Therapists in Grosse Pointe, MI

Photo of Arianna Zimmerman, LMSW, CST, CFSW, Clinical Social Work/Therapist
Arianna Zimmerman
Clinical Social Work/Therapist, LMSW, CST, CFSW
Verified Verified
1 Endorsed
Grosse Pointe, MI 48236
Not accepting new clients
I'm honored you're here. I admire your strength and courage to seek support through mental health therapy. I believe all individuals hold the ability to empower themselves through healing, acceptance, and understanding; both striving for inner peace and a sense of belonging in their world. I sincerely commend you for your bravery. Vulnerability is tough! My approach as a therapist is strengths-based, assisting individuals to recognize their inherent resilience through self-exploration and empowerment. Through warmth and compassion I aim to create a comfortable, non-judgmental, and supportive environment to attain your unique goals.
I'm honored you're here. I admire your strength and courage to seek support through mental health therapy. I believe all individuals hold the ability to empower themselves through healing, acceptance, and understanding; both striving for inner peace and a sense of belonging in their world. I sincerely commend you for your bravery. Vulnerability is tough! My approach as a therapist is strengths-based, assisting individuals to recognize their inherent resilience through self-exploration and empowerment. Through warmth and compassion I aim to create a comfortable, non-judgmental, and supportive environment to attain your unique goals.
(313) 450-9101 View (313) 450-9101
Photo of Jocelyn Stott - Circle 3 Counseling, LMSW, LCSW, CBEIP-M, Clinical Social Work/Therapist
Circle 3 Counseling
Clinical Social Work/Therapist, LMSW, LCSW, CBEIP-M
Verified Verified
Grosse Pointe, MI 48230
I often work with people who experience anxiety, depression, and unwanted coping behaviors that can come with life transitions, shame, grief, attachment and trauma. These are things that can affect relationships along with performance in work, school, sports or creative outlets.
I often work with people who experience anxiety, depression, and unwanted coping behaviors that can come with life transitions, shame, grief, attachment and trauma. These are things that can affect relationships along with performance in work, school, sports or creative outlets.
(313) 825-4673 View (313) 825-4673
Photo of Natalie Thompson - Thrive In-Home Counseling, LMSW, Clinical Social Work/Therapist
Thrive In-Home Counseling
Clinical Social Work/Therapist, LMSW
Verified Verified
Grosse Pointe, MI 48236  (Online Only)
Does your life appear great on the outside, yet personally you feel unhappy? Whether you are an individual experiencing a change in your life or have a relationship in conflict, I can help. With over 17 years of experience, I have supported my clients through a variety of challenges such as life transitions, relational conflicts, anger issues, or changes in mood. I also working with those struggling with issues such as •Positive/Effective Communication • Conflict resolution • Repairing trust •Infidelity/affair •Difference in Parenting philosophy.
Does your life appear great on the outside, yet personally you feel unhappy? Whether you are an individual experiencing a change in your life or have a relationship in conflict, I can help. With over 17 years of experience, I have supported my clients through a variety of challenges such as life transitions, relational conflicts, anger issues, or changes in mood. I also working with those struggling with issues such as •Positive/Effective Communication • Conflict resolution • Repairing trust •Infidelity/affair •Difference in Parenting philosophy.
(313) 367-1305 View (313) 367-1305
Photo of Dr. Susan Spicer, PhD, Psychologist
Dr. Susan Spicer
Psychologist, PhD
Verified Verified
Grosse Pointe, MI 48230  (Online Only)
I am licensed to provide telehealth in 42 states. If you have experienced trauma or narcissistic abuse, daily living can feel like a tremendous struggle. I am the author and creator of the Narcissistic Abuse Survival Tool Kit and many FREE resources which you may download at dr-spicer.com. I specialize in EMDR and treatment for trauma related disorders. As an Expert Clinical Psychologist, Certified Brain Health Coach, Executive Life Coach, and Neuropsychological Expert, I have decades of experience. As a client of mine, you will have access to my entire collection of brainwave audios, eBooks, guided meditations, and online courses.
I am licensed to provide telehealth in 42 states. If you have experienced trauma or narcissistic abuse, daily living can feel like a tremendous struggle. I am the author and creator of the Narcissistic Abuse Survival Tool Kit and many FREE resources which you may download at dr-spicer.com. I specialize in EMDR and treatment for trauma related disorders. As an Expert Clinical Psychologist, Certified Brain Health Coach, Executive Life Coach, and Neuropsychological Expert, I have decades of experience. As a client of mine, you will have access to my entire collection of brainwave audios, eBooks, guided meditations, and online courses.
