Therapists in Cascade, WI

There are no results for therapists in Cascade

Check out therapists located nearby or offering teletherapy in Wisconsin below.

More Therapists Nearby

Photo of Wendy Yurk, MS, LPC, Licensed Professional Counselor
Wendy Yurk
Licensed Professional Counselor, MS, LPC
Verified Verified
Glenbeulah, WI 53023  (Online Only)
To help achieve the goals you have in mind, whether you wish to improve the quality of your life or better cope with life's difficulties, I offer many years of experience and a collaborative, non-judgmental approach. My orientation is wholistic-mind, body, and spirit-in order to help you with the areas in which you want to focus. I use a variety of therapeutic techniques, especially those of cognitive-behavioral origin.
To help achieve the goals you have in mind, whether you wish to improve the quality of your life or better cope with life's difficulties, I offer many years of experience and a collaborative, non-judgmental approach. My orientation is wholistic-mind, body, and spirit-in order to help you with the areas in which you want to focus. I use a variety of therapeutic techniques, especially those of cognitive-behavioral origin.
(920) 473-2175 View (920) 473-2175
Photo of Dr. Timothy Freundl, PsyD, LPC, Licensed Professional Counselor
Dr. Timothy Freundl
Licensed Professional Counselor, PsyD, LPC
Verified Verified
Plymouth, WI 53073
My ideal client is someone who recognizes the importance of prioritizing their mental health and is motivated to actively engage in the therapeutic process. They may be experiencing a range of issues, such as anxiety, depression, trauma, or relationship difficulties, that are impacting their overall well-being and quality of life.
My ideal client is someone who recognizes the importance of prioritizing their mental health and is motivated to actively engage in the therapeutic process. They may be experiencing a range of issues, such as anxiety, depression, trauma, or relationship difficulties, that are impacting their overall well-being and quality of life.
(715) 602-8541 View (715) 602-8541
Photo of Donna Schelfhout, MAC, LPC, Licensed Professional Counselor
Donna Schelfhout
Licensed Professional Counselor, MAC, LPC
Verified Verified
Plymouth, WI 53073
Donna has 25 years of experience working with teens & married couples. She is trained in EMDR & is very diverse in specialties. Her passion is seeing clients find their own internal strengths while desensitizing past trauma. She utilizes various modalities to empower clients to make great strides in the therapy process. Donna offers Christian counseling, & is well versed in Solutions Focused therapy. She offers marriage & family therapy, grief therapy, & behavioral therapy. She has taught parenting classes, provides psycho-education about diagnosis, & has trauma training. She comes from a military-family background.
Donna has 25 years of experience working with teens & married couples. She is trained in EMDR & is very diverse in specialties. Her passion is seeing clients find their own internal strengths while desensitizing past trauma. She utilizes various modalities to empower clients to make great strides in the therapy process. Donna offers Christian counseling, & is well versed in Solutions Focused therapy. She offers marriage & family therapy, grief therapy, & behavioral therapy. She has taught parenting classes, provides psycho-education about diagnosis, & has trauma training. She comes from a military-family background.
(262) 288-2446 View (262) 288-2446
Photo of Nancy Winston, LPC, Licensed Professional Counselor
Nancy Winston
Licensed Professional Counselor, LPC
Verified Verified
Plymouth, WI 53073
Nancy uses an eclectic approach in counseling looking at the whole person and their emotional, spiritual, and physical needs. As an empathic listener, she helps guide clients toward reaching their personal goals, while learning coping strategies to deal with their challenges. She attains the experience with and understanding of individuals on the autism spectrum. Nancy has knowledge and experience helping cancer patients and their families deal with grief and the struggles of chronic illness.
Nancy uses an eclectic approach in counseling looking at the whole person and their emotional, spiritual, and physical needs. As an empathic listener, she helps guide clients toward reaching their personal goals, while learning coping strategies to deal with their challenges. She attains the experience with and understanding of individuals on the autism spectrum. Nancy has knowledge and experience helping cancer patients and their families deal with grief and the struggles of chronic illness.
(262) 235-7340 View (262) 235-7340
Photo of Joellen Walter - Joellen Walter LPC, PLLC, MA, LPC, Licensed Professional Counselor
Joellen Walter LPC, PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Campbellsport, WI 53010
My ideal client is one that wants to work on themselves and seeks change. I am directive, interactive and straightforward in my approach. Education, a sense of humor, feedback and curiosity are important in working with clients. My clients are often high functioning free thinkers. Learning to challenge the your internal status quo can often be challenging and scary. Clients I attract are stressed out executives having issues at home, work and with relationships , young adults who are trying to figure out what they want in life, and addicts of any sort who find themselves stuck, "Thinking is this all there is in life?"
My ideal client is one that wants to work on themselves and seeks change. I am directive, interactive and straightforward in my approach. Education, a sense of humor, feedback and curiosity are important in working with clients. My clients are often high functioning free thinkers. Learning to challenge the your internal status quo can often be challenging and scary. Clients I attract are stressed out executives having issues at home, work and with relationships , young adults who are trying to figure out what they want in life, and addicts of any sort who find themselves stuck, "Thinking is this all there is in life?"
(469) 306-0354 View (469) 306-0354

