Therapists in 50316

Photo of Jim Hanson, Counselor, PhD, LMHC
Jim Hanson
Counselor, PhD, LMHC
2 Endorsed
Des Moines, IA 50316
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
Hi. My name is Dr. Jim Hanson and I am a Licensed Mental Health Counselor. I work with individuals and couples. My main approach is Cognitive-Behavioral, which means that we will focus on the role thoughts and behaviors play in psychological functioning and well-being. For couples counseling, I prefer the Gottman method, pioneered by John and Julie Gottman. The counseling relationship is very important and I believe that this therapeutic relationship must include trust, mutual respect and empathy. As your therapist, this relationship will allow us to work together to foster positive growth and development.
(515) 446-7273 View (515) 446-7273
Photo of Heather Joy Thomas, Clinical Social Work/Therapist, LISW, CADC
Heather Joy Thomas
Clinical Social Work/Therapist, LISW, CADC
2 Endorsed
Des Moines, IA 50316
Welcome! My name is Heather Thomas, and I am a Licensed Independent Social Worker (LISW) and a Certified Alcohol and Drug Counselor (CADC) with over 18 years of experience in the mental health and substance abuse fields. Currently, I serve as the Director of Counseling at Grand View University, where I provide short-term therapy services, oversee internship programming, and actively contribute to various committees including the Peer Wellness, Behavior Intervention Team, and DEI committee. I have a rich background working as a Therapist, Director, and Regional Director in community mental health, substance use, and crisis services.
Welcome! My name is Heather Thomas, and I am a Licensed Independent Social Worker (LISW) and a Certified Alcohol and Drug Counselor (CADC) with over 18 years of experience in the mental health and substance abuse fields. Currently, I serve as the Director of Counseling at Grand View University, where I provide short-term therapy services, oversee internship programming, and actively contribute to various committees including the Peer Wellness, Behavior Intervention Team, and DEI committee. I have a rich background working as a Therapist, Director, and Regional Director in community mental health, substance use, and crisis services.
(515) 854-0559 View (515) 854-0559
Photo of Brandy Stephen, Clinical Social Work/Therapist, LISW
Brandy Stephen
Clinical Social Work/Therapist, LISW
Des Moines, IA 50316
Our brains are constantly processing and interpreting the world around us, even when we’re not consciously aware of it. They catalog and store daily experiences throughout our lives, and these events—whether traumatic or ordinary—can continue to affect us long after they occur. Using therapeutic techniques like EMDR and QHHT, I can assist you in revisiting and reclassifying these mental files, helping you cultivate self-awareness, release trauma, embrace self-love and acceptance, strengthen relationships, and enhance your overall functioning and quality of life.
Our brains are constantly processing and interpreting the world around us, even when we’re not consciously aware of it. They catalog and store daily experiences throughout our lives, and these events—whether traumatic or ordinary—can continue to affect us long after they occur. Using therapeutic techniques like EMDR and QHHT, I can assist you in revisiting and reclassifying these mental files, helping you cultivate self-awareness, release trauma, embrace self-love and acceptance, strengthen relationships, and enhance your overall functioning and quality of life.
(515) 585-1160 View (515) 585-1160
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 Peter Odegaard, Mental Health Counselor, MA, LMHC, LPC, PATP
Peter Odegaard
Mental Health Counselor, MA, LMHC, LPC, PATP
2 Endorsed
Des Moines, IA 50316
I provide a holistic and non-judgmental approach to therapy. Together we will focus on finding and resolving the factors that are at the root of your mental health symptoms. These symptoms are often natural responses/adaptations to stressful life circumstances and traumatic experiences. From this perspective, these psychological parts become imbalanced over time and can get stuck in the past. Once they are properly integrated in the here-and-now, we can begin to live a life that is true to our purpose and in alignment with our highest selves.
I provide a holistic and non-judgmental approach to therapy. Together we will focus on finding and resolving the factors that are at the root of your mental health symptoms. These symptoms are often natural responses/adaptations to stressful life circumstances and traumatic experiences. From this perspective, these psychological parts become imbalanced over time and can get stuck in the past. Once they are properly integrated in the here-and-now, we can begin to live a life that is true to our purpose and in alignment with our highest selves.
