Therapists in West Des Moines, IA

Photo of Elise Hill, Clinical Social Work/Therapist, LMSW
Elise Hill
Clinical Social Work/Therapist, LMSW
3 Endorsed
West Des Moines, IA 50266
Therapy can be a gentle, supportive space to pause and take a breath—a place where you don’t have to have everything figured out! It’s okay to bring big feelings like sadness, worry, or frustration and know they’ll be met with compassion and understanding. Together, we’ll explore strengths, build confidence, and create space for growth and connection.
Therapy can be a gentle, supportive space to pause and take a breath—a place where you don’t have to have everything figured out! It’s okay to bring big feelings like sadness, worry, or frustration and know they’ll be met with compassion and understanding. Together, we’ll explore strengths, build confidence, and create space for growth and connection.
(515) 373-7498 View (515) 373-7498
Photo of Mark Wills, Clinical Social Work/Therapist, LMSW
Mark Wills
Clinical Social Work/Therapist, LMSW
1 Endorsed
West Des Moines, IA 50266
Mark’s path consists of over twenty years of experience in Iowa and across the country in the areas of counseling, non-profit work, and human service work. He spent most of his early professional life working with at-risk kids and families and was able to fulfill his dream of teaching and coaching here in Central Iowa.
Mark’s path consists of over twenty years of experience in Iowa and across the country in the areas of counseling, non-profit work, and human service work. He spent most of his early professional life working with at-risk kids and families and was able to fulfill his dream of teaching and coaching here in Central Iowa.
(515) 466-5865 View (515) 466-5865
Photo of Gina Campbell, Clinical Social Work/Therapist, LISW, MDiv, RYT200
Gina Campbell
Clinical Social Work/Therapist, LISW, MDiv, RYT200
3 Endorsed
West Des Moines, IA 50266
You’ve been feeling “off” for a while now. Your life isn’t necessarily falling apart but you’re not happy. You’ve thought about going to therapy many times but then you end up procrastinating. You tell yourself you should be able to figure this out on your own and that therapy is for people with problems worse than yours. But lately something has tipped the scales. Most of the time you handle your emotions pretty well but now it’s too much with everything you have going on. You’re stressed, anxious or depressed. Some days you’re not even sure how you feel.
You’ve been feeling “off” for a while now. Your life isn’t necessarily falling apart but you’re not happy. You’ve thought about going to therapy many times but then you end up procrastinating. You tell yourself you should be able to figure this out on your own and that therapy is for people with problems worse than yours. But lately something has tipped the scales. Most of the time you handle your emotions pretty well but now it’s too much with everything you have going on. You’re stressed, anxious or depressed. Some days you’re not even sure how you feel.
(515) 512-4254 View (515) 512-4254
Photo of Lynn Burham, Counselor, MS, LMHC
Lynn Burham
Counselor, MS, LMHC
West Des Moines, IA 50266
Not accepting new clients
Whether you're feeling stuck, overwhelmed, or facing a new challenge, it can be hard to find clarity on your own. We all experience moments when the thoughts and beliefs we've carried, often rooted in past experiences, can make it difficult to move forward. As a trauma-informed, collaborative counselor, I specialize in helping individuals understand and heal from childhood trauma, address unhelpful beliefs, and live more authentically.
Whether you're feeling stuck, overwhelmed, or facing a new challenge, it can be hard to find clarity on your own. We all experience moments when the thoughts and beliefs we've carried, often rooted in past experiences, can make it difficult to move forward. As a trauma-informed, collaborative counselor, I specialize in helping individuals understand and heal from childhood trauma, address unhelpful beliefs, and live more authentically.
(515) 497-8007 View (515) 497-8007
Photo of Christy Johnston, Counselor, LMHC, LLC
Christy Johnston
Counselor, LMHC, LLC
1 Endorsed
West Des Moines, IA 50265
I am an LMHC (Licensed Mental Health Counselor), board certified in the State of Iowa. I have 27 years of experience and have had the privilege of helping adolescents and families by working for 13 years at Orchard Place as a residential therapist and school based therapist and then worked at Broadlawns Focus High School doing individual, group and family therapy. I have done private practice for the past 13 years. I worked at New Heights Counseling for 6 years and started my own private practice in West Des Moines in October, 2023. I accept adults, teens, families and couples and have immediate openings.
