Therapists in De Witt, IA

Photo of Marinna Kroh, LMFT, Marriage & Family Therapist
Marinna Kroh
Marriage & Family Therapist, LMFT
Verified Verified
De Witt, IA 52742
I work with all age ranges of individuals, couples and families. My goal is to help you reach your goals, no matter what they are or the stage of life you are in. I have experience with mood disorders, conduct disorders, personality disorders, family dysfunction, past trauma and eating disorders. I look forward to working with you!
I work with all age ranges of individuals, couples and families. My goal is to help you reach your goals, no matter what they are or the stage of life you are in. I have experience with mood disorders, conduct disorders, personality disorders, family dysfunction, past trauma and eating disorders. I look forward to working with you!
(563) 522-5419 View (563) 522-5419

Online Therapists

Photo of Abigail Van Patten-Freeman, MA, LMHC, NCC, Counselor
Abigail Van Patten-Freeman
Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Coralville, IA 52241
I am a Licensed Mental Health Counselor (LMHC) in the state of Iowa. I received both my Bachelor's degree in Psychology and my Master's degree in Clinical Mental Health Counseling from the University of Northern Iowa. I currently work with ages 10 and older on presenting concerns such as life transitions, difficulties with adjustments to life experiences, anxiety, depression, ADHD, relationship difficulties, and traumatic experiences. I often work with clients who are ready to dig deep into the 'why' behind their symptoms and engage in the 'how' of working through their experiences.
I am a Licensed Mental Health Counselor (LMHC) in the state of Iowa. I received both my Bachelor's degree in Psychology and my Master's degree in Clinical Mental Health Counseling from the University of Northern Iowa. I currently work with ages 10 and older on presenting concerns such as life transitions, difficulties with adjustments to life experiences, anxiety, depression, ADHD, relationship difficulties, and traumatic experiences. I often work with clients who are ready to dig deep into the 'why' behind their symptoms and engage in the 'how' of working through their experiences.
(319) 220-5068 View (319) 220-5068
Photo of Riley Andrews, MA, LMHC, LPC, Counselor
Riley Andrews
Counselor, MA, LMHC, LPC
Verified Verified
Dubuque, IA 52001
As the mama of young kiddos, who is also coping with life’s transitions, I’ve made it my mission to help mamas thrive throughout their pregnancy and postpartum journey, ensuring a healthy and fulfilling lifestyle for years to come. During my first maternity leave, I thought to myself, if I can help mamas manage their mental health and wellbeing (so they don't have to feel like I do right now), I can prevent kiddos from ever needing to come to see me. So, with that epiphany, I became fully trained to work with Perinatal Mental Health through Postpartum Support International & have since added Brainspotting to best treat Mama Trauma.
As the mama of young kiddos, who is also coping with life’s transitions, I’ve made it my mission to help mamas thrive throughout their pregnancy and postpartum journey, ensuring a healthy and fulfilling lifestyle for years to come. During my first maternity leave, I thought to myself, if I can help mamas manage their mental health and wellbeing (so they don't have to feel like I do right now), I can prevent kiddos from ever needing to come to see me. So, with that epiphany, I became fully trained to work with Perinatal Mental Health through Postpartum Support International & have since added Brainspotting to best treat Mama Trauma.
(563) 363-6244 View (563) 363-6244
Photo of Vanessa West - Therapeutic Innovations, PLLC, PhD, LMHC, Counselor
Therapeutic Innovations, PLLC
Counselor, PhD, LMHC
Verified Verified
3 Endorsed
Vinton, IA 52349
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? 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 your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? 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 your needs and not taking time for yourself can lead to long-term issues for your mind and body. We believe it shouldn’t be so hard to live a better life.
(319) 251-2089 View (319) 251-2089
Photo of Lindsey Darrouzet, LISW, Clinical Social Work/Therapist
Lindsey Darrouzet
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52002  (Online Only)
