Therapists in Wilton, IA

Photo of Betty J Karkosh, LMFT, Marriage & Family Therapist
Betty J Karkosh
Marriage & Family Therapist, LMFT
Verified Verified
Wilton, IA 52778
We can all get stuck, overwhelmed, or just feel hopeless in our lives for many different reasons. But when problems begin to disrupt sleep, appetite, or cause negative mood changes, it is important to seek counseling! Whether dealing with emotional /mental health issues or couple / family difficulties, I ensure professional care, that is honest, respectful and with your best interest at heart. Together we build hope with better solutions by gaining realistic insight, and increasing tools for control back in your life. This allows healing and positive life changes to be experienced.
We can all get stuck, overwhelmed, or just feel hopeless in our lives for many different reasons. But when problems begin to disrupt sleep, appetite, or cause negative mood changes, it is important to seek counseling! Whether dealing with emotional /mental health issues or couple / family difficulties, I ensure professional care, that is honest, respectful and with your best interest at heart. Together we build hope with better solutions by gaining realistic insight, and increasing tools for control back in your life. This allows healing and positive life changes to be experienced.
(563) 607-5952 View (563) 607-5952

Online Therapists

Photo of Tyler L Gray, MEd, LMHCt, NCC, RYT, Counselor
Tyler L Gray
Counselor, MEd, LMHCt, NCC, RYT
Verified Verified
Cedar Rapids, IA 52402
As humans, we are the experts in our lives and experiences, but we long for connection. I believe we can heal our bodies, minds, and souls through movement, a safe place, occasional laughter, nature, music, animals, and sometimes art. I find myself grounded in attachment-based, somatic, trauma-focused care working with ages 3-77+. Interpersonal Neurobiology is a topic I tend to "geek out" on and become excited about. Utilizing mindfulness throughout sessions with adults and as a play therapist, I believe that children communicate and heal through play; I include sensory work, sand tray, attachment-based play, and EMDR to assist all.
As humans, we are the experts in our lives and experiences, but we long for connection. I believe we can heal our bodies, minds, and souls through movement, a safe place, occasional laughter, nature, music, animals, and sometimes art. I find myself grounded in attachment-based, somatic, trauma-focused care working with ages 3-77+. Interpersonal Neurobiology is a topic I tend to "geek out" on and become excited about. Utilizing mindfulness throughout sessions with adults and as a play therapist, I believe that children communicate and heal through play; I include sensory work, sand tray, attachment-based play, and EMDR to assist all.
(319) 474-5868 View (319) 474-5868
Photo of Karen Davis, LISW, Clinical Social Work/Therapist
Karen Davis
Clinical Social Work/Therapist, LISW
Verified Verified
Cedar Rapids, IA 52402  (Online Only)
Current Openings Available! Individual and Couples.....Experienced Therapist specializing in providing a holistic approach to healing mental and emotional symptoms. I provide psychodynamic psychotherapy; in which the goal is to come to terms with the unique underlying reasons for your distress. I treat each client as an individual. There are no scripted treatment protocols. We work where you find yourself today. Many clients who come to me have been unsuccessful in previous therapy and are feeling STUCK. Why is it so hard to change patterns? Why do you find yourself in the same pattern again and again?
Current Openings Available! Individual and Couples.....Experienced Therapist specializing in providing a holistic approach to healing mental and emotional symptoms. I provide psychodynamic psychotherapy; in which the goal is to come to terms with the unique underlying reasons for your distress. I treat each client as an individual. There are no scripted treatment protocols. We work where you find yourself today. Many clients who come to me have been unsuccessful in previous therapy and are feeling STUCK. Why is it so hard to change patterns? Why do you find yourself in the same pattern again and again?
(319) 284-4032 View (319) 284-4032
Photo of Makala Leach, NBCC, LPHA I, LMHC-t, Counselor
Makala Leach
Counselor, NBCC, LPHA I, LMHC-t
Verified Verified
Davenport, IA 52803
