Therapists in Kailua Kona, HI

Photo of Cassandra J Castillo, LCSW, Clinical Social Work/Therapist
Cassandra J Castillo
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua Kona, HI 96740
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
(516) 973-0768 View (516) 973-0768
Photo of Krista Walker - Healing Solutions Therapy, LCSW, Clinical Social Work/Therapist
Healing Solutions Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua Kona, HI 96740
Hi, my name is Krista Walker, LCSW. I am a Licensed Clinical Social Worker with nearly 20 years experience in this field. Starting therapy can be a scary and exciting experience. Together we will work to help you heal from challenging experiences develop new ways to cope with emotions, and discover the best version of yourself so you can thrive in all you do. You are the expert in your life. My goal is to help you heal, discover, and thrive. I look forward working with you.
Hi, my name is Krista Walker, LCSW. I am a Licensed Clinical Social Worker with nearly 20 years experience in this field. Starting therapy can be a scary and exciting experience. Together we will work to help you heal from challenging experiences develop new ways to cope with emotions, and discover the best version of yourself so you can thrive in all you do. You are the expert in your life. My goal is to help you heal, discover, and thrive. I look forward working with you.
(920) 949-8504 View (920) 949-8504
Photo of Bob Wiley, MA,  LMHC, CSAC, Counselor
Bob Wiley
Counselor, MA, LMHC, CSAC
Verified Verified
Kailua Kona, HI 96740
Would you like to improve the way you feel about yourself? Do you feel like you are not good enough the way you are? Do you worry about what others might think if you say or do the “wrong” thing? Are regrets of the past or fears of the future affecting the way you experience life? Do you struggle with depression, anxiety, stress, anger, uncertainty, or relationship concerns?
Would you like to improve the way you feel about yourself? Do you feel like you are not good enough the way you are? Do you worry about what others might think if you say or do the “wrong” thing? Are regrets of the past or fears of the future affecting the way you experience life? Do you struggle with depression, anxiety, stress, anger, uncertainty, or relationship concerns?
(808) 468-8583 View (808) 468-8583
Photo of Lindsay Roth, LSW, Clinical Social Work/Therapist
Lindsay Roth
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Kailua Kona, HI 96740  (Online Only)
Aloha. Thank you for allowing me to be a part of your mental health journey. Social workers are different from other therapists because we are trained to consider the client within their environment. I do not diagnose or medicate. I work to amplify the sovereign wisdom of each individual; while honoring and addressing the ways they may be debilitated by environmental factors such as trauma, oppression and systemic violence. I have an eclectic approach that includes evidenced-based practices and intuitive modalities, such as astrology and dreamwork, that will be tailored to actualize your unique goals.
Aloha. Thank you for allowing me to be a part of your mental health journey. Social workers are different from other therapists because we are trained to consider the client within their environment. I do not diagnose or medicate. I work to amplify the sovereign wisdom of each individual; while honoring and addressing the ways they may be debilitated by environmental factors such as trauma, oppression and systemic violence. I have an eclectic approach that includes evidenced-based practices and intuitive modalities, such as astrology and dreamwork, that will be tailored to actualize your unique goals.
(479) 339-4918 View (479) 339-4918
Photo of Wally Shrinski, MFT, CSAC, Marriage & Family Therapist
Wally Shrinski
Marriage & Family Therapist, MFT, CSAC
Verified Verified
Kailua Kona, HI 96740
Thoughts create feelings, feelings create behaviors, behaviors reinforce thoughts. Everyone deserves to be happy, enjoy peace of mind, nurturing relationships, and a chance to live life to its fullest. My approach to challenges that you may be experiencing in life is person-centered, trauma focused, evidenced based practices with individuals, couples, and families.
Thoughts create feelings, feelings create behaviors, behaviors reinforce thoughts. Everyone deserves to be happy, enjoy peace of mind, nurturing relationships, and a chance to live life to its fullest. My approach to challenges that you may be experiencing in life is person-centered, trauma focused, evidenced based practices with individuals, couples, and families.
(808) 518-6509 View (808) 518-6509
Photo of Judy A Johnson, MSW, LCSW, Clinical Social Work/Therapist
Judy A Johnson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kailua Kona, HI 96740  (Online Only)
I commend you for taking the first step in self-discovery and healing! I invite you to share your feelings and emerge with a "Lighter Heart." I want to hear YOUR story. Does the world often overwhelm you? Do you seem to "feel" things deeply or become easily emotional? Then you may be a Highly Sensitive Person (HSP). HSPs are more prone to over-stimulation, depression, anxiety, addictions and relationship difficulties. As a Highly Sensitive therapist, I can help you to recognize the benefits and hardships of this trait, be more productive, have better relationships, and protect yourself from overwhelm.
