Therapists in Lancaster County, NE

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Photo of Kayleigh Wolf, Counselor, LIMHP
Kayleigh Wolf
Counselor, LIMHP
Verified Verified
3 Endorsed
Lincoln, NE 68510
Not accepting new clients
Do you feel stuck on a never ending loop trapped by your own thoughts or behaviors? Is everyone telling you it’s your fault because you drank or used, but you feel like they just don’t understand? If you feel stuck in this place I can provide a non judgmental safe space for you to explore. We will explore feelings and past experiences that drive the thoughts and urges to use or drink. I will help you define your own reasons for recovery rather than submitting to what everyone else’s reasons are. We’ll work together to understand how you got here and build a life that feels worth living.
Do you feel stuck on a never ending loop trapped by your own thoughts or behaviors? Is everyone telling you it’s your fault because you drank or used, but you feel like they just don’t understand? If you feel stuck in this place I can provide a non judgmental safe space for you to explore. We will explore feelings and past experiences that drive the thoughts and urges to use or drink. I will help you define your own reasons for recovery rather than submitting to what everyone else’s reasons are. We’ll work together to understand how you got here and build a life that feels worth living.
(531) 230-8038 View (531) 230-8038
Photo of Holly Zerse Luedke, Counselor, LIMHP
Holly Zerse Luedke
Counselor, LIMHP
Verified Verified
Lincoln, NE 68510
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
(402) 809-9920 View (402) 809-9920
Photo of Crayton C Jirovsky, Counselor, LIMHP, LADC, NCC
Crayton C Jirovsky
Counselor, LIMHP, LADC, NCC
Verified Verified
Lincoln, NE 68505
Not accepting new clients
I am Crayton Jirovsky and I am a Licensed Independent Mental Health Practitioner and Licensed Alcohol and Drug Counselor. I have been licensed and practicing the treatment of co-occurring mental health and substance use disorders on an outpatient basis in the State of Nebraska since 2011. I have worked in a variety of settings, working with both adolescents and adults, to overcome personal and family mental health concerns, Severe and Persistent Mental Illness (SPMI) and substance use related concerns. I work to use Evidence Based Practice to support client empowerment to manage and overcome personal struggles.
I am Crayton Jirovsky and I am a Licensed Independent Mental Health Practitioner and Licensed Alcohol and Drug Counselor. I have been licensed and practicing the treatment of co-occurring mental health and substance use disorders on an outpatient basis in the State of Nebraska since 2011. I have worked in a variety of settings, working with both adolescents and adults, to overcome personal and family mental health concerns, Severe and Persistent Mental Illness (SPMI) and substance use related concerns. I work to use Evidence Based Practice to support client empowerment to manage and overcome personal struggles.
(402) 788-4980 View (402) 788-4980
Photo of Missy Lile, Drug & Alcohol Counselor, LIMHP, LADC
Missy Lile
Drug & Alcohol Counselor, LIMHP, LADC
Verified Verified
Lincoln, NE 68526
Graduating from Doane College and the University of Nebraska-Lincoln, Missy has a diverse professional background, including working with major mental health issues, addiction concerns, research, and child welfare. One of her passions, working with teens, emerged from her work with juvenile probation, highlighting her adaptability and dedication to new challenges. Growing up with a deaf mother, Missy is a fluent ASL communicator and approved provider for the Deaf and Hard of Hearing. Missy promotes inclusive care and loves working with a diverse cultural population.
Graduating from Doane College and the University of Nebraska-Lincoln, Missy has a diverse professional background, including working with major mental health issues, addiction concerns, research, and child welfare. One of her passions, working with teens, emerged from her work with juvenile probation, highlighting her adaptability and dedication to new challenges. Growing up with a deaf mother, Missy is a fluent ASL communicator and approved provider for the Deaf and Hard of Hearing. Missy promotes inclusive care and loves working with a diverse cultural population.
(402) 524-5630 View (402) 524-5630
Photo of Dr. Melissa Lafferty, Psychologist
Dr. Melissa Lafferty
Psychologist
Verified Verified
Lincoln, NE 68526
Whether it's depression, anxiety, or something else, we are here to help anyone who feels the need to address whatever may be troubling them.
