Therapists in Marion, IA

Photo of Tina G Patterson, Marriage & Family Therapist in Marion, IA
Tina G Patterson
Marriage & Family Therapist, LMFT
Verified Verified
Marion, IA 52302
If you are in need of assistance to meet the challenges of relationships, school, work, or other aspects of life, I am here to help you find the skills and abilities within you to lead a successful life. My goal is to assist you in discovering the best way to be the best you. I will hold the map on this journey, pointing out potential areas of interest while you are behind the wheel.
If you are in need of assistance to meet the challenges of relationships, school, work, or other aspects of life, I am here to help you find the skills and abilities within you to lead a successful life. My goal is to assist you in discovering the best way to be the best you. I will hold the map on this journey, pointing out potential areas of interest while you are behind the wheel.
(319) 696-6097 View (319) 696-6097
Photo of Jeff Brookens, Marriage & Family Therapist in Marion, IA
Jeff Brookens
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Marion, IA 52302
I believe that at any given moment we are all doing the best that we can with what we have within us. Everyone has found themselves in the midst of the struggle at some point, and that struggle may appear the same or differently each time. I enjoy working with a wide variety of concerns such as anxious/depressive symptoms, relationship conflict, trauma, and personality disorders. No one can force a change to happen so there is never a guarantee of services. However, if you are looking for someone to provide safety and support while challenging you to better understand yourself and your roles - this may be a good space for you.
I believe that at any given moment we are all doing the best that we can with what we have within us. Everyone has found themselves in the midst of the struggle at some point, and that struggle may appear the same or differently each time. I enjoy working with a wide variety of concerns such as anxious/depressive symptoms, relationship conflict, trauma, and personality disorders. No one can force a change to happen so there is never a guarantee of services. However, if you are looking for someone to provide safety and support while challenging you to better understand yourself and your roles - this may be a good space for you.
(319) 946-4032 View (319) 946-4032
Photo of Andrew Beer, Marriage & Family Therapist in Marion, IA
Andrew Beer
Marriage & Family Therapist, PhD, LMFT, RPT-S
Verified Verified
Marion, IA 52302
Not accepting new clients
Only Accepting New Group Clients Currently: My passion as a therapist is to help guide you or your loved ones toward desired growth and help manage hardships life throws your way. I have experience working with adoption, ADHD, anxiety, autism, attachment concerns, behavioral problems, college students, Conduct Disorder, depression, families, foster-care, low self-esteem, ODD, self-harm and suicidal ideation, social skills, and complex trauma. I enjoy working with these populations individually, in the family setting, and group therapy.
Only Accepting New Group Clients Currently: My passion as a therapist is to help guide you or your loved ones toward desired growth and help manage hardships life throws your way. I have experience working with adoption, ADHD, anxiety, autism, attachment concerns, behavioral problems, college students, Conduct Disorder, depression, families, foster-care, low self-esteem, ODD, self-harm and suicidal ideation, social skills, and complex trauma. I enjoy working with these populations individually, in the family setting, and group therapy.
(319) 408-8851 View (319) 408-8851
Photo of Ashley Paulson, Counselor in Marion, IA
Ashley Paulson
Counselor, LCMHC
Verified Verified
Marion, IA 52302
Hello! I am Ashley Paulson, a Licensed Mental Health Counselor in Iowa and Licensed Independent Mental Health Practitioner in Nebraska. I offer online therapy to children, teens, and adults. I focus on helping those struggling with stress, anxiety, self-worth, parenting, trauma, and behavioral issues in children. I generally help people let go of what's holding them back. I often work with people on managing and reducing stress or anxiety, processing trauma or past experiences, building self-worth/self-esteem, becoming the parent they want to be, and helping parents increase cooperation at home through connection.
Hello! I am Ashley Paulson, a Licensed Mental Health Counselor in Iowa and Licensed Independent Mental Health Practitioner in Nebraska. I offer online therapy to children, teens, and adults. I focus on helping those struggling with stress, anxiety, self-worth, parenting, trauma, and behavioral issues in children. I generally help people let go of what's holding them back. I often work with people on managing and reducing stress or anxiety, processing trauma or past experiences, building self-worth/self-esteem, becoming the parent they want to be, and helping parents increase cooperation at home through connection.
