Therapists in Martin Luther King Jr Park, Des Moines, IA

Photo of Zoey Erixon, Clinical Social Work/Therapist, MSW, LISW, CADC
Zoey Erixon
Clinical Social Work/Therapist, MSW, LISW, CADC
1 Endorsed
Serves Area
Feeling connected to your inner self is a true gift. Therapy can help uncover the internal and external stressors that stand in the way of authentic connection. Whether you’ve experienced loss, trauma, unexpected change, or feel weighed down by shame, sadness, overwhelm, or anxiety, compassionate support is available. You are the expert on your life; therapy offers space to be heard, explore sense of self/identity, and make meaning of your experiences. Together, we clear a pathway so you can take steps forward and heal. For many neurodiverse folks, this also means gently unmasking and rebuilding self-trust.
Feeling connected to your inner self is a true gift. Therapy can help uncover the internal and external stressors that stand in the way of authentic connection. Whether you’ve experienced loss, trauma, unexpected change, or feel weighed down by shame, sadness, overwhelm, or anxiety, compassionate support is available. You are the expert on your life; therapy offers space to be heard, explore sense of self/identity, and make meaning of your experiences. Together, we clear a pathway so you can take steps forward and heal. For many neurodiverse folks, this also means gently unmasking and rebuilding self-trust.
(515) 517-6258 View (515) 517-6258
Photo of Amy Mooney - Ames Therapy & Consulting, PC, Counselor, PhD, MD, LMHCs, NCC, ACS
Ames Therapy & Consulting, PC
Counselor, PhD, MD, LMHCs, NCC, ACS
Serves Area
Welcome to Ames Therapy where your mental well-being is our utmost priority. We understand that life's journey can be challenging, and at times, we all need a helping hand to navigate the ups and downs. Our dedicated team of compassionate professionals is here to provide you with the support and guidance you need to achieve mental and emotional wellness. You are not alone on this path, and we are here to walk it with you. We bring a wealth of experience and expertise to help you on your journey . Our team of highly qualified and compassionate counselors has collectively spent decades working in the field of mental health.
Welcome to Ames Therapy where your mental well-being is our utmost priority. We understand that life's journey can be challenging, and at times, we all need a helping hand to navigate the ups and downs. Our dedicated team of compassionate professionals is here to provide you with the support and guidance you need to achieve mental and emotional wellness. You are not alone on this path, and we are here to walk it with you. We bring a wealth of experience and expertise to help you on your journey . Our team of highly qualified and compassionate counselors has collectively spent decades working in the field of mental health.
(515) 393-4982 View (515) 393-4982
Photo of Jacki King, Clinical Social Work/Therapist, LMSW
Jacki King
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Now accepting new clients in person and Telehealth. I am a Mental Health Provider accepting new clients in person or Telehealth. I greatly enjoy working with those who want to work on themselves. My experience in Hospice has allowed me to take a wholistic and person-centered approach to grief and loss. I have worked with many individuals and the challenges that naturally come with adulthood such as anxiety, depression, and self-doubt. Trained through Eating Disorder Coalition of Iowa to assist with navigating struggles with body image, eating disorders, or any complicated relationships to food, exercise, or your self image.
Now accepting new clients in person and Telehealth. I am a Mental Health Provider accepting new clients in person or Telehealth. I greatly enjoy working with those who want to work on themselves. My experience in Hospice has allowed me to take a wholistic and person-centered approach to grief and loss. I have worked with many individuals and the challenges that naturally come with adulthood such as anxiety, depression, and self-doubt. Trained through Eating Disorder Coalition of Iowa to assist with navigating struggles with body image, eating disorders, or any complicated relationships to food, exercise, or your self image.
(515) 579-5097 View (515) 579-5097
Photo of Holly Conlee, Counselor, LMHC, NCC
Holly Conlee
Counselor, LMHC, NCC
4 Endorsed
Serves Area
If you live anywhere in Iowa, let's chat! I enjoy connecting with clients by using a down-to-earth approach (and a little humor at times) to achieve the very best outcomes from therapy. I work with adults on a variety of concerns, including (but not limited to): anxiety, depression, adjustment difficulties, college stress, phase of life concerns, divorce, blended family concerns, serious acute/chronic illness, grief/loss, and trauma/PTSD. I am LGBTQ+ allied. I also enjoy working with corrections employees, law enforcement, firefighters, EMT, dispatch, and professionals in ER settings. We are all a work in progress!
