Therapists in Banner Elk, NC

Westin Gillis
Licensed Professional Counselor
Banner Elk, NC 28604
I work with individuals using evidence-based practices and a warm, person centered approach. Relying on an assortment of modalities and approaches, I never forget to treat each client as a new person with warmth, curiosity, and empathy. Life can be difficult and making the decision to work through old patterns or create a new frame can be daunting. My mission is to help with that work while simultaneously following the lead of my clientele towards their goals and with their needs in mind. I am always in interested in how you think and feel and will flex my approach to meet your strengths and needs.
I work with individuals using evidence-based practices and a warm, person centered approach. Relying on an assortment of modalities and approaches, I never forget to treat each client as a new person with warmth, curiosity, and empathy. Life can be difficult and making the decision to work through old patterns or create a new frame can be daunting. My mission is to help with that work while simultaneously following the lead of my clientele towards their goals and with their needs in mind. I am always in interested in how you think and feel and will flex my approach to meet your strengths and needs.
(828) 521-0991 View (828) 521-0991
Kelly Rodrigues
Counselor, LCMHC
1 Endorsed
Banner Elk, NC 28604
I have been working with families for over 10 years. My work has taken me from the beautiful Blue Ridge Mountains to as far as the California coast. Throughout my practice I have worked with children, adolescents and adult clients on a variety of issues including PTSD, depression, anxiety, adjustment to life changes, anger & behavior management, as well as development of parenting skills amongst others. I firmly believe that utilizing empathy, unconditional positive regard and genuineness, combined with effective coping skills is the best way to help my clients meet their goals.
I have been working with families for over 10 years. My work has taken me from the beautiful Blue Ridge Mountains to as far as the California coast. Throughout my practice I have worked with children, adolescents and adult clients on a variety of issues including PTSD, depression, anxiety, adjustment to life changes, anger & behavior management, as well as development of parenting skills amongst others. I firmly believe that utilizing empathy, unconditional positive regard and genuineness, combined with effective coping skills is the best way to help my clients meet their goals.
(828) 268-3592 View (828) 268-3592
Christine Halterman
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
1 Endorsed
Banner Elk, NC 28604
Waitlist for new clients
I am a therapist that believes in change, that each individual has the ability to self-heal, but sometimes needs support to do so. Navigating our world and lives can be hard, and you don’t have to go through it alone. My role as your therapist (or your child's) is to act as a supportive agent, where we work collaboratively to achieve the goals you set for yourself. You would be encouraged to express your own experience through activities, verbalizations, or a combination that feels best to you in a safe space. I do my best to make sure everyone who comes into my office feels accepted as themselves, with no judgement whatsoever.
I am a therapist that believes in change, that each individual has the ability to self-heal, but sometimes needs support to do so. Navigating our world and lives can be hard, and you don’t have to go through it alone. My role as your therapist (or your child's) is to act as a supportive agent, where we work collaboratively to achieve the goals you set for yourself. You would be encouraged to express your own experience through activities, verbalizations, or a combination that feels best to you in a safe space. I do my best to make sure everyone who comes into my office feels accepted as themselves, with no judgement whatsoever.
(828) 731-2854 View (828) 731-2854
Jackie Belhumeur Wayne
Psychological Associate, MA, LPA
Serves Area
Waitlist for new clients
Are you a college student or new parent feeling overwhelmed during a time that’s supposed to feel exciting? Major life transitions—like starting college, graduating, or becoming a parent—can bring anxiety, self-doubt, and relationship stress. Many people I work with feel like they’re “supposed to have it together,” yet privately struggle with overthinking, replaying conversations, or wondering why a stage that should feel joyful feels harder than expected. If this sounds familiar, you’re not alone—many thoughtful, capable people find these transitions harder than they expected.
Are you a college student or new parent feeling overwhelmed during a time that’s supposed to feel exciting? Major life transitions—like starting college, graduating, or becoming a parent—can bring anxiety, self-doubt, and relationship stress. Many people I work with feel like they’re “supposed to have it together,” yet privately struggle with overthinking, replaying conversations, or wondering why a stage that should feel joyful feels harder than expected. If this sounds familiar, you’re not alone—many thoughtful, capable people find these transitions harder than they expected.
(828) 527-0164 View (828) 527-0164