Online Therapists

Photo of Breanna Vaughn, APSW, Clinical Social Work/Therapist
Breanna Vaughn
Clinical Social Work/Therapist, APSW
Verified Verified
1 Endorsed
Waukesha, WI 53189
Are you looking to get out of the office for therapy? Look no further! I offer equine, canine, and nature assisted therapy! In our session, you will experience a safe, supportive, empathetic, and trusting environment to dig deep into your healing journey to find true progress and change. I will mindfully hold space for your emotions and experiences to create healing. My role as your therapist is to be a copilot who helps to guide you through and be a witness to your healing journey. I believe you are the expert in your story and have the power and expertise to create the changes you want to see in your life.
Are you looking to get out of the office for therapy? Look no further! I offer equine, canine, and nature assisted therapy! In our session, you will experience a safe, supportive, empathetic, and trusting environment to dig deep into your healing journey to find true progress and change. I will mindfully hold space for your emotions and experiences to create healing. My role as your therapist is to be a copilot who helps to guide you through and be a witness to your healing journey. I believe you are the expert in your story and have the power and expertise to create the changes you want to see in your life.
(262) 346-9214 View (262) 346-9214
Photo of Dr. Love C Dialogos, LMFT, PsyD, Marriage & Family Therapist
Dr. Love C Dialogos
Marriage & Family Therapist, LMFT, PsyD
Verified Verified
Madison, WI 53703
Best to submit contact us form on website. Licensed in WI, IL, NY, and FL. I identify as a Queer, Genderless, Womxn. I'm humanistic and person centered in my approaches. This essentially means that you decide the content of our sessions. I believe you are doing the very best you can in your life and you’ve come to a point where you need an additional perspective on a topic or situation. You may feel stuck, maybe you've tried a lot or a little to resolve your predicament. Either way that's where I come in. I'm a temporary stop on your journey. Therapy is not forever.
Best to submit contact us form on website. Licensed in WI, IL, NY, and FL. I identify as a Queer, Genderless, Womxn. I'm humanistic and person centered in my approaches. This essentially means that you decide the content of our sessions. I believe you are doing the very best you can in your life and you’ve come to a point where you need an additional perspective on a topic or situation. You may feel stuck, maybe you've tried a lot or a little to resolve your predicament. Either way that's where I come in. I'm a temporary stop on your journey. Therapy is not forever.
(608) 208-9857 View (608) 208-9857
Photo of Sarah Sutton, MS, LPC, Licensed Professional Counselor
Sarah Sutton
Licensed Professional Counselor, MS, LPC
Verified Verified
Milwaukee, WI 53202  (Online Only)
I operate from a strengths-based perspective and person-centered approach: I believe that all individuals have the internal resources and capacity to make changes and progress toward their goals. I weave in concepts from Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), and other skills-based approaches to manage difficult emotions, stressful life events, attachment wounds, and managing intrapersonal/interpersonal conflict. I am EMDR-trained.
I operate from a strengths-based perspective and person-centered approach: I believe that all individuals have the internal resources and capacity to make changes and progress toward their goals. I weave in concepts from Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), and other skills-based approaches to manage difficult emotions, stressful life events, attachment wounds, and managing intrapersonal/interpersonal conflict. I am EMDR-trained.
Photo of Christina Hauritz - Christina Hauritz - NOCD, LCMHC, Licensed Professional Counselor
Christina Hauritz - NOCD
Licensed Professional Counselor, LCMHC
Verified Verified
Milwaukee, WI 53217  (Online Only)
From a young age, I felt a deep-seated desire to make a positive difference in people's lives. My decision to specialize in OCD was deeply influenced by personal experience, familial connections, and professional exposure to individuals grappling with this challenging condition. I've seen the debilitating effects of OCD firsthand through the experiences of loved ones. My team and I at NOCD utilizes evidence-based approaches such as exposure and response prevention (ERP). You'll receive targeted and effective treatment specifically tailored to your OCD symptoms.
