Therapists in West Des Moines, IA
![Photo of Heidi Valdez, LISW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/482da656-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Heidi Valdez
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Are you feeling stuck in your life, school, career, sports performance and/or relationships? Could your physical, emotional, spiritual and mental health be better? If so, I am here to help. In a supportive environment, we will work together to build whole health and wellness while integrating both mind and body approaches. We all need support and guidance throughout our lives and I am passionate about supporting athletes, teachers, children, parents, and families in being the best they can be no matter what struggles may come their way. I do have openings at this time.
Are you feeling stuck in your life, school, career, sports performance and/or relationships? Could your physical, emotional, spiritual and mental health be better? If so, I am here to help. In a supportive environment, we will work together to build whole health and wellness while integrating both mind and body approaches. We all need support and guidance throughout our lives and I am passionate about supporting athletes, teachers, children, parents, and families in being the best they can be no matter what struggles may come their way. I do have openings at this time.
![Photo of Michael Sullivan, MA, LMHC, NCC, Counselor](https://photos.psychologytoday.com/2d803d9c-8fef-4168-afb8-23a1e39d6664/1/320x400.jpeg)
If you have ever asked yourself if you are living as well as you could then counseling may be for you. I find most people (including my clients) can get by just fine on their own. I am here to help them do more than "just get by." My goal is to help you live the life you want and enjoy it more fully. How to better manage anxiety, improve mood, improve coping skills, and better your interpersonal relationships are something I enjoy helping people with. I also address people's history of trauma and how that may be affecting their life and/or relationships.
If you have ever asked yourself if you are living as well as you could then counseling may be for you. I find most people (including my clients) can get by just fine on their own. I am here to help them do more than "just get by." My goal is to help you live the life you want and enjoy it more fully. How to better manage anxiety, improve mood, improve coping skills, and better your interpersonal relationships are something I enjoy helping people with. I also address people's history of trauma and how that may be affecting their life and/or relationships.
![Photo of Megan Hasley, LISW, CFLE, IMH-E, Clinical Social Work/Therapist](https://photos.psychologytoday.com/229d49d6-464f-4757-8492-e0c1c7159d3a/1/320x400.jpeg)
Megan Hasley
Clinical Social Work/Therapist, LISW, CFLE, IMH-E
Verified Verified
4 Endorsed
West Des Moines, IA 50266
I believe people heal through relationship and healthy connections. Whether these relationships be a parent-child connection, romantic relationship, supportive friendship, or a healthy relationship with yourself. I offer a strengths based and trauma informed therapeutic approach to work with adults, children, and families to meet your unique needs.
I believe people heal through relationship and healthy connections. Whether these relationships be a parent-child connection, romantic relationship, supportive friendship, or a healthy relationship with yourself. I offer a strengths based and trauma informed therapeutic approach to work with adults, children, and families to meet your unique needs.
![Photo of Hannah Frerichs, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/063e9583-ea74-4952-b1ff-088116ffe176/2/320x400.jpeg)
I specialize in Anxiety, Borderline Personality Disorder, Bipolar, Coping Skills, Depression, Grief, Life Transitions, Mindfulness, Peer Relationships, Relationship Issues, Self-Esteem, Stress, Suicidal Ideation. Therapy is a tool that I believe everyone can benefit from. I strive to create a safe and comfortable space that promotes personal change and growth.
I specialize in Anxiety, Borderline Personality Disorder, Bipolar, Coping Skills, Depression, Grief, Life Transitions, Mindfulness, Peer Relationships, Relationship Issues, Self-Esteem, Stress, Suicidal Ideation. Therapy is a tool that I believe everyone can benefit from. I strive to create a safe and comfortable space that promotes personal change and growth.
![Photo of Amy M Tiefenthaler, LMHC, Counselor](https://photos.psychologytoday.com/4785c7a9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Serving Children and Families in the Des Moines Area for over 9 years. Specializing in Youth, Adolescent ages, and pre/post natal parenting.
Serving Children and Families in the Des Moines Area for over 9 years. Specializing in Youth, Adolescent ages, and pre/post natal parenting.
![Photo of Ali Dotson, MA, LMHC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c2e8b8f1-0571-427a-ad03-2e62606ece63/1/320x400.jpeg)
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.
![Photo of Rich Webster, MA, JD, LMHC, Counselor](https://photos.psychologytoday.com/45101ca0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rich Webster
Counselor, MA, JD, LMHC
Verified Verified
3 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
I am excited to announce my practice is expanding. We now have three licensed therapists who are all fantastic caring people. It is important to accept a person exactly where they are, in a safe and non-judgmental space where we can explore their issues, find and nurture hope, and together work toward growth and equanimity. As a counselor, my job is to hear, accept and understand my client as a whole person and provide strategies to achieve their goals. Growth, healing and change can be challenging and may take hard work on the part of the client and the counselor. I am honored to be a part of that process with my clients.