Sophie Rudisill
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Serves Area
Not accepting new clients
I support individuals and families who are seeking change in their lives, whether this is to find safety and strength in a time of crisis or to delve into the challenging and rewarding process of self-exploration. I have had the opportunity to work with a variety of life-challenges, including childhood trauma, sexual abuse, grief & loss, and LBTGQIA issues. I also have a passion for perinatal mental health and enjoy working with new mothers and parents who may face any number of obstacles in pregnancy and new parenthood. I also provide clinical supervision to clinical social workers pursuing licensure.
I support individuals and families who are seeking change in their lives, whether this is to find safety and strength in a time of crisis or to delve into the challenging and rewarding process of self-exploration. I have had the opportunity to work with a variety of life-challenges, including childhood trauma, sexual abuse, grief & loss, and LBTGQIA issues. I also have a passion for perinatal mental health and enjoy working with new mothers and parents who may face any number of obstacles in pregnancy and new parenthood. I also provide clinical supervision to clinical social workers pursuing licensure.
(919) 626-8762 View (919) 626-8762
Sarah DeShields
Counselor, LCMHCA
1 Endorsed
Serves Area
There are moments in life when everything you’ve known shifts, when the ground beneath your feet seems to dissolve, when a chapter closes and the next hasn’t yet begun. Welcome to the threshold season of your life — painful and bewildering. You may find yourself here after a loss, a diagnosis, a change in vocation, or simply a quiet knowing that something within you is ready to transform. These seasons can feel like you're being tossed around on an angry sea without an anchor, map or compass to guide you towards safety. By offering safety, stability, and empathy, we work together to create a new map to follow in times of uncertainty
There are moments in life when everything you’ve known shifts, when the ground beneath your feet seems to dissolve, when a chapter closes and the next hasn’t yet begun. Welcome to the threshold season of your life — painful and bewildering. You may find yourself here after a loss, a diagnosis, a change in vocation, or simply a quiet knowing that something within you is ready to transform. These seasons can feel like you're being tossed around on an angry sea without an anchor, map or compass to guide you towards safety. By offering safety, stability, and empathy, we work together to create a new map to follow in times of uncertainty
(828) 547-4022 View (828) 547-4022
John Wesley Frazier
Clinical Social Work/Therapist, MDiv, MSW, LCSW
Serves Area
As a clinician with Better Days and Nights, I honor the inherent goodness and capacity for growth within every individual, couple, and family. My person-centered practice rests on the foundational belief that while we may struggle with challenging behaviors, we remain "good inside", doing the best we can with the internal resources we have. Providing high-quality, culturally competent care in the Boone area of North Carolina, I tailor our work to your unique lived experience. Together, we utilize psychodynamic brief therapy to safely explore the underlying relational blueprints shaping your current struggles.
As a clinician with Better Days and Nights, I honor the inherent goodness and capacity for growth within every individual, couple, and family. My person-centered practice rests on the foundational belief that while we may struggle with challenging behaviors, we remain "good inside", doing the best we can with the internal resources we have. Providing high-quality, culturally competent care in the Boone area of North Carolina, I tailor our work to your unique lived experience. Together, we utilize psychodynamic brief therapy to safely explore the underlying relational blueprints shaping your current struggles.
(828) 662-8650 View (828) 662-8650
Julia Smith
Clinical Social Work/Therapist, LCSW
Online Only
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
(919) 769-6377 View (919) 769-6377
Kelly Wiener
Counselor, MA, LCMHC
Serves Area
Currently accepting new clients for office-based or nature-based therapy. Do you find hiking or just being outside, healing? Would you enjoy being in a peaceful place to learn more about yourself? Incorporate your love of the outdoors into your own wellness journey by discovering new ways to work through emotional challenges arising from life transitions, loss/grief, social connections, family dynamics, school/career and/or relationship conflicts. During your therapy session, you may choose to be in the office or you can relax by a pond, a creek or on top of a ridge. Find your own healing space at Bee Tree Ridge Farm.
Currently accepting new clients for office-based or nature-based therapy. Do you find hiking or just being outside, healing? Would you enjoy being in a peaceful place to learn more about yourself? Incorporate your love of the outdoors into your own wellness journey by discovering new ways to work through emotional challenges arising from life transitions, loss/grief, social connections, family dynamics, school/career and/or relationship conflicts. During your therapy session, you may choose to be in the office or you can relax by a pond, a creek or on top of a ridge. Find your own healing space at Bee Tree Ridge Farm.
