Therapists in West Des Moines, IA

Photo of Carter DeVary, Marriage & Family Therapist in West Des Moines, IA
Carter DeVary
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
West Des Moines, IA 50266
I provide an open and accepting environment that empowers clients to share their concerns without judgment. From a systemic perspective, I focus on helping individuals, couples and families develop a greater sense of self within their relationships, leading clients to develop and maintain healthy and sustainable relationships beyond therapy. I work with a broad range of clients including individual teenagers to older adults, couples and families, with a diverse set of problems and needs including anxiety, depression, grief, trauma, couple and marital issues, blended family problems, and many more.
I provide an open and accepting environment that empowers clients to share their concerns without judgment. From a systemic perspective, I focus on helping individuals, couples and families develop a greater sense of self within their relationships, leading clients to develop and maintain healthy and sustainable relationships beyond therapy. I work with a broad range of clients including individual teenagers to older adults, couples and families, with a diverse set of problems and needs including anxiety, depression, grief, trauma, couple and marital issues, blended family problems, and many more.
(515) 393-6791 View (515) 393-6791
Photo of Maggie Suits, Counselor in West Des Moines, IA
Maggie Suits
Counselor, MS, LMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50265  (Online Only)
Not accepting new clients
Great therapy is a sacred, unique, and mutually respectful relationship. My approach is holistic in nature, seeking to balance the mind, body and spirit. There is no one approach for everyone, so I utilize many forms of therapy with clients, allowing a person-centered, humanistic, and eclectic approach. I also incorporate aspects of spirituality if desired, and am open to all beliefs. I mainly work with adults and teens. My therapy is intuitive and empathic, which invites individuality to shine.
Great therapy is a sacred, unique, and mutually respectful relationship. My approach is holistic in nature, seeking to balance the mind, body and spirit. There is no one approach for everyone, so I utilize many forms of therapy with clients, allowing a person-centered, humanistic, and eclectic approach. I also incorporate aspects of spirituality if desired, and am open to all beliefs. I mainly work with adults and teens. My therapy is intuitive and empathic, which invites individuality to shine.
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Photo of Elaina C Riley, Clinical Social Work/Therapist in West Des Moines, IA
Elaina C Riley
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Hello Beautiful People! I enjoy seeing all ages, adults, children, and teens. I see both non-traumatized people, who are usually dealing with anxiety and issues with mood, and people who experienced trauma, who deal with pain and many complexities of distress. I believe people get to where they want to if they just keep trying and do not give up. I would call that growing. I believe people want to feel regarded, respected, like they belong, and satisfied about something in their lives. I like to partner with people to create a map of how to untangle the knots, dislodge the stuck places, and move through obstacles to feeling better.
Hello Beautiful People! I enjoy seeing all ages, adults, children, and teens. I see both non-traumatized people, who are usually dealing with anxiety and issues with mood, and people who experienced trauma, who deal with pain and many complexities of distress. I believe people get to where they want to if they just keep trying and do not give up. I would call that growing. I believe people want to feel regarded, respected, like they belong, and satisfied about something in their lives. I like to partner with people to create a map of how to untangle the knots, dislodge the stuck places, and move through obstacles to feeling better.
(515) 417-2193 View (515) 417-2193
Photo of Jacob Linduski, Counselor in West Des Moines, IA
Jacob Linduski
Counselor, MS, tLMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Now accepting new clients. Temporary Licensed Mental Health Counselor (tLMHC). Sorting through our feelings and emotions can be complicated and confusing. At times it can feel impossible to make sense of on our own. I believe in providing a safe and approachable healing space where you are truly heard and understood. If you are in need of a supportive and gentle listener who includes the body and the mind in the healing process, I may be a good fit.
