Photo of Samantha Johnson, LLPC, CRC, Licensed Professional Counselor
Samantha Johnson
Licensed Professional Counselor, LLPC, CRC
Verified Verified
3 Endorsed
Starting therapy is an amazing step to working towards understanding yourself on a deeper level, unlocking new perspectives, and building the resilience needed to navigate life’s twists and turns with confidence and clarity. I am here to be your co-pilot on this journey, providing warmth and understanding in each session. I am dedicated to creating a safe and supportive space for individuals navigating the complexities of their experiences.
Starting therapy is an amazing step to working towards understanding yourself on a deeper level, unlocking new perspectives, and building the resilience needed to navigate life’s twists and turns with confidence and clarity. I am here to be your co-pilot on this journey, providing warmth and understanding in each session. I am dedicated to creating a safe and supportive space for individuals navigating the complexities of their experiences.
(586) 800-4904 View (586) 800-4904
Photo of Vasiliki Giannopoulos, MA, LLPC, Counselor
Vasiliki Giannopoulos
Counselor, MA, LLPC
Verified Verified
Waitlist for new clients
Let’s embark on a journey together where I’ll empower, educate, and motivate you every step of the way. Together, we'll set meaningful goals and work towards them. As a bilingual therapist fluent in both English and Greek, my multicultural background enables me to approach our sessions with an open mind and deep empathy. In our therapeutic journey, we'll explore your conflicts, cultivate connections, share insight, and foster resilience, empowering you to thrive. I prioritize listening when you need to be heard and exploring solutions when you need to address challenges. Lastly, having someone safe to talk to can make a difference.
Let’s embark on a journey together where I’ll empower, educate, and motivate you every step of the way. Together, we'll set meaningful goals and work towards them. As a bilingual therapist fluent in both English and Greek, my multicultural background enables me to approach our sessions with an open mind and deep empathy. In our therapeutic journey, we'll explore your conflicts, cultivate connections, share insight, and foster resilience, empowering you to thrive. I prioritize listening when you need to be heard and exploring solutions when you need to address challenges. Lastly, having someone safe to talk to can make a difference.
(586) 250-1728 View (586) 250-1728
Photo of John Haas, MA, LPC, Licensed Professional Counselor
John Haas
Licensed Professional Counselor, MA, LPC
Verified Verified
I will support the growth of teens and adults who struggle with self confidence, decision making, relationships, and planning for the future. Exploration will begin with examining home life, social skills, and aspects of career or school. If one is struggling with any of these elements, it is likely having a negative impact on other areas. In addition, I can improve a student-athlete's performance in competition. By taking the same approach, an athlete can maximize their potential by identifying and improving other areas of their life away from the game.
I will support the growth of teens and adults who struggle with self confidence, decision making, relationships, and planning for the future. Exploration will begin with examining home life, social skills, and aspects of career or school. If one is struggling with any of these elements, it is likely having a negative impact on other areas. In addition, I can improve a student-athlete's performance in competition. By taking the same approach, an athlete can maximize their potential by identifying and improving other areas of their life away from the game.
(586) 649-3488 View (586) 649-3488
Photo of Sylvia Johnson, LMSW, CTP-C, Clinical Social Work/Therapist
Sylvia Johnson
Clinical Social Work/Therapist, LMSW, CTP-C
Verified Verified
2 Endorsed
Waitlist for new clients
Your experiences may be bringing up new feelings, thoughts, and experiences, or may be bringing up old ones. I provide a safe and non-judgmental environment where we can explore your feelings and experiences to gain self-awareness, understanding, and discover how to get back to the life you love. I am extremely passionate about helping others get to the root of their current behaviors, thoughts, and feelings. My specialty is in processing trauma, complex trauma, and secondary trauma. I also am experienced in treating other difficulties such as depression, anxiety, eating disorders, relationships difficulties, and grief.
Your experiences may be bringing up new feelings, thoughts, and experiences, or may be bringing up old ones. I provide a safe and non-judgmental environment where we can explore your feelings and experiences to gain self-awareness, understanding, and discover how to get back to the life you love. I am extremely passionate about helping others get to the root of their current behaviors, thoughts, and feelings. My specialty is in processing trauma, complex trauma, and secondary trauma. I also am experienced in treating other difficulties such as depression, anxiety, eating disorders, relationships difficulties, and grief.
