Photo of Nelly Meyer, MA, LMHC, LPC, Counselor
Nelly Meyer
Counselor, MA, LMHC, LPC
Verified Verified
2 Endorsed
I believe to fully understand another person and what they’re struggling with, we must understand their environment and lived experience. In therapy, we will explore how various systems and environments have impacted your lived experiences and in turn, how your experiences have shaped the way you think, feel, and act. I believe we must truly know ourselves in order to grow and thrive.
I believe to fully understand another person and what they’re struggling with, we must understand their environment and lived experience. In therapy, we will explore how various systems and environments have impacted your lived experiences and in turn, how your experiences have shaped the way you think, feel, and act. I believe we must truly know ourselves in order to grow and thrive.
(515) 428-4300 View (515) 428-4300
Photo of Lindsey Olsen, MS, LMFT, Marriage & Family Therapist
Lindsey Olsen
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Waitlist for new clients
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
(515) 505-1833 View (515) 505-1833
Jeremy Overbaugh
Clinical Social Work/Therapist, LISW
Verified Verified
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.
(515) 519-3473 View (515) 519-3473
Photo of Bryce Dos Anjos, LMHC, NCC, CCMHC, Counselor
Bryce Dos Anjos
Counselor, LMHC, NCC, CCMHC
Verified Verified
My hope is to help you clarify how you want to think and feel about yourself and life, identify obstacles that stand in your way of this, and learn real ways to make your goals a reality. I use a strength-based approach that trusts in your inner resources and in our innate ability as humans to heal. I believe that different parts of our identity impact our experience in the world and in the therapy room, and I strive to make our time a comfortable space for exploring this and how the differences between us might impact our work.
My hope is to help you clarify how you want to think and feel about yourself and life, identify obstacles that stand in your way of this, and learn real ways to make your goals a reality. I use a strength-based approach that trusts in your inner resources and in our innate ability as humans to heal. I believe that different parts of our identity impact our experience in the world and in the therapy room, and I strive to make our time a comfortable space for exploring this and how the differences between us might impact our work.
(515) 420-1685 View (515) 420-1685
Photo of Amy DeMoney, LISW, Clinical Social Work/Therapist
Amy DeMoney
Clinical Social Work/Therapist, LISW
Verified Verified
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.
(515) 758-7881 View (515) 758-7881
Photo of Deanna L Engrav, LMFT, MA, CADC, Marriage & Family Therapist
Deanna L Engrav
Marriage & Family Therapist, LMFT, MA, CADC
Verified Verified
My areas of focus include working with individuals who have experienced trauma and individuals dealing with addiction. I offer an unbiased surrounding where you can feel safe while discussing intimate details about your personal journey throughout life. My approach to therapy is integrative with priority given to EMDR. I look forward to meeting with you and beginning this incredible transition together!
My areas of focus include working with individuals who have experienced trauma and individuals dealing with addiction. I offer an unbiased surrounding where you can feel safe while discussing intimate details about your personal journey throughout life. My approach to therapy is integrative with priority given to EMDR. I look forward to meeting with you and beginning this incredible transition together!
(515) 200-1741 View (515) 200-1741
Photo of Catalina D'Achiardi-Ressler, PhD, Psychologist
Catalina D'Achiardi-Ressler
Psychologist, PhD
Verified Verified
1 Endorsed
Not accepting new clients
I believe that all of us have the ability to change and are equipped with the inner resources to do so. Most people find times in their life when they experience distress from strained relationships, stressors or losses, experiences of trauma, or other factors and they need support to overcome these difficulties. I value the effort that it takes for someone to ask for such support and believe that the therapy relationship I offer allows for someone to achieve positive change in their life and find relief from their distress.
I believe that all of us have the ability to change and are equipped with the inner resources to do so. Most people find times in their life when they experience distress from strained relationships, stressors or losses, experiences of trauma, or other factors and they need support to overcome these difficulties. I value the effort that it takes for someone to ask for such support and believe that the therapy relationship I offer allows for someone to achieve positive change in their life and find relief from their distress.
(515) 994-0190 View (515) 994-0190
Photo of Leslie Woodris, LMHC, ATR, Counselor
Leslie Woodris
Counselor, LMHC, ATR
Verified Verified
2 Endorsed
Waitlist for new clients
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