(319) 253-2103 View (319) 253-2103
Photo of Emily Johnson, Clinical Social Work/Therapist in Marion, IA
Emily Johnson
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Marion, IA 52302
Waitlist for new clients
I work primarily with children and teens; I use both play therapy and talk therapy techniques with clients as appropriate as we work together in therapy. I have a passion for experiential therapy. I believe the most important element of therapy is the therapist's unconditional positive regard for the client. A client's capacity for growth increases according to how much they believe others believe in them. As a therapist, I am sometimes the first person a child/teen will trust besides their parent(s) who says, "You are good. You are capable of growth and change. I believe in you."
I work primarily with children and teens; I use both play therapy and talk therapy techniques with clients as appropriate as we work together in therapy. I have a passion for experiential therapy. I believe the most important element of therapy is the therapist's unconditional positive regard for the client. A client's capacity for growth increases according to how much they believe others believe in them. As a therapist, I am sometimes the first person a child/teen will trust besides their parent(s) who says, "You are good. You are capable of growth and change. I believe in you."
(319) 462-7472 View (319) 462-7472
Photo of Abby Pearson, Marriage & Family Therapist in Marion, IA
Abby Pearson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Marion, IA 52302  (Online Only)
Struggling with your relationship, identity, anxiety, frustration, and/or just not feeling "you"? This can be so frustrating and debilitating! Through time together we can find "you" again. Want to not only find "you", but better "you"? Lets walk that journey together! I offer exclusively telehealth services in the evenings, which can be ideal for those individuals/couple who work during the day or before heading into your second/third shift job. (I work with people as late as midnight!)
Struggling with your relationship, identity, anxiety, frustration, and/or just not feeling "you"? This can be so frustrating and debilitating! Through time together we can find "you" again. Want to not only find "you", but better "you"? Lets walk that journey together! I offer exclusively telehealth services in the evenings, which can be ideal for those individuals/couple who work during the day or before heading into your second/third shift job. (I work with people as late as midnight!)
(319) 552-5830 View (319) 552-5830
Photo of Amber Bennett, Counselor in Marion, IA
Amber Bennett
Counselor, MS, LMHC, RPT-S
Verified Verified
2 Endorsed
Marion, IA 52302
Not accepting new clients
As a play therapist, I believe in using the power of play, which is a child's most natural form of communication, to connect with clients and help children resolve their challenges in a safe, nurturing environment. I am a Licensed Mental Health Counselor and Registered Play Therapist with nine years of therapy experience working with children, adolescents, and their families. I was awarded the 2018 Play Therapist of the Year by the Iowa Association for Play Therapy. I have received extensive training under the direct instruction of Dr. Terry Kottman, the creator of Adlerian Play Therapy.
As a play therapist, I believe in using the power of play, which is a child's most natural form of communication, to connect with clients and help children resolve their challenges in a safe, nurturing environment. I am a Licensed Mental Health Counselor and Registered Play Therapist with nine years of therapy experience working with children, adolescents, and their families. I was awarded the 2018 Play Therapist of the Year by the Iowa Association for Play Therapy. I have received extensive training under the direct instruction of Dr. Terry Kottman, the creator of Adlerian Play Therapy.
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Photo of Lynette Williams, Marriage & Family Therapist in Marion, IA
Lynette Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
Marion, IA 52302
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
(319) 777-2182 View (319) 777-2182
Photo of Kara Cirkl, Counselor in Marion, IA
Kara Cirkl
Counselor, LMHC
Verified Verified
2 Endorsed
Marion, IA 52302  (Online Only)
Thank you for taking the time to consider me as a possible counselor. I am a Licensed Mental Health Counselor with over 6 years of experience in the mental health profession. As a therapist, I employ a holistic, all inclusive, empathetic style to therapy. It is in my professional interest to provide the most effective therapy to my clients by integrating a use of therapy techniques to include Cognitive-Behavioral, Motivational Interviewing, Strength-based, Mindfulness, and incorporating empirically supported practices.
