Therapists in Crested Butte, CO

Photo of Nancy Gex Jones, Unlicensed Psychotherapist, MA
Nancy Gex Jones
Unlicensed Psychotherapist, MA
1 Endorsed
Crested Butte, CO 81224
Non judgement and unconditional acceptance are the cornerstones of my practice. My strength is looking at each client's issues as opportunities for learning. Body centered education, teaching how emotional feelings become feelings in the body, is emphasized. Learning from my client's current awareness is the goal in any session. My work is non-religious but Spiritual. My intention is to have each client lose the need for ongoing therapy. I have been successful in helping hundreds of individuals. I see adults, teens, couples and groups.
Non judgement and unconditional acceptance are the cornerstones of my practice. My strength is looking at each client's issues as opportunities for learning. Body centered education, teaching how emotional feelings become feelings in the body, is emphasized. Learning from my client's current awareness is the goal in any session. My work is non-religious but Spiritual. My intention is to have each client lose the need for ongoing therapy. I have been successful in helping hundreds of individuals. I see adults, teens, couples and groups.
(970) 426-0169 View (970) 426-0169
Photo of Darlene Egelhoff - Ascent Counseling, Licensed Professional Counselor, LPC, LAC
Ascent Counseling
Licensed Professional Counselor, LPC, LAC
Crested Butte, CO 81224
Not accepting new clients
Hello I'm Darlene Egelhoff, a Somatic, body-centered therapist. My practice is devoted to those who are grounded enough to go deep—individuals who have already done meaningful inner work and are now ready for true transformation. Drawing from advanced training in EMDR, Somatic and Parts Work therapies, nature-based integration, and mental health nutrition, I go beyond traditional talk therapy, to connect heart, mind, body, emotions, and spirit. I look to the body as a wise resource, ally, and guide to tap into the inner healing intelligence we all possess through a holistic perspective.
Hello I'm Darlene Egelhoff, a Somatic, body-centered therapist. My practice is devoted to those who are grounded enough to go deep—individuals who have already done meaningful inner work and are now ready for true transformation. Drawing from advanced training in EMDR, Somatic and Parts Work therapies, nature-based integration, and mental health nutrition, I go beyond traditional talk therapy, to connect heart, mind, body, emotions, and spirit. I look to the body as a wise resource, ally, and guide to tap into the inner healing intelligence we all possess through a holistic perspective.
(970) 514-9117 View (970) 514-9117
Photo of Dawn Madrick Stewart, Clinical Social Work/Therapist, LCSW
Dawn Madrick Stewart
Clinical Social Work/Therapist, LCSW
Crested Butte, CO 81224
Welcome. I am glad you are here. I’m a clinically trained social worker with nearly 25 years of experience supporting individuals and families through life’s most challenging moments. Throughout my career, I’ve worked with people navigating a wide range of issues—including sexual and domestic violence, as well as chronic and life-limiting illnesses such as cancer, Type 1 diabetes, ALS/MS, dementia, and end of life. In every setting, one truth has remained clear: grief work is central to how we cope—not just with loss, but with transitions, diagnoses, and shifting relationships.
Welcome. I am glad you are here. I’m a clinically trained social worker with nearly 25 years of experience supporting individuals and families through life’s most challenging moments. Throughout my career, I’ve worked with people navigating a wide range of issues—including sexual and domestic violence, as well as chronic and life-limiting illnesses such as cancer, Type 1 diabetes, ALS/MS, dementia, and end of life. In every setting, one truth has remained clear: grief work is central to how we cope—not just with loss, but with transitions, diagnoses, and shifting relationships.
(970) 736-3964 View (970) 736-3964
Photo of Bonnie Farnell, Licensed Professional Counselor, MA, LPC, NCC, EMDR
Bonnie Farnell
Licensed Professional Counselor, MA, LPC, NCC, EMDR
Crested Butte, CO 81224
Waitlist for new clients
Life is (blank). How do you fill in the (blank)? We are all striving to feel heard, understood and connected, but all too often this business of being human – our personal histories and our entangled thinking – brings struggle and suffering. We can lose our purpose, passion and vision. We can feel unsteady, and disconnected from our true self. I can help. My counseling approach is not about discipline, hard work or grit. It is about stilling the mind, seeing clearly, removing barriers and realizing your innate capacity. Capacity for wisdom, love, and resiliency. Capacity to realize your full potential.
