Therapists in Lincoln, NE

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Photo of Dena Abbott, PhD, LP, Psychologist
Dena Abbott
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Lincoln, NE 68588  (Online Only)
I primarily provide two services: relationship counseling and sex therapy. For partners interested in counseling, I might be a good fit for you if you're interested in strengthening your connection, uncovering how your prior relationships (romantic and otherwise) are influencing your relationship with your partner(s), and learning to identify and express emotions in healthy ways. For individual clients, I work with people hoping to explore their sexual and reproductive life, and gain insight about their values and how they influence their sexuality.
I primarily provide two services: relationship counseling and sex therapy. For partners interested in counseling, I might be a good fit for you if you're interested in strengthening your connection, uncovering how your prior relationships (romantic and otherwise) are influencing your relationship with your partner(s), and learning to identify and express emotions in healthy ways. For individual clients, I work with people hoping to explore their sexual and reproductive life, and gain insight about their values and how they influence their sexuality.
(531) 999-6770 View (531) 999-6770
Photo of Diane C. Marti, PhD, LP, Psychologist
Diane C. Marti
Psychologist, PhD, LP
Verified Verified
4 Endorsed
Lincoln, NE 68516
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
(402) 620-6867 View (402) 620-6867
Photo of Laura Jessen, LIMHP, MSE, Counselor
Laura Jessen
Counselor, LIMHP, MSE
Verified Verified
2 Endorsed
Lincoln, NE 68512
Waitlist for new clients
I understand that life presents many challenges. My goal is for my clients to develop peace with themselves, calmness, tranquility, confidence, and strength. I believe if you want to help others heal, love them unconditional.
I understand that life presents many challenges. My goal is for my clients to develop peace with themselves, calmness, tranquility, confidence, and strength. I believe if you want to help others heal, love them unconditional.
(402) 741-6291 View (402) 741-6291
Photo of Kristin Sukraw, MA, LMHP, Counselor
Kristin Sukraw
Counselor, MA, LMHP
Verified Verified
Lincoln, NE 68506
Do you want help making sense of your life's journey? Are you struggling with fear, depression or desire healing from a traumatic event? Do you want your relationships to be healthier and happier? Life can be full of pain and often our responses to pain can push us deeper into despair. When we have hope, we are able to move forward through anything, but oftentimes we find that hope dashed. We live in a world that is full of loneliness and I would be honored to walk alongside you as you learn to hope again.
Do you want help making sense of your life's journey? Are you struggling with fear, depression or desire healing from a traumatic event? Do you want your relationships to be healthier and happier? Life can be full of pain and often our responses to pain can push us deeper into despair. When we have hope, we are able to move forward through anything, but oftentimes we find that hope dashed. We live in a world that is full of loneliness and I would be honored to walk alongside you as you learn to hope again.
(402) 685-9051 View (402) 685-9051
Photo of Brenna Erdman, Pre-Licensed Professional
Brenna Erdman
Pre-Licensed Professional
Verified Verified
1 Endorsed
Lincoln, NE 68508
My name is Brenna Erdman, and I am a student intern at New Outlook Counseling in Lincoln, Nebraska under the supervision of Jamie Heng, LIMHP. It is my belief that creating a nonjudgmental environment is important for honest self-exploration. I believe that the therapeutic relationship should be one of authenticity, collaboration, and one that feels safe and supportive. I am honored to create space for clients to share their lives with me, and I am committed to empowering clients with tools to grow into their most ideal selves.
My name is Brenna Erdman, and I am a student intern at New Outlook Counseling in Lincoln, Nebraska under the supervision of Jamie Heng, LIMHP. It is my belief that creating a nonjudgmental environment is important for honest self-exploration. I believe that the therapeutic relationship should be one of authenticity, collaboration, and one that feels safe and supportive. I am honored to create space for clients to share their lives with me, and I am committed to empowering clients with tools to grow into their most ideal selves.
