Therapists in Manning, IA

Photo of Britney Randolph, LISW, Clinical Social Work/Therapist
Britney Randolph
Clinical Social Work/Therapist, LISW
Verified Verified
Manning, IA 51455
I began working as a helping professional in 2006 as a certified nurse’s aide. I always knew I wanted to help others in some capacity. When I started taking college classes, my path to becoming a therapist was not yet clear; until I found social work. After receiving my bachelor’s degree in social work from Buena Vista University in 2011, I did work ranging from helping families involved with Iowa DHHS to working as a counselor for patients in inpatient substance abuse treatment. While working as a counselor, I realized that I had a passion for meeting people where they are in their journey and assisting to meet their goals.
I began working as a helping professional in 2006 as a certified nurse’s aide. I always knew I wanted to help others in some capacity. When I started taking college classes, my path to becoming a therapist was not yet clear; until I found social work. After receiving my bachelor’s degree in social work from Buena Vista University in 2011, I did work ranging from helping families involved with Iowa DHHS to working as a counselor for patients in inpatient substance abuse treatment. While working as a counselor, I realized that I had a passion for meeting people where they are in their journey and assisting to meet their goals.
(712) 217-2351 View (712) 217-2351
Photo of Angela Ericson, LMHCt, NCC, MS, Counselor
Angela Ericson
Counselor, LMHCt, NCC, MS
Verified Verified
Manning, IA 51455
Have you ever wanted to feel empowered in your life and learn how your thoughts, emotions & actions/behaviors affect the life you are living? I look forward to visiting with you about your desire to become more aware & observant of your choices & the environments you spend your time in. I enjoy working with clients of all ages & diverse backgrounds. Having worked in multiple community positions in both private & government sector, along with volunteering with local and national organizations, I have observed human behavior for a better part of my life. I utilize Mindfulness (CBT), Solution Focused therapy and Brief Therapy.
Have you ever wanted to feel empowered in your life and learn how your thoughts, emotions & actions/behaviors affect the life you are living? I look forward to visiting with you about your desire to become more aware & observant of your choices & the environments you spend your time in. I enjoy working with clients of all ages & diverse backgrounds. Having worked in multiple community positions in both private & government sector, along with volunteering with local and national organizations, I have observed human behavior for a better part of my life. I utilize Mindfulness (CBT), Solution Focused therapy and Brief Therapy.
(712) 216-4607 View (712) 216-4607

