Therapists in Shellsburg, IA

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Photo of Shoshannah Guerrero, PhD, LMFT, Marriage & Family Therapist
Shoshannah Guerrero
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Vinton, IA 52349  (Online Only)
South Dakota and Iowa telehealth. Emotional self-management and self-leadership are vital for well-being, especially for women balancing the dual roles of parenting young adults and caring for aging parents. Integrating self-care and setting boundaries helps sustain the capacity to nurture relationships while navigating the emotional complexities of caregiving. This approach supports each person's autonomy and enables them to remain emotionally present, fostering resilience, intimacy, and growth. By managing these dynamics, they create space for deeper connections and shared meaning in all roles, family, work, and community.
South Dakota and Iowa telehealth. Emotional self-management and self-leadership are vital for well-being, especially for women balancing the dual roles of parenting young adults and caring for aging parents. Integrating self-care and setting boundaries helps sustain the capacity to nurture relationships while navigating the emotional complexities of caregiving. This approach supports each person's autonomy and enables them to remain emotionally present, fostering resilience, intimacy, and growth. By managing these dynamics, they create space for deeper connections and shared meaning in all roles, family, work, and community.
(319) 220-3646 x100 View (319) 220-3646 x100
Photo of Vanessa West - Therapeutic Innovations, PLLC, PhD, LMHC, Counselor
Therapeutic Innovations, PLLC
Counselor, PhD, LMHC
Verified Verified
3 Endorsed
Vinton, IA 52349
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(319) 251-2089 View (319) 251-2089
Photo of Stephanie Grobstich, MA, LMFT, Marriage & Family Therapist
Stephanie Grobstich
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vinton, IA 52349
I work with individuals, children 3+, teens, couples and families. I primarily specialize in play therapy and am currently receiving training to help kiddos process through their struggles utilizing play. I also work closely with families to help find solutions by looking at the larger system. I choose to look at your strengths to help encourage you to push forward on your journey with therapy. My goal is to connect with you and to honor your experiences while working with you to achieve your goals.
I work with individuals, children 3+, teens, couples and families. I primarily specialize in play therapy and am currently receiving training to help kiddos process through their struggles utilizing play. I also work closely with families to help find solutions by looking at the larger system. I choose to look at your strengths to help encourage you to push forward on your journey with therapy. My goal is to connect with you and to honor your experiences while working with you to achieve your goals.
(319) 271-6435 View (319) 271-6435
Photo of Sarah Gallagher, LISW, PMH-C, Clinical Social Work/Therapist
Sarah Gallagher
Clinical Social Work/Therapist, LISW, PMH-C
Verified Verified
1 Endorsed
Atkins, IA 52206  (Online Only)
Waitlist for new clients
Whether you are new to therapy or you are looking to return to a safe space; it is my intention to provide a supportive environment to help you feel better. I use a combination of evidence based interventions that are tailored to your unique needs. My practice has roots from humanistic and integrative frameworks and I am trained in Polyvagal EMDR and have specialized training in EMDR for perinatal trauma, anxiety and mood disorders through The Touchstone Institute. I have certificates in ACT, DBT and CBT modalities and am informed in Internal Family Systems. I will collaborate with you to select the most effective modality.
Whether you are new to therapy or you are looking to return to a safe space; it is my intention to provide a supportive environment to help you feel better. I use a combination of evidence based interventions that are tailored to your unique needs. My practice has roots from humanistic and integrative frameworks and I am trained in Polyvagal EMDR and have specialized training in EMDR for perinatal trauma, anxiety and mood disorders through The Touchstone Institute. I have certificates in ACT, DBT and CBT modalities and am informed in Internal Family Systems. I will collaborate with you to select the most effective modality.
