Therapists in Decorah, IA

Photo of Manon C. Bushman, Counselor in Decorah, IA
Manon C. Bushman
Counselor, MA, tLMHC
Verified Verified
1 Endorsed
Decorah, IA 52101
Hey there! Life can leave us with thoughts, feelings, and emotions that are sometimes difficult to navigate on our own. Everyone deserves a safe space to honestly share their burdens and celebrate their successes! I believe change is inevitable when we show up authentically and strive to gain insight into what is working well and what might not be work so well. When old patterns that no longer serve us, are uncovered, new ways of thinking and being will reflect a life that is true to you!
Hey there! Life can leave us with thoughts, feelings, and emotions that are sometimes difficult to navigate on our own. Everyone deserves a safe space to honestly share their burdens and celebrate their successes! I believe change is inevitable when we show up authentically and strive to gain insight into what is working well and what might not be work so well. When old patterns that no longer serve us, are uncovered, new ways of thinking and being will reflect a life that is true to you!
(319) 264-1953 View (319) 264-1953
Photo of Marion Niles, Counselor in Decorah, IA
Marion Niles
Counselor, LMHC
Verified Verified
1 Endorsed
Decorah, IA 52101
You are considering counseling because you may need support and encouragement at a particularly challenging time in your life. Talking to loved ones may not be an option. A professional counselor can assist you in finding more clarity and insight. When we recognize unhelpful patterns, we can initiate change by looking at our options. Even at times when we can't change the inevitable, we can still learn to cope by utilizing our internal wisdom. Perhaps I can support you on your journey towards increasing insight and wisdom. I believe that therapy is a process which is grounded in trust and in the safety of a therapeutic relationship.
You are considering counseling because you may need support and encouragement at a particularly challenging time in your life. Talking to loved ones may not be an option. A professional counselor can assist you in finding more clarity and insight. When we recognize unhelpful patterns, we can initiate change by looking at our options. Even at times when we can't change the inevitable, we can still learn to cope by utilizing our internal wisdom. Perhaps I can support you on your journey towards increasing insight and wisdom. I believe that therapy is a process which is grounded in trust and in the safety of a therapeutic relationship.
(563) 316-6749 View (563) 316-6749
Photo of Karen Haas Misseldine, Counselor in Decorah, IA
Karen Haas Misseldine
Counselor, LMHC, ATR
Verified Verified
1 Endorsed
Decorah, IA 52101
I am a Licensed Mental Health Therapist and Registered Art Therapist. I am certified in EMDR and Mindfulness Based Cognitive Therapy. I have been helping people of all ages navigate mental health and life challenges for over 25 years. Together, we can tailor your therapy to meet your individual needs so you can move beyond whatever is holding you back and begin to experience the relief and change you are seeking. My approach is non-judgmental, compassionate and collaborative.
I am a Licensed Mental Health Therapist and Registered Art Therapist. I am certified in EMDR and Mindfulness Based Cognitive Therapy. I have been helping people of all ages navigate mental health and life challenges for over 25 years. Together, we can tailor your therapy to meet your individual needs so you can move beyond whatever is holding you back and begin to experience the relief and change you are seeking. My approach is non-judgmental, compassionate and collaborative.
(563) 202-2189 View (563) 202-2189
Photo of Deanna L Engrav, Marriage & Family Therapist in Decorah, IA
Deanna L Engrav
Marriage & Family Therapist, LMFT, MA, CADC
Verified Verified
1 Endorsed
Decorah, IA 52101
Not accepting new clients
My areas of focus include working with individuals who have experienced trauma and individuals dealing with addiction. I offer an unbiased surrounding where you can feel safe while discussing intimate details about your personal journey throughout life. My approach to therapy is integrative with priority given to EMDR. I look forward to meeting with you and beginning this incredible transition together!
My areas of focus include working with individuals who have experienced trauma and individuals dealing with addiction. I offer an unbiased surrounding where you can feel safe while discussing intimate details about your personal journey throughout life. My approach to therapy is integrative with priority given to EMDR. I look forward to meeting with you and beginning this incredible transition together!
(515) 200-1741 View (515) 200-1741
Photo of Ricki (Richelle) Christene Bouska, Counselor in Decorah, IA
Ricki (Richelle) Christene Bouska
Counselor, PhD, LMHC, NCC
Verified Verified
Decorah, IA 52101  (Online Only)
I am a woman of great faith, a deep love for my family, and an abundance of hope! I truly believe I was called into the counseling ministry. I have a heart for coming alongside others as they endeavor to move forward in life. With a belief in human potential and each person's inherent worth, I offer companionship for the journey! The name Sacred Space Counseling Center, LLC was intentionally chosen. It encapsulates the essence of what therapy is to me, and ...what I hope it becomes for you! Come, take sanctuary in my Sacred Space!
I am a woman of great faith, a deep love for my family, and an abundance of hope! I truly believe I was called into the counseling ministry. I have a heart for coming alongside others as they endeavor to move forward in life. With a belief in human potential and each person's inherent worth, I offer companionship for the journey! The name Sacred Space Counseling Center, LLC was intentionally chosen. It encapsulates the essence of what therapy is to me, and ...what I hope it becomes for you! Come, take sanctuary in my Sacred Space!
(563) 207-3793 View (563) 207-3793
Photo of George Lough, Psychologist in Decorah, IA
George Lough
Psychologist, PhD, SEP, NARM
Verified Verified
Decorah, IA 52101  (Online Only)
For over forty years I've helped individuals and couples heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
For over forty years I've helped individuals and couples heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
(608) 523-9041 View (608) 523-9041

