Therapists in West Des Moines, IA

Photo of Rachael Kunzler, Pre-Licensed Professional in West Des Moines, IA
Rachael Kunzler
Pre-Licensed Professional, LMSW, MA
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Are you suffering from anxiety, depression, trauma or stress? Are you grieving the loss of a loved one? Have you recently experienced a significant life change or loss? Do you need a boost to your self-esteem? Are you getting in your own way, trying hard and getting nowhere? Have you had a recent heartbreak and want to work on your self-esteem and effective dating skills? Or are you considering participating in open relationships? Are you ready to make some effective changes and move on with your life? Are you interested in mindfulness-based therapy to strengthen your inner self? If so, you do not have to go it alone.
Are you suffering from anxiety, depression, trauma or stress? Are you grieving the loss of a loved one? Have you recently experienced a significant life change or loss? Do you need a boost to your self-esteem? Are you getting in your own way, trying hard and getting nowhere? Have you had a recent heartbreak and want to work on your self-esteem and effective dating skills? Or are you considering participating in open relationships? Are you ready to make some effective changes and move on with your life? Are you interested in mindfulness-based therapy to strengthen your inner self? If so, you do not have to go it alone.
(515) 834-4138 View (515) 834-4138
Photo of The Anxiety and OCD Center of Iowa, Clinical Social Work/Therapist in West Des Moines, IA
The Anxiety and OCD Center of Iowa
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Have you ever had the thought "Maybe I have a problem with anxiety?" One of the worst things about anxiety (aside from the feeling) is the avoidance it creates in a person's life. From mildly interfering with enjoyment to outright avoiding things altogether, anxiety can be paralyzing. Whether it's related to social situations, more generalized, panic attacks, phobia, agoraphobia, or related disorders such as OCD. These are my first and foremost areas of expertise. One of the most rewarding aspects of my job is seeing and comparing the progress a person makes along the way.
Have you ever had the thought "Maybe I have a problem with anxiety?" One of the worst things about anxiety (aside from the feeling) is the avoidance it creates in a person's life. From mildly interfering with enjoyment to outright avoiding things altogether, anxiety can be paralyzing. Whether it's related to social situations, more generalized, panic attacks, phobia, agoraphobia, or related disorders such as OCD. These are my first and foremost areas of expertise. One of the most rewarding aspects of my job is seeing and comparing the progress a person makes along the way.
(515) 512-5167 View (515) 512-5167
Photo of Ross Stuart Moffat, Counselor in West Des Moines, IA
Ross Stuart Moffat
Counselor, tLMHC
Verified Verified
3 Endorsed
West Des Moines, IA 50266
Hello, I'm Ross Moffat, and I believe in the inherent right of everyone to live a fulfilling life. As a licensed mental health therapist, I am currently welcoming new clients and accept insurance from all major providers. Originally from Scotland, I am a former professional athlete, a long-time coach, and a dedicated father of four children. Within my practice, I am committed to establishing a safe and non-judgmental space where you can freely explore your emotions and foster a stronger, more resilient self.
Hello, I'm Ross Moffat, and I believe in the inherent right of everyone to live a fulfilling life. As a licensed mental health therapist, I am currently welcoming new clients and accept insurance from all major providers. Originally from Scotland, I am a former professional athlete, a long-time coach, and a dedicated father of four children. Within my practice, I am committed to establishing a safe and non-judgmental space where you can freely explore your emotions and foster a stronger, more resilient self.
(515) 827-2584 View (515) 827-2584
Photo of Christopher D Harsh, Counselor in West Des Moines, IA
Christopher D Harsh
Counselor, T-LMHC
Verified Verified
West Des Moines, IA 50266
I love meeting with all types of people in different spaces of life. Specifically, I have have a passion for people going through through grief/loss, depression, anxiety of any type, and traumatic events or childhoods. I would love to help assist you on your healing journey. Part of this passion has come through experience as these are topics I have been close to in my start as a therapist.
I love meeting with all types of people in different spaces of life. Specifically, I have have a passion for people going through through grief/loss, depression, anxiety of any type, and traumatic events or childhoods. I would love to help assist you on your healing journey. Part of this passion has come through experience as these are topics I have been close to in my start as a therapist.
(515) 827-0890 View (515) 827-0890
Photo of Kathryn E. Wierda, Psychologist in West Des Moines, IA
Kathryn E. Wierda
Psychologist, PhD
Verified Verified
West Des Moines, IA 50266
I place a large emphasis on understanding an individual's relationships and view the therapy relationship as the primary vehicle for change. I believe that through the therapy relationship individuals can work through difficult emotions, learn adaptive information/skills, and increase self-knowledge in order to achieve positive change in their life.
