Photo of Andria Klinefeldt, MA, LMHC, Counselor
Andria Klinefeldt
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50308
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
Hello, I am a therapist in Des Moines working with with children, teenage girls, and women in my practice. I see many children for issues related to ADHD, anxiety, and behavioral issues. I enjoy working with teenage girls and helping to address ways to improve their self-esteem. I also enjoy helping women who struggle with social anxiety and provide help for depression that can be related to relationships, work, or parenting issues. I believe therapy is about finding a balance in your life and that it starts with recognizing who you are and being in relationships that support that.
(515) 393-6872 View (515) 393-6872
Photo of Jaclyn Leya, LISW, LCSW, Clinical Social Work/Therapist
Jaclyn Leya
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
2 Endorsed
Des Moines, IA 50308
Welcome! Therapy can be intimidating and challenging so I make it my top priority to provide a safe and trusting environment where you can just be yourself. I focus on providing a caring, safe, and nonjudgmental environment to support you as you begin to address and cope with the challenges in your life. I understand that seeking out the right therapist can be a difficult process. Whether you are seeking out treatment for yourself, a family member, friend, or significant other, I understand the importance of trying to find someone who will be a good fit!
Welcome! Therapy can be intimidating and challenging so I make it my top priority to provide a safe and trusting environment where you can just be yourself. I focus on providing a caring, safe, and nonjudgmental environment to support you as you begin to address and cope with the challenges in your life. I understand that seeking out the right therapist can be a difficult process. Whether you are seeking out treatment for yourself, a family member, friend, or significant other, I understand the importance of trying to find someone who will be a good fit!
(515) 531-5361 View (515) 531-5361