I am excited to announce my practice is expanding. We now have three licensed therapists who are all fantastic caring people. It is important to accept a person exactly where they are, in a safe and non-judgmental space where we can explore their issues, find and nurture hope, and together work toward growth and equanimity. As a counselor, my job is to hear, accept and understand my client as a whole person and provide strategies to achieve their goals. Growth, healing and change can be challenging and may take hard work on the part of the client and the counselor. I am honored to be a part of that process with my clients.
![Photo of Christopher A Marks, LMHC, Counselor](https://photos.psychologytoday.com/b00f1fd2-19b4-479f-b581-a7dba4e10a7e/1/320x400.jpeg)
I am a fully licensed mental health counselor who has been practicing for 12 years. I enjoy helping people reach their full potential and lead happy, healthy lives. I have experience supporting a wide range of individuals and couples while specializing in depression, anxiety, alcoholism/addiction, and trauma-related work. I work with clients, ages 14 and up, and I love my profession. I feel privileged to support so many who work so hard to improve their lives and their mental health. I would truly appreciate the opportunity to serve you and or your family.
I am a fully licensed mental health counselor who has been practicing for 12 years. I enjoy helping people reach their full potential and lead happy, healthy lives. I have experience supporting a wide range of individuals and couples while specializing in depression, anxiety, alcoholism/addiction, and trauma-related work. I work with clients, ages 14 and up, and I love my profession. I feel privileged to support so many who work so hard to improve their lives and their mental health. I would truly appreciate the opportunity to serve you and or your family.
![Photo of Courtney Kleinschmidt, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f8174824-79b4-40b2-a7cb-91b69a789968/1/320x400.jpeg)
Courtney Kleinschmidt
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
West Des Moines, IA 50266
I welcome clients from all backgrounds and strive to continually educate myself on trauma, codependency, amongst other topics but those two the most. I will work with you to build off your strengths by meeting you where you are at in order to work towards being the best version of yourself. Whether it be life transitions, your identity, struggling with intense emotions or wanting to work through trauma, I will support you all the way.
I welcome clients from all backgrounds and strive to continually educate myself on trauma, codependency, amongst other topics but those two the most. I will work with you to build off your strengths by meeting you where you are at in order to work towards being the best version of yourself. Whether it be life transitions, your identity, struggling with intense emotions or wanting to work through trauma, I will support you all the way.
![Photo of Bridgette Hagarty, PsyD, Psychologist](https://photos.psychologytoday.com/dbd43063-a840-4aab-a85b-1d2b437a0d26/1/320x400.jpeg)
Bridgette Hagarty
Psychologist, PsyD
Verified Verified
West Des Moines, IA 50265
Not accepting new clients
I believe success in therapy is based on a trusting and respectful therapeutic relationship. I provide individual, couple and family therapy to adolescents and adults in West Des Moines, IA. As a clinical psychologist, I draw from treatments that are supported by research and tailor the treatments to meet the specific needs of each individual.
I believe success in therapy is based on a trusting and respectful therapeutic relationship. I provide individual, couple and family therapy to adolescents and adults in West Des Moines, IA. As a clinical psychologist, I draw from treatments that are supported by research and tailor the treatments to meet the specific needs of each individual.
![Photo of Ashley Stavig, MA, LMHC, Counselor](https://photos.psychologytoday.com/3d83c08d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
Ashley is a Licensed Mental Health Counselor who utilizes a range of modalities to help address areas of concern including depression, anxiety and trauma. Ashley believes therapy is a process in which the therapist and client collaborate to create positive change. Her professional training includes EMDR (Eye Movement Desensitization Reprocessing) and TF-EAP (Trauma Focused-Equine Assisted Psychotherapy). Therapy is a time to address underlying issues so you can reach your goals and enjoy life!
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![Photo of Naomi E Bloom, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/57978400-a87f-4394-9425-e934a5769bf5/2/320x400.jpeg)
In addition to traditional in-office psychotherapy, I am accepting families and couples for intensive in-home therapy for a private fee. Are you looking for a warm, direct, compassionate, non-judgmental therapist who can help you gain greater insight into your thoughts, patterns and behaviors and achieve lasting change? I create a relaxed, confidential environment and never pressure clients to discuss topics before they are ready. I am passionate about helping my clients create authentic, fulfilling lives that reflect their passions. Specializing in relationship/marital therapy and treatment for sexual issues in both men and women.