I am an LMHC (Licensed Mental Health Counselor), board certified in the State of Iowa. I have 27 years of experience and have had the privilege of helping adolescents and families by working for 13 years at Orchard Place as a residential therapist and school based therapist and then worked at Broadlawns Focus High School doing individual, group and family therapy. I have done private practice for the past 13 years. I worked at New Heights Counseling for 6 years and started my own private practice in West Des Moines in October, 2023. I accept adults, teens, families and couples and have immediate openings.
(515) 303-1885 View (515) 303-1885
Photo of Zoey Erixon, Clinical Social Work/Therapist, MSW, LISW, CADC
Zoey Erixon
Clinical Social Work/Therapist, MSW, LISW, CADC
1 Endorsed
West Des Moines, IA 50265
Feeling connected to your inner self is a true gift. Therapy can help uncover the internal and external stressors that stand in the way of authentic connection. Whether you’ve experienced loss, trauma, unexpected change, or feel weighed down by shame, sadness, overwhelm, or anxiety, compassionate support is available. You are the expert on your life; therapy offers space to be heard, explore sense of self/identity, and make meaning of your experiences. Together, we clear a pathway so you can take steps forward and heal. For many neurodiverse folks, this also means gently unmasking and rebuilding self-trust.
Feeling connected to your inner self is a true gift. Therapy can help uncover the internal and external stressors that stand in the way of authentic connection. Whether you’ve experienced loss, trauma, unexpected change, or feel weighed down by shame, sadness, overwhelm, or anxiety, compassionate support is available. You are the expert on your life; therapy offers space to be heard, explore sense of self/identity, and make meaning of your experiences. Together, we clear a pathway so you can take steps forward and heal. For many neurodiverse folks, this also means gently unmasking and rebuilding self-trust.
(515) 517-6258 View (515) 517-6258
Photo of Kevin D West, Clinical Social Work/Therapist, MSW, LISW
Kevin D West
Clinical Social Work/Therapist, MSW, LISW
2 Endorsed
West Des Moines, IA 50266
I specialize working with adults and children (ages 8 to 17) with a focus in the areas of anxiety, anger control, parenting, ADHD, relationships and depression. Everyone has points in their lives where they may question themselves or have to deal with difficult situations they may, or may not, have been expecting. I want to help people find ways to help them realize their potential. I work with clients by exploring and educating them about the strengths they already have and how they can be a force for positive change.
I specialize working with adults and children (ages 8 to 17) with a focus in the areas of anxiety, anger control, parenting, ADHD, relationships and depression. Everyone has points in their lives where they may question themselves or have to deal with difficult situations they may, or may not, have been expecting. I want to help people find ways to help them realize their potential. I work with clients by exploring and educating them about the strengths they already have and how they can be a force for positive change.
(515) 219-4912 View (515) 219-4912
Photo of Brandon Foley, Counselor, T-LMHC, MS
Brandon Foley
Counselor, T-LMHC, MS
4 Endorsed
West Des Moines, IA 50266
Counseling is an opportunity for us to strengthen connection with ourselves and others, while moving forward in life with greater satisfaction. Every hurt, hope, struggle and triumph is welcome here, as we work together to discover strength, wisdom, and direction through even life’s most difficult experiences. Each of us carries our own unique perspective and challenges — I tailor my approach to meet every client where they are at with compassionate collaboration.
Counseling is an opportunity for us to strengthen connection with ourselves and others, while moving forward in life with greater satisfaction. Every hurt, hope, struggle and triumph is welcome here, as we work together to discover strength, wisdom, and direction through even life’s most difficult experiences. Each of us carries our own unique perspective and challenges — I tailor my approach to meet every client where they are at with compassionate collaboration.
