Therapists in Chickasaw County, IA

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Photo of Sherry Post, LMHC, MS, Clinical Social Work/Therapist
Sherry Post
Clinical Social Work/Therapist, LMHC, MS
Verified Verified
Ionia, IA 50645
I come to work each day with the same goal: To make a difference in the lives of others. My approach to therapy is to get to know each client I serve and build an individual treatment plan that helps them achieve their goals and thrive. My office is a safe space where you can feel comfortable opening up and finding the skills that are the best fit for you. It’s my belief that personal awareness is key to bringing forth change. The more you are aware of your feelings and thoughts, the more you can make a change. Together, let’s take the steps you need to make a positive change in your life.
I come to work each day with the same goal: To make a difference in the lives of others. My approach to therapy is to get to know each client I serve and build an individual treatment plan that helps them achieve their goals and thrive. My office is a safe space where you can feel comfortable opening up and finding the skills that are the best fit for you. It’s my belief that personal awareness is key to bringing forth change. The more you are aware of your feelings and thoughts, the more you can make a change. Together, let’s take the steps you need to make a positive change in your life.
(888) 581-9281 View (888) 581-9281
Photo of Amy S Roling - Amy Roling- Inspire Counseling & Coaching, MA, LMHC, NCC, Counselor
Amy Roling- Inspire Counseling & Coaching
Counselor, MA, LMHC, NCC
Verified Verified
New Hampton, IA 50659
Waitlist for new clients
I have been working in the counseling field for 20 years. I enjoy helping clients help themselves move forward and live a healthier life. I've worked in college counseling centers, community mental health, schools, and in Corporate America. I use a cognitive behavioral approach and focus on each client's strengths. I've worked with many clinical issues: including anxiety, depression, relationship difficulties and many other issues that interfere with one's ability to enjoy life. I truly believe that if an individual, couple or family want help, healing is possible.
I have been working in the counseling field for 20 years. I enjoy helping clients help themselves move forward and live a healthier life. I've worked in college counseling centers, community mental health, schools, and in Corporate America. I use a cognitive behavioral approach and focus on each client's strengths. I've worked with many clinical issues: including anxiety, depression, relationship difficulties and many other issues that interfere with one's ability to enjoy life. I truly believe that if an individual, couple or family want help, healing is possible.
(319) 313-7681 View (319) 313-7681

