Therapists in 48105
![Photo of Kara Bunton, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45e7f8b5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
![Photo of Roxann Mudry, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4fcd4deb-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I understand that reaching out to find the right therapist while experiencing a difficult time in your life can be an overwhelming process. Whatever it is that brings you here, you are not alone. It is my goal to provide a safe, comfortable, non-judgmental environment that promotes healing and growth. Through talk therapy, compassionate listening, and empathy, I will guide you through your transformational journey toward self-awareness, personal growth, and overall well-being.
I understand that reaching out to find the right therapist while experiencing a difficult time in your life can be an overwhelming process. Whatever it is that brings you here, you are not alone. It is my goal to provide a safe, comfortable, non-judgmental environment that promotes healing and growth. Through talk therapy, compassionate listening, and empathy, I will guide you through your transformational journey toward self-awareness, personal growth, and overall well-being.
![Photo of Sandra Prochazka, LMSW, ACSW, DCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/535edb5a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Sandra Prochazka
Clinical Social Work/Therapist, LMSW, ACSW, DCSW
Verified Verified
Ann Arbor, MI 48105 (Online Only)
Most of us know that even the healthiest of us need at some point in our lives an outside perspective or guidance into our inner selves to resolve many issues that we have not been able to do on our own. Therapy can take many forms from "personal growth work " (i.e. becoming a better person or reaching personal goals not yet achieved) or in dealing with life crises, wrong choices in the past effecting today, life transitions or mood problems such as depression, grief, anxiety etc. am also helping people deal with covid and all of it's implications.
Most of us know that even the healthiest of us need at some point in our lives an outside perspective or guidance into our inner selves to resolve many issues that we have not been able to do on our own. Therapy can take many forms from "personal growth work " (i.e. becoming a better person or reaching personal goals not yet achieved) or in dealing with life crises, wrong choices in the past effecting today, life transitions or mood problems such as depression, grief, anxiety etc. am also helping people deal with covid and all of it's implications.
![Photo of Kara Bunton - Inspire Behavioral Health, LLC, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/44e75410-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Inspire Behavioral Health, LLC
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Ann Arbor, MI 48105
Making the decision to create change in your life takes courage and strength. Our therapists at Inspire Behavioral Health are here to provide compassionate support to assist you in gaining a fresh perspective, as well as identifying solutions for meeting your personal goals. Let us assist you in beginning your journey towards self-improvement.
Making the decision to create change in your life takes courage and strength. Our therapists at Inspire Behavioral Health are here to provide compassionate support to assist you in gaining a fresh perspective, as well as identifying solutions for meeting your personal goals. Let us assist you in beginning your journey towards self-improvement.
![Photo of Kristen M. Landau, JD, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/29c58554-b46a-462d-98ea-34f335686416/2/320x400.jpeg)
I believe in the power of evidence-based treatments to help individuals, couples, and families overcome challenges and achieve positive change. I take a collaborative and strengths-based approach, valuing each client's unique strengths and experiences. I believe in the importance of creating a safe and supportive space where clients can explore their thoughts, emotions, and behaviors without judgment. I am committed to providing high-quality and culturally sensitive care, and empowering clients to enhance their coping skills and strategies to promote healthy functioning and overall well-being.
I believe in the power of evidence-based treatments to help individuals, couples, and families overcome challenges and achieve positive change. I take a collaborative and strengths-based approach, valuing each client's unique strengths and experiences. I believe in the importance of creating a safe and supportive space where clients can explore their thoughts, emotions, and behaviors without judgment. I am committed to providing high-quality and culturally sensitive care, and empowering clients to enhance their coping skills and strategies to promote healthy functioning and overall well-being.
![Photo of Nicole Polan, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/84c27e0a-b100-4e32-abb8-99bc5987375c/1/320x400.jpeg)
Welcome! Taking the first step towards therapy can be a huge hurdle, and I am so glad you are here! I provide a safe, non-judgmental, and supportive environment for you to feel heard, seen, and accepted just as you are. I believe in meeting you where you’re at; I am committed to walk alongside you, and guide you while you take the lead on your journey to positive change and healing.
Welcome! Taking the first step towards therapy can be a huge hurdle, and I am so glad you are here! I provide a safe, non-judgmental, and supportive environment for you to feel heard, seen, and accepted just as you are. I believe in meeting you where you’re at; I am committed to walk alongside you, and guide you while you take the lead on your journey to positive change and healing.
