Therapists in Knoxville, IA

Photo of Emily Flanagan, Counselor in Knoxville, IA
Emily Flanagan
Counselor, tLMHC
Verified Verified
Knoxville, IA 50138  (Online Only)
Are you experiencing a mind-body disconnect? The individuals I work with typically are struggling with issues such as eating disorders, depression, and anxiety issues. They want to be freed from being stuck in their head, and we work collaboratively to work through goals that create more mental peace. Typical symptoms I see in my practice are restrictive eating, binge eating, lack of pleasure or joy, and worried or obsessive thoughts. I see individuals ages 12 and up and work with all genders.
Are you experiencing a mind-body disconnect? The individuals I work with typically are struggling with issues such as eating disorders, depression, and anxiety issues. They want to be freed from being stuck in their head, and we work collaboratively to work through goals that create more mental peace. Typical symptoms I see in my practice are restrictive eating, binge eating, lack of pleasure or joy, and worried or obsessive thoughts. I see individuals ages 12 and up and work with all genders.
(641) 435-3286 View (641) 435-3286
Photo of Stephanie Albers, Clinical Social Work/Therapist in Knoxville, IA
Stephanie Albers
Clinical Social Work/Therapist, PhD, LMHP, LMHC
Verified Verified
1 Endorsed
Knoxville, IA 50138  (Online Only)
Are you looking for a therapist who understands the unique needs of people in larger bodies? I work with individuals impacted by eating disorders, anxiety, and mood-related symptoms. Many of the people I work with are impacted by symptoms of binge eating, weight stigma, and everyday stressors. It is important to me to ensure that all individuals receive equitable treatment, and I work to remove insurance and treatment barriers to accessing healthcare. If you have questions about your symptoms being approved by insurance, I can help you find the answers you need.
Are you looking for a therapist who understands the unique needs of people in larger bodies? I work with individuals impacted by eating disorders, anxiety, and mood-related symptoms. Many of the people I work with are impacted by symptoms of binge eating, weight stigma, and everyday stressors. It is important to me to ensure that all individuals receive equitable treatment, and I work to remove insurance and treatment barriers to accessing healthcare. If you have questions about your symptoms being approved by insurance, I can help you find the answers you need.
(641) 329-2308 View (641) 329-2308
Photo of Brandi Stalzer, Counselor in Knoxville, IA
Brandi Stalzer
Counselor, LIMHP, LPCC, BC-TMH
Verified Verified
Knoxville, IA 50138  (Online Only)
Are you struggling with food or your body? The people I work with typically struggle with symptoms like binge eating, overeating, irregular eating patterns, or poor body image. I help people find relief from eating disorders. Often, I hear people express how their eating patterns have impaired their relationships, mood, and daily activities. They may be experiencing mood or anxiety-related issues, in addition, to their food struggles. Most people I work with say that their work with me is their first time conceptualizing their concerns as a mental health issue and are seeking treatment for the first time.
Are you struggling with food or your body? The people I work with typically struggle with symptoms like binge eating, overeating, irregular eating patterns, or poor body image. I help people find relief from eating disorders. Often, I hear people express how their eating patterns have impaired their relationships, mood, and daily activities. They may be experiencing mood or anxiety-related issues, in addition, to their food struggles. Most people I work with say that their work with me is their first time conceptualizing their concerns as a mental health issue and are seeking treatment for the first time.
(531) 201-6882 View (531) 201-6882
Photo of Cheryl Garland, Counselor in Knoxville, IA
Cheryl Garland
Counselor, MS, LMHC, RPT-S
Verified Verified
Knoxville, IA 50138
Since 2008 Integrative Counseling Solutions, Inc has been reaching out to schools and rural communities in Central Iowa to make mental health services more accessible.
Since 2008 Integrative Counseling Solutions, Inc has been reaching out to schools and rural communities in Central Iowa to make mental health services more accessible.
(641) 842-4357 View (641) 842-4357
Photo of Integrative Counseling Solutions, Clinical Social Work/Therapist in Knoxville, IA
Integrative Counseling Solutions
Clinical Social Work/Therapist, LMSW
Verified Verified
Knoxville, IA 50138
We are an interdisciplinary team made up of Licensed Therapists and Social Workers. Together we are able to provide a comprehensive and holistic approach to mental health treatment which includes; mental health assessment, counseling, referral, skill development, play therapy, sand tray therapy, and substance use. We serve children, teens, adults, couples and families at our Polk and Marion County offices, along with school locations throughout Central Iowa. We have offices in Ankeny, Knoxville and West Des Moines.
We are an interdisciplinary team made up of Licensed Therapists and Social Workers. Together we are able to provide a comprehensive and holistic approach to mental health treatment which includes; mental health assessment, counseling, referral, skill development, play therapy, sand tray therapy, and substance use. We serve children, teens, adults, couples and families at our Polk and Marion County offices, along with school locations throughout Central Iowa. We have offices in Ankeny, Knoxville and West Des Moines.
(515) 267-1340 View (515) 267-1340
Photo of Gabby Archibald, Clinical Social Work/Therapist in Knoxville, IA
Gabby Archibald
Clinical Social Work/Therapist, LISW, RPTS
Verified Verified
1 Endorsed
Knoxville, IA 50197
Waitlist for new clients
I believe in meeting clients where they are in life, using a compassionate and caring approach with the modality that works the best for your needs. I see a range of clients from children through adults, with a variety of needs including adjustment issues, anxiety, depression, behavioral problems, adolescent sexual offending and trauma. I have been trained in EMDR, Trauma Focused CBT and play therapy, among other therapeutic approaches.
I believe in meeting clients where they are in life, using a compassionate and caring approach with the modality that works the best for your needs. I see a range of clients from children through adults, with a variety of needs including adjustment issues, anxiety, depression, behavioral problems, adolescent sexual offending and trauma. I have been trained in EMDR, Trauma Focused CBT and play therapy, among other therapeutic approaches.
(515) 606-1774 View (515) 606-1774