Online Therapists

Photo of Beth M Gallegos - Gallegos Counseling, LLC, LISW, Clinical Social Work/Therapist
Gallegos Counseling, LLC
Clinical Social Work/Therapist, LISW
Verified Verified
Grinnell, IA 50112  (Online Only)
I believe that emotional well-being lies within each person and as a therapist I will work with you to help you discover your emotional strength and health. My services are confidential, strength based and focused on your individual needs. I have over 25 years of experience as a mental health clinician. I have specialized in treating depression, bipolar disorder, anxiety, grief and loss.
I believe that emotional well-being lies within each person and as a therapist I will work with you to help you discover your emotional strength and health. My services are confidential, strength based and focused on your individual needs. I have over 25 years of experience as a mental health clinician. I have specialized in treating depression, bipolar disorder, anxiety, grief and loss.
(641) 324-6283 View (641) 324-6283
Photo of Kristin Mossman, MA, LPC, Pre-Licensed Professional
Kristin Mossman
Pre-Licensed Professional, MA, LPC
Verified Verified
1 Endorsed
Vinton, IA 52349  (Online Only)
I believe in living life whole and healed. And I believe everyone is capable of reaching this place. This is why I chose counseling as a profession, to help people heal, and transform their life. Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe taking the step to face yourself in a safe space is courageous, and brings lasting change in someone’s life.
I believe in living life whole and healed. And I believe everyone is capable of reaching this place. This is why I chose counseling as a profession, to help people heal, and transform their life. Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe taking the step to face yourself in a safe space is courageous, and brings lasting change in someone’s life.
(319) 367-3152 View (319) 367-3152
Photo of Laura L Housel, LMHC, ATR, CSAT, CTRS, CYI, Counselor
Laura L Housel
Counselor, LMHC, ATR, CSAT, CTRS, CYI
Verified Verified
North Liberty, IA 52317  (Online Only)
Waitlist for new clients
Feeling lost, alone, and misunderstood? Life and relationships aren't turning out quite like you thought? Maybe you never quite fit in or were able figure things out like others. You might be going through changes such as: shift in your work or career due to burnout or distress; transitioning from a religion; late diagnosis related to neurodivergence (autism, ADHD, etc.); exploring identity; realizing your coping strategies have become addictive or harmful; re-examining relationships, intimacy, roles, experiencing conflict or time of reckoning; feeling disconnected from self, others, spirituality; or experiencing grief or loss
Feeling lost, alone, and misunderstood? Life and relationships aren't turning out quite like you thought? Maybe you never quite fit in or were able figure things out like others. You might be going through changes such as: shift in your work or career due to burnout or distress; transitioning from a religion; late diagnosis related to neurodivergence (autism, ADHD, etc.); exploring identity; realizing your coping strategies have become addictive or harmful; re-examining relationships, intimacy, roles, experiencing conflict or time of reckoning; feeling disconnected from self, others, spirituality; or experiencing grief or loss
(515) 585-1086 View (515) 585-1086
Photo of Mackenzie Ford, LMSW, Clinical Social Work/Therapist
Mackenzie Ford
Clinical Social Work/Therapist, LMSW
Verified Verified
Waterloo, IA 50701
Living in a rural area, I grew up surrounded by a stigma around mental health needs. My goal is to help dispel that stigma and support anyone who may have mental health needs, especially in my local community. Whether it’s an in-person or tele-health session, you can expect a welcoming atmosphere and a judgment free environment.
Living in a rural area, I grew up surrounded by a stigma around mental health needs. My goal is to help dispel that stigma and support anyone who may have mental health needs, especially in my local community. Whether it’s an in-person or tele-health session, you can expect a welcoming atmosphere and a judgment free environment.
(319) 462-7353 View (319) 462-7353
Photo of Melissa Paulsen, MA, LMFT, RPT-S, Marriage & Family Therapist
Melissa Paulsen
Marriage & Family Therapist, MA, LMFT, RPT-S
Verified Verified
3 Endorsed
Anamosa, IA 52205
No matter why you are seeking therapy, my goal is to make you feel comfortable while helping you to explore whatever life stressor you are currently experiencing in a safe and accepting environment. I have helped individuals, couples, and families to develop open communication, conflict resolution, emotional regulation, and overall improvement in each client's emotional wellbeing and life satisfaction. I also have experience working on issues such as depression and mood disorders, anxiety, grief and loss, oppositional defiant disorder, self-harm, and other adjustment-related stressors.
