Therapists in Manchester, IA

Photo of Abbie Placke, Counselor, MS, tLMHC
Abbie Placke
Counselor, MS, tLMHC
1 Endorsed
Manchester, IA 52057
Waitlist for new clients
Abbie facilitates a supportive and safe environment in session that allows individuals to embrace their authentic selves. When working with Abbie, you will be able to collaborate in order to set goals for yourself or your child that will allow them to bloom into the best version of themselves. She utilizes a variety of techniques in therapy, including cognitive-behavioral and play therapy approaches, to best fit the needs of her clients. Abbie is passionate about helping individuals and looks forward to meeting with you and supporting your or your child's mental health goals!
Abbie facilitates a supportive and safe environment in session that allows individuals to embrace their authentic selves. When working with Abbie, you will be able to collaborate in order to set goals for yourself or your child that will allow them to bloom into the best version of themselves. She utilizes a variety of techniques in therapy, including cognitive-behavioral and play therapy approaches, to best fit the needs of her clients. Abbie is passionate about helping individuals and looks forward to meeting with you and supporting your or your child's mental health goals!
(563) 748-5918 View (563) 748-5918
Photo of Susie Schaul, Clinical Social Work/Therapist, MSW, LMSW
Susie Schaul
Clinical Social Work/Therapist, MSW, LMSW
Manchester, IA 52057
With over 25 years of experience in social work, I know that life can bring challenges that sometimes feel overwhelming. Whether you’re facing anxiety, depression, trauma, grief, or simply struggling to find your footing, my goal is to provide a safe, supportive space where you can be heard and understood. I work with teens (13+) and adults, both court-ordered and voluntary, using a strength-based, person-centered approach. I believe in meeting people exactly where they are and helping them build on their own strengths to create lasting change.
With over 25 years of experience in social work, I know that life can bring challenges that sometimes feel overwhelming. Whether you’re facing anxiety, depression, trauma, grief, or simply struggling to find your footing, my goal is to provide a safe, supportive space where you can be heard and understood. I work with teens (13+) and adults, both court-ordered and voluntary, using a strength-based, person-centered approach. I believe in meeting people exactly where they are and helping them build on their own strengths to create lasting change.
(319) 205-6444 View (319) 205-6444
Photo of Jenni Hentges, Clinical Social Work/Therapist, LMSW
Jenni Hentges
Clinical Social Work/Therapist, LMSW
1 Endorsed
Manchester, IA 52057
It can be hard asking for help, but I am eager to get to know you and your story and help you create a positive change in your life. I serve both children and adults in need of a safe space to find the skills they need to thrive. I have a designated play room where children can express their creativity and feel comfortable talking with me. My office is also a safe, confidential environment where adults can feel empowered to share their thoughts and feelings and know their voices are heard.
It can be hard asking for help, but I am eager to get to know you and your story and help you create a positive change in your life. I serve both children and adults in need of a safe space to find the skills they need to thrive. I have a designated play room where children can express their creativity and feel comfortable talking with me. My office is also a safe, confidential environment where adults can feel empowered to share their thoughts and feelings and know their voices are heard.
(888) 330-4771 View (888) 330-4771
Photo of Shana L Willenbring, Clinical Social Work/Therapist, LMSW, MA Ed
Shana L Willenbring
Clinical Social Work/Therapist, LMSW, MA Ed
2 Endorsed
Manchester, IA 52057
