Therapists in Adel, IA

Photo of Christine Ries, LMSW, IADC, Clinical Social Work/Therapist
Christine Ries
Clinical Social Work/Therapist, LMSW, IADC
Verified Verified
Adel, IA 50003
I am an experienced therapist with over 30 years of expertise. My focus is on healing trauma, deepening faith, and strengthening relationships, guided by principles of empathy and acceptance. My approach is non-judgmental and emphasizes meeting clients where they are. I work from a faith-based, positive, and affirming perspective, helping clients to overcome challenges. There are seasons in life when we find ourselves in need of someone to assist in processing our trials and fostering growth.
I am an experienced therapist with over 30 years of expertise. My focus is on healing trauma, deepening faith, and strengthening relationships, guided by principles of empathy and acceptance. My approach is non-judgmental and emphasizes meeting clients where they are. I work from a faith-based, positive, and affirming perspective, helping clients to overcome challenges. There are seasons in life when we find ourselves in need of someone to assist in processing our trials and fostering growth.
(515) 758-7517 View (515) 758-7517
Photo of Nicole Scherle Scheidel, MEd, LMHC, Counselor
Nicole Scherle Scheidel
Counselor, MEd, LMHC
Verified Verified
Adel, IA 50003
I am a Licensed Mental Health Counselor with over 20 years experience in the practice of psychotherapy. I received my Bachelor and Master degrees from Loyola University Chicago. I provide counseling to older adolescents and adult individuals. My specialties include depression, anxiety, life transitions, trauma, mood disorders, perinatal mood and anxiety disorders, and OCD. I work to provide my clients with a compassionate & supportive therapeutic alliance to help them address their current concerns and help them live a happier, healthier life.
I am a Licensed Mental Health Counselor with over 20 years experience in the practice of psychotherapy. I received my Bachelor and Master degrees from Loyola University Chicago. I provide counseling to older adolescents and adult individuals. My specialties include depression, anxiety, life transitions, trauma, mood disorders, perinatal mood and anxiety disorders, and OCD. I work to provide my clients with a compassionate & supportive therapeutic alliance to help them address their current concerns and help them live a happier, healthier life.
(515) 368-8284 View (515) 368-8284