Online Therapists

Photo of Evergreen Therapy Center, Psychologist in Decorah, IA
Evergreen Therapy Center
Psychologist, PhD, LMHC, LMFT, LISW, LMSW
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
Are you struggling to move forward? Do you feel overwhelmed all the time? We have immediate openings with a therapist or psychologist. Let us help you find a solution to your problems. We will listen, support, and help you build the courage to face your fears. The hardest part is asking for help. If you have been struggling with these problems for months or years, you're not alone. It's easy to get stuck and feel trapped, helpless, and overwhelmed.
Are you struggling to move forward? Do you feel overwhelmed all the time? We have immediate openings with a therapist or psychologist. Let us help you find a solution to your problems. We will listen, support, and help you build the courage to face your fears. The hardest part is asking for help. If you have been struggling with these problems for months or years, you're not alone. It's easy to get stuck and feel trapped, helpless, and overwhelmed.
(319) 220-3971 View (319) 220-3971
Photo of Whitney Anderson, Counselor in Decorah, IA
Whitney Anderson
Counselor, LMHC
Verified Verified
Waterloo, IA 50701
My name is Whitney Anderson (she/her) and I am a LMHC providing individual & family therapy with Affinity Therapy & Counseling. My passion is helping children, adolescents, teens & families reach their full potential by making sure they have the tools they need to be successful. I am happy to accompany you or your child in your journey in dealing with varying issues which could include, anxiety, depression, behavioral problems, anger management, struggles at school, trauma, self-esteem, gender identity, grief, divorce, family conflict, etc.
My name is Whitney Anderson (she/her) and I am a LMHC providing individual & family therapy with Affinity Therapy & Counseling. My passion is helping children, adolescents, teens & families reach their full potential by making sure they have the tools they need to be successful. I am happy to accompany you or your child in your journey in dealing with varying issues which could include, anxiety, depression, behavioral problems, anger management, struggles at school, trauma, self-esteem, gender identity, grief, divorce, family conflict, etc.
(515) 375-7987 View (515) 375-7987
Photo of Holly Cashen, Clinical Social Work/Therapist in Decorah, IA
Holly Cashen
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Waverly, IA 50677
I have over 15 years experience working as a clinician with children, adults, couples and families. Areas of practice: trauma informed, play therapy, grief/loss, CBT. Practice settings include: individual and family mental health therapy with community-based services, youth in residential treatment and temporary shelter placements. Medical settings include: hospice, home health, long-term care facilities acute care. Practice with groups for caregiver support, grief/loss groups for children ages 5 through adults, and children's bereavement camp for children 5 and up.
I have over 15 years experience working as a clinician with children, adults, couples and families. Areas of practice: trauma informed, play therapy, grief/loss, CBT. Practice settings include: individual and family mental health therapy with community-based services, youth in residential treatment and temporary shelter placements. Medical settings include: hospice, home health, long-term care facilities acute care. Practice with groups for caregiver support, grief/loss groups for children ages 5 through adults, and children's bereavement camp for children 5 and up.
(319) 483-7321 View (319) 483-7321
Photo of Nicole Makovec, Clinical Social Work/Therapist in Decorah, IA
Nicole Makovec
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Dubuque, IA 52002
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
(563) 239-6845 View (563) 239-6845
Photo of Stacie Lyn Anderson, Counselor in Decorah, IA
Stacie Lyn Anderson
Counselor, TLMHC, SOTP II
Verified Verified
Cedar Rapids, IA 52402
I see counseling as an opportunity to create new possibilities rather than addressing a series of rights and wrongs. I believe that change is most notable when we challenge the faulty thoughts and perceptions we have about ourselves, others, and the world around us. By learning to challenge our thinking we can have greater interpersonal relationships, self-image, and create a more persuasive and stable pattern of moods. I am trained in strategies to assist in ongoing dedication to the identified problem outside of the counseling session. It is essential that counseling relationships are collaborative.
