Therapists in 50314

Photo of Janet Rieckhoff, Counselor, LMHC, MA, M DIV
Janet Rieckhoff
Counselor, LMHC, MA, M DIV
Des Moines, IA 50314
Taking new clients. I offer telehealth and in person sessions. Feeling stuck in same unhealthy situations and relationships which produce anxiety, anger, depression and broken trust? We can explore communication patterns, attachment styles, and past traumas affecting relationships. I provide a nonjudgmental environment to work on your issues. I am experienced in areas of anxiety, depression, grief, chronic pain, spirituality, and family issues of parenting, caretaking, LGBTQA issues, adoption, infertility. First I listen to your life situation, then give homework, and then build on your strengths so you can reach your life goals.
Taking new clients. I offer telehealth and in person sessions. Feeling stuck in same unhealthy situations and relationships which produce anxiety, anger, depression and broken trust? We can explore communication patterns, attachment styles, and past traumas affecting relationships. I provide a nonjudgmental environment to work on your issues. I am experienced in areas of anxiety, depression, grief, chronic pain, spirituality, and family issues of parenting, caretaking, LGBTQA issues, adoption, infertility. First I listen to your life situation, then give homework, and then build on your strengths so you can reach your life goals.
(515) 517-2953 View (515) 517-2953
Photo of Leah Demarest - Flourishing Engagements, Counselor, MS, LMHC, CADC
Flourishing Engagements
Counselor, MS, LMHC, CADC
Serves Area
I enjoy mending families and relationships. I enjoy working with children, helping them to overcome difficult situations, communicate their emotions and needs, healing from trauma, and developing their goals. I enjoy helping those struggling with mental illness fight through their symptoms, realize their worth, and push them over that mountain to what they want to accomplish. I enjoy working with people like you. We all have problems, we all go through tough times. Let me help you get through your current struggle.
I enjoy mending families and relationships. I enjoy working with children, helping them to overcome difficult situations, communicate their emotions and needs, healing from trauma, and developing their goals. I enjoy helping those struggling with mental illness fight through their symptoms, realize their worth, and push them over that mountain to what they want to accomplish. I enjoy working with people like you. We all have problems, we all go through tough times. Let me help you get through your current struggle.
(515) 474-7293 View (515) 474-7293
Photo of Marcy Shrum, Clinical Social Work/Therapist, MSW, LISW
Marcy Shrum
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Serves Area
I have limited availability, but feel free to e-mail with name, insurance provider and general concerns to begin the process. I desire to create a collaborative relationship that is grounded in mutual respect and positive regard so you can address the real issues that are affecting your quality of life. I will help you establish reasonable goals to guide you to become your best self. I have worked with individuals who have experienced adverse life experiences which can impact ones ability to live in the moment. I ask 'what happened to you?', not 'what is wrong with you?'.
I have limited availability, but feel free to e-mail with name, insurance provider and general concerns to begin the process. I desire to create a collaborative relationship that is grounded in mutual respect and positive regard so you can address the real issues that are affecting your quality of life. I will help you establish reasonable goals to guide you to become your best self. I have worked with individuals who have experienced adverse life experiences which can impact ones ability to live in the moment. I ask 'what happened to you?', not 'what is wrong with you?'.
(515) 599-3439 View (515) 599-3439
Photo of Susan C Helkenn, Clinical Social Work/Therapist, MSW, LISW
Susan C Helkenn
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Serves Area
I've been in practice for over 20 years and offer an accepting, active and progress-focused practice. My office setting is comfortable and professional. Evidence-based practices and skills are utilized along with genuine connection and support. I enjoy working with school-age children, teens, and adults so together, we can find ways to improve mood, behavior, thinking, relationships and skills. You will learn more effective ways to relate to others and to yourself. Schedule today and start feeling and functioning better! It just takes a call or email.