I place a large emphasis on understanding an individual's relationships and view the therapy relationship as the primary vehicle for change. I believe that through the therapy relationship individuals can work through difficult emotions, learn adaptive information/skills, and increase self-knowledge in order to achieve positive change in their life.
(515) 373-4311 View (515) 373-4311
Photo of Travis David Wentworth, Pre-Licensed Professional in West Des Moines, IA
Travis David Wentworth
Pre-Licensed Professional, LMSW, MACM
Verified Verified
1 Endorsed
West Des Moines, IA 50266
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
(515) 585-8469 View (515) 585-8469
Photo of Marcy Perlowski, Clinical Social Work/Therapist in West Des Moines, IA
Marcy Perlowski
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50265
I specialize in working with clients who struggle with anxiety, depression, and suicidal ideation. I approach each case from a systems perspective - taking into consideration the individual, family, and societal dynamics that contribute to the presenting issues. I especially enjoy supporting clients with trauma backgrounds to help them gain better understanding of their experiences, triggers, and ways to work through their emotional and/or physiological response.
I specialize in working with clients who struggle with anxiety, depression, and suicidal ideation. I approach each case from a systems perspective - taking into consideration the individual, family, and societal dynamics that contribute to the presenting issues. I especially enjoy supporting clients with trauma backgrounds to help them gain better understanding of their experiences, triggers, and ways to work through their emotional and/or physiological response.
(515) 375-0047 View (515) 375-0047
Photo of Ali Dotson, Clinical Social Work/Therapist in West Des Moines, IA
Ali Dotson
Clinical Social Work/Therapist, MA, LMHC
Verified Verified
West Des Moines, IA 50266  (Online Only)
I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
(515) 203-2872 View (515) 203-2872
Photo of Denise Kelley Edwards, Clinical Social Work/Therapist in West Des Moines, IA
Denise Kelley Edwards
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50266  (Online Only)
The relationship between therapist and client is central to a positive therapeutic experience, therefore, it is important to find a therapist you feel comfortable with. My role as therapist is to help each client improve the quality of their lives as they learn to navigate difficult issues and situations or learn to manage a mental illness. In addition, each client and each issue presented require an individualized approach. To achieve appropriate treatment plans I use a variety of treatment modalities including CBT, DBT, psychoeducation and psychotherapy. I work mainly with women. I work with adult women in all stages of life.
The relationship between therapist and client is central to a positive therapeutic experience, therefore, it is important to find a therapist you feel comfortable with. My role as therapist is to help each client improve the quality of their lives as they learn to navigate difficult issues and situations or learn to manage a mental illness. In addition, each client and each issue presented require an individualized approach. To achieve appropriate treatment plans I use a variety of treatment modalities including CBT, DBT, psychoeducation and psychotherapy. I work mainly with women. I work with adult women in all stages of life.
(515) 329-7951 View (515) 329-7951
Photo of Anna Zuidema, Counselor in West Des Moines, IA
Anna Zuidema
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
The decision to come to therapy is personal and takes both vulnerability and courage. As we work to create a life of meaning and purpose, we face anxiety, uncertainty, and other life stressors along our way. Therapy can be a turning point to help redirect you down a path of your choosing and help you gain a sense of control over your life and emotional well being. As a therapist I work to provide a safe, supportive, and judgment free space for client’s to begin their journey to healing and self-exploration. Specialties include mood disorders, trauma, and chronic pain.
The decision to come to therapy is personal and takes both vulnerability and courage. As we work to create a life of meaning and purpose, we face anxiety, uncertainty, and other life stressors along our way. Therapy can be a turning point to help redirect you down a path of your choosing and help you gain a sense of control over your life and emotional well being. As a therapist I work to provide a safe, supportive, and judgment free space for client’s to begin their journey to healing and self-exploration. Specialties include mood disorders, trauma, and chronic pain.
(515) 220-2855 View (515) 220-2855
Photo of Jenna Schlawin, Counselor in West Des Moines, IA
Jenna Schlawin
Counselor, tLMHC
Verified Verified
West Des Moines, IA 50266
My goal is to assist clients with understanding their mental health concerns and gain insight on understanding how to cope with their experiences. I enjoy helping clients work on the best version of themselves and assist with addressing how their issues impact their view of the world.
My goal is to assist clients with understanding their mental health concerns and gain insight on understanding how to cope with their experiences. I enjoy helping clients work on the best version of themselves and assist with addressing how their issues impact their view of the world.
