Therapists in Des Moines, IA

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Photo of Lauren Martin, Marriage & Family Therapist in Des Moines, IA
Lauren Martin
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Des Moines, IA 50309
Not accepting new clients
I believe people heal through healthy connections and relationships, whether these relationships be parent-child, family systems, romantic connection, supportive friendship or a healthy relationship with yourself. As a clinician, developing a trusting, supportive relationship with my clients is vital to provide a comfortable, non-judgmental, and compassionate space to work through life's challenges. I am experienced with individuals, couples, and families experiencing complex trauma and mental health difficulties. I enjoy working with clients ages 3 through the lifespan emphasizing work with children, teens, and young adults.
I believe people heal through healthy connections and relationships, whether these relationships be parent-child, family systems, romantic connection, supportive friendship or a healthy relationship with yourself. As a clinician, developing a trusting, supportive relationship with my clients is vital to provide a comfortable, non-judgmental, and compassionate space to work through life's challenges. I am experienced with individuals, couples, and families experiencing complex trauma and mental health difficulties. I enjoy working with clients ages 3 through the lifespan emphasizing work with children, teens, and young adults.
(515) 375-7437 View (515) 375-7437
Photo of Madelyn Colby, Clinical Social Work/Therapist in Des Moines, IA
Madelyn Colby
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Des Moines, IA 50309
My mission in counseling is to create a healing environment for individuals that encourages growth and empowerment through different forms of talk therapy. I like using a strengths-based approach with my clients by emphasizing their inner strengths and focusing on positivity
My mission in counseling is to create a healing environment for individuals that encourages growth and empowerment through different forms of talk therapy. I like using a strengths-based approach with my clients by emphasizing their inner strengths and focusing on positivity
(515) 639-0627 View (515) 639-0627
Photo of Kimberly Athuman, Clinical Social Work/Therapist in Des Moines, IA
Kimberly Athuman
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50309
I have experience in helping clients with depression, relationship issues, grief, self-esteem issues, parenting issues, anger management, attention deficit disorder ,(ADD/ADHD) Sleeping disorders ,Stress, Anxiety, Coping with life changes, Intimacy-related issues, Compassion fatigue, Trauma and abuse Family conflicts, LGBT.
I have experience in helping clients with depression, relationship issues, grief, self-esteem issues, parenting issues, anger management, attention deficit disorder ,(ADD/ADHD) Sleeping disorders ,Stress, Anxiety, Coping with life changes, Intimacy-related issues, Compassion fatigue, Trauma and abuse Family conflicts, LGBT.
(515) 809-2295 View (515) 809-2295
Photo of Luke Katuin, Clinical Social Work/Therapist in Des Moines, IA
Luke Katuin
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Des Moines, IA 50309
Ever wondered why you feel stuck? Is life not going the way you always thought it would? Are you constantly wondering what to do next? With all that life throws at you, it makes sense that your mind is looking for an answer. Life is tough and I am on your team! I practice using a non-judgmental approach to who you are and accepting you.
Ever wondered why you feel stuck? Is life not going the way you always thought it would? Are you constantly wondering what to do next? With all that life throws at you, it makes sense that your mind is looking for an answer. Life is tough and I am on your team! I practice using a non-judgmental approach to who you are and accepting you.
