Therapists in Keosauqua, IA
![Photo of Phillip L Davis - R & R Counseling Solutions, LMHC, NCC, Counselor](https://photos.psychologytoday.com/9eaef272-1b47-47c7-b337-8aa39bbda386/2/320x400.jpeg)
I work with clients who are struggling with complicated grief, anger, stress, anxiety, depression, PTSD, mood disorders, sexual abuse, relationship concerns and substance abuse. Counseling works great for people who are willing to do things different so they can have a more positive outcome. Mental health is not something to be ashamed of and does not have to be a life sentence. Most people struggle at some point in their life and could use some support. There are other counselors in the practice that can also provide help. Visit us at www.rrcsmentalhealth.com We look forward to helping you with your journey.
I work with clients who are struggling with complicated grief, anger, stress, anxiety, depression, PTSD, mood disorders, sexual abuse, relationship concerns and substance abuse. Counseling works great for people who are willing to do things different so they can have a more positive outcome. Mental health is not something to be ashamed of and does not have to be a life sentence. Most people struggle at some point in their life and could use some support. There are other counselors in the practice that can also provide help. Visit us at www.rrcsmentalhealth.com We look forward to helping you with your journey.
More Therapists Nearby
![Photo of Alaina Ellington, LMHC, Counselor](https://photos.psychologytoday.com/4adf1a2e-55e5-4ba9-a4e3-97a882544324/2/320x400.jpeg)
I work with individuals who are ready to transform their mental health and wellbeing. Maybe you are trying to heal from the past, wanting to change your future, or learning to live in the present; maybe all three are true. Whatever your situation is, please know that change starts by taking the first step. I am here to help you take that step in creating the life you want and deserve! I work with individuals who are 15 years old and older.
I work with individuals who are ready to transform their mental health and wellbeing. Maybe you are trying to heal from the past, wanting to change your future, or learning to live in the present; maybe all three are true. Whatever your situation is, please know that change starts by taking the first step. I am here to help you take that step in creating the life you want and deserve! I work with individuals who are 15 years old and older.
Online Therapists
![Photo of Kathee Foxan, LISW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8f5b3dc0-a119-42cb-9670-bf0234a77991/1/320x400.jpeg)
Kathee Foxan
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
2 Endorsed
Davenport, IA 52807
Life can be a lot sometimes. And then sometimes maybe life is going along really great, even as all sorts of smaller struggles or irritations come along, piling on top of one another, until life is no longer feeling as wonderful as it once did. In these moments, it can be helpful to talk to someone who can be a caring and objective ear. This is where therapy comes in.
Life can be a lot sometimes. And then sometimes maybe life is going along really great, even as all sorts of smaller struggles or irritations come along, piling on top of one another, until life is no longer feeling as wonderful as it once did. In these moments, it can be helpful to talk to someone who can be a caring and objective ear. This is where therapy comes in.
![Photo of Dan Stribling-Vergara, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/586c66b1-c061-410c-8bca-27dd1160713d/1/320x400.jpeg)
Dan Stribling-Vergara
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Iowa City, IA 52242 (Online Only)
Thank you for considering me for your healing journey. Many clients that I work with are members of the LGBTQ community, both teens and adults. In addition, I am a great fit for adults interested in finding the tools to navigate an increasingly more challenging world. I offer individual services as well as relationship therapy services. My areas of clinical expertise are working with anxiety, depression, trauma, and relationship concerns. I also have extensive experience supporting folks navigating grief and loss.
Thank you for considering me for your healing journey. Many clients that I work with are members of the LGBTQ community, both teens and adults. In addition, I am a great fit for adults interested in finding the tools to navigate an increasingly more challenging world. I offer individual services as well as relationship therapy services. My areas of clinical expertise are working with anxiety, depression, trauma, and relationship concerns. I also have extensive experience supporting folks navigating grief and loss.
