Photo of Kimberly (Kim) Heiar, LMHC, NCC, Counselor
Kimberly (Kim) Heiar
Counselor, LMHC, NCC
Verified Verified
Peosta, IA 52068
Located in Peosta by Dubuque PT. Life and relationships can be challenging. Sometimes it takes new ideas and perspectives to feel empowered to change. In addition to adverse life events, falsely believing we are not good enough, feeling out of control and the fear rejection are common causes of anxiety. We get caught up in reaction of negative thoughts, feeling overwhelmed in addition to uncomfortable body sensations which cause us to overreact (anger) or underreact (avoidance). Whether individually or as a couple, taking that first step to healing is a step you don't have to take on your own.
Located in Peosta by Dubuque PT. Life and relationships can be challenging. Sometimes it takes new ideas and perspectives to feel empowered to change. In addition to adverse life events, falsely believing we are not good enough, feeling out of control and the fear rejection are common causes of anxiety. We get caught up in reaction of negative thoughts, feeling overwhelmed in addition to uncomfortable body sensations which cause us to overreact (anger) or underreact (avoidance). Whether individually or as a couple, taking that first step to healing is a step you don't have to take on your own.
(563) 363-6674 x3 View (563) 363-6674 x3
Photo of Lynne Lutze, PhD, LMHC, LPC, NBCC, Counselor
Lynne Lutze
Counselor, PhD, LMHC, LPC, NBCC
Verified Verified
Peosta, IA 52068
Do you ever feel so overwhelmed with life that you're not sure where to go or who to turn too? Stressed, anxious, alone, added with frustration, heartbreak, and grief? It's okay to feel and sometimes you need to tell someone exactly how you're doing without being judged or told "Get over it". Sometimes you need a quick reminder that you are human and life can be difficult. If you want to learn how to cope, and live feeling more positive, I am the therapist for you. I work with all age levels and backgrounds and have been in the counseling field since 2006.
Do you ever feel so overwhelmed with life that you're not sure where to go or who to turn too? Stressed, anxious, alone, added with frustration, heartbreak, and grief? It's okay to feel and sometimes you need to tell someone exactly how you're doing without being judged or told "Get over it". Sometimes you need a quick reminder that you are human and life can be difficult. If you want to learn how to cope, and live feeling more positive, I am the therapist for you. I work with all age levels and backgrounds and have been in the counseling field since 2006.
(563) 228-8828 View (563) 228-8828
Photo of Valerie Weiser, LMSW, Clinical Social Work/Therapist
Valerie Weiser
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Peosta, IA 52068
Not accepting new clients
I promise you there is something worse out there than being sad and that is being alone and being sad. Ain't nobody in this room alone. -Ted Lasso. We are born with all the emotions, but no idea how to manage those emotions. We learn ways to deal with them through life experiences; some helpful ways, some hurtful ways. With every new life experience comes bigger, more complex emotions; pretty soon we feel anxious, overwhelmed, or out of control. Then what the heck do we do? Through our therapeutic relationship, we can work to explore and integrate emotions, and help you to live the life you want to live.
I promise you there is something worse out there than being sad and that is being alone and being sad. Ain't nobody in this room alone. -Ted Lasso. We are born with all the emotions, but no idea how to manage those emotions. We learn ways to deal with them through life experiences; some helpful ways, some hurtful ways. With every new life experience comes bigger, more complex emotions; pretty soon we feel anxious, overwhelmed, or out of control. Then what the heck do we do? Through our therapeutic relationship, we can work to explore and integrate emotions, and help you to live the life you want to live.
(563) 500-2029 View (563) 500-2029
Photo of Brandee Kohnen (Rus), LISW, Counselor
Brandee Kohnen (Rus)
Counselor, LISW
Verified Verified
1 Endorsed
Peosta, IA 52068
Do you find yourself staring at the mirror comparing yourself to others, questioning the decisions you’re making, and experiencing fearful thinking about how to make change or the idea of change itself? Your world is full of chaos that whirls more out of control each day and the more you try to hold on the more difficult it seems to keep your grip. Like your body isn’t able to support you or keep up with you- creating fear, anxiety, and other feelings you can’t even begin to describe. Like the mirror in front of you is cracking in a million directions and you don’t know how to fix the image of the person standing in front of you.
Do you find yourself staring at the mirror comparing yourself to others, questioning the decisions you’re making, and experiencing fearful thinking about how to make change or the idea of change itself? Your world is full of chaos that whirls more out of control each day and the more you try to hold on the more difficult it seems to keep your grip. Like your body isn’t able to support you or keep up with you- creating fear, anxiety, and other feelings you can’t even begin to describe. Like the mirror in front of you is cracking in a million directions and you don’t know how to fix the image of the person standing in front of you.
(563) 204-2535 View (563) 204-2535
Photo of Riley Andrews, MA, LMHC, LPC, Counselor
Riley Andrews
Counselor, MA, LMHC, LPC
Verified Verified
Peosta, IA 52068
As the mama of 3 littles, who is also coping with life’s transitions, I’ve made it my mission to help mamas thrive throughout their pregnancy and postpartum journey, ensuring a healthy and fulfilling lifestyle for years to come. During my first maternity leave, I thought to myself, if I can help mamas manage their mental health and wellbeing (so they don't have to feel like I do right now), I can prevent kiddos from ever needing to come to see me. So, with that epiphany, I became fully trained to work with Perinatal Mental Health through Postpartum Support International & have since added Brainspotting to best treat "Mama Trauma."
As the mama of 3 littles, who is also coping with life’s transitions, I’ve made it my mission to help mamas thrive throughout their pregnancy and postpartum journey, ensuring a healthy and fulfilling lifestyle for years to come. During my first maternity leave, I thought to myself, if I can help mamas manage their mental health and wellbeing (so they don't have to feel like I do right now), I can prevent kiddos from ever needing to come to see me. So, with that epiphany, I became fully trained to work with Perinatal Mental Health through Postpartum Support International & have since added Brainspotting to best treat "Mama Trauma."
(563) 363-6244 View (563) 363-6244