From a young age, I felt a deep-seated desire to make a positive difference in people's lives. My decision to specialize in OCD was deeply influenced by personal experience, familial connections, and professional exposure to individuals grappling with this challenging condition. I've seen the debilitating effects of OCD firsthand through the experiences of loved ones. My team and I at NOCD utilizes evidence-based approaches such as exposure and response prevention (ERP). You'll receive targeted and effective treatment specifically tailored to your OCD symptoms.
(385) 354-7810 View (385) 354-7810
Photo of Tammy M Beran, PhD, Psychologist
Tammy M Beran
Psychologist, PhD
Verified Verified
6 Endorsed
Milwaukee, WI 53204
Waitlist for new clients
Dr. Beran is a licensed Clinical Psychologist who has been providing evidence-based psychological care to individuals for the last 17 years. She received her PhD from the nation’s most highly rated clinical psychology program, UCLA, where she gained extensive experience helping people with anxiety, depression, relationship difficulties, chronic illness, trauma, and grief. A firm believer that academic knowledge is only part of what makes a quality therapist, Dr. Beran combines her in-depth psychological training with warmth, humor, and affection for her clients.
Dr. Beran is a licensed Clinical Psychologist who has been providing evidence-based psychological care to individuals for the last 17 years. She received her PhD from the nation’s most highly rated clinical psychology program, UCLA, where she gained extensive experience helping people with anxiety, depression, relationship difficulties, chronic illness, trauma, and grief. A firm believer that academic knowledge is only part of what makes a quality therapist, Dr. Beran combines her in-depth psychological training with warmth, humor, and affection for her clients.
(414) 206-1901 View (414) 206-1901
Photo of Dr. Alan M Jaffe, PsyD, Psychologist
Dr. Alan M Jaffe
Psychologist, PsyD
Verified Verified
Lake Geneva, WI 53147
A good fit between therapist and patient is an essential ingredient in forming an effective working alliance, assuming the therapist has strong academic credentials. That is why I encourage patients to do their research. The best way to determine whether people can work well together is to talk. There should be no charge for an initial phone consultation to evaluate this. If after a phone visit it doesn't feel like a good fit, I will help you find someone who is.
A good fit between therapist and patient is an essential ingredient in forming an effective working alliance, assuming the therapist has strong academic credentials. That is why I encourage patients to do their research. The best way to determine whether people can work well together is to talk. There should be no charge for an initial phone consultation to evaluate this. If after a phone visit it doesn't feel like a good fit, I will help you find someone who is.
(262) 729-4220 View (262) 729-4220
Photo of Bobby D. Walker - Bobby Walker, Therapist & Certified Sex Therapist, LCSW, CST, Clinical Social Work/Therapist
Bobby Walker, Therapist & Certified Sex Therapist
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
Madison, WI 53703
Most of my clients would identify as one or some of the following: people pleaser, high-achiever, over-functioner, perfectionist, over-thinker. If this describes you, I’d love to help. My approach focuses on tuning into emotions and your past experiences to help you 1) understand yourself on a newer and deeper level 2) detangle and clarify what you are feeling, 3) change the way you respond to difficult circumstances, 4) resolve long standing issues that sabotage your life & relationships, 5) prioritize yourself and your needs. An AASECT- Certified Sex Therapist, I’m passionate about treating sexual concerns.
Most of my clients would identify as one or some of the following: people pleaser, high-achiever, over-functioner, perfectionist, over-thinker. If this describes you, I’d love to help. My approach focuses on tuning into emotions and your past experiences to help you 1) understand yourself on a newer and deeper level 2) detangle and clarify what you are feeling, 3) change the way you respond to difficult circumstances, 4) resolve long standing issues that sabotage your life & relationships, 5) prioritize yourself and your needs. An AASECT- Certified Sex Therapist, I’m passionate about treating sexual concerns.
(608) 713-9159 View (608) 713-9159
Photo of Gabrielle Trecek, LCSW, Clinical Social Work/Therapist
Gabrielle Trecek
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Whitefish Bay, WI 53217
How long has it been since you truly felt like yourself? Like anxiety didn’t influence everything that you say or do? Since you didn’t feel chronically exhausted from constantly worrying about everyone else? You may have intrusive thoughts, have always considered yourself a perfectionist (even to a fault) or a people pleaser, spend hours on WebMD, Google, or worrying that your child will get hurt, or avoid more and more until your world feels small and scary. The things that once brought you joy and fulfillment have vanished from most of your waking hours until you don't even recognize yourself or your life anymore.
