Therapists in 52057

Photo of Susie Schaul, Clinical Social Work/Therapist, MSW, LMSW
Susie Schaul
Clinical Social Work/Therapist, MSW, LMSW
Manchester, IA 52057
With over 25 years of experience in social work, I know that life can bring challenges that sometimes feel overwhelming. Whether you’re facing anxiety, depression, trauma, grief, or simply struggling to find your footing, my goal is to provide a safe, supportive space where you can be heard and understood. I work with teens (13+) and adults, both court-ordered and voluntary, using a strength-based, person-centered approach. I believe in meeting people exactly where they are and helping them build on their own strengths to create lasting change.
With over 25 years of experience in social work, I know that life can bring challenges that sometimes feel overwhelming. Whether you’re facing anxiety, depression, trauma, grief, or simply struggling to find your footing, my goal is to provide a safe, supportive space where you can be heard and understood. I work with teens (13+) and adults, both court-ordered and voluntary, using a strength-based, person-centered approach. I believe in meeting people exactly where they are and helping them build on their own strengths to create lasting change.
(319) 205-6444 View (319) 205-6444
Photo of Jenni Hentges, Clinical Social Work/Therapist, LMSW
Jenni Hentges
Clinical Social Work/Therapist, LMSW
1 Endorsed
Manchester, IA 52057
It can be hard asking for help, but I am eager to get to know you and your story and help you create a positive change in your life. I serve both children and adults in need of a safe space to find the skills they need to thrive. I have a designated play room where children can express their creativity and feel comfortable talking with me. My office is also a safe, confidential environment where adults can feel empowered to share their thoughts and feelings and know their voices are heard.
It can be hard asking for help, but I am eager to get to know you and your story and help you create a positive change in your life. I serve both children and adults in need of a safe space to find the skills they need to thrive. I have a designated play room where children can express their creativity and feel comfortable talking with me. My office is also a safe, confidential environment where adults can feel empowered to share their thoughts and feelings and know their voices are heard.
(888) 330-4771 View (888) 330-4771
Photo of Shana L Willenbring, Clinical Social Work/Therapist, LMSW, MA Ed
Shana L Willenbring
Clinical Social Work/Therapist, LMSW, MA Ed
2 Endorsed
Manchester, IA 52057
Shana Willenbring is a Licensed Master Social Worker (LMSW) in the State of Iowa. She holds a Master of Social Work degree from the University of Iowa and a Master of Education with a School Counseling endorsement. With over 20 years of experience in educational settings, Shana brings a wealth of knowledge and compassion to her therapeutic practice. She has extensive experience providing counseling and crisis intervention in both school and community environments. She offers office-based, school-based, and virtual therapy services through the Manchester, IA office, working with individuals ages 3 and up.
Shana Willenbring is a Licensed Master Social Worker (LMSW) in the State of Iowa. She holds a Master of Social Work degree from the University of Iowa and a Master of Education with a School Counseling endorsement. With over 20 years of experience in educational settings, Shana brings a wealth of knowledge and compassion to her therapeutic practice. She has extensive experience providing counseling and crisis intervention in both school and community environments. She offers office-based, school-based, and virtual therapy services through the Manchester, IA office, working with individuals ages 3 and up.
(563) 655-4578 View (563) 655-4578
Photo of Alyssa Krob, Marriage & Family Therapist, LMFT
Alyssa Krob
Marriage & Family Therapist, LMFT
5 Endorsed
Serves Area
Each one of us possesses a vastly different collection of experiences, which means we all view life differently. This is one reason I value a collaborative approach when working with you. As your therapist, I believe that you are the expert of your life. My goal is to help you feel heard, understood, and to work together to develop a treatment approach based upon your unique desires and needs. While utilizing a non-judgmental, flexible approach, it is my duty to help you uncover your hopes and to create the future you wish to see. I hope to help you find the courage to embrace vulnerability and show up as your most authentic self.
