Therapists in 53589

Photo of Jean Daute, Licensed Professional Counselor, MS, LPC, CSAC, MAC, ICS
Jean Daute
Licensed Professional Counselor, MS, LPC, CSAC, MAC, ICS
Stoughton, WI 53589
Individuals looking for counseling are often struggling with issues that have developed over time. Often, these issues can be caused by painful relationships, work environments, family problems, traumatic events, health issues, alcohol or drug addiction as well as being an affected family member or friend, loss of loved ones or simply feeling stuck in an unsatisfactory place in life. My focus is to carefully listen and understand the issues that you want to address and then focus on helping you to utilize your strengths, abilities, and skills to find a sense of empowerment in your life.
Individuals looking for counseling are often struggling with issues that have developed over time. Often, these issues can be caused by painful relationships, work environments, family problems, traumatic events, health issues, alcohol or drug addiction as well as being an affected family member or friend, loss of loved ones or simply feeling stuck in an unsatisfactory place in life. My focus is to carefully listen and understand the issues that you want to address and then focus on helping you to utilize your strengths, abilities, and skills to find a sense of empowerment in your life.
(608) 440-8241 View (608) 440-8241
Photo of Kurt Buehring, Marriage & Family Therapist, MA, LMFT
Kurt Buehring
Marriage & Family Therapist, MA, LMFT
Stoughton, WI 53589
Relationships aren't always easy... At times they may be our greatest source of ease and joy, but every couple knows that they can also be our greatest source of frustration and struggle. You may be asking yourself, "How did we get here?" or "How are we ever going to make this better?" Reaching out for help may not be easy either, but it's an acknowledgment that your happiness and your relationship are worth fighting for, and that's a good place to start. I'll help you to 1) Look with clarity at what has come between you, and 2) Do the vital work to rebuild trust, understanding, love, and intimacy in your relationship.
Relationships aren't always easy... At times they may be our greatest source of ease and joy, but every couple knows that they can also be our greatest source of frustration and struggle. You may be asking yourself, "How did we get here?" or "How are we ever going to make this better?" Reaching out for help may not be easy either, but it's an acknowledgment that your happiness and your relationship are worth fighting for, and that's a good place to start. I'll help you to 1) Look with clarity at what has come between you, and 2) Do the vital work to rebuild trust, understanding, love, and intimacy in your relationship.
(608) 719-4229 View (608) 719-4229
Mike Vienneau
Clinical Social Work/Therapist, MA, MSSW, LCSW
Stoughton, WI 53589
I have extensive experience working with a wide variety of populations and issues, including people with trauma, addiction, and mental health challenges. My philosophy of counseling is client-centered, based on respect for the individual and a belief in each person’s intrinsic value. I approach each session with a humanistic and person-centered perspective, and focus on personal strengths, skills, and goals that aid in the recovery and empowerment of my clients. My goal is to help clients work through life’s challenges and to find and achieve their full potential. I look forward to working with you.
I have extensive experience working with a wide variety of populations and issues, including people with trauma, addiction, and mental health challenges. My philosophy of counseling is client-centered, based on respect for the individual and a belief in each person’s intrinsic value. I approach each session with a humanistic and person-centered perspective, and focus on personal strengths, skills, and goals that aid in the recovery and empowerment of my clients. My goal is to help clients work through life’s challenges and to find and achieve their full potential. I look forward to working with you.
(608) 384-3949 View (608) 384-3949
Photo of Sam Annis, Marriage & Family Therapist, LMFT
Sam Annis
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
