Therapists in 50266
![Photo of Ann Herrera, MSW, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/20ad6bbe-6e14-404a-933a-b6b9cbc7c52f/1/320x400.jpeg)
Ann Herrera
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Ann is a dedicated Licensed Master Social Worker with a passion for helping individuals and families navigate life’s challenges. Ann has experience in various settings, including pre-K-12 school environment, psychiatric hospitalization, and therapeutic day treatment programs. Throughout her career, she has worked closely with individuals and families facing chronic mental health concerns such as anxiety, depression, & behavioral/emotional disorders (3-5 year olds). Ann has a special interest in disordered eating, body image struggles related to athletics, transitional life circumstances & self-esteem issues. Ages 3-5 & 10+
Ann is a dedicated Licensed Master Social Worker with a passion for helping individuals and families navigate life’s challenges. Ann has experience in various settings, including pre-K-12 school environment, psychiatric hospitalization, and therapeutic day treatment programs. Throughout her career, she has worked closely with individuals and families facing chronic mental health concerns such as anxiety, depression, & behavioral/emotional disorders (3-5 year olds). Ann has a special interest in disordered eating, body image struggles related to athletics, transitional life circumstances & self-esteem issues. Ages 3-5 & 10+
![Photo of Travis Semmens, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b0a0440-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Travis Semmens
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50266
I enjoy working with children, teens, families, and adults to help them solve their problems. I have been working as a therapist since 2008, and worked with children at a residential campus for the six years prior to that. I love finding solutions and watching people blossom and thrive when they are no longer burdened by their personal struggles.
I enjoy working with children, teens, families, and adults to help them solve their problems. I have been working as a therapist since 2008, and worked with children at a residential campus for the six years prior to that. I love finding solutions and watching people blossom and thrive when they are no longer burdened by their personal struggles.
![Photo of Andrew Schuplin, MS, tLMHC , CADC, Counselor](https://photos.psychologytoday.com/48002d80-ed80-4c8a-b3aa-55891091533a/1/320x400.jpeg)
I want to help clients identify and resolve issues in their lives that might get in the way of realizing their full potential. This could include improving themselves in their career, their relationships, or their overall quality of life. I am very interested in treating issues pertaining to trauma, depression, anxiety, grief and loss.
I want to help clients identify and resolve issues in their lives that might get in the way of realizing their full potential. This could include improving themselves in their career, their relationships, or their overall quality of life. I am very interested in treating issues pertaining to trauma, depression, anxiety, grief and loss.
![Photo of Amy DeMoney, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a127c904-7aa7-4e7d-9b81-28e24da459d4/1/320x400.jpeg)
I strongly believe in working with clients to develop trust and empower them to address difficult subjects. I work to assist clients with identifying their strengths and how to best utilize those strenghts to develop coping strategies. I have over 20 years of experiences as a therapist working with children, adolescents, adults and families. My primary therapeutic approach is Cognitive Behavioral Therapy.
I strongly believe in working with clients to develop trust and empower them to address difficult subjects. I work to assist clients with identifying their strengths and how to best utilize those strenghts to develop coping strategies. I have over 20 years of experiences as a therapist working with children, adolescents, adults and families. My primary therapeutic approach is Cognitive Behavioral Therapy.
![Photo of Jeanne Weakland, MA, LMHC, Counselor](https://photos.psychologytoday.com/3cee0832-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
We have all been through transitions where our sense of wholeness and balance have been in need of healing. For over 25 years it has been an honor to hold that space for clients as they process life's more challenging issues from abuse, trauma, shame and broken relationships to everyday life stress and self-esteem. I look forward to hearing your story and helping you re-discover your best self. I enjoy working with families, parents, couples and individuals with diverse issues. I welcome the opportunity for our paths to cross! I am excited to announce the expansion of my practice with the addition of Ian Adams and Ross Moffatt!
We have all been through transitions where our sense of wholeness and balance have been in need of healing. For over 25 years it has been an honor to hold that space for clients as they process life's more challenging issues from abuse, trauma, shame and broken relationships to everyday life stress and self-esteem. I look forward to hearing your story and helping you re-discover your best self. I enjoy working with families, parents, couples and individuals with diverse issues. I welcome the opportunity for our paths to cross! I am excited to announce the expansion of my practice with the addition of Ian Adams and Ross Moffatt!
