Therapists in Des Moines, IA

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Photo of Darcy Jones-Cook, Marriage & Family Therapist in Des Moines, IA
Darcy Jones-Cook
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50315  (Online Only)
Do you sense something important is missing? You may have achieved a certain level of success in life, such as in your work and career, relationships, family. Or perhaps you feel out of balance, with one part of life on track while other parts struggle. Depending on many factors you may be focusing your attention in one area at the expense of other aspects of personal growth. Are stress-provoking events in the world increasingly “getting to you” and leaving you with even more distress? You're not alone. Whether you're new to therapy or a long time user, feel free to reach out to me.
Do you sense something important is missing? You may have achieved a certain level of success in life, such as in your work and career, relationships, family. Or perhaps you feel out of balance, with one part of life on track while other parts struggle. Depending on many factors you may be focusing your attention in one area at the expense of other aspects of personal growth. Are stress-provoking events in the world increasingly “getting to you” and leaving you with even more distress? You're not alone. Whether you're new to therapy or a long time user, feel free to reach out to me.
(909) 474-7810 View (909) 474-7810
Photo of Colyn Burbank, Clinical Social Work/Therapist in Des Moines, IA
Colyn Burbank
Clinical Social Work/Therapist, LMSW, CADC
Verified Verified
1 Endorsed
Des Moines, IA 50309
Waitlist for new clients
I am an approachable therapist with a down to earth style. My goal is to provide a setting that is welcoming and safe for clients to explore their thoughts and feelings. I strive to help my clients overcome difficulties they are working through using an empathetic and compassionate approach.
I am an approachable therapist with a down to earth style. My goal is to provide a setting that is welcoming and safe for clients to explore their thoughts and feelings. I strive to help my clients overcome difficulties they are working through using an empathetic and compassionate approach.
(515) 715-4332 View (515) 715-4332
Photo of Matthew Becker, Clinical Social Work/Therapist in Des Moines, IA
Matthew Becker
Clinical Social Work/Therapist, LMSW
Verified Verified
Des Moines, IA 50309
I have worked with individuals and couples for eight years and utilize Cognitive Behavioral Therapy, Motivational Interviewing, and Acceptance and Commitment Therapy. I enjoy helping adults learn new skills to deal with anxiety, codependency, romantic relationships, depression, grief and loss, life transitions, peer relationships, personal growth, low self-esteem, spirituality, stress, trauma & PTSD, and work-life balance.
I have worked with individuals and couples for eight years and utilize Cognitive Behavioral Therapy, Motivational Interviewing, and Acceptance and Commitment Therapy. I enjoy helping adults learn new skills to deal with anxiety, codependency, romantic relationships, depression, grief and loss, life transitions, peer relationships, personal growth, low self-esteem, spirituality, stress, trauma & PTSD, and work-life balance.
(515) 827-2237 View (515) 827-2237
Photo of Kiera Dymit, Counselor in Des Moines, IA
Kiera Dymit
Counselor, MS, LMHC
Verified Verified
Des Moines, IA 50309
I see clients between the ages of 4 and 104 on a variety of issues. Whether you are looking to process day to day stressors, or heal from past wounds, I work with my clients to create a safe, caring atmosphere. I place a strong emphasis on building a trusting and supportive therapeutic relationship. Areas of experience and interest include working with teachers and those in education, divorce recovery, career and vocation exploration, children with ADHD or other behavioral struggles, depression, anxiety, PTSD, self-harm, and suicidal thoughts/behaviors. This list is not exclusive, so please reach out with questions.
I see clients between the ages of 4 and 104 on a variety of issues. Whether you are looking to process day to day stressors, or heal from past wounds, I work with my clients to create a safe, caring atmosphere. I place a strong emphasis on building a trusting and supportive therapeutic relationship. Areas of experience and interest include working with teachers and those in education, divorce recovery, career and vocation exploration, children with ADHD or other behavioral struggles, depression, anxiety, PTSD, self-harm, and suicidal thoughts/behaviors. This list is not exclusive, so please reach out with questions.
(515) 800-4929 View (515) 800-4929
Photo of Elizabeth Young, Marriage & Family Therapist in Des Moines, IA
Elizabeth Young
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50312
I am a licensed Marriage and Family therapy who enjoys working clients 16 and older. My passion is working with both individuals and couples and helping them navigate life graciously and with self compassion. I view the therapeutic relationship to be compassion filled and client-centered, meeting the client where they are at. I believe in utilizing a strength-based, holistic approach in working with clients, and I focus on relationships for the basis of making change.
I am a licensed Marriage and Family therapy who enjoys working clients 16 and older. My passion is working with both individuals and couples and helping them navigate life graciously and with self compassion. I view the therapeutic relationship to be compassion filled and client-centered, meeting the client where they are at. I believe in utilizing a strength-based, holistic approach in working with clients, and I focus on relationships for the basis of making change.
