Therapists in Carroll County, IA

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Photo of Tina Zanders, Clinical Social Work/Therapist, MS, , LMSW
Tina Zanders
Clinical Social Work/Therapist, MS, , LMSW
Carroll, IA 51401
I currently work for Catholic Charities and have done so since 2007. I have been working with children, adolescents, couples, and families for over 30 years who are experiencing acute or chronic mental health issues. Some of those issues include but are not limited to: grief/loss, life stressors/traumas, depression, anxiety, relationship problems, behavioral issues in children, and ADHD. When I ask my clients what they are hoping to gain from therapy, most will summarize that they simply want to feel better! So that is what we (you and me) will set out to accomplish.
I currently work for Catholic Charities and have done so since 2007. I have been working with children, adolescents, couples, and families for over 30 years who are experiencing acute or chronic mental health issues. Some of those issues include but are not limited to: grief/loss, life stressors/traumas, depression, anxiety, relationship problems, behavioral issues in children, and ADHD. When I ask my clients what they are hoping to gain from therapy, most will summarize that they simply want to feel better! So that is what we (you and me) will set out to accomplish.
(712) 792-9597 View (712) 792-9597
Photo of Anne Miller - Anne Miller - FL, SC, IA, IN, & ID, Clinical Social Work/Therapist, LISW
Anne Miller - FL, SC, IA, IN, & ID
Clinical Social Work/Therapist, LISW
8 Endorsed
Online Only
Do you feel overwhelmed and burnt out, unable to say "no" to others? Do you constantly go out of your way for everyone else, hoping to receive the same in return? Maybe you're struggling to understand who you are or dealing with feelings of not being good enough. I help people like you navigate parenting, build self-confidence, challenge anxious thoughts, and establish healthy boundaries. It might seem impossible to make changes. Prioritizing yourself may even feel selfish, but you deserve the same love you give others.
Do you feel overwhelmed and burnt out, unable to say "no" to others? Do you constantly go out of your way for everyone else, hoping to receive the same in return? Maybe you're struggling to understand who you are or dealing with feelings of not being good enough. I help people like you navigate parenting, build self-confidence, challenge anxious thoughts, and establish healthy boundaries. It might seem impossible to make changes. Prioritizing yourself may even feel selfish, but you deserve the same love you give others.
(712) 423-5676 View (712) 423-5676
Photo of Thea Guest, Clinical Social Work/Therapist, LISW
Thea Guest
Clinical Social Work/Therapist, LISW
Carroll, IA 51401
Waitlist for new clients
I received both Bachelor's degrees in Child Development and Family Relations, and a Masters Degree in Social Work and worked as a Substance Abuse Counselor for 3 years in Iowa, with both adults and adolescents. Prior to this, I worked with all age groups, treating a wide range of mental health issues, not limit to but including, depression, anxiety, relationship issues, trauma, attachment, and family matters with couples. I have a passion for providing families and individuals the help needed to find balance, and grow in their knowledge of health and peaceful living.
I received both Bachelor's degrees in Child Development and Family Relations, and a Masters Degree in Social Work and worked as a Substance Abuse Counselor for 3 years in Iowa, with both adults and adolescents. Prior to this, I worked with all age groups, treating a wide range of mental health issues, not limit to but including, depression, anxiety, relationship issues, trauma, attachment, and family matters with couples. I have a passion for providing families and individuals the help needed to find balance, and grow in their knowledge of health and peaceful living.
(712) 624-7874 View (712) 624-7874
Photo of Robin Butler, Pre-Licensed Professional
Robin Butler
Pre-Licensed Professional
Manning, IA 51455
