Therapists in Decorah, IA

Photo of Manon C. Bushman, Counselor, MA, LMHC
Manon C. Bushman
Counselor, MA, LMHC
1 Endorsed
Decorah, IA 52101
Hey there! Life can leave us with thoughts, feelings, and emotions that are sometimes difficult to navigate on our own. Everyone deserves a safe space to honestly share their burdens and celebrate their successes! I believe change is inevitable when we show up authentically and strive to gain insight into what is working well and what might not be work so well. When old patterns that no longer serve us, are uncovered, new ways of thinking and being will reflect a life that is true to you!
Hey there! Life can leave us with thoughts, feelings, and emotions that are sometimes difficult to navigate on our own. Everyone deserves a safe space to honestly share their burdens and celebrate their successes! I believe change is inevitable when we show up authentically and strive to gain insight into what is working well and what might not be work so well. When old patterns that no longer serve us, are uncovered, new ways of thinking and being will reflect a life that is true to you!
(319) 264-1953 View (319) 264-1953
Photo of Karen Haas Misseldine, Counselor, LMHC, ATR
Karen Haas Misseldine
Counselor, LMHC, ATR
2 Endorsed
Decorah, IA 52101
I am a Licensed Mental Health Therapist and Registered Art Therapist. I hold a certification in EMDR and am trained in multiple approaches that reach beyond traditional talk therapy. I have been helping people of all ages navigate life challenges for over 30 years. Together, we can tailor your therapy to meet your individual needs so you can move beyond whatever is holding you back and begin to experience the relief and change you are seeking. My style is collaborative, compassionate and inclusive, while providing a space and pace where you can pause, reflect and grow.
I am a Licensed Mental Health Therapist and Registered Art Therapist. I hold a certification in EMDR and am trained in multiple approaches that reach beyond traditional talk therapy. I have been helping people of all ages navigate life challenges for over 30 years. Together, we can tailor your therapy to meet your individual needs so you can move beyond whatever is holding you back and begin to experience the relief and change you are seeking. My style is collaborative, compassionate and inclusive, while providing a space and pace where you can pause, reflect and grow.
(563) 202-2189 View (563) 202-2189
Photo of Marion Niles, Counselor, LMHC
Marion Niles
Counselor, LMHC
1 Endorsed
Decorah, IA 52101
You are considering counseling because you may need support and encouragement at a particularly challenging time in your life. Talking to loved ones may not be an option. A professional counselor can assist you in finding more clarity and insight. When we recognize unhelpful patterns, we can initiate change by looking at our options. Even at times when we can't change the inevitable, we can still learn to cope by utilizing our internal wisdom. Perhaps I can support you on your journey towards increasing insight and wisdom. I believe that therapy is a process which is grounded in trust and in the safety of a therapeutic relationship.
You are considering counseling because you may need support and encouragement at a particularly challenging time in your life. Talking to loved ones may not be an option. A professional counselor can assist you in finding more clarity and insight. When we recognize unhelpful patterns, we can initiate change by looking at our options. Even at times when we can't change the inevitable, we can still learn to cope by utilizing our internal wisdom. Perhaps I can support you on your journey towards increasing insight and wisdom. I believe that therapy is a process which is grounded in trust and in the safety of a therapeutic relationship.
(563) 316-6749 View (563) 316-6749
Photo of Ashley Homstad, Clinical Social Work/Therapist, LISW, OIHC
Ashley Homstad
Clinical Social Work/Therapist, LISW, OIHC
Online Only
Waitlist for new clients
I’m honored to collaborate with Bloom Women’s Wellness, a clinic where women's health and healing are prioritized. I provide compassionate and individualized therapy for people navigating challenges related to pregnancy or postpartum, coping with chronic stress, healing from trauma, or seeking relief from nervous system dysregulation. I also offer infant massage education to support early attachment and regulation skills. I believe in the power of a trusting therapeutic relationship that allows you to safely explore your feelings and experiences so that you can heal and grow at your own pace.
