Therapists in 57717

Photo of Chelsie Ogaard, Clinical Social Work/Therapist, MSW, CSWPIP, QMHP
Chelsie Ogaard
Clinical Social Work/Therapist, MSW, CSWPIP, QMHP
1 Endorsed
Belle Fourche, SD 57717
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
I specialize in supporting older adults as they navigate changing health, increasing care needs, and the loss of independence. I also work with caregivers of aging parents—especially those supporting a loved one with dementia—who often carry exhaustion, guilt, grief, and deep love all at once. My approach is grounded in compassion, respect, and a steady presence. Whether you are an older adult facing new challenges or a caregiver trying to hold everything together, you don’t have to walk this path alone. Together, we’ll honor the realities of aging, and find support that feels both sustainable and hopeful.
(605) 349-3143 View (605) 349-3143
Photo of Patricia Aurand, Clinical Social Work/Therapist, CSW-PIP, MSW, MDiv
Patricia Aurand
Clinical Social Work/Therapist, CSW-PIP, MSW, MDiv
Belle Fourche, SD 57717
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense? Those are both examples of what it is to have an "epiphany". Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
Have you ever been looking for something that seems out of reach, and then celebrated once you've reached what you were striving for? Or have you ever experienced a moment of great insight or understanding where suddenly everything makes sense? Those are both examples of what it is to have an "epiphany". Epiphany Mental Health was founded to provide space for you to reflect and explore where you are on life's journey and a partner to help guide you towards your desired destination.
(605) 349-1694 View (605) 349-1694
Photo of Tracy Candace Hunt - Tracy Hunt, The Life Counseling, Licensed Professional Counselor, LPC, MH
Tracy Hunt, The Life Counseling
Licensed Professional Counselor, LPC, MH
2 Endorsed
Serves Area
The people who show up to therapy are dealing with real and heavy things. Anxiety that follows you everywhere. Depression that makes ordinary life feel impossible. Relationship issues that paralyze you. Whatever brought you here, I'd like to help. Above all, I value real conversations. The kind where you don't have to filter yourself. And beyond the clinical work, I believe that real change also happens outside of the therapy room — in the way you sleep, move, eat, connect, and take care of yourself day to day. Lifestyle isn't separate from mental health. It's deeply intertwined with it, and I pay attention to the whole picture.
The people who show up to therapy are dealing with real and heavy things. Anxiety that follows you everywhere. Depression that makes ordinary life feel impossible. Relationship issues that paralyze you. Whatever brought you here, I'd like to help. Above all, I value real conversations. The kind where you don't have to filter yourself. And beyond the clinical work, I believe that real change also happens outside of the therapy room — in the way you sleep, move, eat, connect, and take care of yourself day to day. Lifestyle isn't separate from mental health. It's deeply intertwined with it, and I pay attention to the whole picture.
(605) 847-7145 View (605) 847-7145
Photo of Jeri K Fowler - Transformations Mental Health, Pre-Licensed Professional, MS, Pre-LPC, NCC
Transformations Mental Health
Pre-Licensed Professional, MS, Pre-LPC, NCC
1 Endorsed
Serves Area
I am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
I am Jeri Fowler a counselor at Transformations Mental Health. Seeking therapy requires courage, and I understand the importance of finding a therapist you can trust. My approach is grounded in honesty, transparency, and a commitment to the client's wellbeing.
(605) 467-8042 View (605) 467-8042
Photo of David G May, Marriage & Family Therapist, MFT
David G May
Marriage & Family Therapist, MFT
Serves Area
It is time for you to spread your wings and fly. Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be. If you have been through other therapies or learning coping skills that no longer work, or are new and want to get to the root of healing, this is the place for you.
It is time for you to spread your wings and fly. Children, teen, adult, couple, or family, my proven, unique, modern approach works through unresolved emotions of past relationships that affect who we are, the decisions we make, behaviors we have, reactions we have, relationships we seek and even relationships we avoid that keep us from being who we want to be. If you have been through other therapies or learning coping skills that no longer work, or are new and want to get to the root of healing, this is the place for you.