(248) 923-4375 View (248) 923-4375
Photo of Sara Prigorac, MS, OTRL, CATP, ARSP, CTP-C, Occupational Therapist
Sara Prigorac
Occupational Therapist, MS, OTRL, CATP, ARSP, CTP-C
Verified Verified
Is your child always moving? Trouble focusing? Outbursts when told no? Trouble in school & relationships? Trauma can impact a child’s ability to successfully function in daily life. A trauma focused occupational therapist (OT) works with children exposed to substances or high stress in utero, witness to substance use, high stress environments, neglect, medical trauma, and exposure to abuse or community violence in early childhood. A Trauma Specialized OT works to address the physical responses to trauma both independently and in partnership with individual trauma therapy to address both brain and body aspects of trauma healing.
Is your child always moving? Trouble focusing? Outbursts when told no? Trouble in school & relationships? Trauma can impact a child’s ability to successfully function in daily life. A trauma focused occupational therapist (OT) works with children exposed to substances or high stress in utero, witness to substance use, high stress environments, neglect, medical trauma, and exposure to abuse or community violence in early childhood. A Trauma Specialized OT works to address the physical responses to trauma both independently and in partnership with individual trauma therapy to address both brain and body aspects of trauma healing.
(833) 715-0651 View (833) 715-0651
Photo of Jessica Cottrell - JCF Violet Flame Enlightenment and Healing Center, MA LPC, AT, CCTP, DBTinfo, Counselor
JCF Violet Flame Enlightenment and Healing Center
Counselor, MA LPC, AT, CCTP, DBTinfo
Verified Verified
JCF Violet Flame is a holistic wellness center that specializes in trauma, emotional regulation and relationship/ family issues. We offer a variety of services that aid in helping people heal them selves and learn skills to live their best life. This may include professional counseling, meditation, art therapy, energy healing, breath work, movement therapy such as Qigong, DBT skills training, relationship coaching, spiritual advising, readings and intuition development which all work together to help create connections via mind, body, soul resulting in more awareness, inner freedom, and peace for purpose to unfold.
JCF Violet Flame is a holistic wellness center that specializes in trauma, emotional regulation and relationship/ family issues. We offer a variety of services that aid in helping people heal them selves and learn skills to live their best life. This may include professional counseling, meditation, art therapy, energy healing, breath work, movement therapy such as Qigong, DBT skills training, relationship coaching, spiritual advising, readings and intuition development which all work together to help create connections via mind, body, soul resulting in more awareness, inner freedom, and peace for purpose to unfold.
(313) 279-4187 View (313) 279-4187
Photo of Tyler Moreno, MSW, LLMSW, Clinical Social Work/Therapist
Tyler Moreno
Clinical Social Work/Therapist, MSW, LLMSW
Verified Verified
Do you behave in ways that you’re not always proud of? Have you been feeling disconnected from yourself and/ or others? Has it become harder to live your life the way you always have? The way we attach to our world was decided for us early on and defines all the ways we think, feel, and respond. Therapy can be a place for you to get to know your ‘early programming’ and receive clarity around what’s happening behind the scenes. Can you imagine having healthier relationships, greater confidence in yourself and your abilities, as well as more motivation to pursue your passions and seek joy?
Do you behave in ways that you’re not always proud of? Have you been feeling disconnected from yourself and/ or others? Has it become harder to live your life the way you always have? The way we attach to our world was decided for us early on and defines all the ways we think, feel, and respond. Therapy can be a place for you to get to know your ‘early programming’ and receive clarity around what’s happening behind the scenes. Can you imagine having healthier relationships, greater confidence in yourself and your abilities, as well as more motivation to pursue your passions and seek joy?
(586) 400-1592 View (586) 400-1592
Photo of Carissa Gluth, LMSW, CCTP, Clinical Social Work/Therapist
Carissa Gluth
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
7 Endorsed
Waitlist for new clients
"Growth is painful. Change is painful. But nothing is as painful as staying stuck somewhere you don't belong" (M. Hale). Life can be hard, but there is hope for a better tomorrow. I am experienced in trauma, PTSD, relationship issues, depression, anxiety, and life transitions. I provide a safe, supportive environment and assist you with whatever struggles you may be experiencing; whether its help in problem solving, changing belief systems, working through pain and/or developing new tools/strategies to manage the challenges of life.
