrow is not promised. I would like to sit with you and have a conversation about your struggles, and needs. Let's talk about your happiness and what steps need to be taken to work towards the BEST version of yourself. In a session with me expect for us to explore your thinking patterns because how you think and what you do impacts your everyday life. Expect exploration of goals, a comfortable, and safe place for sharing.
I believe that we are all here on borrowed time and that tomorrow is not promised. I would like to sit with you and have a conversation about your struggles, and needs. Let's talk about your happiness and what steps need to be taken to work towards the BEST version of yourself. In a session with me expect for us to explore your thinking patterns because how you think and what you do impacts your everyday life. Expect exploration of goals, a comfortable, and safe place for sharing.
(210) 899-6298 View (210) 899-6298
Photo of Ellen Ray, LCSW, CCST, Clinical Social Work/Therapist
Ellen Ray
Clinical Social Work/Therapist, LCSW, CCST
Verified Verified
San Antonio, TX 78228
Has anxiety taken control of your life? Do you wake up in the middle of the night worrying and can't fall back to sleep? Do you feel like you are constantly worrying or stressed? If so, you have come to the right place. My name is Ellen, and I would love to have the opportunity to help you navigate your struggles with anxiety, obsessive compulsive disorder (OCD), stress, relationships or just general mental health and wellness. My goal is to provide you with a comfortable, safe space as you navigate your journey towards healing and growth.
Has anxiety taken control of your life? Do you wake up in the middle of the night worrying and can't fall back to sleep? Do you feel like you are constantly worrying or stressed? If so, you have come to the right place. My name is Ellen, and I would love to have the opportunity to help you navigate your struggles with anxiety, obsessive compulsive disorder (OCD), stress, relationships or just general mental health and wellness. My goal is to provide you with a comfortable, safe space as you navigate your journey towards healing and growth.
(210) 942-2645 View (210) 942-2645
Photo of Deborah K. Hendren, PsyD, LP, Psychologist
Deborah K. Hendren
Psychologist, PsyD, LP
Verified Verified
San Antonio, TX 78228
Welcome. Life’s journey is fascinating, with all the ups and downs. Your life journey is unique to you. Sometimes as we are authoring and planning the next chapters of our journey, we find it comforting to share our thoughts and feelings with others.
Welcome. Life’s journey is fascinating, with all the ups and downs. Your life journey is unique to you. Sometimes as we are authoring and planning the next chapters of our journey, we find it comforting to share our thoughts and feelings with others.
(210) 871-1350 View (210) 871-1350
Photo of Sofia Torres, MA, LPC, NCC, Licensed Professional Counselor
Sofia Torres
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
7 Endorsed
San Antonio, TX 78240
Are you having problems at work, home, or in your relationship? Is the behavior of a loved one problematic? Feeling anxious, stressed, or just unhappy? I believe every client's needs are unique & deserves compassionate care when processing concerns & accomplishing goals. I will assist you, or your loved one, on the journey for change, self-improvement, & healing. I can also incorporate energy work upon request. "Your life does not get better by chance, it gets better by change."
Are you having problems at work, home, or in your relationship? Is the behavior of a loved one problematic? Feeling anxious, stressed, or just unhappy? I believe every client's needs are unique & deserves compassionate care when processing concerns & accomplishing goals. I will assist you, or your loved one, on the journey for change, self-improvement, & healing. I can also incorporate energy work upon request. "Your life does not get better by chance, it gets better by change."
(210) 807-8599 View (210) 807-8599
Photo of Waynette Turner - Dr. Waynette Turner, EdD, LPC, NCC, CCTP, MCM, Licensed Professional Counselor
Dr. Waynette Turner
Licensed Professional Counselor, EdD, LPC, NCC, CCTP, MCM
Verified Verified
4 Endorsed
San Antonio, TX 78228
Do you often feel self-conscious, anxious or worried about situations you cannot control? Let me help you to overcome challenges, grow stronger and more skillful. There are some life challenges we feel ill-equipped to handle, especially when they accompany major life transitions. These experiences can greatly impact our sense of stability, leave us feeling incapable and even doubtful about the future. I am committed to providing you with honest, respectful and thoughtful treatment to best serve your needs. I seek to help individuals, who feel stuck due to negative past experiences or trauma.
