Therapists in West Des Moines, IA

Photo of Charlotte Stanton, MS, LIMHP, LMHC, Counselor
Charlotte Stanton
Counselor, MS, LIMHP, LMHC
Verified Verified
West Des Moines, IA 50265  (Online Only)
I have helped clients improve symptoms of anxiety, OCD, depression, bipolar, ADHD, as well as other mental disorders. I have worked with neurodivergent clients, some of which are on the autism spectrum. We have become who we are today because of our past experiences, environments, and upbringings which can create false beliefs and negative thought patterns, thus creating obstacles that can hinder the quality of life in certain aspects. During the initial session, we will discuss what brings you to therapy, issues to be worked on, the goals you'd like to achieve, and create coping strategies to help you along the way.
I have helped clients improve symptoms of anxiety, OCD, depression, bipolar, ADHD, as well as other mental disorders. I have worked with neurodivergent clients, some of which are on the autism spectrum. We have become who we are today because of our past experiences, environments, and upbringings which can create false beliefs and negative thought patterns, thus creating obstacles that can hinder the quality of life in certain aspects. During the initial session, we will discuss what brings you to therapy, issues to be worked on, the goals you'd like to achieve, and create coping strategies to help you along the way.
(515) 417-9040 View (515) 417-9040
Photo of Stephanie Barrett, LISW, Clinical Social Work/Therapist
Stephanie Barrett
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50266
Waitlist for new clients
I am a Licensed Independent Social Worker in the state of Iowa. I graduated from Simpson College in 2004 with a Bachelor's degree in Psychology and St. Ambrose University in 2006 with a Master's degree in Social Work (MSW). I have been working with clients in health care and mental health settings since 2006. As a therapist, I strive to make services accessbile and welcoming. Therapy is a place to feel accepted and free from judgment. In this fast-paced world, we all deserve a space to be supported as our authentic selves.
I am a Licensed Independent Social Worker in the state of Iowa. I graduated from Simpson College in 2004 with a Bachelor's degree in Psychology and St. Ambrose University in 2006 with a Master's degree in Social Work (MSW). I have been working with clients in health care and mental health settings since 2006. As a therapist, I strive to make services accessbile and welcoming. Therapy is a place to feel accepted and free from judgment. In this fast-paced world, we all deserve a space to be supported as our authentic selves.
(515) 517-2527 View (515) 517-2527
Photo of Kim Tallon, LISW, CEDS-S, Clinical Social Work/Therapist
Kim Tallon
Clinical Social Work/Therapist, LISW, CEDS-S
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Kim Tallon, LISW, CEDS-S, is a Licensed Clinical Social Worker, a Certified Eating Disorder Specialist and an IAEDP Approved Supervisor specializing in eating disorder treatment and related mental health concerns. Kim utilizes a team approach, working with each client to highlight strengths and identify solutions to support the client in their healing and recovery. Kim uses DBT, CBT, ERP, Motivational Interviewing, and the mind/body perspective while working with her clients, and will adjust each therapy experience to meet the need of each individual. Ages 17+.
Kim Tallon, LISW, CEDS-S, is a Licensed Clinical Social Worker, a Certified Eating Disorder Specialist and an IAEDP Approved Supervisor specializing in eating disorder treatment and related mental health concerns. Kim utilizes a team approach, working with each client to highlight strengths and identify solutions to support the client in their healing and recovery. Kim uses DBT, CBT, ERP, Motivational Interviewing, and the mind/body perspective while working with her clients, and will adjust each therapy experience to meet the need of each individual. Ages 17+.
(563) 334-1727 View (563) 334-1727
Photo of Leslie Woodris, LMHC, ATR, Counselor
Leslie Woodris
Counselor, LMHC, ATR
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
(515) 220-2802 View (515) 220-2802
Photo of Zoey Erixon, MSW, LISW, CADC, Clinical Social Work/Therapist
Zoey Erixon
Clinical Social Work/Therapist, MSW, LISW, CADC
Verified Verified
1 Endorsed
West Des Moines, IA 50265
It is a gift to feel connected to the inner self, and healing occurs in connection with others. Each day, I aim to help my clients deepen their connections with themselves and others, utilizing a holistic perspective that focuses on emotions, body sensations, thoughts and behaviors. I offer compassionate support and therapeutic tools while you take the brave steps of this journey.
It is a gift to feel connected to the inner self, and healing occurs in connection with others. Each day, I aim to help my clients deepen their connections with themselves and others, utilizing a holistic perspective that focuses on emotions, body sensations, thoughts and behaviors. I offer compassionate support and therapeutic tools while you take the brave steps of this journey.
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Photo of Alicia Krpan, MS, LMHC, Counselor
Alicia Krpan