(402) 416-9415 View (402) 416-9415
Photo of Liz Chalenburg, MS, LIMHP, LADC
Liz Chalenburg
MS, LIMHP, LADC
Not Verified Not Verified
1 Endorsed
Lincoln, NE 68510
Not accepting new clients
Pain is a part of life, but suffering doesn't have to be. Difficult or painful experiences can contribute to suffering in many forms, including depression, anxiety, lack of self-compassion, ineffective behaviors, and relationship struggles. I believe that through pain, we have the opportunity to nurture the strength and wisdom that each individual already holds.
Pain is a part of life, but suffering doesn't have to be. Difficult or painful experiences can contribute to suffering in many forms, including depression, anxiety, lack of self-compassion, ineffective behaviors, and relationship struggles. I believe that through pain, we have the opportunity to nurture the strength and wisdom that each individual already holds.
(402) 809-5790 View (402) 809-5790
Photo of Grace Delanie Sebek, PCMSW , PLMHP, Clinical Social Work/Therapist
Grace Delanie Sebek
Clinical Social Work/Therapist, PCMSW , PLMHP
Verified Verified
1 Endorsed
Lincoln, NE 68506
With a Master’s in Social Work from the University of Nebraska-Omaha and a robust background in psychology, I am dedicated to fostering mental, emotional, and behavioral well-being. I combine deep empathy with a proven ability to build trust with individuals from diverse backgrounds. My extensive experience ranges from supporting individuals with severe mental illnesses to offering compassionate care to elders as a Home Health Aide. My hands-on approach, honed through roles in community service, advocacy, and educational settings, ensures personalized and effective therapeutic interventions.
With a Master’s in Social Work from the University of Nebraska-Omaha and a robust background in psychology, I am dedicated to fostering mental, emotional, and behavioral well-being. I combine deep empathy with a proven ability to build trust with individuals from diverse backgrounds. My extensive experience ranges from supporting individuals with severe mental illnesses to offering compassionate care to elders as a Home Health Aide. My hands-on approach, honed through roles in community service, advocacy, and educational settings, ensures personalized and effective therapeutic interventions.
(402) 521-5382 View (402) 521-5382
Photo of Jamie Heng, LIMHP, Counselor
Jamie Heng
Counselor, LIMHP
Verified Verified
7 Endorsed
Lincoln, NE 68508
I believe we all have a story to tell. Our life experiences shape who we are and how we think and behave. I feel honored when clients share their stories with me and allow me to help them navigate through these stories to gain a better understanding of themselves and possibly break free from unwanted thinking patterns and behaviors. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with individuals and couples so we can start working together toward change.
I believe we all have a story to tell. Our life experiences shape who we are and how we think and behave. I feel honored when clients share their stories with me and allow me to help them navigate through these stories to gain a better understanding of themselves and possibly break free from unwanted thinking patterns and behaviors. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with individuals and couples so we can start working together toward change.
(402) 620-6094 View (402) 620-6094
Photo of Diane M Murphy, LIMHP, Counselor
Diane M Murphy
Counselor, LIMHP
Verified Verified
1 Endorsed
Lincoln, NE 68506
I am a licensed independent mental health practitioner. I earned a Master’s of Science in Clinical Counseling from Bellevue University in 2015. I work with all age groups facing the challenges of depression, anxiety, trauma, substance use, co-occurring disorders and grief. I have experience using motivational interviewing, cognitive behavioral therapy, and rational emotive behavioral therapy in a trauma informed, non-judgmental environment. I am passionate about helping others find peace and joy in their lives. I get satisfaction from my work seeing others grow, heal and succeed in life.
I am a licensed independent mental health practitioner. I earned a Master’s of Science in Clinical Counseling from Bellevue University in 2015. I work with all age groups facing the challenges of depression, anxiety, trauma, substance use, co-occurring disorders and grief. I have experience using motivational interviewing, cognitive behavioral therapy, and rational emotive behavioral therapy in a trauma informed, non-judgmental environment. I am passionate about helping others find peace and joy in their lives. I get satisfaction from my work seeing others grow, heal and succeed in life.