Online Therapists

Photo of Natalie Reich, T-LMHC, MS, RYT, Counselor
Natalie Reich
Counselor, T-LMHC, MS, RYT
Verified Verified
1 Endorsed
Ankeny, IA 50023
Clients I work with might be facing challenges such as navigating life transitions, coping with anxiety or depression, healing from trauma, or pursuing personal growth and self-discovery. They need a supportive, empathetic environment where they can explore their emotions and experiences without judgment. Their goals might include developing self-awareness, improving emotional regulation, enhancing their relationships, and finding a path toward a more fulfilling and balanced life. They seek therapy to better understand themselves, and overcome obstacles and achieve personal well-being and resilience.
Clients I work with might be facing challenges such as navigating life transitions, coping with anxiety or depression, healing from trauma, or pursuing personal growth and self-discovery. They need a supportive, empathetic environment where they can explore their emotions and experiences without judgment. Their goals might include developing self-awareness, improving emotional regulation, enhancing their relationships, and finding a path toward a more fulfilling and balanced life. They seek therapy to better understand themselves, and overcome obstacles and achieve personal well-being and resilience.
(515) 516-3132 View (515) 516-3132
Photo of Kimberly McKinney, LMSW, Clinical Social Work/Therapist
Kimberly McKinney
Clinical Social Work/Therapist, LMSW
Verified Verified
Urbandale, IA 50322
You are the expert on you. As a therapist, I work to assist you in identifying your goals, processing your thoughts, and creating a safe space to explore and strive towards personal growth. Whether addressing a situational life stressor, substance use, family/relationship conflicts, personal identity, or symptoms of trauma – I strive to create a judgement free, client centered environment. I have a professional history working in the areas of substance use and systemic trauma in both residential and community environments. I have an educational focus in trauma-informed care.
You are the expert on you. As a therapist, I work to assist you in identifying your goals, processing your thoughts, and creating a safe space to explore and strive towards personal growth. Whether addressing a situational life stressor, substance use, family/relationship conflicts, personal identity, or symptoms of trauma – I strive to create a judgement free, client centered environment. I have a professional history working in the areas of substance use and systemic trauma in both residential and community environments. I have an educational focus in trauma-informed care.
(515) 329-7756 View (515) 329-7756
Photo of Sarah J Garcia, LISW, Clinical Social Work/Therapist
Sarah J Garcia
Clinical Social Work/Therapist, LISW
Verified Verified
Johnston, IA 50131  (Online Only)
I have 16 years’ experience in social services, including 10 years engaged in adolescent and adult therapy. During that time, I’ve seen first-hand the impact depression, anxiety and trauma can have on child development, marriages, parenting and interpersonal skills in general. My approach to helping improve the connections in people’s lives starts with understanding their needs in a safe, judgement-free environment.
I have 16 years’ experience in social services, including 10 years engaged in adolescent and adult therapy. During that time, I’ve seen first-hand the impact depression, anxiety and trauma can have on child development, marriages, parenting and interpersonal skills in general. My approach to helping improve the connections in people’s lives starts with understanding their needs in a safe, judgement-free environment.
(515) 361-7935 View (515) 361-7935
Photo of Alicia Rowley, LMHC, LCPC
Alicia Rowley
Licensed Clinical Professional Counselor, LMHC, LCPC
Verified Verified
West Des Moines, IA 50266
I believe one of the biggest factors in creating growth and change begins with the therapeutic relationship. I strive to build a safe environment to give you the comfort and security you need to begin your path to healing. You'll find I use a client centered approach that begins with your needs first. My experience has led me to work with and meet a variety of mental health and addiction needs. For information, please visit my website at aliciarowleycounseling.com.
I believe one of the biggest factors in creating growth and change begins with the therapeutic relationship. I strive to build a safe environment to give you the comfort and security you need to begin your path to healing. You'll find I use a client centered approach that begins with your needs first. My experience has led me to work with and meet a variety of mental health and addiction needs. For information, please visit my website at aliciarowleycounseling.com.
(224) 433-5993 View (224) 433-5993
Photo of Brandy Stephen, LISW, Clinical Social Work/Therapist
Brandy Stephen
Clinical Social Work/Therapist, LISW
Verified Verified
Altoona, IA 50009
Waitlist for new clients
We all make our own way through life's journey and encounter hardships, and while these circumstances are temporary their impact influences us for a lifetime. If anxiety, depression, trauma, adjustment/change or other struggles are interfering with your life, therapy may help you become more self-aware, to learn to love and accept yourself, enhance relationships, and improve your overall quality and functioning in life. I have a passion for helping people navigate life's struggles and assist them toward realizing their goals; I believe in the power of the therapeutic relationship to assist others on their journey of self-reflection.
