Therapists in 52340

Photo of Brad Virkler, Counselor, MA, tLMHC
Brad Virkler
Counselor, MA, tLMHC
1 Endorsed
Tiffin, IA 52340
I believe that counseling is a process whereby a client voluntarily seeks to resolve interpersonal, emotional, and/or spiritual difficulties with the assistance of another caring individual. I will seek to empower you to make changes for the betterment of your life through a wellness model. I will do my best to offer you the highest ethical standards of care, to listen empathically to you, to persist in hope, to believe in your restoration, and to avoid all forms of judgement. My goal is for you to develop fresh perspectives, to bolster your self confidence in your existing capabilities, and to form a feasible plan of action.
I believe that counseling is a process whereby a client voluntarily seeks to resolve interpersonal, emotional, and/or spiritual difficulties with the assistance of another caring individual. I will seek to empower you to make changes for the betterment of your life through a wellness model. I will do my best to offer you the highest ethical standards of care, to listen empathically to you, to persist in hope, to believe in your restoration, and to avoid all forms of judgement. My goal is for you to develop fresh perspectives, to bolster your self confidence in your existing capabilities, and to form a feasible plan of action.
(319) 318-2076 View (319) 318-2076
Photo of Lisa Yeary, Clinical Social Work/Therapist, LISW
Lisa Yeary
Clinical Social Work/Therapist, LISW
Serves Area
It is a brave person that seeks help in times of need. When recognized and nurtured, every person possesses qualities that can bring positive changes to their life. In finding solutions that bring you hope, you will be able to see how your own strengths are an important part of realizing your goals and dreams.
It is a brave person that seeks help in times of need. When recognized and nurtured, every person possesses qualities that can bring positive changes to their life. In finding solutions that bring you hope, you will be able to see how your own strengths are an important part of realizing your goals and dreams.
(319) 313-5225 View (319) 313-5225
Photo of Pete Campie, Marriage & Family Therapist, LMFT
Pete Campie
Marriage & Family Therapist, LMFT
3 Endorsed
Serves Area
Hi, I'm Pete. Therapy can mean different things to different people depending on your perspective. From mine, I'm here to help you reach the goals you're shooting for, and I'm not here to waste your time or tell you things you already know. I'll give you everything I've got to help you get where you're going. Relationship in real trouble? Feeling like you can't figure out who you are or want to be? Sounds heavy. I help with heavy.
Hi, I'm Pete. Therapy can mean different things to different people depending on your perspective. From mine, I'm here to help you reach the goals you're shooting for, and I'm not here to waste your time or tell you things you already know. I'll give you everything I've got to help you get where you're going. Relationship in real trouble? Feeling like you can't figure out who you are or want to be? Sounds heavy. I help with heavy.
(319) 258-5031 View (319) 258-5031
Photo of Kimberly Anderson, Clinical Social Work/Therapist, LISW
Kimberly Anderson
Clinical Social Work/Therapist, LISW
1 Endorsed
Serves Area
As a clinician for over 20 years, I embrace an integrative approach to healing. I have extensive experience working with families and individuals across the life span around a host of issues. I am a certified trauma-focused cognitive behavioral therapist with a strengths-based, 'person in environment' perspective. I utilize EMDR, ACT, cognitive-behavioral, IFS, dialectical-behavioral and psycho-dynamic approaches to therapy. I also have additional training in Expressive Arts techniques.
As a clinician for over 20 years, I embrace an integrative approach to healing. I have extensive experience working with families and individuals across the life span around a host of issues. I am a certified trauma-focused cognitive behavioral therapist with a strengths-based, 'person in environment' perspective. I utilize EMDR, ACT, cognitive-behavioral, IFS, dialectical-behavioral and psycho-dynamic approaches to therapy. I also have additional training in Expressive Arts techniques.
(319) 456-4261 View (319) 456-4261
Photo of Brianna White, Clinical Social Work/Therapist, LISW, CCATP, CCTP-II
Brianna White
Clinical Social Work/Therapist, LISW, CCATP, CCTP-II
1 Endorsed
Serves Area
Life can feel messy, heavy, or uncertain- and that’s okay. Therapy is a space where you get to be fully yourself: defining what’s working, what’s not, and where you want to go. It’s rooted in real connection, not quick fixes, and guided by the belief that healing isn’t about fixing what’s broken, but rediscovering what’s already inside of you- resilience, clarity, and the strength to move forward. All parts of you are welcome- the messy, the heavy, and the hard to name. If anxiety, grief, trauma, or life changes leave you stuck, therapy can help you find your way.