(515) 579-5048 View (515) 579-5048
Photo of Sara Gamblin, Clinical Social Work/Therapist in Des Moines, IA
Sara Gamblin
Clinical Social Work/Therapist, LMSW, CADC
Verified Verified
2 Endorsed
Des Moines, IA 50310
My name is Sara Gamblin, I am a Licensed Master Social Worker (LMSW) and Certified Alcohol and Drug Counselor (CADC). I firmly believe everyone deserves to feel heard, safe and supported. My goal is to help you discover more about yourself, your strengths, better understand your relationships and build tools as well as strategies to help you navigate the challenges in your life. I strongly support meeting a client where he or she is at and giving them autonomy to work at the pace the client is comfortable. I look forward to working with you to help you find the person you want to be and the life you want to live! I
My name is Sara Gamblin, I am a Licensed Master Social Worker (LMSW) and Certified Alcohol and Drug Counselor (CADC). I firmly believe everyone deserves to feel heard, safe and supported. My goal is to help you discover more about yourself, your strengths, better understand your relationships and build tools as well as strategies to help you navigate the challenges in your life. I strongly support meeting a client where he or she is at and giving them autonomy to work at the pace the client is comfortable. I look forward to working with you to help you find the person you want to be and the life you want to live! I
(515) 303-2966 View (515) 303-2966
Photo of Elisa McAfee, Marriage & Family Therapist in Des Moines, IA
Elisa McAfee
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Des Moines, IA 50309
Not accepting new clients
I became a therapist to be a professional “feelings friend” – a person whom others can approach with anything and everything in their times of need. No matter the situation, I strive to offer a warm, authentic, and supportive environment to help my clients pursue lasting change in their lives. In my office, you’ll get an advocate, a cheerleader, a teammate, a challenger, and a coach. Progress may look different for you depending on the day - however it does, I am honored to be a part of your healing.
I became a therapist to be a professional “feelings friend” – a person whom others can approach with anything and everything in their times of need. No matter the situation, I strive to offer a warm, authentic, and supportive environment to help my clients pursue lasting change in their lives. In my office, you’ll get an advocate, a cheerleader, a teammate, a challenger, and a coach. Progress may look different for you depending on the day - however it does, I am honored to be a part of your healing.
(515) 298-8904 View (515) 298-8904
Photo of Jennifer Roberts, Clinical Social Work/Therapist in Des Moines, IA
Jennifer Roberts
Clinical Social Work/Therapist, LMSW
Verified Verified
Des Moines, IA 50312
I am currently accepting new clients ages 16+. I enjoy working with people from varied backgrounds. I have experience working with individuals experiencing trauma, grief/loss, PTSD, depression, anxiety, addiction and homelessness. I have been a Medical Social Worker for 12+ years which provides me a unique perspective when working with individuals experiencing crisis and gives me extensive knowledge regarding medical diagnosis/concerns.
I am currently accepting new clients ages 16+. I enjoy working with people from varied backgrounds. I have experience working with individuals experiencing trauma, grief/loss, PTSD, depression, anxiety, addiction and homelessness. I have been a Medical Social Worker for 12+ years which provides me a unique perspective when working with individuals experiencing crisis and gives me extensive knowledge regarding medical diagnosis/concerns.
(515) 852-5105 View (515) 852-5105
Photo of Allison Robbins, Clinical Social Work/Therapist in Des Moines, IA
Allison Robbins
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50312
Are you going through a major change? Do you remember being happy, but it was long ago? Does the anxiety you feel make you avoid doing the things that you used to enjoy? Change is difficult. Loss can be unbearable. These and so many other life challenges are the reasons why people come to therapy. Let's work together. I will help you unpack the load you are carrying through the use of different therapeutic techniques. Allow yourself to accept the help you deserve.
Are you going through a major change? Do you remember being happy, but it was long ago? Does the anxiety you feel make you avoid doing the things that you used to enjoy? Change is difficult. Loss can be unbearable. These and so many other life challenges are the reasons why people come to therapy. Let's work together. I will help you unpack the load you are carrying through the use of different therapeutic techniques. Allow yourself to accept the help you deserve.
(515) 717-7681 View (515) 717-7681
Photo of Mark J. Hillenbrand, Clinical Social Work/Therapist in Des Moines, IA
Mark J. Hillenbrand
Clinical Social Work/Therapist, MSW, LISW, RCSW
Verified Verified
Des Moines, IA 50312  (Online Only)
My counseling experience includes providing interventions to positively address stress, life adjustments, marital issues, and psychological issues like addictions, depression, and anxiety. As a traumatic illness counselor, I help people overcome the obstacles associated with their illness. In addition to HIV/AIDS, Huntington's Disease, and Hepatitis, I have extensive experience working with people, couples, and families impacted by illness. A license from the State of Iowa authorizes me to practice as an independent clinical social worker.