(605) 641-7786 View (605) 641-7786
Photo of Jessica L Ruzicka, Licensed Professional Counselor, MS, LPC-MH, QMHP, NCC
Jessica L Ruzicka
Licensed Professional Counselor, MS, LPC-MH, QMHP, NCC
2 Endorsed
Serves Area
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
You deserve a supportive, genuine connection built on trust and respect. This is a place where your authenticity and vulnerability are deeply valued—because I believe they are the keys to a strong healing foundation. My approach is rooted in seeing you as a unique individual with the inherent potential for growth and well-being. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
(605) 570-5094 View (605) 570-5094
Photo of Shannon Maxwell - Black Hills Psychology, Psychologist, PhD, CNP, LCSW
Black Hills Psychology
Psychologist, PhD, CNP, LCSW
Serves Area
Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.
Black Hills Psychology was formed to provide a comprehensive range of behavioral health services within one group practice. As a team of experienced and licensed psychologists, therapists, and medication providers, we offer a wide range of specialties and approaches to care for individuals of all ages. At Black Hills Psychology, you can be rest assured that you will be provided with the best care possible by a professional who is skilled to help you with the specific issues you are seeking to address. Each professional at our clinic has completed training and gained additional practical experience in their own areas of expertise.
(605) 657-4971 View (605) 657-4971
Photo of Julie Marie Birner - Addiction Recovery Centers of the Black Hills, Clinical Social Work/Therapist, LCSW, PIP, LAC
Addiction Recovery Centers of the Black Hills
Clinical Social Work/Therapist, LCSW, PIP, LAC
Serves Area
Have you been struggling with trauma and or substance use problems past or current in your life and find yourself stuck? We can help with sorting out these issues and give you tools to be able to live life to your fullest potential. I am trained in Motivational Interviewing, Cognitive Behavioral Therapy, and Accelerated Resolution Therapy (ART). ART is a technique that helps to restore mental health by changing the way distressing memories and images are stored in the brain. If we can change the images, we can eliminate the symptoms. It is just that simple.
Have you been struggling with trauma and or substance use problems past or current in your life and find yourself stuck? We can help with sorting out these issues and give you tools to be able to live life to your fullest potential. I am trained in Motivational Interviewing, Cognitive Behavioral Therapy, and Accelerated Resolution Therapy (ART). ART is a technique that helps to restore mental health by changing the way distressing memories and images are stored in the brain. If we can change the images, we can eliminate the symptoms. It is just that simple.
(605) 827-1273 View (605) 827-1273
Photo of Michele M Clodfelder, Licensed Professional Counselor, MS, LPC-MH, EAP
Michele M Clodfelder
Licensed Professional Counselor, MS, LPC-MH, EAP
1 Endorsed
Serves Area
I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.
I get it, being overwhelmed, worried about everything and just plain tired of life is an issue we will experience at some point in our lives. I can help. Anxiety pushing you to do more - then you realize no matter what you do it's not enough. I can help. Every phase of our life means we are relearning the same lesson, different situation. I can help. Feeling stuck and not seeing any way out of a situation can be paralyzing. I can help. Grief true deep grief, not understanding how to move through it. I can help. ANGER all the time, easily irritated? I can help. Give me a chance I can help.
(605) 534-8669 View (605) 534-8669
Photo of Brecken Wilkinson, Pre-Licensed Professional, MS, MFT/sup
Brecken Wilkinson
Pre-Licensed Professional, MS, MFT/sup
Serves Area
Are you wanting to process past experiences or looking for tools to manage everyday stress? I believe healing looks different for everyone, and I enjoy working collaboratively and authentically to discover what feels most helpful and empowering for you. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Are you wanting to process past experiences or looking for tools to manage everyday stress? I believe healing looks different for everyone, and I enjoy working collaboratively and authentically to discover what feels most helpful and empowering for you. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
