Therapists in Buchanan County, IA

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Photo of Tara Bosnic, LISW, Clinical Social Work/Therapist
Tara Bosnic
Clinical Social Work/Therapist, LISW
Verified Verified
Independence, IA 50644
Throughout my career I have worked with children, adolescents, adults and families in residential treatment, school and hospital settings, as well as my office here in Independence.
Throughout my career I have worked with children, adolescents, adults and families in residential treatment, school and hospital settings, as well as my office here in Independence.
(563) 214-0463 View (563) 214-0463
Photo of Melissa A Kress, LMHC, Counselor
Melissa A Kress
Counselor, LMHC
Verified Verified
Independence, IA 50644
When faced with relationships, family, employment, or personal emotional difficulties, it is hard to know who to trust. Family, friends, and co-workers might have well intended advice, but it is not what you really needed to feel better. You need a safe place to heal from past trauma, ongoing mental illness with someone who truly listens and is knowledgeable. The idea of therapy can be scary for some, but with the right provider, you can feel more confident, self-compassionate, and able to cope with those challenges in life.
When faced with relationships, family, employment, or personal emotional difficulties, it is hard to know who to trust. Family, friends, and co-workers might have well intended advice, but it is not what you really needed to feel better. You need a safe place to heal from past trauma, ongoing mental illness with someone who truly listens and is knowledgeable. The idea of therapy can be scary for some, but with the right provider, you can feel more confident, self-compassionate, and able to cope with those challenges in life.
(319) 450-7861 View (319) 450-7861
Photo of Jacquelyn Schultz, LISW, Clinical Social Work/Therapist
Jacquelyn Schultz
Clinical Social Work/Therapist, LISW
Verified Verified
Jesup, IA 50648  (Online Only)
My professional experience over the past twenty-seven years has concentrated on children, teenagers, adults, couples and families including in-home and private practice. I am familiar with how individuals and families often require collaboration across settings and between service providers. My focus is on listening and finding the best approach to help someone meet their goals out of therapy. I realize that finding a therapist can be difficult. I work hard to establish a relationship in which a person feels understood and respected. I am a faith base counselor for those who are looking for that.
My professional experience over the past twenty-seven years has concentrated on children, teenagers, adults, couples and families including in-home and private practice. I am familiar with how individuals and families often require collaboration across settings and between service providers. My focus is on listening and finding the best approach to help someone meet their goals out of therapy. I realize that finding a therapist can be difficult. I work hard to establish a relationship in which a person feels understood and respected. I am a faith base counselor for those who are looking for that.
(319) 774-4674 View (319) 774-4674
Photo of Lindsay Finnegan, LISW, Clinical Social Work/Therapist
Lindsay Finnegan
Clinical Social Work/Therapist, LISW
Verified Verified
Jesup, IA 50648  (Online Only)
I provide therapy services to individuals, couples, and families. I use a cognitive-behavioral approach to address presenting problems. This technique is beneficial in helping to treat anxiety, depression, mood disorders, grief, relationship issues, etc. as thoughts and feelings lead to behaviors or actions. Treatment services are also provided utilizing trauma informed care and EMDR to help with symptoms of Posttraumatic Stress Disorder. I have been in private practice for 9 years now. I love seeing the positive changes that my clients are making in their lives!
I provide therapy services to individuals, couples, and families. I use a cognitive-behavioral approach to address presenting problems. This technique is beneficial in helping to treat anxiety, depression, mood disorders, grief, relationship issues, etc. as thoughts and feelings lead to behaviors or actions. Treatment services are also provided utilizing trauma informed care and EMDR to help with symptoms of Posttraumatic Stress Disorder. I have been in private practice for 9 years now. I love seeing the positive changes that my clients are making in their lives!
(712) 380-1513 View (712) 380-1513
Photo of Peladija Woodson-Diers - Peladija's Therapy and Counseling Services, MSW, LISW, Clinical Social Work/Therapist
Peladija's Therapy and Counseling Services
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Independence, IA 50644
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
I have provided individual counseling and therapy services to children, adolescents, adults, marriage counseling, couples and families; serving all ages and working with diverse populations. Goals of building hope, optimism, and inspiring others to make the most of theirs and their families lives. Utilized various therapeutic techniques, and starting where the client is, to assist individuals with minimizing or resolving issues, associated with depression, grief and loss, anxiety, stress, adjustment, mood regulation, ADHD, ODD, relational problems, behavioral issues, and various other problem areas and issues that confront individuals of all ages on a daily basis. Focusing on the positives!
(319) 313-5041 View (319) 313-5041
Photo of Kelly Decker, MS, tLMHC, Counselor
Kelly Decker
Counselor, MS, tLMHC
Verified Verified
1 Endorsed
Independence, IA 50644
Imagine yourself feeling overwhelmed by anxiety, struggling to focus due to ADHD, or dealing with the heavy weight of depression. Perhaps you've experienced trauma that's left a lasting impact, or you're finding it difficult to navigate through grief after losing someone important to you. Maybe you're facing challenges in your relationships, feeling misunderstood, or having trouble connecting with others. These are some of the issues my clients face.
Imagine yourself feeling overwhelmed by anxiety, struggling to focus due to ADHD, or dealing with the heavy weight of depression. Perhaps you've experienced trauma that's left a lasting impact, or you're finding it difficult to navigate through grief after losing someone important to you. Maybe you're facing challenges in your relationships, feeling misunderstood, or having trouble connecting with others. These are some of the issues my clients face.
(319) 727-8555 View (319) 727-8555

