Therapists in Bettendorf, IA

Photo of Zachery Nielsen, MSEd, LMHC, NCC, Counselor
Zachery Nielsen
Counselor, MSEd, LMHC, NCC
Verified Verified
Bettendorf, IA 52722
I assist individuals and couples navigate anxiety, relational conflict, trauma, and sex/sexuality-related issues and help them blossom into empowerment, authenticity, and confidence. The most difficult emotions and situations of our lives are opportunities for growth, vulnerability, and expansion. I work to create a safe, validating, and empowering space with clients to explore challenging emotions, trauma, vulnerability, and identify how they bloom into the best version of themselves. As a therapist I provide a unique and personal space to explore these challenging moments and identify your internal wisdom to grow through them.
I assist individuals and couples navigate anxiety, relational conflict, trauma, and sex/sexuality-related issues and help them blossom into empowerment, authenticity, and confidence. The most difficult emotions and situations of our lives are opportunities for growth, vulnerability, and expansion. I work to create a safe, validating, and empowering space with clients to explore challenging emotions, trauma, vulnerability, and identify how they bloom into the best version of themselves. As a therapist I provide a unique and personal space to explore these challenging moments and identify your internal wisdom to grow through them.
(563) 748-4482 View (563) 748-4482
Photo of Lauren Ashley Isaacson, MSEd, LMHC, Counselor
Lauren Ashley Isaacson
Counselor, MSEd, LMHC
Verified Verified
Bettendorf, IA 52722
Hello and welcome to my therapy practice. I love what I do, and I am glad you are here. We all experience periods of turmoil or difficulties and sometimes our inner experiences are too difficult to sort out and understand alone. Are you and your child living the life you want to be living? Do they feel stuck, struggle with anxiety, depression, identity, family relationships, or grief? I have significant experience working with children, through teens, with specialized training in the treatment of adolescent anxiety and Child Centered Play Therapy. I work from a strengths-based perspective that celebrates your independent value.
Hello and welcome to my therapy practice. I love what I do, and I am glad you are here. We all experience periods of turmoil or difficulties and sometimes our inner experiences are too difficult to sort out and understand alone. Are you and your child living the life you want to be living? Do they feel stuck, struggle with anxiety, depression, identity, family relationships, or grief? I have significant experience working with children, through teens, with specialized training in the treatment of adolescent anxiety and Child Centered Play Therapy. I work from a strengths-based perspective that celebrates your independent value.
(563) 748-5778 View (563) 748-5778
Photo of Julie Bockenstedt - Grief Counseling & Therapeutic Services, LLC, PhD, LISW, LCSW, Clinical Social Work/Therapist
Grief Counseling & Therapeutic Services, LLC
Clinical Social Work/Therapist, PhD, LISW, LCSW
Verified Verified
Bettendorf, IA 52722
If you are reading these words, it is likely that you, or someone you care about, is grieving. You may be looking for help. You may not know what to do. Losing someone you love, or something very important or precious to you, may be the most difficult thing you will ever experience. The pain of the loss can feel unbearable, and sometimes grief gets complicated.
If you are reading these words, it is likely that you, or someone you care about, is grieving. You may be looking for help. You may not know what to do. Losing someone you love, or something very important or precious to you, may be the most difficult thing you will ever experience. The pain of the loss can feel unbearable, and sometimes grief gets complicated.
(563) 343-0500 View (563) 343-0500
Photo of Kathleen E Collins, LMHC, Counselor
Kathleen E Collins
Counselor, LMHC
Verified Verified
Bettendorf, IA 52722
Much training results in a bounty of techniques to assist those women and men who have empowerment issues which include relationship and work problems, depression, chronic illness and who are stuck in old patterns and behaviors. Let's focus on change versus focusing on the past and get you headed where you want to go! Spirituality and metaphysical focus can give you entirely different perspective and way of understanding yourself and life concerns. This work is very unique and produces change and FUN! Find some joy in your life and find your purpose and stay solid in your power, which means becoming clear about yourself and growing!