Online Therapists

Photo of Anastazia Decker, Clinical Social Work/Therapist in Knoxville, IA
Anastazia Decker
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
Cedar Rapids, IA 52404
I provide therapy to adolescents, adults, and couples from different backgrounds. I am interested in helping a wide variety of people who experience things such as, but not limited to, anxiety, depression, trauma, suicidal ideation, self-harm, LGBTQ+ issues, and relationship issues.
I provide therapy to adolescents, adults, and couples from different backgrounds. I am interested in helping a wide variety of people who experience things such as, but not limited to, anxiety, depression, trauma, suicidal ideation, self-harm, LGBTQ+ issues, and relationship issues.
(319) 463-3673 View (319) 463-3673
Photo of Wild Blossom Counseling, LLC, Counselor in Knoxville, IA
Wild Blossom Counseling, LLC
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Ankeny, IA 50023  (Online Only)
My skill set is versatile, suitable for addressing a wide range of issues including trauma, grief/loss, relationship challenges, perfectionism, people-pleasing behavior, self-esteem struggles, depression, anxiety, and life transitions. This list is not exhaustive, and I invite you to reach out if you're unsure whether we'd be a good fit. Above all, I prioritize the therapeutic relationship and encourage you to connect if you seek the same. In therapy, I adopt a relaxed, client-centered, and adaptable approach tailored to your individual needs. Your well-being is paramount, and I'm here to support you through your journey.
My skill set is versatile, suitable for addressing a wide range of issues including trauma, grief/loss, relationship challenges, perfectionism, people-pleasing behavior, self-esteem struggles, depression, anxiety, and life transitions. This list is not exhaustive, and I invite you to reach out if you're unsure whether we'd be a good fit. Above all, I prioritize the therapeutic relationship and encourage you to connect if you seek the same. In therapy, I adopt a relaxed, client-centered, and adaptable approach tailored to your individual needs. Your well-being is paramount, and I'm here to support you through your journey.
(515) 305-2823 View (515) 305-2823
Photo of Ivory Lotus Therapy, Pre-Licensed Professional in Knoxville, IA
Ivory Lotus Therapy
Pre-Licensed Professional
Verified Verified
West Des Moines, IA 50266
With 20+ years of experience in ancillary healthcare and a master's in Clinical Mental Health Counseling, I offer personalized therapy blending traditional and complementary techniques. Specializing in adult ADHD, LGBTQ+ issues, intimacy, BDSM, kink and sexual health, anxiety, depression, and life transitions. Additionally, I offer hypnosis for transformation and growth. Together, we'll integrate tailored therapy sessions for your journey toward growth and fulfillment. As a queer therapist, I believe in love without limits and support living authentically. Let's embark on this journey together towards your best self.
With 20+ years of experience in ancillary healthcare and a master's in Clinical Mental Health Counseling, I offer personalized therapy blending traditional and complementary techniques. Specializing in adult ADHD, LGBTQ+ issues, intimacy, BDSM, kink and sexual health, anxiety, depression, and life transitions. Additionally, I offer hypnosis for transformation and growth. Together, we'll integrate tailored therapy sessions for your journey toward growth and fulfillment. As a queer therapist, I believe in love without limits and support living authentically. Let's embark on this journey together towards your best self.
(515) 373-5797 View (515) 373-5797
Photo of Ames Therapy & Consulting, PC, Counselor in Knoxville, IA
Ames Therapy & Consulting, PC
Counselor, PhD, MD, LMHCs, NCC, ACS
Verified Verified
Ames, IA 50010
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 Here With You Counseling (Caroline Oestreich LISW), Clinical Social Work/Therapist in Knoxville, IA
Here With You Counseling (Caroline Oestreich LISW)
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50265
Sometimes we need a little help to find the answers within ourselves. This is an environment for individuals that are open to self-exploration and are motivated to improve their well-being. Here, you're ready to develop improved coping skills and find relief from negative thought patterns and persistent feelings of distress. I work closely with individuals experiencing grief, stress, anxiety, depression, and life transitions.
Sometimes we need a little help to find the answers within ourselves. This is an environment for individuals that are open to self-exploration and are motivated to improve their well-being. Here, you're ready to develop improved coping skills and find relief from negative thought patterns and persistent feelings of distress. I work closely with individuals experiencing grief, stress, anxiety, depression, and life transitions.
(515) 444-5687 View (515) 444-5687
Photo of Lynette Williams, Marriage & Family Therapist in Knoxville, IA
Lynette Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
Marion, IA 52302