Being who you are takes time, courage, and growth, and I would be honored to be a part of that journey. I strive to provide a safe and comforting environment for you to learn who you are and for all that you are. I want to celebrate your growth, acknowledge your challenges, and sort through the messy parts of life we all go through. I work with individuals, families, and couples to manage everyday stressors, depression, anxiety and more, to help each person fulfill their potential. Through this process, I want to help you identify areas of change, teach coping strategies, and combat negative thoughts that often weigh us down.
Being who you are takes time, courage, and growth, and I would be honored to be a part of that journey. I strive to provide a safe and comforting environment for you to learn who you are and for all that you are. I want to celebrate your growth, acknowledge your challenges, and sort through the messy parts of life we all go through. I work with individuals, families, and couples to manage everyday stressors, depression, anxiety and more, to help each person fulfill their potential. Through this process, I want to help you identify areas of change, teach coping strategies, and combat negative thoughts that often weigh us down.
(563) 202-8877 View (563) 202-8877
Photo of Jill Jaster, LMHC, LPC, Counselor
Jill Jaster
Counselor, LMHC, LPC
Verified Verified
Bettendorf, IA 52722
As a mental health professional I believe in supporting individuals in their life's journey and the many transitions and challenges it brings from a creative, person-centered and nonjudgmental place. I feel strongly in providing a safe space for people to share their personal experiences built on a foundation of professional rapport and mutual respect.
As a mental health professional I believe in supporting individuals in their life's journey and the many transitions and challenges it brings from a creative, person-centered and nonjudgmental place. I feel strongly in providing a safe space for people to share their personal experiences built on a foundation of professional rapport and mutual respect.
(563) 219-7700 View (563) 219-7700
Photo of Valerie Gill, LISW, MSW, Clinical Social Work/Therapist
Valerie Gill
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
Dubuque, IA 52001
With over 25 years of social work experience, my empathetic approach compassionately and openly builds upon client strengths to foster a collaborative working relationship. I am a strong advocate and go the extra mile for my clients. Together, we can create positive change for you to meet your life goals. My clients describe me as “skilled, experienced, direct, and caring”. I comfortably address trauma, sexual abuse, domestic violence, depression, anxiety, life transitions, LGBTQ+, grief, and loss. I work well with individuals, adolescents, families, and couples.
With over 25 years of social work experience, my empathetic approach compassionately and openly builds upon client strengths to foster a collaborative working relationship. I am a strong advocate and go the extra mile for my clients. Together, we can create positive change for you to meet your life goals. My clients describe me as “skilled, experienced, direct, and caring”. I comfortably address trauma, sexual abuse, domestic violence, depression, anxiety, life transitions, LGBTQ+, grief, and loss. I work well with individuals, adolescents, families, and couples.
(563) 235-2853 View (563) 235-2853
Photo of Floyd Bumpers, LISW, Clinical Social Work/Therapist
Floyd Bumpers
Clinical Social Work/Therapist, LISW
Verified Verified
Cedar Falls, IA 50613
I typically work with children, teens and adults. Many of whom have been involved with the Department of Human Services. I often help clients deal with the complexities of navigating through the (often) confusing world of the Department of Human Services. I also work with children in the school system (often times in the school environment).
I typically work with children, teens and adults. Many of whom have been involved with the Department of Human Services. I often help clients deal with the complexities of navigating through the (often) confusing world of the Department of Human Services. I also work with children in the school system (often times in the school environment).
(319) 432-0391 View (319) 432-0391
Photo of Paige Keppler, MA, LMFT, Marriage & Family Therapist
Paige Keppler
Marriage & Family Therapist, MA, LMFT
Verified Verified
Cedar Rapids, IA 52402  (Online Only)
**Currently Accepting New Clients** Mental health is important now more than ever as increased solitude and stress can only heighten symptoms that are already plaguing individuals, couples, and families. It is increasingly important to take the steps necessary to maintain that health through seeking a trusting and empathetic source of support and connection.
**Currently Accepting New Clients** Mental health is important now more than ever as increased solitude and stress can only heighten symptoms that are already plaguing individuals, couples, and families. It is increasingly important to take the steps necessary to maintain that health through seeking a trusting and empathetic source of support and connection.
(515) 717-3584 View (515) 717-3584