Shana Willenbring is a Licensed Master Social Worker (LMSW) in the State of Iowa. She holds a Master of Social Work degree from the University of Iowa and a Master of Education with a School Counseling endorsement. With over 20 years of experience in educational settings, Shana brings a wealth of knowledge and compassion to her therapeutic practice. She has extensive experience providing counseling and crisis intervention in both school and community environments. She offers office-based, school-based, and virtual therapy services through the Manchester, IA office, working with individuals ages 3 and up.
Shana Willenbring is a Licensed Master Social Worker (LMSW) in the State of Iowa. She holds a Master of Social Work degree from the University of Iowa and a Master of Education with a School Counseling endorsement. With over 20 years of experience in educational settings, Shana brings a wealth of knowledge and compassion to her therapeutic practice. She has extensive experience providing counseling and crisis intervention in both school and community environments. She offers office-based, school-based, and virtual therapy services through the Manchester, IA office, working with individuals ages 3 and up.
(563) 655-4578 View (563) 655-4578
Photo of Stefanie Dingbaum, Clinical Social Work/Therapist, LISW
Stefanie Dingbaum
Clinical Social Work/Therapist, LISW
1 Endorsed
Manchester, IA 52057
Not accepting new clients
I firmly believe in order to experience true healing in life one must start by discovering the underlying root cause of their pain, stress, or trauma and ultimately working through those areas. I don’t believe in quick band-aid fixes or short-and-sweet solutions. I strive to first build a firm foundation together, built with mutual trust and commitment; knowing the path to healing is not usually linear. I also want you to believe you are resilient enough to come out of any obstacle stronger than when you started. What I strive for in every client interaction is you feeling heard, understood, and accepted just as you are.
I firmly believe in order to experience true healing in life one must start by discovering the underlying root cause of their pain, stress, or trauma and ultimately working through those areas. I don’t believe in quick band-aid fixes or short-and-sweet solutions. I strive to first build a firm foundation together, built with mutual trust and commitment; knowing the path to healing is not usually linear. I also want you to believe you are resilient enough to come out of any obstacle stronger than when you started. What I strive for in every client interaction is you feeling heard, understood, and accepted just as you are.
(563) 674-6012 View (563) 674-6012
Photo of Colleen R Kuhse-Portzline, Marriage & Family Therapist, LMFT, CCTP
Colleen R Kuhse-Portzline
Marriage & Family Therapist, LMFT, CCTP
1 Endorsed
Manchester, IA 52057
Waitlist for new clients
Hi. I am Colleen Kuhse-Portzline. I’m a Licensed Marriage and Family Therapist. More specifically, I’m a therapist who is passionate about helping people navigate life’s twists and turns. Are you feeling anxious, confused or maybe just “stuck”? Perhaps you’re missing the joy in life you once had or want to feel alive and thriving again. I believe in the idea of wholehearted living, of letting go of what holds us back and cultivating meaningful relationships.
Hi. I am Colleen Kuhse-Portzline. I’m a Licensed Marriage and Family Therapist. More specifically, I’m a therapist who is passionate about helping people navigate life’s twists and turns. Are you feeling anxious, confused or maybe just “stuck”? Perhaps you’re missing the joy in life you once had or want to feel alive and thriving again. I believe in the idea of wholehearted living, of letting go of what holds us back and cultivating meaningful relationships.
(563) 363-6939 View (563) 363-6939
Photo of Brooke Martin, Counselor, MA, LMHC
Brooke Martin
Counselor, MA, LMHC
Serves Area
Unresolved trauma often leaves behind persistent emotional burden. Feelings of detachment or over dependence, heightened emotional sensitivity or shutdown, lack of sense of self and life direction, difficulty building or being in healthy relationships, or cycles of problematic behavior that we cannot seem to break can be just some of manifestations of trauma. Unresolved emotional trauma takes away from our happiness and ability to live and love in the way we desire.