(319) 984-4149 View (319) 984-4149
Photo of Bryan Dickson, LMHC, MDiv, Counselor
Bryan Dickson
Counselor, LMHC, MDiv
Verified Verified
Vinton, IA 52349  (Online Only)
Do you feel overwhelmed by stress, anxiety, or other struggles in your life? Maybe you avoid these feelings by stuffing your emotions down or distracting yourself with activities that ultimately don’t fix anything. Avoidance feels good now, but we know deep down it won’t bring the relief that we are craving. What you need is someone who is safe to talk to and who seeks to understand you. That will make a tremendous difference in your ability to cope and experience life with the joy, contentment, and purpose you are desiring.
Do you feel overwhelmed by stress, anxiety, or other struggles in your life? Maybe you avoid these feelings by stuffing your emotions down or distracting yourself with activities that ultimately don’t fix anything. Avoidance feels good now, but we know deep down it won’t bring the relief that we are craving. What you need is someone who is safe to talk to and who seeks to understand you. That will make a tremendous difference in your ability to cope and experience life with the joy, contentment, and purpose you are desiring.
(319) 474-5574 View (319) 474-5574
Photo of Kelly Grant Marsengill - Still Waters Recovery & Wellness, MA, MS, CADC, Drug & Alcohol Counselor
Still Waters Recovery & Wellness
Drug & Alcohol Counselor, MA, MS, CADC
Verified Verified
Vinton, IA 52349
Still Waters has an individualized substance abuse program focusing on individual's strengths, needs, experiences & goals. This gives clients a deeper, more meaningful experience versus one-size-fits-all rehab programs that funnel clients into their most profitable addiction programs (e.g., Intensive Outpatient Treatment). Still Waters is the only licensed program that has a holistic mind-body-spirit approach to addiction, in Eastern Iowa, founded on faith-based, Christian principles, while respecting everyone regardless of their beliefs or faith.
Still Waters has an individualized substance abuse program focusing on individual's strengths, needs, experiences & goals. This gives clients a deeper, more meaningful experience versus one-size-fits-all rehab programs that funnel clients into their most profitable addiction programs (e.g., Intensive Outpatient Treatment). Still Waters is the only licensed program that has a holistic mind-body-spirit approach to addiction, in Eastern Iowa, founded on faith-based, Christian principles, while respecting everyone regardless of their beliefs or faith.
(319) 774-2507 View (319) 774-2507
Photo of Nicholas S Fisher, LMFT, Marriage & Family Therapist
Nicholas S Fisher
Marriage & Family Therapist, LMFT
Verified Verified
Vinton, IA 52349
I have worked as a therapist in the Benton County area since 1989. Counseling and therapy services are available for anyone experiencing personal problems, relationship difficulties or family concerns. Common reasons for seeking help include: feelings of depression or anxiety; difficulties with anger, hostility or violence; problems with alcohol or drug use; concern about a child's behavior; concern over relationship or communication issues; coming to terms with a difficult past; adjusting to stressful situations. Services are available for couples, families and individuals depending on what the circumstances indicate.
I have worked as a therapist in the Benton County area since 1989. Counseling and therapy services are available for anyone experiencing personal problems, relationship difficulties or family concerns. Common reasons for seeking help include: feelings of depression or anxiety; difficulties with anger, hostility or violence; problems with alcohol or drug use; concern about a child's behavior; concern over relationship or communication issues; coming to terms with a difficult past; adjusting to stressful situations. Services are available for couples, families and individuals depending on what the circumstances indicate.
(319) 423-3539 View (319) 423-3539
Photo of Sabrina Rogers, MS, NCC, LMHC, Counselor
Sabrina Rogers
Counselor, MS, NCC, LMHC
Verified Verified
Vinton, IA 52349
You really can have your cake and eat it, too! You can learn to enjoy food guilt free and stop avoiding mirrors. Hating what you see in the mirror directly affects how and what you eat, creating emotional eating and periods where you don't eat at all (or only very little). This fosters a fear of food, not trusting yourself around food, and a desire for more self control or willpower. I call this the diet roller coaster and it's not a fun (nor healthy) place to be. Let's get you off the diet roller coaster and end your history of yo-yo dieting.