Thank you for taking the time to consider me as a possible counselor. I am a Licensed Mental Health Counselor with over 6 years of experience in the mental health profession. As a therapist, I employ a holistic, all inclusive, empathetic style to therapy. It is in my professional interest to provide the most effective therapy to my clients by integrating a use of therapy techniques to include Cognitive-Behavioral, Motivational Interviewing, Strength-based, Mindfulness, and incorporating empirically supported practices.
(319) 844-5991 x1 View (319) 844-5991 x1
Photo of Tonya Niehaus, Clinical Social Work/Therapist in Marion, IA
Tonya Niehaus
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Marion, IA 52302
My first responsibility is to create a safe and comforting space for people to share their stories. We are all faced with difficult and overwhelming challenges in life. Therapy is a place and time where a person who is facing overwhelming life challenges comes for non-judgmental and honest but empathetic care. My ever-evolving approach includes a variety of evidence-based therapeutic approaches, always starting with person-centered, strength-based, and including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, mindfulness, and trauma-focused therapies.
My first responsibility is to create a safe and comforting space for people to share their stories. We are all faced with difficult and overwhelming challenges in life. Therapy is a place and time where a person who is facing overwhelming life challenges comes for non-judgmental and honest but empathetic care. My ever-evolving approach includes a variety of evidence-based therapeutic approaches, always starting with person-centered, strength-based, and including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, mindfulness, and trauma-focused therapies.
(319) 729-8198 View (319) 729-8198
Photo of Megan C Crawford, Counselor in Marion, IA
Megan C Crawford
Counselor, MA, TLMHC
Verified Verified
Marion, IA 52302
Throughout her life, Megan has sought out therapy as she navigated challenging life circumstances. These included relationship struggles, divorce, single parenting, life transitions, a loved one struggling with addiction, and the loss of a close friend. She found therapy to be a safe space to explore feelings, fears, strengths, and to address thoughts that were blocking her growth. Though therapy she gained the courage to make positive decisions that supported her emotional well-being. Now, she wants to provide that same source of strength for you.
Throughout her life, Megan has sought out therapy as she navigated challenging life circumstances. These included relationship struggles, divorce, single parenting, life transitions, a loved one struggling with addiction, and the loss of a close friend. She found therapy to be a safe space to explore feelings, fears, strengths, and to address thoughts that were blocking her growth. Though therapy she gained the courage to make positive decisions that supported her emotional well-being. Now, she wants to provide that same source of strength for you.
(319) 988-2419 View (319) 988-2419
Photo of Sarah Roberts, Marriage & Family Therapist in Marion, IA
Sarah Roberts
Marriage & Family Therapist, MA, tLMFT
Verified Verified
4 Endorsed
Marion, IA 52302
My goal in therapy is to create that space through acceptance, connection, and compassion. Through a collaborative process I hope to help individuals find their voice, create balance through mindfulness, and work towards their goals. I understand that working towards change can be overwhelming and that embracing openness can allow for new experiences in life. I am willing to be there with you to find peace within and be present the way you want to in life, through creating new meaning.
My goal in therapy is to create that space through acceptance, connection, and compassion. Through a collaborative process I hope to help individuals find their voice, create balance through mindfulness, and work towards their goals. I understand that working towards change can be overwhelming and that embracing openness can allow for new experiences in life. I am willing to be there with you to find peace within and be present the way you want to in life, through creating new meaning.
(319) 463-3444 View (319) 463-3444
Photo of Shelby Dolley, Counselor in Marion, IA
Shelby Dolley
Counselor, MA, LMHC
Verified Verified
Marion, IA 52302
Waitlist for new clients
Taking the first step towards change, healing & growth can be difficult. I am a laid back therapist who loves seeing clients get to their best selves in a non-judgmental, unbiased space. I pride myself on being down to earth, positive, and relatable. You won't find a traditional atmosphere in my office, which I believe is one of my strengths. I provide individual therapy for clients aged 18 years and older. I am trained in EMDR, DBT, and CBT techniques and utilize strength-based and client-centered approaches.