(828) 900-2441 View (828) 900-2441
Tessa Koeval
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Serves Area
Finding the right fit with a therapist is so important, but it can feel uncomfortable (sometimes a little scary) meeting for a first session with a stranger and not knowing if they're going to be a good fit. I'd love the opportunity to get to talk with you; it's my goal to create a safe, warm, and welcoming space where you feel heard, felt, and equipped to pursue change at your pace. If we meet and you end up feeling I’m not the right fit, I'll be happy to help you find a therapist who you feel is right for YOU. Therapy isn’t about me, it’s about you finding the space and tangible resources you need on your life journey.
Finding the right fit with a therapist is so important, but it can feel uncomfortable (sometimes a little scary) meeting for a first session with a stranger and not knowing if they're going to be a good fit. I'd love the opportunity to get to talk with you; it's my goal to create a safe, warm, and welcoming space where you feel heard, felt, and equipped to pursue change at your pace. If we meet and you end up feeling I’m not the right fit, I'll be happy to help you find a therapist who you feel is right for YOU. Therapy isn’t about me, it’s about you finding the space and tangible resources you need on your life journey.
(828) 266-0518 View (828) 266-0518
Katherine Wright
Psychologist, PhD
Online Only
I help those who are working with the public or responsible for others like healthcare providers, teachers, business owners, and real estate agents. I believe every person has the knowledge and capacity to create an authentic and fulfilling life. Deep inside we know our True and Authentic path. I help you find your center and deep knowing calm using a 3-part system to create a more easily accessed sense of steadiness.. You'll develop habits for leaving behind reeling, overwhelm, and deep fatigue, and profound dissatisfaction. Those who do enjoy the process commit 15-20 min per day for utilizing new processes from sessions.
I help those who are working with the public or responsible for others like healthcare providers, teachers, business owners, and real estate agents. I believe every person has the knowledge and capacity to create an authentic and fulfilling life. Deep inside we know our True and Authentic path. I help you find your center and deep knowing calm using a 3-part system to create a more easily accessed sense of steadiness.. You'll develop habits for leaving behind reeling, overwhelm, and deep fatigue, and profound dissatisfaction. Those who do enjoy the process commit 15-20 min per day for utilizing new processes from sessions.
(336) 489-8349 View (336) 489-8349
Standing Stones Therapy
Licensed Professional Counselor, MA, LCMHCS
Serves Area
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
(828) 303-2095 View (828) 303-2095
Melanie Keyes Frierson
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Accepting new clients! If you’ve been feeling stuck, overwhelmed, or caught in the same patterns that keep leading to the same painful outcomes, you’re not alone. Many people reach a point where life feels heavier than it should — and reaching out for support can be the first step toward real change. I work with individuals who are ready to understand themselves more deeply and create healthier ways of moving through the world. Whether you’re navigating stress, relationship challenges, trauma, or major life transitions, therapy can offer clarity, grounding, and a sense of direction.
Accepting new clients! If you’ve been feeling stuck, overwhelmed, or caught in the same patterns that keep leading to the same painful outcomes, you’re not alone. Many people reach a point where life feels heavier than it should — and reaching out for support can be the first step toward real change. I work with individuals who are ready to understand themselves more deeply and create healthier ways of moving through the world. Whether you’re navigating stress, relationship challenges, trauma, or major life transitions, therapy can offer clarity, grounding, and a sense of direction.
(828) 332-5696 View (828) 332-5696
Amy DeCamp
Counselor, LCMHCA
Serves Area
Waitlist for new clients
I work with people navigating life transitions, relationship stress, grief, trauma, identity exploration, anxiety, and depression. If you’re here, I imagine you might be experiencing some of this yourself—perhaps feeling isolated, longing to make sense of what you’re going through. Together, we'll look at the patterns playing out in your daily life so you can understand what's serving you and what you may have outgrown. As an LGBTQIA+ and neurodiversity affirming counselor, I'm committed to honoring your unique way of being in the world, walking with you as you reconnect with your inner wisdom and build a life that feels right.