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
(319) 777-2182 View (319) 777-2182
Photo of Shannon Evers, Clinical Social Work/Therapist in Knoxville, IA
Shannon Evers
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Des Moines, IA 50309
Like many of us, most of my clients are seeking greater meaning in their lives, improved connection and satisfaction in relationships, and relief from loneliness, worry, rumination, and shame. My practice is based on values that emphasize acceptance/non-judgment, compassion, and authenticity. Starting therapy doesn't need to have a rigid plan or agenda. Simply being curious or wanting to feel better is a great place to start. We all need a space where we don't feel judged and are free to explore who we are, what we want, and who we want to become.
Like many of us, most of my clients are seeking greater meaning in their lives, improved connection and satisfaction in relationships, and relief from loneliness, worry, rumination, and shame. My practice is based on values that emphasize acceptance/non-judgment, compassion, and authenticity. Starting therapy doesn't need to have a rigid plan or agenda. Simply being curious or wanting to feel better is a great place to start. We all need a space where we don't feel judged and are free to explore who we are, what we want, and who we want to become.
(515) 884-3952 View (515) 884-3952
Photo of Nicole Scherle Scheidel, Counselor in Knoxville, IA
Nicole Scherle Scheidel
Counselor, MEd, LMHC
Verified Verified
West Des Moines, IA 50266
I am a Licensed Mental Health Counselor with 20 years experience in the practice of psychotherapy. I received my Bachelor and Master degrees from Loyola University Chicago. I provide counseling to older adolescents and adult individuals. My specialties include depression, anxiety, life transitions, trauma, mood disorders, perinatal mood and anxiety disorders, and OCD. I work to provide my clients with a compassionate & supportive therapeutic alliance to help them address their current concerns and help them live a happier, healthier life.
I am a Licensed Mental Health Counselor with 20 years experience in the practice of psychotherapy. I received my Bachelor and Master degrees from Loyola University Chicago. I provide counseling to older adolescents and adult individuals. My specialties include depression, anxiety, life transitions, trauma, mood disorders, perinatal mood and anxiety disorders, and OCD. I work to provide my clients with a compassionate & supportive therapeutic alliance to help them address their current concerns and help them live a happier, healthier life.
(515) 368-8284 View (515) 368-8284
Photo of Patrick Harnish - Yss, Counselor in Knoxville, IA
Patrick Harnish - Yss
Counselor, LMHC, NCC, CCTP
Verified Verified
Webster City, IA 50595
As a Licensed Mental Health Counselor (LMHC) and Nationally Certified Counselor, I specialize in working with adolescents (10 and up), couples, adults, and the elderly. My diverse therapeutic approach includes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Structural Family Therapy (SBFT), Rational Emotive Behavior Therapy (REBT), Internal Family Systems (IFS), and more. I offer a range of therapies to equip you with the tools necessary to navigate life's challenges.
As a Licensed Mental Health Counselor (LMHC) and Nationally Certified Counselor, I specialize in working with adolescents (10 and up), couples, adults, and the elderly. My diverse therapeutic approach includes Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Structural Family Therapy (SBFT), Rational Emotive Behavior Therapy (REBT), Internal Family Systems (IFS), and more. I offer a range of therapies to equip you with the tools necessary to navigate life's challenges.
(641) 666-3439 View (641) 666-3439
Photo of Genevieve Salvato Counseling for Healing & Wellnes, Mental Health Counselor in Knoxville, IA
Genevieve Salvato Counseling for Healing & Wellnes
Mental Health Counselor, MS, LMHC, CMIP
Verified Verified
West Des Moines, IA 50265  (Online Only)
Have you ever asked yourself, "why am I so unhappy"? Do you find that your relationships go sour way too soon? Do you have a history of trauma? Does your anxiety and depression prevent you from enjoying life? Do you want to improve your self-confidence, self-esteem and regain a sense of purpose and meaning in your life? If so, I believe I can help. With the right tools and resources you CAN learn to manage your emotional and behavioral reactions to life stress and triggers from the past.
Have you ever asked yourself, "why am I so unhappy"? Do you find that your relationships go sour way too soon? Do you have a history of trauma? Does your anxiety and depression prevent you from enjoying life? Do you want to improve your self-confidence, self-esteem and regain a sense of purpose and meaning in your life? If so, I believe I can help. With the right tools and resources you CAN learn to manage your emotional and behavioral reactions to life stress and triggers from the past.
(515) 402-8486 View (515) 402-8486
Photo of Rickelle Curtis, Clinical Social Work/Therapist in Knoxville, IA
Rickelle Curtis
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Windsor Heights, IA 50324