(515) 575-4291 View (515) 575-4291
Photo of Janet Rieckhoff, Counselor in Des Moines, IA
Janet Rieckhoff
Counselor, LMHC, MA, M DIV
Verified Verified
Des Moines, IA 50314
Taking new clients. I offer telehealth and in person sessions. Feeling stuck in same unhealthy situations and relationships which produce anxiety, anger, depression and broken trust? We can explore communication patterns, attachment styles, and past traumas affecting relationships. I provide a nonjudgmental environment to work on your issues. I am experienced in areas of anxiety, depression, grief, chronic pain, spirituality, and family issues of parenting, caretaking, LGBTQA issues, adoption, infertility. First I listen to your life situation, then give homework, and then build on your strengths so you can reach your life goals.
Taking new clients. I offer telehealth and in person sessions. Feeling stuck in same unhealthy situations and relationships which produce anxiety, anger, depression and broken trust? We can explore communication patterns, attachment styles, and past traumas affecting relationships. I provide a nonjudgmental environment to work on your issues. I am experienced in areas of anxiety, depression, grief, chronic pain, spirituality, and family issues of parenting, caretaking, LGBTQA issues, adoption, infertility. First I listen to your life situation, then give homework, and then build on your strengths so you can reach your life goals.
(515) 517-2953 View (515) 517-2953
Photo of Jennifer Lock Oman, Clinical Social Work/Therapist in Des Moines, IA
Jennifer Lock Oman
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50321  (Online Only)
Life gives us experiences that are unexpected, often perplexing and sometimes overwhelming. With over 30 years of practice, I've worked with wonderful people facing just about everything life has to offer. Through this, I've developed a way of working with clients that is empowering, and most of all, effective. Relief comes when we begin to understand the emotions motivating us. The ability to identify and soothe difficult emotions is central to alleviating depression, anxiety, the echoes of trauma, or relational issues.
Life gives us experiences that are unexpected, often perplexing and sometimes overwhelming. With over 30 years of practice, I've worked with wonderful people facing just about everything life has to offer. Through this, I've developed a way of working with clients that is empowering, and most of all, effective. Relief comes when we begin to understand the emotions motivating us. The ability to identify and soothe difficult emotions is central to alleviating depression, anxiety, the echoes of trauma, or relational issues.
(515) 375-1033 View (515) 375-1033
Photo of C. Ayo Davis-Yeboah, Counselor in Des Moines, IA
C. Ayo Davis-Yeboah
Counselor, MS, tLMHC
Verified Verified
Des Moines, IA 50310
Waitlist for new clients
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
(515) 585-6763 View (515) 585-6763
Photo of Heather Reid, Clinical Social Work/Therapist in Des Moines, IA
Heather Reid
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Des Moines, IA 50312
Not accepting new clients
UNFORTUNATELY, I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. I am a Licensed Clinical Social Worker with eighteen years of experience who enjoys working with individuals of all ages. My goal is to provide a calm and accepting environment that allows all individuals to feel safe exploring and finding solutions to the issues they face in their lives. My primary areas of specialty are children, adolescents, chronic illness and family concerns. I am also passionate about working with individuals who identify as LGBTQ and/or non-binary.
UNFORTUNATELY, I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. I am a Licensed Clinical Social Worker with eighteen years of experience who enjoys working with individuals of all ages. My goal is to provide a calm and accepting environment that allows all individuals to feel safe exploring and finding solutions to the issues they face in their lives. My primary areas of specialty are children, adolescents, chronic illness and family concerns. I am also passionate about working with individuals who identify as LGBTQ and/or non-binary.
(515) 316-6031 View (515) 316-6031
Photo of Celine E Miller, Clinical Social Work/Therapist in Des Moines, IA
Celine E Miller
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Des Moines, IA 50313
Life can throw us curve balls and I am here to help you through these challenges. I am currently accepting new clients. My work is to support individuals and families facing challenges that stem from mental health, trauma history and overall life challenges. I believe in partnering with you to offer individualized services that serve to enhance overall mental health, resilience, and wellbeing. I specialize in working with individuals and families to gain coping skills that will help aid in overcoming past trauma and mental illness. My approach is non-judgmental, playful, educational and supportive.
Life can throw us curve balls and I am here to help you through these challenges. I am currently accepting new clients. My work is to support individuals and families facing challenges that stem from mental health, trauma history and overall life challenges. I believe in partnering with you to offer individualized services that serve to enhance overall mental health, resilience, and wellbeing. I specialize in working with individuals and families to gain coping skills that will help aid in overcoming past trauma and mental illness. My approach is non-judgmental, playful, educational and supportive.