(605) 633-5079 View (605) 633-5079
Photo of Kristal Steeves, Licensed Professional Counselor, LPC
Kristal Steeves
Licensed Professional Counselor, LPC
Online Only
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry. No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
You've spent decades showing up for everyone else. And now — somewhere in your 30s, 40s, or 50s — something has shifted. Your sleep is fractured. Emotions feel out of sync. Your focus slips in ways that scare you. Your sense of self feels blurry. No one prepared you for this. Maybe doctors have told you it's "just stress" or "just aging." But what you're experiencing has a neurological explanation. Perimenopause and menopause change your brain, not just your body. That's not weakness. That's biology meeting an unsupported life transition.
(605) 659-7211 View (605) 659-7211
Photo of William Kirk, Clinical Social Work/Therapist, LCSW
William Kirk
Clinical Social Work/Therapist, LCSW
Online Only
You're exhausted, wondering if anyone is going to reach your teenage son with ADHD. I was that kid and found my way through. Your son is struggling the same way I did. ADHD, too much homework, too little interest, too many people telling him to just try harder. I didn't get real support until the end of high school. Treatment changed the trajectory of my life. I went from community college to the University of Florida, then to a Master of Social Work from Florida State.
You're exhausted, wondering if anyone is going to reach your teenage son with ADHD. I was that kid and found my way through. Your son is struggling the same way I did. ADHD, too much homework, too little interest, too many people telling him to just try harder. I didn't get real support until the end of high school. Treatment changed the trajectory of my life. I went from community college to the University of Florida, then to a Master of Social Work from Florida State.
(605) 646-4352 View (605) 646-4352
Photo of Hannah Simms - Rise Alone Therapy, Clinical Social Work/Therapist, LISW-CP
Rise Alone Therapy
Clinical Social Work/Therapist, LISW-CP
Online Only
Seeking therapy can feel overwhelming — especially within the unique pressures of military life. Rise Alone Therapy is a virtual group practice serving individuals and military families across South Dakota, Illinois, and New Mexico. We specialize in working with active-duty service members, military spouses, veterans, and those navigating deployments, PCS moves, relationship strain, career transitions, and the stigma that can surround asking for help. Our licensed therapists bring both clinical expertise and lived understanding of military culture.
Seeking therapy can feel overwhelming — especially within the unique pressures of military life. Rise Alone Therapy is a virtual group practice serving individuals and military families across South Dakota, Illinois, and New Mexico. We specialize in working with active-duty service members, military spouses, veterans, and those navigating deployments, PCS moves, relationship strain, career transitions, and the stigma that can surround asking for help. Our licensed therapists bring both clinical expertise and lived understanding of military culture.
(605) 640-6962 View (605) 640-6962
Photo of Erin Rocheleau - Northern Hope Counseling, Counselor, MA, LPC-MH, LPCC
Northern Hope Counseling
Counselor, MA, LPC-MH, LPCC
Online Only
Erin obtained her master’s degree in counseling, and her bachelor’s degree in Rehabilitation and Human Services from the University of North Dakota. Erin works adults age 18 and over. Erin is a strength based counselor, who helps clients recognize the strengths they have within themselves. Erin will help clients learn and implement skills to help manage anxiety, emotions, life changes, trauma and difficulties they may be facing.
Erin obtained her master’s degree in counseling, and her bachelor’s degree in Rehabilitation and Human Services from the University of North Dakota. Erin works adults age 18 and over. Erin is a strength based counselor, who helps clients recognize the strengths they have within themselves. Erin will help clients learn and implement skills to help manage anxiety, emotions, life changes, trauma and difficulties they may be facing.
(605) 799-0811 View (605) 799-0811