I’m honored to collaborate with Bloom Women’s Wellness, a clinic where women's health and healing are prioritized. I provide compassionate and individualized therapy for people navigating challenges related to pregnancy or postpartum, coping with chronic stress, healing from trauma, or seeking relief from nervous system dysregulation. I also offer infant massage education to support early attachment and regulation skills. I believe in the power of a trusting therapeutic relationship that allows you to safely explore your feelings and experiences so that you can heal and grow at your own pace.
View
Photo of Ricki (Richelle) Christene Bouska, Counselor, PhD, LMHC, NCC
Ricki (Richelle) Christene Bouska
Counselor, PhD, LMHC, NCC
Online Only
I am a woman of great faith, a deep love for my family, and an abundance of hope! I truly believe I was called into the counseling ministry. I have a heart for coming alongside others as they endeavor to move forward in life. With a belief in human potential and each person's inherent worth, I offer companionship for the journey! The name Sacred Space Counseling Center, LLC was intentionally chosen. It encapsulates the essence of what therapy is to me, and ...what I hope it becomes for you! Come, take sanctuary in my Sacred Space!
I am a woman of great faith, a deep love for my family, and an abundance of hope! I truly believe I was called into the counseling ministry. I have a heart for coming alongside others as they endeavor to move forward in life. With a belief in human potential and each person's inherent worth, I offer companionship for the journey! The name Sacred Space Counseling Center, LLC was intentionally chosen. It encapsulates the essence of what therapy is to me, and ...what I hope it becomes for you! Come, take sanctuary in my Sacred Space!
(563) 207-3793 View (563) 207-3793
Photo of Chris Derix, Psychologist, PsyD
Chris Derix
Psychologist, PsyD
1 Endorsed
Online Only
Are you a driven individual feeling held back by mental blocks, stress, or the weight of expectation? My clients typically face one of three scenarios: Clinical Struggle: You are battling anxiety, depression, or relationship issues that negatively impact your daily life, school, or work. Performance Focus: You are physically healthy, but your mindset impacts your execution. You are looking to "level up" your psychological skills. The "Gap" Problem: Anxiety sabotages your performance, or an injury triggered depression. Therapists don't understand your drive, and coaches lack clinical skills.
Are you a driven individual feeling held back by mental blocks, stress, or the weight of expectation? My clients typically face one of three scenarios: Clinical Struggle: You are battling anxiety, depression, or relationship issues that negatively impact your daily life, school, or work. Performance Focus: You are physically healthy, but your mindset impacts your execution. You are looking to "level up" your psychological skills. The "Gap" Problem: Anxiety sabotages your performance, or an injury triggered depression. Therapists don't understand your drive, and coaches lack clinical skills.
(515) 495-5573 View (515) 495-5573
Photo of George Lough, Psychologist, PhD, SEP, NARM
George Lough
Psychologist, PhD, SEP, NARM
Online Only
For over forty years I've helped people heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
For over forty years I've helped people heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
(608) 523-9041 View (608) 523-9041
Photo of Kaylee Arlen, Counselor, tLMHC
Kaylee Arlen
Counselor, tLMHC
3 Endorsed
Serves Area
Do you feel disconnected from yourself and unsure of what you truly want or need? Are you trying to balance school, work, relationships, and rest, yet still feel overwhelmed, anxious, or not “good enough”? You might find yourself overthinking, struggling to set boundaries, or constantly putting others first while your needs go unmet. If this is you, it sounds like you are ready to understand the root of your struggles. You long for a gentler, more compassionate relationship with yourself. Most of all, you want to be a more aligned, authentic, and empowered version of you.
Do you feel disconnected from yourself and unsure of what you truly want or need? Are you trying to balance school, work, relationships, and rest, yet still feel overwhelmed, anxious, or not “good enough”? You might find yourself overthinking, struggling to set boundaries, or constantly putting others first while your needs go unmet. If this is you, it sounds like you are ready to understand the root of your struggles. You long for a gentler, more compassionate relationship with yourself. Most of all, you want to be a more aligned, authentic, and empowered version of you.
(319) 257-2683 View (319) 257-2683