"Growth is painful. Change is painful. But nothing is as painful as staying stuck somewhere you don't belong" (M. Hale). Life can be hard, but there is hope for a better tomorrow. I am experienced in trauma, PTSD, relationship issues, depression, anxiety, and life transitions. I provide a safe, supportive environment and assist you with whatever struggles you may be experiencing; whether its help in problem solving, changing belief systems, working through pain and/or developing new tools/strategies to manage the challenges of life.
(586) 646-4621 View (586) 646-4621
Photo of Elise DiLaura, LLMSW, Clinical Social Work/Therapist
Elise DiLaura
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Waitlist for new clients
Therapy is an opportunity to gain a greater understanding of yourself. With knowledge and understanding, therapy can help promote a better relationship with yourself and others. Are you looking to understand why you feel this way? Or, why you think the way you do? I will provide a supportive and confidential environment where we can work together to explore your thoughts and feelings.
Therapy is an opportunity to gain a greater understanding of yourself. With knowledge and understanding, therapy can help promote a better relationship with yourself and others. Are you looking to understand why you feel this way? Or, why you think the way you do? I will provide a supportive and confidential environment where we can work together to explore your thoughts and feelings.
(586) 800-3368 View (586) 800-3368
Photo of Sean Patrick McGraw, LMSW, BSW, SAT, CRC, INT, Clinical Social Work/Therapist
Sean Patrick McGraw
Clinical Social Work/Therapist, LMSW, BSW, SAT, CRC, INT
Verified Verified
1 Endorsed
Are you feeling more anxious, or fatigued? Experiencing less motivation. Do you feel lonely? Are you worried about your career, or relationship? Have your coping strategies turned self-destructive? I can help you feel confidence and security once more. I provide a safe, comfortable, non-judgmental, supportive, and respectful therapy that empowers and reduces stress to get you back on track. Because your time is such a valuable commodity, my approaches are very structured and goal oriented.
Are you feeling more anxious, or fatigued? Experiencing less motivation. Do you feel lonely? Are you worried about your career, or relationship? Have your coping strategies turned self-destructive? I can help you feel confidence and security once more. I provide a safe, comfortable, non-judgmental, supportive, and respectful therapy that empowers and reduces stress to get you back on track. Because your time is such a valuable commodity, my approaches are very structured and goal oriented.
(586) 488-4711 View (586) 488-4711
Photo of Mackenzie Powers, LMSW, Clinical Social Work/Therapist
Mackenzie Powers
Clinical Social Work/Therapist, LMSW
Verified Verified
I believe in a person's ability to persevere and evolve through their struggles. Everyone has the potential to achieve their goals when given the proper nourishment and environment. As a therapist, I strive to provide that environment. I foster a trusting and caring relationship by focusing on the unique experiences that each individual brings.
I believe in a person's ability to persevere and evolve through their struggles. Everyone has the potential to achieve their goals when given the proper nourishment and environment. As a therapist, I strive to provide that environment. I foster a trusting and caring relationship by focusing on the unique experiences that each individual brings.
(586) 636-0329 View (586) 636-0329
Photo of Sandra Marie Tysar-Gilbert, LMSW, CSW, Clinical Social Work/Therapist
Sandra Marie Tysar-Gilbert
Clinical Social Work/Therapist, LMSW, CSW
Verified Verified
3 Endorsed
Hello and thank you for looking into my profile. I am a licensed clinical social worker with over a decade of experience working with people. I have worked with clients who are experiencing a variety of concerns including depression, anxiety, relationship issues, struggles with parenting, adjustment and traumatic experiences including healing from abuse. My counseling style is strengths based and client centered. I believe in treating everyone with respect and compassion. My approach starts with empathy and utilizes integrative dynamics from cognitive-behavioral therapy, solution-focused therapy and motivational interviewing.
Hello and thank you for looking into my profile. I am a licensed clinical social worker with over a decade of experience working with people. I have worked with clients who are experiencing a variety of concerns including depression, anxiety, relationship issues, struggles with parenting, adjustment and traumatic experiences including healing from abuse. My counseling style is strengths based and client centered. I believe in treating everyone with respect and compassion. My approach starts with empathy and utilizes integrative dynamics from cognitive-behavioral therapy, solution-focused therapy and motivational interviewing.
(586) 238-3350 View (586) 238-3350