Each one of us possesses a vastly different collection of experiences, which means we all view life differently. This is one reason I value a collaborative approach when working with you. As your therapist, I believe that you are the expert of your life. My goal is to help you feel heard, understood, and to work together to develop a treatment approach based upon your unique desires and needs. While utilizing a non-judgmental, flexible approach, it is my duty to help you uncover your hopes and to create the future you wish to see. I hope to help you find the courage to embrace vulnerability and show up as your most authentic self.
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Photo of Lynne Lutze - Lutze Consulting LLC, Counselor, PhD, LMHC, LPC, NBCC
Lutze Consulting LLC
Counselor, PhD, LMHC, LPC, NBCC
Serves Area
Feeling overwhelmed with life's challenges is a common experience, and it is natural to seek assistance during such times. If you are experiencing stress, anxiety, loneliness, frustration, heartbreak, or grief, it is important to express your feelings without fear of judgment. Remember that it is human to struggle and that life can be difficult. If you are looking to learn coping strategies and foster a more positive outlook on life, I am here to support you.
Feeling overwhelmed with life's challenges is a common experience, and it is natural to seek assistance during such times. If you are experiencing stress, anxiety, loneliness, frustration, heartbreak, or grief, it is important to express your feelings without fear of judgment. Remember that it is human to struggle and that life can be difficult. If you are looking to learn coping strategies and foster a more positive outlook on life, I am here to support you.
(563) 228-8828 View (563) 228-8828
Photo of Brooke Martin, Counselor, MA, LMHC
Brooke Martin
Counselor, MA, LMHC
Serves Area
Unresolved trauma often leaves behind persistent emotional burden. Feelings of detachment or over dependence, heightened emotional sensitivity or shutdown, lack of sense of self and life direction, difficulty building or being in healthy relationships, or cycles of problematic behavior that we cannot seem to break can be just some of manifestations of trauma. Unresolved emotional trauma takes away from our happiness and ability to live and love in the way we desire.
Unresolved trauma often leaves behind persistent emotional burden. Feelings of detachment or over dependence, heightened emotional sensitivity or shutdown, lack of sense of self and life direction, difficulty building or being in healthy relationships, or cycles of problematic behavior that we cannot seem to break can be just some of manifestations of trauma. Unresolved emotional trauma takes away from our happiness and ability to live and love in the way we desire.
(563) 231-7931 View (563) 231-7931
Photo of Abbie Placke, Counselor, MS, tLMHC
Abbie Placke
Counselor, MS, tLMHC
1 Endorsed
Manchester, IA 52057
Waitlist for new clients
Abbie facilitates a supportive and safe environment in session that allows individuals to embrace their authentic selves. When working with Abbie, you will be able to collaborate in order to set goals for yourself or your child that will allow them to bloom into the best version of themselves. She utilizes a variety of techniques in therapy, including cognitive-behavioral and play therapy approaches, to best fit the needs of her clients. Abbie is passionate about helping individuals and looks forward to meeting with you and supporting your or your child's mental health goals!
Abbie facilitates a supportive and safe environment in session that allows individuals to embrace their authentic selves. When working with Abbie, you will be able to collaborate in order to set goals for yourself or your child that will allow them to bloom into the best version of themselves. She utilizes a variety of techniques in therapy, including cognitive-behavioral and play therapy approaches, to best fit the needs of her clients. Abbie is passionate about helping individuals and looks forward to meeting with you and supporting your or your child's mental health goals!
(563) 748-5918 View (563) 748-5918
Photo of Colleen R Kuhse-Portzline, Marriage & Family Therapist, LMFT, CCTP
Colleen R Kuhse-Portzline
Marriage & Family Therapist, LMFT, CCTP
1 Endorsed
Manchester, IA 52057
Waitlist for new clients