If you live anywhere in Iowa, let's chat! I enjoy connecting with clients by using a down-to-earth approach (and a little humor at times) to achieve the very best outcomes from therapy. I work with adults on a variety of concerns, including (but not limited to): anxiety, depression, adjustment difficulties, college stress, phase of life concerns, divorce, blended family concerns, serious acute/chronic illness, grief/loss, and trauma/PTSD. I am LGBTQ+ allied. I also enjoy working with corrections employees, law enforcement, firefighters, EMT, dispatch, and professionals in ER settings. We are all a work in progress!
(515) 882-7435 View (515) 882-7435
Photo of Teresa M Bear, Psychologist, PhD, ABPP
Teresa M Bear
Psychologist, PhD, ABPP
Serves Area
“We do not grow by knowing all of the answers, but rather by living with the questions.” - Max De Pree. “Be curious, not judgmental.” -Ted Lasso These two quotes sum up my approach to therapy, and hopefully, to life. Our brains are naturally wired to make sense of things, to organize information into understandable experiences and thoughts. This relentless pursuit of understanding can lead to new discoveries, new technologies, new medicines. However, it can also lead to stress, burnout, anxiety, and depression. Balance between curiosity and living with the questions is necessary to a life of integrity.
“We do not grow by knowing all of the answers, but rather by living with the questions.” - Max De Pree. “Be curious, not judgmental.” -Ted Lasso These two quotes sum up my approach to therapy, and hopefully, to life. Our brains are naturally wired to make sense of things, to organize information into understandable experiences and thoughts. This relentless pursuit of understanding can lead to new discoveries, new technologies, new medicines. However, it can also lead to stress, burnout, anxiety, and depression. Balance between curiosity and living with the questions is necessary to a life of integrity.
(515) 599-3104 View (515) 599-3104
Photo of Alicia Schnabel, Licensed Clinical Professional Counselor, MS, NCC, LPC-MH, LCPC
Alicia Schnabel
Licensed Clinical Professional Counselor, MS, NCC, LPC-MH, LCPC
Serves Area
I am so glad you're here! Let me help you find the change you are seeking. At Rooted in Change Psychotherapy, I'd like to create an environment where you can thrive.
I am so glad you're here! Let me help you find the change you are seeking. At Rooted in Change Psychotherapy, I'd like to create an environment where you can thrive.
(605) 450-7308 View (605) 450-7308
Photo of Taren Rowley, Clinical Social Work/Therapist, LCSW
Taren Rowley
Clinical Social Work/Therapist, LCSW
Serves Area
My approach to therapy is warm, personable, and nonjudgmental. I practice a collaborative approach with my clients, taking into account each unique individual's social, emotional, psychological, medical, and situational needs, while utilizing evidenced based treatment approaches. I specialize in Cognitive Behavior Therapy and Exposure Based therapies. I believe in developing a healthy and trusting therapeutic relationship from the start and encourages the interaction of the clients’ healthy support network to help encourage and support the client through the therapy process.
My approach to therapy is warm, personable, and nonjudgmental. I practice a collaborative approach with my clients, taking into account each unique individual's social, emotional, psychological, medical, and situational needs, while utilizing evidenced based treatment approaches. I specialize in Cognitive Behavior Therapy and Exposure Based therapies. I believe in developing a healthy and trusting therapeutic relationship from the start and encourages the interaction of the clients’ healthy support network to help encourage and support the client through the therapy process.
(630) 912-0335 View (630) 912-0335
Photo of Jennifer Lynn Wigton, Psychologist, PhD, LP
Jennifer Lynn Wigton
Psychologist, PhD, LP
Serves Area
With over 20 years of experience as a licensed psychologist, I am able to offer clients the unique perspective of having worked in a wide variety of settings, addressing many different issues. I see my role as a collaborator with clients, working together to ease suffering and to achieve change. It is important to be a good and empathetic listener, as well as to also actively facilitate growth and change. I will work with you to identify your current challenges and needs in order to establish goals for treatment. Therapy is an active process that is most successful in the context of a warm and collaborative therapeutic environment.
With over 20 years of experience as a licensed psychologist, I am able to offer clients the unique perspective of having worked in a wide variety of settings, addressing many different issues. I see my role as a collaborator with clients, working together to ease suffering and to achieve change. It is important to be a good and empathetic listener, as well as to also actively facilitate growth and change. I will work with you to identify your current challenges and needs in order to establish goals for treatment. Therapy is an active process that is most successful in the context of a warm and collaborative therapeutic environment.