I specialize in working with anxiety, trauma (be it personal, intergenerational/familial, or cultural), identity, spirituality, death & dying, grief, family systems, and the ways in which our lives are impacted by the larger social systems and institutions around us. I believe that a strong relationship rooted in safety is essential towards digging in to the more challenging topics, and so the beginning of our work together is oriented around nurturing this safety. I also believe that the work of healing and growth takes time and patience. My approach is slow, non-forceful, and centered around learning to be fully human.
I specialize in working with anxiety, trauma (be it personal, intergenerational/familial, or cultural), identity, spirituality, death & dying, grief, family systems, and the ways in which our lives are impacted by the larger social systems and institutions around us. I believe that a strong relationship rooted in safety is essential towards digging in to the more challenging topics, and so the beginning of our work together is oriented around nurturing this safety. I also believe that the work of healing and growth takes time and patience. My approach is slow, non-forceful, and centered around learning to be fully human.
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Photo of Betsy Atwell, Licensed Professional Counselor, MA, LPC, CSAC, ICS
Betsy Atwell
Licensed Professional Counselor, MA, LPC, CSAC, ICS
2 Endorsed
Serves Area
In my practice, clients can expect to work on unravelling their past from their present and to develop a stronger ability to listen to their own internal wisdom. While blocking out your past can help you survive difficult times, it can also lead to symptoms of anxiety, depression, PTSD, physical ailments, substance use, and more. I am especially interested in helping clients with gender, sexuality, and neurodiversity related stressors. Pain and trauma around these parts of ourselves often develops when we attempt to conform to the expectations of society. I want to be your ally in developing self-acceptance around your identity.
In my practice, clients can expect to work on unravelling their past from their present and to develop a stronger ability to listen to their own internal wisdom. While blocking out your past can help you survive difficult times, it can also lead to symptoms of anxiety, depression, PTSD, physical ailments, substance use, and more. I am especially interested in helping clients with gender, sexuality, and neurodiversity related stressors. Pain and trauma around these parts of ourselves often develops when we attempt to conform to the expectations of society. I want to be your ally in developing self-acceptance around your identity.
(608) 927-5785 View (608) 927-5785
Photo of Kristi Blaney, Licensed Professional Counselor, MA, LPC
Kristi Blaney
Licensed Professional Counselor, MA, LPC
2 Endorsed
Serves Area
LOVE! It is one of those words that either makes you giddy with joy or a little squirmy in your chair. Love is one of the things we long for most in our lives. Whether you struggle with romantic love, family love, agape love or even self-love, I would like to help. I provide therapy options in both Madison and Janesville to help make sure you have an option that is close to home. I aim to provide a warm space to help you feel at ease while you work through the toughest areas of your life.
LOVE! It is one of those words that either makes you giddy with joy or a little squirmy in your chair. Love is one of the things we long for most in our lives. Whether you struggle with romantic love, family love, agape love or even self-love, I would like to help. I provide therapy options in both Madison and Janesville to help make sure you have an option that is close to home. I aim to provide a warm space to help you feel at ease while you work through the toughest areas of your life.
(608) 390-3439 View (608) 390-3439
Photo of Trista Warrich, Marriage & Family Therapist Associate, MFT-IT
Trista Warrich
Marriage & Family Therapist Associate, MFT-IT
1 Endorsed
Serves Area