Hi. I am Colleen Kuhse-Portzline. I’m a Licensed Marriage and Family Therapist. More specifically, I’m a therapist who is passionate about helping people navigate life’s twists and turns. Are you feeling anxious, confused or maybe just “stuck”? Perhaps you’re missing the joy in life you once had or want to feel alive and thriving again. I believe in the idea of wholehearted living, of letting go of what holds us back and cultivating meaningful relationships.
Hi. I am Colleen Kuhse-Portzline. I’m a Licensed Marriage and Family Therapist. More specifically, I’m a therapist who is passionate about helping people navigate life’s twists and turns. Are you feeling anxious, confused or maybe just “stuck”? Perhaps you’re missing the joy in life you once had or want to feel alive and thriving again. I believe in the idea of wholehearted living, of letting go of what holds us back and cultivating meaningful relationships.
(563) 363-6939 View (563) 363-6939
Photo of Alexandra (Alex) Stecklein, Marriage & Family Therapist, tLMFT, CTP
Alexandra (Alex) Stecklein
Marriage & Family Therapist, tLMFT, CTP
Serves Area
Waitlist for new clients
Maybe things look fine from the outside, but inside it feels heavy. Life can be a lot- meltdowns, miscommunication, marriage stress, school calls, system involvement, or just the slow burn of feeling stuck. I help kids, teens, adults, couples, and families find the space to breathe, sort through what’s real, and figure out what’s next. Whether you need to feel seen, supported, challenged, or just not so alone in it all, I’ll meet you where you are and walk with you from there - without judgment and without pretending. If you're ready to be real, you're in the right place and I’m ready to meet you there.
Maybe things look fine from the outside, but inside it feels heavy. Life can be a lot- meltdowns, miscommunication, marriage stress, school calls, system involvement, or just the slow burn of feeling stuck. I help kids, teens, adults, couples, and families find the space to breathe, sort through what’s real, and figure out what’s next. Whether you need to feel seen, supported, challenged, or just not so alone in it all, I’ll meet you where you are and walk with you from there - without judgment and without pretending. If you're ready to be real, you're in the right place and I’m ready to meet you there.
(563) 204-2151 View (563) 204-2151
Photo of Stefanie Dingbaum, Clinical Social Work/Therapist, LISW
Stefanie Dingbaum
Clinical Social Work/Therapist, LISW
1 Endorsed
Manchester, IA 52057
Not accepting new clients
I firmly believe in order to experience true healing in life one must start by discovering the underlying root cause of their pain, stress, or trauma and ultimately working through those areas. I don’t believe in quick band-aid fixes or short-and-sweet solutions. I strive to first build a firm foundation together, built with mutual trust and commitment; knowing the path to healing is not usually linear. I also want you to believe you are resilient enough to come out of any obstacle stronger than when you started. What I strive for in every client interaction is you feeling heard, understood, and accepted just as you are.
I firmly believe in order to experience true healing in life one must start by discovering the underlying root cause of their pain, stress, or trauma and ultimately working through those areas. I don’t believe in quick band-aid fixes or short-and-sweet solutions. I strive to first build a firm foundation together, built with mutual trust and commitment; knowing the path to healing is not usually linear. I also want you to believe you are resilient enough to come out of any obstacle stronger than when you started. What I strive for in every client interaction is you feeling heard, understood, and accepted just as you are.
(563) 674-6012 View (563) 674-6012
Photo of Karlyn Jaeger Bouska, Clinical Social Work/Therapist, LMSW
Karlyn Jaeger Bouska
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Not accepting new clients
Karlyn began with Rise Counseling and Consulting in June 2024. Karlyn provides office-based and virtual therapy out of our Dyersville Office. Karlyn is trained in trauma-informed care and has experience working with anxiety, depression, inattention, hyperactivity, trauma, and adjustment-related stressors. Karlyn specializes in working with teens and adults.
Karlyn began with Rise Counseling and Consulting in June 2024. Karlyn provides office-based and virtual therapy out of our Dyersville Office. Karlyn is trained in trauma-informed care and has experience working with anxiety, depression, inattention, hyperactivity, trauma, and adjustment-related stressors. Karlyn specializes in working with teens and adults.
(563) 412-5647 View (563) 412-5647