Life is (blank). How do you fill in the (blank)? We are all striving to feel heard, understood and connected, but all too often this business of being human – our personal histories and our entangled thinking – brings struggle and suffering. We can lose our purpose, passion and vision. We can feel unsteady, and disconnected from our true self. I can help. My counseling approach is not about discipline, hard work or grit. It is about stilling the mind, seeing clearly, removing barriers and realizing your innate capacity. Capacity for wisdom, love, and resiliency. Capacity to realize your full potential.
(970) 463-6893 View (970) 463-6893
Photo of Jean Bell-Dumas - Crested Butte Counseling Service, LLC, Counselor, MS, LPC, LLC
Crested Butte Counseling Service, LLC
Counselor, MS, LPC, LLC
Crested Butte, CO 81224
Crested Butte Counseling Service, LLC, provides Holistic Psychotherapy for all ages. Jean Bell-Dumas, M.S.,LPC, is a Licensed Professional Counselor in Colorado. She has been a Mental Health Counselor in Gunnison Valley for 20+ years, and is trained in Cognitive Behavioral Therapy, EMDR, and Hypnosis, with much experience in working with: Depression, Anxiety, Relational Issues, Trauma, Stress, PTSD, Parenting Issues, Anger Management, ADHD, Eating Disorders, Autism, Addictions, Growth, & Spiritual Issues. If you have a counseling need, and would like to reach your goals for greater health and happiness, call for a brief consult.
Crested Butte Counseling Service, LLC, provides Holistic Psychotherapy for all ages. Jean Bell-Dumas, M.S.,LPC, is a Licensed Professional Counselor in Colorado. She has been a Mental Health Counselor in Gunnison Valley for 20+ years, and is trained in Cognitive Behavioral Therapy, EMDR, and Hypnosis, with much experience in working with: Depression, Anxiety, Relational Issues, Trauma, Stress, PTSD, Parenting Issues, Anger Management, ADHD, Eating Disorders, Autism, Addictions, Growth, & Spiritual Issues. If you have a counseling need, and would like to reach your goals for greater health and happiness, call for a brief consult.
(970) 387-8976 View (970) 387-8976
Photo of Marcie Ann Telander, MA, NLC, DAPA
Marcie Ann Telander
Verified Verified
Crested Butte, CO 81224
Together we will draw from a rich range of compassionate, holistic, action-oriented services that launch you into the enriched life, relationships, communication and confidence you are seeking. As a highly-experienced private practitioner I'm honored to support you, your partner, children, family - at the integrative point where Nature meets Nurture, and always honoring your confidentiality while bringing together perennial wisdom and cutting-edge knowledge. For Life, Love and Letting go! 41 years serving the life-transforming needs of the fine folks of Gunnison Cty, CO, and surrounding inter-mountain communities.
Together we will draw from a rich range of compassionate, holistic, action-oriented services that launch you into the enriched life, relationships, communication and confidence you are seeking. As a highly-experienced private practitioner I'm honored to support you, your partner, children, family - at the integrative point where Nature meets Nurture, and always honoring your confidentiality while bringing together perennial wisdom and cutting-edge knowledge. For Life, Love and Letting go! 41 years serving the life-transforming needs of the fine folks of Gunnison Cty, CO, and surrounding inter-mountain communities.
(970) 239-0276 View (970) 239-0276
Photo of Wallace K Pond, Licensed Professional Counselor, PhD, MA, LPC, NCC
Wallace K Pond
Licensed Professional Counselor, PhD, MA, LPC, NCC
Crested Butte, CO 81224
Do you need help managing emotions or strengthening primary relationships? Have you experienced previous trauma? Are you looking for skills to cope with unpleasant symptoms? Is your quality of life less than you'd like? Are you ready to make a change? No matter how difficult one's situation, or complex the issues, we can work together to define achievable goals that, once realized, can bring meaning, contentment and reward to life. If you're unsatisfied but ready to take an active role in creating the life you want, strengthening your mental health and wellness in the process, I'm ready to help!
Do you need help managing emotions or strengthening primary relationships? Have you experienced previous trauma? Are you looking for skills to cope with unpleasant symptoms? Is your quality of life less than you'd like? Are you ready to make a change? No matter how difficult one's situation, or complex the issues, we can work together to define achievable goals that, once realized, can bring meaning, contentment and reward to life. If you're unsatisfied but ready to take an active role in creating the life you want, strengthening your mental health and wellness in the process, I'm ready to help!
(719) 781-6349 View (719) 781-6349
Photo of Monica Bilow Makler, Registered Psychotherapist, MA
Monica Bilow Makler
Registered Psychotherapist, MA
1 Endorsed
Crested Butte, CO 81224
It's my passion to help individuals and couples explore new pathways toward living a more peaceful life led by wisdom and joy. For the past 30 years I've been working in the private and public sectors aiding people experiencing stress, depression, anxiety, addictions, codependency, low self esteem, body image, grief, sleep issues, PTSD, and conflictual relationships. My academic qualifications include studies in Tel-Aviv, Oxford and the USA.