More Therapists Nearby

Photo of Kevin D West, MSW, LISW, Clinical Social Work/Therapist
Kevin D West
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
Waukee, IA 50263
I specialize working with adults and children (ages 8 to 17) with a focus in the areas of anxiety, anger control, parenting, ADHD, relationships and depression. Everyone has points in their lives where they may question themselves or have to deal with difficult situations they may, or may not, have been expecting. I want to help people find ways to help them realize their potential. I work with clients by exploring and educating them about the strengths they already have and how they can be a force for positive change.
I specialize working with adults and children (ages 8 to 17) with a focus in the areas of anxiety, anger control, parenting, ADHD, relationships and depression. Everyone has points in their lives where they may question themselves or have to deal with difficult situations they may, or may not, have been expecting. I want to help people find ways to help them realize their potential. I work with clients by exploring and educating them about the strengths they already have and how they can be a force for positive change.
(515) 219-4912 View (515) 219-4912
Photo of Adria Booth, MS, LMHC, Counselor
Adria Booth
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Waukee, IA 50263
Is your teenager facing challenges at home or at school? Does your teenager show signs of anxiety (worries) or depression (sadness)? Or is starting to date and having heartbreaks? Or starting to worry about the college transition? Does your teen have problems making and keeping friends? Or faced bullying? Is your teen grieving the loss of a relative, friend or beloved pet? Or suffering with your divorce or new blended family? Is your teen diagnosed with ADHD or Asperger’s (high-functioning autism)? Is your teen questioning their sexuality (sexual orientation or gender identity)?
Is your teenager facing challenges at home or at school? Does your teenager show signs of anxiety (worries) or depression (sadness)? Or is starting to date and having heartbreaks? Or starting to worry about the college transition? Does your teen have problems making and keeping friends? Or faced bullying? Is your teen grieving the loss of a relative, friend or beloved pet? Or suffering with your divorce or new blended family? Is your teen diagnosed with ADHD or Asperger’s (high-functioning autism)? Is your teen questioning their sexuality (sexual orientation or gender identity)?
(515) 298-5942 View (515) 298-5942
Photo of Erin Sawhill, MSW, LISW, PMH-C, Clinical Social Work/Therapist
Erin Sawhill
Clinical Social Work/Therapist, MSW, LISW, PMH-C
Verified Verified
2 Endorsed
Waukee, IA 50263
Not accepting new clients
My belief, self-care is paramount. It is my goal to assist in all areas of life, in order for you to feel balanced and motivated. I work with individuals 16yrs old through adulthood. Whether struggling at home, school, or work I see my role as assisting you and your important others to identify goals, reflect on barriers, and build resources through your own strengths as well as the supports around you. I have earned a certification in Perinatal Mental Health and Gottman Level I. I have personal interest in the Enneagram Types and find significant value in its use to raise insight on an individual and relational level.
My belief, self-care is paramount. It is my goal to assist in all areas of life, in order for you to feel balanced and motivated. I work with individuals 16yrs old through adulthood. Whether struggling at home, school, or work I see my role as assisting you and your important others to identify goals, reflect on barriers, and build resources through your own strengths as well as the supports around you. I have earned a certification in Perinatal Mental Health and Gottman Level I. I have personal interest in the Enneagram Types and find significant value in its use to raise insight on an individual and relational level.
(515) 393-4057 View (515) 393-4057
Photo of Amber E Lonsdale, MS, LMFT, Marriage & Family Therapist
Amber E Lonsdale
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Waukee, IA 50263
My goal is to help you live a happier, more fulfilling and productive life. I believe you are the expert on your own life and experiences. As your therapist my job is to help guide you to those insights that will enable you to reach your goals. Let's work together to create positive change in your life!
My goal is to help you live a happier, more fulfilling and productive life. I believe you are the expert on your own life and experiences. As your therapist my job is to help guide you to those insights that will enable you to reach your goals. Let's work together to create positive change in your life!
(515) 375-7367 View (515) 375-7367
Photo of Jordan Ottenbacher, MS, LMHC, Counselor
Jordan Ottenbacher
Counselor, MS, LMHC
Verified Verified
Waukee, IA 50263
