Therapists in 50012

Photo of Hannah Overstake, Clinical Social Work/Therapist, LISW
Hannah Overstake
Clinical Social Work/Therapist, LISW
Serves Area
I have experience working with people of all ages, but my passion and expertise are with teens and young adults. I have training in trauma-focused cognitive behavioral therapy and EMDR. I enjoy working with a wide range of client's on a wide-range of issues: depression, anxiety, trauma, ADHD, behavioral/school problems, and issues within the family system. My goal is to help my clients learn skills that they can implement and live up to their greatest potential. I look forward to hearing from you.
I have experience working with people of all ages, but my passion and expertise are with teens and young adults. I have training in trauma-focused cognitive behavioral therapy and EMDR. I enjoy working with a wide range of client's on a wide-range of issues: depression, anxiety, trauma, ADHD, behavioral/school problems, and issues within the family system. My goal is to help my clients learn skills that they can implement and live up to their greatest potential. I look forward to hearing from you.
(515) 219-4593 View (515) 219-4593
Photo of Elaine Aubin O'Neal - Elaine O'Neal, PLC - Safe Harbour Counseling, Clinical Social Work/Therapist, LISW
Elaine O'Neal, PLC - Safe Harbour Counseling
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
I believe in a strengths based approach and challenge people to seek new perspectives in navigating through their lives. I enjoy meeting and working with people to help them find a renewed confidence in themselves and their abilities. I work with all ages providing support to better manage daily stressors and relational issues and foster self empowerment. Life can get complicated. You don't have to go through it alone. I'm here to help.
I believe in a strengths based approach and challenge people to seek new perspectives in navigating through their lives. I enjoy meeting and working with people to help them find a renewed confidence in themselves and their abilities. I work with all ages providing support to better manage daily stressors and relational issues and foster self empowerment. Life can get complicated. You don't have to go through it alone. I'm here to help.
(515) 393-4119 View (515) 393-4119
Photo of Thomas Earl Loney, Counselor, LMHC
Thomas Earl Loney
Counselor, LMHC
Serves Area
Does life feel like a struggle everyday, filled with with low motivation, fear, or sadness. The good news is that life does not have to be this way! We will work on disputing negative beliefs, and learning techniques that help create a positive energy and mindset that makes it possible to live a fulfilling life. I utilize an integration of cognitive behavioral (CBT), person-centered, and solution focused therapy to help you identify the thoughts, emotions and behaviors interfering with your ability to be successful and achieve the balance and self-esteem to successfully meet the challenges in life, work, and relationships.
Does life feel like a struggle everyday, filled with with low motivation, fear, or sadness. The good news is that life does not have to be this way! We will work on disputing negative beliefs, and learning techniques that help create a positive energy and mindset that makes it possible to live a fulfilling life. I utilize an integration of cognitive behavioral (CBT), person-centered, and solution focused therapy to help you identify the thoughts, emotions and behaviors interfering with your ability to be successful and achieve the balance and self-esteem to successfully meet the challenges in life, work, and relationships.
(515) 361-7372 View (515) 361-7372
Photo of Thomas Patterson, Clinical Social Work/Therapist, LISW
Thomas Patterson
Clinical Social Work/Therapist, LISW
2 Endorsed
Serves Area
I often think of my role as one who guides clients through their experience of being 'lost in the woods' of their psychological space. Symptoms of being lost in this way are various sorts of anxiety, depression, a sense of meaninglessness, and a feeling of paralysis or just simply being stuck. I help clients minimize their needless suffering, interpret the valuable information the symptoms are presenting, with the ultimate goal of helping them reorient themselves to a more valued, purposeful experience in the world.
I often think of my role as one who guides clients through their experience of being 'lost in the woods' of their psychological space. Symptoms of being lost in this way are various sorts of anxiety, depression, a sense of meaninglessness, and a feeling of paralysis or just simply being stuck. I help clients minimize their needless suffering, interpret the valuable information the symptoms are presenting, with the ultimate goal of helping them reorient themselves to a more valued, purposeful experience in the world.
(515) 585-1339 View (515) 585-1339
Photo of Erika Smith, Clinical Social Work/Therapist, LISW
Erika Smith
Clinical Social Work/Therapist, LISW
2 Endorsed
Serves Area
I am a clinical social worker providing therapy to children, adolescents and adults who are seeking a safe and welcoming environment. I believe therapy should be a collaborative approach to reaching goals and bettering your life. I value strong therapeutic relationships so that you may find it easier to trust and gain the skills you need. I want to help you strengthen your own self-awareness and see that therapy is a place for you to improve the steps you are taking to reach your goals.