Now accepting new clients. Temporary Licensed Mental Health Counselor (tLMHC). Sorting through our feelings and emotions can be complicated and confusing. At times it can feel impossible to make sense of on our own. I believe in providing a safe and approachable healing space where you are truly heard and understood. If you are in need of a supportive and gentle listener who includes the body and the mind in the healing process, I may be a good fit.
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Photo of Carrie Leaf in West Des Moines, IA
Carrie Leaf
MS, LMFT
Verified Verified
2 Endorsed
West Des Moines, IA 50265
Hello and welcome! For two decades now, I have helped clients break through the obstacles that seem to be holding them back in life. Life's too short to be unhappy, unsure, or unfulfilled. I will help you learn and develop better ways to handle the issues that are keeping you stuck. I take a holistic approach. Offering: Psychotherapy, Hypnotherapy, EMDR, & more: Are you ready for a change? You don't have to do it alone. My goal is to work together with you to help you better understand yourself in a way that promotes growth and change as well as to help you & your relationships reach their maximum potential.
Hello and welcome! For two decades now, I have helped clients break through the obstacles that seem to be holding them back in life. Life's too short to be unhappy, unsure, or unfulfilled. I will help you learn and develop better ways to handle the issues that are keeping you stuck. I take a holistic approach. Offering: Psychotherapy, Hypnotherapy, EMDR, & more: Are you ready for a change? You don't have to do it alone. My goal is to work together with you to help you better understand yourself in a way that promotes growth and change as well as to help you & your relationships reach their maximum potential.
(515) 619-6737 View (515) 619-6737
Photo of Kim Comer, Clinical Social Work/Therapist in West Des Moines, IA
Kim Comer
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50265
I am currently accepting new clients. I have been practicing for 20 years and have been in the field for over 40. I have an I am currently accepting new clients. I have been practicing for 20 years. Are you having a tough time adjusting to life? Whether that be problems with depression, anxiety, or other life Stressors? Possibly you’ve experienced a lot of trauma in your life, or abuse, or you are wondering if your child has been sexually abused? I am here to help you through these difficult times. I also love working with adults who are trying to manage their issues one day at a time.
I am currently accepting new clients. I have been practicing for 20 years and have been in the field for over 40. I have an I am currently accepting new clients. I have been practicing for 20 years. Are you having a tough time adjusting to life? Whether that be problems with depression, anxiety, or other life Stressors? Possibly you’ve experienced a lot of trauma in your life, or abuse, or you are wondering if your child has been sexually abused? I am here to help you through these difficult times. I also love working with adults who are trying to manage their issues one day at a time.
(515) 303-2689 View (515) 303-2689
Photo of Emma Sakanovic, Counselor in West Des Moines, IA
Emma Sakanovic
Counselor, tLMHC
Verified Verified
West Des Moines, IA 50266
I believe that therapy is a sacred place where my clients feel safe, welcome, and heard. Our lives can bring adversity and tribulations that shake us to our core, leaving us lost and alone. With me you don’t have to be alone in your journey. With 20+ years of experience working with adults in the criminal justice system, I bring patience, empathy, understanding, and a nonjudgmental stance. I am grateful for the opportunity to help you grow and reach your full potential. While we can’t change our past experiences, together we can find ways to better understand and resolve life challenges.
I believe that therapy is a sacred place where my clients feel safe, welcome, and heard. Our lives can bring adversity and tribulations that shake us to our core, leaving us lost and alone. With me you don’t have to be alone in your journey. With 20+ years of experience working with adults in the criminal justice system, I bring patience, empathy, understanding, and a nonjudgmental stance. I am grateful for the opportunity to help you grow and reach your full potential. While we can’t change our past experiences, together we can find ways to better understand and resolve life challenges.
(515) 824-2443 View (515) 824-2443
Photo of Jordan Ottenbacher, Counselor in West Des Moines, IA