I work with people navigating life transitions, relationship stress, grief, trauma, identity exploration, anxiety, and depression. If you’re here, I imagine you might be experiencing some of this yourself—perhaps feeling isolated, longing to make sense of what you’re going through. Together, we'll look at the patterns playing out in your daily life so you can understand what's serving you and what you may have outgrown. As an LGBTQIA+ and neurodiversity affirming counselor, I'm committed to honoring your unique way of being in the world, walking with you as you reconnect with your inner wisdom and build a life that feels right.
(828) 519-1096 View (828) 519-1096
Ellie DeVere
Licensed Clinical Mental Health Counselor, MA, LCMHC, LPC, BC-TMH, NCC
1 Endorsed
Serves Area
Hi and welcome! Whether you’re feeling overwhelmed, stuck, or simply looking to better understand yourself, you don’t have to face it alone. I offer a warm, supportive space where you can explore your thoughts and feelings without judgment. My approach is collaborative, compassionate, and grounded in respect for your lived experience. I work with adults navigating anxiety, depression, trauma, stress, low self-esteem, and other challenges. Together, we’ll explore patterns that may be holding you back and build on your strengths to create the change that you have been seeking.
Hi and welcome! Whether you’re feeling overwhelmed, stuck, or simply looking to better understand yourself, you don’t have to face it alone. I offer a warm, supportive space where you can explore your thoughts and feelings without judgment. My approach is collaborative, compassionate, and grounded in respect for your lived experience. I work with adults navigating anxiety, depression, trauma, stress, low self-esteem, and other challenges. Together, we’ll explore patterns that may be holding you back and build on your strengths to create the change that you have been seeking.
(828) 392-5175 View (828) 392-5175
Gene Gee
Marriage & Family Therapist, MA, LMFT
Serves Area
Currently Accepting New Clients - I work with adults, adolescents, couples, and families to develop an understanding of ourselves and how we are influenced by events, relationships, and expectations. With this knowledge, we can explore past experiences and current stressors to identify how they impact us directly. Together, we can develop an understanding of life that provides opportunities for change and growth.
Currently Accepting New Clients - I work with adults, adolescents, couples, and families to develop an understanding of ourselves and how we are influenced by events, relationships, and expectations. With this knowledge, we can explore past experiences and current stressors to identify how they impact us directly. Together, we can develop an understanding of life that provides opportunities for change and growth.
(828) 457-8227 View (828) 457-8227
Chessa Budai
Clinical Social Work/Therapist, LCSW, EMDR
1 Endorsed
Serves Area
Do you feel responsible for taking care of everyone else, but have little time or energy left to care for yourself? Is it hard to even identify what you need, much less ask for it? Did you grow up in chaos and now have some healing to do? Do you struggle with perfectionism, anxiety, control, or taking on too much? You are not alone and you don't have to deal with it alone. I specialize in helping teens and adults who struggle with setting boundaries, speaking up, coping with anxiety/panic, nightmares, dissociation, angry outbursts, and the need to always feel in control.
Do you feel responsible for taking care of everyone else, but have little time or energy left to care for yourself? Is it hard to even identify what you need, much less ask for it? Did you grow up in chaos and now have some healing to do? Do you struggle with perfectionism, anxiety, control, or taking on too much? You are not alone and you don't have to deal with it alone. I specialize in helping teens and adults who struggle with setting boundaries, speaking up, coping with anxiety/panic, nightmares, dissociation, angry outbursts, and the need to always feel in control.
(828) 622-4890 View (828) 622-4890
Wendy Romero
Clinical Social Work/Therapist, MSW, LCSW
Online Only
If you’re feeling overwhelmed, sad, or uncertain about how to move forward, therapy can help. Reaching out is a brave first step toward creating a more intentional and fulfilling life. The weight of daily stress, past experiences, and the demands of work, family, and relationships can take a toll, leaving you feeling drained or disconnected. Together, we can explore ways to simplify, set healthy boundaries, and focus on what truly matters, helping you move from feeling scattered or depleted, to finding a sense of steadiness and calm. I warmly welcome neurodivergent clients and honor the unique strengths and challenges they bring.
If you’re feeling overwhelmed, sad, or uncertain about how to move forward, therapy can help. Reaching out is a brave first step toward creating a more intentional and fulfilling life. The weight of daily stress, past experiences, and the demands of work, family, and relationships can take a toll, leaving you feeling drained or disconnected. Together, we can explore ways to simplify, set healthy boundaries, and focus on what truly matters, helping you move from feeling scattered or depleted, to finding a sense of steadiness and calm. I warmly welcome neurodivergent clients and honor the unique strengths and challenges they bring.
(828) 552-5847 View (828) 552-5847