(563) 522-5860 View (563) 522-5860
Photo of Amber Lee Crosby - Ananda Mental Wellness and Yoga, Clinical Social Work/Therapist, MSW, LISW, RYT200
Ananda Mental Wellness and Yoga
Clinical Social Work/Therapist, MSW, LISW, RYT200
Des Moines, IA 50316
Ananda (pronounced Ah-nan-duh) Mental Wellness, founded by Amber Crosby, MSW, LISW, is a provider of mental wellness services (therapy) and yoga in Central Iowa. It is the mission of Ananda to create an inclusive environment that is supportive and welcoming of all who want to find their bliss. Ananda is a small private practice that is growing, having recently added Jenna Schissel, MS, tLMHC and intern Brooke Flater to the practice. All are now accepting new clients!
Ananda (pronounced Ah-nan-duh) Mental Wellness, founded by Amber Crosby, MSW, LISW, is a provider of mental wellness services (therapy) and yoga in Central Iowa. It is the mission of Ananda to create an inclusive environment that is supportive and welcoming of all who want to find their bliss. Ananda is a small private practice that is growing, having recently added Jenna Schissel, MS, tLMHC and intern Brooke Flater to the practice. All are now accepting new clients!
(515) 320-8799 View (515) 320-8799
Photo of Amanda Christensen-Hildreth, Clinical Social Work/Therapist, LISW
Amanda Christensen-Hildreth
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
As a Licensed Independent Social Worker (LISW), I am passionate about supporting pre-teens (age 10+), adolescents, and adults as they navigate life’s many challenges. I strive to create a compassionate, empathetic, and validating space where individuals feel seen, heard, and supported. I believe that the therapeutic relationship we build together is the foundation for meaningful growth and change.
As a Licensed Independent Social Worker (LISW), I am passionate about supporting pre-teens (age 10+), adolescents, and adults as they navigate life’s many challenges. I strive to create a compassionate, empathetic, and validating space where individuals feel seen, heard, and supported. I believe that the therapeutic relationship we build together is the foundation for meaningful growth and change.
(515) 481-5409 View (515) 481-5409
Photo of Shayna Bell, Licensed Mental Health Counselor, MS, LMHC, CCTP
Shayna Bell
Licensed Mental Health Counselor, MS, LMHC, CCTP
1 Endorsed
Serves Area
Current openings for new clients on Tuesday and Thursday mornings, as well as some Fridays. Reaching out for support is difficult, but you've taken the first step and I'm so happy you're here. I utilize a person-centered, trauma informed approach, which means I offer an inviting and inclusive space for you to explore and process difficult experiences at a pace that feels safe and comfortable for you. You deserve to feel heard, validated, and cared for as you begin your healing journey. My priority is to create a safe and nonjudgmental space where you feel comfortable expressing anything and everything.
Current openings for new clients on Tuesday and Thursday mornings, as well as some Fridays. Reaching out for support is difficult, but you've taken the first step and I'm so happy you're here. I utilize a person-centered, trauma informed approach, which means I offer an inviting and inclusive space for you to explore and process difficult experiences at a pace that feels safe and comfortable for you. You deserve to feel heard, validated, and cared for as you begin your healing journey. My priority is to create a safe and nonjudgmental space where you feel comfortable expressing anything and everything.
(515) 361-5795 View (515) 361-5795
Photo of Kenlyn Gordon, Counselor, LMHC
Kenlyn Gordon
Counselor, LMHC
1 Endorsed
Serves Area
Hello! My name is Kenlyn, and I am a Licensed Mental Health Counselor (LMHC). I feel my role is to walk alongside you as you come to deeply know yourself and heal from the inside out. A strength of mine is facilitating a safe, open space to address pain, emotional distress, life difficulties, relational concerns, and any other areas we determine are important in enhancing emotional balance and well-being. My approach is collaborative and enthusiastic. I find such meaning in helping you feel deeply known, valued, and understood. Start today in creating the life you want.
Hello! My name is Kenlyn, and I am a Licensed Mental Health Counselor (LMHC). I feel my role is to walk alongside you as you come to deeply know yourself and heal from the inside out. A strength of mine is facilitating a safe, open space to address pain, emotional distress, life difficulties, relational concerns, and any other areas we determine are important in enhancing emotional balance and well-being. My approach is collaborative and enthusiastic. I find such meaning in helping you feel deeply known, valued, and understood. Start today in creating the life you want.