I am currently an intern and have immediate openings! I am deeply committed to mental health and the journey of recovery. I believe in every client's potential to grow and discover what works best for them. Healing and growth are not linear and take time, but change is constant. We are always evolving, and we can direct this flow when needed. My goal is to create a safe, comfortable, and collaborative environment where clients have the space to grow. I value each client's right to self-determination and am here to support them on their journeys to health, wellness, and self-discovery.
I am currently an intern and have immediate openings! I am deeply committed to mental health and the journey of recovery. I believe in every client's potential to grow and discover what works best for them. Healing and growth are not linear and take time, but change is constant. We are always evolving, and we can direct this flow when needed. My goal is to create a safe, comfortable, and collaborative environment where clients have the space to grow. I value each client's right to self-determination and am here to support them on their journeys to health, wellness, and self-discovery.
(712) 430-7912 View (712) 430-7912
Photo of Britney Randolph, Clinical Social Work/Therapist, LISW
Britney Randolph
Clinical Social Work/Therapist, LISW
Manning, IA 51455
I began working as a helping professional in 2006 as a certified nurse’s aide. I always knew I wanted to help others in some capacity. When I started taking college classes, my path to becoming a therapist was not yet clear; until I found social work. After receiving my bachelor’s degree in social work from Buena Vista University in 2011, I did work ranging from helping families involved with Iowa DHHS to working as a counselor for patients in inpatient substance abuse treatment. While working as a counselor, I realized that I had a passion for meeting people where they are in their journey and assisting to meet their goals.
I began working as a helping professional in 2006 as a certified nurse’s aide. I always knew I wanted to help others in some capacity. When I started taking college classes, my path to becoming a therapist was not yet clear; until I found social work. After receiving my bachelor’s degree in social work from Buena Vista University in 2011, I did work ranging from helping families involved with Iowa DHHS to working as a counselor for patients in inpatient substance abuse treatment. While working as a counselor, I realized that I had a passion for meeting people where they are in their journey and assisting to meet their goals.
(712) 217-2351 View (712) 217-2351
Photo of Whitney Cue, Counselor, CADC, LMHC
Whitney Cue
Counselor, CADC, LMHC
Carroll, IA 51401
Hey there! If you are reading this, I want to let you know that I am already proud of you for taking the first step in seeking help. My goal as a therapist is to work alongside you in achieving whatever challenges you are facing that is preventing you from living your best life. You can rest assured that working with me will be judgement-free.
Hey there! If you are reading this, I want to let you know that I am already proud of you for taking the first step in seeking help. My goal as a therapist is to work alongside you in achieving whatever challenges you are facing that is preventing you from living your best life. You can rest assured that working with me will be judgement-free.
(712) 409-7502 View (712) 409-7502
Photo of Kay Lynn Haubrich, Clinical Social Work/Therapist, MSW, LISW
Kay Lynn Haubrich
Clinical Social Work/Therapist, MSW, LISW
Carroll, IA 51401
We all face difficult situations in our lives that can leave us feeling alone and overwhelmed. My goal is to help you find your true potential to lead a full and productive life. Together we can work to better understand and resolve the challenges that you face. By applying complimentary therapy approaches and techniques, we will identify negative perceptions or behavior patterns that may be keeping you from experiencing a more fulfilling and meaningful life.
