Therapists in Garfield County, OK

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Photo of Kyla S. Ford, MA,  LPC, Licensed Professional Counselor
Kyla S. Ford
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Enid, OK 73701
Hello! My name is Kyla Ford, and I am an LPC (Licensed Professional Counselor) practicing at Wright Counseling Solutions in Enid, OK. I use an eclectic approach of evidence-based therapies and techniques (which can include CBT, Solution-Focused Therapy, and many others) to provide individualized help based on each client's unique needs. I love coming alongside clients to help them work through life's challenges and helping them reach their goals.
Hello! My name is Kyla Ford, and I am an LPC (Licensed Professional Counselor) practicing at Wright Counseling Solutions in Enid, OK. I use an eclectic approach of evidence-based therapies and techniques (which can include CBT, Solution-Focused Therapy, and many others) to provide individualized help based on each client's unique needs. I love coming alongside clients to help them work through life's challenges and helping them reach their goals.
(580) 209-4418 View (580) 209-4418
Photo of Tabitha Valtr Sharp, MS, LMFT, Marriage & Family Therapist
Tabitha Valtr Sharp
Marriage & Family Therapist, MS, LMFT
Verified Verified
Enid, OK 73701
Hello! My purpose is to help you reach your goals in a collaborative effort, and don't let my license mislead you, I help individuals as well as couples. You are the expert of your life, but that doesn't mean that you don't need a little extra help though the hard times. That is where I can assist, support, and collaborate with you as we work to reach your goals. Feeling down, stressed, or alone? I am here to show you compassion, empathy, and strength by helping you reach your goals, becoming a healthier you and healthier family.
Hello! My purpose is to help you reach your goals in a collaborative effort, and don't let my license mislead you, I help individuals as well as couples. You are the expert of your life, but that doesn't mean that you don't need a little extra help though the hard times. That is where I can assist, support, and collaborate with you as we work to reach your goals. Feeling down, stressed, or alone? I am here to show you compassion, empathy, and strength by helping you reach your goals, becoming a healthier you and healthier family.
(580) 203-4137 View (580) 203-4137
Photo of Tonda Smoot, MBS, LPC, Licensed Professional Counselor
Tonda Smoot
Licensed Professional Counselor, MBS, LPC
Verified Verified
Enid, OK 73701
I am a licensed professional counselor who has a wide range of experience. I have helped others with several mental health issues such as depression, anxiety, grief, narcissism, gaslighting, and co-dependency since 1999. I have years of experience working in the LGBTQ+ community, encompassing a wide variety of issues experienced on a daily basis. Let's face it, life is hard and it's always nice to be heard and helped throughout daily struggles. I will continue to work with clients in behavioral modification and CBT methods to improve lifestyle achievements and goals. I absolutely love my career choice and would love to help you.
I am a licensed professional counselor who has a wide range of experience. I have helped others with several mental health issues such as depression, anxiety, grief, narcissism, gaslighting, and co-dependency since 1999. I have years of experience working in the LGBTQ+ community, encompassing a wide variety of issues experienced on a daily basis. Let's face it, life is hard and it's always nice to be heard and helped throughout daily struggles. I will continue to work with clients in behavioral modification and CBT methods to improve lifestyle achievements and goals. I absolutely love my career choice and would love to help you.
(580) 265-5850 View (580) 265-5850
Photo of Crystal Lovinggood - LivingWell Counseling, LADC/MH, Drug & Alcohol Counselor
LivingWell Counseling
Drug & Alcohol Counselor, LADC/MH
Verified Verified
Enid, OK 73703
I believe that people deserve to be wholly well. I aim to help people fall in love with the life they are living. If you frequently feel as though you are walking through the motions of life and are just existing, you deserve more. If you feel like you can’t break the cycles that constantly set you back, you deserve freedom. You deserve to wake up excited and content with your life.
I believe that people deserve to be wholly well. I aim to help people fall in love with the life they are living. If you frequently feel as though you are walking through the motions of life and are just existing, you deserve more. If you feel like you can’t break the cycles that constantly set you back, you deserve freedom. You deserve to wake up excited and content with your life.
(580) 706-6549 View (580) 706-6549
Photo of Shanan Conder, EdS, MEd, LPC, NCSP, Licensed Professional Counselor
Shanan Conder
Licensed Professional Counselor, EdS, MEd, LPC, NCSP