You really can have your cake and eat it, too! You can learn to enjoy food guilt free and stop avoiding mirrors. Hating what you see in the mirror directly affects how and what you eat, creating emotional eating and periods where you don't eat at all (or only very little). This fosters a fear of food, not trusting yourself around food, and a desire for more self control or willpower. I call this the diet roller coaster and it's not a fun (nor healthy) place to be. Let's get you off the diet roller coaster and end your history of yo-yo dieting.
(319) 250-2696 View (319) 250-2696
Photo of Naomi Rumbley Zepeda, LMSW, Clinical Social Work/Therapist
Naomi Rumbley Zepeda
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Vinton, IA 52349
Parenting a teen can be difficult; I’m here to help break down feelings and thoughts so that each party feels heard and understood. I enjoy working with families pre and post adoption, as well as teens struggling with communication issues, disordered eating, body image issues, anxiety, or depression.
Parenting a teen can be difficult; I’m here to help break down feelings and thoughts so that each party feels heard and understood. I enjoy working with families pre and post adoption, as well as teens struggling with communication issues, disordered eating, body image issues, anxiety, or depression.
(319) 727-8710 View (319) 727-8710
Photo of Macy DeMeulenaere, LMFT, Marriage & Family Therapist
Macy DeMeulenaere
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Atkins, IA 52206
Hi there and congratulations on taking the possibly daunting step towards finding a therapist. I don't know you, but I know that takes courage. My style as a therapist can be described as collaborative, curious, responsive, intentional, and above all else, human. Although we are all experiencing this wild ride called life, I know that no two stories/individuals are the same. I'm genuinely curious about my clients and what makes them who they are, which leads way to individualized care and true understanding.
Hi there and congratulations on taking the possibly daunting step towards finding a therapist. I don't know you, but I know that takes courage. My style as a therapist can be described as collaborative, curious, responsive, intentional, and above all else, human. Although we are all experiencing this wild ride called life, I know that no two stories/individuals are the same. I'm genuinely curious about my clients and what makes them who they are, which leads way to individualized care and true understanding.
(319) 559-3021 View (319) 559-3021
Photo of Bailey Clasen, LMSW, Clinical Social Work/Therapist
Bailey Clasen
Clinical Social Work/Therapist, LMSW
Verified Verified
Vinton, IA 52349
Not accepting new clients
I anticipate being able to begin accepting new patients in December 2024. Change can be scary. It can also be beautiful, and, we know that change is inevitable. If you've found yourself considering some potential changes for your life, or are in the midst of navigating an unexpected change, I'd be happy to support you. Therapy can provide a safe and supportive space to process thoughts and feelings, to help us gain insight about ourselves, or to create meaning out of difficult experiences. Whatever the circumstance may be - you don't have to figure it out on your own.
I anticipate being able to begin accepting new patients in December 2024. Change can be scary. It can also be beautiful, and, we know that change is inevitable. If you've found yourself considering some potential changes for your life, or are in the midst of navigating an unexpected change, I'd be happy to support you. Therapy can provide a safe and supportive space to process thoughts and feelings, to help us gain insight about ourselves, or to create meaning out of difficult experiences. Whatever the circumstance may be - you don't have to figure it out on your own.
(319) 946-4023 View (319) 946-4023
Photo of Kristin Mossman, MA, LPC, Pre-Licensed Professional
Kristin Mossman
Pre-Licensed Professional, MA, LPC
Verified Verified
1 Endorsed
Vinton, IA 52349  (Online Only)
I believe in living life whole and healed. And I believe everyone is capable of reaching this place. This is why I chose counseling as a profession, to help people heal, and transform their life. Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe taking the step to face yourself in a safe space is courageous, and brings lasting change in someone’s life.