(515) 606-3986 View (515) 606-3986
Photo of Kaila Silent Water, Counselor, t-LMHC, NCC
Kaila Silent Water
Counselor, t-LMHC, NCC
1 Endorsed
Serves Area
Life is heavy and often times, its the mental load that weighs heaviest. I find humor to be healing and an effective outlet to externalize our inner experiences in a way to connect to others. I practice with a person-centered approach, guided by the belief that humans are inherently good with an innate drive to thrive rather than just survive. This approach values the unique complexities of being human and understands there is no “one-size-fits-all” when it comes to health (mental & physical!). In our time together, expect to laugh, cry, challenge the status quo, share memes, and to say the things you can't say to anyone else.
Life is heavy and often times, its the mental load that weighs heaviest. I find humor to be healing and an effective outlet to externalize our inner experiences in a way to connect to others. I practice with a person-centered approach, guided by the belief that humans are inherently good with an innate drive to thrive rather than just survive. This approach values the unique complexities of being human and understands there is no “one-size-fits-all” when it comes to health (mental & physical!). In our time together, expect to laugh, cry, challenge the status quo, share memes, and to say the things you can't say to anyone else.
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Photo of Rachael Hanson, Clinical Social Work/Therapist, LMSW
Rachael Hanson
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Do you struggle with feeling on edge, constant racing thoughts, or challenging memories, making it difficult to relax? Have you been putting others' needs above yours for too long? Are you googling ‘burnout symptoms’ so often your phone is starting to worry about you? Now more than ever, people are overwhelmed, overworked, and disconnected. No two people are the same, and therapy shouldn’t be either. Challenging experiences, regardless of the time that has passed, impact every human in some capacity. Together, we will identify techniques and strategies that work and feel best for you to live a more peaceful life.
Do you struggle with feeling on edge, constant racing thoughts, or challenging memories, making it difficult to relax? Have you been putting others' needs above yours for too long? Are you googling ‘burnout symptoms’ so often your phone is starting to worry about you? Now more than ever, people are overwhelmed, overworked, and disconnected. No two people are the same, and therapy shouldn’t be either. Challenging experiences, regardless of the time that has passed, impact every human in some capacity. Together, we will identify techniques and strategies that work and feel best for you to live a more peaceful life.
(515) 679-7202 View (515) 679-7202
Photo of Crystal Hemesath - 515 Therapy and Consulting, Counselor, LMHC, LISW, LMFT, ARNP, LP
515 Therapy and Consulting
Counselor, LMHC, LISW, LMFT, ARNP, LP
Serves Area
Ready to prioritize your mental health? 515 Therapy & Consulting is accepting new clients across Iowa! Join us for an in-office appointment at our comfortable West Des Moines location or attend a convenient virtual session from anywhere. No matter what the presenting problem is, our licensed providers offer compassionate, personalized care.
Ready to prioritize your mental health? 515 Therapy & Consulting is accepting new clients across Iowa! Join us for an in-office appointment at our comfortable West Des Moines location or attend a convenient virtual session from anywhere. No matter what the presenting problem is, our licensed providers offer compassionate, personalized care.
(515) 654-5448 View (515) 654-5448
Photo of Jacob Joslin, Clinical Social Work/Therapist, LISW
Jacob Joslin
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
If you're struggling with ADHD, relationship challenges, grief, chronic illness, or any difficult life change, I want you to know there is hope—and you don’t have to face it alone. Healing is not only possible, but it’s within your reach. With over 13 years of experience, I specialize in ADHD (for both children and adults), relationship counseling, and Christian-focused therapy, while welcoming clients from all faith backgrounds. My approach is built on compassion, understanding, and the belief that everyone has the capacity for growth and healing.
If you're struggling with ADHD, relationship challenges, grief, chronic illness, or any difficult life change, I want you to know there is hope—and you don’t have to face it alone. Healing is not only possible, but it’s within your reach. With over 13 years of experience, I specialize in ADHD (for both children and adults), relationship counseling, and Christian-focused therapy, while welcoming clients from all faith backgrounds. My approach is built on compassion, understanding, and the belief that everyone has the capacity for growth and healing.
