Therapists in Ankeny, IA

Photo of Ryan McClure, Clinical Social Work/Therapist in Ankeny, IA
Ryan McClure
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Ankeny, IA 50021
Waitlist for new clients
I have been providing therapy support within the Des Moines area and surrounding communities for over 24 years. My primary areas of interest include helping individuals overcome challenges with depression, anxiety, social phobias, low self-esteem, anger issues and overall learning how to effectively manage challenging emotions that often present themselves. Typically, I serve clients older than 12 years and younger than 99. I love my profession and take pride in assisting and supporting clients that I see each week.
I have been providing therapy support within the Des Moines area and surrounding communities for over 24 years. My primary areas of interest include helping individuals overcome challenges with depression, anxiety, social phobias, low self-esteem, anger issues and overall learning how to effectively manage challenging emotions that often present themselves. Typically, I serve clients older than 12 years and younger than 99. I love my profession and take pride in assisting and supporting clients that I see each week.
(515) 368-8229 View (515) 368-8229
Photo of Erika Smith, Clinical Social Work/Therapist in Ankeny, IA
Erika Smith
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Ankeny, IA 50023
I am a clinical social worker providing therapy to children, adolescents and adults who are seeking a safe and welcoming environment. I believe therapy should be a collaborative approach to reaching goals and bettering your life. I value strong therapeutic relationships so that you may find it easier to trust and gain the skills you need. I want to help you strengthen your own self-awareness and see that therapy is a place for you to improve the steps you are taking to reach your goals.
I am a clinical social worker providing therapy to children, adolescents and adults who are seeking a safe and welcoming environment. I believe therapy should be a collaborative approach to reaching goals and bettering your life. I value strong therapeutic relationships so that you may find it easier to trust and gain the skills you need. I want to help you strengthen your own self-awareness and see that therapy is a place for you to improve the steps you are taking to reach your goals.
(515) 420-1707 View (515) 420-1707
Photo of Kendall Way, Counselor in Ankeny, IA
Kendall Way
Counselor, tLMHC
Verified Verified
1 Endorsed
Ankeny, IA 50023
Hello! During our life, we sometimes find ourselves in a season that is too heavy, overwhelming, or difficult and I know that seeking out therapy takes courage and vulnerability. I believe that we don’t need to navigate this time alone. In therapy, I will meet you where you are and believe that you are the expert of your life. I strive to create a safe, non-judgmental, and understanding environment to explore concerns, relationships, and life stressors. I see therapy as a collaborative process where we can work together to identify your strengths, address your concerns, and employ new thinking patterns.
Hello! During our life, we sometimes find ourselves in a season that is too heavy, overwhelming, or difficult and I know that seeking out therapy takes courage and vulnerability. I believe that we don’t need to navigate this time alone. In therapy, I will meet you where you are and believe that you are the expert of your life. I strive to create a safe, non-judgmental, and understanding environment to explore concerns, relationships, and life stressors. I see therapy as a collaborative process where we can work together to identify your strengths, address your concerns, and employ new thinking patterns.
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Photo of Carolyn Hollister, Clinical Social Work/Therapist in Ankeny, IA
Carolyn Hollister
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Ankeny, IA 50023
When we go through hard things in life it can have all kinds of effects on the way we feel about ourselves, our relationships and our life. Seeking therapy with a provider you can feel safe with and open up to can be one of the most beneficial and healing things we can do for ourselves. If you are struggling with emotions, thoughts or beliefs that you know are holding you back from living with a sense of well-being, I would like to help. I provide a holistic, compassionate, affirming space for you to explore and process your struggles so you can feel more peace and connection in your life.
When we go through hard things in life it can have all kinds of effects on the way we feel about ourselves, our relationships and our life. Seeking therapy with a provider you can feel safe with and open up to can be one of the most beneficial and healing things we can do for ourselves. If you are struggling with emotions, thoughts or beliefs that you know are holding you back from living with a sense of well-being, I would like to help. I provide a holistic, compassionate, affirming space for you to explore and process your struggles so you can feel more peace and connection in your life.