Life can feel messy, heavy, or uncertain- and that’s okay. Therapy is a space where you get to be fully yourself: defining what’s working, what’s not, and where you want to go. It’s rooted in real connection, not quick fixes, and guided by the belief that healing isn’t about fixing what’s broken, but rediscovering what’s already inside of you- resilience, clarity, and the strength to move forward. All parts of you are welcome- the messy, the heavy, and the hard to name. If anxiety, grief, trauma, or life changes leave you stuck, therapy can help you find your way.
(319) 209-9941 View (319) 209-9941
Photo of Jennifer Luria, Clinical Social Work/Therapist, MSW, LISW
Jennifer Luria
Clinical Social Work/Therapist, MSW, LISW
1 Endorsed
Online Only
New hours! I have extra hours in the early evenings, Saturdays, and Sunday mornings to help. I am glad you are here! I work with children, teens, young adults, and adults with anxiety, depression, ADHD, developmental disorders (including autism), and stress related to relationships and transitions. I work with children and their caregivers to help children who struggle with anxiety, transitions, and struggles in different situations. I enjoy helping parents use strategies to best help their children.
New hours! I have extra hours in the early evenings, Saturdays, and Sunday mornings to help. I am glad you are here! I work with children, teens, young adults, and adults with anxiety, depression, ADHD, developmental disorders (including autism), and stress related to relationships and transitions. I work with children and their caregivers to help children who struggle with anxiety, transitions, and struggles in different situations. I enjoy helping parents use strategies to best help their children.
(319) 220-5548 View (319) 220-5548
Photo of Jonni Rose Lukenbill-Bowles - Lyra Clinical, Counselor, MS, NCC, LMHC, BCC, LPCC
Lyra Clinical
Counselor, MS, NCC, LMHC, BCC, LPCC
Online Only
If you are struggling with grief, anxiety, stressful work situations or living with other difficult situations, we can work together to help you feel stronger and more resilient. I've worked with clients from ages 18 to 80 and have a strong connection to the LGBTQ and college communities. I help clients grow through adversity by helping you to better understand what is most important to you in life. I help you to set goals that you want to work toward, and we work collaberatively to get you going in the direction that has the most meaning for you. I am currently accepting new clients through Lyra Health, an EAP company.
If you are struggling with grief, anxiety, stressful work situations or living with other difficult situations, we can work together to help you feel stronger and more resilient. I've worked with clients from ages 18 to 80 and have a strong connection to the LGBTQ and college communities. I help clients grow through adversity by helping you to better understand what is most important to you in life. I help you to set goals that you want to work toward, and we work collaberatively to get you going in the direction that has the most meaning for you. I am currently accepting new clients through Lyra Health, an EAP company.
Photo of Sarah Jacobs, Clinical Social Work/Therapist, LISW
Sarah Jacobs
Clinical Social Work/Therapist, LISW
Online Only
As a mental health professional with many years of experience in private practice, hospital, community crisis counseling, and corporate settings, Sarah is passionate about helping others. Sarah received her Master of Social Work degree from the University of Iowa. Throughout her experiences, Sarah has witnessed individuals make meaningful and lasting changes in their lives, drawing strength from their experiences and the struggles they've overcome. Sarah wants to help individuals work through any past trauma that might be holding them back and help them become the best versions of themselves.
As a mental health professional with many years of experience in private practice, hospital, community crisis counseling, and corporate settings, Sarah is passionate about helping others. Sarah received her Master of Social Work degree from the University of Iowa. Throughout her experiences, Sarah has witnessed individuals make meaningful and lasting changes in their lives, drawing strength from their experiences and the struggles they've overcome. Sarah wants to help individuals work through any past trauma that might be holding them back and help them become the best versions of themselves.
(319) 253-2238 View (319) 253-2238
Photo of Bonnie Derby, Clinical Social Work/Therapist, LISW
Bonnie Derby
Clinical Social Work/Therapist, LISW
Online Only
I am a licensed clinical Social worker with decades of experience & training. I am licensed in Iowa, CO (soon to be inactivated and inactive in MT. My specialty is mental health and treatment of trauma, Veterans, and was on military active duty. I also specialize in couple counseling. My approach is very client-centered so I work with the goal or goals that the client wants in a solution-focused therapy.
I am a licensed clinical Social worker with decades of experience & training. I am licensed in Iowa, CO (soon to be inactivated and inactive in MT. My specialty is mental health and treatment of trauma, Veterans, and was on military active duty. I also specialize in couple counseling. My approach is very client-centered so I work with the goal or goals that the client wants in a solution-focused therapy.
(319) 316-6229 View (319) 316-6229

