Therapists in West Salem, WI

Photo of Jay Clark, Licensed Professional Counselor, LPC, LPCC
Jay Clark
Licensed Professional Counselor, LPC, LPCC
Serves Area
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
(608) 302-6917 View (608) 302-6917
Photo of Tommy Moize, Marriage & Family Therapist, MA, LMFT
Tommy Moize
Marriage & Family Therapist, MA, LMFT
Serves Area
Hi, I’m glad you’re here. Reaching out for support can feel overwhelming—but you're not alone. I’ve spent the past 17 years walking alongside people as they navigate some of life’s toughest challenges. Whether you're dealing with anxiety, depression, trauma, ADHD, relationship struggles, or simply feeling stuck and unsure of your next step—I’m here to help you make sense of it all. I specialize in working with people who have experienced difficult or painful events, such as grief or trauma. I also help individuals and couples work through conflict, communication issues, and the invisible weight of feeling overwhelmed or disconnected
Hi, I’m glad you’re here. Reaching out for support can feel overwhelming—but you're not alone. I’ve spent the past 17 years walking alongside people as they navigate some of life’s toughest challenges. Whether you're dealing with anxiety, depression, trauma, ADHD, relationship struggles, or simply feeling stuck and unsure of your next step—I’m here to help you make sense of it all. I specialize in working with people who have experienced difficult or painful events, such as grief or trauma. I also help individuals and couples work through conflict, communication issues, and the invisible weight of feeling overwhelmed or disconnected
(608) 420-2098 View (608) 420-2098
Photo of April Lincoln, Clinical Social Work/Therapist, MSW, LCSW, CEAP, SAP
April Lincoln
Clinical Social Work/Therapist, MSW, LCSW, CEAP, SAP
2 Endorsed
Serves Area
With 12 years of experience, I provide compassionate therapy for individuals and couples facing life's challenges. I specialize in helping clients navigate substance use recovery, trauma and domestic violence healing, depression and anxiety management, ADHD coping strategies, and relationship and marriage enrichment. My approach combines evidence-based Cognitive Behavioral Therapy with warmth and understanding to help you develop practical tools for lasting change. For couples, I utilize the proven Gottman Method (Level 2 trained) to build stronger, more fulfilling relationships.
With 12 years of experience, I provide compassionate therapy for individuals and couples facing life's challenges. I specialize in helping clients navigate substance use recovery, trauma and domestic violence healing, depression and anxiety management, ADHD coping strategies, and relationship and marriage enrichment. My approach combines evidence-based Cognitive Behavioral Therapy with warmth and understanding to help you develop practical tools for lasting change. For couples, I utilize the proven Gottman Method (Level 2 trained) to build stronger, more fulfilling relationships.
(608) 567-3040 View (608) 567-3040
Photo of Kayla Ryba, Licensed Professional Counselor, LPC
Kayla Ryba
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
I have experience counseling individuals from all stages and phases of life. I work with clients to discuss trauma, effective communication skills, problem solving, grief, relationship issues, and self-esteem. I believe in a systems approach where I assist people with their presenting concerns and making lasting changes for their future. I am here to listen to what each individual needs from therapy and adjusts my approach to best suit each person. Making it so that you have a partner in walking through whatever challenges have brought you to my couch.
I have experience counseling individuals from all stages and phases of life. I work with clients to discuss trauma, effective communication skills, problem solving, grief, relationship issues, and self-esteem. I believe in a systems approach where I assist people with their presenting concerns and making lasting changes for their future. I am here to listen to what each individual needs from therapy and adjusts my approach to best suit each person. Making it so that you have a partner in walking through whatever challenges have brought you to my couch.
(608) 903-1986 View (608) 903-1986
Photo of Cindy Ericksen - HeartJourney, Marriage & Family Therapist, MS, LMFT
HeartJourney
Marriage & Family Therapist, MS, LMFT
Serves Area
Waitlist for new clients
I offer a compassionate, open and supportive environment to help you create the life you want to live. Your goals and personal journey guide the sessions. My specialty is couple relationships, with an emphasis on healthy and helpful communication. I also work with both adolescents and adults in the treatment of anxiety, depression and anger management. I use both solution focused and mindfulness approaches to assist you in resolving the challenges you are facing. I also help families at all stages of life improve their family interactions and communication, and create a fulfilling loving family life.
I offer a compassionate, open and supportive environment to help you create the life you want to live. Your goals and personal journey guide the sessions. My specialty is couple relationships, with an emphasis on healthy and helpful communication. I also work with both adolescents and adults in the treatment of anxiety, depression and anger management. I use both solution focused and mindfulness approaches to assist you in resolving the challenges you are facing. I also help families at all stages of life improve their family interactions and communication, and create a fulfilling loving family life.
(608) 254-9663 View (608) 254-9663
Photo of Tracy Faust, Counselor, LPC
Tracy Faust
Counselor, LPC
Online Only
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
Hello, I am Tracy Faust, a Licensed Professional Counselor holding licenses to practice in Wisconsin, Vermont, and Delaware - and soon to be also in South Carolina. I work with various individuals from many different backgrounds and presenting with a myriad of symptoms and symptom sets. I am not trained in EMDR or treatment of eating disorders. I am a proponent of client-based services - person centered, as well as Cognitive Behavioral Therapy, Trauma Therapy, Solution Focused Therapy, and Mindfulness techniques. Working with me feels like one is being heard, and also challenged to improve.
(414) 946-6494 View (414) 946-6494
Photo of Leisha Lucas, Licensed Professional Counselor, MA, NCC, LPC
Leisha Lucas
Licensed Professional Counselor, MA, NCC, LPC
1 Endorsed
Serves Area
Not accepting new clients
Are you feeling stuck or overwhelmed? Looking to experience more joy in life? You don't have to face this alone. I have over 10 years of experience helping children, adolescents, and adults navigate a variety of life's challenges. With advanced training as a Certified Clinical Trauma Professional and in Child-Centered Play Therapy, I specialize in working with trauma survivors and children ages 3-10. I provide a supportive, egalitarian counseling relationship and believe in working alongside clients to maximize their strengths and help them achieve their goals.
Are you feeling stuck or overwhelmed? Looking to experience more joy in life? You don't have to face this alone. I have over 10 years of experience helping children, adolescents, and adults navigate a variety of life's challenges. With advanced training as a Certified Clinical Trauma Professional and in Child-Centered Play Therapy, I specialize in working with trauma survivors and children ages 3-10. I provide a supportive, egalitarian counseling relationship and believe in working alongside clients to maximize their strengths and help them achieve their goals.
(608) 765-5369 View (608) 765-5369