(515) 316-2501 View (515) 316-2501
Photo of Relationship & Intimacy Center, Marriage & Family Therapist in West Des Moines, IA
Relationship & Intimacy Center
Marriage & Family Therapist
Verified Verified
West Des Moines, IA 50266
We are starting to also see kids and teens for $40/session. Scheduling is available online through our website. Do you feel sad and worried? Are you seeking personal growth or facing a personal crisis? Are you feeling stuck with the pandemic? Or maybe trying to overcome past experiences? Maybe you are dealing with issues related to your relationships, or going through intimacy issues? Or trying to better understand the online dating scene? Or would you prefer to participate in online group therapy or workshops to learn practical life strategies to deal with common problems?
We are starting to also see kids and teens for $40/session. Scheduling is available online through our website. Do you feel sad and worried? Are you seeking personal growth or facing a personal crisis? Are you feeling stuck with the pandemic? Or maybe trying to overcome past experiences? Maybe you are dealing with issues related to your relationships, or going through intimacy issues? Or trying to better understand the online dating scene? Or would you prefer to participate in online group therapy or workshops to learn practical life strategies to deal with common problems?
(515) 297-7051 View (515) 297-7051
Photo of Lars Peterson, LISW, LLC, Clinical Social Work/Therapist in West Des Moines, IA
Lars Peterson, LISW, LLC
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50265
Not accepting new clients
Have you been struggling with anxiety that gets in the way of the life you want to live? Is past trauma sabotaging your life? Are relationship issues or work stressors just “too much” right now? Has the communication broken down in your relationship and you don't know how to fix it? Therapy that is based on your goals and needs can help you learn important skills and heal the past. This can include managing and reducing anxiety, living more fully in the present, gaining clarity, healing past trauma, addressing work or relationship issues, and helping you gain tools to manage your emotions.
Have you been struggling with anxiety that gets in the way of the life you want to live? Is past trauma sabotaging your life? Are relationship issues or work stressors just “too much” right now? Has the communication broken down in your relationship and you don't know how to fix it? Therapy that is based on your goals and needs can help you learn important skills and heal the past. This can include managing and reducing anxiety, living more fully in the present, gaining clarity, healing past trauma, addressing work or relationship issues, and helping you gain tools to manage your emotions.
(515) 512-5009 View (515) 512-5009
Photo of Ashley Stavig, Counselor in West Des Moines, IA
Ashley Stavig
Counselor, MA, LMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Not currently taking new referrals - Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
Not currently taking new referrals - Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
(515) 303-2137 View (515) 303-2137
Photo of Des Moines Therapy and Consulting, PC, Counselor in West Des Moines, IA
Des Moines Therapy and Consulting, PC
Counselor, PhD
Verified Verified
West Des Moines, IA 50266
Ames | Des Moines Therapy clinical team provides therapy approaches and techniques which are evidence-based. Dr. Amy Mooney, PhD, LMHC, NCC, ACS, 22 yrs experience, founder and owner. Dr. Terry Augspurger, MD, DLFAPA has over 40 yrs experience in psychiatry. Dr. Richard Stapleton, EdD, NCC, LMHC (IA), LPCC (MN), ACS, BC-TMH, CCTP, Dr. Charles D. Mooney, MD, MPH, Dr. Beth Augspurger, PhD, tLMHC, Brooke Sanders MS, TLMHC, Kelsi York, MS, tLMHC, Grace Macmillan, MSW, LISW
Ames | Des Moines Therapy clinical team provides therapy approaches and techniques which are evidence-based. Dr. Amy Mooney, PhD, LMHC, NCC, ACS, 22 yrs experience, founder and owner. Dr. Terry Augspurger, MD, DLFAPA has over 40 yrs experience in psychiatry. Dr. Richard Stapleton, EdD, NCC, LMHC (IA), LPCC (MN), ACS, BC-TMH, CCTP, Dr. Charles D. Mooney, MD, MPH, Dr. Beth Augspurger, PhD, tLMHC, Brooke Sanders MS, TLMHC, Kelsi York, MS, tLMHC, Grace Macmillan, MSW, LISW
(515) 519-3645 View (515) 519-3645
Photo of Linda M Miller, Marriage & Family Therapist in West Des Moines, IA
Linda M Miller
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I usually can get new clients in within 1-2 weeks and have evening appointments available. I see individual adults, couples and families. I have been doing therapy since 1998 and am passionate about helping those I serve resolve conflict. Sometimes new clients tell me they don't really know how therapy works which is ok as I can guide you through the process. I specialize in helping those with depression, anxiety, family conflict, blended families, contemplating divorce and recovering from divorce, couples issues, conflicted relational concerns, career changes, anger management, trauma, sexual abuse, and stress.
I usually can get new clients in within 1-2 weeks and have evening appointments available. I see individual adults, couples and families. I have been doing therapy since 1998 and am passionate about helping those I serve resolve conflict. Sometimes new clients tell me they don't really know how therapy works which is ok as I can guide you through the process. I specialize in helping those with depression, anxiety, family conflict, blended families, contemplating divorce and recovering from divorce, couples issues, conflicted relational concerns, career changes, anger management, trauma, sexual abuse, and stress.