How long has it been since you truly felt like yourself? Like anxiety didn’t influence everything that you say or do? Since you didn’t feel chronically exhausted from constantly worrying about everyone else? You may have intrusive thoughts, have always considered yourself a perfectionist (even to a fault) or a people pleaser, spend hours on WebMD, Google, or worrying that your child will get hurt, or avoid more and more until your world feels small and scary. The things that once brought you joy and fulfillment have vanished from most of your waking hours until you don't even recognize yourself or your life anymore.
(414) 501-2020 View (414) 501-2020
Photo of Teresa Bingham, LCSW, Clinical Social Work/Therapist
Teresa Bingham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Beloit, WI 53511
I believe you are the expert on your lived experiences and use a strength -based approach in each interaction. I hope to provide an atmosphere in which you feel safe to find and express your story. My hope is that we work together to help you find your unique inner wisdom, trust in self, and develop profound self-compassion. I've spent my career utilizing a holistic approach working within systems- with adults, families and children- struggling to move forward from homelessness, loss, adjustment, substance use, trauma.
I believe you are the expert on your lived experiences and use a strength -based approach in each interaction. I hope to provide an atmosphere in which you feel safe to find and express your story. My hope is that we work together to help you find your unique inner wisdom, trust in self, and develop profound self-compassion. I've spent my career utilizing a holistic approach working within systems- with adults, families and children- struggling to move forward from homelessness, loss, adjustment, substance use, trauma.
(608) 979-7745 View (608) 979-7745
Photo of Beth Ann Wuerl, LCSW, Clinical Social Work/Therapist
Beth Ann Wuerl
Clinical Social Work/Therapist, LCSW
Verified Verified
Oconomowoc, WI 53066
Beth Ann Wuerl is a Licensed Clinical Social Worker, who has been practicing since 2014. She graduated from UW-Milwaukee with a Masters of Social Work with a focus in clinical treatment. After working in the Trauma Recovery Partial Hospitalization and Intensive Outpatient programs at Rogers Behavioral Health for approximately 3.5 years, Beth Ann transitioned into outpatient practice in 2018. Beth Ann primary mode of treatment is exposure therapy to treat phobias, OCD, anxiety and PTSD.
Beth Ann Wuerl is a Licensed Clinical Social Worker, who has been practicing since 2014. She graduated from UW-Milwaukee with a Masters of Social Work with a focus in clinical treatment. After working in the Trauma Recovery Partial Hospitalization and Intensive Outpatient programs at Rogers Behavioral Health for approximately 3.5 years, Beth Ann transitioned into outpatient practice in 2018. Beth Ann primary mode of treatment is exposure therapy to treat phobias, OCD, anxiety and PTSD.
(920) 633-3396 View (920) 633-3396
Photo of Kathryn Goel - Point Counseling Center, PhD, Psychologist
Point Counseling Center
Psychologist, PhD
Verified Verified
1 Endorsed
Stevens Point, WI 54481
Waitlist for new clients
Life can be stressful. You may be feeling worried, anxious or stressed. Perhaps you are feeling unmotivated and depressed- fighting to complete daily tasks. . Or maybe you're having panic attacks, or struggling with healing from a trauma. We want you to know you CAN feel better, and we can help.
Life can be stressful. You may be feeling worried, anxious or stressed. Perhaps you are feeling unmotivated and depressed- fighting to complete daily tasks. . Or maybe you're having panic attacks, or struggling with healing from a trauma. We want you to know you CAN feel better, and we can help.
(715) 997-4365 View (715) 997-4365
Photo of Cassaundra Brzeski, LPC-IT, Counselor
Cassaundra Brzeski
Counselor, LPC-IT
Verified Verified
Brookfield, WI 53045
As a clinician, my primary goal is to work collaboratively with clients to create concrete and meaningful change. I believe in recognizing the complex intersections of identity that shape one’s lived experience and strive to create a therapeutic experience wherein clients feel seen, heard, and respected as unique individuals. I believe you are the expert of your story and enjoy assisting clients in finding and using their inner gifts to grow, heal, and overcome challenges.
As a clinician, my primary goal is to work collaboratively with clients to create concrete and meaningful change. I believe in recognizing the complex intersections of identity that shape one’s lived experience and strive to create a therapeutic experience wherein clients feel seen, heard, and respected as unique individuals. I believe you are the expert of your story and enjoy assisting clients in finding and using their inner gifts to grow, heal, and overcome challenges.