More Therapists Nearby

Photo of Sheridan Kaatz, Marriage & Family Therapist, MA, LMFT
Sheridan Kaatz
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Holmen, WI 54636
Accepting new clients! Do you feel disconnected from yourself or others? Struggle to put your needs first or express what you’re feeling? Wonder if life could feel easier or more fulfilling? Life’s challenges, anxiety, and relationships can feel overwhelming, even when it looks like you’re holding it all together. This can show up as overthinking, people-pleasing, shutting down, or feeling unsure of who you are or what you need. For some, these struggles begin in adolescence, through changing friendships, identity, and overwhelming emotions. You might be a parent noticing these shifts in your child and wondering how to support them.
Accepting new clients! Do you feel disconnected from yourself or others? Struggle to put your needs first or express what you’re feeling? Wonder if life could feel easier or more fulfilling? Life’s challenges, anxiety, and relationships can feel overwhelming, even when it looks like you’re holding it all together. This can show up as overthinking, people-pleasing, shutting down, or feeling unsure of who you are or what you need. For some, these struggles begin in adolescence, through changing friendships, identity, and overwhelming emotions. You might be a parent noticing these shifts in your child and wondering how to support them.
(608) 470-8344 View (608) 470-8344
Photo of Edward Keane, Licensed Professional Counselor, LPC
Edward Keane
Licensed Professional Counselor, LPC
La Crosse, WI 54601
Life isn’t always easy. Sometimes, even the strongest people need a little help to work through some of life’s more challenging problems. We all have battles to fight and hurdles to overcome at some point in life. Whether you struggle with anxiety, depression, relationships, work-related mental health disability, inappropriate or problematic sex-related problems, pornography, or any other issue, you should know that there is hope for a better tomorrow.
Life isn’t always easy. Sometimes, even the strongest people need a little help to work through some of life’s more challenging problems. We all have battles to fight and hurdles to overcome at some point in life. Whether you struggle with anxiety, depression, relationships, work-related mental health disability, inappropriate or problematic sex-related problems, pornography, or any other issue, you should know that there is hope for a better tomorrow.
(608) 496-8597 View (608) 496-8597
Photo of Rose Marylin Maldonado, Licensed Professional Counselor, LPC
Rose Marylin Maldonado
Licensed Professional Counselor, LPC
Online Only
I am a Bilingual Licensed Professional Counselor with a Masters’ Degree from the UW– Whitewater in Counseling. I am a highly skilled, compassionate, empathetic and solutions-oriented dedicated to providing exceptional behavioral health care. I strive to bring an effective blend of experience, expertise, clarity, concern and action to the counseling process in order to maximize outcomes and provide genuine healing and wholeness to adults, marriages and families. (Soy una Profesional con una Maestría en Consejería. Soy compasiva, empática y dedicada a brindar una atención de salud mental excepcional para adultos y familias.)
I am a Bilingual Licensed Professional Counselor with a Masters’ Degree from the UW– Whitewater in Counseling. I am a highly skilled, compassionate, empathetic and solutions-oriented dedicated to providing exceptional behavioral health care. I strive to bring an effective blend of experience, expertise, clarity, concern and action to the counseling process in order to maximize outcomes and provide genuine healing and wholeness to adults, marriages and families. (Soy una Profesional con una Maestría en Consejería. Soy compasiva, empática y dedicada a brindar una atención de salud mental excepcional para adultos y familias.)
(414) 404-4586 View (414) 404-4586
Photo of Cheryl Purdue, Marriage & Family Therapist, PhD, MFT, SEP
Cheryl Purdue
Marriage & Family Therapist, PhD, MFT, SEP
Online Only
My focus is on healing developmental trauma and its accompanying symptoms, which include anxiety, depression and unresolved grief. With more than 40 years spent as a therapist, and with my specialized somatic training, I help my clients use their body, mind and heart to get grounded, discharge old trauma and connect to their authentic selves. The more any of us can live with access to our full, unimpeded life force, the greater the gift to ourselves and the world.