No matter why you are seeking therapy, my goal is to make you feel comfortable while helping you to explore whatever life stressor you are currently experiencing in a safe and accepting environment. I have helped individuals, couples, and families to develop open communication, conflict resolution, emotional regulation, and overall improvement in each client's emotional wellbeing and life satisfaction. I also have experience working on issues such as depression and mood disorders, anxiety, grief and loss, oppositional defiant disorder, self-harm, and other adjustment-related stressors.
(319) 774-4550 View (319) 774-4550
Photo of Andrew Bradley, MA, LMHC, Counselor
Andrew Bradley
Counselor, MA, LMHC
Verified Verified
Ames, IA 50010
As a retired Marine, a licensed pilot, a scuba diver, and a linguist, I have a varied and multicultural background and am able to connect well with people of different cultures. In addition to a Masters in Professional Counseling, I have a Seminary degree in Pastoral Counseling. After serving as an Arabic and Persian Farsi linguist in the Marine Corps, I decided to continue a life of service by helping people find healing and personal growth. As a Veteran who served in Iraq and in Combat, I have special insight to help fellow Service Members.
As a retired Marine, a licensed pilot, a scuba diver, and a linguist, I have a varied and multicultural background and am able to connect well with people of different cultures. In addition to a Masters in Professional Counseling, I have a Seminary degree in Pastoral Counseling. After serving as an Arabic and Persian Farsi linguist in the Marine Corps, I decided to continue a life of service by helping people find healing and personal growth. As a Veteran who served in Iraq and in Combat, I have special insight to help fellow Service Members.
(515) 500-2151 View (515) 500-2151
Photo of Bailey O'Toole, MA, LMFT, Marriage & Family Therapist
Bailey O'Toole
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
Accepting New Clients in person or via Telehealth! Therapy is a space for you to process many things past, present and even future. I believe everyone can benefit from therapy. My approach with clients is number one, meeting them where they are at. You are the client and in the driver's seat. I am here to help facilitate change and work toward wellness. The therapeutic relationship is key to successful therapy and this being said, I work very hard to connect and build that relationship. I work with those suffering from anxiety and depression, couples, mood disorders and post-partum depression. I see adults, couples and teens.
Accepting New Clients in person or via Telehealth! Therapy is a space for you to process many things past, present and even future. I believe everyone can benefit from therapy. My approach with clients is number one, meeting them where they are at. You are the client and in the driver's seat. I am here to help facilitate change and work toward wellness. The therapeutic relationship is key to successful therapy and this being said, I work very hard to connect and build that relationship. I work with those suffering from anxiety and depression, couples, mood disorders and post-partum depression. I see adults, couples and teens.
(319) 220-3741 View (319) 220-3741
Photo of Susan Letsch, LMSW, CADC, Clinical Social Work/Therapist
Susan Letsch
Clinical Social Work/Therapist, LMSW, CADC
Verified Verified
1 Endorsed
Ames, IA 50014
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
(800) 531-4236 View (800) 531-4236
Photo of Summer Elliott, MA, LMFT, Marriage & Family Therapist
Summer Elliott
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Cedar Falls, IA 50613
Everyone deserves understanding and acceptance, especially when navigating personal challenges. I work inclusively with all individuals, with a special focus on the LGBTQ and trans communities. As a gender-affirming therapist, my aim is to guide you through your unique journey toward self-discovery and well-being.
Everyone deserves understanding and acceptance, especially when navigating personal challenges. I work inclusively with all individuals, with a special focus on the LGBTQ and trans communities. As a gender-affirming therapist, my aim is to guide you through your unique journey toward self-discovery and well-being.
(319) 349-8077 View (319) 349-8077
Photo of Ali Schneider, LMSW, Clinical Social Work/Therapist
Ali Schneider
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dubuque, IA 52003
Hey! Moving toward personal healing and growth can be hard! I acknowledge client's vulnerability and meet them with compassion and kindness. I’m here to help clients navigate the uncomfortable, difficult, unwanted times in their life. I am a Licensed Master Social Worker with a passion for working with children, adolescents, and adults struggling with anxiety, self doubt, peer or relationship conflict, impulse control, grief, and depression. We all need help sometimes, and I'll be dedicated to being the help clients seek!