![Photo of Mallory Markwitz, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b71b7b09-e3f8-4a55-a315-5e9a73cc64f5/3/320x400.jpeg)
It can be difficult to open up and be vulnerable to someone new. I understand this reluctance and I'm here to make this process as easy and as helpful as possible. People have the potential to change, but sometimes they don't know what to do or what to try next. If you're feeling overwhelmed, confused or helpless, it's time to get help. I will listen to your problems, give you encouragement and teach you the skills needed to improve your life.
It can be difficult to open up and be vulnerable to someone new. I understand this reluctance and I'm here to make this process as easy and as helpful as possible. People have the potential to change, but sometimes they don't know what to do or what to try next. If you're feeling overwhelmed, confused or helpless, it's time to get help. I will listen to your problems, give you encouragement and teach you the skills needed to improve your life.
![Photo of Kyla O'Neal - Kyla O'Neal - NOCD, MA, LCPC, Counselor](https://photos.psychologytoday.com/5659d539-3d30-4e5b-82bb-1297dc3fd763/1/320x400.png)
Every day, I am inspired by the resilience and strength people with OCD demonstrate in their journey toward managing and conquering their fears. I treat OCD with a case-by-case approach. Everyone's situation varies, so I will tailor therapy to your specific needs. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
Every day, I am inspired by the resilience and strength people with OCD demonstrate in their journey toward managing and conquering their fears. I treat OCD with a case-by-case approach. Everyone's situation varies, so I will tailor therapy to your specific needs. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of these conditions enables us to diagnose and treat them properly.
![Photo of Brenda Boese, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1e6683d9-17e6-495e-8024-ac95eef6b0f1/2/320x400.jpeg)
Everything about you, whether it be people-pleasing, perfectionism, anxiety, depression, ADHD, dissociation, addictions, chronic illness, or other ways to cope, is invited and welcomed here. All of these have protected you and brought you to this point in time and I’m so grateful you are here. By combining somatic therapy with relationship and connection, healing begins. An awareness of your physical, intellectual, emotional and spiritual self will begin to unfold through nervous system regulation. A sense of safety and trust in the moment emerges, maybe for the first time, and the possibility of moving to a new normal begins.
Everything about you, whether it be people-pleasing, perfectionism, anxiety, depression, ADHD, dissociation, addictions, chronic illness, or other ways to cope, is invited and welcomed here. All of these have protected you and brought you to this point in time and I’m so grateful you are here. By combining somatic therapy with relationship and connection, healing begins. An awareness of your physical, intellectual, emotional and spiritual self will begin to unfold through nervous system regulation. A sense of safety and trust in the moment emerges, maybe for the first time, and the possibility of moving to a new normal begins.
![Photo of Lisa R. Schmidt, MS, LPC, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/5a49227e-c6ba-49c1-a78a-4986848b4443/1/320x400.jpeg)
Lisa R. Schmidt
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
2 Endorsed
Coralville, IA 52241
Do you feel like you’re on high alert all of the time—constantly walking on eggshells, worrying about what could happen and on the lookout for danger? Are you consumed with incessant, looping thoughts that make it difficult to focus on tasks at hand and be present with the people around you? Perhaps you engage in perfectionistic thinking and are overly hard on yourself, always second guessing your decisions, stressing about making a mistake and thinking you could have done something better. Welcome to my profile, and approach: with Mindfulness informed choices, we can transform our lives into ones of meaning, reducing our suffering.
Do you feel like you’re on high alert all of the time—constantly walking on eggshells, worrying about what could happen and on the lookout for danger? Are you consumed with incessant, looping thoughts that make it difficult to focus on tasks at hand and be present with the people around you? Perhaps you engage in perfectionistic thinking and are overly hard on yourself, always second guessing your decisions, stressing about making a mistake and thinking you could have done something better. Welcome to my profile, and approach: with Mindfulness informed choices, we can transform our lives into ones of meaning, reducing our suffering.