(515) 361-7515 View (515) 361-7515
Photo of Susan C Helkenn, Clinical Social Work/Therapist, MSW, LISW
Susan C Helkenn
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Serves Area
Every person has the ability to live a happier, more productive life--you just need the right tools! At Innovative Learning Professionals, I use proven, traditional and non-traditional approaches to improve functioning and lives. In a casual, non-judgmental setting, I meet with school-age children, teens, and adults of all ages. Whatever your struggle-- anxiety or worry, school or work, depression or low mood, relationships or loneliness, parenting or parents--- we can find ways to improve mood, behavior, thinking, and your life. Please feel free to email or call to talk about scheduling.
Every person has the ability to live a happier, more productive life--you just need the right tools! At Innovative Learning Professionals, I use proven, traditional and non-traditional approaches to improve functioning and lives. In a casual, non-judgmental setting, I meet with school-age children, teens, and adults of all ages. Whatever your struggle-- anxiety or worry, school or work, depression or low mood, relationships or loneliness, parenting or parents--- we can find ways to improve mood, behavior, thinking, and your life. Please feel free to email or call to talk about scheduling.
(515) 303-1887 View (515) 303-1887
Photo of Travis David Wentworth, Clinical Social Work/Therapist, LISW, MACM
Travis David Wentworth
Clinical Social Work/Therapist, LISW, MACM
1 Endorsed
Serves Area
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
(515) 585-8469 View (515) 585-8469
Photo of Emily Villarreal, Counselor, MS, tLMHC
Emily Villarreal
Counselor, MS, tLMHC
1 Endorsed
Serves Area
Waitlist for new clients
Sometimes we have to give ourselves the patience and kindness in order to grow and heal. We may feel unhappy, alone, or ashamed but we can take control. With guidance and support, we will work together to address the challenging obstacles life presents and seek the changes that need to be made for your wellbeing. You will be seen and heard, and together we will work alongside through self-awareness and self-exploration.
Sometimes we have to give ourselves the patience and kindness in order to grow and heal. We may feel unhappy, alone, or ashamed but we can take control. With guidance and support, we will work together to address the challenging obstacles life presents and seek the changes that need to be made for your wellbeing. You will be seen and heard, and together we will work alongside through self-awareness and self-exploration.
(515) 679-3082 View (515) 679-3082
Susan I Frauenholtz
Clinical Social Work/Therapist, LISW, LCSW
Online Only
Welcome! My name is Susan Frauenholtz and I am a licensed clinical social worker in Iowa, Virginia and Utah. I know that reaching out for help can be a difficult first step and will do everything I can to help you feel comfortable along the way. I have an MSW and PHD in social work and have been providing therapy for more than 20 years.
Welcome! My name is Susan Frauenholtz and I am a licensed clinical social worker in Iowa, Virginia and Utah. I know that reaching out for help can be a difficult first step and will do everything I can to help you feel comfortable along the way. I have an MSW and PHD in social work and have been providing therapy for more than 20 years.
(319) 271-1341 View (319) 271-1341
Photo of Emily Duvick, Counselor, LMHC, ATR
Emily Duvick
Counselor, LMHC, ATR
Serves Area
Not accepting new clients
As a Registered Art Therapist (ATR) and Licensed Mental Health Counselor (LMHC) I would like everyone to explore their creative side and become their best, most authentic selves. I offer individual therapy both in person and via telehealth sessions primarily working with teenagers, adults, and elders. Through working together I want to help empower others to self advocate and set boundaries
As a Registered Art Therapist (ATR) and Licensed Mental Health Counselor (LMHC) I would like everyone to explore their creative side and become their best, most authentic selves. I offer individual therapy both in person and via telehealth sessions primarily working with teenagers, adults, and elders. Through working together I want to help empower others to self advocate and set boundaries
(515) 585-8045 View (515) 585-8045
Photo of Doreatha Page, temp, LMHC, NCC
Doreatha Page
Verified Verified
1 Endorsed
Online Only
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
(319) 988-2505 View (319) 988-2505