Online Therapists

Photo of Jenna Iben, MS, tLMHC, Counselor
Jenna Iben
Counselor, MS, tLMHC
Verified Verified
4 Endorsed
Iowa City, IA 52240
My therapeutic approach is rooted in the belief that healing and growth occur through relationships and our connections with others. I believe that everyone desires a sense of belonging and thrives within a community. As your therapist, my role is to accompany you on your journey, providing a safe and comfortable space for you to explore your inner world and the world around you. I have experience working with teens, adult women, and gender-expansive individuals. I have worked closely with those facing relationship issues, low self-worth, life transitions, depression, anxiety, and intimate partner violence.
My therapeutic approach is rooted in the belief that healing and growth occur through relationships and our connections with others. I believe that everyone desires a sense of belonging and thrives within a community. As your therapist, my role is to accompany you on your journey, providing a safe and comfortable space for you to explore your inner world and the world around you. I have experience working with teens, adult women, and gender-expansive individuals. I have worked closely with those facing relationship issues, low self-worth, life transitions, depression, anxiety, and intimate partner violence.
(319) 946-4113 View (319) 946-4113
Photo of Aryn Lemon, MS, NCC, LMHC, Counselor
Aryn Lemon
Counselor, MS, NCC, LMHC
Verified Verified
2 Endorsed
Nevada, IA 50201
Waitlist for new clients
Welcome! In therapy, I believe it is essential for you to feel seen, heard, and valued for who you are. In this sacred space, you have the freedom to explore your thoughts, emotions, and experiences, fostering self-acceptance and empowering you to embark on a journey of self-discovery. Central to my practice is the unwavering belief in the resiliency and potential within each individual. Through a foundation of Person-Centered Therapy, I create an environment characterized by empathy, trust, and unconditional positive regard. I recognize that choosing to go to therapy is sometimes scary, so thank you for taking those first steps.
Welcome! In therapy, I believe it is essential for you to feel seen, heard, and valued for who you are. In this sacred space, you have the freedom to explore your thoughts, emotions, and experiences, fostering self-acceptance and empowering you to embark on a journey of self-discovery. Central to my practice is the unwavering belief in the resiliency and potential within each individual. Through a foundation of Person-Centered Therapy, I create an environment characterized by empathy, trust, and unconditional positive regard. I recognize that choosing to go to therapy is sometimes scary, so thank you for taking those first steps.
(515) 854-0361 View (515) 854-0361
Photo of Keli Hagen, LISW, PLLC, Clinical Social Work/Therapist
Keli Hagen
Clinical Social Work/Therapist, LISW, PLLC
Verified Verified
Cedar Rapids, IA 52403
Therapy is the gift of time and healing you give yourself and your relationships. My approach to therapy is integrative; my style is interactive, warm, and supportive. I walk along individuals struggling with anxiety, depression, grief, relationship issues, and life stage transition. I also work with couples who need help to repair their relationship and feel close again. We all struggle from time to time; life can be much easier when we have someone to walk with us through the difficult times. *** Only accepting BC/BS at this time. ***
Therapy is the gift of time and healing you give yourself and your relationships. My approach to therapy is integrative; my style is interactive, warm, and supportive. I walk along individuals struggling with anxiety, depression, grief, relationship issues, and life stage transition. I also work with couples who need help to repair their relationship and feel close again. We all struggle from time to time; life can be much easier when we have someone to walk with us through the difficult times. *** Only accepting BC/BS at this time. ***
(319) 318-0705 View (319) 318-0705
Photo of Elizabeth Finley, MA, LMFT, Marriage & Family Therapist
Elizabeth Finley
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Cedar Rapids, IA 52401