(402) 937-8323 View (402) 937-8323
Photo of Meghan Davidson, PhD, RYT-500, Psychologist
Meghan Davidson
Psychologist, PhD, RYT-500
Verified Verified
2 Endorsed
Lincoln, NE 68502
I am a Licensed Psychologist, Certified Daring Way™ Facilitator, and Certified Yoga Teacher. Having provided counseling and therapy to individuals, couples, and groups for over 20 years, I have honed my expertise in the areas of trauma, relationships, grief, women's health, body image, vulnerability, authenticity, and self-compassion. Bridging the domains of psychology and yoga, I work with clients in a holistic manner, utilizing aspects of mind, body, and spirit to assist individuals to enhance their emotional, psychological, and physical health so that they may live their best life.
I am a Licensed Psychologist, Certified Daring Way™ Facilitator, and Certified Yoga Teacher. Having provided counseling and therapy to individuals, couples, and groups for over 20 years, I have honed my expertise in the areas of trauma, relationships, grief, women's health, body image, vulnerability, authenticity, and self-compassion. Bridging the domains of psychology and yoga, I work with clients in a holistic manner, utilizing aspects of mind, body, and spirit to assist individuals to enhance their emotional, psychological, and physical health so that they may live their best life.
(531) 204-2129 View (531) 204-2129
Photo of Ryan W Tenopir, MA, LIMHP, Counselor
Ryan W Tenopir
Counselor, MA, LIMHP
Verified Verified
Lincoln, NE 68510
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
(402) 835-4385 View (402) 835-4385
Photo of Heather Vorderstrasse, MS, PLMHP
Heather Vorderstrasse
Provisional Mental Health Practitioner, MS, PLMHP
Verified Verified
Lincoln, NE 68510
Over the last two decades I have worked with children of all ages as well as their families in navigating life stressors, behavioral, educational concerns and many forms of trauma. I enjoy helping families to better communicate and understand one another as well as to be accepting of individualism and new boundary setting. I specialize in helping adolescents, and young adults who are struggling with anxiety, depression, trauma, tough barriers/challenges to life and in trying to help them navigate through it all.
Over the last two decades I have worked with children of all ages as well as their families in navigating life stressors, behavioral, educational concerns and many forms of trauma. I enjoy helping families to better communicate and understand one another as well as to be accepting of individualism and new boundary setting. I specialize in helping adolescents, and young adults who are struggling with anxiety, depression, trauma, tough barriers/challenges to life and in trying to help them navigate through it all.
(402) 741-6225 View (402) 741-6225
Photo of Carrie Hanson-Bradley - Couple and Family Clinic at UNL, Pre-Licensed Professional
Couple and Family Clinic at UNL
Pre-Licensed Professional
Verified Verified
Lincoln, NE 68503
We have immediate openings! Everyone deserves access to affordable mental health. The Couple and Family Clinic at the University of Nebraska-Lincoln understands the need for hope, compassion, and support when life’s problems seem overwhelming. Our clinic provides in-person and telehealth therapy services to those struggling with relationships, parenting, depression, anxiety, symptoms of trauma, grief and loss, social skills, and more. Our therapy interns are trained to provide culturally humble, responsive, affirmative, and inclusive evidence-based treatments for individuals, couples, and families.
We have immediate openings! Everyone deserves access to affordable mental health. The Couple and Family Clinic at the University of Nebraska-Lincoln understands the need for hope, compassion, and support when life’s problems seem overwhelming. Our clinic provides in-person and telehealth therapy services to those struggling with relationships, parenting, depression, anxiety, symptoms of trauma, grief and loss, social skills, and more. Our therapy interns are trained to provide culturally humble, responsive, affirmative, and inclusive evidence-based treatments for individuals, couples, and families.
(402) 674-4883 View (402) 674-4883
Photo of Angela Unruh, MA, LIMHP
Angela Unruh
Independent Mental Health Practitioner, MA, LIMHP
Verified Verified
1 Endorsed
Lincoln, NE 68510