Do you often feel self-conscious, anxious or worried about situations you cannot control? Let me help you to overcome challenges, grow stronger and more skillful. There are some life challenges we feel ill-equipped to handle, especially when they accompany major life transitions. These experiences can greatly impact our sense of stability, leave us feeling incapable and even doubtful about the future. I am committed to providing you with honest, respectful and thoughtful treatment to best serve your needs. I seek to help individuals, who feel stuck due to negative past experiences or trauma.
(830) 240-7821 View (830) 240-7821
Photo of Abel Garcia, LCSW, Clinical Social Work/Therapist
Abel Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
San Antonio, TX 78249  (Online Only)
Insurance accepted; appointments available immediately. Hello! I'm Abel Garcia, a licensed clinical social worker dedicated to supporting individuals and families through life's challenges. My strength based approach is compassionate, collaborative, and tailored to each client’s unique needs. I believe it is important to create a sense of safety and security in my practice. With safety comes vulnerability, and when we reach that space we will do our best work to help you feel seen, accepted, heard, and loved.
Insurance accepted; appointments available immediately. Hello! I'm Abel Garcia, a licensed clinical social worker dedicated to supporting individuals and families through life's challenges. My strength based approach is compassionate, collaborative, and tailored to each client’s unique needs. I believe it is important to create a sense of safety and security in my practice. With safety comes vulnerability, and when we reach that space we will do our best work to help you feel seen, accepted, heard, and loved.
(830) 452-0067 View (830) 452-0067
Photo of Alyssa Entzi, LCSW, MSW, Clinical Social Work/Therapist
Alyssa Entzi
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
We, as human beings, are all on a path through life dealing with our own unique conflicts (be it interior or exterior) and struggles from our lives before this point. Everyday is a new chance to devote effort in ourselves with a goal to make ourselves better than the day before. We are all striving to be the absolute best version of ourselves we can be, even if your version looks different than the next person's. Even if you are unsure of your own matters of contention and unable to see the prospects of your future, I am dedicated to starting or continuing on this journey with you.
We, as human beings, are all on a path through life dealing with our own unique conflicts (be it interior or exterior) and struggles from our lives before this point. Everyday is a new chance to devote effort in ourselves with a goal to make ourselves better than the day before. We are all striving to be the absolute best version of ourselves we can be, even if your version looks different than the next person's. Even if you are unsure of your own matters of contention and unable to see the prospects of your future, I am dedicated to starting or continuing on this journey with you.
(830) 219-4356 View (830) 219-4356
Photo of Karen Cecilia Keating, LCSW, DCSW, Clinical Social Work/Therapist
Karen Cecilia Keating
Clinical Social Work/Therapist, LCSW, DCSW
Verified Verified
1 Endorsed
San Antonio, TX 78209  (Online Only)
I understand that seeking therapy can be intimidating, whether this is your fist time or you have had therapy at other times in your life. I’m happy you are here. I approach my work through an integrative and client-centered lens. It is my intent to help people who have experienced life stressors or trauma. I help clients to learn to perceive themselves as peaceful, complete, and safe. My philosophy is that every individual possesses the innate ability to heal and that the therapist is the guide throughout the process of realization and self-empowerment
I understand that seeking therapy can be intimidating, whether this is your fist time or you have had therapy at other times in your life. I’m happy you are here. I approach my work through an integrative and client-centered lens. It is my intent to help people who have experienced life stressors or trauma. I help clients to learn to perceive themselves as peaceful, complete, and safe. My philosophy is that every individual possesses the innate ability to heal and that the therapist is the guide throughout the process of realization and self-empowerment
(512) 237-7210 View (512) 237-7210
Photo of Amy J Loe, MA, LPC, Licensed Professional Counselor
Amy J Loe
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78257  (Online Only)
It's okay to not be okay. It happens to the best of us. The important thing is not to stay there. I like to provide a space where clients feel comfortable processing difficult emotions so they can leave the session feeling a greater sense of resilience, confidence, and happiness. I believe that starting with a strength-based and relational approach and tailoring the sessions to your needs is important to building rapport and trust in the session. I encourage people to be themselves and move towards personal awareness and acceptance.