(515) 293-5702 View (515) 293-5702
Photo of Kathy Greer, Clinical Social Work/Therapist in Ankeny, IA
Kathy Greer
Clinical Social Work/Therapist, MSW, LISW, CSAT
Verified Verified
Ankeny, IA 50023
Not accepting new clients
Congratulations on taking the next step in your journey by seeking a therapist to assist you! I believe at the heart of us all is the need to be accepted as our authentic selves and to be validated and empathized with. As wounded children, we sometimes develop unhealthy coping skills to soothe uncomfortable feelings and unpleasant experiences. The tools that served us well as children turn into our autopilot as adults when we experience emotional dysregulation. My goal is to provide my clients with nonjudgmental, compassionate, empathetic support to aid in overcoming whatever stress, conflict, or trauma may be occurring in your life
Congratulations on taking the next step in your journey by seeking a therapist to assist you! I believe at the heart of us all is the need to be accepted as our authentic selves and to be validated and empathized with. As wounded children, we sometimes develop unhealthy coping skills to soothe uncomfortable feelings and unpleasant experiences. The tools that served us well as children turn into our autopilot as adults when we experience emotional dysregulation. My goal is to provide my clients with nonjudgmental, compassionate, empathetic support to aid in overcoming whatever stress, conflict, or trauma may be occurring in your life
(515) 519-9828 View (515) 519-9828
Photo of Molly Khang, Counselor in Ankeny, IA
Molly Khang
Counselor, LMHC
Verified Verified
Ankeny, IA 50023  (Online Only)
Molly has had several years of experience working with children, teens and families in school settings as a school counselor. She enjoys working with pre-teens through older adulthood addressing a variety of issues such as depression, anxiety, grief and loss, life transitions, self-identity, self-harm, cultural issues, relationship issues and stress.
Molly has had several years of experience working with children, teens and families in school settings as a school counselor. She enjoys working with pre-teens through older adulthood addressing a variety of issues such as depression, anxiety, grief and loss, life transitions, self-identity, self-harm, cultural issues, relationship issues and stress.
(515) 368-8765 View (515) 368-8765
BCCounseling
Clinical Social Work/Therapist, LISW
Verified Verified
Ankeny, IA 50023  (Online Only)
I work with individuals with ADHD, OCD, Trauma, anxiety and sexual concerns such as men's issues, porn addiction and polyamory. My treatment modalities focus on the individual and it's not a cookie cutter approach. I incorporate modalities like CBT, Mindfulness, Stages of Change, Trauma Informed Therapy and Solution Focus therapy, and use podcasts, YouTube, Instagram, TikTok videos, books and more as supplements as well. My patients are eager to improve their lives, but often stuck as to where to start or where to begin.
I work with individuals with ADHD, OCD, Trauma, anxiety and sexual concerns such as men's issues, porn addiction and polyamory. My treatment modalities focus on the individual and it's not a cookie cutter approach. I incorporate modalities like CBT, Mindfulness, Stages of Change, Trauma Informed Therapy and Solution Focus therapy, and use podcasts, YouTube, Instagram, TikTok videos, books and more as supplements as well. My patients are eager to improve their lives, but often stuck as to where to start or where to begin.
(515) 219-4974 View (515) 219-4974
Photo of Katie Smith, Clinical Social Work/Therapist in Ankeny, IA
Katie Smith
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ankeny, IA 50023
Recognizing that you need some help and support is the first step in making a change in your life. I am here to help you on your mental health journey. I am passionate about meeting my clients where they are at, providing them with tools that they can use to achieve their goals. I have experience working with teens and adults through individual, couple and family sessions. I help my clients by addressing a variety of concerns, with a focus on treating anxiety, depression, relationship issues, loss and grief. I strive to create a safe and supportive therapeutic environment that evokes growth and positive change without judgment.
Recognizing that you need some help and support is the first step in making a change in your life. I am here to help you on your mental health journey. I am passionate about meeting my clients where they are at, providing them with tools that they can use to achieve their goals. I have experience working with teens and adults through individual, couple and family sessions. I help my clients by addressing a variety of concerns, with a focus on treating anxiety, depression, relationship issues, loss and grief. I strive to create a safe and supportive therapeutic environment that evokes growth and positive change without judgment.