More Therapists Nearby

Photo of Peladija Woodson-Diers - Peladija's Therapy and Counseling Services LLC, Clinical Social Work/Therapist, MSW, LISW
Peladija's Therapy and Counseling Services LLC
Clinical Social Work/Therapist, MSW, LISW
Oelwein, IA 50662
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
(319) 313-5041 View (319) 313-5041
Photo of Olivia Jean Cummings-Deaner, Pre-Licensed Professional, tLMHC
Olivia Jean Cummings-Deaner
Pre-Licensed Professional, tLMHC
Oelwein, IA 50662
Life is full of challenges that can test our resilience, emotions, and sense of direction. During difficult moments, mental health can be just as affected as physical health, yet it’s often overlooked. Prioritizing mental healthcare helps people understand their feelings, cope with stress, and develop healthy ways to navigate obstacles. By acknowledging struggles and seeking support, we give ourselves the strength to grow, heal, and move forward.
Life is full of challenges that can test our resilience, emotions, and sense of direction. During difficult moments, mental health can be just as affected as physical health, yet it’s often overlooked. Prioritizing mental healthcare helps people understand their feelings, cope with stress, and develop healthy ways to navigate obstacles. By acknowledging struggles and seeking support, we give ourselves the strength to grow, heal, and move forward.
(563) 341-7065 View (563) 341-7065
Photo of Micah Minor, Clinical Social Work/Therapist
Micah Minor
Clinical Social Work/Therapist
1 Endorsed
Elkader, IA 52043
Micah provides office-based, school-based, and virtual therapy out of our Elkader Office. Micah works with all ages, 3 and up. Micah has extensive experience working with school-aged children including kids with behavioral concerns and complex family dynamics. Micah is trained in trauma-informed care and has experience working with inattention, hyperactivity, oppositional defiant disorder, anxiety, depressed mood, and adjustment-related stressors. Micah began her career with RISE in June 2024.
Micah provides office-based, school-based, and virtual therapy out of our Elkader Office. Micah works with all ages, 3 and up. Micah has extensive experience working with school-aged children including kids with behavioral concerns and complex family dynamics. Micah is trained in trauma-informed care and has experience working with inattention, hyperactivity, oppositional defiant disorder, anxiety, depressed mood, and adjustment-related stressors. Micah began her career with RISE in June 2024.
(563) 921-0628 View (563) 921-0628
Photo of Tara Bosnic, Clinical Social Work/Therapist, LISW
Tara Bosnic
Clinical Social Work/Therapist, LISW
Independence, IA 50644
I currently have appointment availability mornings and early afternoons.
I currently have appointment availability mornings and early afternoons.
(563) 214-0463 View (563) 214-0463
Photo of Briannan D Huss, Clinical Social Work/Therapist, LMSW, LISW
Briannan D Huss
Clinical Social Work/Therapist, LMSW, LISW
Monticello, IA 52310
Briannan prides herself on being genuine, flexible, and continuing to learn always. She provides school-based and virtual therapy services assisting a variety of people with different diagnoses. She is especially passionate about working with children and adolescents with trauma, attachment, adjustment disorders, relationship stressors, anxiety, depression, mood disorders, impulse control, disordered eating, grief and loss, adoption/parenting difficulties, and anger management. She is also open to working with adults with a variety of diagnoses.
Briannan prides herself on being genuine, flexible, and continuing to learn always. She provides school-based and virtual therapy services assisting a variety of people with different diagnoses. She is especially passionate about working with children and adolescents with trauma, attachment, adjustment disorders, relationship stressors, anxiety, depression, mood disorders, impulse control, disordered eating, grief and loss, adoption/parenting difficulties, and anger management. She is also open to working with adults with a variety of diagnoses.
(319) 224-0722 View (319) 224-0722
Photo of Jennie Null, Marriage & Family Therapist, MA, LMFT, RPT-S
Jennie Null
Marriage & Family Therapist, MA, LMFT, RPT-S
Serves Area
Are you or your child navigating depression, anxiety, ADHD, relationship stress, life transitions, loss, or trauma? You may feel overwhelmed, hopeless, stuck, or unsure how to move forward. I provide a warm, inclusive space for children, teens, adults, and families to be seen, supported, and empowered. With over 20 years of experience, I help clients explore their stories, access their inner strengths, and grow through life’s experiences and challenges. I believe healing happens in connection, where vulnerability is met with compassion, and meaningful change becomes possible.
Are you or your child navigating depression, anxiety, ADHD, relationship stress, life transitions, loss, or trauma? You may feel overwhelmed, hopeless, stuck, or unsure how to move forward. I provide a warm, inclusive space for children, teens, adults, and families to be seen, supported, and empowered. With over 20 years of experience, I help clients explore their stories, access their inner strengths, and grow through life’s experiences and challenges. I believe healing happens in connection, where vulnerability is met with compassion, and meaningful change becomes possible.