Not accepting new clients
I would describe my approach as insight-oriented and holistic. I want to help you learn more about who you are and how your past has affected you, so that you can identify the patterns that are helpful in the present and those that are no longer working. I have over 10 years of experience working with complex trauma, domestic violence, sexual assault, and dissociative disorders, as well as experience with anxiety, depression, and life transitions. I also have specialized training in art therapy that some clients really find helpful, especially those that don't love the typical talk therapy approach.
I would describe my approach as insight-oriented and holistic. I want to help you learn more about who you are and how your past has affected you, so that you can identify the patterns that are helpful in the present and those that are no longer working. I have over 10 years of experience working with complex trauma, domestic violence, sexual assault, and dissociative disorders, as well as experience with anxiety, depression, and life transitions. I also have specialized training in art therapy that some clients really find helpful, especially those that don't love the typical talk therapy approach.
(402) 892-5305 View (402) 892-5305
Photo of Ron L Schroeder, MA, LMHP, LPC, Licensed Professional Counselor
Ron L Schroeder
Licensed Professional Counselor, MA, LMHP, LPC
Verified Verified
Lincoln, NE 68506
• Are you anxious and worried? • Are you feeling down, disillusioned, blue, or melancholy? • Do your thoughts race and it’s hard to stop overthinking? • Are you having trouble in a relationship or in your family? • Have you been harmed by someone else? • Are you feeling guilty? • Do you use substances to cope? • Have you successfully completed alcohol or drug treatment and wish to maintain your sober status through maintenance counseling? • Have you experienced trauma? • Do you feel bad about yourself? • Do you feel like you have lost your way and need some personalized guidance and understanding? • Are grieving a significant loss?
• Are you anxious and worried? • Are you feeling down, disillusioned, blue, or melancholy? • Do your thoughts race and it’s hard to stop overthinking? • Are you having trouble in a relationship or in your family? • Have you been harmed by someone else? • Are you feeling guilty? • Do you use substances to cope? • Have you successfully completed alcohol or drug treatment and wish to maintain your sober status through maintenance counseling? • Have you experienced trauma? • Do you feel bad about yourself? • Do you feel like you have lost your way and need some personalized guidance and understanding? • Are grieving a significant loss?
(402) 307-5103 View (402) 307-5103
Photo of Karen Judkins, MS, LMHP, Counselor
Karen Judkins
Counselor, MS, LMHP
Verified Verified
1 Endorsed
Lincoln, NE 68510
Being willing is a major factor to learning and growing through therapy. I provide a safe space for people to explore emotional, mental, sexual, physical, and/or spiritual concerns. Do you feel disconnected from yourself & others? Are you struggling with your identity & accepting yourself? Are you feeling anxious or fearful? Do you not want to feel that way anymore but are unsure as to how? You possess the answers. Therapy provides an opportunity to be seen, heard, and validated while you find your answers. I will help facilitate and provide guidance through this client-led process.
Being willing is a major factor to learning and growing through therapy. I provide a safe space for people to explore emotional, mental, sexual, physical, and/or spiritual concerns. Do you feel disconnected from yourself & others? Are you struggling with your identity & accepting yourself? Are you feeling anxious or fearful? Do you not want to feel that way anymore but are unsure as to how? You possess the answers. Therapy provides an opportunity to be seen, heard, and validated while you find your answers. I will help facilitate and provide guidance through this client-led process.
(402) 383-5141 View (402) 383-5141
Photo of Janet L Johnson - Alternative Avenues & Associates LLC, LIMHP, LADC, CDGC, LPC, Counselor
Alternative Avenues & Associates LLC
Counselor, LIMHP, LADC, CDGC, LPC
Verified Verified
Lincoln, NE 68506
Whether we're working with young, seasoned, or somewhere in between, the ideal clients are the ones with moxie. Their issue or presenting need is immaterial as we believe humans desire safety and acceptance. The challenge for therapists is to determine if that safety and acceptance is defined internally or externally. Collaboratively, we seek to assist you in identifying your goals and through empowerment, determine the best approach to achieve success.