(515) 220-2802 View (515) 220-2802
Photo of Kimberly Montgomery, LMSW, Clinical Social Work/Therapist
Kimberly Montgomery
Clinical Social Work/Therapist, LMSW
Verified Verified
Waitlist for new clients
I believe my role as a therapist is to assist individuals and couples in navigating the unique challenges that life can present. I work from a Person Centered and Trauma-Based lens. My therapeutic style is open, integrative, collaborative, and engaged. Nothing brings me more joy than empowering my clients to access their inner strengths and achieve their therapeutic goals.
I believe my role as a therapist is to assist individuals and couples in navigating the unique challenges that life can present. I work from a Person Centered and Trauma-Based lens. My therapeutic style is open, integrative, collaborative, and engaged. Nothing brings me more joy than empowering my clients to access their inner strengths and achieve their therapeutic goals.
(515) 758-4464 View (515) 758-4464
Photo of Kristin Haldeman, MS, tLMHC, Counselor
Kristin Haldeman
Counselor, MS, tLMHC
Verified Verified
1 Endorsed
I work with couples, and individuals 14 years of age and older. If clients want to incorporate a spiritual perspective into counseling, I am happy to work with them through a Biblical perspective. My clinical interests are infertility, miscarriages, marriage counseling, trauma, anxiety, phobias, OCD, eating disorders, the rural community, and adjustments to life’s transitions. I have experience working with fertility challenges, miscarriages, anxiety, OCD symptoms, relational issues, couples, eating disorders, adolescents, depression, communication, and coping skills.
I work with couples, and individuals 14 years of age and older. If clients want to incorporate a spiritual perspective into counseling, I am happy to work with them through a Biblical perspective. My clinical interests are infertility, miscarriages, marriage counseling, trauma, anxiety, phobias, OCD, eating disorders, the rural community, and adjustments to life’s transitions. I have experience working with fertility challenges, miscarriages, anxiety, OCD symptoms, relational issues, couples, eating disorders, adolescents, depression, communication, and coping skills.
(515) 316-2587 View (515) 316-2587
Photo of Dr. Mark Poeppe, PsyD, Psychologist
Dr. Mark Poeppe
Psychologist, PsyD
Verified Verified
Dr. Mark Poeppe ("Peppy") specializes in psychological, neuropsychological, and forensic assessment for ages 6-85. Common testing referrals include ADHD, ASD, ID Waivers, civil and criminal litigation, personality disorders, etc. In addition, Dr. Poeppe provides counseling to adults and adolescents. Common counseling referral reasons include anxiety, depression, adjustment issues, relational concerns, life transitions, and self-improvement. His approach is grounded in empathy, respect, and a deep commitment to enhancing your well-being. For more details about Dr. Poeppe and his full scope of services, please visit www.pepsych.org.
Dr. Mark Poeppe ("Peppy") specializes in psychological, neuropsychological, and forensic assessment for ages 6-85. Common testing referrals include ADHD, ASD, ID Waivers, civil and criminal litigation, personality disorders, etc. In addition, Dr. Poeppe provides counseling to adults and adolescents. Common counseling referral reasons include anxiety, depression, adjustment issues, relational concerns, life transitions, and self-improvement. His approach is grounded in empathy, respect, and a deep commitment to enhancing your well-being. For more details about Dr. Poeppe and his full scope of services, please visit www.pepsych.org.
(515) 329-9074 View (515) 329-9074
Photo of Matt Ness, MA, LMHC, LMFT, Counselor
Matt Ness
Counselor, MA, LMHC, LMFT
Verified Verified
www.kingdomcounseling.com Matt Ness is a Licensed Mental Health Counselor (LMHC) and Licensed Marriage & Family Therapist (LMFT). He is also an approved supervisor through the Iowa Board of Behavioral Science. Matt completed his undergraduate studies at Central College, receiving a Bachelor of Arts in Psychology and Business Management. It was there that he recognized his giftings and God’s call on his life into the field of counseling, which led him to Wheaton College where he earned his Master’s Degree in Clinical Psychology. Matt’s studies included an emphasis in counseling adults and couples.
www.kingdomcounseling.com Matt Ness is a Licensed Mental Health Counselor (LMHC) and Licensed Marriage & Family Therapist (LMFT). He is also an approved supervisor through the Iowa Board of Behavioral Science. Matt completed his undergraduate studies at Central College, receiving a Bachelor of Arts in Psychology and Business Management. It was there that he recognized his giftings and God’s call on his life into the field of counseling, which led him to Wheaton College where he earned his Master’s Degree in Clinical Psychology. Matt’s studies included an emphasis in counseling adults and couples.
(515) 316-5671 View (515) 316-5671
Photo of Kristine Lindell, LMHC, Counselor
Kristine Lindell
Counselor, LMHC
Verified Verified
1 Endorsed