Unresolved trauma often leaves behind persistent emotional burden. Feelings of detachment or over dependence, heightened emotional sensitivity or shutdown, lack of sense of self and life direction, difficulty building or being in healthy relationships, or cycles of problematic behavior that we cannot seem to break can be just some of manifestations of trauma. Unresolved emotional trauma takes away from our happiness and ability to live and love in the way we desire.
(563) 231-7931 View (563) 231-7931
Photo of Alexandra (Alex) Stecklein, Marriage & Family Therapist, tLMFT, CTP
Alexandra (Alex) Stecklein
Marriage & Family Therapist, tLMFT, CTP
Serves Area
Maybe things look fine from the outside, but inside it feels heavy. Life can be a lot- meltdowns, miscommunication, marriage stress, school calls, system involvement, or just the slow burn of feeling stuck. I help kids, teens, adults, couples, and families find the space to breathe, sort through what’s real, and figure out what’s next. Whether you need to feel seen, supported, challenged, or just not so alone in it all, I’ll meet you where you are and walk with you from there - without judgment and without pretending. If you're ready to be real, you're in the right place and I’m ready to meet you there.
Maybe things look fine from the outside, but inside it feels heavy. Life can be a lot- meltdowns, miscommunication, marriage stress, school calls, system involvement, or just the slow burn of feeling stuck. I help kids, teens, adults, couples, and families find the space to breathe, sort through what’s real, and figure out what’s next. Whether you need to feel seen, supported, challenged, or just not so alone in it all, I’ll meet you where you are and walk with you from there - without judgment and without pretending. If you're ready to be real, you're in the right place and I’m ready to meet you there.
(563) 204-2151 View (563) 204-2151
Photo of Alyssa Krob, Marriage & Family Therapist, LMFT
Alyssa Krob
Marriage & Family Therapist, LMFT
5 Endorsed
Serves Area
Each one of us possesses a vastly different collection of experiences, which means we all view life differently. This is one reason I value a collaborative approach when working with you. As your therapist, I believe that you are the expert of your life. My goal is to help you feel heard, understood, and to work together to develop a treatment approach based upon your unique desires and needs. While utilizing a non-judgmental, flexible approach, it is my duty to help you uncover your hopes and to create the future you wish to see. I hope to help you find the courage to embrace vulnerability and show up as your most authentic self.
Each one of us possesses a vastly different collection of experiences, which means we all view life differently. This is one reason I value a collaborative approach when working with you. As your therapist, I believe that you are the expert of your life. My goal is to help you feel heard, understood, and to work together to develop a treatment approach based upon your unique desires and needs. While utilizing a non-judgmental, flexible approach, it is my duty to help you uncover your hopes and to create the future you wish to see. I hope to help you find the courage to embrace vulnerability and show up as your most authentic self.
View
Photo of Karlyn Jaeger Bouska, Clinical Social Work/Therapist, LMSW
Karlyn Jaeger Bouska
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Not accepting new clients
Karlyn began with Rise Counseling and Consulting in June 2024. Karlyn provides office-based and virtual therapy out of our Dyersville Office. Karlyn is trained in trauma-informed care and has experience working with anxiety, depression, inattention, hyperactivity, trauma, and adjustment-related stressors. Karlyn specializes in working with teens and adults.
Karlyn began with Rise Counseling and Consulting in June 2024. Karlyn provides office-based and virtual therapy out of our Dyersville Office. Karlyn is trained in trauma-informed care and has experience working with anxiety, depression, inattention, hyperactivity, trauma, and adjustment-related stressors. Karlyn specializes in working with teens and adults.
(563) 412-5647 View (563) 412-5647