Whether it's depression, anxiety, or something else, we are here to help anyone who feels the need to address whatever may be troubling them.
(402) 732-2765 View (402) 732-2765
Photo of Troy Heath, Counselor, LIMHP, CPC
Troy Heath
Counselor, LIMHP, CPC
Verified Verified
3 Endorsed
Lincoln, NE 68508
My heart as a counselor is to meet my clients where they are. I believe that we are all on a journey of growth with a desire to improve our emotional health. Every once in a while we get to a place where we feel stuck and sometimes being stuck is painful. That is where a qualified therapist can come into the picture and help you identify goals and process past hurts. I strive to provide a safe place where my clients can work through these issues free of judgement.
My heart as a counselor is to meet my clients where they are. I believe that we are all on a journey of growth with a desire to improve our emotional health. Every once in a while we get to a place where we feel stuck and sometimes being stuck is painful. That is where a qualified therapist can come into the picture and help you identify goals and process past hurts. I strive to provide a safe place where my clients can work through these issues free of judgement.
(531) 208-1735 View (531) 208-1735
Photo of Morgan Nichelson, Provisional Mental Health Practitioner, PLMHP, PMSW
Morgan Nichelson
Provisional Mental Health Practitioner, PLMHP, PMSW
Verified Verified
Lincoln, NE 68504
From the complexities of shifting relationships, careers, and living arrangements to the profound impact of traumatic events, each experience leaves an indelible mark. These trials test our resilience and ability to adapt, shaping us into stronger, more capable individuals as we navigate the unpredictable journey of life. As your therapist, I will provide a distinct perspective, serving as a supportive figure in your life.
From the complexities of shifting relationships, careers, and living arrangements to the profound impact of traumatic events, each experience leaves an indelible mark. These trials test our resilience and ability to adapt, shaping us into stronger, more capable individuals as we navigate the unpredictable journey of life. As your therapist, I will provide a distinct perspective, serving as a supportive figure in your life.
(402) 771-4898 View (402) 771-4898
Photo of Matthew Thompson, Counselor, MA, LIMHP, CPC, LPCC
Matthew Thompson
Counselor, MA, LIMHP, CPC, LPCC
Verified Verified
Lincoln, NE 68512
Waitlist for new clients
Many of us were raised to believe that being honest about what we need or how we feel is "selfish." Worse, some were taught that to talk about these things is a sign of weakness or an invitation to be criticized, punished, or rejected. Wrong. Whether you're struggling with relationships, feeling unsatisfied in your work life, worried that you don't belong, or stuck in your own head, seeking therapy is a courageous act of self-care. Adversity, loss, and suffering can be deeply discouraging at times, but Mr. Rogers put it best: "anything that’s human is mentionable, and anything that is mentionable can be more manageable."
Many of us were raised to believe that being honest about what we need or how we feel is "selfish." Worse, some were taught that to talk about these things is a sign of weakness or an invitation to be criticized, punished, or rejected. Wrong. Whether you're struggling with relationships, feeling unsatisfied in your work life, worried that you don't belong, or stuck in your own head, seeking therapy is a courageous act of self-care. Adversity, loss, and suffering can be deeply discouraging at times, but Mr. Rogers put it best: "anything that’s human is mentionable, and anything that is mentionable can be more manageable."
(402) 683-7200 x2019 View (402) 683-7200 x2019
Photo of Kara Evans, Counselor, LMHP, LCSW
Kara Evans
Counselor, LMHP, LCSW
Verified Verified
1 Endorsed
Lincoln, NE 68516
Hello! I specialize in working with women. Whether it's a life transition, the overwhelm of current life stress, or just not sleeping well and feeling irritable all the time- you are not alone. Neuroscience shows us that stressful life experiences activate our nervous system in ways that protect us, and our system's response can leave us feeling anxious, depressed, or stuck. I'm here to help you get curious about the overwhelm, resolve past trauma and get back to feeling your usual self. I use an integrative blend of evidence based therapies to foster lasting growth & change.