I am passionate about partnering with my clients on their journey to improve their lives. It has been rewarding to watch the people I serve discover that they are already doing many things to help themselves through difficult situations, and our work together builds on those strengths. In sessions, you can expect to be heard, valued, and respected in a comfortable, safe, and nonjudgmental space where you can find the tools you need to achieve your goals.
I am passionate about partnering with my clients on their journey to improve their lives. It has been rewarding to watch the people I serve discover that they are already doing many things to help themselves through difficult situations, and our work together builds on those strengths. In sessions, you can expect to be heard, valued, and respected in a comfortable, safe, and nonjudgmental space where you can find the tools you need to achieve your goals.
(563) 748-4181 View (563) 748-4181
Photo of Erin Forbes, MSW, LISW, Clinical Social Work/Therapist
Erin Forbes
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
9 Endorsed
Hiawatha, IA 52233
As a therapist, I believe that a person is more than just the sum of their experiences. Each one of us is made up of our unique thoughts, emotions and ideas. I have devoted my career to finding ways of honoring who you are, as well as who you want to become. My clients range from children to adults, and my special interests are with teens, parents and families. I am clinically trained to help individuals and families experiencing trauma, anxiety, depression, impulsivity, conflicts and grief. My style is direct, non-judgmental and supportive, as we work together to create a treatment plan that uniquely fits your needs.
As a therapist, I believe that a person is more than just the sum of their experiences. Each one of us is made up of our unique thoughts, emotions and ideas. I have devoted my career to finding ways of honoring who you are, as well as who you want to become. My clients range from children to adults, and my special interests are with teens, parents and families. I am clinically trained to help individuals and families experiencing trauma, anxiety, depression, impulsivity, conflicts and grief. My style is direct, non-judgmental and supportive, as we work together to create a treatment plan that uniquely fits your needs.
(319) 670-3545 View (319) 670-3545
Photo of Doreatha Page, temp, LMHC, NCC
Doreatha Page
temp, LMHC, NCC
Verified Verified
Alburnett, IA 52202  (Online Only)
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
Working with me, you will always lead the way, with my support. Do you desire a life full of positive emotions! Working with me you will be exposed to experiencing pleasure and learning skills to build and maintain positive emotions and positive engagement in life tasks that derive meaning and value from life. Are you open to exploring your automatic thought processes. Work with me to gain understanding of Cognitive Behavioral Therapy, and spend some time exploring your automatic thoughts.
(319) 988-2505 View (319) 988-2505
Photo of Zachery Nielsen, MSEd, LMHC, NCC, Counselor
Zachery Nielsen
Counselor, MSEd, LMHC, NCC
Verified Verified
1 Endorsed
Bettendorf, IA 52722
Bloom Therapy is a safe and welcoming space to bloom into the best version of you. Bloom focuses on providing a compassionate and affirming space for all to grow and heal into their fullest selves. We believe that everyone deserves access to high-quality mental health care, regardless of their sexual orientation, gender identity, or any other aspect of their identity. We are dedicated to providing empathetic, personalized care to individuals in our community. We understand the unique challenges facing individuals and couples and we're here to help you navigate those challenges and live your best life.
Bloom Therapy is a safe and welcoming space to bloom into the best version of you. Bloom focuses on providing a compassionate and affirming space for all to grow and heal into their fullest selves. We believe that everyone deserves access to high-quality mental health care, regardless of their sexual orientation, gender identity, or any other aspect of their identity. We are dedicated to providing empathetic, personalized care to individuals in our community. We understand the unique challenges facing individuals and couples and we're here to help you navigate those challenges and live your best life.
(563) 748-4482 View (563) 748-4482
Photo of Travis Haupt, tLMHC, Counselor
Travis Haupt
Counselor, tLMHC
Verified Verified
Coralville, IA 52241
Some of the most hardest parts of the human experience involve pain, loneliness, and purposelessness. I am dedicated to standing with clients as they identify their strengths and growth areas. Many of us are dealt situations we struggle to navigate on our own. Together, I believe awareness, healing, and growth can start today.