![Photo of Larissa Bustamante, LMHC, Counselor](https://photos.psychologytoday.com/14f3b7c6-2a5a-42e2-af6d-2aa421c9fed1/2/320x400.jpeg)
Do you feel worried, sad or overwhelmed? Are you trying to overcome past experiences, such as the loss of a loved one? Do you have ADHD, and despite all your talents, you need strategies to manage life? Are you struggling with LGBTQ+ concerns, such as coming to terms with your true identity? Or maybe you have a loved one you know that recently came out and needs support to navigate their new life? Are you having issues with your friends, family or romantic partners? Are you considering opening up your relationship? These are common issues faced by many of us, and talking to a professional expert can be very helpful.
Do you feel worried, sad or overwhelmed? Are you trying to overcome past experiences, such as the loss of a loved one? Do you have ADHD, and despite all your talents, you need strategies to manage life? Are you struggling with LGBTQ+ concerns, such as coming to terms with your true identity? Or maybe you have a loved one you know that recently came out and needs support to navigate their new life? Are you having issues with your friends, family or romantic partners? Are you considering opening up your relationship? These are common issues faced by many of us, and talking to a professional expert can be very helpful.
![Photo of Allie Wirth Emdr, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b2cab60-2ab7-431e-af12-af4f40548527/2/320x400.jpeg)
Accepting NEW clients starting 7/11/2024. In my practice, I am deeply committed to walking alongside individuals on their journey toward healing and wholeness. Drawing from my own experiences navigating life's challenges, I understand the courage it takes to confront past traumas and the importance of finding a supportive ally along the way. With empathy and compassion at the core of my approach, I create a safe and nurturing space where clients can explore their innermost thoughts and emotions without judgment or fear.
Accepting NEW clients starting 7/11/2024. In my practice, I am deeply committed to walking alongside individuals on their journey toward healing and wholeness. Drawing from my own experiences navigating life's challenges, I understand the courage it takes to confront past traumas and the importance of finding a supportive ally along the way. With empathy and compassion at the core of my approach, I create a safe and nurturing space where clients can explore their innermost thoughts and emotions without judgment or fear.
![Photo of Lindsey Baughman, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/05585ff3-709b-463f-939f-ff00221f1946/1/320x400.jpeg)
To become comfortable, you have to get uncomfortable. It is my mission to navigate alongside you through any uncomfortable feelings you may be facing. Together, we will work to obtain a lifestyle where you feel satisfied and successful.
To become comfortable, you have to get uncomfortable. It is my mission to navigate alongside you through any uncomfortable feelings you may be facing. Together, we will work to obtain a lifestyle where you feel satisfied and successful.
![Photo of Andrea Swanson, MS, LMHC, LPC, Counselor](https://photos.psychologytoday.com/a26c0a65-dfd4-4457-9c62-c91f60501353/1/320x400.png)
Hi there! I'm glad you're here! Building and maintaining a trusting relationship with clients is central to my practice. I picture therapy as a journey where I walk alongside clients – going at your pace, empathizing, and truly learning what your experience is like. I value my office being a safe and welcoming space for all individuals regardless of background.
Hi there! I'm glad you're here! Building and maintaining a trusting relationship with clients is central to my practice. I picture therapy as a journey where I walk alongside clients – going at your pace, empathizing, and truly learning what your experience is like. I value my office being a safe and welcoming space for all individuals regardless of background.
![Photo of Isaac Charles Deike, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/83d65c4c-0c23-46a6-9a89-5d6e80e3d079/2/320x400.jpeg)
Isaac Charles Deike
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Hello, I'm Isaac Deike, and I'm deeply passionate about supporting the growth and well-being of children and adolescents through social work. With a focus on utilizing solution-focused and strength-based approaches, alongside techniques such as Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT), I strive to empower young individuals to navigate life's challenges and discover their inner resilience. I also enjoy working with college level athletes related to sports related stressors.
Hello, I'm Isaac Deike, and I'm deeply passionate about supporting the growth and well-being of children and adolescents through social work. With a focus on utilizing solution-focused and strength-based approaches, alongside techniques such as Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT), I strive to empower young individuals to navigate life's challenges and discover their inner resilience. I also enjoy working with college level athletes related to sports related stressors.
![Photo of Richard Joens - Counseling Associates of Central Iowa, Clinical Social Work/Therapist](https://photos.psychologytoday.com/79c5c483-3cd9-4cd1-ba95-21e96acc9b30/1/320x400.jpeg)
Counseling Associates of Central Iowa
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
West Des Moines, IA 50266
We are a group of experienced, caring professionals who are committed to collaborate and meet you at your specific place in life. We can provide support and guidance by empowering you to develop the strength, wisdom and courage to cope with the challenges in your life. Whether you are struggling with a difficult life situation or need some encouragement and understanding to help you make personal changes, we can help. Please call or email us for a therapy consultation today.