In addition to traditional in-office psychotherapy, I am accepting families and couples for intensive in-home therapy for a private fee. Are you looking for a warm, direct, compassionate, non-judgmental therapist who can help you gain greater insight into your thoughts, patterns and behaviors and achieve lasting change? I create a relaxed, confidential environment and never pressure clients to discuss topics before they are ready. I am passionate about helping my clients create authentic, fulfilling lives that reflect their passions. Specializing in relationship/marital therapy and treatment for sexual issues in both men and women.
![Photo of Jenna Frieden, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4a84d982-d9df-4441-ba5b-c83d9471d30f/1/320x400.jpeg)
Jenna Frieden
Clinical Social Work/Therapist, LISW
Verified Verified
3 Endorsed
West Des Moines, IA 50266
Accepting new clients! It is an honor that you are considering me as a therapist. I strive to provide a supportive and nonjudgmental environment for all of my clients and their families. I am a compassionate person with a warm personality. I typically use cognitive behavioral therapy(CBT), sand tray, child centered play therapy, and other play-based interventions in my therapy sessions. I invite your feedback throughout the therapeutic process and modify therapeutic interventions depending on your specific wants and needs.
Accepting new clients! It is an honor that you are considering me as a therapist. I strive to provide a supportive and nonjudgmental environment for all of my clients and their families. I am a compassionate person with a warm personality. I typically use cognitive behavioral therapy(CBT), sand tray, child centered play therapy, and other play-based interventions in my therapy sessions. I invite your feedback throughout the therapeutic process and modify therapeutic interventions depending on your specific wants and needs.
![Photo of Daren M. Jaques, MS, JD, tLMHC, NCC, Counselor](https://photos.psychologytoday.com/7ea6e328-1105-49a9-9abd-a90666da708a/2/320x400.jpeg)
Daren M. Jaques
Counselor, MS, JD, tLMHC, NCC
Verified Verified
5 Endorsed
West Des Moines, IA 50266
I am a person-centered therapist who values the quality of the therapist-client relationship above all else. I believe each person is an expert on their own life, and I incorporate humanistic, cognitive-behavioral, and other empirically based techniques and interventions that are individually tailored for each client. My areas of focus include trauma (PTSD), depression, anxiety, veteran's issues (I am an Army veteran), substance misuse, life transitions, relationship struggles, and vocational distress. I am also deeply interested in sleep disorders and sports psychology.
I am a person-centered therapist who values the quality of the therapist-client relationship above all else. I believe each person is an expert on their own life, and I incorporate humanistic, cognitive-behavioral, and other empirically based techniques and interventions that are individually tailored for each client. My areas of focus include trauma (PTSD), depression, anxiety, veteran's issues (I am an Army veteran), substance misuse, life transitions, relationship struggles, and vocational distress. I am also deeply interested in sleep disorders and sports psychology.
![Photo of Dr. Kristen Muleya, PhD, tLMHC, Counselor](https://photos.psychologytoday.com/82080577-e49c-4cb6-9044-263e595d4e62/1/320x400.jpeg)
I am dedicated to empowering individuals to take control of their lives and make informed decisions. By working collaboratively with clients, I aim to provide clarity and act as a reliable sounding board. My approach is rooted in evidence-based therapeutic treatment modalities that prioritize empathy, respect, and active listening. I am passionate about helping clients develop the skills and strategies necessary to cope with difficult situations, feel empowered to make positive changes, and achieve their goals.
I am dedicated to empowering individuals to take control of their lives and make informed decisions. By working collaboratively with clients, I aim to provide clarity and act as a reliable sounding board. My approach is rooted in evidence-based therapeutic treatment modalities that prioritize empathy, respect, and active listening. I am passionate about helping clients develop the skills and strategies necessary to cope with difficult situations, feel empowered to make positive changes, and achieve their goals.
![Photo of Cheryl Garland, MS, LMHC, RPT-S, Counselor](https://photos.psychologytoday.com/3e4683fe-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Since 2008 Integrative Counseling Solutions, Inc has been reaching out to schools and rural communities in Central Iowa to make mental health services more accessible.
Since 2008 Integrative Counseling Solutions, Inc has been reaching out to schools and rural communities in Central Iowa to make mental health services more accessible.
