Photo of Nicole Wassel, LMSW, Clinical Social Work/Therapist
Nicole Wassel
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
Our experiences do not define us, it’s what we do with them that matters most! Over the last 20 years I have had the privilege of working with some amazing people and families. People who have bravely been willing to address the uncomfortable. Whether these challenges were externally caused, or inherently part of us, there was hope. One of the only things we are guaranteed is change, it is this understanding that fuels my investment in working with people on their journey of personal growth. In an environment of safety, validation, authenticity and respect, empowerment grows. Let’s see about growing hope in the acceptance of change.
Our experiences do not define us, it’s what we do with them that matters most! Over the last 20 years I have had the privilege of working with some amazing people and families. People who have bravely been willing to address the uncomfortable. Whether these challenges were externally caused, or inherently part of us, there was hope. One of the only things we are guaranteed is change, it is this understanding that fuels my investment in working with people on their journey of personal growth. In an environment of safety, validation, authenticity and respect, empowerment grows. Let’s see about growing hope in the acceptance of change.
(833) 581-9845 View (833) 581-9845
Photo of Carly James, LLMSW-C, Clinical Social Work/Therapist
Carly James
Clinical Social Work/Therapist, LLMSW-C
Verified Verified
7 Endorsed
Plymouth, MI 48170
As a clinician, I hope to cultivate a space where you feel empowered to understand and know yourself better while embracing your journey towards healing. I believe everyone is capable of growth and change. Leaning into where you feel comfortable to explore your whole self will always be prioritized in our space together. My speciality areas include Anxiety, Trauma, LGBTQ+ Individuals, Grief Work, Self-Esteem Work, and Relationship Issues. I am excited to work alongside you where we will prioritize skills that allow you to take back control over your life and emotions, and make your brain and body feel like a safe space to be again.
As a clinician, I hope to cultivate a space where you feel empowered to understand and know yourself better while embracing your journey towards healing. I believe everyone is capable of growth and change. Leaning into where you feel comfortable to explore your whole self will always be prioritized in our space together. My speciality areas include Anxiety, Trauma, LGBTQ+ Individuals, Grief Work, Self-Esteem Work, and Relationship Issues. I am excited to work alongside you where we will prioritize skills that allow you to take back control over your life and emotions, and make your brain and body feel like a safe space to be again.
(734) 212-8409 View (734) 212-8409
Photo of Elizabeth Carrington, MA, LPC, NCC, Licensed Professional Counselor
Elizabeth Carrington
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Plymouth, MI 48170
You already felt tired, weary and worn and then in comes COVID-19. This has caused you to become more anxious than ever. Now you feel this impending doom - you already felt trapped. Now, what do you do? You are tired of everything and everybody. You we're already tired of your boss; can't stand your wife and at times they seem like the same person. You wish you could tell them what you really feel. You want to quit your job and this time you really really mean it! But, you said that 3 years ago and you are still in the same spot. Yes, you are tired, but mostly of yourself - Right? We can help and we can help now!
You already felt tired, weary and worn and then in comes COVID-19. This has caused you to become more anxious than ever. Now you feel this impending doom - you already felt trapped. Now, what do you do? You are tired of everything and everybody. You we're already tired of your boss; can't stand your wife and at times they seem like the same person. You wish you could tell them what you really feel. You want to quit your job and this time you really really mean it! But, you said that 3 years ago and you are still in the same spot. Yes, you are tired, but mostly of yourself - Right? We can help and we can help now!
(248) 609-1977 View (248) 609-1977
Photo of Stephanie Manske, MA, LLPC, Counselor
Stephanie Manske
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Plymouth, MI 48170
Thank you for visiting my profile! I enjoy working with teens and young adults, helping them to navigate through life's decisions and challenges; specializing in the areas of anxiety, depression, grief, ADHD, adjustment disorders, interpersonal relationships, and career development. I also love to work with children ages 6+ leaning into art & play therapy as excellent tools for engaging them. In addition, I am passionate about supporting parents as they navigate their feelings, relationships, and place within their community, school & family.
Thank you for visiting my profile! I enjoy working with teens and young adults, helping them to navigate through life's decisions and challenges; specializing in the areas of anxiety, depression, grief, ADHD, adjustment disorders, interpersonal relationships, and career development. I also love to work with children ages 6+ leaning into art & play therapy as excellent tools for engaging them. In addition, I am passionate about supporting parents as they navigate their feelings, relationships, and place within their community, school & family.