Photo of Kayla Nabozny, Counselor
Kayla Nabozny
Counselor
Verified Verified
2 Endorsed
I believe that it is healthy and natural for people to attend counseling. I view therapy as a partnership between client and therapist, both working towards an agreed upon goal. Every counseling session is entered with optimism and open mindedness. I received my Master’s degree from Oakland University in Clinical Mental Health Counseling.
I believe that it is healthy and natural for people to attend counseling. I view therapy as a partnership between client and therapist, both working towards an agreed upon goal. Every counseling session is entered with optimism and open mindedness. I received my Master’s degree from Oakland University in Clinical Mental Health Counseling.
(586) 300-1456 View (586) 300-1456
Photo of Rebecca Cahill, LMSW, Clinical Social Work/Therapist
Rebecca Cahill
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Saint Clair Shores, MI 48081  (Online Only)
First of all, I want to express how happy I am that you're here! Seeking out a mental health provider is a HUGE step and I am here and ready to help. I have experience working with various populations, from childhood to middle adulthood. My areas of specialty include LGBTQ+, neurodiversity, anxiety, depression, trauma, codependence, chronic illness and life transitions. I spent my first few years post-graduation working in Community Mental Health (CMH), so I also understand deeply the impact of socioeconomic factors on mental health and physical wellbeing.
First of all, I want to express how happy I am that you're here! Seeking out a mental health provider is a HUGE step and I am here and ready to help. I have experience working with various populations, from childhood to middle adulthood. My areas of specialty include LGBTQ+, neurodiversity, anxiety, depression, trauma, codependence, chronic illness and life transitions. I spent my first few years post-graduation working in Community Mental Health (CMH), so I also understand deeply the impact of socioeconomic factors on mental health and physical wellbeing.
(586) 460-4584 View (586) 460-4584
Photo of Breanna Harris, LLMSW, Clinical Social Work/Therapist
Breanna Harris
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Making a choice to seek help can be challenging and takes courage. As a parent, you want to be sure that your child has the emotional support they need to flourish. Breanna provides a fun and safe atmosphere for your child to explore and manage their emotions while developing a strong sense of self. With playfulness and creativity, Breanna will help your child cope with issues such as depression, anxiety, ADHD, parent separation and divorce, foster care, adoption, childhood sexual abuse and more. She often incorporates play as a way of learning and processing the difficult parts of life, in a way children can understand & relate to.
Making a choice to seek help can be challenging and takes courage. As a parent, you want to be sure that your child has the emotional support they need to flourish. Breanna provides a fun and safe atmosphere for your child to explore and manage their emotions while developing a strong sense of self. With playfulness and creativity, Breanna will help your child cope with issues such as depression, anxiety, ADHD, parent separation and divorce, foster care, adoption, childhood sexual abuse and more. She often incorporates play as a way of learning and processing the difficult parts of life, in a way children can understand & relate to.
(586) 400-2750 View (586) 400-2750
Photo of Gabrielle Deschaine, MA, LPC, Licensed Professional Counselor
Gabrielle Deschaine
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Healthy connections provide for relationships wherein we feel integrated, empowered, and validated. When these connections are damaged we can suffer physical pain, social isolation, instability and internal fragmentation. It’s at these times, a supportive advocate can assist in repairing damaged or lost connections through a therapeutic rapport. My work is done in relationship with you, exploring how stress, trauma, addiction or disease has impacted your connections and deciding which ones need to be repaired to restore balance to your life.
Healthy connections provide for relationships wherein we feel integrated, empowered, and validated. When these connections are damaged we can suffer physical pain, social isolation, instability and internal fragmentation. It’s at these times, a supportive advocate can assist in repairing damaged or lost connections through a therapeutic rapport. My work is done in relationship with you, exploring how stress, trauma, addiction or disease has impacted your connections and deciding which ones need to be repaired to restore balance to your life.
(586) 271-0148 View (586) 271-0148
Photo of Tami Wright, PhD, LPC, Licensed Professional Counselor
Tami Wright
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Saint Clair Shores, MI 48081  (Online Only)