We all face difficult situations in our lives that can leave us feeling alone and overwhelmed. My goal is to help you find your true potential to lead a full and productive life. Together we can work to better understand and resolve the challenges that you face. By applying complimentary therapy approaches and techniques, we will identify negative perceptions or behavior patterns that may be keeping you from experiencing a more fulfilling and meaningful life.
(712) 790-1842 View (712) 790-1842
Photo of Lindsey Brinker - Brinker Counseling and Consultation, Counselor, LMHC
Brinker Counseling and Consultation
Counselor, LMHC
1 Endorsed
Carroll, IA 51401
I prefer to work with clients who are navigating the lasting effects of trauma—whether from childhood neglect, abusive relationships, medical experiences, careers witnessing human suffering, or life-threatening events. They may feel stuck, disconnected, or overwhelmed by emotions. They want to feel safe, rebuild relationships, and regain control and trust in themselves. Their goals include reducing anxiety, healing emotional pain, and rediscovering joy and purpose. They seek a compassionate, nonjudgmental space to process their experiences and move toward a fulfilling life.
I prefer to work with clients who are navigating the lasting effects of trauma—whether from childhood neglect, abusive relationships, medical experiences, careers witnessing human suffering, or life-threatening events. They may feel stuck, disconnected, or overwhelmed by emotions. They want to feel safe, rebuild relationships, and regain control and trust in themselves. Their goals include reducing anxiety, healing emotional pain, and rediscovering joy and purpose. They seek a compassionate, nonjudgmental space to process their experiences and move toward a fulfilling life.
(515) 762-6326 View (515) 762-6326
Photo of Lois Potthoff, Counselor, LMHC, MS
Lois Potthoff
Counselor, LMHC, MS
Carroll, IA 51401
I strive to help others heal and become empowered while rediscovering their true sense of self and reconnect with their life purpose. Relationship is the foundation to healing and I use a client centered and attuned approach while integrating an individualized treatment plan to meet your goals. My goal is to meet you or your child where they are and be your guide to healing. I have over 30 years of experience working in the field of mental illness and developmental disorders.
I strive to help others heal and become empowered while rediscovering their true sense of self and reconnect with their life purpose. Relationship is the foundation to healing and I use a client centered and attuned approach while integrating an individualized treatment plan to meet your goals. My goal is to meet you or your child where they are and be your guide to healing. I have over 30 years of experience working in the field of mental illness and developmental disorders.
(712) 350-9905 View (712) 350-9905
Photo of Nolan Marie Vitzthum, Clinical Social Work/Therapist, MSW, LISW, ACSW, RPT-S, EMDR
Nolan Marie Vitzthum
Clinical Social Work/Therapist, MSW, LISW, ACSW, RPT-S, EMDR
1 Endorsed
Serves Area
We all have stories to tell, my role is to help you feel empowered to come into contact with your internal and external environments to share yours. I am a Licensed Independent Social Worker, Registered Play Therapist- Supervisor and Certified EMDR Therapist. I believe in the power of healing through connection. I feel this is what makes the therapeutic process so wonderful—creating a space of safety and trust for you to grow and heal in sharing your story and working through some of the most vulnerable parts of your life. Let's work together to help you re-write your story and create a narrative which truly represents you.
We all have stories to tell, my role is to help you feel empowered to come into contact with your internal and external environments to share yours. I am a Licensed Independent Social Worker, Registered Play Therapist- Supervisor and Certified EMDR Therapist. I believe in the power of healing through connection. I feel this is what makes the therapeutic process so wonderful—creating a space of safety and trust for you to grow and heal in sharing your story and working through some of the most vulnerable parts of your life. Let's work together to help you re-write your story and create a narrative which truly represents you.