(515) 361-5968 View (515) 361-5968
Photo of Elizabeth B Schroeder, MA, NCC, LMHC
Elizabeth B Schroeder
Verified Verified
West Des Moines, IA 50266
Serving individuals of all backgrounds, faiths and walks of life. I specialize in working with adults of all ages. I look forward to working with you and helping you address the challenges you may be facing with anxiety, depression, and other unresolved stresses and struggles of life. As your therapist, I will work to create a space for you to feel free to express yourself without judgment, in a safe protective environment. You will set the pace as we journey together to a deeper understanding of yourself and in the pursuit of living in the moment as your true self.
Serving individuals of all backgrounds, faiths and walks of life. I specialize in working with adults of all ages. I look forward to working with you and helping you address the challenges you may be facing with anxiety, depression, and other unresolved stresses and struggles of life. As your therapist, I will work to create a space for you to feel free to express yourself without judgment, in a safe protective environment. You will set the pace as we journey together to a deeper understanding of yourself and in the pursuit of living in the moment as your true self.
(515) 303-4903 View (515) 303-4903
Photo of Samantha Rives, Counselor, MS, LMHC, SEP
Samantha Rives
Counselor, MS, LMHC, SEP
West Des Moines, IA 50266
Not accepting new clients
Are you noticing tension and discomfort in your body? I believe that this is often easier to notice than what might be contributing to your symptoms, things like anxiety, stress, or trauma. We tend to push on and avoid taking good care of ourselves, despite feeling depressed, managing grief, and experiencing life challenges. We can find ourselves feeling burned out, struggling to function in our daily lives, and needing to reconnect with ourselves and those around us. Wherever you’re at in your healing and wellness journey, I’d love to help you along the way.
Are you noticing tension and discomfort in your body? I believe that this is often easier to notice than what might be contributing to your symptoms, things like anxiety, stress, or trauma. We tend to push on and avoid taking good care of ourselves, despite feeling depressed, managing grief, and experiencing life challenges. We can find ourselves feeling burned out, struggling to function in our daily lives, and needing to reconnect with ourselves and those around us. Wherever you’re at in your healing and wellness journey, I’d love to help you along the way.
(515) 599-9060 View (515) 599-9060
Photo of Andria Klinefeldt, Counselor, MA, LMHC
Andria Klinefeldt
Counselor, MA, LMHC
1 Endorsed
West Des Moines, IA 50266
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
(515) 393-6872 View (515) 393-6872
Photo of Layne Richey, Counselor, LMHC
Layne Richey
Counselor, LMHC
1 Endorsed
West Des Moines, IA 50266
Every client is going to have their own thoughts, conflicts, behavior, and emotions that brings them into therapy. Ideally, clients will come prepared to discuss their mental health, as they feel comfortable, in each session. I strive to meet my clients where they are in their mental health journey. Going off that, therapy can be a long process that depends on the cooperation and collaboration between client and provider. I believe that a client's drive to change is key in successful growth, and our work will be dependent on implementing that internal drive.
Every client is going to have their own thoughts, conflicts, behavior, and emotions that brings them into therapy. Ideally, clients will come prepared to discuss their mental health, as they feel comfortable, in each session. I strive to meet my clients where they are in their mental health journey. Going off that, therapy can be a long process that depends on the cooperation and collaboration between client and provider. I believe that a client's drive to change is key in successful growth, and our work will be dependent on implementing that internal drive.
(515) 373-4739 View (515) 373-4739
Photo of Thomas Sunderman, Counselor, MA, LMHC
Thomas Sunderman
Counselor, MA, LMHC
6 Endorsed
West Des Moines, IA 50266
I believe it is important to meet you where you are at in your unique journey in life. During this process, I feel it's essential for you to encounter a non-judgmental, accepting and empathetic atmosphere through which you can work on areas of your life at a pace you feel comfortable with. Additionally, it is my hope that you experience a sense of empowerment and motivation to grow and move towards self-discovery.