More Therapists Nearby

Photo of Echo Kent, Marriage & Family Therapist, MA, LMFT
Echo Kent
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
I believe everyone deserves the chance to move from distress toward a more balanced and fulfilling life. I work with people navigating trauma, challenges with body image and self-esteem, or difficulties in relationships. For couples, I integrate Intimacy from the Inside Out (IFIO), an IFS-based approach that supports deeper connection and healing in relationships. Together, we’ll focus on easing negative feelings, building healthier coping skills, and strengthening the bonds that matter most to you. My therapeutic style is supportive and respectful, while also goal-oriented and practical. Treatment is tailored to each client.
I believe everyone deserves the chance to move from distress toward a more balanced and fulfilling life. I work with people navigating trauma, challenges with body image and self-esteem, or difficulties in relationships. For couples, I integrate Intimacy from the Inside Out (IFIO), an IFS-based approach that supports deeper connection and healing in relationships. Together, we’ll focus on easing negative feelings, building healthier coping skills, and strengthening the bonds that matter most to you. My therapeutic style is supportive and respectful, while also goal-oriented and practical. Treatment is tailored to each client.
(319) 409-6773 View (319) 409-6773
Photo of Elizabeth Heil, Clinical Social Work/Therapist, MSW, LISW
Elizabeth Heil
Clinical Social Work/Therapist, MSW, LISW
Online Only
Are you so busy doing everything you SHOULD do that you don't have a moment for yourself? Do you "have it all" but feel like something is missing? Or are you struggling to find some direction in life? No matter where you are on your journey, I would be honored to accompany you on your path to a life filled with purpose and meaning. Whether you suffer from depression or anxiety, grief or loss, relationship challenges, or you just feel overwhelmed with all the demands of life, I can help you attain a sense of peace and serenity.
Are you so busy doing everything you SHOULD do that you don't have a moment for yourself? Do you "have it all" but feel like something is missing? Or are you struggling to find some direction in life? No matter where you are on your journey, I would be honored to accompany you on your path to a life filled with purpose and meaning. Whether you suffer from depression or anxiety, grief or loss, relationship challenges, or you just feel overwhelmed with all the demands of life, I can help you attain a sense of peace and serenity.
(563) 794-4340 View (563) 794-4340
Photo of Dawn M Hupfeld, Counselor, MS, LMHC, CCPT-II, CDBT, CPD
Dawn M Hupfeld
Counselor, MS, LMHC, CCPT-II, CDBT, CPD
3 Endorsed
Online Only
“Compassionate, practical therapy for rural Iowans who carry more than they show.” Therapy for Complex Trauma, PTSD, Personality Disorders, and Attachment Wounds Serving adults across Iowa through compassionate, evidence‑based telehealth.
“Compassionate, practical therapy for rural Iowans who carry more than they show.” Therapy for Complex Trauma, PTSD, Personality Disorders, and Attachment Wounds Serving adults across Iowa through compassionate, evidence‑based telehealth.
(319) 316-6830 View (319) 316-6830
Photo of Lacy Orcutt, Marriage & Family Therapist, MA, MFT
Lacy Orcutt
Marriage & Family Therapist, MA, MFT
1 Endorsed
Monticello, IA 52310
My name is Lacy Orcutt, and I am a Licensed Marriage and Family Therapist (LMFT) who works with children ages 5+, adults, couples, and families. Special interest areas include couple and relational work and interpersonal trauma, and I am an EMDR practitioner. I have experience within a variety of areas of trauma, life transitions, anxiety, depression, relationship conflicts, and other mental health struggles. I practice an experiential approach to therapy with integrated evidence-based treatments such Emotion Focused Couples Therapy (EFT) and Internal Family Systems Therapy (IFS).
My name is Lacy Orcutt, and I am a Licensed Marriage and Family Therapist (LMFT) who works with children ages 5+, adults, couples, and families. Special interest areas include couple and relational work and interpersonal trauma, and I am an EMDR practitioner. I have experience within a variety of areas of trauma, life transitions, anxiety, depression, relationship conflicts, and other mental health struggles. I practice an experiential approach to therapy with integrated evidence-based treatments such Emotion Focused Couples Therapy (EFT) and Internal Family Systems Therapy (IFS).
(319) 343-5307 View (319) 343-5307
Photo of Peladija Woodson-Diers - Peladija's Therapy and Counseling Services LLC, Clinical Social Work/Therapist, MSW, LISW
Peladija's Therapy and Counseling Services LLC
Clinical Social Work/Therapist, MSW, LISW
Oelwein, IA 50662
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
(319) 313-5041 View (319) 313-5041
Photo of Meghan M. Smith, Clinical Social Work/Therapist, LMSW
Meghan M. Smith
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