I've been in practice for over 20 years and offer an accepting, active and progress-focused practice. My office setting is comfortable and professional. Evidence-based practices and skills are utilized along with genuine connection and support. I enjoy working with school-age children, teens, and adults so together, we can find ways to improve mood, behavior, thinking, relationships and skills. You will learn more effective ways to relate to others and to yourself. Schedule today and start feeling and functioning better! It just takes a call or email.
(515) 303-1887 View (515) 303-1887
Photo of Michael State, Counselor, MA, LMHC
Michael State
Counselor, MA, LMHC
Serves Area
Connection is the basis of healing. My style in therapy focuses on creating a non-judgmental and genuine environment by implementing support and encouragement throughout the therapeutic process. Through this, trust begins to be built and the work can begin. I want to help you in developing a compassionate view and more secure sense of self. I am experienced with working with individuals who are experiencing mental health challenges and trauma. I am currently working with individuals in young to late adulthood.
Connection is the basis of healing. My style in therapy focuses on creating a non-judgmental and genuine environment by implementing support and encouragement throughout the therapeutic process. Through this, trust begins to be built and the work can begin. I want to help you in developing a compassionate view and more secure sense of self. I am experienced with working with individuals who are experiencing mental health challenges and trauma. I am currently working with individuals in young to late adulthood.
View
Photo of Dr. Kristen Muleya, Counselor, PhD, tLMHC
Dr. Kristen Muleya
Counselor, PhD, tLMHC
2 Endorsed
Serves Area
I bring years of experience supporting clients and students as they navigate mental health challenges and life stressors. My approach integrates evidence-based practices with practical, real-world application, because true wellness should offer relief, not added pressure. I am committed to empowering individuals to take ownership of their lives, make informed decisions, and move forward with clarity and confidence. Everyone deserves to feel grounded, supported, and empowered.
I bring years of experience supporting clients and students as they navigate mental health challenges and life stressors. My approach integrates evidence-based practices with practical, real-world application, because true wellness should offer relief, not added pressure. I am committed to empowering individuals to take ownership of their lives, make informed decisions, and move forward with clarity and confidence. Everyone deserves to feel grounded, supported, and empowered.
(515) 375-1973 View (515) 375-1973
Photo of Robin Boggs Choquette - Robin Choquette Licensed -Illinois Iowa Kansas, Counselor, PsyD
I work with individuals from preteen through older adulthood in individual psychotherapy, family therapy (including parenting strategies), couples therapy, & skill seminars. I easily build affinity & trust with people from all backgrounds, age groups, & life circumstances. Anxiety & mood disorders interfere with attaining "Elite" performance for ALL individuals suffering with these issues, and my approach helps to achieve individual objectives, no matter the walk of life. In addition to my general psychological services, I consult with a specialized emphasis on performance enhancement for athletes, musicians, artist and corporate executives & business leaders helping them reach peak performance in their professional and personal life.
I work with individuals from preteen through older adulthood in individual psychotherapy, family therapy (including parenting strategies), couples therapy, & skill seminars. I easily build affinity & trust with people from all backgrounds, age groups, & life circumstances. Anxiety & mood disorders interfere with attaining "Elite" performance for ALL individuals suffering with these issues, and my approach helps to achieve individual objectives, no matter the walk of life. In addition to my general psychological services, I consult with a specialized emphasis on performance enhancement for athletes, musicians, artist and corporate executives & business leaders helping them reach peak performance in their professional and personal life.