Hello! I specialize in working with women. Whether it's a life transition, the overwhelm of current life stress, or just not sleeping well and feeling irritable all the time- you are not alone. Neuroscience shows us that stressful life experiences activate our nervous system in ways that protect us, and our system's response can leave us feeling anxious, depressed, or stuck. I'm here to help you get curious about the overwhelm, resolve past trauma and get back to feeling your usual self. I use an integrative blend of evidence based therapies to foster lasting growth & change.
(402) 761-1820 View (402) 761-1820
Photo of Jessica Anderson, Pre-Licensed Professional, MA, PLMHP
Jessica Anderson
Pre-Licensed Professional, MA, PLMHP
Verified Verified
2 Endorsed
Lincoln, NE 68508
I understand how hard it can be to take that first step, so thank you for choosing my profile to explore. I am experienced in helping people decrease their anxiety and depression while learning new methods of behavior and thinking that allow them to 'feel like themselves again.' I specialize in trauma-informed cared for youth and young adults. I can help clients experiencing PTSD, trauma/stress, substance and addiction concerns, and personality disorders decrease thoughts and behaviors that are unwanted, and increase insight into their mental health, past, present, and future.
I understand how hard it can be to take that first step, so thank you for choosing my profile to explore. I am experienced in helping people decrease their anxiety and depression while learning new methods of behavior and thinking that allow them to 'feel like themselves again.' I specialize in trauma-informed cared for youth and young adults. I can help clients experiencing PTSD, trauma/stress, substance and addiction concerns, and personality disorders decrease thoughts and behaviors that are unwanted, and increase insight into their mental health, past, present, and future.
(531) 229-0915 View (531) 229-0915
Photo of Mariah Eaton, Pre-Licensed Professional, MS, PLMHP
Mariah Eaton
Pre-Licensed Professional, MS, PLMHP
Verified Verified
1 Endorsed
Lincoln, NE 68506
Throughout my life, schooling, and work as a therapist, I’ve learned a lot about people and the importance of connection. I believe in the power relationships can have in the healing process, so I not only enjoy working with families, couples, and individuals to improve their relationships and individual functioning, but I also strive to be someone with whom my clients can have a strong connection. My belief is that such a client-therapist relationship gives space for vulnerability and promotes change.
Throughout my life, schooling, and work as a therapist, I’ve learned a lot about people and the importance of connection. I believe in the power relationships can have in the healing process, so I not only enjoy working with families, couples, and individuals to improve their relationships and individual functioning, but I also strive to be someone with whom my clients can have a strong connection. My belief is that such a client-therapist relationship gives space for vulnerability and promotes change.
(402) 673-6811 View (402) 673-6811
Photo of Lesley Garcia, Provisional Mental Health Practitioner, MS, PLMHP, PLMFT
Lesley Garcia
Provisional Mental Health Practitioner, MS, PLMHP, PLMFT
Verified Verified
1 Endorsed
Lincoln, NE 68510
My passion lies in providing a safe, inclusive space for individuals, couples, and families from all walks of life. I celebrate diversity in all forms—racial, sexual orientation, gender identity, relationship structures, and beyond. Understanding and embracing our unique identities is important to fostering healthy relationships and personal growth. As a bilingual therapist, I offer sessions in English, Spanish, and Spanglish if that feels most comfortable, with occasional colorful language and humor. I strive to ensure that language is not a barrier to receiving appropriate mental health care.
My passion lies in providing a safe, inclusive space for individuals, couples, and families from all walks of life. I celebrate diversity in all forms—racial, sexual orientation, gender identity, relationship structures, and beyond. Understanding and embracing our unique identities is important to fostering healthy relationships and personal growth. As a bilingual therapist, I offer sessions in English, Spanish, and Spanglish if that feels most comfortable, with occasional colorful language and humor. I strive to ensure that language is not a barrier to receiving appropriate mental health care.
(402) 825-8551 View (402) 825-8551