More Therapists Nearby

Photo of Katie Burrell, Clinical Social Work/Therapist, LISW
Katie Burrell
Clinical Social Work/Therapist, LISW
1 Endorsed
North Liberty, IA 52317
I have been practicing in the field of social work for over 15 years. As a social worker, I have spent my career listening and helping clients to make change. I enjoy working with adults who are struggling with anxiety; specifically surrounding life changes such as parenthood, relationship changes, grief and loss and adjusting to young adulthood.
I have been practicing in the field of social work for over 15 years. As a social worker, I have spent my career listening and helping clients to make change. I enjoy working with adults who are struggling with anxiety; specifically surrounding life changes such as parenthood, relationship changes, grief and loss and adjusting to young adulthood.
(319) 359-3287 View (319) 359-3287
Photo of Megan C. Rector, Counselor, MA, LMHC, NCC
Megan C. Rector
Counselor, MA, LMHC, NCC
Marion, IA 52302
Are you struggling with anxiety, people-pleasing, relationship challenges, work stress, divorce, depression, indecision, single parenting, loving someone struggling with addiction, or the loss of a loved one? As a trained therapist and life coach, Megan strives to make therapy a safe space to explore feelings, fears, strengths, and to address thoughts and behaviors collaboratively that can block personal growth. Gain the courage and strength to make positive decisions that support your emotional well-being. Her super power is to help identify unhealthy patterns in order to explore healthy alternatives to get you different results.
Are you struggling with anxiety, people-pleasing, relationship challenges, work stress, divorce, depression, indecision, single parenting, loving someone struggling with addiction, or the loss of a loved one? As a trained therapist and life coach, Megan strives to make therapy a safe space to explore feelings, fears, strengths, and to address thoughts and behaviors collaboratively that can block personal growth. Gain the courage and strength to make positive decisions that support your emotional well-being. Her super power is to help identify unhealthy patterns in order to explore healthy alternatives to get you different results.
(319) 988-2419 View (319) 988-2419
Photo of Alivia Wimer, Marriage & Family Therapist Associate, t-LMFT
Alivia Wimer
Marriage & Family Therapist Associate, t-LMFT
1 Endorsed
Cedar Rapids, IA 52402
As a Temporary Licensed Marriage and Family Therapist (TLMFT), I work with individuals across the lifespan—from children to adults—using a collaborative, strengths-based approach. In my work with adults and young adults, I utilize Solution Focused Brief Therapy to help clients identify strengths, clarify goals, and create meaningful change. With children and adolescents, I incorporate Client-Centered Play Therapy, creating a safe and expressive environment where young clients can explore emotions and experiences through play.
As a Temporary Licensed Marriage and Family Therapist (TLMFT), I work with individuals across the lifespan—from children to adults—using a collaborative, strengths-based approach. In my work with adults and young adults, I utilize Solution Focused Brief Therapy to help clients identify strengths, clarify goals, and create meaningful change. With children and adolescents, I incorporate Client-Centered Play Therapy, creating a safe and expressive environment where young clients can explore emotions and experiences through play.
(319) 250-2077 View (319) 250-2077
Photo of Kate E Slater, Counselor, MA, T-LMHC
Kate E Slater
Counselor, MA, T-LMHC
Iowa City, IA 52240
I enjoy helping individuals, couples, and families build resilience and thrive through the challenges and changes and losses that life inevitably brings. I offer an empathetic listening ear and a hopeful solutions-focused approach, developing my client's strengths and coping skills to help them meet their therapy goals. I believe that human connection through healthy relationships makes all the difference when we are struggling, and I love working with people to strengthen relationships with those closest to them.
I enjoy helping individuals, couples, and families build resilience and thrive through the challenges and changes and losses that life inevitably brings. I offer an empathetic listening ear and a hopeful solutions-focused approach, developing my client's strengths and coping skills to help them meet their therapy goals. I believe that human connection through healthy relationships makes all the difference when we are struggling, and I love working with people to strengthen relationships with those closest to them.
(319) 209-9342 View (319) 209-9342
Photo of Dan Tallman - Acceptance Recovery Counseling, Clinical Social Work/Therapist, LISW, CADC, MSL