Verified Verified
1 Endorsed
Enid, OK 73701
I am a Nationally Certified School Psychologist and Licensed Professional Counselor who provides diagnostic assessments for clients across the state of Oklahoma. Assessments I offer include, Dyslexia, ADHD, Autism, Learning Disabilities, and Emotional Disturbances like Anxiety and Depression. When a child or loved one is struggling to learn in school or to regulate their emotions and behaviors it can make us feel like their world is unraveling. Parents often feel determined to find answers and desperate to support their child in their development. We want to see them thrive.
I am a Nationally Certified School Psychologist and Licensed Professional Counselor who provides diagnostic assessments for clients across the state of Oklahoma. Assessments I offer include, Dyslexia, ADHD, Autism, Learning Disabilities, and Emotional Disturbances like Anxiety and Depression. When a child or loved one is struggling to learn in school or to regulate their emotions and behaviors it can make us feel like their world is unraveling. Parents often feel determined to find answers and desperate to support their child in their development. We want to see them thrive.
(580) 246-5049 View (580) 246-5049
Photo of Jessica Pendergraft, MCP, LPC, Licensed Professional Counselor
Jessica Pendergraft
Licensed Professional Counselor, MCP, LPC
Verified Verified
Enid, OK 73701
My name is Jessica Pendergraft, and I am a Licensed Professional Counselor (LPC) practicing at Wright Counseling Solutions in Enid, Oklahoma. I have been practicing in the Enid area for over 8 years providing various therapeutic services. I have experience in a range of mental health services including mood disorders, parenting therapy, family therapy, support for survivors of domestic violence and/or their children with these services including most age ranges from children to adults. I strive to continue learning evidenced based therapeutic approaches to serve my client’s unique individual needs.
My name is Jessica Pendergraft, and I am a Licensed Professional Counselor (LPC) practicing at Wright Counseling Solutions in Enid, Oklahoma. I have been practicing in the Enid area for over 8 years providing various therapeutic services. I have experience in a range of mental health services including mood disorders, parenting therapy, family therapy, support for survivors of domestic violence and/or their children with these services including most age ranges from children to adults. I strive to continue learning evidenced based therapeutic approaches to serve my client’s unique individual needs.
(580) 681-1620 View (580) 681-1620
Photo of Tasha Jantzen, MA, LADC-MH, CS, Drug & Alcohol Counselor
Tasha Jantzen
Drug & Alcohol Counselor, MA, LADC-MH, CS
Verified Verified
2 Endorsed
Enid, OK 73703
Are you stressed, depressed, anxious? Has your life been impacted by trauma, substance abuse, co-dependency, gambling, relationship issues or grief? I want to help. I have over 20 years of experience helping others. I am trained & licensed to treat both substance use & mental health problems. When life rocks us with its ups and downs, we need someone to help us make sense of it all. My approach is wholistic - my focus is on helping you develop and reach your personal goals - to get you to where you want to be. I provide individual, couples & group therapy.
Are you stressed, depressed, anxious? Has your life been impacted by trauma, substance abuse, co-dependency, gambling, relationship issues or grief? I want to help. I have over 20 years of experience helping others. I am trained & licensed to treat both substance use & mental health problems. When life rocks us with its ups and downs, we need someone to help us make sense of it all. My approach is wholistic - my focus is on helping you develop and reach your personal goals - to get you to where you want to be. I provide individual, couples & group therapy.
(580) 648-4426 View (580) 648-4426
Photo of Brian Wright, MCP, LPC-S, LADC-S, Licensed Professional Counselor
Brian Wright
Licensed Professional Counselor, MCP, LPC-S, LADC-S
Verified Verified
2 Endorsed
Enid, OK 73701
My name is Brian Wright and I am a duly licensed therapist based in Enid, OK. I have been in practice for 16 years and currently hold two different licenses, LPC (licensed professional counselor 5046) and LADC (licensed alcohol and drug counselor 1248). I am experienced providing therapy to those struggling with addictions, marital issues, mood disorders, relationship issues, family issues and more. I provide alcohol and drug assessments such as the ADSAC assessment and the SAP assessment as well as drug and alcohol treatment.
My name is Brian Wright and I am a duly licensed therapist based in Enid, OK. I have been in practice for 16 years and currently hold two different licenses, LPC (licensed professional counselor 5046) and LADC (licensed alcohol and drug counselor 1248). I am experienced providing therapy to those struggling with addictions, marital issues, mood disorders, relationship issues, family issues and more. I provide alcohol and drug assessments such as the ADSAC assessment and the SAP assessment as well as drug and alcohol treatment.