Much training results in a bounty of techniques to assist those women and men who have empowerment issues which include relationship and work problems, depression, chronic illness and who are stuck in old patterns and behaviors. Let's focus on change versus focusing on the past and get you headed where you want to go! Spirituality and metaphysical focus can give you entirely different perspective and way of understanding yourself and life concerns. This work is very unique and produces change and FUN! Find some joy in your life and find your purpose and stay solid in your power, which means becoming clear about yourself and growing!
(563) 500-3396 View (563) 500-3396
Photo of Brett Vacek - Bettendorf Counseling Center, LMHC, LCPC , LISW, CAADC, Counselor
Bettendorf Counseling Center
Counselor, LMHC, LCPC , LISW, CAADC
Verified Verified
Bettendorf, IA 52722
Hello! We are so glad you are here. At Bettendorf Counseling Center, we have a diverse group of mental health professionals ready to assist you in your mental health journey. We understand that reaching out for assistance is not always the easiest thing to do and look forward to being a part of the journey to the best version of you.
Hello! We are so glad you are here. At Bettendorf Counseling Center, we have a diverse group of mental health professionals ready to assist you in your mental health journey. We understand that reaching out for assistance is not always the easiest thing to do and look forward to being a part of the journey to the best version of you.
(563) 223-8437 View (563) 223-8437
Photo of Tina R Flaherty - Flaherty Counseling & Consulting, MSW, LISW, Clinical Social Work/Therapist
Flaherty Counseling & Consulting
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Bettendorf, IA 52722
Clients consistently report that I create a calm and safe therapy space that is dynamic with an intuitive, 'down to earth' style balancing being kind and diplomatic, with being quite direct and clear with feedback and tools. I treat a variety of mental health conditions, and additionally offer support and guidance around a vast array of life issues. I am passionate about finding and tailoring what works for YOUR needs. I specialize in anxiety, trauma (including complicated grief), interpersonal issues, and mood disorders. Again, focusing in and utilizing the tools that serve you best.
Clients consistently report that I create a calm and safe therapy space that is dynamic with an intuitive, 'down to earth' style balancing being kind and diplomatic, with being quite direct and clear with feedback and tools. I treat a variety of mental health conditions, and additionally offer support and guidance around a vast array of life issues. I am passionate about finding and tailoring what works for YOUR needs. I specialize in anxiety, trauma (including complicated grief), interpersonal issues, and mood disorders. Again, focusing in and utilizing the tools that serve you best.
(563) 362-3939 View (563) 362-3939
Photo of Margy Hendershott - Margy Hendershott, MSW, LISW, Clinical Social Work/Therapist
Margy Hendershott
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Bettendorf, IA 52722
You deserve to be happy, let me help! I support women with feelings of stress, overwhelm and sadness to achieve a sense of calm, self-confidence and wellness. I specialize in treating anxiety, depression, and other mood difficulties. I help with stress management, relationship problems, divorce adjustment, life transitions, parenting, boundary setting, self-esteem, and prenatal/postpartum adjustment. I offer a Christian perspective. With compassion and understanding, I work with you to help build on strengths, learn new coping skills, and attain the personal growth you are committed to accomplishing.
You deserve to be happy, let me help! I support women with feelings of stress, overwhelm and sadness to achieve a sense of calm, self-confidence and wellness. I specialize in treating anxiety, depression, and other mood difficulties. I help with stress management, relationship problems, divorce adjustment, life transitions, parenting, boundary setting, self-esteem, and prenatal/postpartum adjustment. I offer a Christian perspective. With compassion and understanding, I work with you to help build on strengths, learn new coping skills, and attain the personal growth you are committed to accomplishing.
(563) 293-5518 View (563) 293-5518
Photo of Catherine Bass, LMSW, LSW
Catherine Bass
Master Social Worker, LMSW, LSW
Verified Verified
Bettendorf, IA 52722
Hi, there! I'm so glad you're here. My name is Catherine Bass, and I am the founder and owner of Playful Minds Therapeutic Services. I am a child therapist who is dedicated to providing compassionate, trauma-informed therapy to children and their families, using the language of children (PLAY!). ​
Hi, there! I'm so glad you're here. My name is Catherine Bass, and I am the founder and owner of Playful Minds Therapeutic Services. I am a child therapist who is dedicated to providing compassionate, trauma-informed therapy to children and their families, using the language of children (PLAY!). ​