More Therapists Nearby

Photo of Mike Stubbs - Clear Brook Counseling Professionals, LMFT, CADC, CCH, Marriage & Family Therapist
Clear Brook Counseling Professionals
Marriage & Family Therapist, LMFT, CADC, CCH
Verified Verified
2 Endorsed
Des Moines, IA 50309
NOW OFFERING MEDICATION MANAGEMENT IN ANKENY AND AMES. At Clear Brook Counseling Professionals, we work together to provide you the therapy - family, couples, or individual that will deliver the best results for your unique needs. We believe life has meaning, and every moment is worth living. That's the end goal. At Clear Brook you'll experience a team of counselors, proven treatment, and techniques that work. The process is about finding clarity in the situation, and seeing change. Clear Brook Counseling Professionals weave proven practices and life-exercises into your therapy to help foster results.
NOW OFFERING MEDICATION MANAGEMENT IN ANKENY AND AMES. At Clear Brook Counseling Professionals, we work together to provide you the therapy - family, couples, or individual that will deliver the best results for your unique needs. We believe life has meaning, and every moment is worth living. That's the end goal. At Clear Brook you'll experience a team of counselors, proven treatment, and techniques that work. The process is about finding clarity in the situation, and seeing change. Clear Brook Counseling Professionals weave proven practices and life-exercises into your therapy to help foster results.
(515) 200-7584 View (515) 200-7584
Photo of Jason Smith - Endeavor Psychological Services, LLC, PsyD, Psychologist
Endeavor Psychological Services, LLC
Psychologist, PsyD
Verified Verified
Des Moines, IA 50309  (Online Only)
I have worked for over 20 years in inpatient mental health facilities and in the community serving individuals with a range of psychological issues and sexually problematic behaviors. I have experience assessing and treating people with sex offending histories, sexually compulsive behavior, anxiety, depression, trauma, relationship problems and individuals with intellectual and developmental disabilities.
I have worked for over 20 years in inpatient mental health facilities and in the community serving individuals with a range of psychological issues and sexually problematic behaviors. I have experience assessing and treating people with sex offending histories, sexually compulsive behavior, anxiety, depression, trauma, relationship problems and individuals with intellectual and developmental disabilities.
(608) 820-8183 View (608) 820-8183
Amanda Seemann
Counselor
Verified Verified
Des Moines, IA 50309  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(515) 493-7595 View (515) 493-7595
Photo of Joseli Alves-Dunkerson, LMFT, AASECT, CST, Marriage & Family Therapist
Joseli Alves-Dunkerson
Marriage & Family Therapist, LMFT, AASECT, CST
Verified Verified
7 Endorsed
Des Moines, IA 50301
Do you find yourself stuck in a relationship, no matter what you do? Are you feeling disconnected, unattractive, sad or overwhelmed? Are you and your partner disagreeing or distant from each other? Are you and your partner at different levels of sexual desire? Are you having difficulties with sex? Are you facing infidelity/affairs or considering divorce? Are you looking for new ways to love yourself more and to have a healthier relationship and sex life? Would you like to know more about successful relationships and healthy sex in order to make better choices? These are common needs and concerns of the human heart, and I can help.
Do you find yourself stuck in a relationship, no matter what you do? Are you feeling disconnected, unattractive, sad or overwhelmed? Are you and your partner disagreeing or distant from each other? Are you and your partner at different levels of sexual desire? Are you having difficulties with sex? Are you facing infidelity/affairs or considering divorce? Are you looking for new ways to love yourself more and to have a healthier relationship and sex life? Would you like to know more about successful relationships and healthy sex in order to make better choices? These are common needs and concerns of the human heart, and I can help.
(515) 206-8039 View (515) 206-8039
Photo of Ronda L Hood, IADC, LMHC
Ronda L Hood
Licensed Mental Health Counselor, IADC, LMHC
Verified Verified
Des Moines, IA 50309
Serving Iowans, Nebraskans, Coloradans virtually - You’re a high-achiever juggling work, relationships, family, friends & personal goals but lately the pressure is building & everything feels like it’s catching up to you. Anxiety & Stress creep in racing thoughts keep you awake & irritability strains your closest relationships-including the one with yourself. You tell yourself you should handle it alone but deep down you’re exhausted and stuck. It’s okay to need space to process, reflect, and reconnect. Therapy isn’t about judgment-it’s about finding a way to make life work for you again. You don’t have to carry this alone.
Serving Iowans, Nebraskans, Coloradans virtually - You’re a high-achiever juggling work, relationships, family, friends & personal goals but lately the pressure is building & everything feels like it’s catching up to you. Anxiety & Stress creep in racing thoughts keep you awake & irritability strains your closest relationships-including the one with yourself. You tell yourself you should handle it alone but deep down you’re exhausted and stuck. It’s okay to need space to process, reflect, and reconnect. Therapy isn’t about judgment-it’s about finding a way to make life work for you again. You don’t have to carry this alone.