I see counseling as an opportunity to create new possibilities rather than addressing a series of rights and wrongs. I believe that change is most notable when we challenge the faulty thoughts and perceptions we have about ourselves, others, and the world around us. By learning to challenge our thinking we can have greater interpersonal relationships, self-image, and create a more persuasive and stable pattern of moods. I am trained in strategies to assist in ongoing dedication to the identified problem outside of the counseling session. It is essential that counseling relationships are collaborative.
(319) 469-8758 View (319) 469-8758
Photo of Mindfulife, Clinical Social Work/Therapist in Decorah, IA
Mindfulife
Clinical Social Work/Therapist, LISW
Verified Verified
Cedar Falls, IA 50613
I have a unique approach to clinical intervention using holistic and integrated body-based approaches. I enjoy helping individuals, and families identify what motivates them, how to better utilize their strengths, and to become more present in everyday interactions. I have a passion for walking with adolescents and young adults through the various challenges of and difficulties in life. I am seasoned in addressing a variety of issues including anxiety, stress management, depression, grief and loss, trauma and life adjustment issues. I have a deep-seeded belief in an integrative approach to wellness.
I have a unique approach to clinical intervention using holistic and integrated body-based approaches. I enjoy helping individuals, and families identify what motivates them, how to better utilize their strengths, and to become more present in everyday interactions. I have a passion for walking with adolescents and young adults through the various challenges of and difficulties in life. I am seasoned in addressing a variety of issues including anxiety, stress management, depression, grief and loss, trauma and life adjustment issues. I have a deep-seeded belief in an integrative approach to wellness.
(319) 271-6274 View (319) 271-6274
Photo of Julie Valler, Counselor in Decorah, IA
Julie Valler
Counselor, MS, LMHC
Verified Verified
Waterloo, IA 50701
New clients welcome! I have many options for appointment times. I have had the privilege to work with diverse populations, multiple faith-based traditions, multicultural clients, and members of the LGBTQIA+ community. It takes courage to reach out and seek therapy. I honor that courage by providing compassionate, nonjudgmental, empathic listening and support establishing a safe place for clients to be able to share freely.
New clients welcome! I have many options for appointment times. I have had the privilege to work with diverse populations, multiple faith-based traditions, multicultural clients, and members of the LGBTQIA+ community. It takes courage to reach out and seek therapy. I honor that courage by providing compassionate, nonjudgmental, empathic listening and support establishing a safe place for clients to be able to share freely.
(319) 257-2153 View (319) 257-2153
Photo of Candice Cox, Counselor in Decorah, IA
Candice Cox
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Peosta, IA 52068
I am a Licensed Mental Health Counselor that has experience working with a wide range of emotional and behavioral issues including depression, anxiety, relational issues, low self-esteem, grief and loss, PTSD and other trauma related issues. I believe in a mindful person-centered approach where the therapeutic relationship is grounded in trust and unconditional acceptance. It is my mission to walk with you on your journey to making positive and lasting change in your life. All people deserve a healthy and balanced life.
I am a Licensed Mental Health Counselor that has experience working with a wide range of emotional and behavioral issues including depression, anxiety, relational issues, low self-esteem, grief and loss, PTSD and other trauma related issues. I believe in a mindful person-centered approach where the therapeutic relationship is grounded in trust and unconditional acceptance. It is my mission to walk with you on your journey to making positive and lasting change in your life. All people deserve a healthy and balanced life.
(563) 284-7559 x1 View (563) 284-7559 x1
Photo of Nesha Benton, Counselor in Decorah, IA
Nesha Benton
Counselor, MSEd, tLMHC
Verified Verified
Grundy Center, IA 50638  (Online Only)