(515) 420-1283 View (515) 420-1283
Photo of Susan C Helkenn, Clinical Social Work/Therapist in West Des Moines, IA
Susan C Helkenn
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50265
Every person has the ability to live a happier, more productive life--you just need the right tools! At Innovative Learning Professionals, I use proven, traditional and non-traditional approaches to improve functioning and lives. In a casual, non-judgmental setting, I meet with school-age children, teens, and adults of all ages. Whatever your struggle-- anxiety or worry, school or work, depression or low mood, relationships or loneliness, parenting or parents--- we can find ways to improve mood, behavior, thinking, and your life. Please feel free to email or call to talk about scheduling.
Every person has the ability to live a happier, more productive life--you just need the right tools! At Innovative Learning Professionals, I use proven, traditional and non-traditional approaches to improve functioning and lives. In a casual, non-judgmental setting, I meet with school-age children, teens, and adults of all ages. Whatever your struggle-- anxiety or worry, school or work, depression or low mood, relationships or loneliness, parenting or parents--- we can find ways to improve mood, behavior, thinking, and your life. Please feel free to email or call to talk about scheduling.
(515) 303-1887 x4 View (515) 303-1887 x4
Photo of Amy J. Ugulini Pals, Counselor in West Des Moines, IA
Amy J. Ugulini Pals
Counselor, LMHC
Verified Verified
West Des Moines, IA 50266
Not accepting new clients
Do you or your child have many strengths, but have symptoms of depression, anxiety, anger, or trauma that are keeping you or your child from reaching your full potential? Does your child struggle with challenging behaviors that negatively impact his or her life? Therapy can help you overcome these symptoms and meet your goals! I am a Licensed Mental Health Counselor with experience providing therapy to children, adolescents, young adults, families, and adults. I look forward to helping you regain the strength and confidence in yourself and your ability to manage and conquer struggles you may be facing.
Do you or your child have many strengths, but have symptoms of depression, anxiety, anger, or trauma that are keeping you or your child from reaching your full potential? Does your child struggle with challenging behaviors that negatively impact his or her life? Therapy can help you overcome these symptoms and meet your goals! I am a Licensed Mental Health Counselor with experience providing therapy to children, adolescents, young adults, families, and adults. I look forward to helping you regain the strength and confidence in yourself and your ability to manage and conquer struggles you may be facing.
(515) 393-4137 View (515) 393-4137
Photo of Melissa Cribari, Counselor in West Des Moines, IA
Melissa Cribari
Counselor, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I have a passion for helping individuals improve their emotional well-being and enhance their overall quality of life. I believe in creating a non-judgmental and supportive space for my clients to explore their thoughts, feelings, and experiences. I strive to foster a strong therapeutic alliance by building trust, empathy, and mutual respect with each individual I work with.
I have a passion for helping individuals improve their emotional well-being and enhance their overall quality of life. I believe in creating a non-judgmental and supportive space for my clients to explore their thoughts, feelings, and experiences. I strive to foster a strong therapeutic alliance by building trust, empathy, and mutual respect with each individual I work with.
(515) 516-3121 View (515) 516-3121
Photo of Bridgette Hagarty, Psychologist in West Des Moines, IA
Bridgette Hagarty
Psychologist, PsyD
Verified Verified
West Des Moines, IA 50265
Not accepting new clients
I believe success in therapy is based on a trusting and respectful therapeutic relationship. I provide individual, couple and family therapy to adolescents and adults in West Des Moines, IA. As a clinical psychologist, I draw from treatments that are supported by research and tailor the treatments to meet the specific needs of each individual.
I believe success in therapy is based on a trusting and respectful therapeutic relationship. I provide individual, couple and family therapy to adolescents and adults in West Des Moines, IA. As a clinical psychologist, I draw from treatments that are supported by research and tailor the treatments to meet the specific needs of each individual.
(515) 512-4111 View (515) 512-4111

See more therapy options for West Des Moines

How does your Therapist compare?

Number of Therapists in West Des Moines, IA

300+

Average cost per session

$155

Therapists in West Des Moines, IA who prioritize treating:

96% Anxiety
90% Depression
79% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
74% Stress
71% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
84% Wellmark BCBS
49% UnitedHealthcare UHC | UBH

How Therapists in West Des Moines, IA see their clients

88% In Person and Online
12% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Des Moines?

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.