I am a clinical social worker providing therapy to children, adolescents and adults who are seeking a safe and welcoming environment. I believe therapy should be a collaborative approach to reaching goals and bettering your life. I value strong therapeutic relationships so that you may find it easier to trust and gain the skills you need. I want to help you strengthen your own self-awareness and see that therapy is a place for you to improve the steps you are taking to reach your goals.
(515) 420-1707 View (515) 420-1707
Photo of Raejean Sue Rosedale, Counselor, MA, LMHC
Raejean Sue Rosedale
Counselor, MA, LMHC
Online Only
Life can be challenging and take unexpected turns. It takes courage to be vulnerable and explore your struggles with others. You deserve to find support in a safe, non-judgmental, and inviting space. We hope you will find that here as we walk together on your journey towards growth and healing. As a counselor and a Christian mom, I enjoy working with women and families to improve communication and relationship strategies, along with improving connection with your kids. Reach out today and renew your mind, body and spirit.
Life can be challenging and take unexpected turns. It takes courage to be vulnerable and explore your struggles with others. You deserve to find support in a safe, non-judgmental, and inviting space. We hope you will find that here as we walk together on your journey towards growth and healing. As a counselor and a Christian mom, I enjoy working with women and families to improve communication and relationship strategies, along with improving connection with your kids. Reach out today and renew your mind, body and spirit.
(641) 925-2331 View (641) 925-2331
Photo of Samantha Street, Clinical Social Work/Therapist, LICSW
Samantha Street
Clinical Social Work/Therapist, LICSW
Online Only
Has the battle with self-harm, addiction, eating disorders, relationship issues, or even low self-esteem left you feeling like you are “stuck” in this cycle? Maybe you were diagnosed with PTSD or BPD and you feel like these symptoms control how you live YOUR life? If you’re looking to experience lasting relief and be the one living your life, now might be the time to connect with a therapist who can help. You are not the problem. How the symptoms have expressed themselves in your daily life is the problem and you want a lasting solution. Let us work together to create a plan that offers hope that relief is possible.
Has the battle with self-harm, addiction, eating disorders, relationship issues, or even low self-esteem left you feeling like you are “stuck” in this cycle? Maybe you were diagnosed with PTSD or BPD and you feel like these symptoms control how you live YOUR life? If you’re looking to experience lasting relief and be the one living your life, now might be the time to connect with a therapist who can help. You are not the problem. How the symptoms have expressed themselves in your daily life is the problem and you want a lasting solution. Let us work together to create a plan that offers hope that relief is possible.
(515) 349-8611 View (515) 349-8611
Photo of Joann Seeman Smith - Joann Seeman Smith, Ph.D., LLC, Counselor, PhD, LMHC
Joann Seeman Smith, Ph.D., LLC
Counselor, PhD, LMHC
Serves Area
Not accepting new clients
I work with children as young as age 2, adolescents, adults, and families. I use theraplay principles to work with attachment issues, conduct play therapy, and use cognitive behavioral and interpersonal theories when working with clients. I work with a variety of issues including, Attention Deficit Hyperactivity Disorder (ADHD), anxiety, depression, behavior disorders, trauma, bedtime struggles, as well as enuresis and encopresis.
I work with children as young as age 2, adolescents, adults, and families. I use theraplay principles to work with attachment issues, conduct play therapy, and use cognitive behavioral and interpersonal theories when working with clients. I work with a variety of issues including, Attention Deficit Hyperactivity Disorder (ADHD), anxiety, depression, behavior disorders, trauma, bedtime struggles, as well as enuresis and encopresis.
(515) 705-0598 View (515) 705-0598
Photo of April L Falzone, Counselor, MA, LMHC, NCC
April L Falzone
Counselor, MA, LMHC, NCC
Serves Area
Not accepting new clients
I believe that creating a safe environment for my client and developing a caring relationship is critical to successful therapy. I work adults who have experienced abuse and trauma to expand internal resources, heal from past experiences, and explore new directions. I work with an emphasis on using Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR). I work with individuals on problems related to relationship issues, family communication, anxiety, eating disorders, depression, and other life transitions.
I believe that creating a safe environment for my client and developing a caring relationship is critical to successful therapy. I work adults who have experienced abuse and trauma to expand internal resources, heal from past experiences, and explore new directions. I work with an emphasis on using Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR). I work with individuals on problems related to relationship issues, family communication, anxiety, eating disorders, depression, and other life transitions.
(515) 512-5312 View (515) 512-5312

