Therapists in Atlantic, IA

Photo of Jessica Richter, MS, LMHC, NCC, Counselor
Jessica Richter
Counselor, MS, LMHC, NCC
Verified Verified
Atlantic, IA 50022
Hi ! I’m Jessica and I’m a nationally certified and Licensed Mental Health Counselor in the State of Iowa. I have an endless passion for helping people become the best version of themselves they aspire to be. I am someone who sparks change in people's lives and relationships and would love to help get you there each step of the way.
Hi ! I’m Jessica and I’m a nationally certified and Licensed Mental Health Counselor in the State of Iowa. I have an endless passion for helping people become the best version of themselves they aspire to be. I am someone who sparks change in people's lives and relationships and would love to help get you there each step of the way.
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Photo of Carly Nielsen, MA, LMHC, LCMHC, Counselor
Carly Nielsen
Counselor, MA, LMHC, LCMHC
Verified Verified
Atlantic, IA 50022
I have four years of experience working in a therapeutic setting with individuals who have experienced trauma, depression, self-esteem issues, anxiety, grief/loss, as well as many other mental health challenges. I'm not only interested in individual work but also I have an interest in couples counseling to support people in achieving higher relationship satisfaction. I'm open to working with clients ranging in age from early adolescents to older adults (12 to 99).
I have four years of experience working in a therapeutic setting with individuals who have experienced trauma, depression, self-esteem issues, anxiety, grief/loss, as well as many other mental health challenges. I'm not only interested in individual work but also I have an interest in couples counseling to support people in achieving higher relationship satisfaction. I'm open to working with clients ranging in age from early adolescents to older adults (12 to 99).
(712) 227-5401 View (712) 227-5401
Photo of Karen Rodriguez, PhD, LISW, LCSW, Clinical Social Work/Therapist
Karen Rodriguez
Clinical Social Work/Therapist, PhD, LISW, LCSW
Verified Verified
2 Endorsed
Atlantic, IA 50022  (Online Only)
Not accepting new clients
I am a clinical social worker licensed in both Iowa and Nebraska and am the CEO of Healthy Homes Family Services Inc. I have bachelor's degrees in Social Work and Criminal Justice, a Master's degree in Social Work and am in the dissertation phase of my PhD in Social Work. I have over twenty years' experience working with families, couples and children including a background in child welfare services and extensive experience in mental health and substance abuse treatment with teens and families. I specialize in working with relationship issues, blended families, marriage, divorce and remarriage issues and military life issues.
I am a clinical social worker licensed in both Iowa and Nebraska and am the CEO of Healthy Homes Family Services Inc. I have bachelor's degrees in Social Work and Criminal Justice, a Master's degree in Social Work and am in the dissertation phase of my PhD in Social Work. I have over twenty years' experience working with families, couples and children including a background in child welfare services and extensive experience in mental health and substance abuse treatment with teens and families. I specialize in working with relationship issues, blended families, marriage, divorce and remarriage issues and military life issues.
(712) 454-7650 View (712) 454-7650
Photo of Lois Potthoff, LMHC, MS, Counselor
Lois Potthoff
Counselor, LMHC, MS
Verified Verified
Atlantic, IA 50022
I strive to help others heal and become empowered while rediscovering their true sense of self and reconnect with their life purpose. Relationship is the foundation to healing and I use a client centered and attuned approach while integrating an individualized treatment plan to meet your goals. My goal is to meet you or your child where they are and be your guide to healing. I have over 30 years of experience working in the field of mental illness and developmental disorders.
I strive to help others heal and become empowered while rediscovering their true sense of self and reconnect with their life purpose. Relationship is the foundation to healing and I use a client centered and attuned approach while integrating an individualized treatment plan to meet your goals. My goal is to meet you or your child where they are and be your guide to healing. I have over 30 years of experience working in the field of mental illness and developmental disorders.
(712) 350-9905 View (712) 350-9905