I believe in living life whole and healed. And I believe everyone is capable of reaching this place. This is why I chose counseling as a profession, to help people heal, and transform their life. Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe taking the step to face yourself in a safe space is courageous, and brings lasting change in someone’s life.
(319) 367-3152 View (319) 367-3152
Photo of Abrielle Hollinrake, LMSW, Clinical Social Work/Therapist
Abrielle Hollinrake
Clinical Social Work/Therapist, LMSW
Verified Verified
Cedar Rapids, IA 52402
I strive to provide a safe and supportive environment to help individuals in expressing their emotions. Through play therapy, I encourage children to develop coping skills, express feelings, and address underlying issues. For older clients, I enjoy CBT to help individuals identify and challenge negative thought patterns and achieve their personal goals while improving overall wellbeing. In addition to CBT, I enjoy DBT to help support individuals in managing their emotions and improving interpersonal relationships.
I strive to provide a safe and supportive environment to help individuals in expressing their emotions. Through play therapy, I encourage children to develop coping skills, express feelings, and address underlying issues. For older clients, I enjoy CBT to help individuals identify and challenge negative thought patterns and achieve their personal goals while improving overall wellbeing. In addition to CBT, I enjoy DBT to help support individuals in managing their emotions and improving interpersonal relationships.
(319) 258-5173 View (319) 258-5173
Photo of Kalen D. Zeiger, MS, LMFT, CCTP, CFTP, Marriage & Family Therapist
Kalen D. Zeiger
Marriage & Family Therapist, MS, LMFT, CCTP, CFTP
Verified Verified
16 Endorsed
Hiawatha, IA 52233  (Online Only)
Are you queer? Do you have a queer family member, partner, or kid? I provide queer and gender-affirming, neurodiverse-validating mental healthcare; WPATH-informed psychosocial assessments & letters of support; and mental health support for individuals, couples and partners, parents, and families like yours who may be struggling with trauma, stress, anxiety, depression, or adjustments and often must navigate confusing & less than accepting social and care scenarios. Have you experienced trauma? Unfortunately, LGBTQIA2S+ people are more likely to experience trauma. I help clients like you manage and process trauma and move forward.
Are you queer? Do you have a queer family member, partner, or kid? I provide queer and gender-affirming, neurodiverse-validating mental healthcare; WPATH-informed psychosocial assessments & letters of support; and mental health support for individuals, couples and partners, parents, and families like yours who may be struggling with trauma, stress, anxiety, depression, or adjustments and often must navigate confusing & less than accepting social and care scenarios. Have you experienced trauma? Unfortunately, LGBTQIA2S+ people are more likely to experience trauma. I help clients like you manage and process trauma and move forward.
(319) 774-8301 View (319) 774-8301
Photo of Madison Miller, tLMFT, Marriage & Family Therapist
Madison Miller
Marriage & Family Therapist, tLMFT
Verified Verified
2 Endorsed
Hiawatha, IA 52233
Waitlist for new clients
Everyone deserves compassion and love, as well as a place to feel safe and supported. I take a collaborative approach in working with clients to discover their true potential and reach their desired goals. I strive to provide each person with a nonjudgmental and safe place for emotional expression, exploration of perspective, and finding personal understanding and acceptance. I truly believe that every person is capable of growth and improvement, whatever that may look like for their personal journey.
Everyone deserves compassion and love, as well as a place to feel safe and supported. I take a collaborative approach in working with clients to discover their true potential and reach their desired goals. I strive to provide each person with a nonjudgmental and safe place for emotional expression, exploration of perspective, and finding personal understanding and acceptance. I truly believe that every person is capable of growth and improvement, whatever that may look like for their personal journey.
(319) 729-8220 View (319) 729-8220
Photo of Tyler Grimm, LMSW, Clinical Social Work/Therapist
Tyler Grimm
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
As a therapist, I focus on a mind-body approach to healing, recognizing that emotional and physical well-being are deeply interconnected. My work centers on fostering connection and intimacy in relationships with ourselves, others, and our communities. I offer treatment for anxiety disorders, depression, trauma-related disorders, self-esteem issues, and relationship issues. I also help couples rediscover intimacy, communication, and trust. I have experience guiding couples and non-monogamous partners through crises, whether it's navigating infidelity, communication breakdowns, or life transitions that strain their bond.