Currently accepting new clients. I work at New Life Counseling's West Des Moines office location, but also meet with clients via Zoom. I specialize in working with couples, mood disorders (Bipolar 1, 2, Cyclothymia, Dysthymia), childhood trauma, and treatment resistant anxiety / depression. In addition to this, I also treat sexual addictions (pornography, affairs, etc.), spiritual issues, and career challenges. My hope is that you would feel understood and confident in the care you are receiving, as we work together in discovering root issues and consider making life adjustments.
Currently accepting new clients. I work at New Life Counseling's West Des Moines office location, but also meet with clients via Zoom. I specialize in working with couples, mood disorders (Bipolar 1, 2, Cyclothymia, Dysthymia), childhood trauma, and treatment resistant anxiety / depression. In addition to this, I also treat sexual addictions (pornography, affairs, etc.), spiritual issues, and career challenges. My hope is that you would feel understood and confident in the care you are receiving, as we work together in discovering root issues and consider making life adjustments.
(515) 717-7790 View (515) 717-7790
Photo of Ian Adams, tLMHC, MS, Counselor
Ian Adams
Counselor, tLMHC, MS
Verified Verified
4 Endorsed
Waukee, IA 50263
I just extended my schedule and am accepting new clients! I accept all major insurance, including Medicaid. I specialize in helping those struggling with trauma, depression, anxiety, and addiction to unhealthy cycles; especially lesser thought-of issues such as addictions to toxic relationships, pornography, sex, gaming, health, and social media. I'm also a philosophy buff and love working with those looking to gain a sense of belonging or purpose in life. I am located in a relaxing office space and work alongside other amazing therapists.
I just extended my schedule and am accepting new clients! I accept all major insurance, including Medicaid. I specialize in helping those struggling with trauma, depression, anxiety, and addiction to unhealthy cycles; especially lesser thought-of issues such as addictions to toxic relationships, pornography, sex, gaming, health, and social media. I'm also a philosophy buff and love working with those looking to gain a sense of belonging or purpose in life. I am located in a relaxing office space and work alongside other amazing therapists.
(515) 516-6858 View (515) 516-6858
Photo of Zach Pacha - The Anxiety and OCD Center of Iowa, LISW, Clinical Social Work/Therapist
The Anxiety and OCD Center of Iowa
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
Waukee, IA 50263
Waitlist for new clients
Have you ever had the thought "Maybe I have a problem with anxiety?" One of the worst things about anxiety (aside from the feeling) is the avoidance it creates in a person's life. From mildly interfering with enjoyment to outright avoiding things altogether, anxiety can be paralyzing. Whether it's related to social situations, more generalized, panic attacks, phobia, agoraphobia, or related disorders such as OCD. These are my first and foremost areas of expertise. One of the most rewarding aspects of my job is seeing and comparing the progress a person makes along the way.
Have you ever had the thought "Maybe I have a problem with anxiety?" One of the worst things about anxiety (aside from the feeling) is the avoidance it creates in a person's life. From mildly interfering with enjoyment to outright avoiding things altogether, anxiety can be paralyzing. Whether it's related to social situations, more generalized, panic attacks, phobia, agoraphobia, or related disorders such as OCD. These are my first and foremost areas of expertise. One of the most rewarding aspects of my job is seeing and comparing the progress a person makes along the way.
(515) 512-5167 View (515) 512-5167
Photo of Peter T Cade, MDiv, MS, LMHC, Counselor
Peter T Cade
Counselor, MDiv, MS, LMHC
Verified Verified
1 Endorsed
Waukee, IA 50263
Most of us have never been taught how to build great relationships, raise children, or to be content and find meaning; these issues tend to cause us a great deal of stress. Stress is a major cause of anxiety and behaviors that you want to change. However, you have the building blocks within you to put together great relationships, raise children, and have a meaningful flourishing life. Sometimes the building blocks you already have get jumbled and need to be adjusted. Errors in thinking lead us to feel bad and spiral downward or become anxious or depressed.
Most of us have never been taught how to build great relationships, raise children, or to be content and find meaning; these issues tend to cause us a great deal of stress. Stress is a major cause of anxiety and behaviors that you want to change. However, you have the building blocks within you to put together great relationships, raise children, and have a meaningful flourishing life. Sometimes the building blocks you already have get jumbled and need to be adjusted. Errors in thinking lead us to feel bad and spiral downward or become anxious or depressed.
(515) 608-8894 View (515) 608-8894
Photo of Alex Kennison, LMFT, Marriage & Family Therapist
Alex Kennison
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Waukee, IA 50263