(319) 251-2881 View (319) 251-2881
Photo of Ashley Tharp, Counselor, MS, (t)LMHC
Ashley Tharp
Counselor, MS, (t)LMHC
1 Endorsed
Serves Area
I am dedicated to helping clients reach their goals and live the life they wish to have. I am passionate about mental health and am proud to offer services that assist with difficult symptoms and the challenges that life throws us.
I am dedicated to helping clients reach their goals and live the life they wish to have. I am passionate about mental health and am proud to offer services that assist with difficult symptoms and the challenges that life throws us.
(515) 501-5876 View (515) 501-5876
Photo of Chelsea Capper, Art Therapist, ATR, LMHC
Chelsea Capper
Art Therapist, ATR, LMHC
Serves Area
Currently accepting new clients for Mondayand Tuesday mornings, Wednesday and Thursday availability. As a Registered Art Therapist (ATR), I believe deeply in the power of creativity to unlock understanding, healing, and self-discovery. The creative process offers a unique and often gentle pathway to explore thoughts, emotions, and experiences that may be difficult to express with words alone. Whether through drawing, painting, or other forms of visual art, I strive to create a supportive and nonjudgmental space where individuals can safely connect with their inner world.
Currently accepting new clients for Mondayand Tuesday mornings, Wednesday and Thursday availability. As a Registered Art Therapist (ATR), I believe deeply in the power of creativity to unlock understanding, healing, and self-discovery. The creative process offers a unique and often gentle pathway to explore thoughts, emotions, and experiences that may be difficult to express with words alone. Whether through drawing, painting, or other forms of visual art, I strive to create a supportive and nonjudgmental space where individuals can safely connect with their inner world.
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Photo of Courtney Mergen, Counselor, MA, MS, LMHC
Courtney Mergen
Counselor, MA, MS, LMHC
4 Endorsed
Serves Area
Hello and welcome! My name is Courtney and I am a compassionate and open-minded mental health therapist located in West Des Moines. I enjoy working with individuals aged 12 through adulthood with particular interest in trauma/PTSD, women's issues, anxiety disorders, insomnia, and sexual strain/dysfunction. My approach is trauma-informed and empirically supported. I am trained in EMDR and Cognitive Behavioral Therapy for Insomnia (CBT-i).
Hello and welcome! My name is Courtney and I am a compassionate and open-minded mental health therapist located in West Des Moines. I enjoy working with individuals aged 12 through adulthood with particular interest in trauma/PTSD, women's issues, anxiety disorders, insomnia, and sexual strain/dysfunction. My approach is trauma-informed and empirically supported. I am trained in EMDR and Cognitive Behavioral Therapy for Insomnia (CBT-i).
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Photo of Rachel M Klobassa, Clinical Social Work/Therapist, LISW
Rachel M Klobassa
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
I focus on creating a therapeutic relationship that is cooperative, trusting and encouraging. I aim to create a safe, open environment for my clients to express their feelings and work through issues while feeling accepted and validated. I am an active therapist that offers suggestions, tools, action plans and homework based upon my client’s needs. I consider myself direct and straight forward but also steady and nurturing. I bring my authentic self to the therapeutic relationship which includes small doses of humor and sarcasm when appropriate!
I focus on creating a therapeutic relationship that is cooperative, trusting and encouraging. I aim to create a safe, open environment for my clients to express their feelings and work through issues while feeling accepted and validated. I am an active therapist that offers suggestions, tools, action plans and homework based upon my client’s needs. I consider myself direct and straight forward but also steady and nurturing. I bring my authentic self to the therapeutic relationship which includes small doses of humor and sarcasm when appropriate!
(515) 219-4626 View (515) 219-4626
Photo of Kaylea Adkins, Clinical Social Work/Therapist
Kaylea Adkins
Clinical Social Work/Therapist
Serves Area
With over 15 years of experience in social work and counseling, I’m deeply passionate about supporting individuals on their journey toward healing and growth. I work with children, adolescents, and adults facing a wide range of challenges, including emotional struggles, relationship concerns, stress management, anger management, navigating life transitions, and managing mood or anxiety disorders. My approach is centered on understanding, compassion, and helping you develop the skills to thrive in all areas of life.