Online Therapists

Photo of Amy Marie Davis, MSW, LISW, Clinical Social Work/Therapist
Amy Marie Davis
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50266
“What you seek is seeking you.” The mere fact that you are looking for a therapist right now tells me that you are ready to heal. We all go through ups and downs in life, and sometimes we just need someone to listen without fear of judgement. Maybe you’ve experienced trauma, and can’t quite, “get over it.” Perhaps you are showing one side of yourself to the world, but internally dying to be recognized for who you show yourself when nobody is looking. There are so many different reasons as to why you are choosing now to look in the mirror. I can help you see with clarity, with an unbiased, open-minded viewpoint.
“What you seek is seeking you.” The mere fact that you are looking for a therapist right now tells me that you are ready to heal. We all go through ups and downs in life, and sometimes we just need someone to listen without fear of judgement. Maybe you’ve experienced trauma, and can’t quite, “get over it.” Perhaps you are showing one side of yourself to the world, but internally dying to be recognized for who you show yourself when nobody is looking. There are so many different reasons as to why you are choosing now to look in the mirror. I can help you see with clarity, with an unbiased, open-minded viewpoint.
(515) 519-3466 View (515) 519-3466
Photo of Nelly Meyer, MA, LMHC, LPC, Counselor
Nelly Meyer
Counselor, MA, LMHC, LPC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
I believe to fully understand another person and what they’re struggling with, we must understand their environment and lived experience. In therapy, we will explore how various systems and environments have impacted your lived experiences and in turn, how your experiences have shaped the way you think, feel, and act. I believe we must truly know ourselves in order to grow and thrive.
I believe to fully understand another person and what they’re struggling with, we must understand their environment and lived experience. In therapy, we will explore how various systems and environments have impacted your lived experiences and in turn, how your experiences have shaped the way you think, feel, and act. I believe we must truly know ourselves in order to grow and thrive.
(515) 428-4300 View (515) 428-4300
Photo of Rebecca White, MBS, MS, PLMHC, Counselor
Rebecca White
Counselor, MBS, MS, PLMHC
Verified Verified
Council Bluffs, IA 51503
Navigating the complexities of daily life can often feel overwhelming, particularly when faced with unprocessed trauma, behavioral challenges in children, or a lack of support in relationships. In my practice, I strive to create a calm and supportive environment for women, children, couples, and families, fostering growth and resilience through person-centered therapy. My areas of expertise include anxiety, depression, stress, trauma, attachment, women’s issues, relationships, Adverse Childhood Experiences, family dynamics, and building resilience.
Navigating the complexities of daily life can often feel overwhelming, particularly when faced with unprocessed trauma, behavioral challenges in children, or a lack of support in relationships. In my practice, I strive to create a calm and supportive environment for women, children, couples, and families, fostering growth and resilience through person-centered therapy. My areas of expertise include anxiety, depression, stress, trauma, attachment, women’s issues, relationships, Adverse Childhood Experiences, family dynamics, and building resilience.
(712) 430-1874 View (712) 430-1874
Photo of Schuyler Paxton, LMHC, Counselor
Schuyler Paxton
Counselor, LMHC
Verified Verified
Windsor Heights, IA 50324
Hello! I empower people weighed down by anxiety, anger, and distrust to lead fuller, more enriching lives. I also help those who feel disconnected from their families and partners to rebuild and revitalize their relationships. I offer a uniquely relational and personal approach to therapy. I dive into interpersonal dynamics, uncover unconscious perspectives, tap into the wisdom of the body, and harness your hidden strengths to help you find greater wholeness and enrichment in life.
Hello! I empower people weighed down by anxiety, anger, and distrust to lead fuller, more enriching lives. I also help those who feel disconnected from their families and partners to rebuild and revitalize their relationships. I offer a uniquely relational and personal approach to therapy. I dive into interpersonal dynamics, uncover unconscious perspectives, tap into the wisdom of the body, and harness your hidden strengths to help you find greater wholeness and enrichment in life.
(515) 219-8510 View (515) 219-8510
Photo of Sabrina Sartori Chouinard, LISW, CCTP, Clinical Social Work/Therapist
Sabrina Sartori Chouinard
Clinical Social Work/Therapist, LISW, CCTP
Verified Verified
1 Endorsed
Clive, IA 50325
Welcome! Take a breath. Since you are reading this, you are most likely pursuing change in your life or relationships. Seeking counseling or asking for support takes courage, especially in a culture of independence and self-reliance. I know it is not easy, and I respect and value that you are taking this next step. I firmly believe that effective therapeutic relationships are powerful for achieving healing and lasting change. I have over 20 years of Clinical Psychology experience, and I am a licensed psychologist in Brazil. I completed the Master of Social Work program at the University of Iowa, emphasizing clinical therapy.
Welcome! Take a breath. Since you are reading this, you are most likely pursuing change in your life or relationships. Seeking counseling or asking for support takes courage, especially in a culture of independence and self-reliance. I know it is not easy, and I respect and value that you are taking this next step. I firmly believe that effective therapeutic relationships are powerful for achieving healing and lasting change. I have over 20 years of Clinical Psychology experience, and I am a licensed psychologist in Brazil. I completed the Master of Social Work program at the University of Iowa, emphasizing clinical therapy.