My counseling experience includes providing interventions to positively address stress, life adjustments, marital issues, and psychological issues like addictions, depression, and anxiety. As a traumatic illness counselor, I help people overcome the obstacles associated with their illness. In addition to HIV/AIDS, Huntington's Disease, and Hepatitis, I have extensive experience working with people, couples, and families impacted by illness. A license from the State of Iowa authorizes me to practice as an independent clinical social worker.
(515) 582-8514 View (515) 582-8514
Photo of Lindsay Cook, Clinical Social Work/Therapist in Des Moines, IA
Lindsay Cook
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50312
Not accepting new clients
Being a kid is hard sometimes. Being a parent or caregiver can be hard too. Perhaps life has taken an unexpected turn. Maybe the stressors feel too big to handle or things just don’t feel right & you aren’t sure why. Perhaps you’ve noticed a change in your child’s behavior & mood. Loss, trauma, anxiety, relationship concerns, or issues related to adoption, foster care or abuse can leave your child (and you) feeling lost, hopeless, confused, & hurting. Life doesn’t have to feel so hard & you don’t have to figure it out alone. I’m here to walk alongside you & your child with compassion and care as you navigate life’s twists & turns.
Being a kid is hard sometimes. Being a parent or caregiver can be hard too. Perhaps life has taken an unexpected turn. Maybe the stressors feel too big to handle or things just don’t feel right & you aren’t sure why. Perhaps you’ve noticed a change in your child’s behavior & mood. Loss, trauma, anxiety, relationship concerns, or issues related to adoption, foster care or abuse can leave your child (and you) feeling lost, hopeless, confused, & hurting. Life doesn’t have to feel so hard & you don’t have to figure it out alone. I’m here to walk alongside you & your child with compassion and care as you navigate life’s twists & turns.
(515) 517-2420 View (515) 517-2420
Photo of Hannah Vestal, Counselor in Des Moines, IA
Hannah Vestal
Counselor, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50309  (Online Only)
Hi, my name is Hannah (or Han). I have been working in the field of mental health for the past several years across several disciplines including residential treatment, inpatient hospitalization, substance use rehabilitation, and crisis counseling. No matter what the position, I found myself deeply drawn to how sitting with someone in darkness can make the darkness feel not as lonely. My job isn’t necessarily to make the darkness go away; in fact, darkness is a part of the natural cycle of life. However, I am committed to creating a space where we can sit with hard things and navigate where to go, together.
Hi, my name is Hannah (or Han). I have been working in the field of mental health for the past several years across several disciplines including residential treatment, inpatient hospitalization, substance use rehabilitation, and crisis counseling. No matter what the position, I found myself deeply drawn to how sitting with someone in darkness can make the darkness feel not as lonely. My job isn’t necessarily to make the darkness go away; in fact, darkness is a part of the natural cycle of life. However, I am committed to creating a space where we can sit with hard things and navigate where to go, together.
(515) 293-5856 View (515) 293-5856
Photo of Devin Waterhouse, Clinical Social Work/Therapist in Des Moines, IA
Devin Waterhouse
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Des Moines, IA 50309
Something feels off. Sometimes it’s obvious what is affecting you, but often you’re less certain. Perhaps you have some ideas about what’s wrong, but you aren’t sure how to feel better. Maybe you are experiencing relationship issues, or just feel like you are alone even when you know you have people who care about you. It may even be possible that you are uncertain there is anything wrong at all because you’ve always felt this way - but is it really this hard for everyone? There are many people just like you that could be living happier and healthier lives - they just don’t know how to get there.
Something feels off. Sometimes it’s obvious what is affecting you, but often you’re less certain. Perhaps you have some ideas about what’s wrong, but you aren’t sure how to feel better. Maybe you are experiencing relationship issues, or just feel like you are alone even when you know you have people who care about you. It may even be possible that you are uncertain there is anything wrong at all because you’ve always felt this way - but is it really this hard for everyone? There are many people just like you that could be living happier and healthier lives - they just don’t know how to get there.