Acceptance Recovery Counseling
Clinical Social Work/Therapist, LISW, CADC, MSL
Coralville, IA 52241
Do you or a loved one struggle with drinking or drug use? Are you living day-to-day with no real hope for the future? Have you turned to other unhealthy habits- food, gambling, toxic relationships? Have you tried therapy or treatment in the past and walked away feeling worse than when you started?
Do you or a loved one struggle with drinking or drug use? Are you living day-to-day with no real hope for the future? Have you turned to other unhealthy habits- food, gambling, toxic relationships? Have you tried therapy or treatment in the past and walked away feeling worse than when you started?
(319) 853-8015 View (319) 853-8015
Photo of Christina E Stai, Psychologist, PsyD
Christina E Stai
Psychologist, PsyD
4 Endorsed
Online Only
I am a licensed clinical psychologist in California and Iowa, and I am a registered out of state Telehealth provider in Florida. I provide individual therapy for children, teenagers, and young adults, and psychological/neuropsychological/diagnostic testing for all ages. I primarily specialize in the area of neurodivergence, and I also have extensive experience in areas of abuse/trauma, foster care/adoption, disordered eating, and anxiety disorders. I have worked in several settings including psychiatric hospitals, residential treatment facilities, schools, community mental health, and in private practice.
I am a licensed clinical psychologist in California and Iowa, and I am a registered out of state Telehealth provider in Florida. I provide individual therapy for children, teenagers, and young adults, and psychological/neuropsychological/diagnostic testing for all ages. I primarily specialize in the area of neurodivergence, and I also have extensive experience in areas of abuse/trauma, foster care/adoption, disordered eating, and anxiety disorders. I have worked in several settings including psychiatric hospitals, residential treatment facilities, schools, community mental health, and in private practice.
(319) 238-4418 View (319) 238-4418
Photo of Becky Shank, Clinical Social Work/Therapist, MSW, LISWCP
Becky Shank
Clinical Social Work/Therapist, MSW, LISWCP
1 Endorsed
Serves Area
You may be standing at a crossroads - a marriage shifting, a role changing, children leaving, a career that no longer fits. Or perhaps there's no single event, just a quiet knowing that something has been pushed down for too long. Many women I work with feel disconnected from themselves - carrying patterns, old wounds, and the weight of expectations that were never truly theirs. I don't focus on diagnoses or labels; I focus on you - your story, your patterns, and reconnecting you with the clarity and strength that was always yours. Healing yourself is merely the doorway and is quietly one of the most generous things you can do.
You may be standing at a crossroads - a marriage shifting, a role changing, children leaving, a career that no longer fits. Or perhaps there's no single event, just a quiet knowing that something has been pushed down for too long. Many women I work with feel disconnected from themselves - carrying patterns, old wounds, and the weight of expectations that were never truly theirs. I don't focus on diagnoses or labels; I focus on you - your story, your patterns, and reconnecting you with the clarity and strength that was always yours. Healing yourself is merely the doorway and is quietly one of the most generous things you can do.
(864) 735-1736 View (864) 735-1736
Photo of Carissa Degen, Pre-Licensed Professional, tLMFT
Carissa Degen
Pre-Licensed Professional, tLMFT
Cedar Rapids, IA 52402
Carissa is wholeheartedly committed to guiding you through the intricate landscape of life with a deep sense of compassion and understanding, ensuring that you find a safe and welcoming space to delve into your emotions and life experiences. She recognizes the transformative power of collaboration, working intimately alongside you to illuminate clarity and nurture meaningful connections during even the most challenging periods. Whether you are confronted with significant life transitions, seeking to deepen your relationships, or striving for personal growth and self-discovery.
Carissa is wholeheartedly committed to guiding you through the intricate landscape of life with a deep sense of compassion and understanding, ensuring that you find a safe and welcoming space to delve into your emotions and life experiences. She recognizes the transformative power of collaboration, working intimately alongside you to illuminate clarity and nurture meaningful connections during even the most challenging periods. Whether you are confronted with significant life transitions, seeking to deepen your relationships, or striving for personal growth and self-discovery.