It's my passion to help individuals and couples explore new pathways toward living a more peaceful life led by wisdom and joy. For the past 30 years I've been working in the private and public sectors aiding people experiencing stress, depression, anxiety, addictions, codependency, low self esteem, body image, grief, sleep issues, PTSD, and conflictual relationships. My academic qualifications include studies in Tel-Aviv, Oxford and the USA.
(970) 818-5384 View (970) 818-5384
Photo of Laura Scales, Marriage & Family Therapist, MA, LMFT
Laura Scales
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Crested Butte, CO 81224
It is my hope to bring genuine healing and wholeness to individuals, couples, and families. I work with people of all ages and backgrounds who want to change how they manage conflict, mental or physical health issues, and stressful life events. I have been trained in many evidence-based therapeutic modalities, which enables me to be effective in treating depression, anxiety, grief, intrusive and distressing thoughts, mood disturbances, personality disorders, relationship and family issues, anger management, substance use, body image issues, and people who have experienced trauma.
It is my hope to bring genuine healing and wholeness to individuals, couples, and families. I work with people of all ages and backgrounds who want to change how they manage conflict, mental or physical health issues, and stressful life events. I have been trained in many evidence-based therapeutic modalities, which enables me to be effective in treating depression, anxiety, grief, intrusive and distressing thoughts, mood disturbances, personality disorders, relationship and family issues, anger management, substance use, body image issues, and people who have experienced trauma.
(970) 670-7588 View (970) 670-7588
Photo of Juliette Eymere, Licensed Professional Counselor, LPC, MA
Juliette Eymere
Licensed Professional Counselor, LPC, MA
Crested Butte, CO 81224
After 20 years in the health and wellness world I developed a deep belief that we have what we need to heal ourselves. Each of us carries an innate wisdom in our bodies and we need guidance and support to tap into that innate healing capacity. I am passionate about being witness to that process and working with individuals to creatively find our way to healing.
After 20 years in the health and wellness world I developed a deep belief that we have what we need to heal ourselves. Each of us carries an innate wisdom in our bodies and we need guidance and support to tap into that innate healing capacity. I am passionate about being witness to that process and working with individuals to creatively find our way to healing.
(970) 695-9577 View (970) 695-9577
Photo of Traci W. Reiser, Marriage & Family Therapist Associate, MA, MFTC
Traci W. Reiser
Marriage & Family Therapist Associate, MA, MFTC
Online Only
My clinical approach is grounded in deep listening and a genuine curiosity about the stories that have shaped your life. Together, we will gently begin to untangle the complex web of experiences, relationships, and meanings that influence how you see yourself and others.
My clinical approach is grounded in deep listening and a genuine curiosity about the stories that have shaped your life. Together, we will gently begin to untangle the complex web of experiences, relationships, and meanings that influence how you see yourself and others.
(970) 465-5920 View (970) 465-5920
Photo of Ali Drucker, Licensed Professional Counselor Candidate, MA
Ali Drucker
Licensed Professional Counselor Candidate, MA
2 Endorsed
Crested Butte, CO 81224
Welcome! I'm Ali, and I'm a somatic psychotherapist. If you are struggling with overwhelming emotions, disconnection from your body, finding meaning during a challenging transition, or thriving in a world that does not welcome you, let's discover together what radically-integrated therapy can offer you. I work with teenagers and adults with a variety of challenges including depression and anxiety, complex and acute trauma, grief, shame, issues related to neurodivergence (primarily ADHD, Autism, and sensory processing differences), gender, sexuality, consensual nonmonogamy, and spirituality.
Welcome! I'm Ali, and I'm a somatic psychotherapist. If you are struggling with overwhelming emotions, disconnection from your body, finding meaning during a challenging transition, or thriving in a world that does not welcome you, let's discover together what radically-integrated therapy can offer you. I work with teenagers and adults with a variety of challenges including depression and anxiety, complex and acute trauma, grief, shame, issues related to neurodivergence (primarily ADHD, Autism, and sensory processing differences), gender, sexuality, consensual nonmonogamy, and spirituality.
(970) 478-1861 View (970) 478-1861
Photo of Erin Wesley, Licensed Professional Counselor, MS, LPC, EMDR