Taking the first step towards change, healing & growth can be difficult. I am a laid back therapist who loves seeing clients get to their best selves in a non-judgmental, unbiased space. I pride myself on being down to earth, positive, and relatable. You won't find a traditional atmosphere in my office, which I believe is one of my strengths. I provide individual therapy for clients aged 18 years and older. I am trained in EMDR, DBT, and CBT techniques and utilize strength-based and client-centered approaches.
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Photo of Kristin Thom, Marriage & Family Therapist in Marion, IA
Kristin Thom
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Marion, IA 52302
Waitlist for new clients
I believe in creating a safe and trusting therapeutic setting where individuals, children and families are able to explore themselves and relationships. I work to instill home, encourage growth and listen to understand you unique experience. I enjoy working with a variety of concerns; such as anxiety, depression, relational conflict, and trauma to name a few. There is never a guarantee with any service, but if you are looking for someone who can provide a safe, supportive listening ear while simultaneously challenging you to meet your goals. We could be a great fit!
I believe in creating a safe and trusting therapeutic setting where individuals, children and families are able to explore themselves and relationships. I work to instill home, encourage growth and listen to understand you unique experience. I enjoy working with a variety of concerns; such as anxiety, depression, relational conflict, and trauma to name a few. There is never a guarantee with any service, but if you are looking for someone who can provide a safe, supportive listening ear while simultaneously challenging you to meet your goals. We could be a great fit!
(319) 469-8906 View (319) 469-8906
Photo of Abigail Williams, Clinical Social Work/Therapist in Marion, IA
Abigail Williams
Clinical Social Work/Therapist
Verified Verified
Marion, IA 52302
Have you noticed persistent feelings of sadness or emptiness that seem difficult to shake off? Are you finding it difficult to navigate changes such as the journey to parenthood? Are you struggling with body image and feeling like you are not good enough? Whether It's your first ever therapy appointment or you are deciding to re-establish in therapy after some time, congratulations on taking the courageous step towards prioritizing your mental health. Step into a safe space that is dedicated to providing compassionate support to navigating life's twists and turns.
Have you noticed persistent feelings of sadness or emptiness that seem difficult to shake off? Are you finding it difficult to navigate changes such as the journey to parenthood? Are you struggling with body image and feeling like you are not good enough? Whether It's your first ever therapy appointment or you are deciding to re-establish in therapy after some time, congratulations on taking the courageous step towards prioritizing your mental health. Step into a safe space that is dedicated to providing compassionate support to navigating life's twists and turns.
(319) 658-5021 View (319) 658-5021
Photo of Jennifer James, Counselor in Marion, IA
Jennifer James
Counselor, MA, ATR, LMHC, NCC
Verified Verified
Marion, IA 52302
Waitlist for new clients
Sometimes the things we experience don’t come with words to express them. I use an integrative trauma-informed body-aware approach to help clients listen to the stories that their bodies, emotions, and experiences are trying to tell them. I provide a compassionate, supportive atmosphere to allow your inner experiences to be witnessed and processed in a welcoming and non-judgmental space. I often incorporate grounding exercises, mindfulness, coping skills, and integration of both EMDR and art therapy when working with individuals to connect deeply within themselves to provide safety and empower them to transform their lives.
Sometimes the things we experience don’t come with words to express them. I use an integrative trauma-informed body-aware approach to help clients listen to the stories that their bodies, emotions, and experiences are trying to tell them. I provide a compassionate, supportive atmosphere to allow your inner experiences to be witnessed and processed in a welcoming and non-judgmental space. I often incorporate grounding exercises, mindfulness, coping skills, and integration of both EMDR and art therapy when working with individuals to connect deeply within themselves to provide safety and empower them to transform their lives.
(319) 214-0279 View (319) 214-0279
Photo of Rachel Brookens, Marriage & Family Therapist in Marion, IA
Rachel Brookens
Marriage & Family Therapist, MA, tLMFT
Verified Verified
5 Endorsed
Marion, IA 52302