Counselor, MS, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I am interested in walking alongside my client to support the development of true emotional maturity and build a capacity to hold space for pain, joy, and healing. Individuals who want to learn how their adaptations helped them navigate early demands and feel ready to expand their resources within themselves to show up and prioritize and respect their personal well-being.
I am interested in walking alongside my client to support the development of true emotional maturity and build a capacity to hold space for pain, joy, and healing. Individuals who want to learn how their adaptations helped them navigate early demands and feel ready to expand their resources within themselves to show up and prioritize and respect their personal well-being.
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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 Angela La Luzerne, LISW, Clinical Social Work/Therapist
Angela La Luzerne
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Ever wonder, "why is this so hard?" "How did I find myself here?" "What do I do now?" You may feel hopeless or stuck. The desire to get unstuck - to make changes and show up for life in a happier, healthier way - is a noble one. The therapeutic relationship provides a safe, sacred space for you to explore new possibilities, especially as the journey may feel overwhelming at times. We often uncover thoughts, beliefs and behaviors that no longer serve you well. Through a variety of interventions, tailored to your individual needs, change IS possible! It is never too late to start caring for ourselves and others more effectively.
Ever wonder, "why is this so hard?" "How did I find myself here?" "What do I do now?" You may feel hopeless or stuck. The desire to get unstuck - to make changes and show up for life in a happier, healthier way - is a noble one. The therapeutic relationship provides a safe, sacred space for you to explore new possibilities, especially as the journey may feel overwhelming at times. We often uncover thoughts, beliefs and behaviors that no longer serve you well. Through a variety of interventions, tailored to your individual needs, change IS possible! It is never too late to start caring for ourselves and others more effectively.
(515) 523-7354 View (515) 523-7354
Photo of Michael Davis, MS, LMHC, Counselor
Michael Davis
Counselor, MS, LMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50265
I believe good therapy starts with building a trusting relationship. I'll create a safe, judgement free environment to help build this relationship. Sometimes the thought of reaching your goals seems impossible. Whatever your concerns are, I want to listen and help you find solutions and results to your goals. I'm passionate about working with young adults, autism disorders, motivational issues, and anxiety. I have 16 years of experience working with adolescents, life stressors, autism disorders, depression, and anxiety. My biggest passion in working with people is helping you gain a sense of purpose.
I believe good therapy starts with building a trusting relationship. I'll create a safe, judgement free environment to help build this relationship. Sometimes the thought of reaching your goals seems impossible. Whatever your concerns are, I want to listen and help you find solutions and results to your goals. I'm passionate about working with young adults, autism disorders, motivational issues, and anxiety. I have 16 years of experience working with adolescents, life stressors, autism disorders, depression, and anxiety. My biggest passion in working with people is helping you gain a sense of purpose.
(515) 705-0706 View (515) 705-0706
Photo of Shannon Lynne Sandahl, LISW, Clinical Social Work/Therapist
Shannon Lynne Sandahl
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50265
I have been providing therapy for children (age 5 and up), adolescents and adults since 2000 in a variety of therapeutic settings. I specialize in the area of trauma and other forms of abuse that causes emotional stress and negative impact on the individual's life and families lives. I am an EMDR trained therapist.
I have been providing therapy for children (age 5 and up), adolescents and adults since 2000 in a variety of therapeutic settings. I specialize in the area of trauma and other forms of abuse that causes emotional stress and negative impact on the individual's life and families lives. I am an EMDR trained therapist.
(515) 420-0357 View (515) 420-0357
Photo of Ali Dotson, MA, LMHC, Clinical Social Work/Therapist
Ali Dotson
Clinical Social Work/Therapist, MA, LMHC
Verified Verified
West Des Moines, IA 50266  (Online Only)
Currently accepting new clients! - I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
Currently accepting new clients! - I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
(515) 203-2872 View (515) 203-2872
Photo of Bridgette Hensley, PsyD, LP, Psychologist
Bridgette Hensley
Psychologist, PsyD, LP
Verified Verified
West Des Moines, IA 50266
I enjoy working with diverse clients on issues of depression, anxiety (especially OCD and Panic Disorder), ADHD, relational issues, trauma, as well as sexual orientation and gender identity issues. I am committed to providing a safe and secure environment in which we can develop a trusting, unconditional, and genuine relationship, in which I can help you direct your own resources and strengths toward health and healing.