Photo of Kolleen Meyer-Krikac, Licensed Mental Health Practitioner, MSEd, LMHP, LPC, NCC
Kolleen Meyer-Krikac
Licensed Mental Health Practitioner, MSEd, LMHP, LPC, NCC
Verified Verified
Lincoln, NE 68504
The focus of my practice is to help clients create a balanced life. When we are stressed, anxious or depressed, it is a sign that we are living our lives out of balance. I can help you to identify the areas that are out of balance and create a plan to address those areas and get back to a place of balance. I enjoy working with clients who are motivated to make changes to improve their lives, find purpose, meaning and fulfillment. I published my book, How to Create Your Balanced Life in 2017 on this topic.
The focus of my practice is to help clients create a balanced life. When we are stressed, anxious or depressed, it is a sign that we are living our lives out of balance. I can help you to identify the areas that are out of balance and create a plan to address those areas and get back to a place of balance. I enjoy working with clients who are motivated to make changes to improve their lives, find purpose, meaning and fulfillment. I published my book, How to Create Your Balanced Life in 2017 on this topic.
(402) 825-8558 View (402) 825-8558
Photo of Jonae Cunningham, Clinical Social Work/Therapist, LIMHP, LCSW
Jonae Cunningham
Clinical Social Work/Therapist, LIMHP, LCSW
Verified Verified
Lincoln, NE 68516
At Evergreen therapy, my passion is to create an environment where you can discover and unearth what’s keeping you from thriving and flourishing where you are. Whether this is your first experience with therapy, or you find yourself needing help in a different way than before, I am delighted to be considered. I have a history of working alongside children, adolescents and adults as they overcome barriers and navigate changing seasons.
At Evergreen therapy, my passion is to create an environment where you can discover and unearth what’s keeping you from thriving and flourishing where you are. Whether this is your first experience with therapy, or you find yourself needing help in a different way than before, I am delighted to be considered. I have a history of working alongside children, adolescents and adults as they overcome barriers and navigate changing seasons.
(402) 588-1567 View (402) 588-1567
Photo of Allyson G. Northup, Marriage & Family Therapist, MS, LMFT, LIMHP
Allyson G. Northup
Marriage & Family Therapist, MS, LMFT, LIMHP
Verified Verified
1 Endorsed
Online Only
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
(402) 260-5188 View (402) 260-5188
Photo of Christopher L Zubrod, Counselor, MA, LIMHP, CPC
Christopher L Zubrod
Counselor, MA, LIMHP, CPC
Verified Verified
Lincoln, NE 68501
Having completed an extensive education and ongoing strategic mentorship, I am honored and grateful to be in the career for which I have a strong passion. Being invited to journey with clients at various stages in their life is a sincere privilege. In a unique wellness space, I work side-by-side with clients to gain their perspective, see the world through their eyes, then work together to elevate their lives to the desired goals and outcomes. I respectfully offer multiple holistic therapies as needed by the client and therapeutic relationship.
Having completed an extensive education and ongoing strategic mentorship, I am honored and grateful to be in the career for which I have a strong passion. Being invited to journey with clients at various stages in their life is a sincere privilege. In a unique wellness space, I work side-by-side with clients to gain their perspective, see the world through their eyes, then work together to elevate their lives to the desired goals and outcomes. I respectfully offer multiple holistic therapies as needed by the client and therapeutic relationship.
(402) 704-3348 View (402) 704-3348
Photo of Jami Pickering, Marriage & Family Therapist, PLMFT, PLMHP
Jami Pickering
Marriage & Family Therapist, PLMFT, PLMHP
Verified Verified
3 Endorsed
Lincoln, NE 68506
Waitlist for new clients
Seen, heard, valued, and known- that is what I hope you feel in the therapy space. I believe that everyone has what they need to heal within themselves. I work to provide a space to process & understand the impact of your experiences & help connect you to the strength within to begin the journey of healing. The work of therapy includes addressing issues related to family of origin, trauma, abuse, identity, sexuality, physical, mental, and spiritual health, cultural/societal norms, and other systemic factors.