(580) 560-7173 View (580) 560-7173
Photo of Jennifer Johnson, LPC, Licensed Professional Counselor
Jennifer Johnson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Enid, OK 73703
Feeling run down, overwhelmed, unheard? You push yourself daily to assure everyone’s needs are met, ignoring your own. Always putting yourself on the back burner. Secretly hoping no one will see you for the failure you believe yourself to be, when you’re really doing a great job. However, the fear of it all falling apart won’t let you believe it or rest. You want to stop, break the cycle but you don’t know how or where to start. Does this sound like a familiar story?
Feeling run down, overwhelmed, unheard? You push yourself daily to assure everyone’s needs are met, ignoring your own. Always putting yourself on the back burner. Secretly hoping no one will see you for the failure you believe yourself to be, when you’re really doing a great job. However, the fear of it all falling apart won’t let you believe it or rest. You want to stop, break the cycle but you don’t know how or where to start. Does this sound like a familiar story?
(580) 530-5342 View (580) 530-5342
Photo of Melissa R Baldwin, MA, LPC, LADC, Licensed Professional Counselor
Melissa R Baldwin
Licensed Professional Counselor, MA, LPC, LADC
Verified Verified
3 Endorsed
Enid, OK 73703
Hi! I am a therapist in private practice who is experienced in providing therapy for clients who struggle with multiple issues including Mood disorders (depression, anxiety), Bipolar disorders, trauma, relationships, addictions, and substance abuse. I enjoy working with individuals, couples, and families. My style of therapy is client centered with a focus on education. In therapy, I use a multi-disciplinary approach with evidenced based practices to help you achieve your goals. In therapy, we work together to achieve the changes you have been wanting. I look forward to hearing from you soon!
Hi! I am a therapist in private practice who is experienced in providing therapy for clients who struggle with multiple issues including Mood disorders (depression, anxiety), Bipolar disorders, trauma, relationships, addictions, and substance abuse. I enjoy working with individuals, couples, and families. My style of therapy is client centered with a focus on education. In therapy, I use a multi-disciplinary approach with evidenced based practices to help you achieve your goals. In therapy, we work together to achieve the changes you have been wanting. I look forward to hearing from you soon!
(580) 609-4089 View (580) 609-4089
Photo of Desiree B Selby - Selby Counseling Solutions, Pre-Licensed Professional
Selby Counseling Solutions
Pre-Licensed Professional
Verified Verified
Enid, OK 73701
The therapeutic journey is creative, uncertain, and different for each client. With this being said, I will attempt to create an authentic and unique environment for each client. I use existential therapy to explore themes of meaning, anxiety, depression, anger, responsibility, loneliness, authenticity, and how our choices dictate how we feel and ultimately how our future pans out. I use this approach to empower my clients so they have the ability to realize that the way they react to daily living is a choice that they can control. I want to help guide my clients into being the person they feel that they were born to be.
The therapeutic journey is creative, uncertain, and different for each client. With this being said, I will attempt to create an authentic and unique environment for each client. I use existential therapy to explore themes of meaning, anxiety, depression, anger, responsibility, loneliness, authenticity, and how our choices dictate how we feel and ultimately how our future pans out. I use this approach to empower my clients so they have the ability to realize that the way they react to daily living is a choice that they can control. I want to help guide my clients into being the person they feel that they were born to be.
(580) 997-4520 View (580) 997-4520
Photo of Sharon Semrad, MCP, LPC, Licensed Professional Counselor
Sharon Semrad
Licensed Professional Counselor, MCP, LPC
Verified Verified
Enid, OK 73701
I’m a Licensed Professional Counselor committed to helping people learn how to build healthier relationships, manage stress, and work through past negative events. My work focuses on targeting ineffective thoughts & behaviors. I am passionate about helping others find healthy ways to cope with life challenges.
I’m a Licensed Professional Counselor committed to helping people learn how to build healthier relationships, manage stress, and work through past negative events. My work focuses on targeting ineffective thoughts & behaviors. I am passionate about helping others find healthy ways to cope with life challenges.
