Therapists in Decorah, IA

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 Jennifer M. Bauman-Roberts, Clinical Social Work/Therapist, LMSW
Jennifer M. Bauman-Roberts
Clinical Social Work/Therapist, LMSW
Online Only
I understand that locating a therapist can feel foreign, uncomfortable, and tricky. I am here to guide you in identifying personal, life, and therapeutic goals you feel will assist you in realizing your best self. We will have time to establish a relationship and build trust. In my practice, the client-therapist relationship is paramount at the start. I strive to provide therapy sessions that allow peaceful space for growth, communication, and trust. Therapy goals and direction can be variable and flexible. Yet, the need for empathy in all humans is vital. I pledge to you a safe space that includes empathy and freedom to grow.
I understand that locating a therapist can feel foreign, uncomfortable, and tricky. I am here to guide you in identifying personal, life, and therapeutic goals you feel will assist you in realizing your best self. We will have time to establish a relationship and build trust. In my practice, the client-therapist relationship is paramount at the start. I strive to provide therapy sessions that allow peaceful space for growth, communication, and trust. Therapy goals and direction can be variable and flexible. Yet, the need for empathy in all humans is vital. I pledge to you a safe space that includes empathy and freedom to grow.
(563) 635-6833 View (563) 635-6833
Photo of Manon C. Bushman, Counselor, MA, tLMHC
Manon C. Bushman
Counselor, MA, tLMHC
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
1 Endorsed
Decorah, IA 52101
I am a Licensed Mental Health Therapist and Registered Art Therapist. I am certified in EMDR and Mindfulness Based Cognitive Therapy. I have been helping people of all ages navigate mental health and life challenges for over 25 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 approach is non-judgmental, compassionate and collaborative.
I am a Licensed Mental Health Therapist and Registered Art Therapist. I am certified in EMDR and Mindfulness Based Cognitive Therapy. I have been helping people of all ages navigate mental health and life challenges for over 25 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 approach is non-judgmental, compassionate and collaborative.
(563) 202-2189 View (563) 202-2189
Photo of Meg M Hammes, Clinical Social Work/Therapist, LCSW, CCTP
Meg M Hammes
Clinical Social Work/Therapist, LCSW, CCTP
Decorah, IA 52101
I specialize in supporting adults and couples through times of change, disconnection, and rediscovery. Whether you’re navigating a life transition, unpacking old wounds, or re-evaluating what matters most, I offer a compassionate space where you can slow down, reflect, and grow. Many of the people I work with are facing shifts in identity, relationships, or purpose. Others are newly diagnosed neurodivergent adults beginning to make sense of their experience through a new lens, often with a mix of relief, grief, and curiosity. I also work with individuals carrying the weight of childhood trauma are ready to understand old patterns.
I specialize in supporting adults and couples through times of change, disconnection, and rediscovery. Whether you’re navigating a life transition, unpacking old wounds, or re-evaluating what matters most, I offer a compassionate space where you can slow down, reflect, and grow. Many of the people I work with are facing shifts in identity, relationships, or purpose. Others are newly diagnosed neurodivergent adults beginning to make sense of their experience through a new lens, often with a mix of relief, grief, and curiosity. I also work with individuals carrying the weight of childhood trauma are ready to understand old patterns.
(414) 626-0963 View (414) 626-0963
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 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