My focus is on healing developmental trauma and its accompanying symptoms, which include anxiety, depression and unresolved grief. With more than 40 years spent as a therapist, and with my specialized somatic training, I help my clients use their body, mind and heart to get grounded, discharge old trauma and connect to their authentic selves. The more any of us can live with access to our full, unimpeded life force, the greater the gift to ourselves and the world.
(608) 401-4361 View (608) 401-4361
Photo of Carrie Baumgartner, Licensed Professional Counselor, LPC
Carrie Baumgartner
Licensed Professional Counselor, LPC
Cashton, WI 54619
As a therapist, I believe healing is a deeply personal and transformative journey. I am committed to walking alongside my clients with compassion, curiosity, and respect for their unique stories. Drawing from evidence-based practices such as EMDR (Eye Movement Desensitization and Reprocessing) and ART (Accelerated Resolution Therapy), I support individuals in processing trauma, overcoming emotional roadblocks, and reconnecting with their sense of self. No two people are the same, and neither are their paths to healing. I tailor each session to meet the specific needs, strengths, and goals of the person in front of me.
As a therapist, I believe healing is a deeply personal and transformative journey. I am committed to walking alongside my clients with compassion, curiosity, and respect for their unique stories. Drawing from evidence-based practices such as EMDR (Eye Movement Desensitization and Reprocessing) and ART (Accelerated Resolution Therapy), I support individuals in processing trauma, overcoming emotional roadblocks, and reconnecting with their sense of self. No two people are the same, and neither are their paths to healing. I tailor each session to meet the specific needs, strengths, and goals of the person in front of me.
(608) 927-4640 x6004 View (608) 927-4640 x6004
Photo of Jennifer Walker, Licensed Professional Counselor, LPC, CSAC
Jennifer Walker
Licensed Professional Counselor, LPC, CSAC
La Crosse, WI 54601
Does life feel like swimming upstream? The frustration of misplaced items, missed deadlines, and racing thoughts can leave you feeling overwhelmed and misunderstood. Perhaps you struggle with starting tasks, managing time, or following through on plans. Adult ADHD and executive function challenges affect more than just attention—they impact your organization, emotional regulation, and sense of capability. These aren't character flaws but neurological differences that deserve compassionate support. Together, we'll develop personalized strategies to harness your strengths and build a life that works with your brain, not against it.
Does life feel like swimming upstream? The frustration of misplaced items, missed deadlines, and racing thoughts can leave you feeling overwhelmed and misunderstood. Perhaps you struggle with starting tasks, managing time, or following through on plans. Adult ADHD and executive function challenges affect more than just attention—they impact your organization, emotional regulation, and sense of capability. These aren't character flaws but neurological differences that deserve compassionate support. Together, we'll develop personalized strategies to harness your strengths and build a life that works with your brain, not against it.
(608) 924-5459 View (608) 924-5459
Photo of Kari K Gabel, Counselor, LPC-IT
Kari K Gabel
Counselor, LPC-IT
La Crosse, WI 54601
Kari respects diversity and serves a wide variety of adults, all with individual needs and goals.
Kari respects diversity and serves a wide variety of adults, all with individual needs and goals.
(608) 557-3610 View (608) 557-3610
Photo of Christian Alfaro, Marriage & Family Therapist Associate
Christian Alfaro
Marriage & Family Therapist Associate
3 Endorsed
La Crosse, WI 54601
Do you find yourself stuck, unable to take action even though you know what you want? Fear, self-doubt, and lack of motivation can make life feel heavy and directionless. I help young men in college and early careers break through that paralysis. Together we explore what truly matters to you, uncover the patterns holding you back, and build clarity, confidence, and purpose. This work is about moving past fear and living into your authentic self.
Do you find yourself stuck, unable to take action even though you know what you want? Fear, self-doubt, and lack of motivation can make life feel heavy and directionless. I help young men in college and early careers break through that paralysis. Together we explore what truly matters to you, uncover the patterns holding you back, and build clarity, confidence, and purpose. This work is about moving past fear and living into your authentic self.
(920) 708-0116 View (920) 708-0116
Photo of Lindsay Wittrock, Counselor, MS, LPC
Lindsay Wittrock
Counselor, MS, LPC
La Crosse, WI 54601