Hey! Moving toward personal healing and growth can be hard! I acknowledge client's vulnerability and meet them with compassion and kindness. I’m here to help clients navigate the uncomfortable, difficult, unwanted times in their life. I am a Licensed Master Social Worker with a passion for working with children, adolescents, and adults struggling with anxiety, self doubt, peer or relationship conflict, impulse control, grief, and depression. We all need help sometimes, and I'll be dedicated to being the help clients seek!
(563) 202-8694 View (563) 202-8694
Photo of Shelly Sandusky, MS, LMFT, Marriage & Family Therapist
Shelly Sandusky
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Alburnett, IA 52202  (Online Only)
I work with people who are struggling with personality disorders either because you yourself have a personality disorder or someone you care about has one. Personality disorders are unique in how they impact relationships and daily living and they need to be treated in a way that can work for them. I have extensive training in work with personality disorders and know how to help. I can work with you to understand parenting someone with a personality disorder diagnosis, or coping with a partner with a personality disorder, or help you to feel more able to lead the life you want despite having a personality disorder diagnosis yourself
I work with people who are struggling with personality disorders either because you yourself have a personality disorder or someone you care about has one. Personality disorders are unique in how they impact relationships and daily living and they need to be treated in a way that can work for them. I have extensive training in work with personality disorders and know how to help. I can work with you to understand parenting someone with a personality disorder diagnosis, or coping with a partner with a personality disorder, or help you to feel more able to lead the life you want despite having a personality disorder diagnosis yourself
(319) 308-5439 View (319) 308-5439
Photo of Christina Couch, PsyD, Psychologist
Christina Couch
Psychologist, PsyD
Verified Verified
Cedar Rapids, IA 52402
When you're ready, come and tell me your story. I understand that it can feel overwhelming and uncomfortable to be vulnerable, to address difficult issues and to begin to make changes. Whether you are seeking support for depression, anxiety, relationship issues, self-esteem, trauma, or loss, therapy provides a space for you to speak your truth, to be seen, heard and validated. With therapy, anxiety, depression, and other emotional concerns can improve, relationships can be restored, and past losses or traumas healed. You can begin to feel more hopeful, confident, balanced and empowered. And begin to live a more authentic life!
When you're ready, come and tell me your story. I understand that it can feel overwhelming and uncomfortable to be vulnerable, to address difficult issues and to begin to make changes. Whether you are seeking support for depression, anxiety, relationship issues, self-esteem, trauma, or loss, therapy provides a space for you to speak your truth, to be seen, heard and validated. With therapy, anxiety, depression, and other emotional concerns can improve, relationships can be restored, and past losses or traumas healed. You can begin to feel more hopeful, confident, balanced and empowered. And begin to live a more authentic life!
(319) 257-2627 View (319) 257-2627
Photo of Zach Mickelson, LMSW, Clinical Social Work/Therapist
Zach Mickelson
Clinical Social Work/Therapist, LMSW
Verified Verified
North Liberty, IA 52317
Welcome! I'm Zach Mickelson, a dedicated therapist committed to supporting you on your journey toward growth and self-discovery. I firmly believe that each individual possesses a unique set of skills and resilience within themselves. My role is to help you uncover and harness these strengths to navigate life's challenges and achieve your personal goals. In our work together, I focus on a collaborative approach.
Welcome! I'm Zach Mickelson, a dedicated therapist committed to supporting you on your journey toward growth and self-discovery. I firmly believe that each individual possesses a unique set of skills and resilience within themselves. My role is to help you uncover and harness these strengths to navigate life's challenges and achieve your personal goals. In our work together, I focus on a collaborative approach.
(319) 250-2741 View (319) 250-2741
Photo of Macy DeMeulenaere, LMFT, Marriage & Family Therapist
Macy DeMeulenaere
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Cedar Rapids, IA 52402
Hi there and congratulations on taking the possibly daunting step towards finding a therapist. I don't know you, but I know that takes courage. My style as a therapist can be described as collaborative, curious, responsive, intentional, and above all else, human. Although we are all experiencing this wild ride called life, I know that no two stories/individuals are the same. I'm genuinely curious about my clients and what makes them who they are, which leads way to individualized care and true understanding.