(515) 852-5660 View (515) 852-5660
Photo of Ramie Uren, Counselor, MS, LIMHP, LPC
Ramie Uren
Counselor, MS, LIMHP, LPC
2 Endorsed
Serves Area
Are you feeling overwhelmed, anxious, and depressed? You may be tired from trying to give everyone your best and still feel like you aren't enough. I believe that healing occurs when the mind, body, and spirit are acknowledged, nurtured, and allowed the freedom to fully transform. If we aren't living our life intentionally we unknowingly block the best versions of ourselves from emerging. Do you become fearful of success, self-sabotage growth, and yet continue to seek deeper meaning and purpose in your life? If this message resonates with you it's time to do something different! Ask yourself - What's the best that can happen?
Are you feeling overwhelmed, anxious, and depressed? You may be tired from trying to give everyone your best and still feel like you aren't enough. I believe that healing occurs when the mind, body, and spirit are acknowledged, nurtured, and allowed the freedom to fully transform. If we aren't living our life intentionally we unknowingly block the best versions of ourselves from emerging. Do you become fearful of success, self-sabotage growth, and yet continue to seek deeper meaning and purpose in your life? If this message resonates with you it's time to do something different! Ask yourself - What's the best that can happen?
(531) 202-5924 View (531) 202-5924
Photo of Michelle Loew, Counselor, LMHC
Michelle Loew
Counselor, LMHC
Serves Area
Embarking on the path to healing takes courage, and I commend you for taking the first step. If you're reading this, you're likely seeking a safe space to explore your thoughts, emotions, and experiences. I'm here to offer guidance, support, and empowerment as you embark on your journey. You may be feeling uncertain or hesitant, and that's completely understandable. I encourage you to embrace this opportunity for self-discovery and growth. I work with a diverse range of individuals, including those experiencing anxiety, depression, trauma, relationship issues, difficult life transitions, grief, and loss.
Embarking on the path to healing takes courage, and I commend you for taking the first step. If you're reading this, you're likely seeking a safe space to explore your thoughts, emotions, and experiences. I'm here to offer guidance, support, and empowerment as you embark on your journey. You may be feeling uncertain or hesitant, and that's completely understandable. I encourage you to embrace this opportunity for self-discovery and growth. I work with a diverse range of individuals, including those experiencing anxiety, depression, trauma, relationship issues, difficult life transitions, grief, and loss.
(712) 214-5447 View (712) 214-5447
Photo of Angela Ericson, Counselor, LMHCt, NCC, MS
Angela Ericson
Counselor, LMHCt, NCC, MS
Serves Area
Have you ever wanted learn how your thoughts, emotions & actions/behaviors affect the life you are living? I look forward to visiting with you about your desire to become more aware & observant of your choices & the environments you spend your time in. I enjoy working with clients of all ages & diverse backgrounds. Having worked in multiple community positions in both private & government sector, along with volunteering with local and national organizations, I have observed human behavior for a better part of my life. I utilize Mindfulness (CBT) and multiple therapeutic modalities.
Have you ever wanted learn how your thoughts, emotions & actions/behaviors affect the life you are living? I look forward to visiting with you about your desire to become more aware & observant of your choices & the environments you spend your time in. I enjoy working with clients of all ages & diverse backgrounds. Having worked in multiple community positions in both private & government sector, along with volunteering with local and national organizations, I have observed human behavior for a better part of my life. I utilize Mindfulness (CBT) and multiple therapeutic modalities.
(712) 216-4607 View (712) 216-4607

