Photo of Tracey Downs, LCSW, Clinical Social Work/Therapist
Tracey Downs
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
My Name is Tracey Downs, and I am a Licensed Clinical Social Worker (LCSW) in Los Angeles, CA, serving clients statewide via teletherapy. I work with clients of all ages, and I specialize in life transitions, anxiety, and stress management. I take an eclectic approach to meeting you as you are and helping you find your path forward to wellness. I believe you are the expert on your own life, and it is my honor to help you find your way.
My Name is Tracey Downs, and I am a Licensed Clinical Social Worker (LCSW) in Los Angeles, CA, serving clients statewide via teletherapy. I work with clients of all ages, and I specialize in life transitions, anxiety, and stress management. I take an eclectic approach to meeting you as you are and helping you find your path forward to wellness. I believe you are the expert on your own life, and it is my honor to help you find your way.
(442) 218-3561 View (442) 218-3561
Photo of Liliana Ponce, LCSW, Clinical Social Work/Therapist
Liliana Ponce
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027  (Online Only)
My name is Liliana Ponce, and I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW) based in Southern California. As a bilingual mental health provider, I am here to break the stigma surrounding mental health and be your cheerleader as you embark on this journey of healing.
My name is Liliana Ponce, and I am a bilingual Spanish-speaking Licensed Clinical Social Worker (LCSW) based in Southern California. As a bilingual mental health provider, I am here to break the stigma surrounding mental health and be your cheerleader as you embark on this journey of healing.
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Photo of Alexis Johnson, LMFT, Marriage & Family Therapist
Alexis Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027
I approach therapy from a trauma-informed, client-centered lens focused on empathy and compassion to support the creation of long-term, effective changes. I strive to equip my clients with the hope that it is normal to feel any and every kind of emotion but also give them tools to cope effectively and learn from those emotions. My goal is to provide a trusting environment to uncover those human emotions, find what works or does not work, and collaborate to reach new and healthier goals for life.
I approach therapy from a trauma-informed, client-centered lens focused on empathy and compassion to support the creation of long-term, effective changes. I strive to equip my clients with the hope that it is normal to feel any and every kind of emotion but also give them tools to cope effectively and learn from those emotions. My goal is to provide a trusting environment to uncover those human emotions, find what works or does not work, and collaborate to reach new and healthier goals for life.
(442) 200-5179 View (442) 200-5179
Photo of Julie Anne Crist, MAC, LMFT   , Marriage & Family Therapist
Julie Anne Crist
Marriage & Family Therapist, MAC, LMFT
Verified Verified
Escondido, CA 92027
I am passionate about empowering individuals to thrive in life. Therapy is essential for uncovering and understanding self-destructive behaviors and working through, not around, loss and grief. I work with adults and teens, specializing in trauma, divorce, anxiety, depression, disordered eating, broken relationships, life transitions and identity. Therapy can be overwhelming at first, therefore, I provide a safe and trusting environment to uncover and explore new and healthier approaches to life.
I am passionate about empowering individuals to thrive in life. Therapy is essential for uncovering and understanding self-destructive behaviors and working through, not around, loss and grief. I work with adults and teens, specializing in trauma, divorce, anxiety, depression, disordered eating, broken relationships, life transitions and identity. Therapy can be overwhelming at first, therefore, I provide a safe and trusting environment to uncover and explore new and healthier approaches to life.
(831) 264-7511 View (831) 264-7511
Photo of Jacqueline Frias Gonzalez, Marriage & Family Therapist
Jacqueline Frias Gonzalez
Marriage & Family Therapist
Verified Verified
Escondido, CA 92027
Hello there! My name is Jackie Frias Gonzalez and I am a Licensed Marriage and Family Therapist with a focus on studying relationships with both the self and others. As your therapist, I aim to strike a balance between authenticity and professionalism to create a safe and comfortable space where you can be your true self while also gaining the skills to navigate the challenges you are facing. Whether you are struggling with personal issues or relationship conflicts, I am here to support you on your journey toward healing and growth.