More Therapists Nearby

Photo of Mary Mclaggan, LMHC, Counselor
Mary Mclaggan
Counselor, LMHC
Verified Verified
Dubuque, IA 52001
My Name Is Jane Mclaggan. I am a Licensed Professional Counselor in Texas, with 20 years of professional experience. As well I am an LMHC in Iowa. I have experience in helping clients with ADHD, stress and anxiety, as well as depression, and coping with life changes. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step in seeking a happier and more fulfilling life takes courage. I am here to support you in that process.
My Name Is Jane Mclaggan. I am a Licensed Professional Counselor in Texas, with 20 years of professional experience. As well I am an LMHC in Iowa. I have experience in helping clients with ADHD, stress and anxiety, as well as depression, and coping with life changes. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step in seeking a happier and more fulfilling life takes courage. I am here to support you in that process.
(319) 820-4103 View (319) 820-4103
Photo of Joshua James Bird, MA, LMHC, Counselor
Joshua James Bird
Counselor, MA, LMHC
Verified Verified
Dyersville, IA 52040
Waitlist for new clients
Josh Bird, MA, tLMHC, is a counselor in Dubuque, Iowa. Josh practices therapy in an adaptive fashion using mixed techniques dependent upon the client's stage of development. When working with clients, Josh aims to treat from a "whole-being" perspective through integration of clients' worlds containing myriad factors affecting mental health. Josh argues that within the therapy space he provides for clients, the clients are assured to feel they have entered a safe vessel for emotional expression, with a safe individual capable of empathetic understanding, validation, and recognition.
Josh Bird, MA, tLMHC, is a counselor in Dubuque, Iowa. Josh practices therapy in an adaptive fashion using mixed techniques dependent upon the client's stage of development. When working with clients, Josh aims to treat from a "whole-being" perspective through integration of clients' worlds containing myriad factors affecting mental health. Josh argues that within the therapy space he provides for clients, the clients are assured to feel they have entered a safe vessel for emotional expression, with a safe individual capable of empathetic understanding, validation, and recognition.
(563) 227-8158 View (563) 227-8158
Photo of Richard Corfman, LISW, Clinical Social Work/Therapist
Richard Corfman
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52003
Not accepting new clients
Clients have come to me for various reasons- marital conflict, depression, anxiety, post traumatic stress, bipolar illness, grief, ADHD and other related mental health diagnoses. I have felt honored to help people to move from feeling distressed to better managing their thoughts, feelings and behaviors so they can enjoy greater success and control over their lives.
Clients have come to me for various reasons- marital conflict, depression, anxiety, post traumatic stress, bipolar illness, grief, ADHD and other related mental health diagnoses. I have felt honored to help people to move from feeling distressed to better managing their thoughts, feelings and behaviors so they can enjoy greater success and control over their lives.
(563) 649-4449 View (563) 649-4449
Photo of Judy Nemmers, LISW, Clinical Social Work/Therapist
Judy Nemmers
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52001  (Online Only)
To those around you, you may look like you have it all together. But on the inside, you are screaming. You're hiding the obsessive thoughts and "crazy" compulsions you engage in so you can maybe lower your level of anxiety. You can't sleep due to your anxiety. You've tried to make changes, but it never gets better. These are secrets that you think no one will understand.
To those around you, you may look like you have it all together. But on the inside, you are screaming. You're hiding the obsessive thoughts and "crazy" compulsions you engage in so you can maybe lower your level of anxiety. You can't sleep due to your anxiety. You've tried to make changes, but it never gets better. These are secrets that you think no one will understand.
(515) 373-4866 View (515) 373-4866
Photo of Mikaela Posekany, Counselor
Mikaela Posekany
Counselor
Verified Verified
Dubuque, IA 52001  (Online Only)