Being stuck in an emotional tornado with no end is devastating. The past year+ has been full of hurt, fear, loss, and the unexpected... to say the least. You end up feeling lost, unsure of yourself, your relationships, your job, your whole world. You end up feeling alone, feeling a hole in your body that can't or is refusing to be filled, feeling like shit at the end of most days. Sometimes you see a glimmer of hope... yet you doubt it's real.
Being stuck in an emotional tornado with no end is devastating. The past year+ has been full of hurt, fear, loss, and the unexpected... to say the least. You end up feeling lost, unsure of yourself, your relationships, your job, your whole world. You end up feeling alone, feeling a hole in your body that can't or is refusing to be filled, feeling like shit at the end of most days. Sometimes you see a glimmer of hope... yet you doubt it's real.
(319) 432-7753 View (319) 432-7753
Photo of Abby Meyer, tLMHC, Counselor
Abby Meyer
Counselor, tLMHC
Verified Verified
Iowa City, IA 52245
My approach to therapy has a lot to do with who my client is and what their needs are; I am honored that I get to (metaphorically) walk through the mud with you to reach a healthier & happier place. I view the therapeutic relationship as an opportunity for me to help clients reconnect with a deeper sense of themselves both physically and emotionally. I am passionate about reaching the needs of those who are survivors of trauma, identify as gender diverse, or are generally within the LGBTQIA community. I prioritize the importance of individualizing interventions to reach you where you are at and to help you get to a healthier place.
My approach to therapy has a lot to do with who my client is and what their needs are; I am honored that I get to (metaphorically) walk through the mud with you to reach a healthier & happier place. I view the therapeutic relationship as an opportunity for me to help clients reconnect with a deeper sense of themselves both physically and emotionally. I am passionate about reaching the needs of those who are survivors of trauma, identify as gender diverse, or are generally within the LGBTQIA community. I prioritize the importance of individualizing interventions to reach you where you are at and to help you get to a healthier place.
(319) 463-3280 View (319) 463-3280
Photo of Ellie Pereboom, tLMHC, Counselor
Ellie Pereboom
Counselor, tLMHC
Verified Verified
Cedar Rapids, IA 52402
Immediate Openings and Accepting New Clients: In-Person and Telehealth available! Everyone is on their own adventure exploring the sea of life and you are your own captain running this ship. Just like ships, our lives need maintenance, our lives need a supportive crew, and our lives need guidance from a lighthouse to direct us out of the storms. Maybe you are feeling defeated of having no control over the storms. Maybe you are lost of how to prevent a storm. Maybe you are in the midst of one right now. You are in the right place for wanting to get the help that you deserve!
Immediate Openings and Accepting New Clients: In-Person and Telehealth available! Everyone is on their own adventure exploring the sea of life and you are your own captain running this ship. Just like ships, our lives need maintenance, our lives need a supportive crew, and our lives need guidance from a lighthouse to direct us out of the storms. Maybe you are feeling defeated of having no control over the storms. Maybe you are lost of how to prevent a storm. Maybe you are in the midst of one right now. You are in the right place for wanting to get the help that you deserve!
(319) 658-5177 View (319) 658-5177
Photo of Elizabeth Schachter, LISW, Clinical Social Work/Therapist
Elizabeth Schachter
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Iowa City, IA 52245  (Online Only)
Looking to feel confident in your choices as a person and/or parent and connected to the people in your life? Wishing life came with instruction manuals? Looking to gain more control over your emotional reactions and feelings of worry? I can help. Therapy is a place where you can work to understand yourself, feel seen and be heard. Together, in a safe space we can work on making mindset shifts, building self-acceptance and developing positive coping mechanisms and setting and working towards your goals. I also have extensive experience working with young child and partnering with parents offering guidance and support.