(319) 408-8864 View (319) 408-8864
Photo of Natalia Cherjovsky, Marriage & Family Therapist, T-LMFT
Natalia Cherjovsky
Marriage & Family Therapist, T-LMFT
1 Endorsed
Coralville, IA 52241
Longing for a meaningful life is inherent to being human. Yet, no one hands us a manual, so we often feel stuck. This is where therapists can provide relief. My practice is dedicated to motivated clients ready to embrace transformation by confronting limiting beliefs and behaviors. Therapy requires courage to examine and disrupt harmful patterns and narratives to achieve clarity, resilience, and fulfillment. As your therapist, I can help you harness your innate capacity to grow in ways that align with your values. I use an integrative lens and draw on a wide array of theories and strategies to tailor sessions to your unique needs.
Longing for a meaningful life is inherent to being human. Yet, no one hands us a manual, so we often feel stuck. This is where therapists can provide relief. My practice is dedicated to motivated clients ready to embrace transformation by confronting limiting beliefs and behaviors. Therapy requires courage to examine and disrupt harmful patterns and narratives to achieve clarity, resilience, and fulfillment. As your therapist, I can help you harness your innate capacity to grow in ways that align with your values. I use an integrative lens and draw on a wide array of theories and strategies to tailor sessions to your unique needs.
(319) 253-8703 View (319) 253-8703
Photo of Lorilei Baker, Clinical Social Work/Therapist, LISW, LCSW
Lorilei Baker
Clinical Social Work/Therapist, LISW, LCSW
2 Endorsed
Serves Area
I provide trauma-informed therapy across Illinois, Iowa, and Missouri for children, teens, and adults navigating addiction, anxiety, PTSD, grief, and attachment wounds, with a special focus on LGBTQIA+ and marginalized populations. Our local office includes five therapists using modalities such as CBT, EMDR, sandtray, art and play therapy, ACT, DBT, CPT, and somatic approaches. As Regional Director, I provide therapy while supporting and supervising clinicians. We strive to create a safe, affirming space where clients feel fully seen, heard, and supported in their healing.
I provide trauma-informed therapy across Illinois, Iowa, and Missouri for children, teens, and adults navigating addiction, anxiety, PTSD, grief, and attachment wounds, with a special focus on LGBTQIA+ and marginalized populations. Our local office includes five therapists using modalities such as CBT, EMDR, sandtray, art and play therapy, ACT, DBT, CPT, and somatic approaches. As Regional Director, I provide therapy while supporting and supervising clinicians. We strive to create a safe, affirming space where clients feel fully seen, heard, and supported in their healing.
(618) 538-0996 View (618) 538-0996
Photo of Erin Stevens - Anxiety & OCD Treatment Services, Psychologist, PhD
Anxiety & OCD Treatment Services
Psychologist, PhD
2 Endorsed
Iowa City, IA 52240
Anxiety & OCD Treatment Services is a specialty clinic dedicated to evidence-based care for children, adolescents, and adults. We provide individual therapy, parent-based treatment, and support for families struggling with anxiety and OCD. Our clinicians have over 75 years of combined experience and advanced training in gold-standard approaches such as exposure and response prevention (ERP). We are the only Iowa clinic recognized as an institutional member of the International OCD Foundation (IOCDF), a distinction for programs with multiple licensed clinicians, deep expertise, and a primary focus on treating OCD and related disorder
Anxiety & OCD Treatment Services is a specialty clinic dedicated to evidence-based care for children, adolescents, and adults. We provide individual therapy, parent-based treatment, and support for families struggling with anxiety and OCD. Our clinicians have over 75 years of combined experience and advanced training in gold-standard approaches such as exposure and response prevention (ERP). We are the only Iowa clinic recognized as an institutional member of the International OCD Foundation (IOCDF), a distinction for programs with multiple licensed clinicians, deep expertise, and a primary focus on treating OCD and related disorder
(515) 325-8531 View (515) 325-8531

See more therapy options for 52340

How does your Therapist compare?

Number of Therapists in 52340

< 10

Therapists in 52340 who prioritize treating:

100% Anxiety
89% Self Esteem
78% Relationship Issues
78% Grief
78% Stress
67% Depression
67% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
63% Midlands Choice
63% Wellmark BCBS

How Therapists in 52340 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

63% Female
25% Male
12% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 52340?

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.