Therapists in Grand Rapids, MI

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Photo of Rachael Koeson, LLMSW, CHT, Clinical Social Work/Therapist
Rachael Koeson
Clinical Social Work/Therapist, LLMSW, CHT
Verified Verified
2 Endorsed
Grand Rapids, MI 49546
I believe that the therapeutic process is about co-creating a safe enough space to explore what is happening under the surface and to develop embodied compassion for ourselves in the process. I am committed to showing up to this work with curiosity, kindness, and presence to support you to be more spacious with yourself and your internal experiences. I bring an awareness of the impacts of systems (patriarchy, racism, transphobia, etc) on our bodies and minds. I support exploration of how systemic oppression and individual traumas and wounds overlap. We work together to find compassion, curiosity, hope, and kindness.
I believe that the therapeutic process is about co-creating a safe enough space to explore what is happening under the surface and to develop embodied compassion for ourselves in the process. I am committed to showing up to this work with curiosity, kindness, and presence to support you to be more spacious with yourself and your internal experiences. I bring an awareness of the impacts of systems (patriarchy, racism, transphobia, etc) on our bodies and minds. I support exploration of how systemic oppression and individual traumas and wounds overlap. We work together to find compassion, curiosity, hope, and kindness.
(734) 849-4683 View (734) 849-4683
Photo of Thea Woodnorth, MA, LPC, NCC, Counselor
Thea Woodnorth
Counselor, MA, LPC, NCC
Verified Verified
Grand Rapids, MI 49546
Counseling is a personal and unique process for each person. I facilitate each client’s unique process, and walk alongside the client, shoring up their strengths and making use of our relationship to bring about positive change. The therapeutic process can be challenging at times, and I work with the client to fully experience the joys and sorrows that are part of life, striving to feel a wide range of emotions. I enjoy working with people of all ages and cultural backgrounds.
Counseling is a personal and unique process for each person. I facilitate each client’s unique process, and walk alongside the client, shoring up their strengths and making use of our relationship to bring about positive change. The therapeutic process can be challenging at times, and I work with the client to fully experience the joys and sorrows that are part of life, striving to feel a wide range of emotions. I enjoy working with people of all ages and cultural backgrounds.
(616) 208-2265 View (616) 208-2265
Photo of Michelle M Muenzenmeyer - Michelle Muenzenmeyer, MA, LLP, CMHC, Limited Licensed Psychologist
Michelle Muenzenmeyer
Limited Licensed Psychologist, MA, LLP, CMHC
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
Do you find yourself setting the same goals without achieving them? In the pain and suffering, there is opportunity for growth and change. You've taken a step forward by looking into treatment, congratulations! I offer a trusting and compassionate approach to allow my clients to feel vulnerable with their struggles. I have worked with clients who have suffered with depression, grief, relationship issues, anxiety, life stage changes, obesity, binge eating and more. At the end of treatment, some clients report feeling more resilient with painful emotions which leads to healthier relationships and a more fulfilling life.
Do you find yourself setting the same goals without achieving them? In the pain and suffering, there is opportunity for growth and change. You've taken a step forward by looking into treatment, congratulations! I offer a trusting and compassionate approach to allow my clients to feel vulnerable with their struggles. I have worked with clients who have suffered with depression, grief, relationship issues, anxiety, life stage changes, obesity, binge eating and more. At the end of treatment, some clients report feeling more resilient with painful emotions which leads to healthier relationships and a more fulfilling life.
(616) 788-2795 View (616) 788-2795
Photo of Alicia Johnson, LMSW, Clinical Social Work/Therapist
Alicia Johnson
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
I am a dedicated and compassionate therapist with extensive experience helping adults overcome their generational traumas, relationship challenges, and parenting struggles. I have been striving to help individuals gain a better understanding of themselves and the world around them since obtaining my Master’s degree in Social Work from Grand Valley State University. My trauma-informed approach is rooted in untangling the complex interplay between childhood experiences, mental health, relationships, and overall well-being. Utilizing a variety of evidence-based techniques, my mission is to help individuals achieve their goals.