I work with individuals, couples/groups and families. My clients have ranged in age from 8 to 98. No problem is too big or too small for us to tackle together. I provide a safe, non-assuming and non-judgmental space where you can explore your goals. I am a trauma therapist who practices EMDR. If you want to move past obstacles and go to new places in your life, we can start that in a low pressure and affirming way according to your interests. Clients I see work on trauma, anxiety, depression, couples, communication, co-parenting, family issues, addiction, life stages and changes. I specialize in neurodivergence. LGBTQIA+ allied.
I work with individuals, couples/groups and families. My clients have ranged in age from 8 to 98. No problem is too big or too small for us to tackle together. I provide a safe, non-assuming and non-judgmental space where you can explore your goals. I am a trauma therapist who practices EMDR. If you want to move past obstacles and go to new places in your life, we can start that in a low pressure and affirming way according to your interests. Clients I see work on trauma, anxiety, depression, couples, communication, co-parenting, family issues, addiction, life stages and changes. I specialize in neurodivergence. LGBTQIA+ allied.
(608) 889-7173 View (608) 889-7173
Photo of April Zamzow, Licensed Professional Counselor, CSW, MA, LPC
April Zamzow
Licensed Professional Counselor, CSW, MA, LPC
Serves Area
I strive to create a safe, inclusive, and affirming space where clients of all identities feel seen, heard, and supported. My work is grounded in empathy, collaboration, and respect for each person’s unique journey, empowering clients to build resilience, strengthen relationships, and move toward healing and growth. With extensive experience working with young people facing anxiety, depression, behavioral concerns, mood disorders, neurodiversity, LGBTQIA+ issues, ADHD, and trauma, I bring both clinical skill and genuine empathy to every session.
I strive to create a safe, inclusive, and affirming space where clients of all identities feel seen, heard, and supported. My work is grounded in empathy, collaboration, and respect for each person’s unique journey, empowering clients to build resilience, strengthen relationships, and move toward healing and growth. With extensive experience working with young people facing anxiety, depression, behavioral concerns, mood disorders, neurodiversity, LGBTQIA+ issues, ADHD, and trauma, I bring both clinical skill and genuine empathy to every session.
(262) 537-5197 View (262) 537-5197
Photo of Kristen Vesbach, Licensed Professional Counselor, MS, ATR-BC, LPC
Kristen Vesbach
Licensed Professional Counselor, MS, ATR-BC, LPC
2 Endorsed
Serves Area
Waitlist for new clients
Do you feel overwhelmed by the weight of the world or stuck in a pattern that is not serving you? Have you ever been told that you are too sensitive? If you are hoping to find more meaning in your life and create more of a balance, I would love to help you walk through this process. Focusing on strengths, encouraging creativity, and emphasizing the brain/body connection are important factors in finding an authentic balance. "Creativity, which is the expression of our originality, helps us stay mindful that what we bring to the world is completely original and cannot be compared." -Brene Brown
Do you feel overwhelmed by the weight of the world or stuck in a pattern that is not serving you? Have you ever been told that you are too sensitive? If you are hoping to find more meaning in your life and create more of a balance, I would love to help you walk through this process. Focusing on strengths, encouraging creativity, and emphasizing the brain/body connection are important factors in finding an authentic balance. "Creativity, which is the expression of our originality, helps us stay mindful that what we bring to the world is completely original and cannot be compared." -Brene Brown
(608) 420-5086 View (608) 420-5086
Photo of Keri Austin, Counselor, LPC-IT
Keri Austin
Counselor, LPC-IT
1 Endorsed
Online Only
You are whole and worthy, exactly as you are — and yet life’s challenges can leave lasting marks on your mind, body, and spirit. I am here to walk alongside you as you heal, grow, and rediscover your strength.
You are whole and worthy, exactly as you are — and yet life’s challenges can leave lasting marks on your mind, body, and spirit. I am here to walk alongside you as you heal, grow, and rediscover your strength.
(608) 905-7966 View (608) 905-7966