More Therapists Nearby

Photo of Erin Suchy-Johnson, Clinical Social Work/Therapist, LISW
Erin Suchy-Johnson
Clinical Social Work/Therapist, LISW
3 Endorsed
West Des Moines, IA 50266
Are you feeling checked out, down, or like you've lost interest in things that once mattered to you? Have you found yourself wondering, "What's the point of all this?" Do you feel like anxiety is always lurking just beneath the surface—keeping you on high alert, overwhelmed, and unable to truly unwind? Are you pregnant or recently had a baby and feeling overwhelmed by all the changes? If you're feeling drained, constantly taking care of everyone else while leaving your own needs behind, and finding yourself unsure of who you are or stuck—know that there's support available.
Are you feeling checked out, down, or like you've lost interest in things that once mattered to you? Have you found yourself wondering, "What's the point of all this?" Do you feel like anxiety is always lurking just beneath the surface—keeping you on high alert, overwhelmed, and unable to truly unwind? Are you pregnant or recently had a baby and feeling overwhelmed by all the changes? If you're feeling drained, constantly taking care of everyone else while leaving your own needs behind, and finding yourself unsure of who you are or stuck—know that there's support available.
(515) 417-1913 x209 View (515) 417-1913 x209
Photo of Maggie McGill, Clinical Social Work/Therapist, LISW
Maggie McGill
Clinical Social Work/Therapist, LISW
West Des Moines, IA 50266
I am a Licensed Independent Social Worker and have been practicing in the Des Moines Metro area for 18 years. I received my Master’s degree in Social Work, from the University of Iowa. I have provided therapy in a variety of settings including homes, schools and community mental health centers. I work with school age children, adolescents and adults in individual and family sessions. I use a strengths based approach and specialize in family relationship issues, issues with life transitions, adolescent issues, anxiety, and depression.
I am a Licensed Independent Social Worker and have been practicing in the Des Moines Metro area for 18 years. I received my Master’s degree in Social Work, from the University of Iowa. I have provided therapy in a variety of settings including homes, schools and community mental health centers. I work with school age children, adolescents and adults in individual and family sessions. I use a strengths based approach and specialize in family relationship issues, issues with life transitions, adolescent issues, anxiety, and depression.
(515) 679-7440 View (515) 679-7440
Photo of Shannon Haus, Clinical Social Work/Therapist, MSEd, LMHC, ADHD-PT
Shannon Haus
Clinical Social Work/Therapist, MSEd, LMHC, ADHD-PT
2 Endorsed
Ankeny, IA 50023
As a trauma-informed therapist utilizing EMDR, ACT, Ego State/ IFS and CBT, I support clients struggling with PTSD, medical trauma, abuse trauma, ADHD, anxiety, depression, procrastination, indecision, and moving forward during transitional stages of life, including high school, college, graduate school, sports, retirement, and more. I have expertise with trauma and ADHD in people ranging in age from 15-70. Extensive experience working with all ages.
As a trauma-informed therapist utilizing EMDR, ACT, Ego State/ IFS and CBT, I support clients struggling with PTSD, medical trauma, abuse trauma, ADHD, anxiety, depression, procrastination, indecision, and moving forward during transitional stages of life, including high school, college, graduate school, sports, retirement, and more. I have expertise with trauma and ADHD in people ranging in age from 15-70. Extensive experience working with all ages.
(515) 454-2202 View (515) 454-2202
Photo of Cameron N Gulbronson, Counselor, tLMHC
Cameron N Gulbronson
Counselor, tLMHC
West Des Moines, IA 50266
Immediate openings! Get scheduled this week. Welcome! I am Cameron, a temporary licensed mental health counselor. I am fresh in the field and eager to apply my skills with clients. If you're looking for a safe, comfortable space to grow emotional insight and awareness, you've come to the right place. If you're looking to help your child obtain skills related to emotional regulation, you've come to right place. I have experience helping clients that are experiencing symptoms of depression, anxiety, bipolar disorder, ADHD, and PTSD. I am confident that my skills will help you or your child on your mental health journey.
Immediate openings! Get scheduled this week. Welcome! I am Cameron, a temporary licensed mental health counselor. I am fresh in the field and eager to apply my skills with clients. If you're looking for a safe, comfortable space to grow emotional insight and awareness, you've come to the right place. If you're looking to help your child obtain skills related to emotional regulation, you've come to right place. I have experience helping clients that are experiencing symptoms of depression, anxiety, bipolar disorder, ADHD, and PTSD. I am confident that my skills will help you or your child on your mental health journey.
(515) 454-2323 x5 View (515) 454-2323 x5
Photo of Jennifer L Kramer, Clinical Social Work/Therapist, LISW
Jennifer L Kramer
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
At periods in our life, things can become overwhelming, complicated or just plain scary. Sometimes life’s pressures become so much, we can hardly breathe or we become stuck. Are you struggling with anxiety, depression, trauma, suicidal thoughts or self harm?
At periods in our life, things can become overwhelming, complicated or just plain scary. Sometimes life’s pressures become so much, we can hardly breathe or we become stuck. Are you struggling with anxiety, depression, trauma, suicidal thoughts or self harm?
(641) 448-6873 View (641) 448-6873

See more therapy options for 50316

How does your Therapist compare?

Number of Therapists in 50316

10+

Average cost per session

$170

Therapists in 50316 who prioritize treating:

100% Depression
100% Anxiety
87% Relationship Issues
87% Stress
87% Life Transitions
80% Coping Skills
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
93% Wellmark BCBS
57% UnitedHealthcare UHC | UBH

How Therapists in 50316 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 50316?

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.