(563) 279-4682 View (563) 279-4682
Photo of Brianne N Hanson, MA, tLMHC, Counselor
Brianne N Hanson
Counselor, MA, tLMHC
Verified Verified
Bettendorf, IA 52722
When you walk into a new environment for the first time are your hands sweating, heart racing, mind spiraling? You may feel that you will never be able to work towards the peace you want in your life. You may be suffering from depression that makes it hard to get out of bed in the morning. There might be relationships in your life that are so confusing and frustrating you are not sure how to move forward. Let me tell you there is reason for hope.
When you walk into a new environment for the first time are your hands sweating, heart racing, mind spiraling? You may feel that you will never be able to work towards the peace you want in your life. You may be suffering from depression that makes it hard to get out of bed in the morning. There might be relationships in your life that are so confusing and frustrating you are not sure how to move forward. Let me tell you there is reason for hope.
(563) 770-2679 View (563) 770-2679
Photo of Lori Pedersen, LISW, MAPC, MSW, Clinical Social Work/Therapist
Lori Pedersen
Clinical Social Work/Therapist, LISW, MAPC, MSW
Verified Verified
Bettendorf, IA 52722
I serve families, individuals, and couples facing challenges such as stress, anxiety, separation and divorce, relationship issues, domestic violence, sexual abuse, and stage-of life transition and guidance through the grieving process. I provide a safe, caring space for you to relax and feel supported and empowered while exploring your thoughts and concerns freely. I will be honest with you, helping you develop your abilities to handle life's challenges with compassion, guidance, and caring support. I gently guide individuals through the process of change by working with beliefs, emotions, body, and spirit.You do not have to walk alone.
I serve families, individuals, and couples facing challenges such as stress, anxiety, separation and divorce, relationship issues, domestic violence, sexual abuse, and stage-of life transition and guidance through the grieving process. I provide a safe, caring space for you to relax and feel supported and empowered while exploring your thoughts and concerns freely. I will be honest with you, helping you develop your abilities to handle life's challenges with compassion, guidance, and caring support. I gently guide individuals through the process of change by working with beliefs, emotions, body, and spirit.You do not have to walk alone.
(563) 594-5966 View (563) 594-5966
Photo of Penny Carlton, MSW, LISW, Clinical Social Work/Therapist
Penny Carlton
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Bettendorf, IA 52722
If you're feeling overwhelmed, stuck, anxious, down, struggling in your relationships or dealing with a difficult transition, I can assist you with coping and feeling better. The thing is, you already have what it takes and I’ll help you uncover it. We will set goals and build upon your strengths. I have experience working with women who are struggling with life transitions, anxiety, depression, stress and trauma. I've been told by past clients that I'm laid back, not afraid to laugh with them, caring, genuine and helped them feel at ease. I also offer EMDR therapy.
If you're feeling overwhelmed, stuck, anxious, down, struggling in your relationships or dealing with a difficult transition, I can assist you with coping and feeling better. The thing is, you already have what it takes and I’ll help you uncover it. We will set goals and build upon your strengths. I have experience working with women who are struggling with life transitions, anxiety, depression, stress and trauma. I've been told by past clients that I'm laid back, not afraid to laugh with them, caring, genuine and helped them feel at ease. I also offer EMDR therapy.
(563) 666-6507 View (563) 666-6507
Photo of Simone Collins, MS Ed, tLMHC, LPC, NCC, Counselor
Simone Collins
Counselor, MS Ed, tLMHC, LPC, NCC
Verified Verified
1 Endorsed
Bettendorf, IA 52722
Waitlist for new clients
Hello! I am so glad you are here. If you are reading this, that means you have made a huge step in seeking out someone to talk to, whether it is for yourself, your child, or a friend or family member. As a Clinical Mental Health Counselor, it is my job, and my purpose, to listen to your story and assist you with developing the skills required to create and live the life you desire and deserve. I want to help celebrate your successes, help you realize the strengths you already possess, provide a safe space for you to process life’s challenges, and empower you to be the best version of yourself.