Looking to feel confident in your choices as a person and/or parent and connected to the people in your life? Wishing life came with instruction manuals? Looking to gain more control over your emotional reactions and feelings of worry? I can help. Therapy is a place where you can work to understand yourself, feel seen and be heard. Together, in a safe space we can work on making mindset shifts, building self-acceptance and developing positive coping mechanisms and setting and working towards your goals. I also have extensive experience working with young child and partnering with parents offering guidance and support.
(319) 214-7769 View (319) 214-7769
Photo of Monica McWilliams, MSW, LMSW, Clinical Social Work/Therapist
Monica McWilliams
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Iowa City, IA 52245  (Online Only)
I’m passionate about helping individuals, couples, and parents/caregivers who want to decrease stress, anxiety, fear, anger, perfectionism, and overwhelm, break cycles, understand and heal past wounds, increase confidence and connection to self and others, and create a thriving life. My approach is holistic and designed to cultivate lasting change for adult individuals and partners navigating relationship challenges seeking to integrate mind, body, and lived experiences for overall life satisfaction and improved mental wellness.
I’m passionate about helping individuals, couples, and parents/caregivers who want to decrease stress, anxiety, fear, anger, perfectionism, and overwhelm, break cycles, understand and heal past wounds, increase confidence and connection to self and others, and create a thriving life. My approach is holistic and designed to cultivate lasting change for adult individuals and partners navigating relationship challenges seeking to integrate mind, body, and lived experiences for overall life satisfaction and improved mental wellness.
(319) 448-3957 View (319) 448-3957
Photo of Allyson R Balli, MSEd, tLMHC, NCC, Counselor
Allyson R Balli
Counselor, MSEd, tLMHC, NCC
Verified Verified
Bettendorf, IA 52722
You're looking for a mental health provider, what a big first step! Finding somebody to talk to can be scary, but it is my goal to create a safe, accepting and comfortable therapeutic environment for each and every individual that visits my office. My areas of specialty are working with individuals who have experiences with anxiety, depression, trauma and low self-esteem. The mental health journey can be difficult, but it is not a journey you must go on alone - welcome to the next step. Visit themadtherapy.com for referrals and scheduling information.
You're looking for a mental health provider, what a big first step! Finding somebody to talk to can be scary, but it is my goal to create a safe, accepting and comfortable therapeutic environment for each and every individual that visits my office. My areas of specialty are working with individuals who have experiences with anxiety, depression, trauma and low self-esteem. The mental health journey can be difficult, but it is not a journey you must go on alone - welcome to the next step. Visit themadtherapy.com for referrals and scheduling information.
(563) 661-5454 View (563) 661-5454
Photo of Lynette Williams, MA, LMFT, Marriage & Family Therapist
Lynette Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
Marion, IA 52302
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
Deciding that we need help is not an easy thing to admit. It's even more difficult to reach out to get the help we know we deserve. No matter what you are dealing with in life, may it be daily anxiety and depression or transitioning through a phase in your life that turned out to be more difficult than you thought. I am here to listen and help you through these times. I hope that with my help you can live your life the way you have always wanted and feel proud for the work you have done to truly take care of yourself.
(319) 777-2182 View (319) 777-2182
Photo of Erik Kohl, MA, LMHC, EMDR, Counselor
Erik Kohl
Counselor, MA, LMHC, EMDR
Verified Verified
1 Endorsed
Grinnell, IA 50112
I utilize a client-centered approach to therapy that focuses on strengths and the therapeutic relationship as the means of implementing change. As a clinician I take environmental, relational, and emotional factors in to account during treatment. My goal is to help you move forward with your life by empowering you to manage your mental health.
I utilize a client-centered approach to therapy that focuses on strengths and the therapeutic relationship as the means of implementing change. As a clinician I take environmental, relational, and emotional factors in to account during treatment. My goal is to help you move forward with your life by empowering you to manage your mental health.