I believe it is important to meet you where you are at in your unique journey in life. During this process, I feel it's essential for you to encounter a non-judgmental, accepting and empathetic atmosphere through which you can work on areas of your life at a pace you feel comfortable with. Additionally, it is my hope that you experience a sense of empowerment and motivation to grow and move towards self-discovery.
(515) 393-4143 x203 View (515) 393-4143 x203
Photo of Kristin Beiner, Pre-Licensed Professional, MHA
Kristin Beiner
Pre-Licensed Professional, MHA
1 Endorsed
West Des Moines, IA 50265
Waitlist for new clients
My ideal client is someone who is feeling overwhelmed by life transitions, weighed down by anxiety, or stuck in patterns that no longer serve them. They may be navigating the complexities of identity, adjusting to a new phase of life, or working through the impact of trauma. Often, they come to therapy feeling uncertain but hopeful wanting clarity, connection, and a space where they don’t have to carry everything alone. What they want is not just symptom relief, but understanding. They want to feel seen and heard. They’re looking for support in making sense of their experiences, learning new tools, and discovering their strengths.
My ideal client is someone who is feeling overwhelmed by life transitions, weighed down by anxiety, or stuck in patterns that no longer serve them. They may be navigating the complexities of identity, adjusting to a new phase of life, or working through the impact of trauma. Often, they come to therapy feeling uncertain but hopeful wanting clarity, connection, and a space where they don’t have to carry everything alone. What they want is not just symptom relief, but understanding. They want to feel seen and heard. They’re looking for support in making sense of their experiences, learning new tools, and discovering their strengths.
(515) 855-6117 View (515) 855-6117
Photo of Ashley Mori, Counselor, MA, LMHC, IADC, CGCS
Ashley Mori
Counselor, MA, LMHC, IADC, CGCS
Online Only
I have dedicated my career to helping clients who struggle with substance abuse/dependency, complex trauma issues, and grief and loss. I have been working as a mental health therapist and alcohol and drug abuse counselor for over a decade, and became an EMDR trained therapist in 2017. I enjoy working with adolescents, children, families and young women. I utilize the style that best fits my clients needs, such as cognitive behavioral approaches, reality-based therapy, and solution-focused techniques.
I have dedicated my career to helping clients who struggle with substance abuse/dependency, complex trauma issues, and grief and loss. I have been working as a mental health therapist and alcohol and drug abuse counselor for over a decade, and became an EMDR trained therapist in 2017. I enjoy working with adolescents, children, families and young women. I utilize the style that best fits my clients needs, such as cognitive behavioral approaches, reality-based therapy, and solution-focused techniques.
(515) 526-5663 View (515) 526-5663
Photo of Casey Vandersnick, Counselor, tLMHC
Casey Vandersnick
Counselor, tLMHC
West Des Moines, IA 50266
My ideal client is someone who feels stuck, overwhelmed, or uncertain about how to move forward, whether they are facing anxiety, depression, trauma, grief, relationship struggles, or life transitions. They may be seeking relief from immediate symptoms, wanting to break unhealthy patterns, or exploring more profound questions of identity and meaning. Above all, they long for a safe, supportive space to share openly without judgment, gain emotional clarity, and develop practical coping strategies. My clients want to feel more grounded, connected, and confident in handling life’s challenges, and they come to therapy ready for change.
My ideal client is someone who feels stuck, overwhelmed, or uncertain about how to move forward, whether they are facing anxiety, depression, trauma, grief, relationship struggles, or life transitions. They may be seeking relief from immediate symptoms, wanting to break unhealthy patterns, or exploring more profound questions of identity and meaning. Above all, they long for a safe, supportive space to share openly without judgment, gain emotional clarity, and develop practical coping strategies. My clients want to feel more grounded, connected, and confident in handling life’s challenges, and they come to therapy ready for change.
(515) 776-0411 View (515) 776-0411