(630) 517-9328 View (630) 517-9328
Photo of Nina Pressman, Clinical Social Work/Therapist, LISW
Nina Pressman
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
Waitlist for new clients
Life can be hard. From daily stressors to past trauma to life changes and more, I know that you are dealing with a lot. I will partner with you to get through the hard things in life and find joy. I am an anxiety, depression, and trauma therapist in Iowa with immediate openings over telehealth or in person. I can assist you to identify your values, setbacks, and strengths to improve your mental health and functioning. I will help you communicate effectively with others and understand what you want from life.
Life can be hard. From daily stressors to past trauma to life changes and more, I know that you are dealing with a lot. I will partner with you to get through the hard things in life and find joy. I am an anxiety, depression, and trauma therapist in Iowa with immediate openings over telehealth or in person. I can assist you to identify your values, setbacks, and strengths to improve your mental health and functioning. I will help you communicate effectively with others and understand what you want from life.
(515) 635-4942 View (515) 635-4942
Photo of Brandi Munch, Clinical Social Work/Therapist, LISW
Brandi Munch
Clinical Social Work/Therapist, LISW
Serves Area
Waitlist for new clients
I am a Licensed Independent Social Worker in both Iowa and Illinois with over 15 years of experience. I believe everyone deserves the space to be heard and understood, and I am passionate about providing this safe space for others. Areas of interest include Gender Affirming Care, Polyvagal Theory, EMDR, LGBTQIA+ issues, Body and Weight Neutrality, and Complex PTSD.
I am a Licensed Independent Social Worker in both Iowa and Illinois with over 15 years of experience. I believe everyone deserves the space to be heard and understood, and I am passionate about providing this safe space for others. Areas of interest include Gender Affirming Care, Polyvagal Theory, EMDR, LGBTQIA+ issues, Body and Weight Neutrality, and Complex PTSD.
(515) 854-0409 View (515) 854-0409
Photo of Serena Matuk, Licensed Professional Counselor, MEd, LPC, LMHC
Serena Matuk
Licensed Professional Counselor, MEd, LPC, LMHC
2 Endorsed
Des Moines, IA 50314
Not accepting new clients
"I hope you are blessed with a heart like a wildflower. Strong enough to rise again after being trampled upon, tough enough to weather the worst of summer storms, and able to grow and flourish even in the most broken places." -Nikita Gill The impact of trauma, anxiety, or depression in your life can lead you to feel isolated, stuck, or disempowered. As a licensed counselor, I believe that no one should have to manage those feelings on their own. Through developing a strong therapeutic alliance, I assist my clients with identifying their goals for themselves and walk alongside them on their journey towards growth and healing.
"I hope you are blessed with a heart like a wildflower. Strong enough to rise again after being trampled upon, tough enough to weather the worst of summer storms, and able to grow and flourish even in the most broken places." -Nikita Gill The impact of trauma, anxiety, or depression in your life can lead you to feel isolated, stuck, or disempowered. As a licensed counselor, I believe that no one should have to manage those feelings on their own. Through developing a strong therapeutic alliance, I assist my clients with identifying their goals for themselves and walk alongside them on their journey towards growth and healing.
(434) 201-7651 View (434) 201-7651
Photo of Amber McKinney-Morgan, Clinical Social Work/Therapist, LCSW
Amber McKinney-Morgan
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
We’re all doing the best we can with what we have to work with. Sometimes we can use some extra tools in our toolbox to support us in managing when life occurrences seem to pile up and we just need a break. Amber has experience in treating a range of symptoms, including those related to PTSD, anxiety and depression. Amber is an EMDRIA-certified EMDR therapist and consultant, a Gottman Institute Certified Gottman Therapist, and a Certified Sex Therapist. She provides therapy to both the general population and high-profile, public-facing and celebrity clients. Amber is licensed in California, Iowa and Oregon.