I am a dedicated and compassionate therapist with extensive experience helping adults overcome their generational traumas, relationship challenges, and parenting struggles. I have been striving to help individuals gain a better understanding of themselves and the world around them since obtaining my Master’s degree in Social Work from Grand Valley State University. My trauma-informed approach is rooted in untangling the complex interplay between childhood experiences, mental health, relationships, and overall well-being. Utilizing a variety of evidence-based techniques, my mission is to help individuals achieve their goals.
(616) 205-9448 View (616) 205-9448
Photo of Tristen Davis, MS, Licensed Professional Counselor
Tristen Davis
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Grand Rapids, MI 49512
Immediate openings available. Connection has always been at the heart of what I do. Becoming a therapist was a natural choice because I genuinely enjoy getting to know people on a deep, authentic level. I help clients navigate depression, anxiety, self-esteem issues, relationship and family conflicts, and LGBTQ+ and intimacy concerns. Clients appreciate my keen observations, reflective nature, challenges, and positive energy. I strive to create a safe, nonjudgmental space where YOU are the expert of your own life.
Immediate openings available. Connection has always been at the heart of what I do. Becoming a therapist was a natural choice because I genuinely enjoy getting to know people on a deep, authentic level. I help clients navigate depression, anxiety, self-esteem issues, relationship and family conflicts, and LGBTQ+ and intimacy concerns. Clients appreciate my keen observations, reflective nature, challenges, and positive energy. I strive to create a safe, nonjudgmental space where YOU are the expert of your own life.
(616) 522-8593 View (616) 522-8593
Photo of Tracy Thompson, MA, LPC, Counselor
Tracy Thompson
Counselor, MA, LPC
Verified Verified
2 Endorsed
Grand Rapids, MI 49504
Tracy Thompson is the owner of the Family Therapy Place, and is a Licensed Professional Counselor. Tracy specializes in working with children and families who have discovered that life can be a tough journey. Tracy’s training and speciality is with children who have experienced developmental trauma, often due to neglect or abuse. Tracy has a strong belief and training in the experiences of attachment and works with families to rebuild and nurture attachments when they have been broken. Tracy also works with adult families that are working to manage and resolve conflict that has surfaced or created separation within the family.
Tracy Thompson is the owner of the Family Therapy Place, and is a Licensed Professional Counselor. Tracy specializes in working with children and families who have discovered that life can be a tough journey. Tracy’s training and speciality is with children who have experienced developmental trauma, often due to neglect or abuse. Tracy has a strong belief and training in the experiences of attachment and works with families to rebuild and nurture attachments when they have been broken. Tracy also works with adult families that are working to manage and resolve conflict that has surfaced or created separation within the family.
(616) 818-0933 View (616) 818-0933
Photo of Heather Parlmer, LMSW, Clinical Social Work/Therapist
Heather Parlmer
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
You don't have to be experiencing a breakdown to benefit from therapy. Perhaps you're just maxed out by workplace stressors, recent loss, or strained relationships. Maybe you make your living caring for others, and you find yourself spent, dissatisfied, frazzled and anxious. You feel stuck about problems you cannot fix and feel discouraged about moving forward. Therapy can help you process what's going on so you can more fully engage at work and in the rest of your life. You can gain insight, address burnout and learn to manage through the difficulties.
You don't have to be experiencing a breakdown to benefit from therapy. Perhaps you're just maxed out by workplace stressors, recent loss, or strained relationships. Maybe you make your living caring for others, and you find yourself spent, dissatisfied, frazzled and anxious. You feel stuck about problems you cannot fix and feel discouraged about moving forward. Therapy can help you process what's going on so you can more fully engage at work and in the rest of your life. You can gain insight, address burnout and learn to manage through the difficulties.
(616) 504-2428 View (616) 504-2428
Photo of Jo Kelly, MA, LLC, Licensed Professional Counselor
Jo Kelly
Licensed Professional Counselor, MA, LLC
Verified Verified
Grand Rapids, MI 49525