Some of the most hardest parts of the human experience involve pain, loneliness, and purposelessness. I am dedicated to standing with clients as they identify their strengths and growth areas. Many of us are dealt situations we struggle to navigate on our own. Together, I believe awareness, healing, and growth can start today.
(319) 820-0131 View (319) 820-0131
Photo of Miriam Prichard, MS, Ed, LMHC, NCC, Counselor
Miriam Prichard
Counselor, MS, Ed, LMHC, NCC
Verified Verified
Davenport, IA 52803
I believe people need help navigating the detours life presents, and counseling is an important tool to help in the process. I work with adolescents and adults on issues including depression, anxiety, self-harming behaviors, family conflict, and adjustment due to life transitions. I also see clients who feel stuck in life and want to move forward in life. We work together to understand what you most need from a counseling experience and tailor treatment to fit with your needs and personality.
I believe people need help navigating the detours life presents, and counseling is an important tool to help in the process. I work with adolescents and adults on issues including depression, anxiety, self-harming behaviors, family conflict, and adjustment due to life transitions. I also see clients who feel stuck in life and want to move forward in life. We work together to understand what you most need from a counseling experience and tailor treatment to fit with your needs and personality.
(563) 362-9849 View (563) 362-9849
Photo of Alyssa Lentz - Alyssa Lentz - NOCD, MS, LPC, NCC, Counselor
Alyssa Lentz - NOCD
Counselor, MS, LPC, NCC
Verified Verified
Marion, IA 52302  (Online Only)
I practice what I preach. I’m very open with the people I work with about what we’re doing and share my own experiences with OCD. I like to make sure members guide the session as much as they can, and I incorporate humor to lighten the mood. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
I practice what I preach. I’m very open with the people I work with about what we’re doing and share my own experiences with OCD. I like to make sure members guide the session as much as they can, and I incorporate humor to lighten the mood. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(319) 528-5033 View (319) 528-5033
Photo of Leslie Orr, MS, LMHC, Counselor
Leslie Orr
Counselor, MS, LMHC
Verified Verified
5 Endorsed
Hiawatha, IA 52233
Doing my own personal work in therapy is what led me to become a therapist. I believe strongly in paying it forward, and I would like to be there for you to normalize the process of participating in mental health counseling. You don’t need to suffer in silence. Unconditional positive regard and validation can be uplifting to those who are struggling. I believe that people have the ability to grow and change into who they want to become. As your therapist, my goal is to help you live the best life you can.
Doing my own personal work in therapy is what led me to become a therapist. I believe strongly in paying it forward, and I would like to be there for you to normalize the process of participating in mental health counseling. You don’t need to suffer in silence. Unconditional positive regard and validation can be uplifting to those who are struggling. I believe that people have the ability to grow and change into who they want to become. As your therapist, my goal is to help you live the best life you can.
(319) 458-5206 View (319) 458-5206
Photo of Brad VanGorkom, LISW, Clinical Social Work/Therapist
Brad VanGorkom
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
Over 20 years of experience with child mental health needs including direct work with issues such as developmental delays, early childhood traumatic illness, childhood victims of abuse neglect and crime, foster care and adoption, autism spectrum, grief and loss, anxiety and depression, academic and behavioral issues in school, sibling and parent/child relationship difficulties.
Over 20 years of experience with child mental health needs including direct work with issues such as developmental delays, early childhood traumatic illness, childhood victims of abuse neglect and crime, foster care and adoption, autism spectrum, grief and loss, anxiety and depression, academic and behavioral issues in school, sibling and parent/child relationship difficulties.
(319) 220-0174 x1 View (319) 220-0174 x1
Photo of Amanda Goslin, LMFT, CST, Marriage & Family Therapist
Amanda Goslin
Marriage & Family Therapist, LMFT, CST