Are you feeling lost or stuck, unsure of how to move forward in life? I'm here to help you find your way. As a compassionate clinician, I believe in collaborating with my clients to provide the support and guidance they need to make positive changes in their lives, relationships, and futures. I know that seeking therapy can be a big step, and I commend you for taking it. My goal is to help you feel comfortable and at ease throughout our sessions and to create a safe, non-judgmental space where you can explore your thoughts and feelings.
Are you feeling lost or stuck, unsure of how to move forward in life? I'm here to help you find your way. As a compassionate clinician, I believe in collaborating with my clients to provide the support and guidance they need to make positive changes in their lives, relationships, and futures. I know that seeking therapy can be a big step, and I commend you for taking it. My goal is to help you feel comfortable and at ease throughout our sessions and to create a safe, non-judgmental space where you can explore your thoughts and feelings.
(515) 305-3676 View (515) 305-3676
Photo of Amy DeMoney, LISW, Clinical Social Work/Therapist
Amy DeMoney
Clinical Social Work/Therapist, LISW
Verified Verified
Waukee, IA 50263
I strongly believe in working with clients to develop trust and empower them to address difficult subjects. I work to assist clients with identifying their strengths and how to best utilize those strenghts to develop coping strategies. I have over 20 years of experiences as a therapist working with children, adolescents, adults and families. My primary therapeutic approach is Cognitive Behavioral Therapy.
I strongly believe in working with clients to develop trust and empower them to address difficult subjects. I work to assist clients with identifying their strengths and how to best utilize those strenghts to develop coping strategies. I have over 20 years of experiences as a therapist working with children, adolescents, adults and families. My primary therapeutic approach is Cognitive Behavioral Therapy.
(515) 758-7881 View (515) 758-7881
Photo of Jill K Shirley, JD, LMHC, IADC, NCC, Counselor
Jill K Shirley
Counselor, JD, LMHC, IADC, NCC
Verified Verified
1 Endorsed
Waukee, IA 50263
Whether you are facing life-changing circumstances, finally facing an ongoing issue and ready to change, or simply need an objective sounding board, reaching out to a therapist is a courageous step. We will work together to explore what underlies the difficulties you face and collaborate to find solutions and mechanisms for coping. In therapy we will work together to develop a trusting relationship so that you feel safe enough to express your most authentic and vulnerable self.
Whether you are facing life-changing circumstances, finally facing an ongoing issue and ready to change, or simply need an objective sounding board, reaching out to a therapist is a courageous step. We will work together to explore what underlies the difficulties you face and collaborate to find solutions and mechanisms for coping. In therapy we will work together to develop a trusting relationship so that you feel safe enough to express your most authentic and vulnerable self.
(515) 310-4476 View (515) 310-4476
Photo of Natalie Lonsdale Gruss, MS, LMFT, Marriage & Family Therapist
Natalie Lonsdale Gruss
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Waukee, IA 50263
Hello, I am a Licensed Marriage and Family Therapist with over 19 years of experience working with a variety of clients from different backgrounds, nationalities, identities and orientations. I work closely with clients to create personalized goals and am trained in a wide range of issues including: anxiety, panic, depression, PTSD, identity, sexuality, body image, survivors of trauma, adult children of alcoholics, postpartum depression/anxiety, grief/loss, and many others. If you want to feel better, I am here to help!
Hello, I am a Licensed Marriage and Family Therapist with over 19 years of experience working with a variety of clients from different backgrounds, nationalities, identities and orientations. I work closely with clients to create personalized goals and am trained in a wide range of issues including: anxiety, panic, depression, PTSD, identity, sexuality, body image, survivors of trauma, adult children of alcoholics, postpartum depression/anxiety, grief/loss, and many others. If you want to feel better, I am here to help!
(515) 421-4370 View (515) 421-4370
Photo of Ashley Nupp, MA, LMHC, Counselor
Ashley Nupp
Counselor, MA, LMHC
Verified Verified
Waukee, IA 50263
We all have the ability to find effective and sustainable solutions to life's challenges, and I enjoy providing the unconditional positive regard that leads to discovery of your self-determination and resilience. I am particularly passionate about assisting clients in finding and addressing the root cause of their present-day symptoms and relationship cycles, and I enjoy working with attachment concerns in adults, teens, and couples. I have experience utilizing mindfulness, cognitive-behavioral therapy, and other techniques that can help transform traumatic experiences into strength and confidence.