Erin Wesley
Licensed Professional Counselor, MS, LPC, EMDR
3 Endorsed
Crested Butte, CO 81224
You’re tired of doing all the things and still feeling like it’s never enough. You push yourself to be everything for everyone. You try to eat better, think more positively, and be more productive—but deep down, you're still wrestling with self-doubt, anxiety, people-pleasing, or the urge to escape with food. You might look like you’ve got it together on the outside, but inside? You're overwhelmed, exhausted, and wondering: Why can't I just fix this already? What’s wrong with me?
You’re tired of doing all the things and still feeling like it’s never enough. You push yourself to be everything for everyone. You try to eat better, think more positively, and be more productive—but deep down, you're still wrestling with self-doubt, anxiety, people-pleasing, or the urge to escape with food. You might look like you’ve got it together on the outside, but inside? You're overwhelmed, exhausted, and wondering: Why can't I just fix this already? What’s wrong with me?
(970) 465-5359 View (970) 465-5359
Photo of Alok Remza - Mountain Within, LLC, Licensed Professional Counselor Candidate, LPCC
Mountain Within, LLC
Licensed Professional Counselor Candidate, LPCC
Crested Butte, CO 81225
My ideal client dares to do the work in therapy and integrate that work outside of the session. I facilitate the creation of secure functioning relationships. For individual clients, that means strong attachment bonds to their sense of self so they can self-regulate and begin to create new opportunities to live a life of beauty, excitement, and exploration. While for my couples therapy clients, we will work on building secure functioning relationships within the partnership through the processes of non-violent communication skills and repairing ruptures promptly.
My ideal client dares to do the work in therapy and integrate that work outside of the session. I facilitate the creation of secure functioning relationships. For individual clients, that means strong attachment bonds to their sense of self so they can self-regulate and begin to create new opportunities to live a life of beauty, excitement, and exploration. While for my couples therapy clients, we will work on building secure functioning relationships within the partnership through the processes of non-violent communication skills and repairing ruptures promptly.
(720) 730-3370 View (720) 730-3370
Photo of Garland Middleton, Clinical Social Work/Therapist, LCSW
Garland Middleton
Clinical Social Work/Therapist, LCSW
Crested Butte, CO 81224
My name is Garland Middleton and I am a Licensed Social Worker and therapist. My work is highly intuitive, rooted in curiosity and compassion. Therapy is vulnerable but can also be such a special gift to give yourself. My hope is that you feel safe and open in my office.
My name is Garland Middleton and I am a Licensed Social Worker and therapist. My work is highly intuitive, rooted in curiosity and compassion. Therapy is vulnerable but can also be such a special gift to give yourself. My hope is that you feel safe and open in my office.
(970) 341-2525 View (970) 341-2525
Photo of Cari Parchinski, Licensed Professional Counselor, MA, LPC, NCC
Cari Parchinski
Licensed Professional Counselor, MA, LPC, NCC
Online Only
Waitlist for new clients
We all have physical health needs and occasionally, we require professional help to address those needs; but we also have mental health needs and it is important to care for ourselves psychologically when we are not operating at our best. Whether you are struggling with trauma, personal stress, relationship issues or mental distress that your ability to function and achieve joy is impaired, seeking help is important for your well-being. My goal is to provide support and to be a safe resource for you to learn new ways to cope, heal and restore your health and improve your productivity.
We all have physical health needs and occasionally, we require professional help to address those needs; but we also have mental health needs and it is important to care for ourselves psychologically when we are not operating at our best. Whether you are struggling with trauma, personal stress, relationship issues or mental distress that your ability to function and achieve joy is impaired, seeking help is important for your well-being. My goal is to provide support and to be a safe resource for you to learn new ways to cope, heal and restore your health and improve your productivity.
(970) 782-2292 View (970) 782-2292
Photo of Rosalind Wilson, Clinical Social Work/Therapist, LCSW
Rosalind Wilson
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker. I am originally from the UK where I worked with children and young adults in the foster care system who had experienced complex trauma, alongside supporting their carers. I now live in Colorado Springs and practice as a clinical social worker. I am experienced in working with children, families, and adults and have specialist experience in working within the areas of foster care, adoption, trauma and loss as well as anxiety and depression. I also work with individuals and couples experiencing fertility issues.