Jordan Ottenbacher
Counselor, MS, LMHC
Verified Verified
West Des Moines, IA 50266
Accepting new clients. I work out of New Life Counseling's West Des Moines office location, but can also see you via Zoom. My counseling approach is relational, honest, compassionate, and research-based. Many of my clients see results within the first few weeks (small wins). These small wins demonstrate the benefits of the counseling relationship, as we develop your goals. My hope is that you are encouraged and empowered, as you consider making changes.
Accepting new clients. I work out of New Life Counseling's West Des Moines office location, but can also see you via Zoom. My counseling approach is relational, honest, compassionate, and research-based. Many of my clients see results within the first few weeks (small wins). These small wins demonstrate the benefits of the counseling relationship, as we develop your goals. My hope is that you are encouraged and empowered, as you consider making changes.
(515) 717-7790 View (515) 717-7790
Photo of Emily Villarreal, Counselor in West Des Moines, IA
Emily Villarreal
Counselor, MS, tLMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Not accepting new clients
Sometimes we have to give ourselves the patience and kindness in order to grow and heal. We may feel unhappy, alone, or ashamed but we can take control. With guidance and support, we will work together to address the challenging obstacles life presents and seek the changes that need to be made for your wellbeing. You will be seen and heard, and together we will work alongside through self-awareness and self-exploration.
Sometimes we have to give ourselves the patience and kindness in order to grow and heal. We may feel unhappy, alone, or ashamed but we can take control. With guidance and support, we will work together to address the challenging obstacles life presents and seek the changes that need to be made for your wellbeing. You will be seen and heard, and together we will work alongside through self-awareness and self-exploration.
(515) 679-3082 View (515) 679-3082
Photo of Myriah Brookhart, Marriage & Family Therapist in West Des Moines, IA
Myriah Brookhart
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
West Des Moines, IA 50266
It is my belief that everyone has the potential to grow. I am passionate about creating a safe space while empowering clients to identify and explore their emotional experiences, so they can live healthier and more satisfying lives.
It is my belief that everyone has the potential to grow. I am passionate about creating a safe space while empowering clients to identify and explore their emotional experiences, so they can live healthier and more satisfying lives.
(515) 517-6884 View (515) 517-6884
Photo of Sonia Navarro, Counselor in West Des Moines, IA
Sonia Navarro
Counselor, t-LMHC
Verified Verified
West Des Moines, IA 50266
I like to think we’re filled with stories waiting to be written. Whether you’re just starting that story or onto a new chapter, we’re filled with endless possibilities. Hello! My name is Sonia Navarro! I was born and raised in Des Moines, Iowa. I went to Iowa State University for my undergrad and Grand View University for my master’s in Mental Health Counseling. During my internship, I worked with people from all walks of life and ages 15 and older.
I like to think we’re filled with stories waiting to be written. Whether you’re just starting that story or onto a new chapter, we’re filled with endless possibilities. Hello! My name is Sonia Navarro! I was born and raised in Des Moines, Iowa. I went to Iowa State University for my undergrad and Grand View University for my master’s in Mental Health Counseling. During my internship, I worked with people from all walks of life and ages 15 and older.
(515) 420-0372 View (515) 420-0372
Photo of Alicia Krpan, Counselor in West Des Moines, IA
Alicia Krpan
Counselor, MS, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Not accepting new clients
I am an integrative EMDR trauma therapist. I am interested in learning about my client's needs and wants. My approach focuses on creating an environment of curiosity that supports connection to engage collaboratively on the best therapeutic fit for you. Of course, this can change depending on what you need and are experiencing.
I am an integrative EMDR trauma therapist. I am interested in learning about my client's needs and wants. My approach focuses on creating an environment of curiosity that supports connection to engage collaboratively on the best therapeutic fit for you. Of course, this can change depending on what you need and are experiencing.
(515) 373-5745 View (515) 373-5745