![Photo of Christy Aquino, MSW, LISW, MEd, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ea38acda-e961-4507-850e-24e9985e8f9c/1/320x400.jpeg)
Christy Aquino
Clinical Social Work/Therapist, MSW, LISW, MEd
Verified Verified
Cedar Rapids, IA 52411
My goal is to meet the client where they are and help them navigate through life. As a clinician with over 20 years of experience, my job is to help every person who walks through my door to reach their goals through a variety of therapeutic approaches. The time we spend together is about you and your life journey - past, present and future.
My goal is to meet the client where they are and help them navigate through life. As a clinician with over 20 years of experience, my job is to help every person who walks through my door to reach their goals through a variety of therapeutic approaches. The time we spend together is about you and your life journey - past, present and future.
![Photo of Daryl Byrd, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c7e41b16-3416-4fdf-b158-086cc4d255bf/3/320x400.jpeg)
Children, adolescents, and adults who have faced challenging experiences in their lives or who are currently facing challenging experiences in their lives need and deserve to exist in spaces where they feel safe, can be heard and are accepted as they are. They often come to therapy because they believe they deserve to heal from their past experiences or cope with current experiences for themselves and those around them. Many of them also come to believe that they are inherently worthy of existing in a space that is safe and accepting of their authentic selves, which can be very freeing.
Children, adolescents, and adults who have faced challenging experiences in their lives or who are currently facing challenging experiences in their lives need and deserve to exist in spaces where they feel safe, can be heard and are accepted as they are. They often come to therapy because they believe they deserve to heal from their past experiences or cope with current experiences for themselves and those around them. Many of them also come to believe that they are inherently worthy of existing in a space that is safe and accepting of their authentic selves, which can be very freeing.
![Photo of Stormy Jo Hinton, LISW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8a87ed5e-49e2-4e2d-9634-d623828c67f8/1/320x400.jpeg)
Stormy Jo Hinton
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
Cedar Rapids, IA 52402
Do you feel heavy with life’s stressors or maybe you're realizing you have some deep-rooted issues from your past that need tending to? Do you avoid by stuffing your emotions down? Avoidance feels good in the moment but long term, it can impact our ability to function as it exacerbates our emotions and leads to things like anxiety, depression, anger, or even addiction. Having someone unbiased and safe to talk to can make a tremendous difference in our ability to cope and feel present for the beautiful things in life.
Do you feel heavy with life’s stressors or maybe you're realizing you have some deep-rooted issues from your past that need tending to? Do you avoid by stuffing your emotions down? Avoidance feels good in the moment but long term, it can impact our ability to function as it exacerbates our emotions and leads to things like anxiety, depression, anger, or even addiction. Having someone unbiased and safe to talk to can make a tremendous difference in our ability to cope and feel present for the beautiful things in life.
![Photo of Erica Reschly, LISW, PhD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3fdafa14-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Erica Reschly
Clinical Social Work/Therapist, LISW, PhD
Verified Verified
1 Endorsed
Iowa City, IA 52240
Waitlist for new clients
With specialized training and extensive experience, I'm equipped to work with adults facing ADHD, LGBTQ+ issues, as well as depression and anxiety. I might be the right fit for you if having ADHD or being "neurospicy" is holding you back. Likewise, I might be a good fit if you're navigating depression, anxiety, or the weight of shame due to being 'different' or 'other.' I can support you in releasing the narrative of shame, creating a live that works for you, and developing the tools you need for resilience, for authentic self -expression and for thriving in your life.
With specialized training and extensive experience, I'm equipped to work with adults facing ADHD, LGBTQ+ issues, as well as depression and anxiety. I might be the right fit for you if having ADHD or being "neurospicy" is holding you back. Likewise, I might be a good fit if you're navigating depression, anxiety, or the weight of shame due to being 'different' or 'other.' I can support you in releasing the narrative of shame, creating a live that works for you, and developing the tools you need for resilience, for authentic self -expression and for thriving in your life.