Hello! I am so glad you are here. If you are reading this, that means you have made a huge step in seeking out someone to talk to, whether it is for yourself, your child, or a friend or family member. As a Clinical Mental Health Counselor, it is my job, and my purpose, to listen to your story and assist you with developing the skills required to create and live the life you desire and deserve. I want to help celebrate your successes, help you realize the strengths you already possess, provide a safe space for you to process life’s challenges, and empower you to be the best version of yourself.
(563) 223-8437 View (563) 223-8437
Photo of Lisa Beecher - Family Counseling and Psychology, MS, LMHC, Counselor
Family Counseling and Psychology
Counselor, MS, LMHC
Verified Verified
Bettendorf, IA 52722
Hello, my name is Lisa Schmitz Beecher. My wish is to help you achieve maximum results toward the issues you would like to resolve. I bring a seasoned and compassionate approach toward helping teens and adults. My areas of expertise include anxiety, depression, emotional eating, grief/loss, life transitions, stress management, perfectionism and self-criticism.
Hello, my name is Lisa Schmitz Beecher. My wish is to help you achieve maximum results toward the issues you would like to resolve. I bring a seasoned and compassionate approach toward helping teens and adults. My areas of expertise include anxiety, depression, emotional eating, grief/loss, life transitions, stress management, perfectionism and self-criticism.
(563) 655-4283 View (563) 655-4283
Photo of Nancy Phelps, LISW, LCSW, SAP, Clinical Social Work/Therapist
Nancy Phelps
Clinical Social Work/Therapist, LISW, LCSW, SAP
Verified Verified
Bettendorf, IA 52722
Waitlist for new clients
Life is a journey and there are many obstacles to overcome. My goal is to help clients who are struggling with day to day issues and things they have pushed way down deep inside. I like to work with adult clients (over the age of 23) and I feel I do really good work with the bumps and bruises in life that cause anxiety, depression, grief, and many other feelings that people don't like to feel or talk about. I also work with substance abuse clients that are trying to find better coping skills than the substance they abuse. I believe everyone has the right to find and feel some happiness and joy in their lives!
Life is a journey and there are many obstacles to overcome. My goal is to help clients who are struggling with day to day issues and things they have pushed way down deep inside. I like to work with adult clients (over the age of 23) and I feel I do really good work with the bumps and bruises in life that cause anxiety, depression, grief, and many other feelings that people don't like to feel or talk about. I also work with substance abuse clients that are trying to find better coping skills than the substance they abuse. I believe everyone has the right to find and feel some happiness and joy in their lives!
(563) 334-1517 View (563) 334-1517
Photo of Shannon Gier, Marriage & Family Therapist
Shannon Gier
Marriage & Family Therapist
Verified Verified
1 Endorsed
Bettendorf, IA 52722  (Online Only)
My purpose and passion as a therapist exists in helping my clients face their issues head-on and reassuring them that they're not alone in their fight. I strive to build strong and trusting relationships with my clients because I firmly believe that a collaborative relationship between client and therapist is most effective. It’s important to me to show up for my clients and to be present for them because they have taken that tough first step towards finding healing, and to me, it is an honor to come alongside them on their journey.
My purpose and passion as a therapist exists in helping my clients face their issues head-on and reassuring them that they're not alone in their fight. I strive to build strong and trusting relationships with my clients because I firmly believe that a collaborative relationship between client and therapist is most effective. It’s important to me to show up for my clients and to be present for them because they have taken that tough first step towards finding healing, and to me, it is an honor to come alongside them on their journey.
(708) 986-3458 View (708) 986-3458
Photo of Jessica Filiatreau, LMHC, LCPC, NCC, Counselor
Jessica Filiatreau
Counselor, LMHC, LCPC, NCC
Verified Verified
Bettendorf, IA 52722
I bring over 10 years of experience providing individual, couple, and family therapy. Utilizing a systemic approach, I treat a variety of challenges faced because of trauma/PTSD, depression, anxiety, LGBTQ+, and life stressors/adjustments. I strive to provide a safe, supportive environment, which helps clients heal and grow through what they have gone through. I practice a variety of intervention styles (EMDR, talk therapy, mindfulness, life coaching, anger management), It is important for me to offer a person centered approach and meet the needs of each client so that their goals are met.