We all make our own way through life's journey and encounter hardships, and while these circumstances are temporary their impact influences us for a lifetime. If anxiety, depression, trauma, adjustment/change or other struggles are interfering with your life, therapy may help you become more self-aware, to learn to love and accept yourself, enhance relationships, and improve your overall quality and functioning in life. I have a passion for helping people navigate life's struggles and assist them toward realizing their goals; I believe in the power of the therapeutic relationship to assist others on their journey of self-reflection.
(515) 585-1160 View (515) 585-1160
Photo of Annie Kramer, LMHC, Counselor
Annie Kramer
Counselor, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50312
Waitlist for new clients
Hello! I have earned my Masters in Clinical Mental Health Counseling. I enjoy working with teenagers, adults, and older adults on issues related to depression, anxiety, grief and loss, identity, trauma, and life transitions. In session, I like to be interactive and will use traditional talk therapy along with creative methods for communicating. Many people enjoy using arts, crafts, music, and movement in session, so I help foster an environment that helps people feel safe enough to express themselves through these modalities.
Hello! I have earned my Masters in Clinical Mental Health Counseling. I enjoy working with teenagers, adults, and older adults on issues related to depression, anxiety, grief and loss, identity, trauma, and life transitions. In session, I like to be interactive and will use traditional talk therapy along with creative methods for communicating. Many people enjoy using arts, crafts, music, and movement in session, so I help foster an environment that helps people feel safe enough to express themselves through these modalities.
(515) 454-2209 View (515) 454-2209
Photo of Sarah Wagener, MS, tLMHC, Counselor
Sarah Wagener
Counselor, MS, tLMHC
Verified Verified
Van Meter, IA 50261  (Online Only)
The journey to and through parenthood can be a wild ride. So much is changing within you, and maybe life is changing a lot around you, too. It can be hard to build confidence in yourself when you're struggling with anxiety, self-doubt, mom/dad guilt, or picking up the pieces after trauma and loss. There’s so much pressure to be perfect, and to do it all with little to no help. Maybe you compare yourself to others – they got pregnant right away, and I didn’t. They make this look so easy… why am I struggling so much? I just want to feel like myself again. Yep, I see you! It's possible to grow through this, not just go through it.
The journey to and through parenthood can be a wild ride. So much is changing within you, and maybe life is changing a lot around you, too. It can be hard to build confidence in yourself when you're struggling with anxiety, self-doubt, mom/dad guilt, or picking up the pieces after trauma and loss. There’s so much pressure to be perfect, and to do it all with little to no help. Maybe you compare yourself to others – they got pregnant right away, and I didn’t. They make this look so easy… why am I struggling so much? I just want to feel like myself again. Yep, I see you! It's possible to grow through this, not just go through it.
(515) 516-6475 View (515) 516-6475
Photo of Katrina Serfling, LMHC, NCC, Counselor
Katrina Serfling
Counselor, LMHC, NCC
Verified Verified
West Des Moines, IA 50265
Human to Human counseling believes you are the one who knows best about yourself; working together with you as a team to work on goals the client bring to sessions. Therapy is a place to feel supported, learn new skills and how to implement them, and work through past trauma with an educated and genuine guide. Human to Human Counseling will always support the person that shows up, recognizing we are all human beings with a story and experiences of our own. Three of our five clinicians are trained in EMDR, and the other two use CBT and other methods to support clients through healing after trauma.
Human to Human counseling believes you are the one who knows best about yourself; working together with you as a team to work on goals the client bring to sessions. Therapy is a place to feel supported, learn new skills and how to implement them, and work through past trauma with an educated and genuine guide. Human to Human Counseling will always support the person that shows up, recognizing we are all human beings with a story and experiences of our own. Three of our five clinicians are trained in EMDR, and the other two use CBT and other methods to support clients through healing after trauma.
(515) 650-1632 View (515) 650-1632
Photo of Jennifer Fisher, MS, LMHC, Counselor
Jennifer Fisher
Counselor, MS, LMHC
Verified Verified
Waukee, IA 50263
You deserve a therapist who will listen and respect you as you define and meet your therapeutic goals. Jen values a collaborative therapeutic relationship that puts your needs at the forefront. We go through many transitions throughout life. These can be challenging times for children and adults. Jen is passionate about working with children and adults going through transitional periods, particularly divorce, separation, and custodial situations. Depression and anxiety can be experienced at many different points in life. Through counseling, Jen is able to help you recover motivation, perspective, and joy that you once had in your life.
You deserve a therapist who will listen and respect you as you define and meet your therapeutic goals. Jen values a collaborative therapeutic relationship that puts your needs at the forefront. We go through many transitions throughout life. These can be challenging times for children and adults. Jen is passionate about working with children and adults going through transitional periods, particularly divorce, separation, and custodial situations. Depression and anxiety can be experienced at many different points in life. Through counseling, Jen is able to help you recover motivation, perspective, and joy that you once had in your life.