Photo of Kelvin D Mackey, MA, LMHC, Counselor
Kelvin D Mackey
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Muscatine, IA 52761
If you find yourself struggling with issues, such as anxiety, depression, grief, sleep problems, eating disorders, self-esteem, trauma, relationships, gender identity, or many other things. I am someone who would be willing to walk alongside of you and help you through your journey. Everyone at some point in their life has been through struggles that could hinder their overall quality of life. If you find yourself stuck in a spot like this, I would be willing to help you get over the hurdle that is causing you discomfort in your life.
If you find yourself struggling with issues, such as anxiety, depression, grief, sleep problems, eating disorders, self-esteem, trauma, relationships, gender identity, or many other things. I am someone who would be willing to walk alongside of you and help you through your journey. Everyone at some point in their life has been through struggles that could hinder their overall quality of life. If you find yourself stuck in a spot like this, I would be willing to help you get over the hurdle that is causing you discomfort in your life.
(563) 412-6502 View (563) 412-6502
Photo of Kari Lee Stearns-Lamb, LCSW, LISW, LSOTP, Clinical Social Work/Therapist
Kari Lee Stearns-Lamb
Clinical Social Work/Therapist, LCSW, LISW, LSOTP
Verified Verified
1 Endorsed
Davenport, IA 52803
My priority is you, and what you need to feel successful in your life. I believe in the holistic approach. This allows you to heal by taking all of your life experiences into consideration during the treatment process. Beginning therapy can be scary, and you may find yourself unsure, but you do not have to be. I provide individual, couples, and family therapy. I strongly believe in nonjudgmental therapy, and a trusting relationship. It is a true privilege to work with each of my clients, and I honor the relationships and the trust placed with me.
My priority is you, and what you need to feel successful in your life. I believe in the holistic approach. This allows you to heal by taking all of your life experiences into consideration during the treatment process. Beginning therapy can be scary, and you may find yourself unsure, but you do not have to be. I provide individual, couples, and family therapy. I strongly believe in nonjudgmental therapy, and a trusting relationship. It is a true privilege to work with each of my clients, and I honor the relationships and the trust placed with me.
(563) 922-6275 View (563) 922-6275
Photo of Heidi Vogel, LMHC, Counselor
Heidi Vogel
Counselor, LMHC
Verified Verified
4 Endorsed
North Liberty, IA 52317
Waitlist for new clients
I consider it a privilege to walk alongside those who have survived trauma and assist them in healing, empowering themselves and improving their quality of life. I also enjoy working with those who are going through transitions in their life, having spent the past 8 years of my career helping college students of all ages navigate transitions. Whether you are struggling to adjust after a loss, a change in relationship status or a career, we can work together to navigate this change effectively.
I consider it a privilege to walk alongside those who have survived trauma and assist them in healing, empowering themselves and improving their quality of life. I also enjoy working with those who are going through transitions in their life, having spent the past 8 years of my career helping college students of all ages navigate transitions. Whether you are struggling to adjust after a loss, a change in relationship status or a career, we can work together to navigate this change effectively.
(319) 774-1841 View (319) 774-1841
Photo of Tiffany L. Zarifkar - Mount Vernon Family Counseling, MA, LMHC, NCC, RPT-S, Counselor
Mount Vernon Family Counseling
Counselor, MA, LMHC, NCC, RPT-S
Verified Verified
Mount Vernon, IA 52314
Let's be real, change is hard! You don't have to be alone and miserable any longer. Tiffany is in search of clients who are ready to embrace an adventurous spirit as we identify and tackle your goals together. Whether you or your child is enduring a difficult transition, has debilitating anxiety, or behaviors that are seemingly impossible to manage, together we can create a treatment plan that best suits your needs and comfort. The hardest step is the first step...go ahead...you CAN do it...reach out to me today! Let's get this started.