(515) 461-8727 View (515) 461-8727
Photo of Angela Clark, MA, PLMHP, Counselor
Angela Clark
Counselor, MA, PLMHP
Verified Verified
Council Bluffs, IA 51501
I believe that every person has value and is meant to be on this earth. Most people saw the best in themselves and others when, at some point they were overcome with hurt, disappointment, or other life challenges. We were never meant to carry those burdens alone. I am here to offer a safe, non-judgemental space for you. I offer both in-office sessions and telehealth, and have partnered with Wild Hearts n Horses to offer equine-assisted therapy.
I believe that every person has value and is meant to be on this earth. Most people saw the best in themselves and others when, at some point they were overcome with hurt, disappointment, or other life challenges. We were never meant to carry those burdens alone. I am here to offer a safe, non-judgemental space for you. I offer both in-office sessions and telehealth, and have partnered with Wild Hearts n Horses to offer equine-assisted therapy.
(712) 214-1685 View (712) 214-1685
Photo of Susan Letsch, LMSW, CADC, Clinical Social Work/Therapist
Susan Letsch
Clinical Social Work/Therapist, LMSW, CADC
Verified Verified
1 Endorsed
Ames, IA 50014
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
(800) 531-4236 View (800) 531-4236
Photo of Andrew McGinn, tLMHC, NCC, Counselor
Andrew McGinn
Counselor, tLMHC, NCC
Verified Verified
Ames, IA 50010
Are you ready to live, laugh, and love again? (Did I really just open my Psychology Today profile by ripping off everyone’s favorite/least favorite home décor slogan?) Seriously, though, life is too short to be miserable. It’s my hope that our time together will empower you to live with more purpose. I approach therapy in an informal way, because counseling doesn’t have to be so uptight. It’s OK to laugh! I spent 23 years as a newspaper feature writer before changing careers, writing thousands of stories. I now want my clients to look at the narrative of their lives and choose, for themselves, the direction their own story takes.
Are you ready to live, laugh, and love again? (Did I really just open my Psychology Today profile by ripping off everyone’s favorite/least favorite home décor slogan?) Seriously, though, life is too short to be miserable. It’s my hope that our time together will empower you to live with more purpose. I approach therapy in an informal way, because counseling doesn’t have to be so uptight. It’s OK to laugh! I spent 23 years as a newspaper feature writer before changing careers, writing thousands of stories. I now want my clients to look at the narrative of their lives and choose, for themselves, the direction their own story takes.
(515) 316-6951 View (515) 316-6951
Photo of Erin Moskal, LMHC, Counselor
Erin Moskal
Counselor, LMHC
Verified Verified
Des Moines, IA 50312  (Online Only)
When facing an overwhelming emotional experience, 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. My mission is to empower each individual by guiding them along the journey of personal growth and change.
When facing an overwhelming emotional experience, 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. My mission is to empower each individual by guiding them along the journey of personal growth and change.
(515) 489-4223 View (515) 489-4223
Photo of Brittnay Miller, t-LMHC, Counselor
Brittnay Miller
Counselor, t-LMHC
Verified Verified
Ames, IA 50010
What do you want? Transformation of course! We go to therapy to ease the pain, stop the suffering, end the struggle. We want to arrive to a destination in our mind of wholeness, excitement and happiness. But, it won’t be you skipping and laughing down the hallway to get there. Therapy can be emotionally and physically exhausting. Accessing and processing DEEP stuff requires effort and lots of deep breaths. BUT, the emotional release, the sense of feeling lighter, seen and less alone is a life worth living for, no, fighting for! You deserve rest and relief.
What do you want? Transformation of course! We go to therapy to ease the pain, stop the suffering, end the struggle. We want to arrive to a destination in our mind of wholeness, excitement and happiness. But, it won’t be you skipping and laughing down the hallway to get there. Therapy can be emotionally and physically exhausting. Accessing and processing DEEP stuff requires effort and lots of deep breaths. BUT, the emotional release, the sense of feeling lighter, seen and less alone is a life worth living for, no, fighting for! You deserve rest and relief.
(515) 679-3723 View (515) 679-3723
Photo of Lynnsey Linn, MS, LMHC, Counselor
Lynnsey Linn
Counselor, MS, LMHC
Verified Verified
Council Bluffs, IA 51503  (Online Only)
With an empathetic approach, I believe therapy is beneficial to someone needing support who is feeling overwhelmed with emotions and / or dealing with various life situations. I assist individuals to address things such as relationships, depression, anxiety, self-esteem, trauma, and behaviors. At times individuals may be too overwhelmed to examine specific issues. With a therapeutic approach, we will explore those barriers and problem solve ways to manage those symptoms while learning skills to be successful. My goal is to utilize techniques based on the client's needs and goals to help ensure a positive experience.
With an empathetic approach, I believe therapy is beneficial to someone needing support who is feeling overwhelmed with emotions and / or dealing with various life situations. I assist individuals to address things such as relationships, depression, anxiety, self-esteem, trauma, and behaviors. At times individuals may be too overwhelmed to examine specific issues. With a therapeutic approach, we will explore those barriers and problem solve ways to manage those symptoms while learning skills to be successful. My goal is to utilize techniques based on the client's needs and goals to help ensure a positive experience.