It's not easy taking the first step to get help. I recognize that it is often the work of weeks, months, or even years to reach out and request therapy services. Your story is unique, and it is my goal to help you find a sense of safety and security in my counseling office, and to find your way to wholeness and well-being. Your relationships, your environment, loss, successes and failures, these are all building blocks that affect how you think and feel and how you process life's challenges. It can feel overwhelming trying to make sense of it all. My goal is to help you gain that clarity.
It's not easy taking the first step to get help. I recognize that it is often the work of weeks, months, or even years to reach out and request therapy services. Your story is unique, and it is my goal to help you find a sense of safety and security in my counseling office, and to find your way to wholeness and well-being. Your relationships, your environment, loss, successes and failures, these are all building blocks that affect how you think and feel and how you process life's challenges. It can feel overwhelming trying to make sense of it all. My goal is to help you gain that clarity.
(616) 522-8970 View (616) 522-8970
Photo of Yasmeen Barnes - Lake Michigan Counseling Services , LLMSW, Clinical Social Work/Therapist
Lake Michigan Counseling Services
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
As a clinician I take a holistic approach, making sure to take into consideration all aspects of your life. I believe in taking a strengths-based perspective to give you the courage and motivation to implement the changes you wish to make. I am here to help empower you to create the life you want. While understanding and acknowledge collaboration with others allows cultural competence for myself and those I work with. I strive for critical awareness in an engaging environment while being inclusive for people to feel comfortable expressing themselves.
As a clinician I take a holistic approach, making sure to take into consideration all aspects of your life. I believe in taking a strengths-based perspective to give you the courage and motivation to implement the changes you wish to make. I am here to help empower you to create the life you want. While understanding and acknowledge collaboration with others allows cultural competence for myself and those I work with. I strive for critical awareness in an engaging environment while being inclusive for people to feel comfortable expressing themselves.
(616) 303-4484 x616916 View (616) 303-4484 x616916
Photo of Nika Lenee Fesler, MA, LPC, Counselor
Nika Lenee Fesler
Counselor, MA, LPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49503
One of the most important things for me is a clinician is that we are addressing the needs and goals of the client, that means that nobody else’s agenda is going to be prioritized. That also means that identifying those needs and goals will be the foundation of the work and what we go back to if we get lost and what we might change if movement is stunted. While there is not any prep work I would ask prior to a session, I would encourage any prospective clients to consider what they would like to accomplish in therapy. I offer intensive EMDR sessions (3-8 hours) and am currently able to schedule clients for intensive sessions.
One of the most important things for me is a clinician is that we are addressing the needs and goals of the client, that means that nobody else’s agenda is going to be prioritized. That also means that identifying those needs and goals will be the foundation of the work and what we go back to if we get lost and what we might change if movement is stunted. While there is not any prep work I would ask prior to a session, I would encourage any prospective clients to consider what they would like to accomplish in therapy. I offer intensive EMDR sessions (3-8 hours) and am currently able to schedule clients for intensive sessions.
(616) 226-5749 View (616) 226-5749
Photo of Duane Matthew Duhon, LPC, Licensed Professional Counselor
Duane Matthew Duhon
Licensed Professional Counselor, LPC
Verified Verified
Grand Rapids, MI 49525
Everyone one of us wants our one life to be the best we can have. We want to experience as much happiness as we possibly can. We want good emotional health in our life. Talking with someone/therapy is something we can utilize to make us happier. I know this personally from talking with someone else/attending therapy and from being a therapist. My approach as a therapist is that you and I will join together, working for the goal(s) you have for yourself.
Everyone one of us wants our one life to be the best we can have. We want to experience as much happiness as we possibly can. We want good emotional health in our life. Talking with someone/therapy is something we can utilize to make us happier. I know this personally from talking with someone else/attending therapy and from being a therapist. My approach as a therapist is that you and I will join together, working for the goal(s) you have for yourself.