I commend you for taking the first step in self-discovery and healing! I invite you to share your feelings and emerge with a "Lighter Heart." I want to hear YOUR story. Does the world often overwhelm you? Do you seem to "feel" things deeply or become easily emotional? Then you may be a Highly Sensitive Person (HSP). HSPs are more prone to over-stimulation, depression, anxiety, addictions and relationship difficulties. As a Highly Sensitive therapist, I can help you to recognize the benefits and hardships of this trait, be more productive, have better relationships, and protect yourself from overwhelm.
(619) 735-7447 View (619) 735-7447
Photo of Paula Perkins, ATR, LMHC
Paula Perkins
ATR, LMHC
Verified Verified
Kailua Kona, HI 96740  (Online Only)
Aloha! I am a credentialed Art Therapist and Licensed Mental Health Counselor in the state of Hawaii. I have experience working with all ages; children, adolescents, adults and families. Art is a universal language that communicates from the heart. Sometimes there are no words to express what is going on inside of us. The process of creating art provides an image, a piece of the puzzle of our life. When a series of images are put together, they tell a story. Whether the condition is depression or anxiety, a crisis, a traumatic event or a series of events, art therapy becomes a way to process, express and communicate your story.
Aloha! I am a credentialed Art Therapist and Licensed Mental Health Counselor in the state of Hawaii. I have experience working with all ages; children, adolescents, adults and families. Art is a universal language that communicates from the heart. Sometimes there are no words to express what is going on inside of us. The process of creating art provides an image, a piece of the puzzle of our life. When a series of images are put together, they tell a story. Whether the condition is depression or anxiety, a crisis, a traumatic event or a series of events, art therapy becomes a way to process, express and communicate your story.
(213) 772-5467 View (213) 772-5467
Photo of Natasha McCool, LMFT, CSAC, Marriage & Family Therapist
Natasha McCool
Marriage & Family Therapist, LMFT, CSAC
Verified Verified
Kailua Kona, HI 96740
Today, more than ever, we are faced with seemingly insurmountable challenges on a personal, familial, communal, national, and global level. At best, it has caused us to reset our priorities, develop character, and engage in better self-care. At worst, we have experienced severe loss, often feeling isolated, alienated, and stuck. Perhaps depression and anxiety have encroached on every aspect of life, leaving interpersonal relationships significantly strained in an unparalleled way. Whatever the case, healing is possible with intentional action steered toward achieving a more fulfilling life, even in the face of adversity.
Today, more than ever, we are faced with seemingly insurmountable challenges on a personal, familial, communal, national, and global level. At best, it has caused us to reset our priorities, develop character, and engage in better self-care. At worst, we have experienced severe loss, often feeling isolated, alienated, and stuck. Perhaps depression and anxiety have encroached on every aspect of life, leaving interpersonal relationships significantly strained in an unparalleled way. Whatever the case, healing is possible with intentional action steered toward achieving a more fulfilling life, even in the face of adversity.
(410) 498-7663 View (410) 498-7663
Photo of Ramona Estrada, LMFT, Marriage & Family Therapist
Ramona Estrada
Marriage & Family Therapist, LMFT
Verified Verified
Kailua Kona, HI 96740
I believe that we all have the answers to our own problems, but may need help exploring and bringing them to light. As a Licensed Marriage and Family Therapist (LMFT), I can assist with gaining new insights for positive self-growth in a warm and compassionate setting . I have over twenty years experience working with adolescents with behavioral challenges, adult severe and persistent illness, and addictions.
I believe that we all have the answers to our own problems, but may need help exploring and bringing them to light. As a Licensed Marriage and Family Therapist (LMFT), I can assist with gaining new insights for positive self-growth in a warm and compassionate setting . I have over twenty years experience working with adolescents with behavioral challenges, adult severe and persistent illness, and addictions.
(808) 201-5247 View (808) 201-5247
Photo of Rosana Knudson, MA, LMFT, Marriage & Family Therapist
Rosana Knudson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Kailua Kona, HI 96740
My identification with two different cultures Chile and United States has helped me to have a wider perspective, broader understanding, a deeper commitment towards individuals and families of all ethnic backgrounds. I am committed to facilitate, to alleviate, to empower individuals, couples and families who are going through suffering and pain. With your motivation, cooperation, desire to heal, and willingness to help yourself, we can work together as a team for the benefit of your own well being as well as your family. This therapeutic relationship is between equals, based in cooperation, mutual trust and respect.