Let's be real, change is hard! You don't have to be alone and miserable any longer. Tiffany is in search of clients who are ready to embrace an adventurous spirit as we identify and tackle your goals together. Whether you or your child is enduring a difficult transition, has debilitating anxiety, or behaviors that are seemingly impossible to manage, together we can create a treatment plan that best suits your needs and comfort. The hardest step is the first step...go ahead...you CAN do it...reach out to me today! Let's get this started.
(319) 535-6036 View (319) 535-6036
Photo of Bailey Steffen, LISW, Clinical Social Work/Therapist
Bailey Steffen
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Cedar Falls, IA 50613
Daily life can be filled with stressors and responsibilities that never seem to be caught up. Although it can feel impossible to take time away from your day to care for yourself and your mental health, it is incredibly important. I am committed to providing a safe, comforting space for you to focus on yourself, your needs and challenges that arise. Whether is it managing the stressors of day to day, addressing past instances of trauma, or working to better improve yourself, I am here to listen and offer support.
Daily life can be filled with stressors and responsibilities that never seem to be caught up. Although it can feel impossible to take time away from your day to care for yourself and your mental health, it is incredibly important. I am committed to providing a safe, comforting space for you to focus on yourself, your needs and challenges that arise. Whether is it managing the stressors of day to day, addressing past instances of trauma, or working to better improve yourself, I am here to listen and offer support.
(319) 463-3714 View (319) 463-3714
Photo of Sandi Ropp, LMHC, NCC, Counselor
Sandi Ropp
Counselor, LMHC, NCC
Verified Verified
Washington, IA 52353
Waitlist for new clients
Hello! In addition to expertise on human behavior, having a wealth of life experience provides me with a level of sensitivity and empathy with others that brings a unique enrichment to the counseling experience. I am a bit unconventional, and provide a genuine and safe, nonjudgmental space as a guide on your personal growth journey. Practicing a holistic approach, I incorporate wellness of mind, body, and spirit into my work, fostering healing at a deeper level. I specialize in healing from narcissistic abuse, relational trauma, and codependency.
Hello! In addition to expertise on human behavior, having a wealth of life experience provides me with a level of sensitivity and empathy with others that brings a unique enrichment to the counseling experience. I am a bit unconventional, and provide a genuine and safe, nonjudgmental space as a guide on your personal growth journey. Practicing a holistic approach, I incorporate wellness of mind, body, and spirit into my work, fostering healing at a deeper level. I specialize in healing from narcissistic abuse, relational trauma, and codependency.
View
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 Kim Feeney, LISW, RPT-S, Clinical Social Work/Therapist
Kim Feeney
Clinical Social Work/Therapist, LISW, RPT-S
Verified Verified
7 Endorsed
Davenport, IA 52804
Is your child struggling to cope with strong emotions? Is this causing stress for your family? Is your child or family, coping with trauma and other social, emotional, and behavioral issues? Counseling can help your child become emotionally expressive. Your child will build confidence and self-esteem though a strengths-based play therapy approach. Your child will receive empathy and compassion during sessions, but may also be challenged. I work with clients experiencing traumatic events (abuse/neglect, car accident), depression and anxiety, grief and loss, ADHD, school difficulties/bullying, life transitions (moving, divorce).
Is your child struggling to cope with strong emotions? Is this causing stress for your family? Is your child or family, coping with trauma and other social, emotional, and behavioral issues? Counseling can help your child become emotionally expressive. Your child will build confidence and self-esteem though a strengths-based play therapy approach. Your child will receive empathy and compassion during sessions, but may also be challenged. I work with clients experiencing traumatic events (abuse/neglect, car accident), depression and anxiety, grief and loss, ADHD, school difficulties/bullying, life transitions (moving, divorce).