(734) 849-4576 View (734) 849-4576
Photo of Dr. Patty Richardson, PhD, Psychologist
Dr. Patty Richardson
Psychologist, PhD
Verified Verified
1 Endorsed
Plymouth, MI 48170  (Online Only)
As a pediatric clinical psychologist, I specialize in harnessing evidence-based, cutting-edge psychological interventions to help children, teens, young adults, parents, and families overcome anxiety, depression, school challenges, suicidality/self-harm, parenting stress, chronic pain, sleep concerns, physical symptoms (somatic, conversion/FNSD), and cope with chronic medical illness. I have practiced in Metro Detroit and the San Francisco Bay Area for over 10 years and I've been fortunate to train at world-class institutions, including St. Jude Children's Research Hospital and Stanford University.
As a pediatric clinical psychologist, I specialize in harnessing evidence-based, cutting-edge psychological interventions to help children, teens, young adults, parents, and families overcome anxiety, depression, school challenges, suicidality/self-harm, parenting stress, chronic pain, sleep concerns, physical symptoms (somatic, conversion/FNSD), and cope with chronic medical illness. I have practiced in Metro Detroit and the San Francisco Bay Area for over 10 years and I've been fortunate to train at world-class institutions, including St. Jude Children's Research Hospital and Stanford University.
(734) 390-4709 View (734) 390-4709
Photo of Louise A Weller, PhD, LP, Psychologist
Louise A Weller
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Plymouth, MI 48170
Are you struggling with memories of traumatic events? Do you need to deal with guilt, shame, or anger? Are you engaging in behaviors you wish you could stop? I am a licensed Clinical Psychologist specializing in the treatment of stress and anxiety-related issues, whether due to trauma in the past, or current life issues. I am experienced in treating combat-related stress, family of origin issues, sexual abuse and institutional/religious abuse. I have experience working with folks with anger problems, past trauma, and addictive disorders. I am experienced working with sexual orientation and other issues of self-identity.
Are you struggling with memories of traumatic events? Do you need to deal with guilt, shame, or anger? Are you engaging in behaviors you wish you could stop? I am a licensed Clinical Psychologist specializing in the treatment of stress and anxiety-related issues, whether due to trauma in the past, or current life issues. I am experienced in treating combat-related stress, family of origin issues, sexual abuse and institutional/religious abuse. I have experience working with folks with anger problems, past trauma, and addictive disorders. I am experienced working with sexual orientation and other issues of self-identity.
(734) 428-3688 View (734) 428-3688
Photo of Richard Thomas Janka - Solid Ground Counseling, PsyD, LP
Solid Ground Counseling
PsyD, LP
Verified Verified
Plymouth, MI 48170
Solid Ground Counseling exists to provide our community with the best mental health care and wellness available. We believe in reducing the barriers to quality mental health services.
Solid Ground Counseling exists to provide our community with the best mental health care and wellness available. We believe in reducing the barriers to quality mental health services.
(248) 985-2026 View (248) 985-2026
Photo of Susanna Hathaway, LMSW, IMH-E, (III), Clinical Social Work/Therapist
Susanna Hathaway
Clinical Social Work/Therapist, LMSW, IMH-E, (III)
Verified Verified
1 Endorsed
Plymouth, MI 48170
Are you trying to find the best way to respond to your child’s behaviors or moods? I help children and families work through difficult experiences--including stressful life events such as transitions, anxiety, relationship stress, and loss. I will work closely with you to tailor therapy to your family's individual needs. Sessions can be held remotely or in-person at my Plymouth office.
Are you trying to find the best way to respond to your child’s behaviors or moods? I help children and families work through difficult experiences--including stressful life events such as transitions, anxiety, relationship stress, and loss. I will work closely with you to tailor therapy to your family's individual needs. Sessions can be held remotely or in-person at my Plymouth office.
(734) 294-5952 View (734) 294-5952
Photo of Calyn Franklin, MSW, Clinical Social Work/Therapist
Calyn Franklin
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
Hi there! I have a passion for helping people work through hard times and find value through their own life experiences. During this unprecedented time in society, I am here to help others find a way to get through these uncertain times. I have experience in working with people that have experienced trauma and life challenges.
Hi there! I have a passion for helping people work through hard times and find value through their own life experiences. During this unprecedented time in society, I am here to help others find a way to get through these uncertain times. I have experience in working with people that have experienced trauma and life challenges.