(515) 884-7961 View (515) 884-7961
Photo of Sampson Family Therapy Services, LLC, Marriage & Family Therapist in Des Moines, IA
Sampson Family Therapy Services, LLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
Des Moines, IA 50309
Sampson Family Therapy Services staff strive to engage in a collaborative process with clients, coworkers, and the community to welcome growth, embrace strengths and successes, and acknowledge our role in making wellness a priority for others and ourselves. We work with many client needs and make it a priority to provide attentive and consistently accessible therapy services. It is the mission of Sampson Family Therapy Services, LLC to embody a dynamic and progressive therapeutic service environment for the cultivation of health and well-being for clients served, employees, and the community at large.
Sampson Family Therapy Services staff strive to engage in a collaborative process with clients, coworkers, and the community to welcome growth, embrace strengths and successes, and acknowledge our role in making wellness a priority for others and ourselves. We work with many client needs and make it a priority to provide attentive and consistently accessible therapy services. It is the mission of Sampson Family Therapy Services, LLC to embody a dynamic and progressive therapeutic service environment for the cultivation of health and well-being for clients served, employees, and the community at large.
(515) 421-9313 View (515) 421-9313
Photo of Andrea 'andye' Lynn Jones, Clinical Social Work/Therapist in Des Moines, IA
Andrea 'andye' Lynn Jones
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
5 Endorsed
Des Moines, IA 50310
Sometimes life hurts and we find ourselves feeling alone. Things happen that we just can't explain. The world can sometimes seem cruel and we struggle to find our way. My passion is to empower others and to help them see their worth. I offer a caring, non-judgmental environment where you can feel safe to share what is in your heart. Take that first step with me and we can find the answers together. I am here when you are ready. Taking limited clients currently. I am no longer accepting active DHS cases.
Sometimes life hurts and we find ourselves feeling alone. Things happen that we just can't explain. The world can sometimes seem cruel and we struggle to find our way. My passion is to empower others and to help them see their worth. I offer a caring, non-judgmental environment where you can feel safe to share what is in your heart. Take that first step with me and we can find the answers together. I am here when you are ready. Taking limited clients currently. I am no longer accepting active DHS cases.
(515) 619-6898 View (515) 619-6898
Photo of Marissa Myers, Counselor in Des Moines, IA
Marissa Myers
Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50309
Just as sometimes people get sick and need to visit a doctor, sometimes people need to visit a therapist. This could be due to a clinical diagnosis such as depression or anxiety, the desire to cope with past trauma, or just in response to the many and varied challenges of life. It takes courage and determination to reach out for help, and I hope that I can help. I believe we all have the ability to achieve lasting change and peace on our own, we just sometimes need help finding the way.
Just as sometimes people get sick and need to visit a doctor, sometimes people need to visit a therapist. This could be due to a clinical diagnosis such as depression or anxiety, the desire to cope with past trauma, or just in response to the many and varied challenges of life. It takes courage and determination to reach out for help, and I hope that I can help. I believe we all have the ability to achieve lasting change and peace on our own, we just sometimes need help finding the way.
(515) 517-8102 View (515) 517-8102
Photo of Jim Hanson, Counselor in Des Moines, IA
Jim Hanson
Counselor, PhD, LMHC
Verified Verified
2 Endorsed
Des Moines, IA 50316
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
(515) 446-7273 View (515) 446-7273
Photo of Elisa McAfee, Marriage & Family Therapist in Des Moines, IA
Elisa McAfee
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Des Moines, IA 50309
Not accepting new clients
I became a therapist to be a professional “feelings friend” – a person whom others can approach with anything and everything in their times of need. No matter the situation, I strive to offer a warm, authentic, and supportive environment to help my clients pursue lasting change in their lives. In my office, you’ll get an advocate, a cheerleader, a teammate, a challenger, and a coach. Progress may look different for you depending on the day - however it does, I am honored to be a part of your healing.
I became a therapist to be a professional “feelings friend” – a person whom others can approach with anything and everything in their times of need. No matter the situation, I strive to offer a warm, authentic, and supportive environment to help my clients pursue lasting change in their lives. In my office, you’ll get an advocate, a cheerleader, a teammate, a challenger, and a coach. Progress may look different for you depending on the day - however it does, I am honored to be a part of your healing.
(515) 298-8904 View (515) 298-8904
Photo of Karol King, LMFT, Marriage & Family Therapist in Des Moines, IA
Karol King, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Des Moines, IA 50322