More Therapists Nearby

Photo of Vanessa West - Therapeutic Innovations, PLLC, Counselor, PhD, LMHC
Therapeutic Innovations, PLLC
Counselor, PhD, LMHC
3 Endorsed
Serves Area
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(319) 251-2089 View (319) 251-2089

Online Therapists

Photo of Madison Harman, Marriage & Family Therapist, MA, TLMFT
Madison Harman
Marriage & Family Therapist, MA, TLMFT
Cedar Rapids, IA 52402
I welcome individuals, couples, and families starting from age 2. I understand that scheduling an appointment can feel overwhelming, and it’s okay to have mixed feelings about therapy. My goal is to provide you with the resources and information to make that decision easier. In our sessions, I strive to create a safe, open environment to explore your strengths and challenges. Everyone deserves care, guidance, and joy, and I look forward to being a part of that journey. Together, we will develop a treatment plan tailored to your unique needs. Let’s take this important step together!
I welcome individuals, couples, and families starting from age 2. I understand that scheduling an appointment can feel overwhelming, and it’s okay to have mixed feelings about therapy. My goal is to provide you with the resources and information to make that decision easier. In our sessions, I strive to create a safe, open environment to explore your strengths and challenges. Everyone deserves care, guidance, and joy, and I look forward to being a part of that journey. Together, we will develop a treatment plan tailored to your unique needs. Let’s take this important step together!
(319) 319-7011 View (319) 319-7011
Photo of Presley Tapken, Pre-Licensed Professional, MA, t-LMHC
Presley Tapken
Pre-Licensed Professional, MA, t-LMHC
1 Endorsed
Hiawatha, IA 52233
Hi there, I’m so glad you’re here! My name is Presley. I welcome adolescents and adults who are seeking treatment for anxiety, OCD, depression, trauma, interpersonal challenges, women’s issues, and LGBTQIA+ issues. I also welcome children as young as 5 years old with challenges relating to difficulty expressing/processing emotions, anxiety, interpersonal challenges, and depression.
Hi there, I’m so glad you’re here! My name is Presley. I welcome adolescents and adults who are seeking treatment for anxiety, OCD, depression, trauma, interpersonal challenges, women’s issues, and LGBTQIA+ issues. I also welcome children as young as 5 years old with challenges relating to difficulty expressing/processing emotions, anxiety, interpersonal challenges, and depression.
(319) 250-1267 View (319) 250-1267
Photo of Marguerite Harper, Licensed Professional Counselor, LPC, LMHC
Marguerite Harper
Licensed Professional Counselor, LPC, LMHC
1 Endorsed
Online Only
My specialties include adult ADHD (I am an ADHD Certified Clinical Services Provider, ADHD-CCSP), anxiety, depression, grief, life transitions, and stress management. Are you struggling with ADHD symptoms, including emotional dysregulation, poor time management, trouble starting or finishing tasks, and/or job or school stress? I would love to talk with you about understanding and accepting your neurodiversity and to help you build on your strengths. Let's explore the issues that affect your quality of life so you can feel happy, productive, and joyful.
My specialties include adult ADHD (I am an ADHD Certified Clinical Services Provider, ADHD-CCSP), anxiety, depression, grief, life transitions, and stress management. Are you struggling with ADHD symptoms, including emotional dysregulation, poor time management, trouble starting or finishing tasks, and/or job or school stress? I would love to talk with you about understanding and accepting your neurodiversity and to help you build on your strengths. Let's explore the issues that affect your quality of life so you can feel happy, productive, and joyful.
(303) 731-3885 View (303) 731-3885
Photo of Nicole Elliott, Licensed Professional Counselor, LMHC-t
Nicole Elliott
Licensed Professional Counselor, LMHC-t
1 Endorsed
Cedar Rapids, IA 52402
As a therapist, I take a warm, collaborative approach rooted in presence, authenticity, and deep connection. Drawing from Person-Centered and Gestalt therapy, I help clients tune into their thoughts, emotions, and patterns in the here and now—creating space for self-awareness, healing, and growth. I believe therapy is for everyone, and that all people have the capacity to grow, change, and heal. I work with children through older adults, with a special interest in supporting people through life transitions.