![Photo of George J Didier, PsyD, Psychologist](https://photos.psychologytoday.com/a5402c78-de27-4966-a972-7d70a775d503/2/320x400.jpeg)
Welcome! I believe that one of the essential ingredients of change and transformative psychotherapy is the relationship between the individual and the therapist. Feeling understood and comfortable not only helps reduce one's symptoms, encouraging self-acceptance, but also leads toward deeper work which promotes lasting change and a deeper experience of one's unique self.
Welcome! I believe that one of the essential ingredients of change and transformative psychotherapy is the relationship between the individual and the therapist. Feeling understood and comfortable not only helps reduce one's symptoms, encouraging self-acceptance, but also leads toward deeper work which promotes lasting change and a deeper experience of one's unique self.
![Photo of Hannah Walker, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/54575e0b-e4f8-454a-8c72-40c7bce16dc9/2/320x400.jpeg)
I use a combination of therapeutic approaches, including ACT (Acceptance and Commitment Therapy), behavioral activation, and Cognitive Behavioral Therapy (CBT). I specialize and have a Graduate Certificate in Financial Therapy, a process that helps people think, feel, communicate, and behave differently with money.
I use a combination of therapeutic approaches, including ACT (Acceptance and Commitment Therapy), behavioral activation, and Cognitive Behavioral Therapy (CBT). I specialize and have a Graduate Certificate in Financial Therapy, a process that helps people think, feel, communicate, and behave differently with money.
![Photo of Dr. Jennifer Towns, PhD, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c68f3d21-68a5-4483-904d-aa1434d4800c/2/320x400.jpeg)
Hello and welcome! You are so courageous for considering the next step in your healing journey. My name is Jennifer (Jen) Towns (she/her). It is my personal and professional belief that everyone can discover their most authentic and successful self. I invite you to a safe space where you can learn to trust, speak your truth, and realize your potential for emotional growth and change. I practice trauma-informed integrative therapy - blending somatic body work, EMDR, IFS / ego-state parts work, and a general recognition of the impact of traumas and attachment wounds on ourselves and our relationships.
Hello and welcome! You are so courageous for considering the next step in your healing journey. My name is Jennifer (Jen) Towns (she/her). It is my personal and professional belief that everyone can discover their most authentic and successful self. I invite you to a safe space where you can learn to trust, speak your truth, and realize your potential for emotional growth and change. I practice trauma-informed integrative therapy - blending somatic body work, EMDR, IFS / ego-state parts work, and a general recognition of the impact of traumas and attachment wounds on ourselves and our relationships.
![Photo of Heidi Butz, LMSW, PLLC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f32ef406-318e-4371-9485-e96f4fd7890d/1/320x400.jpeg)
I enjoy working with adults managing a wide range of concerns including life transitions, grief, shame, family issues, anxiety, depression as well as boundary and relationship problems. I believe change happens in a calm and safe environment with a therapeutic relationship based on trust and compassion. My goal is to work collaboratively with clients and to use evidence-based skills (e.g., cognitive behavioral therapy (CBT) and trauma informed therapy) as well as more holistic approaches (e.g., mindful meditation and self-compassion) to tailor treatment to meet each individual's needs.
I enjoy working with adults managing a wide range of concerns including life transitions, grief, shame, family issues, anxiety, depression as well as boundary and relationship problems. I believe change happens in a calm and safe environment with a therapeutic relationship based on trust and compassion. My goal is to work collaboratively with clients and to use evidence-based skills (e.g., cognitive behavioral therapy (CBT) and trauma informed therapy) as well as more holistic approaches (e.g., mindful meditation and self-compassion) to tailor treatment to meet each individual's needs.
![Photo of Alexandra Lopez, MA, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52990f03-0a2c-4549-8fda-e3f2161878fb/1/320x400.png)
Alexandra Lopez
Clinical Social Work/Therapist, MA, LLMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48105
Accepting new clients. Whether you are experiencing a difficult life transition, ongoing communication issues, or daily stress, therapy can help. My goal is to create a space to feel safe, heard, and understood. There is no right or wrong way to start therapy, the most important thing is that you are taking this step now. I am hopeful that we can explore where you're at in life and understand the capacity you already hold to create change. I work primarily with clients who are struggling with anxiety, stress, and life transitions. I can’t wait to begin doing some amazing, meaningful work with you!