(515) 608-8034 View (515) 608-8034
Photo of Megan Runchey, LISW, Clinical Social Work/Therapist
Megan Runchey
Clinical Social Work/Therapist, LISW
Verified Verified
Des Moines, IA 50302
Therapy can be a very intimidating process to begin. In my office I approach each person as an individual to create a safe and judgment free space for them to be who they are. We each have unique experiences that influence where we are in our journey through life. I have experience working with adults & teens to help them navigate and/or move forward from trauma, relationship issues, life transitions, anxiety, depression, and stressors that impact their quality of life. My goal will be to walk through the difficult or confusing paths you face and help you feel empowered to create the life you desire.
Therapy can be a very intimidating process to begin. In my office I approach each person as an individual to create a safe and judgment free space for them to be who they are. We each have unique experiences that influence where we are in our journey through life. I have experience working with adults & teens to help them navigate and/or move forward from trauma, relationship issues, life transitions, anxiety, depression, and stressors that impact their quality of life. My goal will be to walk through the difficult or confusing paths you face and help you feel empowered to create the life you desire.
(515) 882-4780 View (515) 882-4780
Photo of Kenlyn Gordon, LMHC, Counselor
Kenlyn Gordon
Counselor, LMHC
Verified Verified
Des Moines, IA 50309
Hello! My name is Kenlyn, and I am a Licensed Mental Health Counselor (LMHC). I feel my role is to walk alongside you as you come to deeply know yourself and heal from the inside out. A strength of mine is facilitating a safe, open space to address pain, emotional distress, life difficulties, relational concerns, and any other areas we determine are important in enhancing emotional balance and well-being. My approach is collaborative and enthusiastic. I find such meaning in helping you feel deeply known, valued, and understood. Start today in creating the life you want.
Hello! My name is Kenlyn, and I am a Licensed Mental Health Counselor (LMHC). I feel my role is to walk alongside you as you come to deeply know yourself and heal from the inside out. A strength of mine is facilitating a safe, open space to address pain, emotional distress, life difficulties, relational concerns, and any other areas we determine are important in enhancing emotional balance and well-being. My approach is collaborative and enthusiastic. I find such meaning in helping you feel deeply known, valued, and understood. Start today in creating the life you want.
(515) 361-7515 View (515) 361-7515
Photo of Shane Kavanaugh, PhD, LPC, Licensed Professional Counselor
Shane Kavanaugh
Licensed Professional Counselor, PhD, LPC
Verified Verified
Des Moines, IA 50309  (Online Only)
Not accepting new clients
Stress comes in many forms in our daily lives. When we get bogged down with memories from our past, or worries about our future, we become unable to fully participate in the present. My goal is to empower you to live as your most authentic self by creating a collaborative therapeutic atmosphere where you are the expert on your own thoughts, feelings, and behaviors. I utilize a cognitive-behavioral, strength-based, and solution-focused approach to help you explore and identify what's working, what you would like to change, and potential strategies to achieve your goals.
Stress comes in many forms in our daily lives. When we get bogged down with memories from our past, or worries about our future, we become unable to fully participate in the present. My goal is to empower you to live as your most authentic self by creating a collaborative therapeutic atmosphere where you are the expert on your own thoughts, feelings, and behaviors. I utilize a cognitive-behavioral, strength-based, and solution-focused approach to help you explore and identify what's working, what you would like to change, and potential strategies to achieve your goals.
(971) 414-2922 View (971) 414-2922
Photo of Rena Olsen, MA, LMFT-S, Marriage & Family Therapist
Rena Olsen
Marriage & Family Therapist, MA, LMFT-S
Verified Verified
2 Endorsed
Des Moines, IA 50309
Not accepting new clients
I am passionate about coming alongside individuals, families, and couples from all walks of life to work through difficult feelings and life situations. I believe that clients are the experts on themselves, and approaches therapy as a learner and a partner. I strive to work with clients to help them gain new insights and skills to resolve concerns and instill hope for the future. I am willing to work as hard as my clients to help them achieve whatever goals they set for themselves and believe that a positive relationship between therapist and client is key to reaching those goals successfully.
I am passionate about coming alongside individuals, families, and couples from all walks of life to work through difficult feelings and life situations. I believe that clients are the experts on themselves, and approaches therapy as a learner and a partner. I strive to work with clients to help them gain new insights and skills to resolve concerns and instill hope for the future. I am willing to work as hard as my clients to help them achieve whatever goals they set for themselves and believe that a positive relationship between therapist and client is key to reaching those goals successfully.