I enjoy working with diverse clients on issues of depression, anxiety (especially OCD and Panic Disorder), ADHD, relational issues, trauma, as well as sexual orientation and gender identity issues. I am committed to providing a safe and secure environment in which we can develop a trusting, unconditional, and genuine relationship, in which I can help you direct your own resources and strengths toward health and healing.
(515) 368-7303 View (515) 368-7303
Photo of Isaac Charles Deike, LMSW, Clinical Social Work/Therapist
Isaac Charles Deike
Clinical Social Work/Therapist, LMSW
Verified Verified
West Des Moines, IA 50266
Hello, I'm Isaac Deike, and I'm deeply passionate about supporting the growth and well-being of children and adolescents through social work. With a focus on utilizing solution-focused and strength-based approaches, alongside techniques such as Motivational Interviewing and Cognitive Behavioral Therapy (CBT), I strive to empower young individuals to navigate life's challenges and discover their inner resilience. I also enjoy working with college level athletes related to sports related stressors.
Hello, I'm Isaac Deike, and I'm deeply passionate about supporting the growth and well-being of children and adolescents through social work. With a focus on utilizing solution-focused and strength-based approaches, alongside techniques such as Motivational Interviewing and Cognitive Behavioral Therapy (CBT), I strive to empower young individuals to navigate life's challenges and discover their inner resilience. I also enjoy working with college level athletes related to sports related stressors.
(515) 585-6163 View (515) 585-6163
Photo of Jacob Linduski, MS, tLMHC, Counselor
Jacob Linduski
Counselor, MS, tLMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Hello & welcome, friend. I am truly glad you are here. I enjoy working with all people but specialize in working with clients with trauma histories who feel disconnected from their bodies, have a hard time feeling their emotions, being vulnerable & are unable to 'disarm' & connect with others. Utilizing a person centered, queer feminist lens, I weave EMDR (Eye Movement Desensitization and Reprocessing) with somatic body experiencing, storytelling, parts work, imaginative play, guided imagery as well as expressive and mindfulness practices to promote internal growth within my clients.
Hello & welcome, friend. I am truly glad you are here. I enjoy working with all people but specialize in working with clients with trauma histories who feel disconnected from their bodies, have a hard time feeling their emotions, being vulnerable & are unable to 'disarm' & connect with others. Utilizing a person centered, queer feminist lens, I weave EMDR (Eye Movement Desensitization and Reprocessing) with somatic body experiencing, storytelling, parts work, imaginative play, guided imagery as well as expressive and mindfulness practices to promote internal growth within my clients.
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Photo of Kim Comer, LISW, Clinical Social Work/Therapist
Kim Comer
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50265
I am currently accepting new clients. I have been practicing for 20 years and have been in the field for over 40. I have an I am currently accepting new clients. I have been practicing for 20 years. Are you having a tough time adjusting to life? Whether that be problems with depression, anxiety, or other life Stressors? Possibly you’ve experienced a lot of trauma in your life, or abuse, or you are wondering if your child has been sexually abused? I am here to help you through these difficult times. I also love working with adults who are trying to manage their issues one day at a time.
I am currently accepting new clients. I have been practicing for 20 years and have been in the field for over 40. I have an I am currently accepting new clients. I have been practicing for 20 years. Are you having a tough time adjusting to life? Whether that be problems with depression, anxiety, or other life Stressors? Possibly you’ve experienced a lot of trauma in your life, or abuse, or you are wondering if your child has been sexually abused? I am here to help you through these difficult times. I also love working with adults who are trying to manage their issues one day at a time.
(515) 303-2689 View (515) 303-2689
Photo of Mikeely Denger, tLMHC, Counselor
Mikeely Denger
Counselor, tLMHC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I have a wide range of experiences including working with anxiety, codependency, depression, grief and loss, attention-deficit hyperactivity disorder, life stress and transitions, traumatic experiences, self-esteem, and those experiencing relationship and communication issues. I am especially interested in working with those experiencing body image concerns, eating disorders, and disordered eating. No matter the circumstances, I will provide a safe space to experience emotions, talk through life’s challenges, and a provide meaningful therapeutic relationship to grow and foster healing and personal growth.
I have a wide range of experiences including working with anxiety, codependency, depression, grief and loss, attention-deficit hyperactivity disorder, life stress and transitions, traumatic experiences, self-esteem, and those experiencing relationship and communication issues. I am especially interested in working with those experiencing body image concerns, eating disorders, and disordered eating. No matter the circumstances, I will provide a safe space to experience emotions, talk through life’s challenges, and a provide meaningful therapeutic relationship to grow and foster healing and personal growth.