(989) 310-7607 View (989) 310-7607
Photo of James D Loffredo, MA, LPC, Licensed Professional Counselor
James D Loffredo
Licensed Professional Counselor, MA, LPC
Verified Verified
Grosse Pointe, MI 48230  (Online Only)
Mental Illness and Addiction rob us of our hopes and dreams. It touches all areas of our life, harming ourselves, our parents, partners, and children. At times life feels hopeless. Even the idea of change seems unattainable. To treat mental illness and addiction or substance use disorders you address a host of emotions, trauma, depression, anxiety, relationship conflict, life issues, and existential struggles. I have spent the last 17 years of my career helping individuals, couples, and families heal from mental illness and substance use disorders and making this moment a leaping off event to their next journey.
Mental Illness and Addiction rob us of our hopes and dreams. It touches all areas of our life, harming ourselves, our parents, partners, and children. At times life feels hopeless. Even the idea of change seems unattainable. To treat mental illness and addiction or substance use disorders you address a host of emotions, trauma, depression, anxiety, relationship conflict, life issues, and existential struggles. I have spent the last 17 years of my career helping individuals, couples, and families heal from mental illness and substance use disorders and making this moment a leaping off event to their next journey.
(586) 204-4896 View (586) 204-4896
Karen L. Webb
Clinical Social Work/Therapist, ACSW, LMSW
Verified Verified
Grosse Pointe, MI 48230
Not accepting new clients
Hello, I am looking forward to discussing your concerns and goals with you. I offer psychotherapy, marriage counseling and hypnotherapy to anyone who wishes to open themselves to positive growth and life change. I have experience and expertise in assisting people to decrease symptoms connected with anxiety, depression, trauma, loss, OCD, PTSD, low self esteem, issues of life change and aging, divorce and stress of all kinds. I also have expertise in the area of bipolar illness and personality disorders. I feel equally comfortable working with women and men as well as adolescents.
Hello, I am looking forward to discussing your concerns and goals with you. I offer psychotherapy, marriage counseling and hypnotherapy to anyone who wishes to open themselves to positive growth and life change. I have experience and expertise in assisting people to decrease symptoms connected with anxiety, depression, trauma, loss, OCD, PTSD, low self esteem, issues of life change and aging, divorce and stress of all kinds. I also have expertise in the area of bipolar illness and personality disorders. I feel equally comfortable working with women and men as well as adolescents.
(313) 355-2926 View (313) 355-2926
Photo of Robin Ramsay, PhD, Psychologist
Robin Ramsay
Psychologist, PhD
Verified Verified
Grosse Pointe, MI 48230  (Online Only)
Not accepting new clients
Hi. I look forward to speaking with you directly about my services. In my more than 30 years of experience as a psychotherapist and clinical supervisor, I have worked with clients from many backgrounds and with many different kinds of problems. Some of my areas of expertise include work with life crises, anxiety and depression, relationship problems, self-esteem issues, parenting and family issues and problem behaviors. When I encounter a problem for which I am not fully trained, I am more than happy to direct clients to an appropriate service provider.
Hi. I look forward to speaking with you directly about my services. In my more than 30 years of experience as a psychotherapist and clinical supervisor, I have worked with clients from many backgrounds and with many different kinds of problems. Some of my areas of expertise include work with life crises, anxiety and depression, relationship problems, self-esteem issues, parenting and family issues and problem behaviors. When I encounter a problem for which I am not fully trained, I am more than happy to direct clients to an appropriate service provider.
(313) 312-5926 View (313) 312-5926
Photo of Anne Moigis, MA, LPC, NCC, Licensed Professional Counselor
Anne Moigis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Grosse Pointe, MI 48230
Waitlist for new clients
Anne Moigis is an EMDR certified therapist who specializes in anxiety. The majority of her career has focused on helping people increase self awareness and develop skills and coping strategies to improve mood and emotional regulation.
Anne Moigis is an EMDR certified therapist who specializes in anxiety. The majority of her career has focused on helping people increase self awareness and develop skills and coping strategies to improve mood and emotional regulation.
(877) 457-8805 View (877) 457-8805
Photo of Sarah Emmerson, MA, LLP, Limited Licensed Psychologist