With over 15 years of experience in social work and counseling, I’m deeply passionate about supporting individuals on their journey toward healing and growth. I work with children, adolescents, and adults facing a wide range of challenges, including emotional struggles, relationship concerns, stress management, anger management, navigating life transitions, and managing mood or anxiety disorders. My approach is centered on understanding, compassion, and helping you develop the skills to thrive in all areas of life.
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Photo of Amy Lippman, Pre-Licensed Professional, tLMFT
Amy Lippman
Pre-Licensed Professional, tLMFT
6 Endorsed
Serves Area
I believe in the power of empathy, and I vow to challenge you with compassion and care. Your values are at the core of my work. I understand that each person is a constant work in progress, and I will hold the non-judgmental space we create with reverence. It is an honor for me to be part of vulnerable and healing moments with you. I am excited to partner with you to explore whatever you bring to the room and move towards accomplishing your goals. Humor and playfulness are also important to me, and if they are to you, too, we will likely be a good fit!
I believe in the power of empathy, and I vow to challenge you with compassion and care. Your values are at the core of my work. I understand that each person is a constant work in progress, and I will hold the non-judgmental space we create with reverence. It is an honor for me to be part of vulnerable and healing moments with you. I am excited to partner with you to explore whatever you bring to the room and move towards accomplishing your goals. Humor and playfulness are also important to me, and if they are to you, too, we will likely be a good fit!
(515) 219-9140 View (515) 219-9140
Photo of Jeff Glover, Counselor, MA, LPCC, LADC
Jeff Glover
Counselor, MA, LPCC, LADC
1 Endorsed
Serves Area
I specialize with substance abuse/addiction, eating disorders, and co-occurring mental health diagnosis such anxiety, depression and trauma. This includes family members. When you're not sure if it's really a problem but you're open to exploring it; when you're pretty sure it's a problem but you need help figuring out what's next; when you know it's a problem but you've struggled to find a way out.... I understand the concerns very well, professionally and personally, and I can help orient you, figure out where you want things to be, and help you develop a plan to get there.
I specialize with substance abuse/addiction, eating disorders, and co-occurring mental health diagnosis such anxiety, depression and trauma. This includes family members. When you're not sure if it's really a problem but you're open to exploring it; when you're pretty sure it's a problem but you need help figuring out what's next; when you know it's a problem but you've struggled to find a way out.... I understand the concerns very well, professionally and personally, and I can help orient you, figure out where you want things to be, and help you develop a plan to get there.
(612) 261-1928 View (612) 261-1928
Photo of Martha Norton, Counselor, MS, LMHC, IAADC
Martha Norton
Counselor, MS, LMHC, IAADC
2 Endorsed
Serves Area
I work with clients through a lens of compassion and acceptance. Using EMDR and Sensorimotor psychotherapy, I do my best to develop a warm, safe environment for you to explore and grow. I work with all ages to expand internal resources, heal from past negative experiences and explore new directions. I feel it is an honor to work with clients, connecting the pieces of each person's unique experiential puzzle and exploring ways to have more freedom to form the future.
I work with clients through a lens of compassion and acceptance. Using EMDR and Sensorimotor psychotherapy, I do my best to develop a warm, safe environment for you to explore and grow. I work with all ages to expand internal resources, heal from past negative experiences and explore new directions. I feel it is an honor to work with clients, connecting the pieces of each person's unique experiential puzzle and exploring ways to have more freedom to form the future.
(515) 462-0950 View (515) 462-0950

See more therapy options for Martin Luther King Jr Park, Des Moines

How does your Therapist compare?

Number of Therapists in Martin Luther King Jr Park, Des Moines, IA

100+

Average cost per session

$158

Therapists in Martin Luther King Jr Park, Des Moines, IA who prioritize treating:

94% Anxiety
85% Depression
79% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
75% Stress
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
67% Wellmark BCBS
63% UnitedHealthcare UHC | UBH

How Therapists in Martin Luther King Jr Park, Des Moines, IA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Martin Luther King Jr Park, Des Moines?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.