More Therapists Nearby

Photo of Anna Weber, Psychologist, PsyD, LP
Anna Weber
Psychologist, PsyD, LP
6 Endorsed
Serves Area
Life can change faster than you can keep up with. If you’re carrying grief, anxiety, or the weight of a major life transition, you may feel overwhelmed, stuck, or unsure where to turn. I work with adults navigating loss, depression, caregiving, health changes, and times of major change. My style is warm, person-centered, and affirming, no judgment, just space to slow down, understand patterns, and build coping skills that bring steadiness and relief.
Life can change faster than you can keep up with. If you’re carrying grief, anxiety, or the weight of a major life transition, you may feel overwhelmed, stuck, or unsure where to turn. I work with adults navigating loss, depression, caregiving, health changes, and times of major change. My style is warm, person-centered, and affirming, no judgment, just space to slow down, understand patterns, and build coping skills that bring steadiness and relief.
(262) 600-3873 View (262) 600-3873
Photo of Erika Fountain - Lake Geneva Wellness Clinic, LLC, Licensed Professional Counselor, MA, LPC, AODA, NCC, ICS
Lake Geneva Wellness Clinic, LLC
Licensed Professional Counselor, MA, LPC, AODA, NCC, ICS
Serves Area
Do you struggle with not feeling good enough? Feeling overwhelmed? Constantly worried? Struggle from self-medicating? Lake Geneva Wellness Clinic, LLC is a group of providers that offer action oriented individual/AODA/couples/family/trauma counseling and more. We believe you have the ability to change and that you can achieve your goals. Erika, our clinic owner and director, also enjoys supervising for those outside of our clinic. If you are interested in supervision services or to hear more about our services and providers, please contact our clinic. We are HONORED to be part of your journey.
Do you struggle with not feeling good enough? Feeling overwhelmed? Constantly worried? Struggle from self-medicating? Lake Geneva Wellness Clinic, LLC is a group of providers that offer action oriented individual/AODA/couples/family/trauma counseling and more. We believe you have the ability to change and that you can achieve your goals. Erika, our clinic owner and director, also enjoys supervising for those outside of our clinic. If you are interested in supervision services or to hear more about our services and providers, please contact our clinic. We are HONORED to be part of your journey.
(262) 806-7309 View (262) 806-7309
Photo of Rhea J Lyons, Marriage & Family Therapist, MS, LMFT
Rhea J Lyons
Marriage & Family Therapist, MS, LMFT
Madison, WI 53704
You deserve to heal. You deserve to be supported, respected, and seen for all you have been, all you will be, and all you are in this moment. I trust you to be the expert on yourself and your own experiences within the body, identities, and relationships that inform your ways of knowing yourself and your world. Our work together will not focus on identifying what’s “wrong” with you, and won’t aim to “fix” you. Together, we will explore areas of distress, discomfort, or questioning through a systemic lens. I will support your intentions toward transformative change and growth from perspectives that matter to you.
You deserve to heal. You deserve to be supported, respected, and seen for all you have been, all you will be, and all you are in this moment. I trust you to be the expert on yourself and your own experiences within the body, identities, and relationships that inform your ways of knowing yourself and your world. Our work together will not focus on identifying what’s “wrong” with you, and won’t aim to “fix” you. Together, we will explore areas of distress, discomfort, or questioning through a systemic lens. I will support your intentions toward transformative change and growth from perspectives that matter to you.
(608) 200-3213 View (608) 200-3213
Photo of Liz Stine, Licensed Professional Counselor, LPC
Liz Stine
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
OCD, anxiety, panic, and phobias can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan and practice skills together so you can feel relief.
OCD, anxiety, panic, and phobias can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan and practice skills together so you can feel relief.
(608) 200-2324 View (608) 200-2324
Photo of Bethany Kapellen, Licensed Professional Counselor, LPC-IT
Bethany Kapellen
Licensed Professional Counselor, LPC-IT
2 Endorsed
Verona, WI 53593
I provide a non-judgmental, compassionate, and collaborative environment where you feel empowered to make positive changes in life and relationships. In our work we will identify goals that are exciting and motivating, while valuing your unique strengths and identities. My approach to therapy is integrative, evidence-based, culturally-sensitive, and trauma-informed. Throughout our process together, we can uncover parts of our past that need healing, and discover new ways of living and being.
I provide a non-judgmental, compassionate, and collaborative environment where you feel empowered to make positive changes in life and relationships. In our work we will identify goals that are exciting and motivating, while valuing your unique strengths and identities. My approach to therapy is integrative, evidence-based, culturally-sensitive, and trauma-informed. Throughout our process together, we can uncover parts of our past that need healing, and discover new ways of living and being.
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Photo of Jonathan Triggs, Licensed Professional Counselor, MA, LPC, MDiv, NCC
Jonathan Triggs
Licensed Professional Counselor, MA, LPC, MDiv, NCC
Sun Prairie, WI 53590
I am passionate about providing assistance to those who are seeking growth, self-exploration, and healing. I am skilled in working with individuals who are experiencing a variety of mental health concerns including trauma, anxiety, and depression. Clients can expect to be treated with respect in a safe, compassionate, and non-judgmental atmosphere. I use a variety of treatment modalities including EMDR and Cognitive Behavioral Therapy.