(515) 454-1319 View (515) 454-1319
Photo of Hilary Johnson, LMHC, Counselor
Hilary Johnson
Counselor, LMHC
Verified Verified
Des Moines, IA 50309
Immediate appointments availiable. My name is Hilary Johnson and I am a licensed Mental Health Therapist (LMHC). Making the decision to come to therapy is not an easy one whether it is for you or your child. I am here to help by providing a safe, compassionate, and judgement free space. As a client centered therapist my goal is to focus on you and what you need out of therapy. I specialize in children (age 12 and up), teens, and young adults who have experienced trauma in their life. I also specialize in the LGBTQIA population, as an identified therapist.
Immediate appointments availiable. My name is Hilary Johnson and I am a licensed Mental Health Therapist (LMHC). Making the decision to come to therapy is not an easy one whether it is for you or your child. I am here to help by providing a safe, compassionate, and judgement free space. As a client centered therapist my goal is to focus on you and what you need out of therapy. I specialize in children (age 12 and up), teens, and young adults who have experienced trauma in their life. I also specialize in the LGBTQIA population, as an identified therapist.
(515) 375-5576 View (515) 375-5576
Photo of Devin Waterhouse, LMSW, Clinical Social Work/Therapist
Devin Waterhouse
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Des Moines, IA 50309
Not accepting new clients
Something feels off. Sometimes it’s obvious what is affecting you, but often you’re less certain. Perhaps you have some ideas about what’s wrong, but you aren’t sure how to feel better. Maybe you are experiencing relationship issues, or just feel like you are alone even when you know you have people who care about you. It may even be possible that you are uncertain there is anything wrong at all because you’ve always felt this way - but is it really this hard for everyone? There are many people just like you that could be living happier and healthier lives - they just don’t know how to get there.
Something feels off. Sometimes it’s obvious what is affecting you, but often you’re less certain. Perhaps you have some ideas about what’s wrong, but you aren’t sure how to feel better. Maybe you are experiencing relationship issues, or just feel like you are alone even when you know you have people who care about you. It may even be possible that you are uncertain there is anything wrong at all because you’ve always felt this way - but is it really this hard for everyone? There are many people just like you that could be living happier and healthier lives - they just don’t know how to get there.
(515) 219-4620 View (515) 219-4620
Photo of Dr. Duane Anthony Halbur, PhD, NCC, LMHC-IA, LCPC-IL, Counselor
Dr. Duane Anthony Halbur
Counselor, PhD, NCC, LMHC-IA, LCPC-IL
Verified Verified
Des Moines, IA 50309  (Online Only)
Challenges from life changes, traumas, and mental health issue are often able to be minimized or removed when a trusting relationship is established. I believe in helping my clients regain or find purpose and direction to move forward living a meaningful, productive life.
Challenges from life changes, traumas, and mental health issue are often able to be minimized or removed when a trusting relationship is established. I believe in helping my clients regain or find purpose and direction to move forward living a meaningful, productive life.
(563) 202-5407 View (563) 202-5407
Photo of Amber Roberts, MA, LMFT, Marriage & Family Therapist
Amber Roberts
Marriage & Family Therapist, MA, LMFT
Verified Verified
Des Moines, IA 50309
Not accepting new clients
Amber's focus is on working with couples and families and acting as the facilitator for the clients desired growth and change. She strongly promotes the belief that this is your journey, and you decide where the road takes you; Amber is there to help you along that path! She understands that past experiences help shape who we are and fuel our current state of being. Acknowledging this, she is here to help process and facilitate new experiences to promote desired growth and change!
Amber's focus is on working with couples and families and acting as the facilitator for the clients desired growth and change. She strongly promotes the belief that this is your journey, and you decide where the road takes you; Amber is there to help you along that path! She understands that past experiences help shape who we are and fuel our current state of being. Acknowledging this, she is here to help process and facilitate new experiences to promote desired growth and change!
(515) 373-8303 View (515) 373-8303
Photo of Victoria Griffin, LMHC, LPC , NCC, Counselor
Victoria Griffin
Counselor, LMHC, LPC , NCC
Verified Verified
Des Moines, IA 50309
Hi! I'm Victoria Griffin. I'm a Licensed Mental Health Counselor (LMHC) and LPC (Louisiana license) based in Iowa. I view my clients as individuals first. I am here to share the human experience with you and collaborate with you, so we can best reach your goals. I like to use a variety of therapeutic approaches and modalities including play therapy, mindfulness, ACT and more. I knew since I was a teenager that I wanted to help people in some way shape or form. This was due to an unfortunate natural disaster in my home state.