(616) 585-0741 View (616) 585-0741
Photo of Heather Hemphill, LPC, LLMFT, CAADC, Licensed Professional Counselor
Heather Hemphill
Licensed Professional Counselor, LPC, LLMFT, CAADC
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
I believe in the innate capabilities, strength, and wellness of my clients and that the counseling relationship provides the basis from which change can occur. My approach is to walk beside you and validate your personal experiences and invite you to make changes based on your priorities and values. We will work together to decide on your goals and the means for accomplishing them. It can be scary to take the first steps and believe you can achieve your goals. By working together, we can find the path that works for you to heal and grow in all areas of your life.
I believe in the innate capabilities, strength, and wellness of my clients and that the counseling relationship provides the basis from which change can occur. My approach is to walk beside you and validate your personal experiences and invite you to make changes based on your priorities and values. We will work together to decide on your goals and the means for accomplishing them. It can be scary to take the first steps and believe you can achieve your goals. By working together, we can find the path that works for you to heal and grow in all areas of your life.
(616) 300-2310 View (616) 300-2310
Photo of Jessi Manning, PhD, Psychologist
Jessi Manning
Psychologist, PhD
Verified Verified
Grand Rapids, MI 49503
Neurodiversity affirming evaluations for age 16 years through adulthood. Have you been considering completing testing for ADHD or autism? Maybe your child was identified as neurodivergent, and you relate to the way they think, feel, and act. Maybe you’ve seen information online that has led you to question or self-identify as autistic or having ADHD. If you’ve looked at formal testing, you've seen that lots of places cater to children, or you might have gotten discouraged when you learned that the wait for testing is 6 months+. If this sounds like you, you’ve found the right place.
Neurodiversity affirming evaluations for age 16 years through adulthood. Have you been considering completing testing for ADHD or autism? Maybe your child was identified as neurodivergent, and you relate to the way they think, feel, and act. Maybe you’ve seen information online that has led you to question or self-identify as autistic or having ADHD. If you’ve looked at formal testing, you've seen that lots of places cater to children, or you might have gotten discouraged when you learned that the wait for testing is 6 months+. If this sounds like you, you’ve found the right place.
(616) 545-8252 View (616) 545-8252
Photo of Katherine Kline, PhD, LPC, CRC, Licensed Professional Counselor
Katherine Kline
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
Grand Rapids, MI 49506  (Online Only)
My name is Dr. Katherine Kline and I am a Licensed Professional Counselor (LPC) as well as a Certified Rehabilitation Counselor. I hold a Masters Degree in Rehabilitation Counseling from Michigan State University, and a PhD in Counselor Education from Michigan State University. I have over 15 years of experience in the counseling profession and I have worked with a wide range of adults that present with a variety of issues and concerns.
My name is Dr. Katherine Kline and I am a Licensed Professional Counselor (LPC) as well as a Certified Rehabilitation Counselor. I hold a Masters Degree in Rehabilitation Counseling from Michigan State University, and a PhD in Counselor Education from Michigan State University. I have over 15 years of experience in the counseling profession and I have worked with a wide range of adults that present with a variety of issues and concerns.
(616) 366-9432 View (616) 366-9432
Photo of Amanda Walker, MA, LLP, CAADC, Limited Licensed Psychologist
Amanda Walker
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Grand Rapids, MI 49544  (Online Only)
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
(616) 201-1399 View (616) 201-1399
Photo of Leo Preston, MA, LPC, Counselor
Leo Preston
Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49512
It would be my honor to walk alongside you on your journey through life and assist with helping you tackle some of your hardest struggles as well as celebrate in your highest achievements. I have worked with individuals, couples, and families struggling with emotional and mental blocks.
It would be my honor to walk alongside you on your journey through life and assist with helping you tackle some of your hardest struggles as well as celebrate in your highest achievements. I have worked with individuals, couples, and families struggling with emotional and mental blocks.
(616) 404-4819 View (616) 404-4819
Photo of Travis Gordon, MA, LLPC, Counselor
Travis Gordon
Counselor, MA, LLPC
Verified Verified
4 Endorsed
Grand Rapids, MI 49546