I am passionate about providing assistance to those who are seeking growth, self-exploration, and healing. I am skilled in working with individuals who are experiencing a variety of mental health concerns including trauma, anxiety, and depression. Clients can expect to be treated with respect in a safe, compassionate, and non-judgmental atmosphere. I use a variety of treatment modalities including EMDR and Cognitive Behavioral Therapy.
(608) 478-4858 View (608) 478-4858
Photo of Nicole Hembrook, Licensed Professional Counselor, MA, LPC
Nicole Hembrook
Licensed Professional Counselor, MA, LPC
1 Endorsed
Madison, WI 53719
Hello there! I am a Licensed Professional Counselor (LPC) in the state of WI and have been serving the Madison area since 2007. I work with children, teens and adults and work both virtually and in-person with individuals.
Hello there! I am a Licensed Professional Counselor (LPC) in the state of WI and have been serving the Madison area since 2007. I work with children, teens and adults and work both virtually and in-person with individuals.
(608) 686-6243 View (608) 686-6243
Photo of Bobby D. Walker - Bobby Walker, Therapist & Certified Sex Therapist, Clinical Social Work/Therapist, LCSW, CST
Bobby Walker, Therapist & Certified Sex Therapist
Clinical Social Work/Therapist, LCSW, CST
2 Endorsed
Madison, WI 53703
Most of my clients would identify as one or some of the following: people pleaser, high-achiever, highly-anxious, perfectionist, over-thinker. If this describes you, I’d love to help. My approach focuses on tuning into your innermost thoughts & feelings and your past to help you 1) understand yourself on a newer & deeper level 2) detangle & clarify your experiences, 3) change the way you respond to difficult circumstances, and 4) resolve long standing issues that sabotage your life & relationships. As a Certified Sex Therapist, I treat a myriad of sexual concerns (erectile dysfunction, performance anxiety, pain, low desire etc.)
Most of my clients would identify as one or some of the following: people pleaser, high-achiever, highly-anxious, perfectionist, over-thinker. If this describes you, I’d love to help. My approach focuses on tuning into your innermost thoughts & feelings and your past to help you 1) understand yourself on a newer & deeper level 2) detangle & clarify your experiences, 3) change the way you respond to difficult circumstances, and 4) resolve long standing issues that sabotage your life & relationships. As a Certified Sex Therapist, I treat a myriad of sexual concerns (erectile dysfunction, performance anxiety, pain, low desire etc.)
(608) 713-9159 View (608) 713-9159
Photo of Katy Siler, Marriage & Family Therapist, MS, LMFT
Katy Siler
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Serves Area
Have you been described as the person everyone can depend on? Maybe helping others is fulfilling, and it stops you from giving to yourself. No matter how much you prioritize others, your relationships might leave you feeling misunderstood, or unappreciated. I support clients to reconnect with their authentic selves so they can honor their own needs. This work is deeply vulnerable and worth the challenge. You deserve to give to yourself as much as you give to everyone else. Once you achieve a healthier balance in your relationships you may be delighted to see how much easier it is to just be you!
Have you been described as the person everyone can depend on? Maybe helping others is fulfilling, and it stops you from giving to yourself. No matter how much you prioritize others, your relationships might leave you feeling misunderstood, or unappreciated. I support clients to reconnect with their authentic selves so they can honor their own needs. This work is deeply vulnerable and worth the challenge. You deserve to give to yourself as much as you give to everyone else. Once you achieve a healthier balance in your relationships you may be delighted to see how much easier it is to just be you!
(779) 204-4840 View (779) 204-4840
Photo of Carmen Mengistu, Clinical Social Work/Therapist, LCSW
Carmen Mengistu
Clinical Social Work/Therapist, LCSW
Madison, WI 53713
I specialize in helping individuals uncover their inner strength and wisdom, empowering them to break free from self-defeating patterns and build lives that align with their values and aspirations. My therapeutic approach prioritizes boosting self-esteem, enhancing coping strategies, and fostering resilience to navigate life s challenges. In my practice, I support clients in managing depression and anxiety, addressing relationship and communication difficulties, and navigating personal or professional transitions.
I specialize in helping individuals uncover their inner strength and wisdom, empowering them to break free from self-defeating patterns and build lives that align with their values and aspirations. My therapeutic approach prioritizes boosting self-esteem, enhancing coping strategies, and fostering resilience to navigate life s challenges. In my practice, I support clients in managing depression and anxiety, addressing relationship and communication difficulties, and navigating personal or professional transitions.
(608) 668-2853 View (608) 668-2853

See more therapy options for 53589

How does your Therapist compare?

Number of Therapists in 53589

10+

Average cost per session

$150

Therapists in 53589 who prioritize treating:

80% Relationship Issues
80% Depression
70% Anxiety
70% Trauma and PTSD
60% Grief
60% Self Esteem
60% Sexual Abuse

Average years in practice

13 Years

Top 3 insurances accepted

75% Quartz
63% The Alliance
63% Aetna

How Therapists in 53589 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 53589?

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.