Hello there! My name is Jackie Frias Gonzalez and I am a Licensed Marriage and Family Therapist with a focus on studying relationships with both the self and others. As your therapist, I aim to strike a balance between authenticity and professionalism to create a safe and comfortable space where you can be your true self while also gaining the skills to navigate the challenges you are facing. Whether you are struggling with personal issues or relationship conflicts, I am here to support you on your journey toward healing and growth.
(442) 223-0886 View (442) 223-0886
Photo of Sarah Abbamonto, LCSW, Clinical Social Work/Therapist
Sarah Abbamonto
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
Hello, and welcome to the journey of becoming an even more incredible version of yourself! I'm Sarah, a Licensed Clinical Social Worker. I am so looking forward to meeting with you. With a world that can be so negative, many people struggle to see the positives amongst it all. But that is where I come in. If you allow me the honor, I would love to show you what incredible strengths you have and how to utilize them to make an even better you. I will help you step back and see the incredible things about you that you may have forgotten about. I am a strengths-based, client-centered, and solutions-focused therapist.
Hello, and welcome to the journey of becoming an even more incredible version of yourself! I'm Sarah, a Licensed Clinical Social Worker. I am so looking forward to meeting with you. With a world that can be so negative, many people struggle to see the positives amongst it all. But that is where I come in. If you allow me the honor, I would love to show you what incredible strengths you have and how to utilize them to make an even better you. I will help you step back and see the incredible things about you that you may have forgotten about. I am a strengths-based, client-centered, and solutions-focused therapist.
(442) 435-0878 View (442) 435-0878
Photo of Tsueyhwa Pan, LCSW, Clinical Social Work/Therapist
Tsueyhwa Pan
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
My name is Sarina Pan and I am a licensed clinical social worker in private practice in Los Angeles area. I work with adolescents and adults across all ages. I help people experience relief from shame, relationship struggles, anxiety, depression, and inner criticism through self-understanding, self-exploring, and self-compassion. Hearing people out and providing support and guidance to them to walk out from the life struggles is my true life passion.
My name is Sarina Pan and I am a licensed clinical social worker in private practice in Los Angeles area. I work with adolescents and adults across all ages. I help people experience relief from shame, relationship struggles, anxiety, depression, and inner criticism through self-understanding, self-exploring, and self-compassion. Hearing people out and providing support and guidance to them to walk out from the life struggles is my true life passion.
(442) 269-6826 View (442) 269-6826
Photo of Tatiana Moore, LMFT, Marriage & Family Therapist
Tatiana Moore
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027  (Online Only)
Waitlist for new clients
I have experience working with a wide range of issues and I truly believe in the healing power of therapy. My areas of specialty include: couples therapy, first responders/law enforcement professionals, Native American/Alaska Natives, LGBTQ+, high-conflict couples, trauma, depression, grief and loss, child and teen therapy and many other life transition problems. I approach each client with warmth and understanding and I am proactive in helping to create change. I love my work and am passionate about investing in people and relationships. I look forward to the opportunity to be of service to you.
I have experience working with a wide range of issues and I truly believe in the healing power of therapy. My areas of specialty include: couples therapy, first responders/law enforcement professionals, Native American/Alaska Natives, LGBTQ+, high-conflict couples, trauma, depression, grief and loss, child and teen therapy and many other life transition problems. I approach each client with warmth and understanding and I am proactive in helping to create change. I love my work and am passionate about investing in people and relationships. I look forward to the opportunity to be of service to you.
(760) 517-1030 View (760) 517-1030
Photo of Stacy Elliott, LMFT, Marriage & Family Therapist
Stacy Elliott
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027
Hi, my name is Stacy Elliott, and I'm a Marriage and Family Therapist (LMFT) who is based in Northern California but sees clients statewide via Telehealth. I work with adolescents, teens, and adults. I specialize in treating anxiety, depression, trauma, stress, school/work issues as well as relationship issues with self and others. I use mindfulness, coping strategies, body-based interventions (Somatic), and CBT to help my clients begin to feel better. My therapeutic approach varies based on the needs of my clients and what they desire out of therapy.