My identification with two different cultures Chile and United States has helped me to have a wider perspective, broader understanding, a deeper commitment towards individuals and families of all ethnic backgrounds. I am committed to facilitate, to alleviate, to empower individuals, couples and families who are going through suffering and pain. With your motivation, cooperation, desire to heal, and willingness to help yourself, we can work together as a team for the benefit of your own well being as well as your family. This therapeutic relationship is between equals, based in cooperation, mutual trust and respect.
(808) 640-7377 View (808) 640-7377
Photo of Nancy Moreno-Derks - Nancy Moreno-Derks PsyD, LMFT and Associates, PsyD, LMFT, Marriage & Family Therapist
Nancy Moreno-Derks PsyD, LMFT and Associates
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Kailua Kona, HI 96740  (Online Only)
Now offering tele-therapy sessions. If you and your family are experiencing a challenging situation or if you want to make some changes in your life, as related to your relationships and may be looking for some help with figuring out where to start, let's talk. If life is getting harder and you lack motivation to make changes, we can talk about how making even small changes will help you get back on track. Together we'll figure out how to do this. I'm trained in cutting edge modalities such as EMDR, Cognitive Behavioral Therapy, Clinical Hypnosis and Brief Therapy.
Now offering tele-therapy sessions. If you and your family are experiencing a challenging situation or if you want to make some changes in your life, as related to your relationships and may be looking for some help with figuring out where to start, let's talk. If life is getting harder and you lack motivation to make changes, we can talk about how making even small changes will help you get back on track. Together we'll figure out how to do this. I'm trained in cutting edge modalities such as EMDR, Cognitive Behavioral Therapy, Clinical Hypnosis and Brief Therapy.
(808) 784-7993 View (808) 784-7993
Photo of Sze Nga Lam, LMFT, Marriage & Family Therapist
Sze Nga Lam
Marriage & Family Therapist, LMFT
Verified Verified
Kailua Kona, HI 96740
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
(567) 280-5995 View (567) 280-5995
Photo of Linda Anaya, MA, MHC, AMFT, LPC, Counselor
Linda Anaya
Counselor, MA, MHC, AMFT, LPC
Verified Verified
Kailua Kona, HI 96740
Aloha, I am a Couples and Family Therapist. My approach emphasizes the importance of working with a couple and family as a system that influence one another. To restructure healthy relationships, I use therapies that promote positive interactions between individuals. My methods include trans-generational, structural family therapy, cognitive-behavioral approaches, and Gottman Therapy. I use exercises such as enactments to help clients set new appropriate boundaries, build love maps to improve interactions and establish loving communication.
Aloha, I am a Couples and Family Therapist. My approach emphasizes the importance of working with a couple and family as a system that influence one another. To restructure healthy relationships, I use therapies that promote positive interactions between individuals. My methods include trans-generational, structural family therapy, cognitive-behavioral approaches, and Gottman Therapy. I use exercises such as enactments to help clients set new appropriate boundaries, build love maps to improve interactions and establish loving communication.
(630) 478-8548 x3 View (630) 478-8548 x3
Photo of Shelley Shane, MA, MFT, Marriage & Family Therapist
Shelley Shane
Marriage & Family Therapist, MA, MFT
Verified Verified
Kailua Kona, HI 96745  (Online Only)
Do you sometimes feel an underlying sense of anxiety, unease or overwhelm? Do you sometimes wonder why you react or respond in certain ways to certain types of situations? You are not alone! Current experiences sometimes release responses that we developed earlier in our lives. We may have needed them at the time, but there may be a better way. It may be time to help those parts update to respond in ways that are more appropriate at your current stage of life. Let's start from a place of lovingkindness, forgiveness and compassion...for yourself as well as for others.
Do you sometimes feel an underlying sense of anxiety, unease or overwhelm? Do you sometimes wonder why you react or respond in certain ways to certain types of situations? You are not alone! Current experiences sometimes release responses that we developed earlier in our lives. We may have needed them at the time, but there may be a better way. It may be time to help those parts update to respond in ways that are more appropriate at your current stage of life. Let's start from a place of lovingkindness, forgiveness and compassion...for yourself as well as for others.
(808) 895-0090 View (808) 895-0090
Photo of Misty T. Bradley, MS, LMT, Pre-Licensed Professional
Misty T. Bradley
Pre-Licensed Professional, MS, LMT
Verified Verified
Kailua Kona, HI 96740
M. Tashina Bradley (she/her), MS, LMT is a graduate of Chaminade University master’s program in Counseling Psychology. Her young adult life was shaped greatly by O‘ahu’s south surf shores and Palolo Valley’s daily rains. She now lives in Kailua-Kona town with her blended family, her dog and her cats. Tashina is trained to work with couples, families, and individuals. She has experience in helping clients with relationship issues, family conflicts, stress, anxiety, motivation, self-worth, accountability, and trauma.