Hi! I'm Victoria Griffin. I'm a Licensed Mental Health Counselor (LMHC) and LPC (Louisiana license) based in Iowa. I view my clients as individuals first. I am here to share the human experience with you and collaborate with you, so we can best reach your goals. I like to use a variety of therapeutic approaches and modalities including play therapy, mindfulness, ACT and more. I knew since I was a teenager that I wanted to help people in some way shape or form. This was due to an unfortunate natural disaster in my home state.
(515) 316-6904 View (515) 316-6904
Photo of Maggie Suits, MS, LMHC, Counselor
Maggie Suits
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Des Moines, IA 50309
Waitlist for new clients
Great therapy is a sacred, unique, and mutually respectful relationship. My approach is holistic in nature, seeking to balance the mind, body and spirit. There is no one approach for everyone, so I utilize many forms of therapy with clients, allowing a person-centered, humanistic, and eclectic approach. I also incorporate aspects of spirituality if desired, and am open to all beliefs. I mainly work with adults and teens. My therapy is intuitive and empathic, which invites individuality to shine.
Great therapy is a sacred, unique, and mutually respectful relationship. My approach is holistic in nature, seeking to balance the mind, body and spirit. There is no one approach for everyone, so I utilize many forms of therapy with clients, allowing a person-centered, humanistic, and eclectic approach. I also incorporate aspects of spirituality if desired, and am open to all beliefs. I mainly work with adults and teens. My therapy is intuitive and empathic, which invites individuality to shine.
View
Photo of Danielle Wayne | Anxiety And Adult Adhd Therapist, Clinical Social Work/Therapist
Danielle Wayne | Anxiety And Adult Adhd Therapist
Clinical Social Work/Therapist
Verified Verified
6 Endorsed
Des Moines, IA 50309  (Online Only)
I specialize in working with millennial professionals who look like they have their shit together, but in reality are overwhelmed by their anxiety and the weight of feeling like a "failure." Together we can help you dial down the anxiety and impact of ADHD. While we're at it, we can ditch the perfectionism and people pleasing, because your wants and needs are valid. We can even help you learn to accept yourself for who you are, instead of judging yourself based on your productivity.
I specialize in working with millennial professionals who look like they have their shit together, but in reality are overwhelmed by their anxiety and the weight of feeling like a "failure." Together we can help you dial down the anxiety and impact of ADHD. While we're at it, we can ditch the perfectionism and people pleasing, because your wants and needs are valid. We can even help you learn to accept yourself for who you are, instead of judging yourself based on your productivity.
(208) 600-1089 View (208) 600-1089
Photo of Kelly Rennick O'Berry, MSSW, LISW, Clinical Social Work/Therapist
Kelly Rennick O'Berry
Clinical Social Work/Therapist, MSSW, LISW
Verified Verified
3 Endorsed
Des Moines, IA 50309
The pressure of meeting expectations, whether they are from yourself or others, may be leaving you feeling weighed down by dread. You feel a sense of powerlessness, as if something might be wrong with you or as if you missed out on crucial life instructions. This constant worry and pressure might be preventing you from fully engaging with your life. -If this sounds familiar, I might be able to help.
The pressure of meeting expectations, whether they are from yourself or others, may be leaving you feeling weighed down by dread. You feel a sense of powerlessness, as if something might be wrong with you or as if you missed out on crucial life instructions. This constant worry and pressure might be preventing you from fully engaging with your life. -If this sounds familiar, I might be able to help.
View
Photo of Daniel Chavarria, MS, LMHC, Counselor
Daniel Chavarria
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50309
I have been a practicing Mental Health Therapist for close to a decade in the Des Moines metro. My approach is focused on helping clients feel understood and empowered to make positive changes. I endeavor to help clients find real solutions and use practical approaches such as talk therapy and mindfulness techniques. Therapy is hard work, but through challenging dysfunctional thought processes and behaviors, change is possible.
I have been a practicing Mental Health Therapist for close to a decade in the Des Moines metro. My approach is focused on helping clients feel understood and empowered to make positive changes. I endeavor to help clients find real solutions and use practical approaches such as talk therapy and mindfulness techniques. Therapy is hard work, but through challenging dysfunctional thought processes and behaviors, change is possible.
(515) 361-7921 View (515) 361-7921

See more therapy options for 50308

How does your Therapist compare?

Number of Therapists in 50308

< 10

Therapists in 50308 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Eating Disorders
100% Infertility
100% Grief

Average years in practice

7 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH

How Therapists in 50308 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 50308?

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.