I am a Licensed Clinical Social Worker. I am originally from the UK where I worked with children and young adults in the foster care system who had experienced complex trauma, alongside supporting their carers. I now live in Colorado Springs and practice as a clinical social worker. I am experienced in working with children, families, and adults and have specialist experience in working within the areas of foster care, adoption, trauma and loss as well as anxiety and depression. I also work with individuals and couples experiencing fertility issues.
(855) 439-5570 View (855) 439-5570
Photo of Andrea Breiner - Willow Bay Counseling, LLC, Licensed Professional Counselor, MA, LPC, NCC, LAC
Willow Bay Counseling, LLC
Licensed Professional Counselor, MA, LPC, NCC, LAC
1 Endorsed
Serves Area
Waitlist for new clients
My aim is to help you better understand your thoughts, feelings, and behaviors, what they mean, and how they relate to your present-day struggles and challenges. I understand that each client faces unique challenges and needs to work on themselves at their own pace, I approach every client with an open mind, and never makes any assumptions about your life experience. Together, we will work to deepen your awareness, understanding of your desires, patterns of relating, so you may experience a more authentic and fulfilling life.
My aim is to help you better understand your thoughts, feelings, and behaviors, what they mean, and how they relate to your present-day struggles and challenges. I understand that each client faces unique challenges and needs to work on themselves at their own pace, I approach every client with an open mind, and never makes any assumptions about your life experience. Together, we will work to deepen your awareness, understanding of your desires, patterns of relating, so you may experience a more authentic and fulfilling life.
(970) 292-6920 View (970) 292-6920
Photo of Elizabeth Betsy Hughes, Licensed Professional Counselor, LPC
Elizabeth Betsy Hughes
Licensed Professional Counselor, LPC
3 Endorsed
Serves Area
I feel honored and grateful to walk alongside you as you courageously challenge the beliefs and habits that no longer serve you. Healing from the past is a deeply personal journey. Like many of us, I have navigated my own feelings of unworthiness and codependency, so I truly value the strength it takes to show up for yourself. Please remember that our past behaviors were simply ways we survived; together, we can embrace the self-compassion you deserve for deep, lasting healing.
I feel honored and grateful to walk alongside you as you courageously challenge the beliefs and habits that no longer serve you. Healing from the past is a deeply personal journey. Like many of us, I have navigated my own feelings of unworthiness and codependency, so I truly value the strength it takes to show up for yourself. Please remember that our past behaviors were simply ways we survived; together, we can embrace the self-compassion you deserve for deep, lasting healing.
(719) 881-8219 View (719) 881-8219
Photo of Trista Gayle Sorenson, Licensed Professional Counselor, MA, LPC
Trista Gayle Sorenson
Licensed Professional Counselor, MA, LPC
Online Only
We are all many different things. We have many different feelings. We have many different issues. And we address them (or not) in different ways. We are a handful, and sometimes we need someone else to help figure things out. Human beings have a great capacity for growth and change, and in working together we can find the best version of yourself to be more authentic, happy, peaceful and inspired. My approach is simple: get personal. With an eclectic academic and professional background, I am committed to helping people through a method specific to their needs.
We are all many different things. We have many different feelings. We have many different issues. And we address them (or not) in different ways. We are a handful, and sometimes we need someone else to help figure things out. Human beings have a great capacity for growth and change, and in working together we can find the best version of yourself to be more authentic, happy, peaceful and inspired. My approach is simple: get personal. With an eclectic academic and professional background, I am committed to helping people through a method specific to their needs.
(720) 712-5988 View (720) 712-5988

See more therapy options for Crested Butte

How does your Therapist compare?

Number of Therapists in Crested Butte, CO

30+

Average cost per session

$140

Therapists in Crested Butte, CO who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
81% Depression
77% Self Esteem
74% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
75% Cigna and Evernorth
69% BlueCross and BlueShield

How Therapists in Crested Butte, CO see their clients

74% In Person and Online
26% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Crested Butte?

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.