More Therapists Nearby

Photo of Janet K. Kuske, Licensed Professional Counselor, MA, LPC-MH, QMHP
Janet K. Kuske
Licensed Professional Counselor, MA, LPC-MH, QMHP
Serves Area
For the past 25 years, I have provided counseling services to my clients in various settings, including residential treatment, the clinic setting, in-home setting, and the school system. While I enjoy working with all ages and stages of individuals, I have a passion for and a great deal of experience in working with children, adolescents, and their families. I am a person who is easy to get to know and get along with, and partner with my clients as a team to face and manage life’s difficulties and emotional and behavioral challenges. I also work with other entities involved in a client’s life to ensure their best treatment.
For the past 25 years, I have provided counseling services to my clients in various settings, including residential treatment, the clinic setting, in-home setting, and the school system. While I enjoy working with all ages and stages of individuals, I have a passion for and a great deal of experience in working with children, adolescents, and their families. I am a person who is easy to get to know and get along with, and partner with my clients as a team to face and manage life’s difficulties and emotional and behavioral challenges. I also work with other entities involved in a client’s life to ensure their best treatment.
(605) 646-4502 View (605) 646-4502
Photo of Alexis Flagstad, Pre-Licensed Professional, MA, LPCC
Alexis Flagstad
Pre-Licensed Professional, MA, LPCC
2 Endorsed
Spearfish, SD 57783
Starting therapy can feel intimidating and I aim to make that first step feel more comfortable. I meet clients where they are and adapt my approach to what they need as individuals. I truly enjoy watching clients grow in resilience and confidence, and its incredibly meaningful to see them begin to fully embrace themselves. I enjoy working with clients who are exploring the "why" behind their patterns and want to better understand themselves. I am especially passionate about the lived experience of neurodivergence, as well as supporting those who struggle with suicidal ideation, an experience that is more common than many realize.
Starting therapy can feel intimidating and I aim to make that first step feel more comfortable. I meet clients where they are and adapt my approach to what they need as individuals. I truly enjoy watching clients grow in resilience and confidence, and its incredibly meaningful to see them begin to fully embrace themselves. I enjoy working with clients who are exploring the "why" behind their patterns and want to better understand themselves. I am especially passionate about the lived experience of neurodivergence, as well as supporting those who struggle with suicidal ideation, an experience that is more common than many realize.
(605) 550-8380 View (605) 550-8380
Photo of Rachel Pettersen, Licensed Professional Counselor, LPC-MH, QMHP, LPC
Rachel Pettersen
Licensed Professional Counselor, LPC-MH, QMHP, LPC
1 Endorsed
Spearfish, SD 57783
There are no shortages of changes or challenges that come along with the human experience. Self-doubt, depression, anxiety, and grief are just some of the struggles that might show up from time to time as we move through our days. Other times, life just gets a little out of focus and off balance, leaving us feeling lost and unsure about where we're at and where we're headed. As your therapist, I can help you find your way back to a path that takes your out of survival mode and instead has you thriving, meeting your goals, and feeling excited about your future again.
There are no shortages of changes or challenges that come along with the human experience. Self-doubt, depression, anxiety, and grief are just some of the struggles that might show up from time to time as we move through our days. Other times, life just gets a little out of focus and off balance, leaving us feeling lost and unsure about where we're at and where we're headed. As your therapist, I can help you find your way back to a path that takes your out of survival mode and instead has you thriving, meeting your goals, and feeling excited about your future again.
(605) 316-5421 View (605) 316-5421
Photo of Tristan Schneck, Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
Tristan Schneck
Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
Spearfish, SD 57783
Are you feeling stuck in patterns that no longer serve you? Do you struggle with people pleasing and unhealthy relationships, or feel like you have trouble finding your voice? Together, we;ll work to untangle those patterns and reconnect with your sense of self, so you can build a life that feels peaceful, aligned, and true to who you are. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
Are you feeling stuck in patterns that no longer serve you? Do you struggle with people pleasing and unhealthy relationships, or feel like you have trouble finding your voice? Together, we;ll work to untangle those patterns and reconnect with your sense of self, so you can build a life that feels peaceful, aligned, and true to who you are. At Ensō Mental Health, we offer compassionate and competent mental health care in an environment that is just as healthy for our staff as it is for you, our client! We practice what we teach, and we want to teach you to live your best life.
(605) 467-2648 View (605) 467-2648
Photo of Austin Nachtigall - Austin Nachtigall - Yellow Brick Road Counseling, Pre-Licensed Professional, MS, NCC
Austin Nachtigall - Yellow Brick Road Counseling
Pre-Licensed Professional, MS, NCC
1 Endorsed
Serves Area
Welcome to a space where your journey to understanding and improving your mental well-being takes the next step. I’m Austin, a dedicated mental health professional committed to assisting individuals in living up to their fullest potential. I specialize in helping individuals navigate stress, cultivate resilience, and achieve personal growth. Whether you’re grappling with anxiety, a major life challenge, relationship issues, or self-esteem concerns, my approach is rooted in empathy, respect, and collaboration.
Welcome to a space where your journey to understanding and improving your mental well-being takes the next step. I’m Austin, a dedicated mental health professional committed to assisting individuals in living up to their fullest potential. I specialize in helping individuals navigate stress, cultivate resilience, and achieve personal growth. Whether you’re grappling with anxiety, a major life challenge, relationship issues, or self-esteem concerns, my approach is rooted in empathy, respect, and collaboration.
(605) 627-8721 View (605) 627-8721
Photo of Joshua Charles Harris, Clinical Social Work/Therapist, LCSW, PIP
Joshua Charles Harris
Clinical Social Work/Therapist, LCSW, PIP
1 Endorsed
Serves Area
Are you tired of feeling helpless? I believe everyone is doing the best they can! I help people find their inner strength by focusing on a person's whole experience in order to move past coping and into healing. This allows a person to understand their experiences, take control and plan for a better tomorrow.
Are you tired of feeling helpless? I believe everyone is doing the best they can! I help people find their inner strength by focusing on a person's whole experience in order to move past coping and into healing. This allows a person to understand their experiences, take control and plan for a better tomorrow.
(605) 570-5695 View (605) 570-5695

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How does your Therapist compare?

Number of Therapists in 57717

10+

Average cost per session

$209

Therapists in 57717 who prioritize treating:

93% Anxiety
79% Depression
79% Grief
79% Trauma and PTSD
79% Stress
64% Self Esteem
64% Marriage Counseling

Average years in practice

13 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
64% Medicaid
64% Wellmark BCBS

How Therapists in 57717 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 57717?

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.