More Therapists Nearby

Photo of Kathy Greer, Clinical Social Work/Therapist, MSW, LISW, CSAT
Kathy Greer
Clinical Social Work/Therapist, MSW, LISW, CSAT
2 Endorsed
Ankeny, IA 50023
Congratulations on taking the next step in your journey by seeking a therapist to assist you! I believe at the heart of us all is the need to be accepted as our authentic selves and to be validated and empathized with. As wounded children, we sometimes develop unhealthy coping skills to soothe uncomfortable feelings and unpleasant experiences. The tools that served us well as children turn into our autopilot as adults when we experience emotional dysregulation. My goal is to provide my clients with nonjudgmental, compassionate, empathetic support to aid in overcoming whatever stress, conflict, or trauma may be occurring in your life
Congratulations on taking the next step in your journey by seeking a therapist to assist you! I believe at the heart of us all is the need to be accepted as our authentic selves and to be validated and empathized with. As wounded children, we sometimes develop unhealthy coping skills to soothe uncomfortable feelings and unpleasant experiences. The tools that served us well as children turn into our autopilot as adults when we experience emotional dysregulation. My goal is to provide my clients with nonjudgmental, compassionate, empathetic support to aid in overcoming whatever stress, conflict, or trauma may be occurring in your life
(515) 519-9828 View (515) 519-9828
Photo of Hannah Martens, Marriage & Family Therapist, LMFT, CADC
Hannah Martens
Marriage & Family Therapist, LMFT, CADC
1 Endorsed
Serves Area
Do you feel as if you have lost your way, like connections that were once there have somehow been severed due to trauma, anxiety or depression? Have you wondered how to regain or re-kindle those relationships with others? Sometimes on the journey through life, our ability to navigate can become overwhelming and confusing. It is during these times that having someone to support and encourage you in finding ways to mend relationships or make new connections can be useful.
Do you feel as if you have lost your way, like connections that were once there have somehow been severed due to trauma, anxiety or depression? Have you wondered how to regain or re-kindle those relationships with others? Sometimes on the journey through life, our ability to navigate can become overwhelming and confusing. It is during these times that having someone to support and encourage you in finding ways to mend relationships or make new connections can be useful.
(515) 400-3913 View (515) 400-3913
Photo of Terry Smith, Counselor, MS, LMHC
Terry Smith
Counselor, MS, LMHC
1 Endorsed
Clive, IA 50325
Life can feel overwhelming—persistent anxiety, low motivation, unresolved trauma, relationship struggles, or major life changes can leave you stuck and frustrated.I understand that everyone’s journey is unique, and I’m committed to meeting you where you are. Whether you seek individual age 13 and older, family, or couples therapy, I offer a safe, nonjudgmental space for healing and growth. I’m here to help you navigate these challenges with compassion. Together, we’ll explore new insights, process emotions, and support you in creating meaningful change.
Life can feel overwhelming—persistent anxiety, low motivation, unresolved trauma, relationship struggles, or major life changes can leave you stuck and frustrated.I understand that everyone’s journey is unique, and I’m committed to meeting you where you are. Whether you seek individual age 13 and older, family, or couples therapy, I offer a safe, nonjudgmental space for healing and growth. I’m here to help you navigate these challenges with compassion. Together, we’ll explore new insights, process emotions, and support you in creating meaningful change.
(515) 220-2842 View (515) 220-2842
Photo of Sam Gregory, Clinical Social Work/Therapist, LMSW
Sam Gregory
Clinical Social Work/Therapist, LMSW
1 Endorsed
Ankeny, IA 50023
I know that asking for help isn’t easy. Sometimes it’s the hardest thing to do, but this small step can be the first in a journey of growth, healing, and flourishing. Working with me means joining in a collaborative relationship where you’re met with support, compassion, and empathy. I bring a calm and objective approach to working through whatever it is that you’re struggling with. Together we will identify your immediate needs, capitalize on your greatest strengths, and work together to develop new skills and patterns of thinking.