Hi, my name is Stacy Elliott, and I'm a Marriage and Family Therapist (LMFT) who is based in Northern California but sees clients statewide via Telehealth. I work with adolescents, teens, and adults. I specialize in treating anxiety, depression, trauma, stress, school/work issues as well as relationship issues with self and others. I use mindfulness, coping strategies, body-based interventions (Somatic), and CBT to help my clients begin to feel better. My therapeutic approach varies based on the needs of my clients and what they desire out of therapy.
(442) 223-0374 View (442) 223-0374
Photo of Andrea Conboy Therapybreathwork, LCSW, APHSW-C, Clinical Social Work/Therapist
Andrea Conboy Therapybreathwork
Clinical Social Work/Therapist, LCSW, APHSW-C
Verified Verified
1 Endorsed
Escondido, CA 92027  (Online Only)
Do you feel like you are sacrificing your own well-being as you help others? Have the demands of working as a helper, in a helping profession (during and post-pandemic), exceeded your resources of time and energy? Do you not only feel emotionally exhausted and burned out, but judged (by you or others) for it? Let me tell you: There is nothing wrong with you! You are having a natural response to the stress and exhaustion of being a helper!
Do you feel like you are sacrificing your own well-being as you help others? Have the demands of working as a helper, in a helping profession (during and post-pandemic), exceeded your resources of time and energy? Do you not only feel emotionally exhausted and burned out, but judged (by you or others) for it? Let me tell you: There is nothing wrong with you! You are having a natural response to the stress and exhaustion of being a helper!
(442) 232-4151 View (442) 232-4151
Photo of Rebecca Kerr McWhorter, LCSW, Clinical Social Work/Therapist
Rebecca Kerr McWhorter
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
Hi there, I'm Rebecca McWhorter, LCSW has experience with all age groups within many multicultural settings. I start with where the patient is should they be suffering from depression, anxiety, trauma, and/or grief. My practice focus in on patient care. Patients typically enter therapy due to something that is having a negative impact on their quality of life. I assist them in identifying the root causes or behavior that are preventing them from living their best life. I utilize many different approaches to healing. I prefer to letting the patient vocalize their needs rather than tailor a patient to a plan.
Hi there, I'm Rebecca McWhorter, LCSW has experience with all age groups within many multicultural settings. I start with where the patient is should they be suffering from depression, anxiety, trauma, and/or grief. My practice focus in on patient care. Patients typically enter therapy due to something that is having a negative impact on their quality of life. I assist them in identifying the root causes or behavior that are preventing them from living their best life. I utilize many different approaches to healing. I prefer to letting the patient vocalize their needs rather than tailor a patient to a plan.
(442) 218-2807 View (442) 218-2807
Photo of Stephan Paul Ouellette, LCSW, Clinical Social Work/Therapist
Stephan Paul Ouellette
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
Hello, my name is Stephan Paul Ouellette. I have been a licensed clinical social worker in the state of California since 2000. I approach therapy from a client-centered, collaborative, empathic, and strengths-based perspective. I have 25-plus years of experience working with folks living with HIV/AIDS and from the LGBTQ-plus communities. My primary focus is helping clients to proactively respond to such conditions as depression, anxiety, grief and bereavement, substance use and abuse concerns, and adjustment to chronic and sometimes life-threatening health conditions.
Hello, my name is Stephan Paul Ouellette. I have been a licensed clinical social worker in the state of California since 2000. I approach therapy from a client-centered, collaborative, empathic, and strengths-based perspective. I have 25-plus years of experience working with folks living with HIV/AIDS and from the LGBTQ-plus communities. My primary focus is helping clients to proactively respond to such conditions as depression, anxiety, grief and bereavement, substance use and abuse concerns, and adjustment to chronic and sometimes life-threatening health conditions.
(442) 245-3645 View (442) 245-3645
Photo of Ryan Lane, LMFT, Marriage & Family Therapist
Ryan Lane
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027  (Online Only)
Life can be really tough sometimes and has been for a lot of people lately. Between the stress of a pandemic which has come with a lot of health concerns, job stress, and financial issues, and then there is still the rest of life and its stressors to deal with on top of that. At this point, no one is immune to mental distress, and no one should feel like they can’t, shouldn’t, or aren’t worthy of having someone to help them through it. I can and want to be there for you in this way.