(641) 244-3347 View (641) 244-3347
Photo of Rui Ding, MS, T-LMFT, Marriage & Family Therapist Associate
Rui Ding
Marriage & Family Therapist Associate, MS, T-LMFT
Verified Verified
1 Endorsed
North Liberty, IA 52317
Growing and pursuing personal development can sometimes be tricky! I specialize in addressing mental health issues stemming from self-worth and emotional needs. My approach focuses on helping clients achieve more differentiation of self, independence, and self-realization, where they define their existence without external interference. I also work with clients who want to establish healthy boundaries. An overly enmeshed boundary can lead to a loss of self, while a powerful one may hinder emotional expression and connection with others.
Growing and pursuing personal development can sometimes be tricky! I specialize in addressing mental health issues stemming from self-worth and emotional needs. My approach focuses on helping clients achieve more differentiation of self, independence, and self-realization, where they define their existence without external interference. I also work with clients who want to establish healthy boundaries. An overly enmeshed boundary can lead to a loss of self, while a powerful one may hinder emotional expression and connection with others.
(319) 258-5386 View (319) 258-5386
Photo of Mj Meidlinger, LISW, Clinical Social Work/Therapist
Mj Meidlinger
Clinical Social Work/Therapist, LISW
Verified Verified
Iowa City, IA 52240
Waitlist for new clients
I am a clinical social worker and have worked with clients on many issues, including anxiety and depression, addiction, family conflict, identity and LGBTQ+ issues. My therapeutic style is casual and based on a mutual exchange of ideas, knowledge, and understanding. I believe all people have the capacity for growth and learning. My approach combines multiple therapeutic modalities including cognitive behavioral, dialectical, trauma-informed, and mindfulness based treatment which I will adapt to fit your specific needs and concerns.
I am a clinical social worker and have worked with clients on many issues, including anxiety and depression, addiction, family conflict, identity and LGBTQ+ issues. My therapeutic style is casual and based on a mutual exchange of ideas, knowledge, and understanding. I believe all people have the capacity for growth and learning. My approach combines multiple therapeutic modalities including cognitive behavioral, dialectical, trauma-informed, and mindfulness based treatment which I will adapt to fit your specific needs and concerns.
(319) 214-8805 View (319) 214-8805
Photo of Holly Smigel Journey Counseling Services, LMHC, Counselor
Holly Smigel Journey Counseling Services
Counselor, LMHC
Verified Verified
North Liberty, IA 52317
I have worked in a variety of mental health settings over a period of 20+ years including residential treatment for children and adults, supported living services for adults with mental illness, chemical dependency treatment, emergency/crisis counseling, biblical counseling in church settings, hospital programs for adults with chronic mental illness and vocational counseling. My areas of specialty include depression and anxiety in women. I offer individual counseling for women, children and teens. I am a Licensed Mental Health Counselor in Iowa.
I have worked in a variety of mental health settings over a period of 20+ years including residential treatment for children and adults, supported living services for adults with mental illness, chemical dependency treatment, emergency/crisis counseling, biblical counseling in church settings, hospital programs for adults with chronic mental illness and vocational counseling. My areas of specialty include depression and anxiety in women. I offer individual counseling for women, children and teens. I am a Licensed Mental Health Counselor in Iowa.
(319) 313-5079 View (319) 313-5079

See more therapy options for Buchanan County

How does your Therapist compare?

Number of Therapists in Buchanan County, IA

< 10

Therapists in Buchanan County, IA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Family Conflict
83% Parenting
83% Anger Management

Average years in practice

9 Years

Top 3 insurances accepted

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

How Therapists in Buchanan County, IA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Buchanan 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.