(580) 203-4371 View (580) 203-4371
Photo of Sean P Byrne - The Byrne Center, MEd, MCP, LPC-S, LMSW, Licensed Professional Counselor
The Byrne Center
Licensed Professional Counselor, MEd, MCP, LPC-S, LMSW
Verified Verified
2 Endorsed
Enid, OK 73701  (Online Only)
The Byrne Center was created to empower growth and healing through Narrative Therapy and EMDR counseling. Sean Byrne, M.Ed., MCP, CPS, LMSW, LPC has over 20 years experience in system and individual change. We treat a variety of issues including depression, anxiety, trauma, urge reduction (smoking, weight loss, gambling, etc..), mental illness, addiction, and behavioral problems.
The Byrne Center was created to empower growth and healing through Narrative Therapy and EMDR counseling. Sean Byrne, M.Ed., MCP, CPS, LMSW, LPC has over 20 years experience in system and individual change. We treat a variety of issues including depression, anxiety, trauma, urge reduction (smoking, weight loss, gambling, etc..), mental illness, addiction, and behavioral problems.
(580) 379-0848 View (580) 379-0848
Photo of Sharon Groves, LCSW, Clinical Social Work/Therapist
Sharon Groves
Clinical Social Work/Therapist, LCSW
Verified Verified
Enid, OK 73703
Sometimes life’s challenges are more than we can manage alone. Whether you are experiencing anxiety, depression, grief, trauma, or any other issue, you don’t have to journey alone. Together we will discover your strengths and explore solutions to your challenges. I utilize a whole-person, conversational approach, to create an atmosphere for personal discovery and growth.
Sometimes life’s challenges are more than we can manage alone. Whether you are experiencing anxiety, depression, grief, trauma, or any other issue, you don’t have to journey alone. Together we will discover your strengths and explore solutions to your challenges. I utilize a whole-person, conversational approach, to create an atmosphere for personal discovery and growth.
(580) 200-8332 View (580) 200-8332
Photo of Peggy Dunson-Bower - Peace of Mind & Wellness, LPC, NCC, LMFT, USSW, Licensed Professional Counselor
Peace of Mind & Wellness
Licensed Professional Counselor, LPC, NCC, LMFT, USSW
Verified Verified
Enid, OK 73703
When life is challenging and emotions are high, the skilled counselors and therapists at Peace of Mind and Wellness are here to provide a safe and supportive environment for all clients. Our team promises to respect every client and their privacy as we encourage opportunities for you to improve your Peace of Mind as you heal your past or learn to manage your present. We utilize many therapeutic approaches to address a wide range of diagnoses.
When life is challenging and emotions are high, the skilled counselors and therapists at Peace of Mind and Wellness are here to provide a safe and supportive environment for all clients. Our team promises to respect every client and their privacy as we encourage opportunities for you to improve your Peace of Mind as you heal your past or learn to manage your present. We utilize many therapeutic approaches to address a wide range of diagnoses.
(580) 297-7192 x580477 View (580) 297-7192 x580477
Photo of Justin Tyler Loughman, MS, LMFT, Marriage & Family Therapist
Justin Tyler Loughman
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Enid, OK 73703
I have over 20 years of experience helping individuals, couples, and families achieve their therapy goals. My personal therapeutic philosophy is that emotional healing takes place when you address the well-being of the whole person - Mind, Body, and Soul. There is nothing better than seeing an individual caught in the grip of anxiety and depression, find lasting relief; or a couple on the brink of divorce transform into a healthy, loving relationship; or someone finding peace and healing from lifelong childhood-trauma.
I have over 20 years of experience helping individuals, couples, and families achieve their therapy goals. My personal therapeutic philosophy is that emotional healing takes place when you address the well-being of the whole person - Mind, Body, and Soul. There is nothing better than seeing an individual caught in the grip of anxiety and depression, find lasting relief; or a couple on the brink of divorce transform into a healthy, loving relationship; or someone finding peace and healing from lifelong childhood-trauma.
(580) 309-5159 View (580) 309-5159
Dana Kausek
Clinical Social Work/Therapist, LCSW
Verified Verified
Enid, OK 73703  (Online Only)
Life can sometimes leave you feeling overwhelmed, unfulfilled, and lost. You may feel that you are constantly treading water while never reaching land. Or maybe you are stuck in a repeating pattern of always saying "yes" to others when you really want to say "no". Perhaps you are struggling to find the best version of yourself due to putting others needs before your own. You may also be your worst critic, constantly putting yourself down no matter how hard and how much effort you put into yourself. If this sounds like something you may struggle with you've landed on the right page.