(563) 214-0140 View (563) 214-0140
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 Marcia Gilbert, LMSW, Clinical Social Work/Therapist
Marcia Gilbert
Clinical Social Work/Therapist, LMSW
Verified Verified
Coralville, IA 52241  (Online Only)
I am currently accepting new clients for teletherapy within Iowa. My experience includes working with individuals and families for over 13 years in outpatient and inpatient settings. I primarily work with adults. I have specialized training and experience in grief and loss. I am highly skilled in working with adults struggling with anxiety, stress, depression, relationship issues, complex grief, end of life planning and major life transitions. I primarily use a strengths-based Cognitive Behavioral approach that is collaborative, active, here-and-now-focused, and client-centered.
I am currently accepting new clients for teletherapy within Iowa. My experience includes working with individuals and families for over 13 years in outpatient and inpatient settings. I primarily work with adults. I have specialized training and experience in grief and loss. I am highly skilled in working with adults struggling with anxiety, stress, depression, relationship issues, complex grief, end of life planning and major life transitions. I primarily use a strengths-based Cognitive Behavioral approach that is collaborative, active, here-and-now-focused, and client-centered.
(319) 271-6719 View (319) 271-6719
Photo of Susie Schaul, MSW, LMSW, Clinical Social Work/Therapist
Susie Schaul
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Anamosa, IA 52205  (Online Only)
You feel calm inside, but deep down you are experiencing a relentless cycle of internal worry. Despite presenting a composed exterior, you're grappling with endless anxiety, feeling unable to relax without a sense of guilt, and constantly overwhelmed by the demands of daily life. I get it, I've been there. You're ready and motivated to make positive changes. You're eager to acquire new skills, explore your emotions, and find lasting relief from the stress and exhaustion you are experiencing. Together, we can work towards helping you achieve a sense of inner calm and relief on a daily basis.
You feel calm inside, but deep down you are experiencing a relentless cycle of internal worry. Despite presenting a composed exterior, you're grappling with endless anxiety, feeling unable to relax without a sense of guilt, and constantly overwhelmed by the demands of daily life. I get it, I've been there. You're ready and motivated to make positive changes. You're eager to acquire new skills, explore your emotions, and find lasting relief from the stress and exhaustion you are experiencing. Together, we can work towards helping you achieve a sense of inner calm and relief on a daily basis.
(319) 205-6444 View (319) 205-6444
Photo of Anne Taets, MS, NCC, LMHC, Counselor
Anne Taets
Counselor, MS, NCC, LMHC
Verified Verified
1 Endorsed
Davenport, IA 52807
If you are ready to “tackle the tough stuff” in your life, I'll be here to help. I began my career in mental health working with families who were on the cusp of losing everything, including their children. Oftentimes, the members of these families could no longer find positives in their lives. They felt stuck and often did not believe things could change or get better. This soon became my “why” – to help those on the verge of losing all hope rediscover it. The moments I treasure most have been through the accomplishments — big and small — of those I've been honored to be able to serve. Each moment is amazing!
If you are ready to “tackle the tough stuff” in your life, I'll be here to help. I began my career in mental health working with families who were on the cusp of losing everything, including their children. Oftentimes, the members of these families could no longer find positives in their lives. They felt stuck and often did not believe things could change or get better. This soon became my “why” – to help those on the verge of losing all hope rediscover it. The moments I treasure most have been through the accomplishments — big and small — of those I've been honored to be able to serve. Each moment is amazing!
(563) 200-7261 View (563) 200-7261

How does your Therapist compare?

Number of Therapists in Wilton, IA

< 10

Therapists in Wilton, IA who prioritize treating:

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

Gender breakdown

100% Female

How Therapists in Wilton, IA see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Wilton?

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.