I know that asking for help isn’t easy. Sometimes it’s the hardest thing to do, but this small step can be the first in a journey of growth, healing, and flourishing. Working with me means joining in a collaborative relationship where you’re met with support, compassion, and empathy. I bring a calm and objective approach to working through whatever it is that you’re struggling with. Together we will identify your immediate needs, capitalize on your greatest strengths, and work together to develop new skills and patterns of thinking.
(515) 466-5595 View (515) 466-5595
Photo of Annie Nelson, Clinical Social Work/Therapist, LISW
Annie Nelson
Clinical Social Work/Therapist, LISW
3 Endorsed
Ankeny, IA 50023
One of the most elemental parts of being human is the need to be heard and listened to. Sharing your story and committing to the work of self-exploration requires a unique courage, but when you feel understood you can more easily recognize your needs and see your own resourcefulness more clearly. I view you as the expert on your life and experiences, and this means that my top priorities as a therapist are understanding your perspective, learning how this perspective has shaped your life, and partnering with you in support of your goals.
One of the most elemental parts of being human is the need to be heard and listened to. Sharing your story and committing to the work of self-exploration requires a unique courage, but when you feel understood you can more easily recognize your needs and see your own resourcefulness more clearly. I view you as the expert on your life and experiences, and this means that my top priorities as a therapist are understanding your perspective, learning how this perspective has shaped your life, and partnering with you in support of your goals.
(515) 996-4370 View (515) 996-4370
Photo of Justin Bradley Matthews, Clinical Social Work/Therapist, LICSW
Justin Bradley Matthews
Clinical Social Work/Therapist, LICSW
1 Endorsed
Des Moines, IA 50316
Getting tangled up with anxiety can feel like playing tug-of-war. Worrying, ruminating, and "what if" thoughts take up can take up so much of your time, making it hard to enjoy the things you love. Maybe you've spent your days trying to fix the way you feel through yoga, meditating, exercising, and even traditional talk therapy. But nothing gives you much relief. You are still stuck and wondering how to get out. If you struggle with anxiety, panic, intrusive thoughts, or OCD…. you are not alone. You are not crazy. You can be back to your old self again. Therapy can help you to be present in your every day life.
Getting tangled up with anxiety can feel like playing tug-of-war. Worrying, ruminating, and "what if" thoughts take up can take up so much of your time, making it hard to enjoy the things you love. Maybe you've spent your days trying to fix the way you feel through yoga, meditating, exercising, and even traditional talk therapy. But nothing gives you much relief. You are still stuck and wondering how to get out. If you struggle with anxiety, panic, intrusive thoughts, or OCD…. you are not alone. You are not crazy. You can be back to your old self again. Therapy can help you to be present in your every day life.
(952) 204-5857 View (952) 204-5857
Photo of Andie Leeper, Counselor, tLMHC
Andie Leeper
Counselor, tLMHC
5 Endorsed
Urbandale, IA 50322
Compassionate support for women and LGBTQ+ individuals seeking healing, clarity, and connection Are you feeling overwhelmed, disconnected, or stuck in patterns that no longer serve you? I help women and LGBTQ+ individuals build healthier relationships with their mood, body image, self-esteem, and the thoughts that get in the way of living fully. Whether you’re navigating anxiety, depression, life transitions, or simply seeking deeper self-understanding, I offer a space where you can feel safe, supported, and empowered.
Compassionate support for women and LGBTQ+ individuals seeking healing, clarity, and connection Are you feeling overwhelmed, disconnected, or stuck in patterns that no longer serve you? I help women and LGBTQ+ individuals build healthier relationships with their mood, body image, self-esteem, and the thoughts that get in the way of living fully. Whether you’re navigating anxiety, depression, life transitions, or simply seeking deeper self-understanding, I offer a space where you can feel safe, supported, and empowered.
(515) 417-2446 View (515) 417-2446
Photo of Teresa M Bear, Psychologist, PhD, ABPP
Teresa M Bear
Psychologist, PhD, ABPP
Johnston, IA 50131
“We do not grow by knowing all of the answers, but rather by living with the questions.” - Max De Pree. “Be curious, not judgmental.” -Ted Lasso These two quotes sum up my approach to therapy, and hopefully, to life. Our brains are naturally wired to make sense of things, to organize information into understandable experiences and thoughts. This relentless pursuit of understanding can lead to new discoveries, new technologies, new medicines. However, it can also lead to stress, burnout, anxiety, and depression. Balance between curiosity and living with the questions is necessary to a life of integrity.