Verified Verified
3 Endorsed
Coralville, IA 52241
Waitlist for new clients
I am a Certified Sex Therapist by the American Association of Sexuality Educators, Counselors and Therapists. I have specialized training in treating clients with sexual issues and concerns, and extensive training in sexuality education. My approach to therapy is to promote proper care of our bodies for optimal health & functioning. I work with individuals or relationships of all kinds to focus on a personalized therapy experience and approach to living life in a way that supports clients through all dimensions of wellness. I believe sexuality is at the core of the human experience & an inherent & essential dimension of being human.
I am a Certified Sex Therapist by the American Association of Sexuality Educators, Counselors and Therapists. I have specialized training in treating clients with sexual issues and concerns, and extensive training in sexuality education. My approach to therapy is to promote proper care of our bodies for optimal health & functioning. I work with individuals or relationships of all kinds to focus on a personalized therapy experience and approach to living life in a way that supports clients through all dimensions of wellness. I believe sexuality is at the core of the human experience & an inherent & essential dimension of being human.
(319) 281-0335 View (319) 281-0335
Photo of Adina Joy Levitt, LMSW, Clinical Social Work/Therapist
Adina Joy Levitt
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Iowa City, IA 52246
As a holistic psychotherapist, my practice focuses on the whole person- mind, body, and spirit. Together, we will navigate the labyrinth of your life’s journey, through the constant flow of ups and downs that often feels unpredictable & overwhelming. I will offer you a safe and grounded space to work on the challenges that may be encircling you. In addition to my LMSW, I also have extensive training in earth-based spirituality. Areas of focus: trauma, PTSD, stress, anxiety, grief, medically unexplained pain, & spirituality. I use an integrated therapeutic approach: Narrative, Somatic, EMDR, ACT, Solution-Focused, & Experiential.
As a holistic psychotherapist, my practice focuses on the whole person- mind, body, and spirit. Together, we will navigate the labyrinth of your life’s journey, through the constant flow of ups and downs that often feels unpredictable & overwhelming. I will offer you a safe and grounded space to work on the challenges that may be encircling you. In addition to my LMSW, I also have extensive training in earth-based spirituality. Areas of focus: trauma, PTSD, stress, anxiety, grief, medically unexplained pain, & spirituality. I use an integrated therapeutic approach: Narrative, Somatic, EMDR, ACT, Solution-Focused, & Experiential.
(319) 255-2812 View (319) 255-2812
Photo of Sophie Rossman, MAE, NCC, tLMHC, Counselor
Sophie Rossman
Counselor, MAE, NCC, tLMHC
Verified Verified
1 Endorsed
Dubuque, IA 52001
Do you find yourself on the emotional rollercoaster of pregnancy, after birth, and/or parenting? Do life's uncertainties and hardships leave you feeling anxious, isolated, and overwhelmed? Pain and suffering are part of the human experience. No matter what unique challenges individuals face, we can be in the healing process together.
Do you find yourself on the emotional rollercoaster of pregnancy, after birth, and/or parenting? Do life's uncertainties and hardships leave you feeling anxious, isolated, and overwhelmed? Pain and suffering are part of the human experience. No matter what unique challenges individuals face, we can be in the healing process together.
(563) 281-5881 View (563) 281-5881
Photo of Sarah Cupp, LISW, Clinical Social Work/Therapist
Sarah Cupp
Clinical Social Work/Therapist, LISW
Verified Verified
Iowa City, IA 52240
Currently I am accepting new clients for fall 2024. I enjoy working with adults who are committed to therapy and want to gain insight, live more harmonious lives, and heal. I am passionate about assisting clients to heal old attachment wounds and further develop their interpersonal skills to better get along with others and connect wholeheartedly. Many of my clients have anxiety, situational depression, emotional reactivity, trauma, or feel stuck and unsure about how to cope and change current patterns. I promise to show you respect and compassion within a safe and judgment-free environment.