Hi! Happy to see you here! Reaching out for help with your mental health can be a hard thing to do. I'm proud of you for making it this far and you're in the right place. When facing mental health struggles, so many people feel lost, isolated and alone. Therapy, first and foremost, is a way to relieve that sense of aloneness and form a trusting, collaborative relationship with someone who accepts you just as you are.
Hi! Happy to see you here! Reaching out for help with your mental health can be a hard thing to do. I'm proud of you for making it this far and you're in the right place. When facing mental health struggles, so many people feel lost, isolated and alone. Therapy, first and foremost, is a way to relieve that sense of aloneness and form a trusting, collaborative relationship with someone who accepts you just as you are.
(800) 531-4236 View (800) 531-4236
Photo of Brad VanGorkom, Clinical Social Work/Therapist in Decorah, IA
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 Jon Hart, Counselor in Decorah, IA
Jon Hart
Counselor, LMHC
Verified Verified
Dubuque, IA 52002  (Online Only)
I believe that one of the bravest things you can do in life is to take the time to share and understand your own story. Taking that first step toward change can cause some anxiety and stress, but the second you walk through the door, you’ve already proven that you have the courage it takes to make that change a reality. My greatest joy as a therapist is having the privilege to help others find their inner strengths and overlooked talents, and I believe that you really do deserve to wake up each day excited for new possibilities.
I believe that one of the bravest things you can do in life is to take the time to share and understand your own story. Taking that first step toward change can cause some anxiety and stress, but the second you walk through the door, you’ve already proven that you have the courage it takes to make that change a reality. My greatest joy as a therapist is having the privilege to help others find their inner strengths and overlooked talents, and I believe that you really do deserve to wake up each day excited for new possibilities.
(563) 202-2268 View (563) 202-2268
Photo of Riley Andrews, Counselor in Decorah, IA
Riley Andrews
Counselor, MA, LMHC, LPC
Verified Verified
Dubuque, IA 52001
As the mama of two 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.
As the mama of two 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.
(563) 363-6244 View (563) 363-6244
Photo of Kalen Zeiger, Marriage & Family Therapist Associate in Decorah, IA
Kalen Zeiger
Marriage & Family Therapist Associate, tLMFT, CCTP, CFTP
Verified Verified
10 Endorsed
Hiawatha, IA 52233  (Online Only)
Waitlist for new clients
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 M. Catherine Gornet, Marriage & Family Therapist in Decorah, IA
M. Catherine Gornet
Marriage & Family Therapist, MA , t-LMFT
Verified Verified
Mount Vernon, IA 52314
Cat believes that each one of us has the intuitive ability to heal and restore ourselves with ordinary awareness in present living. She invites you into a warm, non-judgemental and supportive environment to begin the important work of finding peace of mind and joy in everyday living. When we enjoy mental wellness, we feel connected to those close to us and the beauty of the natural world. Cat offers uncomplicated guidance for a variety of mental health concerns in a down to earth, attentive, and friendly way.
Cat believes that each one of us has the intuitive ability to heal and restore ourselves with ordinary awareness in present living. She invites you into a warm, non-judgemental and supportive environment to begin the important work of finding peace of mind and joy in everyday living. When we enjoy mental wellness, we feel connected to those close to us and the beauty of the natural world. Cat offers uncomplicated guidance for a variety of mental health concerns in a down to earth, attentive, and friendly way.
(319) 432-0542 View (319) 432-0542

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How does your Therapist compare?

Number of Therapists in Decorah, IA

< 10

Therapists in Decorah, IA who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Self Esteem
83% Depression
83% Grief
83% Trauma and PTSD
83% Coping Skills

Average years in practice

32 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Wellmark BCBS
67% Amerigroup

How Therapists in Decorah, IA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Decorah?

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.