Photo of Des Moines Therapy and Consulting, PC, Counselor in West Des Moines, IA
Des Moines Therapy and Consulting, PC
Counselor, PhD
Verified Verified
West Des Moines, IA 50266
Ames | Des Moines Therapy clinical team provides therapy approaches and techniques which are evidence-based. Dr. Amy Mooney, PhD, LMHC, NCC, ACS, 22 yrs experience, founder and owner. Dr. Terry Augspurger, MD, DLFAPA has over 40 yrs experience in psychiatry. Dr. Richard Stapleton, EdD, NCC, LMHC (IA), LPCC (MN), ACS, BC-TMH, CCTP, Dr. Charles D. Mooney, MD, MPH, Dr. Beth Augspurger, PhD, tLMHC, Brooke Sanders MS, TLMHC, Kelsi York, MS, tLMHC, Grace Macmillan, MSW, LISW
Ames | Des Moines Therapy clinical team provides therapy approaches and techniques which are evidence-based. Dr. Amy Mooney, PhD, LMHC, NCC, ACS, 22 yrs experience, founder and owner. Dr. Terry Augspurger, MD, DLFAPA has over 40 yrs experience in psychiatry. Dr. Richard Stapleton, EdD, NCC, LMHC (IA), LPCC (MN), ACS, BC-TMH, CCTP, Dr. Charles D. Mooney, MD, MPH, Dr. Beth Augspurger, PhD, tLMHC, Brooke Sanders MS, TLMHC, Kelsi York, MS, tLMHC, Grace Macmillan, MSW, LISW
(515) 519-3645 View (515) 519-3645
Photo of Elizabeth J. Huebsch, Clinical Social Work/Therapist in West Des Moines, IA
Elizabeth J. Huebsch
Clinical Social Work/Therapist, LISW, CADC
Verified Verified
West Des Moines, IA 50265
Experiencing grief, loss, or trauma? Feeling disconnected, alone, and generally unhappy? Struggling with relationships, addiction, or painful wounds from childhood? Powerful emotions holding you back from finding enjoyment in life? If you answered yes to any of these, I can help. Oftentimes, the burdens of trauma manifest in mysterious ways and can lead to various concerns such as depression, anxiety, addiction, relationship difficulties, trust issues, isolation, numbness, and shame. These challenges can impede our ability to have healthy relationships and care for ourselves.
Experiencing grief, loss, or trauma? Feeling disconnected, alone, and generally unhappy? Struggling with relationships, addiction, or painful wounds from childhood? Powerful emotions holding you back from finding enjoyment in life? If you answered yes to any of these, I can help. Oftentimes, the burdens of trauma manifest in mysterious ways and can lead to various concerns such as depression, anxiety, addiction, relationship difficulties, trust issues, isolation, numbness, and shame. These challenges can impede our ability to have healthy relationships and care for ourselves.
(515) 373-5950 View (515) 373-5950
Photo of Melissa Cribari, Counselor in West Des Moines, IA
Melissa Cribari
Counselor, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I have a passion for helping individuals improve their emotional well-being and enhance their overall quality of life. I believe in creating a non-judgmental and supportive space for my clients to explore their thoughts, feelings, and experiences. I strive to foster a strong therapeutic alliance by building trust, empathy, and mutual respect with each individual I work with.
I have a passion for helping individuals improve their emotional well-being and enhance their overall quality of life. I believe in creating a non-judgmental and supportive space for my clients to explore their thoughts, feelings, and experiences. I strive to foster a strong therapeutic alliance by building trust, empathy, and mutual respect with each individual I work with.
(515) 516-3121 View (515) 516-3121
Photo of Deborah L Pfeiffer, Clinical Social Work/Therapist in West Des Moines, IA
Deborah L Pfeiffer
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50265
Therapy is a journey wherein you discover the solutions and/or answers which bring you here. I will support and help you in the discovery of them. I have over twenty five years of experience serving children, adolescents, individuals, couples and families. I have worked in inpatient and partial hospital settings as a therapist and clinical director in Des Moines, Omaha Nebraska and Glenwood, Iowa. I have worked in residential care as a clinician and program coordinator for the treatment of children, adolescents and their families in Des Moines. I have spent the past eighteen years in private practice.
Therapy is a journey wherein you discover the solutions and/or answers which bring you here. I will support and help you in the discovery of them. I have over twenty five years of experience serving children, adolescents, individuals, couples and families. I have worked in inpatient and partial hospital settings as a therapist and clinical director in Des Moines, Omaha Nebraska and Glenwood, Iowa. I have worked in residential care as a clinician and program coordinator for the treatment of children, adolescents and their families in Des Moines. I have spent the past eighteen years in private practice.