Have you found that sometimes the world around you just doesn’t make sense anymore? Are you experiencing problems in your relationships, difficulty regulating your emotions, the effects of past or present trauma? Are you feeling anxious, depressed, disconnected, stuck, unable to move forward? Do you want to discover the true, authentic you? If this sounds familiar, I want you to know you’re not alone and there is a light at the end of the tunnel! Therapy is a collaborative journey; after all, there is no better expert on you than you! My purpose and passion is to help you gain a better understanding of yourself and your experiences
Have you found that sometimes the world around you just doesn’t make sense anymore? Are you experiencing problems in your relationships, difficulty regulating your emotions, the effects of past or present trauma? Are you feeling anxious, depressed, disconnected, stuck, unable to move forward? Do you want to discover the true, authentic you? If this sounds familiar, I want you to know you’re not alone and there is a light at the end of the tunnel! Therapy is a collaborative journey; after all, there is no better expert on you than you! My purpose and passion is to help you gain a better understanding of yourself and your experiences
(515) 497-7624 View (515) 497-7624
Photo of Jamie Wingert, MA, LMHC, Counselor
Jamie Wingert
Counselor, MA, LMHC
Verified Verified
Guttenberg, IA 52052
Now accepting new clients in NE Iowa location and via telehealth......Do you feel that something just seems off, that you are not reaching your full potential, or that your thoughts and mindset are getting in your way? Would you consider yourself to have anxiety, thoughts that sabotage your growth, or difficulty moving past events or situations? I want to help you shift from being stuck to growing into your full potential. We all have it within us, sometimes we just need some support unraveling it all and putting it back together. I will provide a safe, supportive, relaxed, and client focused environment to do just that.
Now accepting new clients in NE Iowa location and via telehealth......Do you feel that something just seems off, that you are not reaching your full potential, or that your thoughts and mindset are getting in your way? Would you consider yourself to have anxiety, thoughts that sabotage your growth, or difficulty moving past events or situations? I want to help you shift from being stuck to growing into your full potential. We all have it within us, sometimes we just need some support unraveling it all and putting it back together. I will provide a safe, supportive, relaxed, and client focused environment to do just that.
(319) 220-5801 View (319) 220-5801
Photo of Cody Tentis, LMSW, Clinical Social Work/Therapist
Cody Tentis
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dubuque, IA 52001
Availability between 9am and 2pm only. I work with adult individuals in-person in Dubuque and virtually throughout Iowa who are seeking support in navigating challenges including stress, life changes, anxiety, depression, trauma, relationship difficulties and substance use.
Availability between 9am and 2pm only. I work with adult individuals in-person in Dubuque and virtually throughout Iowa who are seeking support in navigating challenges including stress, life changes, anxiety, depression, trauma, relationship difficulties and substance use.
(563) 281-5350 View (563) 281-5350
Photo of Ryan Chatfield, LMHC, Counselor
Ryan Chatfield
Counselor, LMHC
Verified Verified
Dubuque, IA 52001
Hi there, I'm Ryan! I am a licensed mental health counselor with over 6 years of counseling experience. I am very passionate when it comes to working with my clients and know through therapy, consistent effort, and trust in the process, things can and often do get better! My approach My approach is ecliptic as different people have different needs. However, one thing that is consistent about my approach is that I will meet you where you are at and will assist you to where you want to go. I will be empathetic and open minded throughout the therapeutic process, and we will work as a team to reach your goals! Let's chat!
Hi there, I'm Ryan! I am a licensed mental health counselor with over 6 years of counseling experience. I am very passionate when it comes to working with my clients and know through therapy, consistent effort, and trust in the process, things can and often do get better! My approach My approach is ecliptic as different people have different needs. However, one thing that is consistent about my approach is that I will meet you where you are at and will assist you to where you want to go. I will be empathetic and open minded throughout the therapeutic process, and we will work as a team to reach your goals! Let's chat!