As a therapist, I take a warm, collaborative approach rooted in presence, authenticity, and deep connection. Drawing from Person-Centered and Gestalt therapy, I help clients tune into their thoughts, emotions, and patterns in the here and now—creating space for self-awareness, healing, and growth. I believe therapy is for everyone, and that all people have the capacity to grow, change, and heal. I work with children through older adults, with a special interest in supporting people through life transitions.
(319) 220-5451 View (319) 220-5451
Photo of Nic Trip, Clinical Social Work/Therapist, LMSW
Nic Trip
Clinical Social Work/Therapist, LMSW
2 Endorsed
Cedar Falls, IA 50613
Waitlist for new clients
Hello and welcome! I am a licensed therapist providing counseling for tweens, teens, adults, families, and couples. I utilize trauma-informed practices and care for all clients, and enjoy working with a diverse set of clients. I have specific expertise and previous experiences working with individuals who have experienced sexual violence, are LGBTQ+, have childhood trauma, are neurodivergent, or exhibit PTSD symptoms. I am also interested in working with couples and those deconstructing religion and religious trauma.
Hello and welcome! I am a licensed therapist providing counseling for tweens, teens, adults, families, and couples. I utilize trauma-informed practices and care for all clients, and enjoy working with a diverse set of clients. I have specific expertise and previous experiences working with individuals who have experienced sexual violence, are LGBTQ+, have childhood trauma, are neurodivergent, or exhibit PTSD symptoms. I am also interested in working with couples and those deconstructing religion and religious trauma.
(319) 281-0642 View (319) 281-0642
Photo of Mackenzie Behof, Clinical Social Work/Therapist, MSW, LISW, PMH-C
Mackenzie Behof
Clinical Social Work/Therapist, MSW, LISW, PMH-C
2 Endorsed
Cedar Rapids, IA 52402
Waitlist for new clients
I understand that starting therapy can feel overwhelming and unfamiliar, but you don’t have to navigate it alone. My goal is to provide a warm, supportive, and judgment-free space where you can explore your thoughts, emotions, and experiences with confidence and ease. I take an individualized approach, tailoring each session to your unique needs using a blend of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing.
I understand that starting therapy can feel overwhelming and unfamiliar, but you don’t have to navigate it alone. My goal is to provide a warm, supportive, and judgment-free space where you can explore your thoughts, emotions, and experiences with confidence and ease. I take an individualized approach, tailoring each session to your unique needs using a blend of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing.
(319) 458-5138 View (319) 458-5138
Photo of Chelsea Plunkett, Marriage & Family Therapist Associate, MA, tLMFT
Chelsea Plunkett
Marriage & Family Therapist Associate, MA, tLMFT
4 Endorsed
Online Only
Trust is the foundation of healing—and it takes time, safety, and courage. My first priority in therapy is creating a space where you feel truly seen, heard, and accepted. I bring empathy, patience, and deep respect to the therapeutic relationship, and I’ll meet you exactly where you are. Together, we’ll take time to explore your unique experiences and needs and uncover strategies that encourage authentic expression and personal growth.
Trust is the foundation of healing—and it takes time, safety, and courage. My first priority in therapy is creating a space where you feel truly seen, heard, and accepted. I bring empathy, patience, and deep respect to the therapeutic relationship, and I’ll meet you exactly where you are. Together, we’ll take time to explore your unique experiences and needs and uncover strategies that encourage authentic expression and personal growth.
(319) 318-6326 View (319) 318-6326
Photo of Monica Walters, Marriage & Family Therapist, LMFT
Monica Walters
Marriage & Family Therapist, LMFT
Cedar Falls, IA 50613
We are all storytellers. The most influential stories are the ones we tell about ourselves. In therapy, we can work to untangle confusion, bring to light beliefs that no longer need a spot at the table, and examine new meaning that aligns with your values. I currently focus on working with individuals 18+ navigating self-doubt that keeps them stuck. In clinical terms, this often presents as heightened anxiety, low self-esteem, and grief. In everyday life, you might notice this in a career change, shifting relationships, juggling university, or simply finding your footing with the version of yourself today.