M. Tashina Bradley (she/her), MS, LMT is a graduate of Chaminade University master’s program in Counseling Psychology. Her young adult life was shaped greatly by O‘ahu’s south surf shores and Palolo Valley’s daily rains. She now lives in Kailua-Kona town with her blended family, her dog and her cats. Tashina is trained to work with couples, families, and individuals. She has experience in helping clients with relationship issues, family conflicts, stress, anxiety, motivation, self-worth, accountability, and trauma.
(808) 755-3227 View (808) 755-3227
Photo of Cathy Okumura - Ho'oulu Counseling, LCSW, PhD, LMHC, Marriage & Family Therapist
Ho'oulu Counseling
Marriage & Family Therapist, LCSW, PhD, LMHC
Verified Verified
2 Endorsed
Kailua Kona, HI 96740
Now accepting new patients with convenient hours available. Our clinicians at Ho'oulu Counseling, are trained and dedicated to helping clients grow, reduce stress, and improve their wellbeing and quality of life. We specialize in treating anxiety, depression, relationship concerns, life transitions, eating disorders, substance abuse, trauma, and parenting/youth issues. We assist individuals and families by talking through concerns and learning to restructure unhealthy patterns. We can help match you with one of our therapists that will best meet your needs.
Now accepting new patients with convenient hours available. Our clinicians at Ho'oulu Counseling, are trained and dedicated to helping clients grow, reduce stress, and improve their wellbeing and quality of life. We specialize in treating anxiety, depression, relationship concerns, life transitions, eating disorders, substance abuse, trauma, and parenting/youth issues. We assist individuals and families by talking through concerns and learning to restructure unhealthy patterns. We can help match you with one of our therapists that will best meet your needs.
(808) 465-3005 View (808) 465-3005
Photo of Maya Asidon, MS MFT, Pre-Licensed Professional
Maya Asidon
Pre-Licensed Professional, MS MFT
Verified Verified
3 Endorsed
Kailua Kona, HI 96745  (Online Only)
Are you feeling overwhelmed with the demands of life? Do you have a lot on your plate and struggle to find time for your needs? Are you looking for ways to fill your cup and feel like yourself again? Let’s explore and find solutions that are right for you.
Are you feeling overwhelmed with the demands of life? Do you have a lot on your plate and struggle to find time for your needs? Are you looking for ways to fill your cup and feel like yourself again? Let’s explore and find solutions that are right for you.
(828) 426-5390 View (828) 426-5390
Photo of Katrina Clark - Katrina Clark: Beyond Healing LLC, MSW, LCSW, Clinical Social Work/Therapist
Katrina Clark: Beyond Healing LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kailua Kona, HI 96740
It takes courage to reach out for support. No matter where you're at on your journey, know that every part of you is welcome here. Over the years as a clinician, I've had the honor of helping hundreds of clients recover from the effects of stress, anxiety, depression and trauma. My mission is to help you understand and heal the root of your struggles so that you can connect to the things that are most important to you in life. I offer EMDR Intensive therapy as well as a limited amount of individual sessions.
It takes courage to reach out for support. No matter where you're at on your journey, know that every part of you is welcome here. Over the years as a clinician, I've had the honor of helping hundreds of clients recover from the effects of stress, anxiety, depression and trauma. My mission is to help you understand and heal the root of your struggles so that you can connect to the things that are most important to you in life. I offer EMDR Intensive therapy as well as a limited amount of individual sessions.
(808) 342-4568 View (808) 342-4568
Photo of Sophia Hoskins, LMFT, Marriage & Family Therapist
Sophia Hoskins
Marriage & Family Therapist, LMFT
Verified Verified
Kailua Kona, HI 96740
Hi. My name is Sophia Hoskins, and I'm a licensed Marriage and Family Therapist. My counseling style is pretty laid-back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that may be difficult right now and offer you a safe place to be open and honest without fear of judgment. I believe therapy is just support and everyone deserves support at some point in their lives.
Hi. My name is Sophia Hoskins, and I'm a licensed Marriage and Family Therapist. My counseling style is pretty laid-back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that may be difficult right now and offer you a safe place to be open and honest without fear of judgment. I believe therapy is just support and everyone deserves support at some point in their lives.
(564) 333-0050 View (564) 333-0050
Photo of Scott Ginoza, LMHC, Counselor
Scott Ginoza
Counselor, LMHC
Verified Verified
Kailua Kona, HI 96740
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
(516) 689-7774 View (516) 689-7774
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How does your Therapist compare?

Number of Therapists in Kailua Kona, HI

90+

Average cost per session

$150

Therapists in Kailua Kona, HI who prioritize treating:

90% Anxiety
87% Depression
82% Relationship Issues
81% Self Esteem
79% Coping Skills
74% Trauma and PTSD
72% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

68% Hawaii Medical Services Association
51% Hawaii Medical Assurance Association
47% University Health Alliance

How Therapists in Kailua Kona, HI see their clients

57% In Person and Online
43% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Kailua Kona?

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.