Online Therapists

Photo of Jacquelyn Schultz, Clinical Social Work/Therapist, LISW
Jacquelyn Schultz
Clinical Social Work/Therapist, LISW
Online Only
My professional experience over the past twenty-seven years has concentrated on children, teenagers, adults, couples and families including in-home and private practice. I am familiar with how individuals and families often require collaboration across settings and between service providers. My focus is on listening and finding the best approach to help someone meet their goals out of therapy. I realize that finding a therapist can be difficult. I work hard to establish a relationship in which a person feels understood and respected. I am a faith base counselor for those who are looking for that.
My professional experience over the past twenty-seven years has concentrated on children, teenagers, adults, couples and families including in-home and private practice. I am familiar with how individuals and families often require collaboration across settings and between service providers. My focus is on listening and finding the best approach to help someone meet their goals out of therapy. I realize that finding a therapist can be difficult. I work hard to establish a relationship in which a person feels understood and respected. I am a faith base counselor for those who are looking for that.
(319) 774-4674 View (319) 774-4674
Photo of Tari Wilcox, Marriage & Family Therapist, MS, LMFT
Tari Wilcox
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Cedar Rapids, IA 52402
I look forward to helping you seek greater peace and conflict resolution - helping you find an increased overall life balance. I work with individuals, couples, and families to help them work through former and current conflict and stressors. I use cognitive behavioral techniques to assist in challenging distorted thoughts and patterns. I have a focus in helping those who struggle with depression and anxiety, trauma and abuse, relationship or family conflicts, life transitions, and issues surrounding grief and loss.
I look forward to helping you seek greater peace and conflict resolution - helping you find an increased overall life balance. I work with individuals, couples, and families to help them work through former and current conflict and stressors. I use cognitive behavioral techniques to assist in challenging distorted thoughts and patterns. I have a focus in helping those who struggle with depression and anxiety, trauma and abuse, relationship or family conflicts, life transitions, and issues surrounding grief and loss.
(319) 774-4953 View (319) 774-4953
Photo of James Guentherman, Counselor, LMHC, EMDR
James Guentherman
Counselor, LMHC, EMDR
6 Endorsed
Dubuque, IA 52002
As a veteran and dedicated mental health counselor, my mission is to erase the stigma surrounding mental illness while transforming lives. With over 21 years of experience, I address challenges like PTSD, depression, anxiety, and anger management. I have a deep passion for assisting fellow veterans, as our shared experiences foster trust and connection. I also work with children and adults of all ages, using modalities like EMDR and Cognitive Behavioral Therapy to tailor effective therapeutic plans.
As a veteran and dedicated mental health counselor, my mission is to erase the stigma surrounding mental illness while transforming lives. With over 21 years of experience, I address challenges like PTSD, depression, anxiety, and anger management. I have a deep passion for assisting fellow veterans, as our shared experiences foster trust and connection. I also work with children and adults of all ages, using modalities like EMDR and Cognitive Behavioral Therapy to tailor effective therapeutic plans.
(888) 497-9037 View (888) 497-9037
Photo of Reid Mettert, Counselor, MA, LMHC
Reid Mettert
Counselor, MA, LMHC
Dubuque, IA 52003
**Limited Availability at this time** There is a saying that I have lived by and it goes like this, "nothing changes if nothing changes." Change is scary, life is scary, and talking to someone when you’re not feeling the best can be scary. I commend everyone who seeks help and is ready to make a change in their life for the better because that is scary. Understand that I am not here to fix you, because therapy is not about me telling you what you need to do. Rather, therapy is about me empowering you to seek that for yourself and provide a safe place to explore the areas in your life that YOU believe need to change.
**Limited Availability at this time** There is a saying that I have lived by and it goes like this, "nothing changes if nothing changes." Change is scary, life is scary, and talking to someone when you’re not feeling the best can be scary. I commend everyone who seeks help and is ready to make a change in their life for the better because that is scary. Understand that I am not here to fix you, because therapy is not about me telling you what you need to do. Rather, therapy is about me empowering you to seek that for yourself and provide a safe place to explore the areas in your life that YOU believe need to change.
(563) 204-2141 View (563) 204-2141