(515) 393-6402 View (515) 393-6402
Photo of Kelsey Rumpf, LISW, Clinical Social Work/Therapist
Kelsey Rumpf
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50265
I am a child therapist providing services for children & adolescents ages 3-18. I work with the individual and family in areas relating to adjustment, anxiety, stress, depression, ADHD, perfectionism, behavioral outbursts, grief, emotional regulation, trauma, family dynamics, intellectual disabilities, PANDAS, and developmental disorders. I use expressive therapy techniques to provide a safe space for rapport building & emotional processing. I teach individuals ways to effectively identify triggers, use mindfulness, express emotions/needs, & implement coping strategies to self-regulate.
I am a child therapist providing services for children & adolescents ages 3-18. I work with the individual and family in areas relating to adjustment, anxiety, stress, depression, ADHD, perfectionism, behavioral outbursts, grief, emotional regulation, trauma, family dynamics, intellectual disabilities, PANDAS, and developmental disorders. I use expressive therapy techniques to provide a safe space for rapport building & emotional processing. I teach individuals ways to effectively identify triggers, use mindfulness, express emotions/needs, & implement coping strategies to self-regulate.
(515) 859-8174 View (515) 859-8174
Photo of Leslie Henter, MSW, LMSW, Clinical Social Work/Therapist
Leslie Henter
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
West Des Moines, IA 50265  (Online Only)
Currently accepting new clients! Difficult situations, changes, events, or stressful situations in our lives can leave us confused, scared, and speechless. I want to commend you for taking the first step in the therapeutic process! My priority is creating a nonjudgmental environment where trust is developed and you feel safe with me—every single session and interaction. Therapy is a collaborative process between the two of us. I’m here to listen, support you, and give you opportunities to explore and design a plan that helps you move your life forward.
Currently accepting new clients! Difficult situations, changes, events, or stressful situations in our lives can leave us confused, scared, and speechless. I want to commend you for taking the first step in the therapeutic process! My priority is creating a nonjudgmental environment where trust is developed and you feel safe with me—every single session and interaction. Therapy is a collaborative process between the two of us. I’m here to listen, support you, and give you opportunities to explore and design a plan that helps you move your life forward.
(515) 854-4848 View (515) 854-4848
Photo of Brett Vitzthum, LMHC, Licensed Professional Counselor
Brett Vitzthum
Licensed Professional Counselor, LMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Brett provides in-office therapy services to individuals and families looking for a strength-based approach to address counterproductive behavioral functioning. He strives to develop healthy interpersonal dynamics and the skills necessary for optimal family, community and societal integration. Brett assists clients to identify their desired change goals such as communication, conflict resolution and social and emotional coping. He holds an awareness of cross cultural ethnicities and is versatile in providing services based on multicultural aspects.
Brett provides in-office therapy services to individuals and families looking for a strength-based approach to address counterproductive behavioral functioning. He strives to develop healthy interpersonal dynamics and the skills necessary for optimal family, community and societal integration. Brett assists clients to identify their desired change goals such as communication, conflict resolution and social and emotional coping. He holds an awareness of cross cultural ethnicities and is versatile in providing services based on multicultural aspects.
(515) 209-3184 View (515) 209-3184
Photo of Jen Sand, PhD, Psychologist
Jen Sand
Psychologist, PhD
Verified Verified
Des Moines, IA 50312  (Online Only)
I believe therapy is a way to develop a secure connection that can be rare in everyday life. Developing this connection allows one a space to express authentically what may have been hidden or not heard. Within the safety of this space, real change can begin to occur. So often we believe that it is by applying willpower to an issue that we can instigate change, and are left feeling defeated in the end. In therapy, we get the chance to take these moments of defeat and transform them. We can reorganize, reorient, gain hope, and live more satisfying lives.
I believe therapy is a way to develop a secure connection that can be rare in everyday life. Developing this connection allows one a space to express authentically what may have been hidden or not heard. Within the safety of this space, real change can begin to occur. So often we believe that it is by applying willpower to an issue that we can instigate change, and are left feeling defeated in the end. In therapy, we get the chance to take these moments of defeat and transform them. We can reorganize, reorient, gain hope, and live more satisfying lives.
(515) 532-5047 View (515) 532-5047
Photo of Daniel Chavarria, MS, LMHC, Counselor
Daniel Chavarria
Counselor, MS, LMHC
Verified Verified
Ankeny, IA 50023
I have been a practicing Mental Health Therapist for close to a decade in the Des Moines metro. My approach is focused on helping clients feel understood and empowered to make positive changes. I endeavor to help clients find real solutions and use practical approaches such as talk therapy and mindfulness techniques. Therapy is hard work, but through challenging dysfunctional thought processes and behaviors, change is possible.