Hi there and congratulations on taking the possibly daunting step towards finding a therapist. I don't know you, but I know that takes courage. My style as a therapist can be described as collaborative, curious, responsive, intentional, and above all else, human. Although we are all experiencing this wild ride called life, I know that no two stories/individuals are the same. I'm genuinely curious about my clients and what makes them who they are, which leads way to individualized care and true understanding.
(319) 559-3021 View (319) 559-3021
Photo of Mackenzie Baker, LMSW, Clinical Social Work/Therapist
Mackenzie Baker
Clinical Social Work/Therapist, LMSW
Verified Verified
Dubuque, IA 52002
Waitlist for new clients
Navigating the challenges of life can be incredibly demanding, and I wholeheartedly recognize the courage and vulnerability it takes to reach out. My aim for you as the client is to establish a secure and validating environment where you feel comfortable being your true self. Ensuring a sense of safety within the therapy setting is crucial for undertaking the challenging journey of healing and personal growth. I am committed to fostering a non-judgmental and encouraging atmosphere for your journey.
Navigating the challenges of life can be incredibly demanding, and I wholeheartedly recognize the courage and vulnerability it takes to reach out. My aim for you as the client is to establish a secure and validating environment where you feel comfortable being your true self. Ensuring a sense of safety within the therapy setting is crucial for undertaking the challenging journey of healing and personal growth. I am committed to fostering a non-judgmental and encouraging atmosphere for your journey.
(563) 316-6046 View (563) 316-6046
Photo of Kalen D. Zeiger, MS, LMFT, CCTP, CFTP, Marriage & Family Therapist
Kalen D. Zeiger
Marriage & Family Therapist, MS, LMFT, CCTP, CFTP
Verified Verified
15 Endorsed
Hiawatha, IA 52233  (Online Only)
Are you queer? Do you have a queer family member, partner, or kid? I provide queer and gender-affirming, neurodiverse-validating mental healthcare; WPATH-informed psychosocial assessments & letters of support; and mental health support for individuals, couples and partners, parents, and families like yours who may be struggling with trauma, stress, anxiety, depression, or adjustments and often must navigate confusing & less than accepting social and care scenarios. Have you experienced trauma? Unfortunately, LGBTQIA2S+ people are more likely to experience trauma. I help clients like you manage and process trauma and move forward.
Are you queer? Do you have a queer family member, partner, or kid? I provide queer and gender-affirming, neurodiverse-validating mental healthcare; WPATH-informed psychosocial assessments & letters of support; and mental health support for individuals, couples and partners, parents, and families like yours who may be struggling with trauma, stress, anxiety, depression, or adjustments and often must navigate confusing & less than accepting social and care scenarios. Have you experienced trauma? Unfortunately, LGBTQIA2S+ people are more likely to experience trauma. I help clients like you manage and process trauma and move forward.
(319) 774-8301 View (319) 774-8301
Photo of Claire Hunt, MSW, LISW, Clinical Social Work/Therapist
Claire Hunt
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Dubuque, IA 52001
I will collaborate with you to address what you're facing in a way that works for you whether it be in mental health, interpersonal relationships or other issues you are facing past or present. We are shaped by our unique life circumstances and experiences and I will take this into account as we work together.
I will collaborate with you to address what you're facing in a way that works for you whether it be in mental health, interpersonal relationships or other issues you are facing past or present. We are shaped by our unique life circumstances and experiences and I will take this into account as we work together.
(563) 275-6445 View (563) 275-6445
Photo of Mwr Counseling - MWR Counseling, Clinical Social Work/Therapist
MWR Counseling
Clinical Social Work/Therapist
Verified Verified
Hiawatha, IA 52233
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
Your health and well-being are important, and when you make the decision to care for your mental health, MWR is here to partner with you. MWR Counseling provides outpatient mental health counseling to individuals, couples, and families. Our providers specialize in multiple areas, including perinatal mental health, EMDR and somatic trauma treatment, OCD, and chronic pain. When you contact MWR, you will be connected with a therapist who is trained and experienced in providing treatment for your specific needs.
(319) 346-3275 View (319) 346-3275

See more therapy options for Chickasaw County

How does your Therapist compare?

Number of Therapists in Chickasaw County, IA

< 10

Therapists in Chickasaw County, IA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% ADHD
100% Grief
100% Obsessive-Compulsive (OCD)

Average years in practice

17 Years

Top 3 insurances accepted

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

How Therapists in Chickasaw County, IA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Chickasaw 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.