I bring over 10 years of experience providing individual, couple, and family therapy. Utilizing a systemic approach, I treat a variety of challenges faced because of trauma/PTSD, depression, anxiety, LGBTQ+, and life stressors/adjustments. I strive to provide a safe, supportive environment, which helps clients heal and grow through what they have gone through. I practice a variety of intervention styles (EMDR, talk therapy, mindfulness, life coaching, anger management), It is important for me to offer a person centered approach and meet the needs of each client so that their goals are met.
(563) 228-8731 View (563) 228-8731
Photo of Robert W. Donohoo, MSEd, NCC, LMFT, Marriage & Family Therapist
Robert W. Donohoo
Marriage & Family Therapist, MSEd, NCC, LMFT
Verified Verified
Bettendorf, IA 52722
As as Licensed Marriage and Family Therapist, I can give you tools to improve communication with your partner and ask for what you need, educate you on the type of interactions that can cause damage during times of conflict, coach you on how you can make meaningful and positive connections with your partner, and most importantly, how to become friends again! I also work to help families facilitate safe I communication so each member's needs can be expressed and heard. In addition to marriage counseling, my practice also serves individuals who are wanting to learn more effective ways to manage stress, anxiety, and depression.
As as Licensed Marriage and Family Therapist, I can give you tools to improve communication with your partner and ask for what you need, educate you on the type of interactions that can cause damage during times of conflict, coach you on how you can make meaningful and positive connections with your partner, and most importantly, how to become friends again! I also work to help families facilitate safe I communication so each member's needs can be expressed and heard. In addition to marriage counseling, my practice also serves individuals who are wanting to learn more effective ways to manage stress, anxiety, and depression.
(563) 500-2345 View (563) 500-2345
Photo of Penny Kain, LISW, LCSW, Clinical Social Work/Therapist
Penny Kain
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
1 Endorsed
Bettendorf, IA 52722
Waitlist for new clients
I bring nearly 20 years of experience to my individual, couple, and family therapy practice. Utilizing a systemic, holistic approach, I treat a variety of life challenges: trauma/PTSD, abuse/neglect, divorce adjustment/co-parenting, depression, anxiety, health/weight management, and phase of life difficulties. I provide a safe, supportive environment, which allows clients to discover their own healing potential.
I bring nearly 20 years of experience to my individual, couple, and family therapy practice. Utilizing a systemic, holistic approach, I treat a variety of life challenges: trauma/PTSD, abuse/neglect, divorce adjustment/co-parenting, depression, anxiety, health/weight management, and phase of life difficulties. I provide a safe, supportive environment, which allows clients to discover their own healing potential.
(563) 362-9753 View (563) 362-9753
Photo of Laurel VanKlaveren, PsyD, LMHC, LCPC
Laurel VanKlaveren
PsyD, LMHC, LCPC
Verified Verified
Bettendorf, IA 52722
Children and teens are some of the most wonderful, but vulnerable, people in our world. Georgia Rae offers play therapy, behavioral programs, family support, and other research-based therapies to help our younger population heal and thrive. For adults, depression, anxiety, mild to moderate OCD, PTSD and trauma, ADHD, relationship issues, self-discovery and empowerment are discussed and treated.
Children and teens are some of the most wonderful, but vulnerable, people in our world. Georgia Rae offers play therapy, behavioral programs, family support, and other research-based therapies to help our younger population heal and thrive. For adults, depression, anxiety, mild to moderate OCD, PTSD and trauma, ADHD, relationship issues, self-discovery and empowerment are discussed and treated.
(563) 522-5465 View (563) 522-5465
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.
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How does your Therapist compare?

Number of Therapists in Bettendorf, IA

80+

Average cost per session

$165

Therapists in Bettendorf, IA who prioritize treating:

94% Anxiety
89% Depression
79% Trauma and PTSD
78% Self Esteem
71% Grief
70% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
78% UnitedHealthcare UHC | UBH
68% Wellmark BCBS

How Therapists in Bettendorf, IA see their clients

90% In Person and Online
10% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bettendorf?

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.