Accepting new clients. Whether you are experiencing a difficult life transition, ongoing communication issues, or daily stress, therapy can help. My goal is to create a space to feel safe, heard, and understood. There is no right or wrong way to start therapy, the most important thing is that you are taking this step now. I am hopeful that we can explore where you're at in life and understand the capacity you already hold to create change. I work primarily with clients who are struggling with anxiety, stress, and life transitions. I can’t wait to begin doing some amazing, meaningful work with you!
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I have worked with numerous populations including adolescents, adults and families. I have been working in the field of addiction treatment for several years, with other specialties including domestic violence, trauma, women’s issues, anxiety and depression. I am also an EMDR therapist, trained through the EMDR Institute.
I have worked with numerous populations including adolescents, adults and families. I have been working in the field of addiction treatment for several years, with other specialties including domestic violence, trauma, women’s issues, anxiety and depression. I am also an EMDR therapist, trained through the EMDR Institute.
![Photo of Marianna Olson, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0ecb3997-f34a-4166-a9ce-f3fc2ff7eef0/2/320x400.png)
Marianna Olson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48105
Whether you are struggling with a life transition, family or romantic relationship, or overwhelmed with stress from work or school, I want you to know that I will do my best to hold a safe and judgment free space for you to explore those feelings. I will help you look deeper into yourself on your journey of positive change, personal growth, and self-improvement. Let’s work together to figure out why you are not as happy as you would like to be and work towards living up to your full potential, for yourself, and the people in your life.
Whether you are struggling with a life transition, family or romantic relationship, or overwhelmed with stress from work or school, I want you to know that I will do my best to hold a safe and judgment free space for you to explore those feelings. I will help you look deeper into yourself on your journey of positive change, personal growth, and self-improvement. Let’s work together to figure out why you are not as happy as you would like to be and work towards living up to your full potential, for yourself, and the people in your life.
![Photo of Shari Foster, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b0a2480d-81b4-4299-9e62-1fe056aef869/1/320x400.jpeg)
Sheryl Foster is a Licensed Master Social Worker in Illinois who has been practicing since 1991. Sheryl is a dedicated counselor committed to supporting you through your journey. Her approach is tailored to meet your unique needs. Together you and Sheryl can explore challenges, set goals, and work towards a positive change in a confidential and non-judgmental space. Outside of work, Sheryl started a group to support single moms. She loves to help people, volunteers at food pantries, and loves to cook.
Sheryl Foster is a Licensed Master Social Worker in Illinois who has been practicing since 1991. Sheryl is a dedicated counselor committed to supporting you through your journey. Her approach is tailored to meet your unique needs. Together you and Sheryl can explore challenges, set goals, and work towards a positive change in a confidential and non-judgmental space. Outside of work, Sheryl started a group to support single moms. She loves to help people, volunteers at food pantries, and loves to cook.
![Photo of Patrick Mitchell, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/122835f4-cdcf-4131-9f38-309b6cd797a7/1/320x400.jpeg)
I have received both my Undergraduate and Graduate degrees from the University of Michigan. I am also a United States Air Force Veteran. I have over 30 years of direct clinical experience working with a broad variety of clients across numerous clinical presentations. I have worked in both inpatient and outpatient settings as well as forensic mental health, but my passion is working in the private practice setting. I truly enjoy my work and blend a sense of humor with dedication and empathy that I believe helps my clients develop a sense of ease as they work along their counseling journey.
I have received both my Undergraduate and Graduate degrees from the University of Michigan. I am also a United States Air Force Veteran. I have over 30 years of direct clinical experience working with a broad variety of clients across numerous clinical presentations. I have worked in both inpatient and outpatient settings as well as forensic mental health, but my passion is working in the private practice setting. I truly enjoy my work and blend a sense of humor with dedication and empathy that I believe helps my clients develop a sense of ease as they work along their counseling journey.
![Photo of Breanna Greer, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ac170631-ad59-40f5-9387-06b15c48967e/2/320x400.jpeg)
Breanna Greer
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Ann Arbor, MI 48105
Not accepting new clients
Does your child have worries, sadness or angry outbursts that leave you speechless and frustrated? Or maybe you or your child have experienced something painful and difficult that leaves you feeling hopeless about the future. You might find your own anger, depression, or anxiety increasing as you try to understand your child or your own reactions to stress. We all strive to experience peace in our families and inside ourselves. I will assist you in developing confidence in your personal choices or your parenting choices so you can experience more happiness and success in your life.