It's okay to not be okay. It happens to the best of us. The important thing is not to stay there. I like to provide a space where clients feel comfortable processing difficult emotions so they can leave the session feeling a greater sense of resilience, confidence, and happiness. I believe that starting with a strength-based and relational approach and tailoring the sessions to your needs is important to building rapport and trust in the session. I encourage people to be themselves and move towards personal awareness and acceptance.
(830) 465-4527 View (830) 465-4527
Photo of Mary Walseth, MA, LPC, Licensed Professional Counselor
Mary Walseth
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78233
Waitlist for new clients
SATURDAY appointments now available! Counseling can be a marvelous way to assist you or a loved one to do better and feel better. Sometimes our coping skills fall short of our needs, and feeling like there are no more options can absolutely feel like hitting rock bottom. But there is hope. Someone does care. I have, myself, had many challenges in life and have, from time to time, sought help in counseling. Needing help does not mean you are weak: it means you are ready to find answers.
SATURDAY appointments now available! Counseling can be a marvelous way to assist you or a loved one to do better and feel better. Sometimes our coping skills fall short of our needs, and feeling like there are no more options can absolutely feel like hitting rock bottom. But there is hope. Someone does care. I have, myself, had many challenges in life and have, from time to time, sought help in counseling. Needing help does not mean you are weak: it means you are ready to find answers.
(210) 343-2098 View (210) 343-2098
Photo of Hannalore Mueller, MEd, LPC-A
Hannalore Mueller
LPC Associate, MEd, LPC-A
Verified Verified
4 Endorsed
San Antonio, TX 78251  (Online Only)
I’m committed to creating a safe space for you to be heard and to heal while you seek understanding and growth. Together, we'll explore your story, set goals, and empower you to find balance and fulfillment. As your therapist, I offer diverse, adaptable support, ensuring a journey tailored to your unique path.
I’m committed to creating a safe space for you to be heard and to heal while you seek understanding and growth. Together, we'll explore your story, set goals, and empower you to find balance and fulfillment. As your therapist, I offer diverse, adaptable support, ensuring a journey tailored to your unique path.
(726) 336-2465 View (726) 336-2465
Photo of Nuala Martinez, MBA, MA, LPC, Licensed Professional Counselor
Nuala Martinez
Licensed Professional Counselor, MBA, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
(210) 794-9478 View (210) 794-9478
Photo of Rebecca A. Hagerling, CMDP, C-DBT, Licensed Professional Counselor
Rebecca A. Hagerling
Licensed Professional Counselor, CMDP, C-DBT
Verified Verified
1 Endorsed
San Antonio, TX 78220  (Online Only)
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively. While I’d love to help you improve your mental health through physical activity & balanced nutrition, I also understand that everyone’s starting point in therapy can look very different. It would be my pleasure in meeting you where you are in your journey to help build your own tool box of skills so that you can lead the life you deserve to live.
(210) 851-9728 View (210) 851-9728
Photo of Elizabeth Cosgrove, MA, LPC-S, Licensed Professional Counselor
Elizabeth Cosgrove
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
San Antonio, TX 78254
Do you feel heaviness in your body, or perhaps you are being yanked back and forth by your thoughts? Are there times in which you feel disconnected from yourself or others around you? Are you struggling with past events and have not been able to move forward from them? Do you notice that you have a difficult time trusting others or often struggle with feeling safe? Counseling is a tool that can help you process your experiences in a non-judgmental way. As a therapist my goal is to meet you where you are at and help you address your internal battles. You don't have to do this alone.