Life can be really tough sometimes and has been for a lot of people lately. Between the stress of a pandemic which has come with a lot of health concerns, job stress, and financial issues, and then there is still the rest of life and its stressors to deal with on top of that. At this point, no one is immune to mental distress, and no one should feel like they can’t, shouldn’t, or aren’t worthy of having someone to help them through it. I can and want to be there for you in this way.
(442) 219-8515 View (442) 219-8515
Photo of Danielle Gross, LMFT, Marriage & Family Therapist
Danielle Gross
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027
As a strength-based therapist, I believe that clients posses the ability to navigate through their own struggles, but may need help figuring out solutions along the way. As your therapist, I am committed to walking alongside you in your journey of wellness. By utilizing a therapeutic approach that is specifically catered to each individual client, and their unique needs, I am confident you can achieve your highest level of emotional wellness. Specialties include adolescent therapy, co-parenting therapy, couples therapy, family systems therapy, Sex Therapy, polyamorous relationships, LGBTQ+ needs.
As a strength-based therapist, I believe that clients posses the ability to navigate through their own struggles, but may need help figuring out solutions along the way. As your therapist, I am committed to walking alongside you in your journey of wellness. By utilizing a therapeutic approach that is specifically catered to each individual client, and their unique needs, I am confident you can achieve your highest level of emotional wellness. Specialties include adolescent therapy, co-parenting therapy, couples therapy, family systems therapy, Sex Therapy, polyamorous relationships, LGBTQ+ needs.
(949) 264-5453 View (949) 264-5453
Photo of Liliana Ponce, LCSW, Clinical Social Work/Therapist
Liliana Ponce
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027  (Online Only)
Hello! I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I received my Masters from University of Nevada, Las Vegas (UNLV) and have been practicing for five years. I have fifteen years working with children and teens. I help children and teens who are struggling with life transitions to implement evidenced-based practices so they can implement in their daily lives and become the best versions of themselves.
Hello! I am a Licensed Clinical Social Worker (LCSW) based in Southern California. I received my Masters from University of Nevada, Las Vegas (UNLV) and have been practicing for five years. I have fifteen years working with children and teens. I help children and teens who are struggling with life transitions to implement evidenced-based practices so they can implement in their daily lives and become the best versions of themselves.
(760) 274-8752 View (760) 274-8752
Photo of Mark Triboulet, MA, LMFT, Marriage & Family Therapist
Mark Triboulet
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Escondido, CA 92027
Sitting at the cross roads of life not knowing which direction to take or perhaps cemented in the very spot where we stand, seems to be where many find themselves today. With the weight of past traumas, present stress and frustrations, and future worries of what is to come sitting upon our shoulders, we attempt to carry even more weight from our families and friends. At some point our shoulders begin to give amongst the burden that cannot be carried alone. We find ourselves in distress feeling hopeless, helpless and broken.
Sitting at the cross roads of life not knowing which direction to take or perhaps cemented in the very spot where we stand, seems to be where many find themselves today. With the weight of past traumas, present stress and frustrations, and future worries of what is to come sitting upon our shoulders, we attempt to carry even more weight from our families and friends. At some point our shoulders begin to give amongst the burden that cannot be carried alone. We find ourselves in distress feeling hopeless, helpless and broken.
(619) 754-8848 View (619) 754-8848
Photo of Robert Hirsch, LCP, Psychologist
Robert Hirsch
Psychologist, LCP
Verified Verified
Escondido, CA 92027
My name is Robert (Bob) Hirsch, and I have a Ph.D. in Clinical Psychology. I have been in practice for 25 years and have worked with adults primarily from many communities. My overall approach involves cognitive behavioral therapy combined with coaching techniques. I see therapy as a dialogue - supporting people in the direction they want to pursue. I work with adults both in the straight and LGBTQ communities and have a lot of cross-cultural experience.
My name is Robert (Bob) Hirsch, and I have a Ph.D. in Clinical Psychology. I have been in practice for 25 years and have worked with adults primarily from many communities. My overall approach involves cognitive behavioral therapy combined with coaching techniques. I see therapy as a dialogue - supporting people in the direction they want to pursue. I work with adults both in the straight and LGBTQ communities and have a lot of cross-cultural experience.