Does your child have worries, sadness or angry outbursts that leave you speechless and frustrated? Or maybe you or your child have experienced something painful and difficult that leaves you feeling hopeless about the future. You might find your own anger, depression, or anxiety increasing as you try to understand your child or your own reactions to stress. We all strive to experience peace in our families and inside ourselves. I will assist you in developing confidence in your personal choices or your parenting choices so you can experience more happiness and success in your life.
![Photo of Lauren Rill, LMSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bed59ec2-cddb-4814-b45c-cb3d880e87b2/3/320x400.jpeg)
Lauren Rill
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
3 Endorsed
Ann Arbor, MI 48105 (Online Only)
I help college students and young adults live authentically, overcome life challenges, and learn valuable tools to brave their world with courage and confidence. The transition into adulthood can be filled with uncertainty. If you feel like you are living in survival mode from fear and anxiety, I can help you to break free and heal your wounds so you can feel more connected to yourself and others. Together, we will identify your goals and create a personalized treatment plan that best fits your needs. You don't have to struggle alone, let's get to the core of who you are and capitalize on your unique strengths.
I help college students and young adults live authentically, overcome life challenges, and learn valuable tools to brave their world with courage and confidence. The transition into adulthood can be filled with uncertainty. If you feel like you are living in survival mode from fear and anxiety, I can help you to break free and heal your wounds so you can feel more connected to yourself and others. Together, we will identify your goals and create a personalized treatment plan that best fits your needs. You don't have to struggle alone, let's get to the core of who you are and capitalize on your unique strengths.
![Photo of David A. Schroat, PhD, LP, Psychologist](https://photos.psychologytoday.com/3f97ec4b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As your psychologist, I will listen to you with respect, in a safe and confidential relationship. I will offer fresh insights of past patterns and concerns and we will explore new ways to overcome obstacles and the challenges that you face. Developing resilience, grit, and utilizing strengths are an important part of my therapy.
As your psychologist, I will listen to you with respect, in a safe and confidential relationship. I will offer fresh insights of past patterns and concerns and we will explore new ways to overcome obstacles and the challenges that you face. Developing resilience, grit, and utilizing strengths are an important part of my therapy.
![Photo of Richard J Landau, JD, PhD, Psychologist](https://photos.psychologytoday.com/a690f35a-8e2f-4d6c-9b49-0e23cffc1157/2/320x400.jpeg)
Richard J Landau
Psychologist, JD, PhD
Verified Verified
Ann Arbor, MI 48105 (Online Only)
Waitlist for new clients
I have been a clinical psychologist for over 30 years. My principal orientation to therapy is cognitive behavioral—I believe that we can impact the way we feel about our lives by changing the way we interpret events and relationships. That being said, I bring to therapy a wealth of life experiences, including being a husband, father and an attorney.
I have been a clinical psychologist for over 30 years. My principal orientation to therapy is cognitive behavioral—I believe that we can impact the way we feel about our lives by changing the way we interpret events and relationships. That being said, I bring to therapy a wealth of life experiences, including being a husband, father and an attorney.
![Photo of Katherine Jaeger, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1b063ecf-a1af-428c-8803-bbc5950b40b4/1/320x400.jpeg)
Welcome! I’m so glad you’re here. Brene Brown once said, “Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness”. Our experiences in life can sometimes leave us feeling sad, angry, confused, lost, and everything in between. Whether you’re struggling with experiences of trauma, depression, anxiety, loss, any relational conflicts, or school difficulties, I’m here to walk alongside you on a path towards vulnerability and compassion for all parts of you. Instead of being who you’ve had to be (because trauma), this journey can bring you to who you’re meant to be.
Welcome! I’m so glad you’re here. Brene Brown once said, “Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness”. Our experiences in life can sometimes leave us feeling sad, angry, confused, lost, and everything in between. Whether you’re struggling with experiences of trauma, depression, anxiety, loss, any relational conflicts, or school difficulties, I’m here to walk alongside you on a path towards vulnerability and compassion for all parts of you. Instead of being who you’ve had to be (because trauma), this journey can bring you to who you’re meant to be.
See more therapy options for 48105
How does your Therapist compare?
Number of Therapists in 48105
300+
Average cost per session
$150
Therapists in 48105 who prioritize treating:
92% | Anxiety |
87% | Depression |
75% | Relationship Issues |
75% | Self Esteem |
69% | Coping Skills |
69% | Life Transitions |
68% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
50% | Blue Care Network |
49% | Aetna |
How Therapists in 48105 see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 48105?
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
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.
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.
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.