(515) 966-8964 x1 View (515) 966-8964 x1
Photo of Central Iowa Psychological Services in Ankeny, IA
Central Iowa Psychological Services
CADC, PsyD, LISW, PhD, ARNP
Verified Verified
1 Endorsed
Ankeny, IA 50023  (Online Only)
Central Iowa Psychological Services helps enable children, teens, adults, and families to live more fulfilling and productive lives, children to be more resilient, and families to be happier and healthier. We serve the greater Des Moines area through multiple community sites, collaborations with local partnerships, and telehealth services. Conveniently located in West Des Moines, Ames, and Ankeny, our caring staff welcomes clients in a safe and accepting environment.
Central Iowa Psychological Services helps enable children, teens, adults, and families to live more fulfilling and productive lives, children to be more resilient, and families to be happier and healthier. We serve the greater Des Moines area through multiple community sites, collaborations with local partnerships, and telehealth services. Conveniently located in West Des Moines, Ames, and Ankeny, our caring staff welcomes clients in a safe and accepting environment.
(515) 715-4895 View (515) 715-4895
Photo of Annie Nelson, Clinical Social Work/Therapist in Ankeny, IA
Annie Nelson
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
2 Endorsed
Ankeny, IA 50023
Waitlist for new clients
One of the most elemental parts of being human is the need to be listened to. Sharing our stories with others and doing the work of self-exploration requires a unique courage, and when we feel heard and understood, we are better able to understand our own needs and see our own resourcefulness more clearly. I view you as the expert on your own life and experiences. My top priorities as a therapist are understanding your perspective, learning how this perspective has shaped your life, and partnering with you in support of your goals.
One of the most elemental parts of being human is the need to be listened to. Sharing our stories with others and doing the work of self-exploration requires a unique courage, and when we feel heard and understood, we are better able to understand our own needs and see our own resourcefulness more clearly. I view you as the expert on your own life and experiences. My top priorities as a therapist are understanding your perspective, learning how this perspective has shaped your life, and partnering with you in support of your goals.
(515) 996-4370 View (515) 996-4370
Photo of Sarah Andrews, Marriage & Family Therapist in Ankeny, IA
Sarah Andrews
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Ankeny, IA 50023
I am accepting new (daytime) clients at this time. My goal is to help others learn how they can develop peace, both with themselves and with their circumstances. I believe in client-specific techniques that empower individuals to develop the tools necessary to achieve emotional, relational, spiritual, and physical health and well-being.
I am accepting new (daytime) clients at this time. My goal is to help others learn how they can develop peace, both with themselves and with their circumstances. I believe in client-specific techniques that empower individuals to develop the tools necessary to achieve emotional, relational, spiritual, and physical health and well-being.
(515) 585-6914 View (515) 585-6914
Photo of Jill R Sudak-Allison, Counselor in Ankeny, IA
Jill R Sudak-Allison
Counselor, PhD, LMHC, LMFT
Verified Verified
2 Endorsed
Ankeny, IA 50021
Hello, my name is Dr. Jill Sudak-Allison. I have been a licensed mental health counselor and marriage and family therapist for over 30 years. I have worked in outpatient medical clinics, private practice, and university settings. My therapeutic style is supportive, holistic and transparent. It is my goal to offer a safe, empathetic, caring, non-judgmental, and open environment for you to explore issues that cause you distress. My passion is to help you find your way back to being yourself, resolving your problems, experiencing peace of mind and joy in your life again.
Hello, my name is Dr. Jill Sudak-Allison. I have been a licensed mental health counselor and marriage and family therapist for over 30 years. I have worked in outpatient medical clinics, private practice, and university settings. My therapeutic style is supportive, holistic and transparent. It is my goal to offer a safe, empathetic, caring, non-judgmental, and open environment for you to explore issues that cause you distress. My passion is to help you find your way back to being yourself, resolving your problems, experiencing peace of mind and joy in your life again.
(515) 902-5611 View (515) 902-5611
Photo of Wild Blossom Counseling, LLC, Counselor in Ankeny, IA
Wild Blossom Counseling, LLC
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Ankeny, IA 50023  (Online Only)