We are a group of experienced, caring professionals who are committed to collaborate and meet you at your specific place in life. We can provide support and guidance by empowering you to develop the strength, wisdom and courage to cope with the challenges in your life. Whether you are struggling with a difficult life situation or need some encouragement and understanding to help you make personal changes, we can help. Please call or email us for a therapy consultation today.
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![Photo of Jessica Galvin, LCSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45205b42-a6d1-4d27-a834-9d5480217817/1/320x400.jpeg)
Jessica Galvin
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
We all experience bumps and bruises throughout our lives. These bumps and bruises can damage our relationship and alignment with ourselves. We can feel lost, aimlessly wandering around trying to rediscover ourselves. You don't deserve to walk through life just surviving, but rather living with vibrancy and empowered by self-worth. I know how daunting this can be when you have lost sight of who you once were or who you want to become. I work from an open-minded, non-judgmental framework. I believe in a true therapeutic partnership with my clients. Growth fosters growth! Let's grow together to become the best versions of ourselves.
We all experience bumps and bruises throughout our lives. These bumps and bruises can damage our relationship and alignment with ourselves. We can feel lost, aimlessly wandering around trying to rediscover ourselves. You don't deserve to walk through life just surviving, but rather living with vibrancy and empowered by self-worth. I know how daunting this can be when you have lost sight of who you once were or who you want to become. I work from an open-minded, non-judgmental framework. I believe in a true therapeutic partnership with my clients. Growth fosters growth! Let's grow together to become the best versions of ourselves.
![Photo of Barbara Petersen-Fox, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4002fb0f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Barbara Petersen-Fox
Clinical Social Work/Therapist, LISW
Verified Verified
8 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Are you feeling frustrated and stressed with your relationships or your job? Are you experiencing transitions that are causing you anxiety or feelings of depression? My goal is to help you find clarity and develop positive behavior changes, so that you can lead a more fulfilling life. We will examine all aspects of your self: psychological, biological, social, and spiritual. You will develop new perspectives, insights, and effective strategies to improve your life and overcome obstacles that have gotten in your way.
Are you feeling frustrated and stressed with your relationships or your job? Are you experiencing transitions that are causing you anxiety or feelings of depression? My goal is to help you find clarity and develop positive behavior changes, so that you can lead a more fulfilling life. We will examine all aspects of your self: psychological, biological, social, and spiritual. You will develop new perspectives, insights, and effective strategies to improve your life and overcome obstacles that have gotten in your way.
![Photo of Andria Klinefeldt, MA, LMHC, Counselor](https://photos.psychologytoday.com/3d4fac7a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
![Photo of Marina McCollom, Marina , MA, t-LMHC, Counselor](https://photos.psychologytoday.com/6844bb4b-9325-4eed-8f09-26c2a858b763/3/320x400.jpeg)
Marina McCollom
Counselor, Marina , MA, t-LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I love to see people who feel hopeless find hope. I am passionate about helping individuals grow deeper in their relationship with God, but I welcome those from all faith backgrounds. After successfully navigating my own mental health journey, I felt led by God to serve others who are going through difficult life circumstances. I desire for my clients to experience compassion, empathy, and understanding from me, as we work together toward healing and restoration. My focus in therapy is to come alongside my clients, understand their unique challenges and personal experiences, and empower them towards change.
I love to see people who feel hopeless find hope. I am passionate about helping individuals grow deeper in their relationship with God, but I welcome those from all faith backgrounds. After successfully navigating my own mental health journey, I felt led by God to serve others who are going through difficult life circumstances. I desire for my clients to experience compassion, empathy, and understanding from me, as we work together toward healing and restoration. My focus in therapy is to come alongside my clients, understand their unique challenges and personal experiences, and empower them towards change.
![Photo of Joel Greenberg, PsyD, Psychologist](https://photos.psychologytoday.com/88b10f7e-2664-409c-9514-076f23665bf6/2/320x400.jpeg)
I understand that seeking psychological services can feel challenging or intimidating, and I aim to make the experience as positive and supportive as possible. I work with teens and adults facing a variety of issues, including anxiety, trauma, depression, anger, substance use, work and school difficulties, relationship problems, gender and sexual orientation concerns, self-harm, and suicidality. Together, we can discuss your challenges and goals, along with your hopes, aspirations, and strengths, to help you find the path toward the life you desire.