“We do not grow by knowing all of the answers, but rather by living with the questions.” - Max De Pree. “Be curious, not judgmental.” -Ted Lasso These two quotes sum up my approach to therapy, and hopefully, to life. Our brains are naturally wired to make sense of things, to organize information into understandable experiences and thoughts. This relentless pursuit of understanding can lead to new discoveries, new technologies, new medicines. However, it can also lead to stress, burnout, anxiety, and depression. Balance between curiosity and living with the questions is necessary to a life of integrity.
(515) 599-3104 View (515) 599-3104
Photo of Lanaya L Ethington, Psychologist, PhD
Lanaya L Ethington
Psychologist, PhD
Serves Area
I work well with clients whose concerns are related to anxiety, eating disorders, OCD, grief/loss, trauma, mood disorders, depression, perfectionism, and concerns related to identity. I enjoy helping people build skills to more effectively respond to their distress, and to engage in their lives with an increased sense of purpose and awareness of their values. I worked in a college counseling center for 10 years before co-founding a private practice, and work well with people who are making a life transition.
I work well with clients whose concerns are related to anxiety, eating disorders, OCD, grief/loss, trauma, mood disorders, depression, perfectionism, and concerns related to identity. I enjoy helping people build skills to more effectively respond to their distress, and to engage in their lives with an increased sense of purpose and awareness of their values. I worked in a college counseling center for 10 years before co-founding a private practice, and work well with people who are making a life transition.
(319) 271-6483 View (319) 271-6483
Photo of Bri Medley, Counselor, MA, tLMHC
Bri Medley
Counselor, MA, tLMHC
1 Endorsed
Serves Area
Bri holds a Bachelor’s of Science in Human Development and Family Studies from Iowa State University, and a Master’s of Arts in Clinical Mental Health Counseling from Moody Theological Seminary in Michigan. Bri has experience working with clients from diverse cultural backgrounds and age groups, and is particularly passionate about working with adolescents, teens, and young adults. Her approach to therapy is rooted in compassion and grounded in Biblical truth. She seeks to meet clients where they are at, and to create a safe environment where clients feel seen, heard, and supported. Bri sees clients age 12 and older.
Bri holds a Bachelor’s of Science in Human Development and Family Studies from Iowa State University, and a Master’s of Arts in Clinical Mental Health Counseling from Moody Theological Seminary in Michigan. Bri has experience working with clients from diverse cultural backgrounds and age groups, and is particularly passionate about working with adolescents, teens, and young adults. Her approach to therapy is rooted in compassion and grounded in Biblical truth. She seeks to meet clients where they are at, and to create a safe environment where clients feel seen, heard, and supported. Bri sees clients age 12 and older.
(515) 375-7157 View (515) 375-7157
Photo of Laura Grimes - Inclusive Insight Psychotherapy & Consulting , Clinical Social Work/Therapist, LCSW
Inclusive Insight Psychotherapy & Consulting
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
We are a diverse group of clinicians and inspiration-makers who know that to hold others in their process, we must also feel held. Staff are experts in their own identities, lives and careers. We are better clinicians by bringing our whole selves to our work.
We are a diverse group of clinicians and inspiration-makers who know that to hold others in their process, we must also feel held. Staff are experts in their own identities, lives and careers. We are better clinicians by bringing our whole selves to our work.
(773) 659-9207 View (773) 659-9207

See more therapy options for 50012

How does your Therapist compare?

Number of Therapists in 50012

< 10

Therapists in 50012 who prioritize treating:

89% Anxiety
78% Relationship Issues
78% Depression
78% Trauma and PTSD
67% Coping Skills
56% Grief
56% Bipolar Disorder

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
63% UnitedHealthcare UHC | UBH
63% Blue Cross

How Therapists in 50012 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 50012?

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.