Is life throwing you a curve ball? Do you feel like you've lost your way? Confused? Frustrated? Angry? Sad? I believe we all go through these times. With some objective help, we know our answers and can get back on track. Let me help you through this tough time. I'm non-judgmental, respectful, empathetic and offer you the environment and opportunity to sort through any situation. I have spent decades working with people in these situations. I hold a Doctorate in Counseling and Professional Counselor License. I work with children, adults and families with a wide array of issues. Let's work together!
Is life throwing you a curve ball? Do you feel like you've lost your way? Confused? Frustrated? Angry? Sad? I believe we all go through these times. With some objective help, we know our answers and can get back on track. Let me help you through this tough time. I'm non-judgmental, respectful, empathetic and offer you the environment and opportunity to sort through any situation. I have spent decades working with people in these situations. I hold a Doctorate in Counseling and Professional Counselor License. I work with children, adults and families with a wide array of issues. Let's work together!
(248) 450-5310 View (248) 450-5310
Photo of Mary Petersen, LMSW, ACSW, PC, Clinical Social Work/Therapist
Mary Petersen
Clinical Social Work/Therapist, LMSW, ACSW, PC
Verified Verified
Saint Clair Shores, MI 48081  (Online Only)
I believe the ability to be genuine and create connections with other people are the most important factors in maintaining peace and happiness. I encourage my clients to strive toward this by helping them explore who they are and find the tools they need to evolve into who they want to become. My style is candid and compassionate. I challenge my clients, but I realize that each person comes in with different needs, interests, and talents. I approach the treatment of each client with an eclectic perspective based on their personal qualities and situations.
I believe the ability to be genuine and create connections with other people are the most important factors in maintaining peace and happiness. I encourage my clients to strive toward this by helping them explore who they are and find the tools they need to evolve into who they want to become. My style is candid and compassionate. I challenge my clients, but I realize that each person comes in with different needs, interests, and talents. I approach the treatment of each client with an eclectic perspective based on their personal qualities and situations.
(586) 648-0654 View (586) 648-0654
Photo of David James Fish - David Fish, LMSW, LMSW, Clinical Social Work/Therapist
David Fish, LMSW
Clinical Social Work/Therapist, LMSW
Verified Verified
I am dedicated to providing you with an opportunity to overcome the obstacles that have been preventing you from reaching your goals or from being your best self. My approach is grounded in evidence-based practices, with flexibility and an understanding that one treatment approach doesn't work for everyone. I meet you where you are, and my goal is to work with you get to where you want to be in your life with warmth, sensitivity and wisdom.
I am dedicated to providing you with an opportunity to overcome the obstacles that have been preventing you from reaching your goals or from being your best self. My approach is grounded in evidence-based practices, with flexibility and an understanding that one treatment approach doesn't work for everyone. I meet you where you are, and my goal is to work with you get to where you want to be in your life with warmth, sensitivity and wisdom.
(586) 217-3659 View (586) 217-3659
Photo of Cathy Battaglia, LMSW, CGP, MEd, Clinical Social Work/Therapist
Cathy Battaglia
Clinical Social Work/Therapist, LMSW, CGP, MEd
Verified Verified
You deserve to live a life that leaves you excited to wake up every morning. I would like to help you achieve your goals and make life changes you desire while gaining insight. Therapy is working toward and creating positive outcomes and does not have to be a painful process. It can be a process of rediscovery, resilience, and empowerment, and the support of a professional is an important resource to assist you.
You deserve to live a life that leaves you excited to wake up every morning. I would like to help you achieve your goals and make life changes you desire while gaining insight. Therapy is working toward and creating positive outcomes and does not have to be a painful process. It can be a process of rediscovery, resilience, and empowerment, and the support of a professional is an important resource to assist you.
(586) 519-6484 View (586) 519-6484
1

How does your Therapist compare?

Number of Therapists in 48081

60+

Average cost per session

$132

Therapists in 48081 who prioritize treating:

97% Anxiety
92% Depression
82% Trauma and PTSD
75% Grief
62% Relationship Issues
58% Self Esteem
57% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
61% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in 48081 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

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

How can I find a therapist in 48081?

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.