Online Therapists

Photo of Nicole Scherle Scheidel, Counselor, MEd, LMHC
Nicole Scherle Scheidel
Counselor, MEd, LMHC
West Des Moines, IA 50266
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
Photo of Hope Hunt, Clinical Social Work/Therapist, LISW
Hope Hunt
Clinical Social Work/Therapist, LISW
1 Endorsed
West Des Moines, IA 50265
Waitlist for new clients
Waitlist for appointments beginning the end of June. I offer a calm, welcoming, authentic, and supportive environment to help clients reach their full potential. My first focus with clients is building a trusting relationship and getting to know you as a whole individual as I feel this contributes to the therapeutic process. I am here to support you in making the changes you want in your life to help improve the overall quality. We will work together to create specific and attainable goals to help you achieve the outcome you desire.
Waitlist for appointments beginning the end of June. I offer a calm, welcoming, authentic, and supportive environment to help clients reach their full potential. My first focus with clients is building a trusting relationship and getting to know you as a whole individual as I feel this contributes to the therapeutic process. I am here to support you in making the changes you want in your life to help improve the overall quality. We will work together to create specific and attainable goals to help you achieve the outcome you desire.
(515) 497-9861 View (515) 497-9861
Photo of Jan Zoucha-Jensen, Clinical Social Work/Therapist, LISW
Jan Zoucha-Jensen
Clinical Social Work/Therapist, LISW
1 Endorsed
Glenwood, IA 51534
Thank you for taking the time to visit my professional profile. I have a Master’s Degree in Social Work, am a Licensed Independent Social Worker in the State of Iowa, and am a compassionate advocate for mental health and wellness. Our mental health affects our physical health and I strongly believe we deserve to receive care for both. I have had the privilege of working with individuals, families, and groups in the mental and substance abuse fields for over twenty years in a variety of settings ranging from outpatient therapy to inpatient hospitalization.
Thank you for taking the time to visit my professional profile. I have a Master’s Degree in Social Work, am a Licensed Independent Social Worker in the State of Iowa, and am a compassionate advocate for mental health and wellness. Our mental health affects our physical health and I strongly believe we deserve to receive care for both. I have had the privilege of working with individuals, families, and groups in the mental and substance abuse fields for over twenty years in a variety of settings ranging from outpatient therapy to inpatient hospitalization.
(712) 800-8314 View (712) 800-8314
Photo of Sarah L Bowen, Clinical Social Work/Therapist, LISW
Sarah L Bowen
Clinical Social Work/Therapist, LISW
1 Endorsed
West Des Moines, IA 50266
I have a passion for working with teenagers and adults, specifically on issues related to attachment, behavior, anxiety, stress, relationship building, communication, professional growth, and career and college planning. Client goals should be focused on challenging distorted thinking and creating plans in order to have a healthier and more productive lifestyle.
I have a passion for working with teenagers and adults, specifically on issues related to attachment, behavior, anxiety, stress, relationship building, communication, professional growth, and career and college planning. Client goals should be focused on challenging distorted thinking and creating plans in order to have a healthier and more productive lifestyle.
(515) 517-1918 View (515) 517-1918
Photo of Jess Brown, Clinical Social Work/Therapist, LMSW
Jess Brown
Clinical Social Work/Therapist, LMSW
Clive, IA 50325
As a therapist, my passion lies in meeting you exactly where you are—without judgment, without pressure—just a genuine commitment to understanding your unique journey. Life can bring challenges that feel overwhelming, and often it’s the inner thought patterns we’ve carried for years that quietly shape how we respond to those moments. My work centers on gently exploring those patterns with you, helping uncover the ways they may be holding you back, and creating space for new, healthier ways of thinking and being.
As a therapist, my passion lies in meeting you exactly where you are—without judgment, without pressure—just a genuine commitment to understanding your unique journey. Life can bring challenges that feel overwhelming, and often it’s the inner thought patterns we’ve carried for years that quietly shape how we respond to those moments. My work centers on gently exploring those patterns with you, helping uncover the ways they may be holding you back, and creating space for new, healthier ways of thinking and being.
(515) 800-8186 View (515) 800-8186
Photo of Ian Adams, Counselor, tLMHC, MS
Ian Adams
Counselor, tLMHC, MS
5 Endorsed
West Des Moines, IA 50266
I have recently 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 have recently 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 Dr. Beth Augspurger, Counselor, PhD, tLMHC, BCBA-D
Dr. Beth Augspurger
Counselor, PhD, tLMHC, BCBA-D
Online Only
Are you feeling stuck, unbalanced, or challenged by situations and relationships in your life? Are you struggling with depression, anxiety, stress, or feeling overwhelmed? My passion is to help others improve their lives. My approach is holistic with the use of evidence-based techniques to help clients heal, focus on the present, and plan for their future. I am flexible and able to quickly adjust based on the diverse needs of clients. I enjoy working with adults, couples, and families. I also find joy working with children and adolescents.
Are you feeling stuck, unbalanced, or challenged by situations and relationships in your life? Are you struggling with depression, anxiety, stress, or feeling overwhelmed? My passion is to help others improve their lives. My approach is holistic with the use of evidence-based techniques to help clients heal, focus on the present, and plan for their future. I am flexible and able to quickly adjust based on the diverse needs of clients. I enjoy working with adults, couples, and families. I also find joy working with children and adolescents.
(515) 884-5966 View (515) 884-5966

How does your Therapist compare?

Number of Therapists in Carroll County, IA

10+

Average cost per session

$175

Therapists in Carroll County, IA who prioritize treating:

92% Depression
92% Anxiety
92% Trauma and PTSD
77% Grief
77% Coping Skills
77% Self Esteem
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% UnitedHealthcare UHC | UBH
83% Wellmark BCBS
75% BlueCross and BlueShield

How Therapists in Carroll County, IA see their clients

93% In Person and Online
7% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Carroll County?

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.