Welcome! If you or someone you care about is struggling emotionally, I respect you for taking a step toward enhancing your mental health! Life can be hard and when we as adults, or our children, experience challenges we respond to them from our perspective and with the tools we have access to. Through therapy, you will unravel your thoughts, using talk, play, art, or other modes, while integrating new tools to grow. With experience in mental health, I draw on a range of evidence-based therapeutic modalities with clients managing a variety of concerns including anxiety, depression, behavioral, and adjustment-related issues.
Welcome! If you or someone you care about is struggling emotionally, I respect you for taking a step toward enhancing your mental health! Life can be hard and when we as adults, or our children, experience challenges we respond to them from our perspective and with the tools we have access to. Through therapy, you will unravel your thoughts, using talk, play, art, or other modes, while integrating new tools to grow. With experience in mental health, I draw on a range of evidence-based therapeutic modalities with clients managing a variety of concerns including anxiety, depression, behavioral, and adjustment-related issues.
(515) 400-3389 View (515) 400-3389
Annette Shipley
Clinical Social Work/Therapist, LMSW
Verified Verified
Ames, IA 50010
The ideal client is one that can be open to trusting the process of diving deeper in getting to know oneself. Sometimes, this does not happen right away, but the first step is to be open to trying. As a therapist, it is my job to earn your trust, and once that is accomplished, then the next steps can start. I am inspired by peace, compassion, and respect. I am energized by people who still want to dream and know that it's never too late. If a client has lost their belief in dreaming and hoping, then it's my job to invite the client back into that possibility.
The ideal client is one that can be open to trusting the process of diving deeper in getting to know oneself. Sometimes, this does not happen right away, but the first step is to be open to trying. As a therapist, it is my job to earn your trust, and once that is accomplished, then the next steps can start. I am inspired by peace, compassion, and respect. I am energized by people who still want to dream and know that it's never too late. If a client has lost their belief in dreaming and hoping, then it's my job to invite the client back into that possibility.
(515) 417-0344 View (515) 417-0344
Photo of Jake Pierce-Walsh, Clinical Social Work/Therapist in Knoxville, IA
Jake Pierce-Walsh
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Des Moines, IA 50312  (Online Only)
I provide confidential, professional therapy for a variety of issues and concerns. From resolving depression or anxiety to healing past trauma, improving relationships to ending addiction; therapy with me is about no longer managing or coping, but instead getting to the source of your issues and discovering what helps you heal. Whether this is your first time considering therapy or you're feeling ready to return, I help people from all walks of life find solutions and feel better.
I provide confidential, professional therapy for a variety of issues and concerns. From resolving depression or anxiety to healing past trauma, improving relationships to ending addiction; therapy with me is about no longer managing or coping, but instead getting to the source of your issues and discovering what helps you heal. Whether this is your first time considering therapy or you're feeling ready to return, I help people from all walks of life find solutions and feel better.
(218) 343-3406 View (218) 343-3406
Photo of C. Ayo Davis-Yeboah, Counselor in Knoxville, IA
C. Ayo Davis-Yeboah
Counselor, MS, tLMHC
Verified Verified
Des Moines, IA 50310
Waitlist for new clients
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
You have finally chosen to put yourself first in the interest of healing. What if I told you that you have all of the answers for "YOU in YOU?” When life becomes challenging and overwhelming, we can loose sight of what we know to do to move through life successfully. I offer an environment that is peaceful and judgement free. Where you can process in order to find your answers to navigate life in a manner that will serve you. I am an active listener with over 10 years experience working with individuals and families in the behavioral/mental health field. I provide individual counseling and I'm here to support you on your journey.
(515) 585-6763 View (515) 585-6763

See more therapy options for Knoxville

How does your Therapist compare?

Number of Therapists in Knoxville, IA

< 10

Therapists in Knoxville, IA who prioritize treating:

100% Depression
100% Anxiety
67% Trauma and PTSD
67% Self Esteem
50% Eating Disorders
50% Behavioral Issues
50% Emotional Disturbance

Average years in practice

13 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH
83% Blue Cross

How Therapists in Knoxville, IA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Knoxville?

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.