As a therapist, I focus on a mind-body approach to healing, recognizing that emotional and physical well-being are deeply interconnected. My work centers on fostering connection and intimacy in relationships with ourselves, others, and our communities. I offer treatment for anxiety disorders, depression, trauma-related disorders, self-esteem issues, and relationship issues. I also help couples rediscover intimacy, communication, and trust. I have experience guiding couples and non-monogamous partners through crises, whether it's navigating infidelity, communication breakdowns, or life transitions that strain their bond.
(319) 448-3058 View (319) 448-3058
Photo of Emmalyne Farwell, LMSW, Clinical Social Work/Therapist
Emmalyne Farwell
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Hiawatha, IA 52233
Throughout my past professional experiences working with victims of domestic abuse, sexual abuse, and other types of violent traumas, I walked alongside clients as they lived through some of the most difficult chapters in their stories. Being trusted with someone's story is an honor and a privilege, and should never be taken lightly. When a client walks into my office, my goal is to ensure that they feel safe, supported, valued, and empowered. There are numerous systems that people interact with that can have major impacts on their lives.
Throughout my past professional experiences working with victims of domestic abuse, sexual abuse, and other types of violent traumas, I walked alongside clients as they lived through some of the most difficult chapters in their stories. Being trusted with someone's story is an honor and a privilege, and should never be taken lightly. When a client walks into my office, my goal is to ensure that they feel safe, supported, valued, and empowered. There are numerous systems that people interact with that can have major impacts on their lives.
(319) 448-3949 View (319) 448-3949
Peaceful Mindset Counseling
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Hiawatha, IA 52233
Not accepting new clients
I strongly believe in the inherent resilience and potential for growth within every individual. My role as a therapist is to provide guidance, support, and practical tools to help you tap into your strengths and navigate life.
I strongly believe in the inherent resilience and potential for growth within every individual. My role as a therapist is to provide guidance, support, and practical tools to help you tap into your strengths and navigate life.
(319) 657-5194 View (319) 657-5194
Photo of Mwr Counseling - MWR Counseling, Clinical Social Work/Therapist
MWR Counseling
Clinical Social Work/Therapist
Verified Verified
Hiawatha, IA 52233
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
(319) 346-3275 View (319) 346-3275
Photo of Cody Bochert, LMSW, Clinical Social Work/Therapist
Cody Bochert
Clinical Social Work/Therapist, LMSW
Verified Verified
Hiawatha, IA 52233
Welcome! I believe therapy is much like a journey, where each session is a step towards understanding yourself better and finding the peace and fulfillment you deserve. As your therapist, my role is to be your companion on this path and help navigate the challenges along the way. Together we will explore your thoughts, feelings, and experiences and celebrate the milestones we make along the way. Whether you're grappling with anxiety, depression, relationship issues, or past traumas, I am here to provide a safe, compassionate, and non-judgmental space for you to express yourself and grow.
Welcome! I believe therapy is much like a journey, where each session is a step towards understanding yourself better and finding the peace and fulfillment you deserve. As your therapist, my role is to be your companion on this path and help navigate the challenges along the way. Together we will explore your thoughts, feelings, and experiences and celebrate the milestones we make along the way. Whether you're grappling with anxiety, depression, relationship issues, or past traumas, I am here to provide a safe, compassionate, and non-judgmental space for you to express yourself and grow.
(319) 257-2488 View (319) 257-2488

How does your Therapist compare?

Number of Therapists in Shellsburg, IA

< 10

Therapists in Shellsburg, IA who prioritize treating:

How Therapists in Shellsburg, IA see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Shellsburg?

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.