My hope is to empower and support individuals that want to reach their goals and shape their life in a way that gives them growth and improvement. Whether it's anxiety, heartbreak, depression, relationships, career struggles, confidence, grief, shifting interpersonal dynamics, or other significant life transitions, I love being a listening ear that will both empathize with the unique struggles that someone is facing, as well as help them cultivate the bravery and tools to move forward.
My hope is to empower and support individuals that want to reach their goals and shape their life in a way that gives them growth and improvement. Whether it's anxiety, heartbreak, depression, relationships, career struggles, confidence, grief, shifting interpersonal dynamics, or other significant life transitions, I love being a listening ear that will both empathize with the unique struggles that someone is facing, as well as help them cultivate the bravery and tools to move forward.
(616) 253-8961 View (616) 253-8961
Photo of Kirsten Rahn, LMSW, Clinical Social Work/Therapist
Kirsten Rahn
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
People are the expert on their own lives. As we work together to identify concerns and set goals, our work may include discussing behaviors, emotions, or thought patterns which do not serve the end goal and learning skills to manage or change them. I have experience and training to provide clinical support while someone navigates the changes they would like to see in their life. Wherever the person is in their need, that is where we will start.
People are the expert on their own lives. As we work together to identify concerns and set goals, our work may include discussing behaviors, emotions, or thought patterns which do not serve the end goal and learning skills to manage or change them. I have experience and training to provide clinical support while someone navigates the changes they would like to see in their life. Wherever the person is in their need, that is where we will start.
(218) 328-8459 View (218) 328-8459
Photo of Emily Langenau, LMSW, Clinical Social Work/Therapist
Emily Langenau
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
Finding the right provider for your mental health support is a big decision. Treatment focused on your needs is paramount. I have worked in the field for nearly twenty years using a strengths-based and client centered focus. I am licensed social worker who graduated with my MSW from Grand Valley State University. I have worked in the child welfare and medical settings with extensive experience in crisis counseling.
Finding the right provider for your mental health support is a big decision. Treatment focused on your needs is paramount. I have worked in the field for nearly twenty years using a strengths-based and client centered focus. I am licensed social worker who graduated with my MSW from Grand Valley State University. I have worked in the child welfare and medical settings with extensive experience in crisis counseling.
(616) 201-1503 View (616) 201-1503
Photo of Ardrace D Morris, MS, MA, TLLP, Limited Licensed Psychologist
Ardrace D Morris
Limited Licensed Psychologist, MS, MA, TLLP
Verified Verified
Grand Rapids, MI 49501
Are you feeling powerless? Is your fear, anger, confusion, and indecision getting the best of you? Unfortunately, we cannot control the experiences that impact us. At times, your lens of experience can lead you to a place of depression, anxiety, stress, or not living your best life. I will support you in facing adversity and reclaiming your power of self-love. Taking this step towards therapy is commendable. At 1 Verse Counseling and Consulting we believe you deserve to be "Mentally Well" 1 Verse at a time!
Are you feeling powerless? Is your fear, anger, confusion, and indecision getting the best of you? Unfortunately, we cannot control the experiences that impact us. At times, your lens of experience can lead you to a place of depression, anxiety, stress, or not living your best life. I will support you in facing adversity and reclaiming your power of self-love. Taking this step towards therapy is commendable. At 1 Verse Counseling and Consulting we believe you deserve to be "Mentally Well" 1 Verse at a time!
(616) 207-0354 View (616) 207-0354
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See more therapy options for Grand Rapids

How does your Therapist compare?

Number of Therapists in Grand Rapids, MI

1,000+

Average cost per session

$150

Therapists in Grand Rapids, MI who prioritize treating:

92% Anxiety
89% Depression
77% Self Esteem
76% Relationship Issues
72% Trauma and PTSD
71% Coping Skills
71% Stress

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
69% Priority Health
66% Aetna

How Therapists in Grand Rapids, MI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Grand Rapids?

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.