My skill set is versatile, suitable for addressing a wide range of issues including trauma, grief/loss, relationship challenges, perfectionism, people-pleasing behavior, self-esteem struggles, depression, anxiety, and life transitions. This list is not exhaustive, and I invite you to reach out if you're unsure whether we'd be a good fit. Above all, I prioritize the therapeutic relationship and encourage you to connect if you seek the same. In therapy, I adopt a relaxed, client-centered, and adaptable approach tailored to your individual needs. Your well-being is paramount, and I'm here to support you through your journey.
My skill set is versatile, suitable for addressing a wide range of issues including trauma, grief/loss, relationship challenges, perfectionism, people-pleasing behavior, self-esteem struggles, depression, anxiety, and life transitions. This list is not exhaustive, and I invite you to reach out if you're unsure whether we'd be a good fit. Above all, I prioritize the therapeutic relationship and encourage you to connect if you seek the same. In therapy, I adopt a relaxed, client-centered, and adaptable approach tailored to your individual needs. Your well-being is paramount, and I'm here to support you through your journey.
(515) 305-2823 View (515) 305-2823
Photo of Alex Johnson, Counselor in Ankeny, IA
Alex Johnson
Counselor, MS, LMHC
Verified Verified
Ankeny, IA 50023
Whatever brings you to therapy, it is my goal to help you be grateful for the coping mechanisms that kept you safe and brought you here. I welcome all parts of you into my office to work towards healing and learning a new path forward. Healing is personal to each individual and I welcome you to start the experience together to move toward your goals. I work as a team with my partner, Winston (therapy dog), who loves helping clients towards their goals. Reach out to learn more about how he can help you with your goals!
Whatever brings you to therapy, it is my goal to help you be grateful for the coping mechanisms that kept you safe and brought you here. I welcome all parts of you into my office to work towards healing and learning a new path forward. Healing is personal to each individual and I welcome you to start the experience together to move toward your goals. I work as a team with my partner, Winston (therapy dog), who loves helping clients towards their goals. Reach out to learn more about how he can help you with your goals!
(515) 859-8435 View (515) 859-8435
Photo of Angie Appelgate, Clinical Social Work/Therapist in Ankeny, IA
Angie Appelgate
Clinical Social Work/Therapist, MSW, LISW, CDWF
Verified Verified
Ankeny, IA 50023
As a therapist and group facilitator, I work with adolescents, adults, couples, and families. I provide a caring and supportive relationship to clients to help them grow and change in positive ways. I enjoy working with families to create more productive and supportive family dynamics. I love working with clients to help empower them to process and heal from adverse and traumatic life experiences, change unhealthy thought patterns and behaviors, and explore and overcome shame messages that are keeping them from living a wholehearted life as well as foster hope and move towards more authentic living.
As a therapist and group facilitator, I work with adolescents, adults, couples, and families. I provide a caring and supportive relationship to clients to help them grow and change in positive ways. I enjoy working with families to create more productive and supportive family dynamics. I love working with clients to help empower them to process and heal from adverse and traumatic life experiences, change unhealthy thought patterns and behaviors, and explore and overcome shame messages that are keeping them from living a wholehearted life as well as foster hope and move towards more authentic living.
(515) 203-8592 View (515) 203-8592
Photo of Tiara S. Lewis, Clinical Social Work/Therapist in Ankeny, IA
Tiara S. Lewis
Clinical Social Work/Therapist, LMSW , IADC
Verified Verified
Ankeny, IA 50023  (Online Only)
Not accepting new clients
Are you struggling with anxiety or symptoms related to depression? Are you currently navigating difficult life transitions and having trouble balancing your life needs? I can help. Hi, my name is Tiara S. Lewis, and I am a social work therapist working with clients struggling to adjust to new and adverse life conditions. Work with me today to begin uncovering new ways to process and walk through life's valleys. Call today to begin your journey towards healing.
Are you struggling with anxiety or symptoms related to depression? Are you currently navigating difficult life transitions and having trouble balancing your life needs? I can help. Hi, my name is Tiara S. Lewis, and I am a social work therapist working with clients struggling to adjust to new and adverse life conditions. Work with me today to begin uncovering new ways to process and walk through life's valleys. Call today to begin your journey towards healing.
(515) 461-7961 View (515) 461-7961
Photo of Brittnay Miller, Counselor in Ankeny, IA
Brittnay Miller
Counselor, t-LMHC
Verified Verified
Ankeny, IA 50023