(515) 219-4620 View (515) 219-4620
Photo of Larry Vernoid Jackson, Counselor in Des Moines, IA
Larry Vernoid Jackson
Counselor, MSEd, LMHC
Verified Verified
Des Moines, IA 50324  (Online Only)
Are you an adult who is living with anxiety or depression? Are you seeking to find common ground in your relationships? There is hope, there are solutions, you can make it through this, and I'm here to help. I help clients: improve their communication skills, overcome their anger issues, overcome trauma, unresolved family conflict, improve the connection and intimacy between their partners, and overcome challenges related to substance abuse. Offering a wide range of support for adults, or families who have concerns about their emotional, behavioral, or adjustment problems.
Are you an adult who is living with anxiety or depression? Are you seeking to find common ground in your relationships? There is hope, there are solutions, you can make it through this, and I'm here to help. I help clients: improve their communication skills, overcome their anger issues, overcome trauma, unresolved family conflict, improve the connection and intimacy between their partners, and overcome challenges related to substance abuse. Offering a wide range of support for adults, or families who have concerns about their emotional, behavioral, or adjustment problems.
(515) 852-5947 View (515) 852-5947
Photo of Rachel Lomen, Clinical Social Work/Therapist in Des Moines, IA
Rachel Lomen
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50312
Not accepting new clients
Every person’s life is a journey that will involve milestones, missteps, detours, and the occasional derailment. We all encounter obstacles - some of our own making, some provided by others. Navigating that path authentically requires self-awareness and self-understanding and sometimes the guidance and support of a fellow traveler. My role is to foster clarity and healing, to make room for life stories to unfold - as they are meant to - not empty of pain or conflict but instead filled with meaning.
Every person’s life is a journey that will involve milestones, missteps, detours, and the occasional derailment. We all encounter obstacles - some of our own making, some provided by others. Navigating that path authentically requires self-awareness and self-understanding and sometimes the guidance and support of a fellow traveler. My role is to foster clarity and healing, to make room for life stories to unfold - as they are meant to - not empty of pain or conflict but instead filled with meaning.
(515) 209-3836 View (515) 209-3836
Photo of Akaisha Blackhawk, Clinical Social Work/Therapist in Des Moines, IA
Akaisha Blackhawk
Clinical Social Work/Therapist, LMSW
Verified Verified
Des Moines, IA 50311  (Online Only)
I am stoked to be where I am today, having an opportunity to serve you. I have experience with crisis intervention, primarily serving young adults and families. I consider myself mellow and empathetic. I enjoy working with adolescents and adults. I strive to provide a safe and unbiased place, where we can partner together in identifying areas of concern in your life and develop a treatment plan that works for you. I also offer telehealth options as part of the response to COVID 19 concerns.
I am stoked to be where I am today, having an opportunity to serve you. I have experience with crisis intervention, primarily serving young adults and families. I consider myself mellow and empathetic. I enjoy working with adolescents and adults. I strive to provide a safe and unbiased place, where we can partner together in identifying areas of concern in your life and develop a treatment plan that works for you. I also offer telehealth options as part of the response to COVID 19 concerns.
(515) 461-7005 View (515) 461-7005
Photo of Megan Hoxhalli, Clinical Social Work/Therapist in Des Moines, IA
Megan Hoxhalli
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50312
Not accepting new clients
Hi, I'm Megan, an experienced therapist who works with teenagers and adults. I'm here to help you work through trauma, cope with anxiety and depression, and move towards living the life you want. I believe that every person deserves a safe and comfortable place to talk through stress, share their fears, and receive nonjudgmental support.
Hi, I'm Megan, an experienced therapist who works with teenagers and adults. I'm here to help you work through trauma, cope with anxiety and depression, and move towards living the life you want. I believe that every person deserves a safe and comfortable place to talk through stress, share their fears, and receive nonjudgmental support.
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Photo of Jacy Jensen, Marriage & Family Therapist in Des Moines, IA
Jacy Jensen
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50312
Waitlist for new clients
Everyone has a story, and each story is different and deserves to be told. Our stories at times can be filled with unexpected and sometimes overwhelming challenges that affect each of us in different ways. Through my own personal and professional story, I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, develop new skills, enrich relationships, and work through situations to lead a more authentic life.