Serving adults, kids, and teens, I know the challenges and transitions we face in life can be overwhelming. It can be so difficult to feel whole and healthy after experiencing hardship, trauma, anxiety, depression, or high levels of stress. If you-or someone you love-is feeling stuck, ungrounded, or overwhelmed, I offer guidance to heal deeply. Using techniques that address body/mind/soul, I invite you to heal in a way that honors all that you are, & all that you've been through. With the right support, the severity of symptoms of ADHD, depression & anxiety, life transitions, grief, or other struggles can be reduced.
Serving adults, kids, and teens, I know the challenges and transitions we face in life can be overwhelming. It can be so difficult to feel whole and healthy after experiencing hardship, trauma, anxiety, depression, or high levels of stress. If you-or someone you love-is feeling stuck, ungrounded, or overwhelmed, I offer guidance to heal deeply. Using techniques that address body/mind/soul, I invite you to heal in a way that honors all that you are, & all that you've been through. With the right support, the severity of symptoms of ADHD, depression & anxiety, life transitions, grief, or other struggles can be reduced.
(515) 758-7315 View (515) 758-7315
Photo of Michelle Renee Curtis, MA, LMHC, Counselor
Michelle Renee Curtis
Counselor, MA, LMHC
Verified Verified
Life can be overwhelming at times. In fact, most people will experience at least mild depression and or anxiety at some time due to life events such as death, divorce, relationship difficulties, and work stress. Traumatic events in childhood create a different kind of stress and can cause only mildly stressful events to be amplified for you. Did you know that most people have at least one event in their childhood that qualifies as a traumatic event? It is normal for individuals who have experienced trauma of some kind to experience anxiety and or depression. So here you are looking through a website full of therapists trying to make a decision! Congratulations on taking the first step to improving your life. Many of the most successful people in life seek the counsel of others in order to increase knowledge and improve their lives. Therapy can be that counsel bringing clarity, collaboration, and change to your life.
Life can be overwhelming at times. In fact, most people will experience at least mild depression and or anxiety at some time due to life events such as death, divorce, relationship difficulties, and work stress. Traumatic events in childhood create a different kind of stress and can cause only mildly stressful events to be amplified for you. Did you know that most people have at least one event in their childhood that qualifies as a traumatic event? It is normal for individuals who have experienced trauma of some kind to experience anxiety and or depression. So here you are looking through a website full of therapists trying to make a decision! Congratulations on taking the first step to improving your life. Many of the most successful people in life seek the counsel of others in order to increase knowledge and improve their lives. Therapy can be that counsel bringing clarity, collaboration, and change to your life.
(515) 373-4349 View (515) 373-4349
Photo of Danielle Stange, MSW, LISW, Clinical Social Work/Therapist
Danielle Stange
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Currently accepting new clients! I believe that the key to a positive therapeutic experience is creating a space where clients feel that their knowledge of their lives, their strengths, and their struggles is valued and heard without judgment. While therapy is often utilized in times of crisis, it can also be a space to understand yourself on a deeper level and gain skills to help reduce the intensity or frequency of future crises. I will work with you to explore the beliefs you hold about yourself, others, or the world and how these beliefs impact different areas of your life.
Currently accepting new clients! I believe that the key to a positive therapeutic experience is creating a space where clients feel that their knowledge of their lives, their strengths, and their struggles is valued and heard without judgment. While therapy is often utilized in times of crisis, it can also be a space to understand yourself on a deeper level and gain skills to help reduce the intensity or frequency of future crises. I will work with you to explore the beliefs you hold about yourself, others, or the world and how these beliefs impact different areas of your life.
(515) 517-2090 View (515) 517-2090
Photo of Kelsey Trejo, LISW, LIMHP, Clinical Social Work/Therapist
Kelsey Trejo
Clinical Social Work/Therapist, LISW, LIMHP
Verified Verified
2 Endorsed
West Des Moines, IA 50266  (Online Only)
Hello and welcome! I am so glad you have decided to find some guidance. The world we live in is messy and uncertain. Sometimes, it throws horribly painful experiences our way. I am passionate about helping people from all walks of life learn how to cope and feel better. I am a trauma-focused therapist. I work with a myriad of issues that trauma can often manifest as while using modalities that help us tolerate and find a sense of calm with even the most painful emotions.