(712) 201-3126 View (712) 201-3126
Photo of Chelsey Hirt, MA, LMHC, LIMHP, Counselor
Chelsey Hirt
Counselor, MA, LMHC, LIMHP
Verified Verified
Glenwood, IA 51534
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
(712) 847-8255 View (712) 847-8255
Photo of Dr. Robert T Wade, MS, DDS, LMHC, Counselor
Dr. Robert T Wade
Counselor, MS, DDS, LMHC
Verified Verified
West Des Moines, IA 50266
Are you looking for someone to come alongside to help you navigate a transition in your life? Life transitions such as loss of a loved one through death, divorce, or deployment, job/professional change, or recognition of patterns that have held you back from living your best life are often easier with a guide who 'knows the path' you have in front of you.
Are you looking for someone to come alongside to help you navigate a transition in your life? Life transitions such as loss of a loved one through death, divorce, or deployment, job/professional change, or recognition of patterns that have held you back from living your best life are often easier with a guide who 'knows the path' you have in front of you.
(515) 575-2801 View (515) 575-2801
Photo of Carolyn Hollister, MSW, LISW, Clinical Social Work/Therapist
Carolyn Hollister
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Ankeny, IA 50023
Waitlist for new clients
When we go through hard things in life it can have all kinds of effects on the way we feel about ourselves, our relationships and our life. Seeking therapy with a provider you can feel safe with and open up to can be one of the most beneficial and healing things we can do for ourselves. If you are struggling with emotions, thoughts or beliefs that you know are holding you back from living with a sense of well-being, I would like to help. I provide a holistic, compassionate, affirming space for you to explore and process your struggles so you can feel more peace and connection in your life.
When we go through hard things in life it can have all kinds of effects on the way we feel about ourselves, our relationships and our life. Seeking therapy with a provider you can feel safe with and open up to can be one of the most beneficial and healing things we can do for ourselves. If you are struggling with emotions, thoughts or beliefs that you know are holding you back from living with a sense of well-being, I would like to help. I provide a holistic, compassionate, affirming space for you to explore and process your struggles so you can feel more peace and connection in your life.
(515) 293-5702 View (515) 293-5702
Photo of Heidi Valdez, LISW, MSW, Clinical Social Work/Therapist
Heidi Valdez
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Are you feeling stuck in your life, school, career, sports performance and/or relationships? Could your physical, emotional, spiritual and mental health be better? If so, I am here to help. In a supportive environment, we will work together to build whole health and wellness while integrating both mind and body approaches. We all need support and guidance throughout our lives and I am passionate about supporting athletes, teachers, children, parents, and families in being the best they can be no matter what struggles may come their way. I do have openings at this time.
Are you feeling stuck in your life, school, career, sports performance and/or relationships? Could your physical, emotional, spiritual and mental health be better? If so, I am here to help. In a supportive environment, we will work together to build whole health and wellness while integrating both mind and body approaches. We all need support and guidance throughout our lives and I am passionate about supporting athletes, teachers, children, parents, and families in being the best they can be no matter what struggles may come their way. I do have openings at this time.
(515) 373-8926 View (515) 373-8926
Photo of Colin W Priest - Calm Tree Therapy, LMHC, CRC, Counselor
Calm Tree Therapy
Counselor, LMHC, CRC
Verified Verified
Johnston, IA 50131
If you’re reading this right now you’ve likely experienced a lot of pain. Maybe you feel lost and don’t know what to do, or you’ve tried many things and nothing seems to work. Maybe things have felt “off” for some time and you are tired of the way you feel. One thing is for sure, you’re sick and tired of feeling the way you do right now and you want someone who can help. You want someone who you can trust, someone who respects you and sees the struggle you’ve had to endure. Most importantly, however, you want someone who can help you fix your problem so you can get back to living a happy life, and finally have some peace of mind.
If you’re reading this right now you’ve likely experienced a lot of pain. Maybe you feel lost and don’t know what to do, or you’ve tried many things and nothing seems to work. Maybe things have felt “off” for some time and you are tired of the way you feel. One thing is for sure, you’re sick and tired of feeling the way you do right now and you want someone who can help. You want someone who you can trust, someone who respects you and sees the struggle you’ve had to endure. Most importantly, however, you want someone who can help you fix your problem so you can get back to living a happy life, and finally have some peace of mind.
(515) 585-1239 View (515) 585-1239

See more therapy options for Atlantic

How does your Therapist compare?

Number of Therapists in Atlantic, IA

< 10

Therapists in Atlantic, IA who prioritize treating:

100% Depression
100% Anxiety
100% Divorce
100% Suicidal Ideation
100% Peer Relationships
100% Coping Skills
100% Self Esteem

Average years in practice

7 Years

Top 3 insurances accepted

100% Wellpoint | Amerigroup
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Atlantic, IA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Atlantic?

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.

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