I understand that seeking psychological services can feel challenging or intimidating, and I aim to make the experience as positive and supportive as possible. I work with teens and adults facing a variety of issues, including anxiety, trauma, depression, anger, substance use, work and school difficulties, relationship problems, gender and sexual orientation concerns, self-harm, and suicidality. Together, we can discuss your challenges and goals, along with your hopes, aspirations, and strengths, to help you find the path toward the life you desire.
Jeremy Overbaugh values and enjoys working with children, adolescents, and families who are responding to a broad range of problems and concerns in their lives and relationships. He offers a relaxed, non-judgmental approach to therapy, with the goal of providing collaborative and effective treatment to the individuals he works with. Jeremy's primary areas of clinic focus include: ADHD, anxiety, OCD, depression, anger/behavioral issues, PTSD/trauma, ASD, family conflict/separation/divorce issues and school difficulties. Jeremy offers individual adult and couples therapy, as well.
Jeremy Overbaugh values and enjoys working with children, adolescents, and families who are responding to a broad range of problems and concerns in their lives and relationships. He offers a relaxed, non-judgmental approach to therapy, with the goal of providing collaborative and effective treatment to the individuals he works with. Jeremy's primary areas of clinic focus include: ADHD, anxiety, OCD, depression, anger/behavioral issues, PTSD/trauma, ASD, family conflict/separation/divorce issues and school difficulties. Jeremy offers individual adult and couples therapy, as well.
![Photo of Erica Hecht Kehrberg, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ee7006d4-f74c-4bfa-8bd5-cd251506a96e/3/320x400.jpeg)
Erica Hecht Kehrberg
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Seeking help with life challenges can be intimidating. I believe in creating a safe, nonjudgmental space where people feel comfortable to explore their struggles, reach their goals and find hope that leads to healing. Over the years in a variety of social service roles assisting children and families, I have learned that it is essential to find the right person with whom you can build an authentic connection and from whom you can receive support. I believe we can find that connection together.
Seeking help with life challenges can be intimidating. I believe in creating a safe, nonjudgmental space where people feel comfortable to explore their struggles, reach their goals and find hope that leads to healing. Over the years in a variety of social service roles assisting children and families, I have learned that it is essential to find the right person with whom you can build an authentic connection and from whom you can receive support. I believe we can find that connection together.
![Photo of Mikeely Denger, tLMHC, Counselor](https://photos.psychologytoday.com/4625f6ee-77dd-4531-b3da-2a74db1a6d03/2/320x400.jpeg)
I have a wide range of experiences including working with anxiety, codependency, depression, grief and loss, attention-deficit hyperactivity disorder, life stress and transitions, traumatic experiences, self-esteem, and those experiencing relationship and communication issues. I am especially interested in working with those experiencing body image concerns, eating disorders, and disordered eating. No matter the circumstances, I will provide a safe space to experience emotions, talk through life’s challenges, and a provide meaningful therapeutic relationship to grow and foster healing and personal growth.
I have a wide range of experiences including working with anxiety, codependency, depression, grief and loss, attention-deficit hyperactivity disorder, life stress and transitions, traumatic experiences, self-esteem, and those experiencing relationship and communication issues. I am especially interested in working with those experiencing body image concerns, eating disorders, and disordered eating. No matter the circumstances, I will provide a safe space to experience emotions, talk through life’s challenges, and a provide meaningful therapeutic relationship to grow and foster healing and personal growth.
![Photo of Margo Hanson, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8838cae6-aff3-4661-9b67-a9865bcd1f62/2/320x400.jpeg)
Margo Hanson
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Not accepting new clients
It takes courage to be vulnerable, to step into the therapy space, to be open to the process. My approach is to offer a compassionate and supportive space to remind you that none of us need to journey alone. You don’t have to have it figured out. It's all about taking the next step.
It takes courage to be vulnerable, to step into the therapy space, to be open to the process. My approach is to offer a compassionate and supportive space to remind you that none of us need to journey alone. You don’t have to have it figured out. It's all about taking the next step.
See more therapy options for 50266
How does your Therapist compare?
Number of Therapists in 50266
200+
Average cost per session
$158
Therapists in 50266 who prioritize treating:
96% | Anxiety |
89% | Depression |
78% | Self Esteem |
74% | Relationship Issues |
73% | Stress |
70% | Coping Skills |
69% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
85% | BlueCross and BlueShield |
82% | Wellmark BCBS |
49% | UnitedHealthcare UHC | UBH |
How Therapists in 50266 see their clients
93% | In Person and Online | |
7% | Online Only |
Gender breakdown
78% | Female | |
22% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 50266?
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
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.
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.
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.