You are the meaning maker, the ever persistent expert of your life and experiences. Your unique humanity will be given space here. If you are curious to explore the profound power of choice, the expansive space between a naturally programmed reaction and your authentic chosen response, and in deepening an authentic connection to yourself and others, this may be the space for you. I seek to honor your autonomy and provide a space where creative expression, curiosity, and ingenuity might collide to present you with new avenues to explore. Let’s release expectations, and bravely explore the possibilities of your authenticity together.
You are the meaning maker, the ever persistent expert of your life and experiences. Your unique humanity will be given space here. If you are curious to explore the profound power of choice, the expansive space between a naturally programmed reaction and your authentic chosen response, and in deepening an authentic connection to yourself and others, this may be the space for you. I seek to honor your autonomy and provide a space where creative expression, curiosity, and ingenuity might collide to present you with new avenues to explore. Let’s release expectations, and bravely explore the possibilities of your authenticity together.
(319) 332-5295 View (319) 332-5295
Photo of Full Heart Family Therapy, Marriage & Family Therapist in Marion, IA
Full Heart Family Therapy
Marriage & Family Therapist, PhD, LMFT, CSAT
Verified Verified
3 Endorsed
Marion, IA 52302
At Full Heart Family Therapy, we work with individuals, couples, and families on a variety of mental, emotional, and relational issues. Your therapist will strive to understand your story and your vision for your future, so we can help you overcome obstacles and create the life that you hope for. Our goal is to help you create a full life and a full heart!
At Full Heart Family Therapy, we work with individuals, couples, and families on a variety of mental, emotional, and relational issues. Your therapist will strive to understand your story and your vision for your future, so we can help you overcome obstacles and create the life that you hope for. Our goal is to help you create a full life and a full heart!
(515) 414-7966 View (515) 414-7966
Photo of Sara Fenoy, Mental Health Counselor in Marion, IA
Sara Fenoy
Mental Health Counselor, LMHC, MS, MA
Verified Verified
8 Endorsed
Marion, IA 52302  (Online Only)
The side of you people see is polished and put together, but you don't always feel that way on the inside. Sometimes you worry about things you shouldn't worry about and this anxiety can take over making it hard to cope. We can work together to help you recognize your strengths in a world where you are constantly confronted with negativity. I provide a safe and comfortable space to explore these issues and help you to resolve your inner struggles. Online therapy can help you regain your confidence, develop new coping skills, and improve your life…all without sacrificing your busy schedule or privacy.
The side of you people see is polished and put together, but you don't always feel that way on the inside. Sometimes you worry about things you shouldn't worry about and this anxiety can take over making it hard to cope. We can work together to help you recognize your strengths in a world where you are constantly confronted with negativity. I provide a safe and comfortable space to explore these issues and help you to resolve your inner struggles. Online therapy can help you regain your confidence, develop new coping skills, and improve your life…all without sacrificing your busy schedule or privacy.
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Photo of Pamela Severson, Counselor in Marion, IA
Pamela Severson
Counselor, MA, LMHC
Verified Verified
Marion, IA 52302
Overwhelmed, it's hard to breathe, tears well in your eyes, and you are fatigued with worry. Maybe the flood of emotions started recently or years ago. Perhaps someone hurt you, you saw something terrible happen, or you always felt down, scared and alone. You want nothing more then to feel confident again to move forward; free from hurt. My focus is on helping others resolve what is most troubling for them.
Overwhelmed, it's hard to breathe, tears well in your eyes, and you are fatigued with worry. Maybe the flood of emotions started recently or years ago. Perhaps someone hurt you, you saw something terrible happen, or you always felt down, scared and alone. You want nothing more then to feel confident again to move forward; free from hurt. My focus is on helping others resolve what is most troubling for them.
(319) 774-7277 View (319) 774-7277

See more therapy options for Marion

How does your Therapist compare?

Number of Therapists in Marion, IA

80+

Average cost per session

$160

Therapists in Marion, IA who prioritize treating:

95% Anxiety
91% Depression
83% Trauma and PTSD
81% Self Esteem
79% Stress
78% Relationship Issues
74% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
78% Wellmark BCBS
50% Midlands Choice

How Therapists in Marion, IA see their clients

94% In Person and Online
6% Online Only

Gender breakdown

84% Female
14% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Marion?

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.