Sarah Emmerson
Limited Licensed Psychologist, MA, LLP
Verified Verified
Grosse Pointe, MI 48236
Sarah loves to hear the stories of people, their life experiences and provides a space for self-reflection. In addition, Sarah is trained in Trauma Focused Cognitive Behavior Therapy as well as incorporates other modalities in working with clients including mindfulness, relational and attachment based therapies.
Sarah loves to hear the stories of people, their life experiences and provides a space for self-reflection. In addition, Sarah is trained in Trauma Focused Cognitive Behavior Therapy as well as incorporates other modalities in working with clients including mindfulness, relational and attachment based therapies.
(313) 351-9681 View (313) 351-9681
Photo of Kaitlin Arnold - Finding Your Balance Therapy , LPC, Licensed Professional Counselor
Finding Your Balance Therapy
Licensed Professional Counselor, LPC
Verified Verified
Grosse Pointe, MI 48230
Struggling to find the energy to get out of bed in the morning? Feeling overwhelmed, worried, angry or irritable most of the time? Avoiding work, school, people or events? Wondering if anyone really likes or understands you? Stuck in patterns you can't seem to shake? We all have these feelings sometimes. But, if they are getting in the way of your daily life, I can help.
Struggling to find the energy to get out of bed in the morning? Feeling overwhelmed, worried, angry or irritable most of the time? Avoiding work, school, people or events? Wondering if anyone really likes or understands you? Stuck in patterns you can't seem to shake? We all have these feelings sometimes. But, if they are getting in the way of your daily life, I can help.
(313) 312-4749 View (313) 312-4749
Photo of Lynn Walsh, MS, LLP, Limited Licensed Psychologist
Lynn Walsh
Limited Licensed Psychologist, MS, LLP
Verified Verified
2 Endorsed
Grosse Pointe, MI 48230
It CAN be better! Where do you see yourself & your relationships? Would you like to build assertiveness, comfortably express your wants & needs? Recover from anxiety, depression, people pleasing or self-defeating behaviors? Reconnect with your partner, improve communication, increase intimacy? We will focus on challenges that are specific to you & your life for both immediate & long term growth and relief. In our sessions you’ll receive unconditional support & develop insight, learn effective coping skills, decrease anxiety and depression, develop boundaries, increase assertiveness in healthy ways that yield strong results.
It CAN be better! Where do you see yourself & your relationships? Would you like to build assertiveness, comfortably express your wants & needs? Recover from anxiety, depression, people pleasing or self-defeating behaviors? Reconnect with your partner, improve communication, increase intimacy? We will focus on challenges that are specific to you & your life for both immediate & long term growth and relief. In our sessions you’ll receive unconditional support & develop insight, learn effective coping skills, decrease anxiety and depression, develop boundaries, increase assertiveness in healthy ways that yield strong results.
(947) 282-9390 View (947) 282-9390
Photo of Derrick J. Miller, LMSW, Clinical Social Work/Therapist
Derrick J. Miller
Clinical Social Work/Therapist, LMSW
Verified Verified
Grosse Pointe, MI 48230
I create and hold a healing and restorative space for my clients. I do this through unconditional positive regard – with a supportive and accepting attitude of the feelings and experiences shared by my clients. I work with individuals who are in need of guidance through life's challenges.
I create and hold a healing and restorative space for my clients. I do this through unconditional positive regard – with a supportive and accepting attitude of the feelings and experiences shared by my clients. I work with individuals who are in need of guidance through life's challenges.
(586) 690-6857 View (586) 690-6857
Photo of Alisa Nelson, MA, LLP, Limited Licensed Psychologist
Alisa Nelson
Limited Licensed Psychologist, MA, LLP
Verified Verified
Grosse Pointe, MI 48230
"Not until we are lost do we begin to understand ourselves" - Henry David Thoreau. When you are feeling uncertain, overwhelmed, and exhausted, it is so important to connect with someone compassionate who really empathizes and genuinely cares. The goal of therapy is to provide a safe space and a non-judgmental ear to explore sources of conflict and develop solutions together.
"Not until we are lost do we begin to understand ourselves" - Henry David Thoreau. When you are feeling uncertain, overwhelmed, and exhausted, it is so important to connect with someone compassionate who really empathizes and genuinely cares. The goal of therapy is to provide a safe space and a non-judgmental ear to explore sources of conflict and develop solutions together.
(586) 501-8417 View (586) 501-8417
Photo of Cate Spinney, LMSW, CAADC, CCS, Clinical Social Work/Therapist