Hello and welcome! I am so glad you have decided to find some guidance. The world we live in is messy and uncertain. Sometimes, it throws horribly painful experiences our way. I am passionate about helping people from all walks of life learn how to cope and feel better. I am a trauma-focused therapist. I work with a myriad of issues that trauma can often manifest as while using modalities that help us tolerate and find a sense of calm with even the most painful emotions.
(515) 361-5526 View (515) 361-5526
Photo of Ashley Stavig, MA, LMHC, Counselor
Ashley Stavig
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
(515) 303-2137 View (515) 303-2137
Photo of Courtney Kleinschmidt, LISW, Clinical Social Work/Therapist
Courtney Kleinschmidt
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
I am dedicated to creating a safe and affirming space for all my clients, where you can explore your thoughts and feelings without judgment. My approach is grounded in active listening, ensuring you feel heard and understood as we work together on your unique journey. I understand that each person's story is different, and I tailor treatment plans to meet your specific needs, whether you're navigating life transitions, managing anxiety, or working through mood disorders. Together, we can navigate the challenges you face and cultivate the skills you need to thrive. I look forward to the opportunity to support you on this journey.
I am dedicated to creating a safe and affirming space for all my clients, where you can explore your thoughts and feelings without judgment. My approach is grounded in active listening, ensuring you feel heard and understood as we work together on your unique journey. I understand that each person's story is different, and I tailor treatment plans to meet your specific needs, whether you're navigating life transitions, managing anxiety, or working through mood disorders. Together, we can navigate the challenges you face and cultivate the skills you need to thrive. I look forward to the opportunity to support you on this journey.
(515) 329-3274 View (515) 329-3274
Photo of Kelly LaMotte, LMHC, Counselor
Kelly LaMotte
Counselor, LMHC
Verified Verified
Not accepting new clients
As a Licensed Mental Health Therapist, it is my focus to provide compassion, a safe therapeutic environment, and potential for creating clearer pathways for clients to grow and heal. I support teens (12+) and adults with depression and anxiety/panic disorders as well as traits of grief/loss, eating disorders, difficulties with communicating emotions, low self-esteem, and coping with relationship, family, and work stressors.
As a Licensed Mental Health Therapist, it is my focus to provide compassion, a safe therapeutic environment, and potential for creating clearer pathways for clients to grow and heal. I support teens (12+) and adults with depression and anxiety/panic disorders as well as traits of grief/loss, eating disorders, difficulties with communicating emotions, low self-esteem, and coping with relationship, family, and work stressors.
(515) 461-7892 View (515) 461-7892
Photo of Rich Webster, MA, JD, LMHC, Counselor
Rich Webster
Counselor, MA, JD, LMHC
Verified Verified
3 Endorsed
Waitlist for new clients
I am excited to announce my practice is expanding. We now have three licensed therapists who are all fantastic caring people. It is important to accept a person exactly where they are, in a safe and non-judgmental space where we can explore their issues, find and nurture hope, and together work toward growth and equanimity. As a counselor, my job is to hear, accept and understand my client as a whole person and provide strategies to achieve their goals. Growth, healing and change can be challenging and may take hard work on the part of the client and the counselor. I am honored to be a part of that process with my clients.
I am excited to announce my practice is expanding. We now have three licensed therapists who are all fantastic caring people. It is important to accept a person exactly where they are, in a safe and non-judgmental space where we can explore their issues, find and nurture hope, and together work toward growth and equanimity. As a counselor, my job is to hear, accept and understand my client as a whole person and provide strategies to achieve their goals. Growth, healing and change can be challenging and may take hard work on the part of the client and the counselor. I am honored to be a part of that process with my clients.
(515) 532-5593 View (515) 532-5593
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How does your Therapist compare?

Number of Therapists in 50266

200+

Average cost per session

$163

Therapists in 50266 who prioritize treating:

95% Anxiety
91% Depression
78% Self Esteem
74% Relationship Issues
74% Stress
70% Coping Skills
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
83% Wellmark BCBS
51% UnitedHealthcare UHC | UBH

How Therapists in 50266 see their clients

92% In Person and Online
8% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
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

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.