My passion lies in helping adults and children navigate the complexities of life, especially when facing Anxiety, ADHD, Life Transitions, Mood Disorders, Relationship Issues, School Issues, and Trauma. As a compassionate mental health therapist, I take a client-centered, strengths-based approach, believing that each person is capable of growth and healing. Whether it is struggling with overwhelming emotions, behavioral issues, feeling stuck or struggling in relationships, or navigating major life transitions, I am here to support you and/ or your family along your healing journey.
My passion lies in helping adults and children navigate the complexities of life, especially when facing Anxiety, ADHD, Life Transitions, Mood Disorders, Relationship Issues, School Issues, and Trauma. As a compassionate mental health therapist, I take a client-centered, strengths-based approach, believing that each person is capable of growth and healing. Whether it is struggling with overwhelming emotions, behavioral issues, feeling stuck or struggling in relationships, or navigating major life transitions, I am here to support you and/ or your family along your healing journey.
(563) 200-7541 View (563) 200-7541
Photo of Doreatha Page, temp, LMHC, NCC
Doreatha Page
Verified Verified
1 Endorsed
Online Only
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
(319) 988-2505 View (319) 988-2505
Photo of Larry Johnson, Clinical Social Work/Therapist, LISW
Larry Johnson
Clinical Social Work/Therapist, LISW
Online Only
Navigating life can be difficult. People often feel pressure to be motivated, get enough sleep, be social, save money, succeed professionally, etc. Very seldom are we given the time and space to explore our challenges. This is where I meet you in your journey and offer my expertise as a guide in improving your mental health and quality of life.
Navigating life can be difficult. People often feel pressure to be motivated, get enough sleep, be social, save money, succeed professionally, etc. Very seldom are we given the time and space to explore our challenges. This is where I meet you in your journey and offer my expertise as a guide in improving your mental health and quality of life.
(319) 271-8554 View (319) 271-8554
Photo of Briannan D Huss, Clinical Social Work/Therapist, LMSW, LISW
Briannan D Huss
Clinical Social Work/Therapist, LMSW, LISW
Monticello, IA 52310
Briannan prides herself on being genuine, flexible, and continuing to learn always. She provides school-based and virtual therapy services assisting a variety of people with different diagnoses. She is especially passionate about working with children and adolescents with trauma, attachment, adjustment disorders, relationship stressors, anxiety, depression, mood disorders, impulse control, disordered eating, grief and loss, adoption/parenting difficulties, and anger management. She is also open to working with adults with a variety of diagnoses.
Briannan prides herself on being genuine, flexible, and continuing to learn always. She provides school-based and virtual therapy services assisting a variety of people with different diagnoses. She is especially passionate about working with children and adolescents with trauma, attachment, adjustment disorders, relationship stressors, anxiety, depression, mood disorders, impulse control, disordered eating, grief and loss, adoption/parenting difficulties, and anger management. She is also open to working with adults with a variety of diagnoses.
(319) 224-0722 View (319) 224-0722
Photo of Jamie Wingert, Counselor, MA, LMHC
Jamie Wingert
Counselor, MA, LMHC
Elkader, IA 52043
Not accepting new clients
Do you feel that something just seems off, that you are not reaching your full potential, or that your thoughts and mindset are getting in your way? Would you consider yourself to have anxiety, thoughts that sabotage your growth, or difficulty moving past events or situations? I want to help you shift from being stuck to growing into your full potential. We all have it within us, sometimes we just need some support unraveling it all and putting it back together. I will provide a safe, supportive, relaxed, and client focused environment to do just that.
Do you feel that something just seems off, that you are not reaching your full potential, or that your thoughts and mindset are getting in your way? Would you consider yourself to have anxiety, thoughts that sabotage your growth, or difficulty moving past events or situations? I want to help you shift from being stuck to growing into your full potential. We all have it within us, sometimes we just need some support unraveling it all and putting it back together. I will provide a safe, supportive, relaxed, and client focused environment to do just that.
(319) 220-5801 View (319) 220-5801

How does your Therapist compare?

Number of Therapists in Manchester, IA

10+

Average cost per session

$175

Therapists in Manchester, IA who prioritize treating:

100% Depression
100% Anxiety
80% Grief
80% Trauma and PTSD
80% Self Esteem
80% Stress
70% Relationship Issues

Average years in practice

6 Years

Top 3 insurances accepted

78% Midlands Choice
78% Wellmark BCBS
67% Aetna

How Therapists in Manchester, IA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.