(319) 895-1684 View (319) 895-1684
Catherine Esser
Counselor, LMHC
Verified Verified
Dubuque, IA 52002
I believe therapy is a healing, life-enhancing journey, and I am dedicated to helping clients heal from past trauma and cope with current stressors using a supportive, compassionate approach. I build on clients' strengths to promote self-care, reduce distress, improve relationships and find a renewed sense of purpose. I use EMDR and other techniques to help resolve past trauma wounds and attachment wounds, and to find spiritual connection. I work collaboratively with clients to develop more positive core beliefs, allowing the freedom to live more fully, creatively - and with a fuller heart.
I believe therapy is a healing, life-enhancing journey, and I am dedicated to helping clients heal from past trauma and cope with current stressors using a supportive, compassionate approach. I build on clients' strengths to promote self-care, reduce distress, improve relationships and find a renewed sense of purpose. I use EMDR and other techniques to help resolve past trauma wounds and attachment wounds, and to find spiritual connection. I work collaboratively with clients to develop more positive core beliefs, allowing the freedom to live more fully, creatively - and with a fuller heart.
(563) 794-6383 View (563) 794-6383
Photo of Jennifer Van Fossoon-Roelfs, LMHC, Counselor
Jennifer Van Fossoon-Roelfs
Counselor, LMHC
Verified Verified
Dubuque, IA 52001
My name is Jennifer Van Fosson-Roelfs, and I am a Licensed Mental Health Therapist working throughout the state of Iowa providing telehealth services. I work with teens, young adults, individuals, and couples. I specialize in areas such as depression, anxiety, LGBTIQQ+, grief and trauma. My approach to therapy is based on the needs of each client when they enter therapy. I most frequently use Cognitive Behavioral Therapy, along with Solution and Strength based approaches. These approaches allow me to engage with the client in creating trust and a relationship that supports growth.
My name is Jennifer Van Fosson-Roelfs, and I am a Licensed Mental Health Therapist working throughout the state of Iowa providing telehealth services. I work with teens, young adults, individuals, and couples. I specialize in areas such as depression, anxiety, LGBTIQQ+, grief and trauma. My approach to therapy is based on the needs of each client when they enter therapy. I most frequently use Cognitive Behavioral Therapy, along with Solution and Strength based approaches. These approaches allow me to engage with the client in creating trust and a relationship that supports growth.
(319) 820-0115 View (319) 820-0115
Photo of James Khile, LMFT, MHR, MDiv, Marriage & Family Therapist
James Khile
Marriage & Family Therapist, LMFT, MHR, MDiv
Verified Verified
Dubuque, IA 52001  (Online Only)
Life is a journey down a road with many twists and turns. Some hold potential joy and others may bring sorrow. Where does the strength and clarity come from to keep going? Marcus Aurelius had this to say: “You have power over your mind, not outside events. Realize this and you will find strength.” As a practitioner of Positive, Strength-based therapy, my primary task is to help people identify and engage the goldmine of resources already residing in every person. Outcomes are not guaranteed; but if you are willing to be challenged and grow, I would be honored to assist you as a fellow traveler. I too am a work in progress!
Life is a journey down a road with many twists and turns. Some hold potential joy and others may bring sorrow. Where does the strength and clarity come from to keep going? Marcus Aurelius had this to say: “You have power over your mind, not outside events. Realize this and you will find strength.” As a practitioner of Positive, Strength-based therapy, my primary task is to help people identify and engage the goldmine of resources already residing in every person. Outcomes are not guaranteed; but if you are willing to be challenged and grow, I would be honored to assist you as a fellow traveler. I too am a work in progress!
View
Photo of Lori Ollendick, LMHC, NCC, Counselor