![Photo of Hope Hunt, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/982dc5c3-e83c-4f14-8da8-db8cab2fdd37/3/320x400.jpeg)
Hope Hunt
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50265
Waitlist for new clients
currently have a waitlist! I offer a calm, welcoming, authentic, and supportive environment to help clients reach their full potential. My first focus with clients is building a trusting relationship and getting to know you as a whole individual as I feel this contributes to the therapeutic process. I am here to support you in making the changes you want in your life to help improve the overall quality. We will work together to create specific and attainable goals to help you achieve the outcome you desire.
currently have a waitlist! I offer a calm, welcoming, authentic, and supportive environment to help clients reach their full potential. My first focus with clients is building a trusting relationship and getting to know you as a whole individual as I feel this contributes to the therapeutic process. I am here to support you in making the changes you want in your life to help improve the overall quality. We will work together to create specific and attainable goals to help you achieve the outcome you desire.
![Photo of Lauren Baker, LISW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c2544585-fad6-4315-bb3a-e67cc59b3aee/1/320x400.jpeg)
Lauren is a Licensed Independent Social Worker. She graduated from the University of Northern Iowa with a Bachelor's Degree in Psychology and went on to receive her Masters Degree in Social Work from the University of Iowa in 2009. Lauren practices research-based therapeutic interventions, including EMDR, to support others in finding their path to coping and healing. She is passionate about helping to build self-awareness, perspectives, hope, courage and wisdom.
Lauren is a Licensed Independent Social Worker. She graduated from the University of Northern Iowa with a Bachelor's Degree in Psychology and went on to receive her Masters Degree in Social Work from the University of Iowa in 2009. Lauren practices research-based therapeutic interventions, including EMDR, to support others in finding their path to coping and healing. She is passionate about helping to build self-awareness, perspectives, hope, courage and wisdom.
![Photo of Rebecca Williams, MSW, LISW, IMH-E®, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b164cfb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rebecca Williams
Clinical Social Work/Therapist, MSW, LISW, IMH-E®
Verified Verified
2 Endorsed
West Des Moines, IA 50266
It takes strength and courage to ask for help. My goal is to help you use your strength to achieve your goals. The challenges of trauma, anxiety, depression and life events can be overwhelming. Whether you are needing support for yourself or your child, I offer a strength based and trauma informed therapeutic approach. I will work with you and your child to develop goals that build on your strengths and move towards healing. I use a strength based, trauma informed approach to services while using a variety of interventions specific to you or your child's needs.
It takes strength and courage to ask for help. My goal is to help you use your strength to achieve your goals. The challenges of trauma, anxiety, depression and life events can be overwhelming. Whether you are needing support for yourself or your child, I offer a strength based and trauma informed therapeutic approach. I will work with you and your child to develop goals that build on your strengths and move towards healing. I use a strength based, trauma informed approach to services while using a variety of interventions specific to you or your child's needs.
![Photo of Christy J Meyer, LMHC, LMHP, Counselor](https://photos.psychologytoday.com/fae29c0b-b0c0-4cca-ab82-88a4140b1214/2/320x400.jpeg)
My name is Christy Meyer. I have been a therapist for 25 years but my best experience in life is my experience as a mother. I have worked in parent education, I have experience as an adoptive mother and a foster mom. I love working with individuals in life transitions, I have worked with many people who have experienced significant trauma. I teach parenting, communication and train foster parents. I have been part of the first responder mental health community in Des Moines for the past 8 years. I am CISM certified in debriefing of critical incidents.
My name is Christy Meyer. I have been a therapist for 25 years but my best experience in life is my experience as a mother. I have worked in parent education, I have experience as an adoptive mother and a foster mom. I love working with individuals in life transitions, I have worked with many people who have experienced significant trauma. I teach parenting, communication and train foster parents. I have been part of the first responder mental health community in Des Moines for the past 8 years. I am CISM certified in debriefing of critical incidents.
See more therapy options for West Des Moines
Nearby Searches for West Des Moines
- Ankeny
- Beaverdale
- Clive
- Des Moines
- Grimes
- Johnston
- Norwalk
- Pleasant Hill
- Polk City
- Urbandale
- Waukee
- Windsor Heights
How does your Therapist compare?
Number of Therapists in West Des Moines, IA
300+
Average cost per session
$158
Therapists in West Des Moines, IA who prioritize treating:
95% | Anxiety |
90% | Depression |
78% | Self Esteem |
77% | Relationship Issues |
74% | Trauma and PTSD |
73% | Stress |
71% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
87% | BlueCross and BlueShield |
83% | Wellmark BCBS |
49% | UnitedHealthcare UHC | UBH |
How Therapists in West Des Moines, IA see their clients
90% | In Person and Online | |
10% | Online Only |
Gender breakdown
79% | Female | |
20% | 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
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.