Whether we're working with young, seasoned, or somewhere in between, the ideal clients are the ones with moxie. Their issue or presenting need is immaterial as we believe humans desire safety and acceptance. The challenge for therapists is to determine if that safety and acceptance is defined internally or externally. Collaboratively, we seek to assist you in identifying your goals and through empowerment, determine the best approach to achieve success.
(531) 233-2848 View (531) 233-2848
Photo of Kimberly Kilgore, PhD, LP, Psychologist
Kimberly Kilgore
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Lincoln, NE 68510
I work with adults and adolescents seeking to improve their relationships and emotional well-being. I partner with my clients to achieve their goals; improving their feelings about themselves and others; and fostering a sense of well-being using effective, evidence-based methods. I work well with individuals, families, and couples seeking relief from depression, grief, anxiety, traumatic events and abuse, developmental and intellectual disabilities, and borderline personality disorder. I have extensive training in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Cognitive Processing Therapy. I also utilize Acceptance and Commitment Therapy in my approach and have completed Level 2 training in Gottman Method Couples Therapy.
I work with adults and adolescents seeking to improve their relationships and emotional well-being. I partner with my clients to achieve their goals; improving their feelings about themselves and others; and fostering a sense of well-being using effective, evidence-based methods. I work well with individuals, families, and couples seeking relief from depression, grief, anxiety, traumatic events and abuse, developmental and intellectual disabilities, and borderline personality disorder. I have extensive training in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Cognitive Processing Therapy. I also utilize Acceptance and Commitment Therapy in my approach and have completed Level 2 training in Gottman Method Couples Therapy.
(402) 909-0182 View (402) 909-0182
Photo of Stephanie Rogers, LIMHP, CPC, Counselor
Stephanie Rogers
Counselor, LIMHP, CPC
Verified Verified
Lincoln, NE 68516
Waitlist for new clients
I enjoy helping those individuals who struggle with anxiety, depression, life changes/adjustment, and behavioral challenges. When a client comes to see me they will be engaged in identifying the necessary tools to help cope with difficult feelings and address any potential obstacles. My goal is to help the client become equipped with the necessary strategies and tools to handle difficult situations on their own in the future.
I enjoy helping those individuals who struggle with anxiety, depression, life changes/adjustment, and behavioral challenges. When a client comes to see me they will be engaged in identifying the necessary tools to help cope with difficult feelings and address any potential obstacles. My goal is to help the client become equipped with the necessary strategies and tools to handle difficult situations on their own in the future.
(402) 382-9359 View (402) 382-9359
Photo of Dulce Clarence, MS, LIMHP, LMHC, LPC, Counselor
Dulce Clarence
Counselor, MS, LIMHP, LMHC, LPC
Verified Verified
1 Endorsed
Lincoln, NE 68506
Here are 3 ways to heal from feeling overwhelmed: manage your responses, learn healthy boundaries, and implement new skills. Empowerment begins with a safe place to learn meaningful life skills and talk about your mental health needs.
Here are 3 ways to heal from feeling overwhelmed: manage your responses, learn healthy boundaries, and implement new skills. Empowerment begins with a safe place to learn meaningful life skills and talk about your mental health needs.
(531) 534-4231 View (531) 534-4231
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How does your Therapist compare?

Number of Therapists in Lincoln, NE

400+

Average cost per session

$150

Therapists in Lincoln, NE who prioritize treating:

91% Anxiety
88% Depression
72% Relationship Issues
72% Self Esteem
70% Trauma and PTSD
69% Stress
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
66% Aetna

How Therapists in Lincoln, NE see their clients

79% In Person and Online
21% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lincoln?

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.