(515) 526-5159 View (515) 526-5159
Photo of Richard Joens - Counseling Associates of Central Iowa, Clinical Social Work/Therapist
Counseling Associates of Central Iowa
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
West Des Moines, IA 50266
We are a group of experienced, caring professionals who are committed to collaborate and meet you at your specific place in life. We can provide support and guidance by empowering you to develop the strength, wisdom and courage to cope with the challenges in your life. Whether you are struggling with a difficult life situation or need some encouragement and understanding to help you make personal changes, we can help. Please call or email us for a therapy consultation today.
We are a group of experienced, caring professionals who are committed to collaborate and meet you at your specific place in life. We can provide support and guidance by empowering you to develop the strength, wisdom and courage to cope with the challenges in your life. Whether you are struggling with a difficult life situation or need some encouragement and understanding to help you make personal changes, we can help. Please call or email us for a therapy consultation today.
(515) 619-5250 View (515) 619-5250
Photo of Matt Ness, MA, LMHC, LMFT, Counselor
Matt Ness
Counselor, MA, LMHC, LMFT
Verified Verified
West Des Moines, IA 50266
www.kingdomcounseling.com Matt Ness is a Licensed Mental Health Counselor (LMHC) and Licensed Marriage & Family Therapist (LMFT). He is also an approved supervisor through the Iowa Board of Behavioral Science. Matt completed his undergraduate studies at Central College, receiving a Bachelor of Arts in Psychology and Business Management. It was there that he recognized his giftings and God’s call on his life into the field of counseling, which led him to Wheaton College where he earned his Master’s Degree in Clinical Psychology. Matt’s studies included an emphasis in counseling adults and couples.
www.kingdomcounseling.com Matt Ness is a Licensed Mental Health Counselor (LMHC) and Licensed Marriage & Family Therapist (LMFT). He is also an approved supervisor through the Iowa Board of Behavioral Science. Matt completed his undergraduate studies at Central College, receiving a Bachelor of Arts in Psychology and Business Management. It was there that he recognized his giftings and God’s call on his life into the field of counseling, which led him to Wheaton College where he earned his Master’s Degree in Clinical Psychology. Matt’s studies included an emphasis in counseling adults and couples.
(515) 316-5671 View (515) 316-5671
Photo of Sarah Andersen, LMSW, Clinical Social Work/Therapist
Sarah Andersen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Engaging in therapy is a brave step and I applaud you for being open to this journey. My goal is to provide an accepting and welcoming environment where thoughts and feelings are explored without judgment. I strive to be open and understanding as you work through the unique challenges of life and learn more about yourself along the way. I believe you are braver, smarter, and more valuable than you truly realize.
Engaging in therapy is a brave step and I applaud you for being open to this journey. My goal is to provide an accepting and welcoming environment where thoughts and feelings are explored without judgment. I strive to be open and understanding as you work through the unique challenges of life and learn more about yourself along the way. I believe you are braver, smarter, and more valuable than you truly realize.
(515) 516-3120 View (515) 516-3120
Photo of Rachel McGregor, MS, LISW, Clinical Social Work/Therapist
Rachel McGregor
Clinical Social Work/Therapist, MS, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I am passionate about helping people feel cared for. I see the therapeutic relationship as a powerful force for growth, healing, and hope; I believe a large part of therapy includes hospitality, so my goal is for clients to feel comfortable and seen. I love helping others find hope in God, but warmly welcome clients of varying faith backgrounds. God has given, and continues to give, me so much grace and I desire for others to experience that as well.
I am passionate about helping people feel cared for. I see the therapeutic relationship as a powerful force for growth, healing, and hope; I believe a large part of therapy includes hospitality, so my goal is for clients to feel comfortable and seen. I love helping others find hope in God, but warmly welcome clients of varying faith backgrounds. God has given, and continues to give, me so much grace and I desire for others to experience that as well.
(515) 516-4115 View (515) 516-4115

See more therapy options for West Des Moines

How does your Therapist compare?

Number of Therapists in West Des Moines, IA

300+

Average cost per session

$155

Therapists in West Des Moines, IA who prioritize treating:

96% Anxiety
91% Depression
79% Self Esteem
78% Relationship Issues
75% Trauma and PTSD
73% Stress
71% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
82% Wellmark BCBS
50% UnitedHealthcare UHC | UBH

How Therapists in West Des Moines, IA see their clients

89% In Person and Online
11% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Des Moines?

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.