We’re all doing the best we can with what we have to work with. Sometimes we can use some extra tools in our toolbox to support us in managing when life occurrences seem to pile up and we just need a break. Amber has experience in treating a range of symptoms, including those related to PTSD, anxiety and depression. Amber is an EMDRIA-certified EMDR therapist and consultant, a Gottman Institute Certified Gottman Therapist, and a Certified Sex Therapist. She provides therapy to both the general population and high-profile, public-facing and celebrity clients. Amber is licensed in California, Iowa and Oregon.
(619) 724-4706 View (619) 724-4706
Photo of Dr. Kathleen (Katy) Laurin, Psychologist, PhD
Dr. Kathleen (Katy) Laurin
Psychologist, PhD
Serves Area
Not accepting new clients
I am a Licensed Clinical Psychologist who specializes in working with adults and older adults who are experiencing emotional distress and/or who are concerned about age-related cognitive changes. I believe early assessment of memory or other suspected changes reduces anxiety, provides information that can improve brain health, and helps clients and their loved ones prepare for the future. Cognitive evaluations include interview, testing, review of results, and a report to you and/or your healthcare provider. Cognitive evaluations are conducted at Des Moines University, Behavioral Health Clinic. Please call 515-271-1716 to schedule.
I am a Licensed Clinical Psychologist who specializes in working with adults and older adults who are experiencing emotional distress and/or who are concerned about age-related cognitive changes. I believe early assessment of memory or other suspected changes reduces anxiety, provides information that can improve brain health, and helps clients and their loved ones prepare for the future. Cognitive evaluations include interview, testing, review of results, and a report to you and/or your healthcare provider. Cognitive evaluations are conducted at Des Moines University, Behavioral Health Clinic. Please call 515-271-1716 to schedule.
(515) 310-4466 View (515) 310-4466
Photo of Alicia Rowley, Licensed Clinical Professional Counselor, LMHC, LCPC
Alicia Rowley
Licensed Clinical Professional Counselor, LMHC, LCPC
Serves Area
Not accepting new clients
I believe one of the biggest factors in creating growth and change begins with the therapeutic relationship. I strive to build a safe environment to give you the comfort and security you need to begin your path to healing. You'll find I use a client centered approach that begins with your needs first. My experience has led me to work with and meet a variety of mental health and addiction needs. For information, please visit my website at aliciarowleycounseling.com.
I believe one of the biggest factors in creating growth and change begins with the therapeutic relationship. I strive to build a safe environment to give you the comfort and security you need to begin your path to healing. You'll find I use a client centered approach that begins with your needs first. My experience has led me to work with and meet a variety of mental health and addiction needs. For information, please visit my website at aliciarowleycounseling.com.
(224) 433-5993 View (224) 433-5993
Photo of Cara Sanders, Counselor, MS, NCC, LMHC , CADC
Cara Sanders
Counselor, MS, NCC, LMHC , CADC
Serves Area
Not accepting new clients
"You don't have to have it figured out to move forward." I strive to provide client-centered and compassionate care to individuals ages 12+, couples, and families. I believe that at the heart of good client care is a healthy therapeutic relationship. I am a Licensed Mental Health Counselor and I am trained in eye-movement desensitization and reprocessing (EMDR) and utilize trauma-informed approaches in my therapy practice. I am also a Certified Alcohol and Drug Counselor (CADC). I firmly believe that all individuals possess the power to heal themselves. I can assist you on that journey. I am now offering telehealth services.
"You don't have to have it figured out to move forward." I strive to provide client-centered and compassionate care to individuals ages 12+, couples, and families. I believe that at the heart of good client care is a healthy therapeutic relationship. I am a Licensed Mental Health Counselor and I am trained in eye-movement desensitization and reprocessing (EMDR) and utilize trauma-informed approaches in my therapy practice. I am also a Certified Alcohol and Drug Counselor (CADC). I firmly believe that all individuals possess the power to heal themselves. I can assist you on that journey. I am now offering telehealth services.
(515) 320-8069 View (515) 320-8069