![Photo of Gail Wood, MS, LMHC, Counselor](https://photos.psychologytoday.com/525a15ac-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Each of us can point to some aspect of our lives that we'd like to change. As your therapist, my intention is to help you identify changes you'd like to make; collaborate with you in setting realistic, achievable goals for yourself; teach you to incorporate coping skills to ease through transitions; desensitize unprocessed trauma; and fully support you while we walk this journey together. Your comfort is my priority, and I offer compassion and understanding without judgment.
Each of us can point to some aspect of our lives that we'd like to change. As your therapist, my intention is to help you identify changes you'd like to make; collaborate with you in setting realistic, achievable goals for yourself; teach you to incorporate coping skills to ease through transitions; desensitize unprocessed trauma; and fully support you while we walk this journey together. Your comfort is my priority, and I offer compassion and understanding without judgment.
![Photo of Sandra Kessler, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f048ad9b-1f35-4361-92f2-e9a3aa02964a/1/320x400.jpeg)
We all experience stressful events, but if these have started to affect daily life functioning, it is time to get help! I am trained in Internal Family Systems (IFS), Brainspotting, and Eye Movement Desensitization and Reprocessing (EMDR) and have successfully used these approaches to help teens, adults and families suffering from depression, anxiety, abuse, conflict and PTSD.
We all experience stressful events, but if these have started to affect daily life functioning, it is time to get help! I am trained in Internal Family Systems (IFS), Brainspotting, and Eye Movement Desensitization and Reprocessing (EMDR) and have successfully used these approaches to help teens, adults and families suffering from depression, anxiety, abuse, conflict and PTSD.
![Photo of Jessica Filiatreau, LMHC, LCPC, NCC, Counselor](https://photos.psychologytoday.com/e95ca15e-a31d-4400-9151-12662905b6a2/2/320x400.jpeg)
I bring over 10 years of experience providing individual, couple, and family therapy. Utilizing a systemic approach, I treat a variety of challenges faced because of trauma/PTSD, depression, anxiety, LGBTQ+, and life stressors/adjustments. I strive to provide a safe, supportive environment, which helps clients heal and grow through what they have gone through. I practice a variety of intervention styles (EMDR, talk therapy, mindfulness, life coaching, anger management), It is important for me to offer a person centered approach and meet the needs of each client so that their goals are met.
I bring over 10 years of experience providing individual, couple, and family therapy. Utilizing a systemic approach, I treat a variety of challenges faced because of trauma/PTSD, depression, anxiety, LGBTQ+, and life stressors/adjustments. I strive to provide a safe, supportive environment, which helps clients heal and grow through what they have gone through. I practice a variety of intervention styles (EMDR, talk therapy, mindfulness, life coaching, anger management), It is important for me to offer a person centered approach and meet the needs of each client so that their goals are met.
![Photo of Miranda Juarez, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2288e59e-446f-49cc-9c7e-e100fdd89aed/4/320x400.jpeg)
"There is hope, even when your brain tells you there isn't." - John Green. I specialize in working with adolescents, children (ages 10 and up) and adults. Perhaps you're struggling with anxiety, depression, isolation, or low self-esteem.
"There is hope, even when your brain tells you there isn't." - John Green. I specialize in working with adolescents, children (ages 10 and up) and adults. Perhaps you're struggling with anxiety, depression, isolation, or low self-esteem.
![Photo of Skye Kelley, MS, t-LMHC, Counselor](https://photos.psychologytoday.com/d3ba3f16-7a5c-4774-832e-b3ebe2c2e34d/2/320x400.jpeg)
My primary goal while working with someone is to provide a safe, judgement free environment which allows them to feel comfortable exploring who they are and grow into who they want to be. I believe the client knows themselves best, and I will work with the client every step of the way to determine what is going to help them grow into the person they want to become. My specialty areas of treatment include depression, anxiety, body image concerns, trauma, substance abuse, and adjustment disorders.