Photo of Nicole Makovec, Clinical Social Work/Therapist, LISW
Nicole Makovec
Clinical Social Work/Therapist, LISW
1 Endorsed
Dubuque, IA 52002
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
(563) 239-6845 View (563) 239-6845
Photo of Brian Rohloff - Brian Rohloff - NOCD, Licensed Clinical Professional Counselor, LCPC, LMHC
Brian Rohloff - NOCD
Licensed Clinical Professional Counselor, LCPC, LMHC
Online Only
Living with OCD can be overwhelming, often leading to years of silent suffering due to misdiagnosis and misunderstanding. OCD has a way of taking your worst fears and turning them into thoughts that seem to reflect who you are, but that couldn't be further from the truth. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
Living with OCD can be overwhelming, often leading to years of silent suffering due to misdiagnosis and misunderstanding. OCD has a way of taking your worst fears and turning them into thoughts that seem to reflect who you are, but that couldn't be further from the truth. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(708) 627-2195 View (708) 627-2195
Photo of Bridget Bartlett, Clinical Social Work/Therapist, LMSW, LISW
Bridget Bartlett
Clinical Social Work/Therapist, LMSW, LISW
1 Endorsed
Dubuque, IA 52001
Struggling with the weight of past trauma or feeling stuck in challenging relationships? If so, I can help! I’m a therapist specializing in individual counseling for adults navigating the impacts of trauma and relationship challenges. I provide a safe, supportive space to help you explore your experiences, build healthier coping skills, and create lasting change. Using approaches like cognitive restructuring, CBT, and DBT, I tailor therapy to your unique needs and goals. Together, we can work toward greater self-understanding, resilience, and the fulfilling relationships you deserve.
Struggling with the weight of past trauma or feeling stuck in challenging relationships? If so, I can help! I’m a therapist specializing in individual counseling for adults navigating the impacts of trauma and relationship challenges. I provide a safe, supportive space to help you explore your experiences, build healthier coping skills, and create lasting change. Using approaches like cognitive restructuring, CBT, and DBT, I tailor therapy to your unique needs and goals. Together, we can work toward greater self-understanding, resilience, and the fulfilling relationships you deserve.
(563) 278-2002 View (563) 278-2002
Photo of Stephanie Grobstich, Marriage & Family Therapist, MA, LMFT, RPT
Stephanie Grobstich
Marriage & Family Therapist, MA, LMFT, RPT
Cedar Rapids, IA 52402
I work with individuals, children 3+, teens, couples and families. I specialize in play therapy to help kiddos process through their struggles utilizing play. I also work closely with families to help find solutions by looking at the larger system. I choose to look at your strengths to help encourage you to push forward on your journey with therapy. My goal is to connect with you and to honor your experiences while working with you to achieve your goals.
I work with individuals, children 3+, teens, couples and families. I specialize in play therapy to help kiddos process through their struggles utilizing play. I also work closely with families to help find solutions by looking at the larger system. I choose to look at your strengths to help encourage you to push forward on your journey with therapy. My goal is to connect with you and to honor your experiences while working with you to achieve your goals.
(319) 271-6435 View (319) 271-6435
Photo of Mallory Markwitz, Clinical Social Work/Therapist, LISW
Mallory Markwitz
Clinical Social Work/Therapist, LISW
Cedar Rapids, IA 52402
Asking for help isn’t giving up. It’s refusing to give up - Charlie Mackesy. However, when things don't improve and life becomes overwhelming, getting help might be necessary. Sometimes people are reluctant to start therapy because they see it as a sign of weakness. It can be difficult to open up and be vulnerable to someone new. I understand this reluctance and I'm here to make this process as easy and as helpful as possible. I will listen to your problems, give you encouragement and teach you the skills you need to improve your life.
Asking for help isn’t giving up. It’s refusing to give up - Charlie Mackesy. However, when things don't improve and life becomes overwhelming, getting help might be necessary. Sometimes people are reluctant to start therapy because they see it as a sign of weakness. It can be difficult to open up and be vulnerable to someone new. I understand this reluctance and I'm here to make this process as easy and as helpful as possible. I will listen to your problems, give you encouragement and teach you the skills you need to improve your life.