We are all storytellers. The most influential stories are the ones we tell about ourselves. In therapy, we can work to untangle confusion, bring to light beliefs that no longer need a spot at the table, and examine new meaning that aligns with your values. I currently focus on working with individuals 18+ navigating self-doubt that keeps them stuck. In clinical terms, this often presents as heightened anxiety, low self-esteem, and grief. In everyday life, you might notice this in a career change, shifting relationships, juggling university, or simply finding your footing with the version of yourself today.
(319) 844-5856 View (319) 844-5856
Photo of Daniel McElroy, Clinical Social Work/Therapist, LISW
Daniel McElroy
Clinical Social Work/Therapist, LISW
Winthrop, IA 50682
Therapy is a partnership designed to build resilience and restore balance. I provide holistic counseling for individuals and couples (ages 12+) who are ready to explore the interconnectedness of their mental, emotional, and physical health to achieve sustainable growth.
Therapy is a partnership designed to build resilience and restore balance. I provide holistic counseling for individuals and couples (ages 12+) who are ready to explore the interconnectedness of their mental, emotional, and physical health to achieve sustainable growth.
(319) 456-4508 View (319) 456-4508
Photo of Mackenzie Baker, Clinical Social Work/Therapist, LMSW
Mackenzie Baker
Clinical Social Work/Therapist, LMSW
1 Endorsed
Dubuque, IA 52003
Navigating life’s challenges can be tough, and it takes courage to seek support. My goal is to offer a safe, welcoming space where you can be your authentic self—met with warmth, compassion, and understanding. Therapy is different for everyone; there’s no one-size-fits-all path to healing. I work with individuals 14+ experiencing anxiety, challenges with emotion regulation, or simply just feeling stuck. Together, we’ll develop insight, resilience, and strategies to help you grow with confidence.
Navigating life’s challenges can be tough, and it takes courage to seek support. My goal is to offer a safe, welcoming space where you can be your authentic self—met with warmth, compassion, and understanding. Therapy is different for everyone; there’s no one-size-fits-all path to healing. I work with individuals 14+ experiencing anxiety, challenges with emotion regulation, or simply just feeling stuck. Together, we’ll develop insight, resilience, and strategies to help you grow with confidence.
(563) 748-5916 View (563) 748-5916
Photo of Connie Marie Sprimont, Clinical Social Work/Therapist, LISW
Connie Marie Sprimont
Clinical Social Work/Therapist, LISW
2 Endorsed
Dubuque, IA 52001
Hi, I am Connie Sprimont, an empathetic Licensed Independent Social Worker (LISW) passionate about helping individuals navigate life's challenges and cultivate resilience. With over 30 years of experience, I offer a safe and non-judgmental space where you can explore your journey of personal growth. I hold an MSW degree from the University of Iowa, with a focus on clinical social work practice, equipping me with the knowledge and skills to support you effectively. Throughout my career, I have had the privilege of empowering clients to overcome anxiety, depression, trauma, relationship difficulties, grief/loss, and life transitions.
Hi, I am Connie Sprimont, an empathetic Licensed Independent Social Worker (LISW) passionate about helping individuals navigate life's challenges and cultivate resilience. With over 30 years of experience, I offer a safe and non-judgmental space where you can explore your journey of personal growth. I hold an MSW degree from the University of Iowa, with a focus on clinical social work practice, equipping me with the knowledge and skills to support you effectively. Throughout my career, I have had the privilege of empowering clients to overcome anxiety, depression, trauma, relationship difficulties, grief/loss, and life transitions.
(563) 363-6294 View (563) 363-6294

See more therapy options for Decorah

How does your Therapist compare?

Number of Therapists in Decorah, IA

< 10

Therapists in Decorah, IA who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Depression
88% Self Esteem
88% Stress
75% Women's Issues
63% Trauma and PTSD

Average years in practice

21 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Wellmark BCBS
60% UnitedHealthcare UHC | UBH

How Therapists in Decorah, IA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Decorah?

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.