Seen, heard, valued, and known- that is what I hope you feel in the therapy space. I believe that everyone has what they need to heal within themselves. I work to provide a space to process & understand the impact of your experiences & help connect you to the strength within to begin the journey of healing. The work of therapy includes addressing issues related to family of origin, trauma, abuse, identity, sexuality, physical, mental, and spiritual health, cultural/societal norms, and other systemic factors.
(402) 922-8772 View (402) 922-8772
Photo of Dezi McEvoy, Clinical Social Work/Therapist, LIMHP, LCSW
Dezi McEvoy
Clinical Social Work/Therapist, LIMHP, LCSW
Verified Verified
1 Endorsed
Lincoln, NE 68507
I take a holistic health approach, focusing on treating and supporting the person as a whole. All facets of life are examined including mental, emotional, physical, nutrition & social to help determine the best plan for healing. I strive to create a safe environment that is welcoming to all and goes beyond focusing on an illness and eliminating symptoms but rather creates a positive approach to life. The best way to schedule is by email.
I take a holistic health approach, focusing on treating and supporting the person as a whole. All facets of life are examined including mental, emotional, physical, nutrition & social to help determine the best plan for healing. I strive to create a safe environment that is welcoming to all and goes beyond focusing on an illness and eliminating symptoms but rather creates a positive approach to life. The best way to schedule is by email.
(402) 256-7998 View (402) 256-7998
Photo of Jolie Vega, Counselor, LIMHP, LPC
Jolie Vega
Counselor, LIMHP, LPC
Verified Verified
Lincoln, NE 68506
Waitlist for new clients
If you are reading this, you may be weathering a challenging season in life. It may be hard to recognize at this moment, but I truly believe that everything you need already lies within you. I am here to offer my clients a safe and supportive environment where they feel heard, supported, and empowered as we navigate this challenging season together and seek long-term healing.
If you are reading this, you may be weathering a challenging season in life. It may be hard to recognize at this moment, but I truly believe that everything you need already lies within you. I am here to offer my clients a safe and supportive environment where they feel heard, supported, and empowered as we navigate this challenging season together and seek long-term healing.
(531) 229-1403 View (531) 229-1403
Photo of Dr. John-Paul Witt, Clinical Social Work/Therapist, DSW, LIMHP, LICSW
Dr. John-Paul Witt
Clinical Social Work/Therapist, DSW, LIMHP, LICSW
Verified Verified
1 Endorsed
Lincoln, NE 68506
Especially in difficult times, it can be hard to find sources of acceptance, affirmation, and healing. Often the people closest to us - family, classmates, and co-workers, don't accept us for who we are. Perhaps we are gifted and see the world differently, in a new relationship and scared of old mistakes, navigating parenting or co-parenting, or are trying to better understand ourselves and our past. Whatever the reason, we also desire to be happy, whole, and loved - and especially to become something more than what we are. Trauma can hold us back at any age - creating negative habits and barriers to our success.
Especially in difficult times, it can be hard to find sources of acceptance, affirmation, and healing. Often the people closest to us - family, classmates, and co-workers, don't accept us for who we are. Perhaps we are gifted and see the world differently, in a new relationship and scared of old mistakes, navigating parenting or co-parenting, or are trying to better understand ourselves and our past. Whatever the reason, we also desire to be happy, whole, and loved - and especially to become something more than what we are. Trauma can hold us back at any age - creating negative habits and barriers to our success.
(531) 201-1965 View (531) 201-1965
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See more therapy options for Lancaster County

How does your Therapist compare?

Number of Therapists in Lancaster County, NE

500+

Average cost per session

$150

Therapists in Lancaster County, NE who prioritize treating:

91% Anxiety
88% Depression
71% Self Esteem
70% Relationship Issues
69% Trauma and PTSD
66% Stress
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
65% Aetna

How Therapists in Lancaster County, NE see their clients

74% In Person and Online
26% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster County?

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.