You deserve a space where you can slow down, feel supported, and make sense of what you’ve been carrying. My role is to hold that space—to provide a grounded, compassionate container—while you do the work of understanding yourself, your patterns, and what you want to change. You bring your insight, strengths, and lived experience; I bring support, presence, and therapeutic tools to help your process unfold. Together, we co-create a therapeutic relationship where you can challenge old beliefs, build new perspectives, and move toward a more authentic and empowered version of yourself.
You deserve a space where you can slow down, feel supported, and make sense of what you’ve been carrying. My role is to hold that space—to provide a grounded, compassionate container—while you do the work of understanding yourself, your patterns, and what you want to change. You bring your insight, strengths, and lived experience; I bring support, presence, and therapeutic tools to help your process unfold. Together, we co-create a therapeutic relationship where you can challenge old beliefs, build new perspectives, and move toward a more authentic and empowered version of yourself.
(608) 602-7281 View (608) 602-7281
Photo of Chris Newton, Psychologist, PhD
Chris Newton
Psychologist, PhD
La Crosse, WI 54601
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
(608) 530-0575 View (608) 530-0575
Photo of Abby Oettinger, Licensed Professional Counselor, LPC, CSAC
Abby Oettinger
Licensed Professional Counselor, LPC, CSAC
4 Endorsed
Online Only
Hi! I’m Abby, a Licensed Professional Counselor and Clinical Substance Abuse Counselor. Whether you’re reaching out for support with relationship concerns, OCD, anxiety, depression, or addiction, it can feel overwhelming. My goal is to make that first step lighter. I offer a warm, down-to-earth, judgment-free space where you can show up as you are. I value meeting you where you’re at and collaborating with you to find the most effective therapy for you. My hope is that clients leave sessions feeling more confident and prepared to move forward.
Hi! I’m Abby, a Licensed Professional Counselor and Clinical Substance Abuse Counselor. Whether you’re reaching out for support with relationship concerns, OCD, anxiety, depression, or addiction, it can feel overwhelming. My goal is to make that first step lighter. I offer a warm, down-to-earth, judgment-free space where you can show up as you are. I value meeting you where you’re at and collaborating with you to find the most effective therapy for you. My hope is that clients leave sessions feeling more confident and prepared to move forward.
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Photo of Samuel Mahr, Licensed Professional Counselor, MS, LPCC, LPC
Samuel Mahr
Licensed Professional Counselor, MS, LPCC, LPC
La Crosse, WI 54601
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
Photo of Shiona Shi Severson, Licensed Professional Counselor, MS, LPC
Shiona Shi Severson
Licensed Professional Counselor, MS, LPC
2 Endorsed
Onalaska, WI 54650
With advanced training in Emotion Focused Therapy and Somatic and Attachment EMDR, along with therapeutic approaches rooted in attachment theory, I offer a person-centered treatment experience that recognizes each individual’s unique story. Together, we’ll create a space where your challenges are honored and your strengths are empowered, supporting you on every step of your journey. My practice is shaped not only by formal expertise, but also by real-world experience and a commitment to meeting you where you are. I believe that healing and growth happen through genuine connection, compassionate understanding, and practical wisdom.
With advanced training in Emotion Focused Therapy and Somatic and Attachment EMDR, along with therapeutic approaches rooted in attachment theory, I offer a person-centered treatment experience that recognizes each individual’s unique story. Together, we’ll create a space where your challenges are honored and your strengths are empowered, supporting you on every step of your journey. My practice is shaped not only by formal expertise, but also by real-world experience and a commitment to meeting you where you are. I believe that healing and growth happen through genuine connection, compassionate understanding, and practical wisdom.
(608) 924-8558 View (608) 924-8558

How does your Therapist compare?

Number of Therapists in West Salem, WI

< 10

Therapists in West Salem, WI who prioritize treating:

100% Anxiety
86% Relationship Issues
86% Depression
86% Family Conflict
86% Marriage Counseling
71% Parenting
71% Divorce

Average years in practice

14 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
67% Aetna
67% Cigna and Evernorth

How Therapists in West Salem, WI see their clients

86% In Person and Online
14% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West Salem?

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.