I have been a practicing Mental Health Therapist for close to a decade in the Des Moines metro. My approach is focused on helping clients feel understood and empowered to make positive changes. I endeavor to help clients find real solutions and use practical approaches such as talk therapy and mindfulness techniques. Therapy is hard work, but through challenging dysfunctional thought processes and behaviors, change is possible.
(515) 361-7921 View (515) 361-7921
Photo of Mary Kate Leister, LMSW, Clinical Social Work/Therapist
Mary Kate Leister
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ankeny, IA 50023
“The willingness to show up changes us. It makes us a little braver each time.” –Brené Brown Hi! I’m Mary Kate. I am a Master’s level social worker in central Iowa. I have 8 years of experience working with children, teens, and young adults. On my journey as a social worker, I have gained a deep understanding of Iowa’s mental health system, community resources in the DSM Metro and surrounding areas, and special education services. In addition to providing therapy, I currently work as a school social worker.
“The willingness to show up changes us. It makes us a little braver each time.” –Brené Brown Hi! I’m Mary Kate. I am a Master’s level social worker in central Iowa. I have 8 years of experience working with children, teens, and young adults. On my journey as a social worker, I have gained a deep understanding of Iowa’s mental health system, community resources in the DSM Metro and surrounding areas, and special education services. In addition to providing therapy, I currently work as a school social worker.
(515) 325-5801 View (515) 325-5801
Photo of Mark D Cowan, LISW, Clinical Social Work/Therapist
Mark D Cowan
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50265
Mark Cowan is a Licensed Independent Social Worker with over 25 years' experience providing Clinical Social Work. He holds a Bachelor's degree in Social Work and Psychology from Iowa State University and received his Master's in Social Work form the University of Iowa. Mark has worked with individuals, children/adolescents and families throughout his career. Specialties include family conflict, trauma, adolescent work, depression/anxiety, relationship difficulties, sexual issues and men's issues.
Mark Cowan is a Licensed Independent Social Worker with over 25 years' experience providing Clinical Social Work. He holds a Bachelor's degree in Social Work and Psychology from Iowa State University and received his Master's in Social Work form the University of Iowa. Mark has worked with individuals, children/adolescents and families throughout his career. Specialties include family conflict, trauma, adolescent work, depression/anxiety, relationship difficulties, sexual issues and men's issues.
(515) 512-4940 View (515) 512-4940
Photo of Jenny Celentano, LISW, Clinical Social Work/Therapist
Jenny Celentano
Clinical Social Work/Therapist, LISW
Verified Verified
Ankeny, IA 50023
I have experience in working with children and adolescents (ages 4-17), families and adults. I utilize play therapy techniques to assist children in coping with big emotions. I also utilize a client-centered approach and am passionate about helping individuals grow and overcome challenges throughout their life. Whether you have current stressors you need help navigating or challenges from the past you are ready to talk about, I am here to help along the way. If you believe I may be the right therapist for you, please reach out. I look forward to meeting you!
I have experience in working with children and adolescents (ages 4-17), families and adults. I utilize play therapy techniques to assist children in coping with big emotions. I also utilize a client-centered approach and am passionate about helping individuals grow and overcome challenges throughout their life. Whether you have current stressors you need help navigating or challenges from the past you are ready to talk about, I am here to help along the way. If you believe I may be the right therapist for you, please reach out. I look forward to meeting you!
(515) 361-7254 View (515) 361-7254
Photo of Tonya Gordon, LMHC, Counselor
Tonya Gordon
Counselor, LMHC
Verified Verified
Des Moines, IA 50321  (Online Only)
I am passionate about creating an accepting environment where clients feel safe sharing their emotional experiences and vulnerabilities while working through challenges. Guided by genuineness, non-bias, and person centered empathy, I sincerely believe clients are the experts within their own lives. Each and every individual possesses their own unique set of experiences, values, beliefs, family system and culture.
I am passionate about creating an accepting environment where clients feel safe sharing their emotional experiences and vulnerabilities while working through challenges. Guided by genuineness, non-bias, and person centered empathy, I sincerely believe clients are the experts within their own lives. Each and every individual possesses their own unique set of experiences, values, beliefs, family system and culture.
(515) 579-5705 View (515) 579-5705

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How does your Therapist compare?

Number of Therapists in Manning, IA

< 10

Therapists in Manning, IA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Domestic Abuse
100% Grief
100% Trauma and PTSD

Average years in practice

4 Years

Top 3 insurances accepted

100% Aetna
100% Medicaid
100% Wellmark BCBS

How Therapists in Manning, IA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Manning?

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.