Currently I am accepting new clients for fall 2024. I enjoy working with adults who are committed to therapy and want to gain insight, live more harmonious lives, and heal. I am passionate about assisting clients to heal old attachment wounds and further develop their interpersonal skills to better get along with others and connect wholeheartedly. Many of my clients have anxiety, situational depression, emotional reactivity, trauma, or feel stuck and unsure about how to cope and change current patterns. I promise to show you respect and compassion within a safe and judgment-free environment.
(319) 946-4061 View (319) 946-4061
Photo of Christina Aquino, LISW, Clinical Social Work/Therapist
Christina Aquino
Clinical Social Work/Therapist, LISW
Verified Verified
Cedar Rapids, IA 52402
I have a wide range of clinical interests, including adjustment disorder, anxiety, attachment disorder, blended families, and childhood trauma. I also focus on college transitions, co-parenting, depression, divorce, eating disorders, grief and loss, life transitions, relationship issues, self-esteem, sensory issues, social anxiety, stress management, and women's issues.
I have a wide range of clinical interests, including adjustment disorder, anxiety, attachment disorder, blended families, and childhood trauma. I also focus on college transitions, co-parenting, depression, divorce, eating disorders, grief and loss, life transitions, relationship issues, self-esteem, sensory issues, social anxiety, stress management, and women's issues.
(319) 318-6177 View (319) 318-6177
Photo of Tonya Niehaus, LMSW, Clinical Social Work/Therapist
Tonya Niehaus
Clinical Social Work/Therapist, LMSW
Verified Verified
Marion, IA 52302
My first responsibility is to create a safe and comforting space for people to share their stories. We are all faced with difficult and overwhelming challenges in life. Therapy is a place and time where a person who is facing overwhelming life challenges comes for non-judgmental and honest but empathetic care. My ever-evolving approach includes a variety of evidence-based therapeutic approaches, always starting with person-centered, strength-based, and including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, mindfulness, and trauma-focused therapies.
My first responsibility is to create a safe and comforting space for people to share their stories. We are all faced with difficult and overwhelming challenges in life. Therapy is a place and time where a person who is facing overwhelming life challenges comes for non-judgmental and honest but empathetic care. My ever-evolving approach includes a variety of evidence-based therapeutic approaches, always starting with person-centered, strength-based, and including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, mindfulness, and trauma-focused therapies.
(319) 729-8198 View (319) 729-8198
Photo of Quinn Annabel Hartman, LMSW, Clinical Social Work/Therapist
Quinn Annabel Hartman
Clinical Social Work/Therapist, LMSW
Verified Verified
Coralville, IA 52241
I work with individuals across ages and stages of life, with a focus on young adults, teenagers, and LGBTQ+ clients. I support clients with challenges ranging from depression and anxiety to identity concerns and major life transitions. I believe therapy is about more than addressing symptoms — it is about coming into an authentic, empowered sense of self. I'll work with you on developing the self-knowledge to understand your experiences and values; cultivating the self-compassion to live alongside the full range of human emotion; and fostering the self-efficacy to direct the course of your own growth.
I work with individuals across ages and stages of life, with a focus on young adults, teenagers, and LGBTQ+ clients. I support clients with challenges ranging from depression and anxiety to identity concerns and major life transitions. I believe therapy is about more than addressing symptoms — it is about coming into an authentic, empowered sense of self. I'll work with you on developing the self-knowledge to understand your experiences and values; cultivating the self-compassion to live alongside the full range of human emotion; and fostering the self-efficacy to direct the course of your own growth.
(319) 448-3455 View (319) 448-3455

See more therapy options for De Witt

How does your Therapist compare?

Number of Therapists in De Witt, IA

< 10

Therapists in De Witt, IA who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% School Issues
100% Behavioral Issues
100% Chronic Impulsivity
100% Emotional Disturbance

Average years in practice

5 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Humana

How Therapists in De Witt, 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 De Witt?

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.