More Therapists Nearby

Photo of Courtney Kauffman, Counselor, tLMHC
Courtney Kauffman
Counselor, tLMHC
2 Endorsed
Des Moines, IA 50309
I am accepting new clients and have immediate openings available. I have a passion for supporting and working with adolescents and young adults as they learn about themselves and move into the next stage of their lives. I specialize in treating anxiety, mood, and relationship concerns. I recently joined Seva Counseling, where I am eager to continue working in collaboration with my clients and their families through the use of evidence-based and compassion-focused treatments. I am completing ongoing specialized training in Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
I am accepting new clients and have immediate openings available. I have a passion for supporting and working with adolescents and young adults as they learn about themselves and move into the next stage of their lives. I specialize in treating anxiety, mood, and relationship concerns. I recently joined Seva Counseling, where I am eager to continue working in collaboration with my clients and their families through the use of evidence-based and compassion-focused treatments. I am completing ongoing specialized training in Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
(515) 654-6355 View (515) 654-6355
Photo of Shay Scholtes, Counselor, LMHC
Shay Scholtes
Counselor, LMHC
1 Endorsed
Clive, IA 50325
Offering both in person and telehealth options. Schedule is Monday, Wednesday, and Fridays, 10-5PM.
Offering both in person and telehealth options. Schedule is Monday, Wednesday, and Fridays, 10-5PM.
(515) 305-2494 View (515) 305-2494
Photo of Emma Sakanovic, Counselor, MS, tLMHC
Emma Sakanovic
Counselor, MS, tLMHC
4 Endorsed
West Des Moines, IA 50266
I believe that therapy is a sacred place where my clients will feel safe, welcome, and heard. Our lives can bring adversity and tribulations that shake us to our core, leaving us lost and alone. With me, you don’t have to be alone in your journey. With 20+ years of experience working with adults in the criminal justice system, I bring patience, empathy, understanding, and a nonjudgmental stance. I am grateful for the opportunity to help you grow and reach your full potential. While we can’t change the past, together we can gain clarity, build healthier coping strategies, and create meaningful change so you can move forward.
I believe that therapy is a sacred place where my clients will feel safe, welcome, and heard. Our lives can bring adversity and tribulations that shake us to our core, leaving us lost and alone. With me, you don’t have to be alone in your journey. With 20+ years of experience working with adults in the criminal justice system, I bring patience, empathy, understanding, and a nonjudgmental stance. I am grateful for the opportunity to help you grow and reach your full potential. While we can’t change the past, together we can gain clarity, build healthier coping strategies, and create meaningful change so you can move forward.
(515) 824-2443 View (515) 824-2443
Photo of Morgan Lauritsen, Counselor, MS, tLMHC
Morgan Lauritsen
Counselor, MS, tLMHC
1 Endorsed
West Des Moines, IA 50265
Welcome! I'm so glad you're here. As a therapist, I strive to create a safe, supportive, and nonjudgmental space where you can truly be yourself. Whether you're navigating anxiety, big emotions, or life transitions, you'll find compassion and acceptance with me. My approach is rooted in empathy, active listening, and connections. I believe in meeting clients where they are and walking alongside them at their own pace. Through our work together, I'll guide you in building emotional awareness, learn practical tools for regulation, and developing healthy ways to process your thoughts and experiences.
Welcome! I'm so glad you're here. As a therapist, I strive to create a safe, supportive, and nonjudgmental space where you can truly be yourself. Whether you're navigating anxiety, big emotions, or life transitions, you'll find compassion and acceptance with me. My approach is rooted in empathy, active listening, and connections. I believe in meeting clients where they are and walking alongside them at their own pace. Through our work together, I'll guide you in building emotional awareness, learn practical tools for regulation, and developing healthy ways to process your thoughts and experiences.
(515) 690-7933 View (515) 690-7933
Photo of Annie Steil, Clinical Social Work/Therapist, LISW
Annie Steil
Clinical Social Work/Therapist, LISW
West Des Moines, IA 50265
My goal is to create a safe, open environment for you to come and express feelings and successfully work through struggles. I strive for you to feel safe, accepted and validated. I use CBT, TFCBT, and I am newly trained in EMDR. I am nurturing, nonjudgmental, supportive, and like to use humor when appropriate. I enjoy working with individuals. Kids (10 and up), teens, and adults. I accept Wellmark Blue Cross/Blue Shield insurance, Aetna, as well as United Health Care Insurance. I look forward to meeting you!
My goal is to create a safe, open environment for you to come and express feelings and successfully work through struggles. I strive for you to feel safe, accepted and validated. I use CBT, TFCBT, and I am newly trained in EMDR. I am nurturing, nonjudgmental, supportive, and like to use humor when appropriate. I enjoy working with individuals. Kids (10 and up), teens, and adults. I accept Wellmark Blue Cross/Blue Shield insurance, Aetna, as well as United Health Care Insurance. I look forward to meeting you!
(515) 517-6553 View (515) 517-6553
Photo of Johanna R Guerdet, Clinical Social Work/Therapist, MSW, LISW
Johanna R Guerdet
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Johnston, IA 50131
Welcome to the beginning of your therapy journey! As a client centered therapist, my focus is on you and your needs as a client. No problem is too big or too small for therapy, and it's never too early or too late to seek help. We will work together to make your life goals and changes. I also have a small therapy dog named Riker who is excited to work with you!
Welcome to the beginning of your therapy journey! As a client centered therapist, my focus is on you and your needs as a client. No problem is too big or too small for therapy, and it's never too early or too late to seek help. We will work together to make your life goals and changes. I also have a small therapy dog named Riker who is excited to work with you!
View

See more therapy options for 50314

How does your Therapist compare?

Number of Therapists in 50314

10+

Average cost per session

$160

Therapists in 50314 who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
86% Relationship Issues
71% Trauma and PTSD
71% Family Conflict
71% Stress

Average years in practice

12 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
64% Aetna
57% Midlands Choice

How Therapists in 50314 see their clients

93% In Person and Online
7% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 50314?

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.