What do you want? Transformation of course! We go to therapy to ease the pain, stop the suffering, end the struggle. We want to arrive to a destination in our mind of wholeness, excitement and happiness. But, it won’t be you skipping and laughing down the hallway to get there. Therapy can be emotionally and physically exhausting. Accessing and processing DEEP stuff requires effort and lots of deep breaths. BUT, the emotional release, the sense of feeling lighter, seen and less alone is a life worth living for, no, fighting for! You deserve rest and relief.
What do you want? Transformation of course! We go to therapy to ease the pain, stop the suffering, end the struggle. We want to arrive to a destination in our mind of wholeness, excitement and happiness. But, it won’t be you skipping and laughing down the hallway to get there. Therapy can be emotionally and physically exhausting. Accessing and processing DEEP stuff requires effort and lots of deep breaths. BUT, the emotional release, the sense of feeling lighter, seen and less alone is a life worth living for, no, fighting for! You deserve rest and relief.
(515) 679-3723 View (515) 679-3723
Photo of Mark Wills, Clinical Social Work/Therapist in Ankeny, IA
Mark Wills
Clinical Social Work/Therapist, LMSW
Verified Verified
Ankeny, IA 50023
Working with others and navigating through life's challenges together has been a strong calling and a personal passion for me. I typically use a solution-focused and strength-based approach primarily working with teens, young adults, adults, and couples. Many of my clients face anxiety, depression, relationship issues, addiction, overcoming trauma, and a need for goal setting and coaching. I have spent years working in case management, non-profit agency work, school counseling, and athletics and have learned the importance of striving to connect, invest, advocate, and strategize with others to help them find hope and fulfillment.
Working with others and navigating through life's challenges together has been a strong calling and a personal passion for me. I typically use a solution-focused and strength-based approach primarily working with teens, young adults, adults, and couples. Many of my clients face anxiety, depression, relationship issues, addiction, overcoming trauma, and a need for goal setting and coaching. I have spent years working in case management, non-profit agency work, school counseling, and athletics and have learned the importance of striving to connect, invest, advocate, and strategize with others to help them find hope and fulfillment.
(515) 599-1127 View (515) 599-1127
Photo of Christine D Addison, Marriage & Family Therapist in Ankeny, IA
Christine D Addison
Marriage & Family Therapist, LMFT
Verified Verified
Ankeny, IA 50023
I am a licensed Marriage and Family Therapist. I have been a practicing therapist for 20 years. I work with adults, couples, and adolescents. I possess comprehensive expertise in many fields, namely; issues of depression and anxiety, trauma, and stress. Currently accepting clients.
I am a licensed Marriage and Family Therapist. I have been a practicing therapist for 20 years. I work with adults, couples, and adolescents. I possess comprehensive expertise in many fields, namely; issues of depression and anxiety, trauma, and stress. Currently accepting clients.
(515) 361-7949 View (515) 361-7949
Photo of Eliza Lower, Clinical Social Work/Therapist in Ankeny, IA
Eliza Lower
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
2 Endorsed
Ankeny, IA 50023
Sometimes life is really hard and having someone to talk to, can make all the difference. Hello! My name is Eliza and I look forward to supporting you in your therapy journey. With over 15 years of experience as a mental health therapist, I specialize in working with adolescents, teens and adults on challenges with everyday life stressors and changes, body image, anxiety, trauma and grief/loss as well as therapy for other mental health providers. I am trained in a variety of modalities including EMDR, TF-CBT and DBT.
Sometimes life is really hard and having someone to talk to, can make all the difference. Hello! My name is Eliza and I look forward to supporting you in your therapy journey. With over 15 years of experience as a mental health therapist, I specialize in working with adolescents, teens and adults on challenges with everyday life stressors and changes, body image, anxiety, trauma and grief/loss as well as therapy for other mental health providers. I am trained in a variety of modalities including EMDR, TF-CBT and DBT.
(515) 579-5933 View (515) 579-5933

How does your Therapist compare?

Number of Therapists in Ankeny, IA

100+

Average cost per session

$158

Therapists in Ankeny, IA who prioritize treating:

96% Anxiety
93% Depression
83% Trauma and PTSD
83% Self Esteem
80% Relationship Issues
78% Stress
73% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
78% Wellmark BCBS
48% Blue Cross

How Therapists in Ankeny, IA see their clients

86% In Person and Online
14% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ankeny?

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.