As a Licensed Marriage and Family Therapist I treat adolescents (12 and up), couples, families and individuals. Providing therapeutic services to people who are seeking change in their personal and professional life is my passion. I provide support and compassion while challenging individuals to confront their primary areas of struggle to live in an authentic manner that honors their personal values.
As a Licensed Marriage and Family Therapist I treat adolescents (12 and up), couples, families and individuals. Providing therapeutic services to people who are seeking change in their personal and professional life is my passion. I provide support and compassion while challenging individuals to confront their primary areas of struggle to live in an authentic manner that honors their personal values.
(515) 750-0128 View (515) 750-0128
Photo of Julie Mertz, Marriage & Family Therapist in Des Moines, IA
Julie Mertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50309
Not accepting new clients
Currently have a wait list. Have you ever asked yourself any of these questions? Do I need therapy? Are my problems and experiences important enough for therapy? What is the therapist going to think about me? Initiating therapy can be a difficult process. Understanding this, I strive to make everyone feel safe and comfortable in my office setting. I have worked hard to ensure that individuals feel at ease when exploring their past and present experiences.
Currently have a wait list. Have you ever asked yourself any of these questions? Do I need therapy? Are my problems and experiences important enough for therapy? What is the therapist going to think about me? Initiating therapy can be a difficult process. Understanding this, I strive to make everyone feel safe and comfortable in my office setting. I have worked hard to ensure that individuals feel at ease when exploring their past and present experiences.
View
Photo of Ellie McCarthy, Marriage & Family Therapist in Des Moines, IA
Ellie McCarthy
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Des Moines, IA 50309
Not accepting new clients
My name is Ellie McCarthy (she, her), and I am a Licensed Marriage and Family Therapist (LMFT). My therapeutic approach is client-centered, and I work from a systemic, narrative perspective. I appreciate hearing stories about your life and how you got to where you are today. It’s my goal to listen to these stories and find patterns, examine different dynamics, explore past and current challenges, and use those to encourage positive, healthy change.
My name is Ellie McCarthy (she, her), and I am a Licensed Marriage and Family Therapist (LMFT). My therapeutic approach is client-centered, and I work from a systemic, narrative perspective. I appreciate hearing stories about your life and how you got to where you are today. It’s my goal to listen to these stories and find patterns, examine different dynamics, explore past and current challenges, and use those to encourage positive, healthy change.
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Photo of Akaisha Blackhawk, Clinical Social Work/Therapist in Des Moines, IA
Akaisha Blackhawk
Clinical Social Work/Therapist, LMSW
Verified Verified
Des Moines, IA 50311  (Online Only)
I am stoked to be where I am today, having an opportunity to serve you. I have experience with crisis intervention, primarily serving young adults and families. I consider myself mellow and empathetic. I enjoy working with adolescents and adults. I strive to provide a safe and unbiased place, where we can partner together in identifying areas of concern in your life and develop a treatment plan that works for you. I also offer telehealth options as part of the response to COVID 19 concerns.
I am stoked to be where I am today, having an opportunity to serve you. I have experience with crisis intervention, primarily serving young adults and families. I consider myself mellow and empathetic. I enjoy working with adolescents and adults. I strive to provide a safe and unbiased place, where we can partner together in identifying areas of concern in your life and develop a treatment plan that works for you. I also offer telehealth options as part of the response to COVID 19 concerns.
(515) 461-7005 View (515) 461-7005
Photo of Jennifer L Harrington, Clinical Social Work/Therapist in Des Moines, IA
Jennifer L Harrington
Clinical Social Work/Therapist, LICSW
Verified Verified
Des Moines, IA 50315  (Online Only)
***Teletherapy***Phone/Video Sessions and Messaging Plans Available*** I am currently accepting new clients across the state of Iowa for teletherapy. As a therapist my goal is to join you on your journey, provide support, offer tools, and empower you to meet your goals. My style is non-judgmental and exploratory. I will be direct and honest with you, challenge you when necessary, and always strive to bring out your greatest potential.
***Teletherapy***Phone/Video Sessions and Messaging Plans Available*** I am currently accepting new clients across the state of Iowa for teletherapy. As a therapist my goal is to join you on your journey, provide support, offer tools, and empower you to meet your goals. My style is non-judgmental and exploratory. I will be direct and honest with you, challenge you when necessary, and always strive to bring out your greatest potential.
(469) 551-4208 View (469) 551-4208

How does your Therapist compare?

Number of Therapists in Des Moines, IA

400+

Average cost per session

$155

Therapists in Des Moines, IA who prioritize treating:

95% Anxiety
90% Depression
80% Relationship Issues
79% Self Esteem
76% Stress
75% Trauma and PTSD
72% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
74% Wellmark BCBS
52% UnitedHealthcare UHC | UBH

How Therapists in Des Moines, IA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in Des Moines?

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.