(515) 454-1875 View (515) 454-1875
Photo of Jonathan Fasse, Clinical Social Work/Therapist in West Des Moines, IA
Jonathan Fasse
Clinical Social Work/Therapist, MSSW, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50265
I use a strengths-based approach helping you develop the skills you already have. Typically, patients already know the things that are causing their problems, they just need a new perspective and new approaches to use their own strengths to turn things around for the better. I can help you improve your mental health and navigate life's challenges and changes and to improve overall well-being and self-confidence.
I use a strengths-based approach helping you develop the skills you already have. Typically, patients already know the things that are causing their problems, they just need a new perspective and new approaches to use their own strengths to turn things around for the better. I can help you improve your mental health and navigate life's challenges and changes and to improve overall well-being and self-confidence.
(515) 585-8253 View (515) 585-8253
Photo of Gloria Krause, Clinical Social Work/Therapist in West Des Moines, IA
Gloria Krause
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50266
We all need help sometimes, and it is important that we talk to someone who is able to spend time with us and be able to provide the right and compassionate response. We can talk to friends and family, but at times, the responses we receive might not be what we are expecting: "You are too hard on yourself, or I do not have time for you right now," etc. It is also possible that friends and family have their own lives to juggle, and talking to them about our personal struggles might put a burden on them. Talking to a licensed therapist means that you are setting healthy boundaries and, protecting your privacy.
We all need help sometimes, and it is important that we talk to someone who is able to spend time with us and be able to provide the right and compassionate response. We can talk to friends and family, but at times, the responses we receive might not be what we are expecting: "You are too hard on yourself, or I do not have time for you right now," etc. It is also possible that friends and family have their own lives to juggle, and talking to them about our personal struggles might put a burden on them. Talking to a licensed therapist means that you are setting healthy boundaries and, protecting your privacy.
(515) 329-3868 View (515) 329-3868
Photo of Andria Klinefeldt, Counselor in West Des Moines, IA
Andria Klinefeldt
Counselor, MA, LMHC
Verified Verified
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 Diane Eischeid, Counselor in West Des Moines, IA
Diane Eischeid
Counselor, MS, LMHC
Verified Verified
West Des Moines, IA 50265
I can help you begin to listen to the deep wisdom that resonates within & around you & to help you move past fear & discover your own power. I have experience in treating anxiety, depression, domestic violence, sexual assault, trauma-related issues, marriage/family therapy & grief & loss. I incorporate Attachment-Focused EMDR (Eye Movement Desensitization & Repossessing) which is client centered & emphasizes a reparative therapy approach to strengthen clients. I also utilize the FLASH technique to assist with a multitude of mental health issues.
I can help you begin to listen to the deep wisdom that resonates within & around you & to help you move past fear & discover your own power. I have experience in treating anxiety, depression, domestic violence, sexual assault, trauma-related issues, marriage/family therapy & grief & loss. I incorporate Attachment-Focused EMDR (Eye Movement Desensitization & Repossessing) which is client centered & emphasizes a reparative therapy approach to strengthen clients. I also utilize the FLASH technique to assist with a multitude of mental health issues.
(712) 883-0395 View (712) 883-0395

See more therapy options for West Des Moines

How does your Therapist compare?

Number of Therapists in West Des Moines, IA

300+

Average cost per session

$155

Therapists in West Des Moines, IA who prioritize treating:

96% Anxiety
90% Depression
79% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
74% Stress
71% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
84% Wellmark BCBS
49% UnitedHealthcare UHC | UBH

How Therapists in West Des Moines, IA see their clients

88% In Person and Online
12% Online Only

Gender breakdown

78% Female
21% 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.