(319) 264-2391 View (319) 264-2391
Photo of Aaron Culley - Candeo Counseling Center, Clinical Social Work/Therapist
Candeo Counseling Center
Clinical Social Work/Therapist
Cedar Falls, IA 50613
Candeo Counseling Center offers Christ-Centered and Clinically Informed counseling services.
Candeo Counseling Center offers Christ-Centered and Clinically Informed counseling services.
(319) 264-1807 View (319) 264-1807
Photo of Lisa Raney, Counselor, LMHC
Lisa Raney
Counselor, LMHC
Online Only
As a Licensed Mental Health Counselor and Neuropsychotherapist, I believe that prioritizing mental health is essential for achieving happiness and stability in life. Acknowledging the need for help can be one of the most challenging decisions to make, so I commend you for taking that important step. I have been practicing since 2006. My specialization lies in Neuropsychology, which involves exploring the relationship between our brain and behavior, as well as understanding the reasons behind our thoughts and feelings. I have worked with clients with a wide range of concerns including health and wellness, stress management, depressio
As a Licensed Mental Health Counselor and Neuropsychotherapist, I believe that prioritizing mental health is essential for achieving happiness and stability in life. Acknowledging the need for help can be one of the most challenging decisions to make, so I commend you for taking that important step. I have been practicing since 2006. My specialization lies in Neuropsychology, which involves exploring the relationship between our brain and behavior, as well as understanding the reasons behind our thoughts and feelings. I have worked with clients with a wide range of concerns including health and wellness, stress management, depressio
(319) 261-9636 View (319) 261-9636
Lacy Orcutt
Marriage & Family Therapist, MA, MFT
1 Endorsed
Monticello, IA 52310
I have experience working with individuals, couples, and families of all ages and backgrounds. I have experience within areas of trauma, life transitions, anxiety, depression, relationship problems, and other mental health struggles. My approach to therapy is an experiential one with integrated evidence-based treatments such as Emotion Focused Couples Therapy (EFT) and Internal Family Systems Therapy (IFS). I am also trained in EMDR.
I have experience working with individuals, couples, and families of all ages and backgrounds. I have experience within areas of trauma, life transitions, anxiety, depression, relationship problems, and other mental health struggles. My approach to therapy is an experiential one with integrated evidence-based treatments such as Emotion Focused Couples Therapy (EFT) and Internal Family Systems Therapy (IFS). I am also trained in EMDR.
(319) 343-5307 View (319) 343-5307
Photo of Kristin Breza Newcomb, Clinical Social Work/Therapist, MSW, LICSW
Kristin Breza Newcomb
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Cedar Rapids, IA 52404
Waitlist for new clients
Feeling sad or down? Exhausted? Overwhelmed? Irritated? Life is hard. Plain and simple. Situations and circumstances so often drive us in a direction we weren't prepared. So many of us have a hard time figuring out what to do in these moments. I have worked with college students, individuals in difficult relationships, medical workers, educators, mothers, teen girls, pregnant women, LGBTQ+ persons and so many others who find themselves in a place that feels confusing or dark. Negative mental health can come in forms that we didn't know existed - until we are there. Clients I work with just need to talk to an unbiased ear.
Feeling sad or down? Exhausted? Overwhelmed? Irritated? Life is hard. Plain and simple. Situations and circumstances so often drive us in a direction we weren't prepared. So many of us have a hard time figuring out what to do in these moments. I have worked with college students, individuals in difficult relationships, medical workers, educators, mothers, teen girls, pregnant women, LGBTQ+ persons and so many others who find themselves in a place that feels confusing or dark. Negative mental health can come in forms that we didn't know existed - until we are there. Clients I work with just need to talk to an unbiased ear.
(319) 456-4954 View (319) 456-4954

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% Relationship Issues
100% Anxiety
100% Stress
100% Life Transitions
86% Coping Skills
86% Women's Issues
71% Depression

Average years in practice

26 Years

Top 3 insurances accepted

100% Wellmark BCBS
75% BlueCross and BlueShield
75% Midlands Choice

How Therapists in Decorah, IA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

86% Female
14% 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.