(563) 674-6523 View (563) 674-6523
Photo of Nicole M Monk-Stoneking, Clinical Social Work/Therapist, LISW, RPT
Nicole M Monk-Stoneking
Clinical Social Work/Therapist, LISW, RPT
1 Endorsed
Monticello, IA 52310
Hello! My name is Nicole and I am providing therapy services at my private practice in Monticello since 2017. I specialize in children and adolescents. I’ve worked as a therapist since 2008, in the school system as well as doing in-home family therapy with juveniles in the court system. I look forward to helping children work through various issues in a safe, fun, non-threatening setting. I am a registered play therapist but utilize several other evidence based approaches depending on client needs. My office has 3 long term therapists, allowing us to provide consistent services to multiple family members, when needed! Thank you!
Hello! My name is Nicole and I am providing therapy services at my private practice in Monticello since 2017. I specialize in children and adolescents. I’ve worked as a therapist since 2008, in the school system as well as doing in-home family therapy with juveniles in the court system. I look forward to helping children work through various issues in a safe, fun, non-threatening setting. I am a registered play therapist but utilize several other evidence based approaches depending on client needs. My office has 3 long term therapists, allowing us to provide consistent services to multiple family members, when needed! Thank you!
(319) 250-2145 View (319) 250-2145
Photo of Vanessa Lechtenberg, Clinical Social Work/Therapist, MSW, LISW
Vanessa Lechtenberg
Clinical Social Work/Therapist, MSW, LISW
Oelwein, IA 50662
Hello, I’m Vanessa. I’m a Licensed Independent Social Worker with over 20 years of experience, and I truly value the opportunity to walk alongside people during some of life’s most challenging and transformative moments. My goal is to meet you exactly where you are — without judgment — and support you as you grow, heal, and build resilience. I received my Master’s degree from the University of Illinois–Chicago and have proudly called the Cedar Valley home ever since. Over the years, I’ve worked with adults and families who are seeking change, learning new coping strategies, or navigating complex health concerns and life transitions.
Hello, I’m Vanessa. I’m a Licensed Independent Social Worker with over 20 years of experience, and I truly value the opportunity to walk alongside people during some of life’s most challenging and transformative moments. My goal is to meet you exactly where you are — without judgment — and support you as you grow, heal, and build resilience. I received my Master’s degree from the University of Illinois–Chicago and have proudly called the Cedar Valley home ever since. Over the years, I’ve worked with adults and families who are seeking change, learning new coping strategies, or navigating complex health concerns and life transitions.
(319) 820-4616 View (319) 820-4616
Photo of Echo Kent, Marriage & Family Therapist, MA, LMFT
Echo Kent
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
I believe everyone deserves the chance to move from distress toward a more balanced and fulfilling life. I work with people navigating trauma, challenges with body image and self-esteem, or difficulties in relationships. For couples, I integrate Intimacy from the Inside Out (IFIO), an IFS-based approach that supports deeper connection and healing in relationships. Together, we’ll focus on easing negative feelings, building healthier coping skills, and strengthening the bonds that matter most to you. My therapeutic style is supportive and respectful, while also goal-oriented and practical. Treatment is tailored to each client.
I believe everyone deserves the chance to move from distress toward a more balanced and fulfilling life. I work with people navigating trauma, challenges with body image and self-esteem, or difficulties in relationships. For couples, I integrate Intimacy from the Inside Out (IFIO), an IFS-based approach that supports deeper connection and healing in relationships. Together, we’ll focus on easing negative feelings, building healthier coping skills, and strengthening the bonds that matter most to you. My therapeutic style is supportive and respectful, while also goal-oriented and practical. Treatment is tailored to each client.
(319) 409-6773 View (319) 409-6773

How does your Therapist compare?

Number of Therapists in 52057

10+

Average cost per session

$175

Therapists in 52057 who prioritize treating:

100% Depression
100% Anxiety
82% Self Esteem
73% Relationship Issues
73% Grief
73% Trauma and PTSD
73% Stress

Average years in practice

6 Years

Top 3 insurances accepted

80% Midlands Choice
80% Wellmark BCBS
70% Aetna

How Therapists in 52057 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 52057?

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.