(442) 276-5817 View (442) 276-5817
Photo of Summer Silva, PsyD, Psychologist
Summer Silva
Psychologist, PsyD
Verified Verified
Escondido, CA 92027  (Online Only)
I have extreme passion and enthusiasm for guiding clients through the journey of finding peace, balance, and happiness. My areas of focus: Trauma/Abuse/PTSD, Eating Disorders, Borderline PD. I am also fluent in American Sign Language and have a wealth of knowledge regarding the Deaf and CODA cultures. My specialty areas include: Substance Use/Chemical Dependency, Mindfulness and Meditation, Relationships and Communication, Behavior Modification, Depression, and Anxiety. Homeopathy and Flower Essence practitioner; a natural way to stimulate healing emotionally and physically. Non-local appointments available. I received my doctorate degree from the California School of Professional Psychology at Alliant International University in San Diego.
I have extreme passion and enthusiasm for guiding clients through the journey of finding peace, balance, and happiness. My areas of focus: Trauma/Abuse/PTSD, Eating Disorders, Borderline PD. I am also fluent in American Sign Language and have a wealth of knowledge regarding the Deaf and CODA cultures. My specialty areas include: Substance Use/Chemical Dependency, Mindfulness and Meditation, Relationships and Communication, Behavior Modification, Depression, and Anxiety. Homeopathy and Flower Essence practitioner; a natural way to stimulate healing emotionally and physically. Non-local appointments available. I received my doctorate degree from the California School of Professional Psychology at Alliant International University in San Diego.
(760) 237-8865 View (760) 237-8865
Photo of Lezly Zavala, LCSW, Clinical Social Work/Therapist
Lezly Zavala
Clinical Social Work/Therapist, LCSW
Verified Verified
Escondido, CA 92027
My name is Lezly Zavala, and I am a Licensed Clinical Social Worker (LCSW) based in Los Angeles, California and working with clients statewide via telehealth. I strive to create a safe and non-judgmental space for individuals to explore and address their challenges. I specialize in anxiety, stress, and depression, using Cognitive Behavioral Therapy to help my clients make progress and navigate life transitions. I specialize in providing empathetic and targeted support to adolescents and young adults navigating the challenges of life transitions.
My name is Lezly Zavala, and I am a Licensed Clinical Social Worker (LCSW) based in Los Angeles, California and working with clients statewide via telehealth. I strive to create a safe and non-judgmental space for individuals to explore and address their challenges. I specialize in anxiety, stress, and depression, using Cognitive Behavioral Therapy to help my clients make progress and navigate life transitions. I specialize in providing empathetic and targeted support to adolescents and young adults navigating the challenges of life transitions.
(562) 543-0114 View (562) 543-0114
Photo of Danielle Gersh, LMFT, Marriage & Family Therapist
Danielle Gersh
Marriage & Family Therapist, LMFT
Verified Verified
Escondido, CA 92027
My name is Danielle Gersh, I am a Licensed Marriage and Family Therapist and I am a people person. I believe relationships help build trust and I would like to get to know you, so I can better understand what approach fits your needs. I believe different approaches are effective for different folks, since "one size" does not fit all. We can explore your feelings that are holding you back, patterns of behaviors that are not working well for you, and/or focus on how to move past an unexpected event. We will work together to better understand your needs.
My name is Danielle Gersh, I am a Licensed Marriage and Family Therapist and I am a people person. I believe relationships help build trust and I would like to get to know you, so I can better understand what approach fits your needs. I believe different approaches are effective for different folks, since "one size" does not fit all. We can explore your feelings that are holding you back, patterns of behaviors that are not working well for you, and/or focus on how to move past an unexpected event. We will work together to better understand your needs.
(510) 454-8417 View (510) 454-8417
1

How does your Therapist compare?

Number of Therapists in 92027

40+

Average cost per session

$150

Therapists in 92027 who prioritize treating:

91% Anxiety
87% Depression
77% Self Esteem
72% Life Transitions
70% Relationship Issues
70% Coping Skills
66% Grief

Average years in practice

19 Years

Top 3 insurances accepted

91% UnitedHealthcare UHC | UBH
91% Optum
86% Aetna

How Therapists in 92027 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 92027?

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.