Everyone has a story, and each story is different and deserves to be told. Our stories at times can be filled with unexpected and sometimes overwhelming challenges that affect each of us in different ways. Through my own personal and professional story, I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, develop new skills, enrich relationships, and work through situations to lead a more authentic life.
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Photo of Casey Pestka, Marriage & Family Therapist in Des Moines, IA
Casey Pestka
Marriage & Family Therapist, LMFT, RPT
Verified Verified
3 Endorsed
Des Moines, IA 50309
Not accepting new clients
Not accepting new clients. Casey is a Licensed Marriage and Family Therapist with experience working with individuals, couples, families, and children. Casey strives to provide an environment focusing on client strengths and resiliency. Casey believes the client is the expert in their own lives. Casey is trained in Systems Theory and understands the importance of working with systems to create lasting change. Casey has experience working with anxiety, depression, PTSD, relationship concerns, parenting, life stressors, and ADHD.
Not accepting new clients. Casey is a Licensed Marriage and Family Therapist with experience working with individuals, couples, families, and children. Casey strives to provide an environment focusing on client strengths and resiliency. Casey believes the client is the expert in their own lives. Casey is trained in Systems Theory and understands the importance of working with systems to create lasting change. Casey has experience working with anxiety, depression, PTSD, relationship concerns, parenting, life stressors, and ADHD.
(515) 220-2970 View (515) 220-2970
Photo of Antonia L Valadez, Clinical Social Work/Therapist in Des Moines, IA
Antonia L Valadez
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Des Moines, IA 50309
Sometimes we know that certain things in our lives need to change and we may not know where to start or how to make progress toward our goals. Therapy can help individuals examine where they are, what they are struggling with, and help them create a plan to begin making changes in their lives and/or in their relationships. Trauma, anxiety, or stressful life events can make things feel overwhelming but finding a therapist you can connect with is the first step. Petunia, my 20 lb. mixed breed dog (DOB 7/4/21) is training to be a therapy dog. She is present during sessions but I can put her in her kennel if you prefer.
Sometimes we know that certain things in our lives need to change and we may not know where to start or how to make progress toward our goals. Therapy can help individuals examine where they are, what they are struggling with, and help them create a plan to begin making changes in their lives and/or in their relationships. Trauma, anxiety, or stressful life events can make things feel overwhelming but finding a therapist you can connect with is the first step. Petunia, my 20 lb. mixed breed dog (DOB 7/4/21) is training to be a therapy dog. She is present during sessions but I can put her in her kennel if you prefer.
(515) 220-2729 View (515) 220-2729
Photo of Trevor Erdman, Counselor in Des Moines, IA
Trevor Erdman
Counselor, IADC, T-LMHC
Verified Verified
2 Endorsed
Des Moines, IA 50310
Not accepting new clients
Welcome to my profile! I am a dedicated and compassionate therapist committed to supporting individuals in their pursuit of positive change and emotional well-being. With expertise in various areas, I offer a safe and non-judgmental space for you to explore, grow, and heal. I believe that everyone has the capacity for growth and healing. My therapeutic approach is holistic and tailored to meet your unique needs. I blend evidence-based techniques such as Cognitive-Behavioral Therapy (CBT), mindfulness, and Person-Centered therapy to create a personalized treatment plan.
Welcome to my profile! I am a dedicated and compassionate therapist committed to supporting individuals in their pursuit of positive change and emotional well-being. With expertise in various areas, I offer a safe and non-judgmental space for you to explore, grow, and heal. I believe that everyone has the capacity for growth and healing. My therapeutic approach is holistic and tailored to meet your unique needs. I blend evidence-based techniques such as Cognitive-Behavioral Therapy (CBT), mindfulness, and Person-Centered therapy to create a personalized treatment plan.
(515) 497-2226 View (515) 497-2226

How does your Therapist compare?

Number of Therapists in Des Moines, IA

400+

Average cost per session

$150

Therapists in Des Moines, IA who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
80% Self Esteem
76% Trauma and PTSD
76% Stress
72% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
75% Wellmark BCBS
51% UnitedHealthcare UHC | UBH

How Therapists in Des Moines, IA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.