Cate Spinney
Clinical Social Work/Therapist, LMSW, CAADC, CCS
Verified Verified
Grosse Pointe, MI 48230
I believe therapy is a partnership based on trust, empathy, and authenticity. I adopt a client-centered and strengths-based approach, and tailor my interventions to suit each person's unique needs and circumstances. I collaborate closely with clients to empower them on their path to emotional wellness, recovery, and healing from trauma. My 15 years of training and experience has instilled in me a deep understanding of the complexities of trauma, LGBTQ+ identity, and addiction. I strive to create a safe and supportive environment where clients can explore their identities, heal from past experiences, and build resilience.
I believe therapy is a partnership based on trust, empathy, and authenticity. I adopt a client-centered and strengths-based approach, and tailor my interventions to suit each person's unique needs and circumstances. I collaborate closely with clients to empower them on their path to emotional wellness, recovery, and healing from trauma. My 15 years of training and experience has instilled in me a deep understanding of the complexities of trauma, LGBTQ+ identity, and addiction. I strive to create a safe and supportive environment where clients can explore their identities, heal from past experiences, and build resilience.
(313) 631-8682 View (313) 631-8682
Photo of Miriam Engstrom, PsyD, LP, Psychologist
Miriam Engstrom
Psychologist, PsyD, LP
Verified Verified
Grosse Pointe, MI 48230
Not accepting new clients
I encourage, support, and facilitate the process of personal growth and change. I believe in straightforward and honest communication. My clients generally describe me as caring, empathetic, and down to earth. I have experience working with adults, children, adolescents, families, and couples, both in the U.S. and abroad. I am trained in a number of therapies, including Humanistic, Cognitive Behavioral, and Client Centered, and have additional training in bipolar disorders, substance abuse, DBT, crisis intervention, and is an EMDR certified therapist.
I encourage, support, and facilitate the process of personal growth and change. I believe in straightforward and honest communication. My clients generally describe me as caring, empathetic, and down to earth. I have experience working with adults, children, adolescents, families, and couples, both in the U.S. and abroad. I am trained in a number of therapies, including Humanistic, Cognitive Behavioral, and Client Centered, and have additional training in bipolar disorders, substance abuse, DBT, crisis intervention, and is an EMDR certified therapist.
(313) 254-3999 View (313) 254-3999
Photo of Lea Ann Martinico - Healing Pointes, PLC, LMSW, Clinical Social Work/Therapist
Healing Pointes, PLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Grosse Pointe, MI 48230
Welcome to Healing Pointes, PLC! My name is Lea Martinico, LMSW, and I’m thrilled that you are taking your first step toward your mental wellness. I am a fully licensed Masters level social worker with over 15 years of experience with ages ranging from teens to older adults. I would love to explore ways to find the best version of you via the evidence based practice of Cognitve Behavioral Therapy (CBT) CBT is a therapy method in which we become more mindful of how our thoughts, moods and behaviors are all related and how they impact one another. I hope to hear from you and to get this wellness journey started!
Welcome to Healing Pointes, PLC! My name is Lea Martinico, LMSW, and I’m thrilled that you are taking your first step toward your mental wellness. I am a fully licensed Masters level social worker with over 15 years of experience with ages ranging from teens to older adults. I would love to explore ways to find the best version of you via the evidence based practice of Cognitve Behavioral Therapy (CBT) CBT is a therapy method in which we become more mindful of how our thoughts, moods and behaviors are all related and how they impact one another. I hope to hear from you and to get this wellness journey started!
(313) 710-5998 View (313) 710-5998
Photo of Althea Denard (Hope Integrated Solutions), LMSW, Clinical Social Work/Therapist
Althea Denard (Hope Integrated Solutions)
Clinical Social Work/Therapist, LMSW
Verified Verified
Grosse Pointe, MI 48230  (Online Only)
You are here and making the first step to seek change. It is not always easy to seek assistance regarding our most intimate concerns. I commend your inner strength and courage to do so. While theory is important I also believe providing vital practical strategies and interventions that can be taken away from the therapeutic setting to assist with navigating life challenges is essential. We will work to create an individual treatment plan to assist in reaching your identified goals. I am here to walk with you on your new journey.