Do you feel heaviness in your body, or perhaps you are being yanked back and forth by your thoughts? Are there times in which you feel disconnected from yourself or others around you? Are you struggling with past events and have not been able to move forward from them? Do you notice that you have a difficult time trusting others or often struggle with feeling safe? Counseling is a tool that can help you process your experiences in a non-judgmental way. As a therapist my goal is to meet you where you are at and help you address your internal battles. You don't have to do this alone.
(210) 987-9592 View (210) 987-9592
Photo of Gene Benedict - Gene Benedict Counseling, MA, LPC-S, Licensed Professional Counselor
Gene Benedict Counseling
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78247
In my practice, I enjoy working with individuals, couples or families that are looking for assistance with issues and concerns that they have not been able to resolve on their own. As we work together,it is my goal that they would have a desire to accept and explore possibilities that will help them facilate the changes that will give them the satisfacton, relief and freedom they hope for.
In my practice, I enjoy working with individuals, couples or families that are looking for assistance with issues and concerns that they have not been able to resolve on their own. As we work together,it is my goal that they would have a desire to accept and explore possibilities that will help them facilate the changes that will give them the satisfacton, relief and freedom they hope for.
(210) 693-1696 View (210) 693-1696
Photo of Carrie J Visger, LPC, Licensed Professional Counselor
Carrie J Visger
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78253  (Online Only)
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
(210) 879-1342 View (210) 879-1342
Photo of April Gilchrist, LPC, Licensed Professional Counselor
April Gilchrist
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78238
I am a Licensed Professional Counselor with over 13 years of clinical experience, and I have worked with various individuals with Anxiety, Depression, Domestic Abuse/Violence, Trauma, PTSD, and Substance Use. I approach counseling from a cognitive-behavioral perspective in that patterns of thoughts and actions are explored to understand the client’s perspective better and develop solutions. Cognitive Behavioral Therapy, Solution-Focused, Reality therapy, EMDR, and DBT are used when applicable. I believe that trust and genuineness are the bedrock of the therapeutic relationship.
I am a Licensed Professional Counselor with over 13 years of clinical experience, and I have worked with various individuals with Anxiety, Depression, Domestic Abuse/Violence, Trauma, PTSD, and Substance Use. I approach counseling from a cognitive-behavioral perspective in that patterns of thoughts and actions are explored to understand the client’s perspective better and develop solutions. Cognitive Behavioral Therapy, Solution-Focused, Reality therapy, EMDR, and DBT are used when applicable. I believe that trust and genuineness are the bedrock of the therapeutic relationship.
(956) 306-1714 View (956) 306-1714
Photo of Anntrinaque Lewis, LPC, Counselor
Anntrinaque Lewis
Counselor, LPC
Verified Verified
San Antonio, TX 78229
Waitlist for new clients
As a Black and Queer counselor with a deep understanding of systemic oppression, relational dynamics, and the power of personal narratives, I am passionate about providing culturally sensitive counseling services to adolescents, adults, and couples. My gifts lie within my organic knowledge of harnessing the authentic self and its complexities. I compassionately help those struggling with relational difficulties, self-esteem, and intergenerational trauma to build a roadmap for personal growth and healing. My approach is relational, empowering, and real AF!
As a Black and Queer counselor with a deep understanding of systemic oppression, relational dynamics, and the power of personal narratives, I am passionate about providing culturally sensitive counseling services to adolescents, adults, and couples. My gifts lie within my organic knowledge of harnessing the authentic self and its complexities. I compassionately help those struggling with relational difficulties, self-esteem, and intergenerational trauma to build a roadmap for personal growth and healing. My approach is relational, empowering, and real AF!
(726) 227-5818 View (726) 227-5818
Photo of Belinda Miller, LCSW , Clinical Social Work/Therapist
Belinda Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78253  (Online Only)
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
(210) 750-6587 View (210) 750-6587
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How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
71% Self Esteem
70% Coping Skills
70% Stress
69% Trauma and PTSD
67% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
77% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.