Life can sometimes leave you feeling overwhelmed, unfulfilled, and lost. You may feel that you are constantly treading water while never reaching land. Or maybe you are stuck in a repeating pattern of always saying "yes" to others when you really want to say "no". Perhaps you are struggling to find the best version of yourself due to putting others needs before your own. You may also be your worst critic, constantly putting yourself down no matter how hard and how much effort you put into yourself. If this sounds like something you may struggle with you've landed on the right page.
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Photo of Whitney Hake, MCP, LPC, Licensed Professional Counselor
Whitney Hake
Licensed Professional Counselor, MCP, LPC
Verified Verified
3 Endorsed
Enid, OK 73701
My priority in the counseling process is to ensure a trusting therapeutic relationship between you and I, so that you can grow and freely explore your emotions. No two people are the same, and it is my mission for us to work together to establish goals that are personalized to fit your unique needs. I am passionate about advocating for your relationship with yourself and others so you can have the confidence to handle the challenges of life. I work with children, adolescents, adults, and families.
My priority in the counseling process is to ensure a trusting therapeutic relationship between you and I, so that you can grow and freely explore your emotions. No two people are the same, and it is my mission for us to work together to establish goals that are personalized to fit your unique needs. I am passionate about advocating for your relationship with yourself and others so you can have the confidence to handle the challenges of life. I work with children, adolescents, adults, and families.
(580) 263-5563 View (580) 263-5563
Photo of Dr. Angela Michelle Jackson, PhD, LPC, Licensed Professional Counselor
Dr. Angela Michelle Jackson
Licensed Professional Counselor, PhD, LPC
Verified Verified
Enid, OK 73703
Life is not always sunny. Storms are the inevitable, and suddenly they cloud our vision and attempt to shatter our dreams. But weathering these storms can pave the path to your destiny. Don't give up. Turn your agony into tranquility. You will receive active listening, unconditional positive regard, and empathy in your therapeutic relationship with me. I guide people in the direction of their divine purpose. Turn your battle into your victory. It is my honor to assist you with navigating the complex world of change that sometimes inflicts confusion, heartache, and unbearable pain.
Life is not always sunny. Storms are the inevitable, and suddenly they cloud our vision and attempt to shatter our dreams. But weathering these storms can pave the path to your destiny. Don't give up. Turn your agony into tranquility. You will receive active listening, unconditional positive regard, and empathy in your therapeutic relationship with me. I guide people in the direction of their divine purpose. Turn your battle into your victory. It is my honor to assist you with navigating the complex world of change that sometimes inflicts confusion, heartache, and unbearable pain.
(580) 207-7596 View (580) 207-7596
Photo of Jessica Bergmann, MA, LMFT, Marriage & Family Therapist
Jessica Bergmann
Marriage & Family Therapist, MA, LMFT
Verified Verified
Enid, OK 73705  (Online Only)
You Matter. You are worth it, Together we can do this. Deciding to come to therapy takes courage. I would be honored to partner with you and provide tools for you to live a more productive, peaceful, and satisfying life. I know from my experience as a therapist and life coach that you have the ability to make big changes in your life. If you are ready to do the work, you will be amazed at how capable you are.
You Matter. You are worth it, Together we can do this. Deciding to come to therapy takes courage. I would be honored to partner with you and provide tools for you to live a more productive, peaceful, and satisfying life. I know from my experience as a therapist and life coach that you have the ability to make big changes in your life. If you are ready to do the work, you will be amazed at how capable you are.
(580) 203-4580 View (580) 203-4580
1

See more therapy options for Garfield County

How does your Therapist compare?

Number of Therapists in Garfield County, OK

20+

Average cost per session

$95

Therapists in Garfield County, OK who prioritize treating:

93% Anxiety
85% Depression
74% Coping Skills
70% Relationship Issues
70% Trauma and PTSD
67% Anger Management
67% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
90% Health Choice
67% UnitedHealthcare UHC | UBH

How Therapists in Garfield County, OK see their clients

71% In Person and Online
29% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Garfield County?

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.