You are here and making the first step to seek change. It is not always easy to seek assistance regarding our most intimate concerns. I commend your inner strength and courage to do so. While theory is important I also believe providing vital practical strategies and interventions that can be taken away from the therapeutic setting to assist with navigating life challenges is essential. We will work to create an individual treatment plan to assist in reaching your identified goals. I am here to walk with you on your new journey.
(313) 546-8383 View (313) 546-8383
Photo of Jason Eldred, MA, LPC, CRC, Licensed Professional Counselor
Jason Eldred
Licensed Professional Counselor, MA, LPC, CRC
Verified Verified
1 Endorsed
Grosse Pointe, MI 48236
Not accepting new clients
My path to becoming a therapist is very unique and I am thankful for the opportunities to serve people of all ages. Throughout my time as a clinician, I have enjoyed working with adolescents starting at the age of 8 through their teen years. I have also found a passion working with the family in sessions on various issues at home. I also enjoy working with adults and older adults on various concerns such as depression, anxiety, OCD, severe mental illness, self-esteem, and other internal conflicts. My role is not to "fix" the problem, but to help you see your potential by identifying distorted thoughts and replacing them!
My path to becoming a therapist is very unique and I am thankful for the opportunities to serve people of all ages. Throughout my time as a clinician, I have enjoyed working with adolescents starting at the age of 8 through their teen years. I have also found a passion working with the family in sessions on various issues at home. I also enjoy working with adults and older adults on various concerns such as depression, anxiety, OCD, severe mental illness, self-esteem, and other internal conflicts. My role is not to "fix" the problem, but to help you see your potential by identifying distorted thoughts and replacing them!
(313) 351-4916 View (313) 351-4916
Photo of Julie Weiss - Grosse Pointe Therapy Services, LLC, MA, LPC, Licensed Professional Counselor
Grosse Pointe Therapy Services, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Grosse Pointe, MI 48230
I believe people are beautiful. There is no one else like you! I have faith that great answers and creative solutions are within you. I'd like to work with you toward your empowerment. I can help clear the "cobwebs" that clutter your thoughts and feelings so you'll hear and trust your inner voice. Let's move in a positive direction to self-improvement!
I believe people are beautiful. There is no one else like you! I have faith that great answers and creative solutions are within you. I'd like to work with you toward your empowerment. I can help clear the "cobwebs" that clutter your thoughts and feelings so you'll hear and trust your inner voice. Let's move in a positive direction to self-improvement!
(586) 623-4388 View (586) 623-4388
Photo of Ellen Carol Switalski Miller - Starting Pointe Therapy, LMFT, Marriage & Family Therapist
Starting Pointe Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Grosse Pointe, MI 48230
Not accepting new clients
Starting Pointe Therapy aims to provide mental health services to individuals, couples, and families in Michigan and Illinois. As a marriage and family therapist, Ellen not only works to treat the individual but explores their relationships, support systems, and how we "show up" for ourselves and others. Ellen believes that people already possess the skills to overcome their roadblocks. Her goal is to highlight those strengths and bring to light their greatest potential. She believes that therapy leads to change and includes acceptance, awareness, and attunement.
Starting Pointe Therapy aims to provide mental health services to individuals, couples, and families in Michigan and Illinois. As a marriage and family therapist, Ellen not only works to treat the individual but explores their relationships, support systems, and how we "show up" for ourselves and others. Ellen believes that people already possess the skills to overcome their roadblocks. Her goal is to highlight those strengths and bring to light their greatest potential. She believes that therapy leads to change and includes acceptance, awareness, and attunement.
(313) 710-1387 View (313) 710-1387
1

See more therapy options for Grosse Pointe

How does your Therapist compare?

Number of Therapists in Grosse Pointe, MI

100+

Average cost per session

$140

Therapists in Grosse Pointe, MI who prioritize treating:

95% Anxiety
88% Depression
79% Relationship Issues
79% Coping Skills
79% Self Esteem
78% Trauma and PTSD
78% Stress

Average years in practice

14 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
64% Blue Care Network
48% Aetna

How Therapists in Grosse Pointe, MI see their clients

68% In Person and Online
32% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Grosse Pointe?

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.