More Therapists Nearby

Jennifer Schiappa
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Hello! Creating a warm, friendly, and supportive environment is important to me when establishing a trusting relationship where my clients feel comfortable discussing their issues. I work with clients ages 15 on up who struggle with depression, anxiety, trauma, and life changes and who desire to improve mood, gain insight, and learn healthy coping skills. I have experience working with people on the autism spectrum as well as people diagnosed with ADHD, bipolar disorder, and PTSD.
Hello! Creating a warm, friendly, and supportive environment is important to me when establishing a trusting relationship where my clients feel comfortable discussing their issues. I work with clients ages 15 on up who struggle with depression, anxiety, trauma, and life changes and who desire to improve mood, gain insight, and learn healthy coping skills. I have experience working with people on the autism spectrum as well as people diagnosed with ADHD, bipolar disorder, and PTSD.
(919) 635-1854 View (919) 635-1854
Randy Withers
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC, LCAS
6 Endorsed
Serves Area
You’ve been holding it together for years—at work, at home, or in your relationships—but lately it feels like the wheels are coming off. You’re anxious, burned out, and stuck in patterns that drain you. Maybe it’s people-pleasing, overworking, or using things to numb the stress. You crave clarity, calm, and real tools to communicate better, set boundaries that hold, and feel steady again. You want to stop just getting by and start living with balance, confidence, and purpose. If you’re ready for things to finally change, I can help you get there.
You’ve been holding it together for years—at work, at home, or in your relationships—but lately it feels like the wheels are coming off. You’re anxious, burned out, and stuck in patterns that drain you. Maybe it’s people-pleasing, overworking, or using things to numb the stress. You crave clarity, calm, and real tools to communicate better, set boundaries that hold, and feel steady again. You want to stop just getting by and start living with balance, confidence, and purpose. If you’re ready for things to finally change, I can help you get there.
(828) 705-3490 View (828) 705-3490

How does your Therapist compare?

Number of Therapists in Banner Elk, NC

10+

Average cost per session

$140

Therapists in Banner Elk, NC who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
89% Trauma and PTSD
89% Complex PTSD

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
44% UnitedHealthcare UHC | UBH

How Therapists in Banner Elk, NC see their clients

83% In Person and Online
17% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Banner Elk?

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.