Photo of Annie Steil, Clinical Social Work/Therapist, LISW
Annie Steil
Clinical Social Work/Therapist, LISW
West Des Moines, IA 50265
My goal is to create a safe, open environment for you to come and express feelings and successfully work through struggles. I strive for you to feel safe, accepted and validated. I use CBT, TFCBT, and I am newly trained in EMDR. I am nurturing, nonjudgmental, supportive, and like to use humor when appropriate. I enjoy working with individuals. Kids (10 and up), teens, and adults. I accept Wellmark Blue Cross/Blue Shield insurance, Aetna, as well as United Health Care Insurance. I look forward to meeting you!
My goal is to create a safe, open environment for you to come and express feelings and successfully work through struggles. I strive for you to feel safe, accepted and validated. I use CBT, TFCBT, and I am newly trained in EMDR. I am nurturing, nonjudgmental, supportive, and like to use humor when appropriate. I enjoy working with individuals. Kids (10 and up), teens, and adults. I accept Wellmark Blue Cross/Blue Shield insurance, Aetna, as well as United Health Care Insurance. I look forward to meeting you!
(515) 517-6553 View (515) 517-6553
Photo of Lindsey Olsen, Marriage & Family Therapist, MS, LMFT
Lindsey Olsen
Marriage & Family Therapist, MS, LMFT
1 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
(515) 505-1833 View (515) 505-1833
Photo of Cecily Liphardt, Counselor, MS, t-LMHC
Cecily Liphardt
Counselor, MS, t-LMHC
4 Endorsed
West Des Moines, IA 50266
My therapeutic approach integrates Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness techniques. I strive to create a supportive and nonjudgmental space where you feel heard, understood, and validated. Our therapeutic relationship will be built on empathy and respect, allowing you to explore your thoughts, emotions, and memories at your own pace. We will collaborate to identify your strengths, address challenges, and establish personal goals for your therapeutic journey. Your perspective and autonomy in defining these goals are essential to our work, as they will empower you!
My therapeutic approach integrates Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness techniques. I strive to create a supportive and nonjudgmental space where you feel heard, understood, and validated. Our therapeutic relationship will be built on empathy and respect, allowing you to explore your thoughts, emotions, and memories at your own pace. We will collaborate to identify your strengths, address challenges, and establish personal goals for your therapeutic journey. Your perspective and autonomy in defining these goals are essential to our work, as they will empower you!
(515) 316-3393 View (515) 316-3393
Photo of Elleni Huerter, Clinical Social Work/Therapist, LMSW
Elleni Huerter
Clinical Social Work/Therapist, LMSW
West Des Moines, IA 50266
In the journey of life, we often encounter challenges that prompt us to seek more profound understanding and healing. For example, are you facing important changes in your life? Are you struggling to manage stress effectively? Are you feeling overwhelmed, anxious, or depressed? Are you grieving the loss of a loved one? Or do you want to work on past traumatic events? Are you looking for EMDR, Yoga or Somatic Therapy? If any of these situations apply to you, I could help!
In the journey of life, we often encounter challenges that prompt us to seek more profound understanding and healing. For example, are you facing important changes in your life? Are you struggling to manage stress effectively? Are you feeling overwhelmed, anxious, or depressed? Are you grieving the loss of a loved one? Or do you want to work on past traumatic events? Are you looking for EMDR, Yoga or Somatic Therapy? If any of these situations apply to you, I could help!
(515) 523-6846 View (515) 523-6846

See more therapy options for West Des Moines

How does your Therapist compare?

Number of Therapists in West Des Moines, IA

400+

Average cost per session

$173

Therapists in West Des Moines, IA who prioritize treating:

94% Anxiety
87% Depression
79% Self Esteem
76% Relationship Issues
73% Stress
72% Trauma and PTSD
69% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

85% Wellmark BCBS
83% BlueCross and BlueShield
57% UnitedHealthcare UHC | UBH

How Therapists in West Des Moines, IA see their clients

87% In Person and Online
13% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Des Moines?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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