Lori Ollendick
Counselor, LMHC, NCC
Verified Verified
Dubuque, IA 52002
Successful therapy is the result of effective collaboration between client and therapist.Choosing the right therapist for you is a very personal decision and can seem like an overwhelming task so finding the right "fit" is so important. I value creating a strong, trusting relationship with my clients and want them to feel that they can be comfortable and open sharing their burdens in our sessions. I work with the client to promote self discovery and confidence building which in turn helps them to improve their relationships and manage their life challenges.
Successful therapy is the result of effective collaboration between client and therapist.Choosing the right therapist for you is a very personal decision and can seem like an overwhelming task so finding the right "fit" is so important. I value creating a strong, trusting relationship with my clients and want them to feel that they can be comfortable and open sharing their burdens in our sessions. I work with the client to promote self discovery and confidence building which in turn helps them to improve their relationships and manage their life challenges.
(563) 538-0319 View (563) 538-0319
Daniel Finn
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52001
An effective therapeutic experience is a partnership between client and therapist. I enjoy being witness to an individuals recovery from various struggles brought on by the human condition. My belief in strength and resiliency has served as an important cornerstone in my approach to therapy.
An effective therapeutic experience is a partnership between client and therapist. I enjoy being witness to an individuals recovery from various struggles brought on by the human condition. My belief in strength and resiliency has served as an important cornerstone in my approach to therapy.
(563) 239-5285 View (563) 239-5285
Photo of Gail L. Gabbert, DMin, LMFT, CRADC, Marriage & Family Therapist
Gail L. Gabbert
Marriage & Family Therapist, DMin, LMFT, CRADC
Verified Verified
2 Endorsed
Dubuque, IA 52001
Is your relationship struggling? Do you think it is too good to leave but too bad to stay? Or, are you struggling with an excessive use of alcohol or drugs? When this happens, it's easy for well meaning friends to give opinions that may not be right for you. Sometimes an unbiased party can help. If you've tried your best but it's not getting better, let me help. I have specific techniques to improve your situation. I may provide education, assign homework or suggest behavioral tasks to help you reach your goals. Let's work it out together.r,
Is your relationship struggling? Do you think it is too good to leave but too bad to stay? Or, are you struggling with an excessive use of alcohol or drugs? When this happens, it's easy for well meaning friends to give opinions that may not be right for you. Sometimes an unbiased party can help. If you've tried your best but it's not getting better, let me help. I have specific techniques to improve your situation. I may provide education, assign homework or suggest behavioral tasks to help you reach your goals. Let's work it out together.r,
(815) 661-2889 View (815) 661-2889
Photo of Kristen N Gaffey, MSEd, LPC, Counselor
Kristen N Gaffey
Counselor, MSEd, LPC
Verified Verified
Dubuque, IA 52001
Hi there! I am so glad you are looking into ways to help yourself. I know finding a therapist can be daunting and frustrating at times. But hey, you took the first step by just looking! I hope you are able to identify a therapist that is the best fit for you, and if that is me, please reach out!
Hi there! I am so glad you are looking into ways to help yourself. I know finding a therapist can be daunting and frustrating at times. But hey, you took the first step by just looking! I hope you are able to identify a therapist that is the best fit for you, and if that is me, please reach out!
(608) 200-5330 View (608) 200-5330

See more therapy options for 52068

How does your Therapist compare?

Number of Therapists in 52068

< 10

Therapists in 52068 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
80% Parenting
80% Trauma and PTSD
80% Family Conflict
80% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
80% Wellmark BCBS
60% Other

How Therapists in 52068 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 52068?

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.