My primary goal while working with someone is to provide a safe, judgement free environment which allows them to feel comfortable exploring who they are and grow into who they want to be. I believe the client knows themselves best, and I will work with the client every step of the way to determine what is going to help them grow into the person they want to become. My specialty areas of treatment include depression, anxiety, body image concerns, trauma, substance abuse, and adjustment disorders.
![Photo of Nancy K. Vermeersch, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/46fec8b2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Nancy K. Vermeersch
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Cedar Rapids, IA 52402
WELCOME! You may be struggling with an unhappy relationship, grieving the loss of a loved one, feeling depressed or anxious, interested in improving your life balance and wellness, or simply wanting a closer relationship with God. If so, I invite you to call me for a consultation. We can identify new patterns, coping skills and strategies so you can feel you are thriving in life with success and joy.
WELCOME! You may be struggling with an unhappy relationship, grieving the loss of a loved one, feeling depressed or anxious, interested in improving your life balance and wellness, or simply wanting a closer relationship with God. If so, I invite you to call me for a consultation. We can identify new patterns, coping skills and strategies so you can feel you are thriving in life with success and joy.
![Photo of Miranda Juarez Family Therapist, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/63eb5265-0431-424e-a828-43bf88549e77/3/320x400.jpeg)
Miranda Juarez Family Therapist
Clinical Social Work/Therapist, LMSW
Verified Verified
Cedar Rapids, IA 52402
Does your child put themselves down, worry all the time, or appear sad or depressed? Is your child struggling with social isolation or being bullied? Raising a healthy and happy child is harder than ever. If you’re feeling confused, frustrated or stuck, I can work to assist your child in coping with personal and social challenges.
Does your child put themselves down, worry all the time, or appear sad or depressed? Is your child struggling with social isolation or being bullied? Raising a healthy and happy child is harder than ever. If you’re feeling confused, frustrated or stuck, I can work to assist your child in coping with personal and social challenges.
![Photo of Scott Liu - Dr. Scott Liu (Huan-Chung S Liu, Ph.D.), PhD, LP, HSP, Psychologist](https://photos.psychologytoday.com/50f8ee7a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Scott Liu (Huan-Chung S Liu, Ph.D.)
Psychologist, PhD, LP, HSP
Verified Verified
Iowa City, IA 52240 (Online Only)
As a generalist, Scott finds that he works from an integrative lens, naturally leaning towards a client-centered, strengths-based, and multicultural perspectives. Often, he likes to integrate aspects of Interpersonal Therapy, family systems, psychodynamic, and cognitive-behavioral theories with the bio-psycho-social framework. With extensive college counseling center experience (18+ years), Scott enjoys working with this population and understands the difficulties that often emerge during this transitional process (identities, relationships, self-awareness, etc.). Scott believed no concern is too big or too small to seek support.
As a generalist, Scott finds that he works from an integrative lens, naturally leaning towards a client-centered, strengths-based, and multicultural perspectives. Often, he likes to integrate aspects of Interpersonal Therapy, family systems, psychodynamic, and cognitive-behavioral theories with the bio-psycho-social framework. With extensive college counseling center experience (18+ years), Scott enjoys working with this population and understands the difficulties that often emerge during this transitional process (identities, relationships, self-awareness, etc.). Scott believed no concern is too big or too small to seek support.
Nearby Searches for Keosauqua
See More TherapistsHow does your Therapist compare?
Number of Therapists in Keosauqua, IA
< 10
Therapists in Keosauqua, IA who prioritize treating:
100% | Relationship Issues |
100% | Depression |
100% | Anxiety |
100% | Addiction |
100% | Child |
100% | ADHD |
100% | Domestic Abuse |
Average years in practice
16 Years
Top 3 insurances accepted
100% | Aetna |
100% | Wellpoint | Amerigroup |
100% | BlueCross and BlueShield |
How Therapists in Keosauqua, IA see their clients
100% | In Person and Online |
Gender breakdown
100% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Keosauqua?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.