We all have the ability to find effective and sustainable solutions to life's challenges, and I enjoy providing the unconditional positive regard that leads to discovery of your self-determination and resilience. I am particularly passionate about assisting clients in finding and addressing the root cause of their present-day symptoms and relationship cycles, and I enjoy working with attachment concerns in adults, teens, and couples. I have experience utilizing mindfulness, cognitive-behavioral therapy, and other techniques that can help transform traumatic experiences into strength and confidence.
(515) 493-7968 View (515) 493-7968
Photo of Jonah Potts, MA, tLMHC, Counselor
Jonah Potts
Counselor, MA, tLMHC
Verified Verified
1 Endorsed
Waukee, IA 50263
Jonah (he/him) is a licensed mental health counselor located in West Des Moines, providing both in-person and telehealth services. Jonah’s clinical experience includes in-home social work as well as mental health counseling with individuals working through addiction, mood disorders, anxiety and more.
Jonah (he/him) is a licensed mental health counselor located in West Des Moines, providing both in-person and telehealth services. Jonah’s clinical experience includes in-home social work as well as mental health counseling with individuals working through addiction, mood disorders, anxiety and more.
(515) 489-4674 View (515) 489-4674
Photo of Bekki Klodt, LMHC, NCC, MSE, EMDR-C, Counselor
Bekki Klodt
Counselor, LMHC, NCC, MSE, EMDR-C
Verified Verified
2 Endorsed
Waukee, IA 50263  (Online Only)
In this hectic world, we can go through situations that feel bigger than our ways to cope. I'm here to help you get back to a place that feels good, where you can navigate life with confidence. Whether you want to process what you're going through, heal from the past, feel more in control of your life, or simply feel less anxious or overwhelmed, I will make sure your therapy space is safe, builds off your strengths, and helps you feel more centered (never judged or shamed).
In this hectic world, we can go through situations that feel bigger than our ways to cope. I'm here to help you get back to a place that feels good, where you can navigate life with confidence. Whether you want to process what you're going through, heal from the past, feel more in control of your life, or simply feel less anxious or overwhelmed, I will make sure your therapy space is safe, builds off your strengths, and helps you feel more centered (never judged or shamed).
(641) 381-5174 View (641) 381-5174
Photo of Breia Bell, LMHC, IADC, Counselor
Breia Bell
Counselor, LMHC, IADC
Verified Verified
1 Endorsed
Waukee, IA 50263
Hi, my name is Breia. I have been working in the field of substance use and mental health for the past 8 years. I am a licensed mental health counselor and an international alcohol and drug counselor. I received my MS in Mental Health Counseling from Drake University in 2017. I have also received training in dialectical behavioral therapy (DBT). I have served and continue to have a passion serving those who have experienced anxiety, depression, complex trauma, emotional intensity, grief and loss, substance use, and more.
Hi, my name is Breia. I have been working in the field of substance use and mental health for the past 8 years. I am a licensed mental health counselor and an international alcohol and drug counselor. I received my MS in Mental Health Counseling from Drake University in 2017. I have also received training in dialectical behavioral therapy (DBT). I have served and continue to have a passion serving those who have experienced anxiety, depression, complex trauma, emotional intensity, grief and loss, substance use, and more.
(515) 493-7349 View (515) 493-7349
Photo of Ali Dotson, MA, LMHC, Clinical Social Work/Therapist
Ali Dotson
Clinical Social Work/Therapist, MA, LMHC
Verified Verified
Waukee, IA 50263  (Online Only)
I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with over 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
I am so glad you're here! Seeking out therapy when feeling overwhelmed or stuck is an act of courage. As a therapist with over 10 years of experience, I am committed to providing a safe space to talk through your roadblocks, life transitions, and adverse experiences. I not only trust you are an expert of your own life, but also give you the opportunity to challenge deeply-held beliefs that may no longer serve purpose in your present life. My areas of expertise include perinatal mood disorders, anxiety, depression, trauma, grief and loss, and relationships.
(515) 203-2872 View (515) 203-2872
Photo of Dr. Kathleen (Katy) Laurin, PhD, Psychologist
Dr. Kathleen (Katy) Laurin
Psychologist, PhD
Verified Verified
Waukee, IA 50263
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

See more therapy options for Adel

How does your Therapist compare?

Number of Therapists in Adel, IA

< 10

Therapists in Adel, IA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Parenting
100% Trauma and PTSD
100% Anger Management
100% Behavioral Issues

Average years in practice

16 Years

Gender breakdown

100% Female

How Therapists in Adel, IA see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Adel?

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.