(262) 588-3438 View (262) 588-3438
Photo of Dr. Irene Liem, PsyD, Psychologist
Dr. Irene Liem
Psychologist, PsyD
Verified Verified
3 Endorsed
Kenosha, WI 53144
Waitlist for new clients
My life mission is to help individuals and couples grow and achieve their fullest potential. Since a young age, I have found myself drawn to listening to and helping others. I utilize an integrative approach to working with clients. Every client is unique, and I tailor my approach to meet the particular needs of every client. You will find a supportive and caring environment that allows you to explore your emotions, experiences, and challenges during our sessions together. My passion is to serve couples, racial and ethnic minorities, immigrants, and the elderly with anxiety, depression, relationship distress, and PTSD symptoms.
My life mission is to help individuals and couples grow and achieve their fullest potential. Since a young age, I have found myself drawn to listening to and helping others. I utilize an integrative approach to working with clients. Every client is unique, and I tailor my approach to meet the particular needs of every client. You will find a supportive and caring environment that allows you to explore your emotions, experiences, and challenges during our sessions together. My passion is to serve couples, racial and ethnic minorities, immigrants, and the elderly with anxiety, depression, relationship distress, and PTSD symptoms.
(708) 854-1373 View (708) 854-1373
Photo of Sarah Britton, LPC, Licensed Professional Counselor
Sarah Britton
Licensed Professional Counselor, LPC
Verified Verified
Germantown, WI 53022
Sarah is a licensed professional counselor with more than 13 years of experience assisting individuals, couples, teens and children to reach their goals and fullest potential. With Sarah, you will experience her compassionate, judgment-free, and understanding style enabling you to work towards self-awareness, self-acceptance and positive changes within yourself and in your personal and family relationships. Sarah will honor your unique values and perspectives while motivating you toward healing. She works with clients to process, recover, and grow through relational changes fr marital communication to divorce recovery.
Sarah is a licensed professional counselor with more than 13 years of experience assisting individuals, couples, teens and children to reach their goals and fullest potential. With Sarah, you will experience her compassionate, judgment-free, and understanding style enabling you to work towards self-awareness, self-acceptance and positive changes within yourself and in your personal and family relationships. Sarah will honor your unique values and perspectives while motivating you toward healing. She works with clients to process, recover, and grow through relational changes fr marital communication to divorce recovery.
(262) 588-4037 View (262) 588-4037
Photo of Stephen Charles Billingham, PhD, Psychologist
Stephen Charles Billingham
Psychologist, PhD
Verified Verified
Madison, WI 53705
"What brings you to therapy?" is a classic first question from therapists during an initial meeting. And while we as people share many commonalities, each person has their unique personal story, and we want our concerns to be addressed with respect, insight and understanding, and inviolate trust. I am guessing that you have questions you want answered about yourself, your relationships, your situation, and your history and the patterns of your life . And, you want relief, insight, and clarification of the choices and potential outcomes you face, with effective tools, skills, and strategies to make positive changes in your life.
"What brings you to therapy?" is a classic first question from therapists during an initial meeting. And while we as people share many commonalities, each person has their unique personal story, and we want our concerns to be addressed with respect, insight and understanding, and inviolate trust. I am guessing that you have questions you want answered about yourself, your relationships, your situation, and your history and the patterns of your life . And, you want relief, insight, and clarification of the choices and potential outcomes you face, with effective tools, skills, and strategies to make positive changes in your life.
(608) 527-0077 x230 View (608) 527-0077 x230

See more therapy options for Cascade

How does your Therapist compare?

Number of Therapists in Cascade, WI

< 10

Therapists in Cascade, WI who prioritize treating:

How Therapists in Cascade, WI see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Cascade?

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.