(734) 415-6836 View (734) 415-6836
Photo of Courtney Lobeck, MSW, LMSW, Clinical Social Work/Therapist
Courtney Lobeck
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Plymouth, MI 48170
If you feel ready to embrace positive change and transform old thinking and behavioral patterns, I am honored to support you on your journey of healing and self-discovery. My priority is to create a welcoming, non-judgmental space. My clinical experience coupled with Addiction Certification through University of Michigan can assist you through making positive challenges, provide healthier ways of coping, and empower you in your goals.
If you feel ready to embrace positive change and transform old thinking and behavioral patterns, I am honored to support you on your journey of healing and self-discovery. My priority is to create a welcoming, non-judgmental space. My clinical experience coupled with Addiction Certification through University of Michigan can assist you through making positive challenges, provide healthier ways of coping, and empower you in your goals.
(734) 530-4795 View (734) 530-4795
Photo of John Weidman, LLPC, MACP, TLLP, Limited Licensed Psychologist
John Weidman
Limited Licensed Psychologist, LLPC, MACP, TLLP
Verified Verified
Plymouth, MI 48170
Waitlist for new clients
I enjoy helping people who feel stuck in a certain area of their lives to find hope, get free and then find new patterns of living that allow their lives to function well and even to thrive. I have experienced the blessing of therapy in my own life and by God’s grace have been married for over 32 years, have raised 4 children, and have overcome a variety of personal and family crises. I know that people want to live meaningful and productive lives and when problems arise in their personal lives and relationships, it really helps to have someone come alongside of you, listen to you, and explore solutions to those problems together.
I enjoy helping people who feel stuck in a certain area of their lives to find hope, get free and then find new patterns of living that allow their lives to function well and even to thrive. I have experienced the blessing of therapy in my own life and by God’s grace have been married for over 32 years, have raised 4 children, and have overcome a variety of personal and family crises. I know that people want to live meaningful and productive lives and when problems arise in their personal lives and relationships, it really helps to have someone come alongside of you, listen to you, and explore solutions to those problems together.
(248) 817-1966 View (248) 817-1966
Photo of Jessica Baker, MS, Limited Licensed Psychologist
Jessica Baker
Limited Licensed Psychologist, MS
Verified Verified
1 Endorsed
Plymouth, MI 48170  (Online Only)
Hello! I specialize in psychological assessment from ages 1 - 99. I am able to assess for ADD/ADHD, autism spectrum disorder, social (pragmatic) communication disorder, cognitive/intellectual impairments (including for guardianship concerns), learning disabilities, and speech and language difficulties, as well as personality assessment and bariatric surgery assessments. I also provide therapy services, especially for those with a history of chronic and/or substantial stress (PTSD/Adjustment concerns), and I specialize in CBIT/Tourette's and other tic disorders.
Hello! I specialize in psychological assessment from ages 1 - 99. I am able to assess for ADD/ADHD, autism spectrum disorder, social (pragmatic) communication disorder, cognitive/intellectual impairments (including for guardianship concerns), learning disabilities, and speech and language difficulties, as well as personality assessment and bariatric surgery assessments. I also provide therapy services, especially for those with a history of chronic and/or substantial stress (PTSD/Adjustment concerns), and I specialize in CBIT/Tourette's and other tic disorders.
(313) 251-3474 View (313) 251-3474
Photo of Lisa M Quaglia, LMSW, CAADC, Clinical Social Work/Therapist
Lisa M Quaglia
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Plymouth, MI 48170
I have a passion for helping adolescents and adults navigate their mental health challenges. I specialize in Anxiety Disorders and offer targeted support and guidance to individuals struggling with the overwhelming impact of anxiety on their daily lives. Additionally, I have a keen interest in helping parents who are struggling with parenting challenges in the modern world. My goal is to create a safe and empowering environment where clients can explore their anxiety, learn effective coping skills, and find relief and resilience in their journey toward well-being.
I have a passion for helping adolescents and adults navigate their mental health challenges. I specialize in Anxiety Disorders and offer targeted support and guidance to individuals struggling with the overwhelming impact of anxiety on their daily lives. Additionally, I have a keen interest in helping parents who are struggling with parenting challenges in the modern world. My goal is to create a safe and empowering environment where clients can explore their anxiety, learn effective coping skills, and find relief and resilience in their journey toward well-being.
(734) 857-7837 View (734) 857-7837
Photo of Amanda Yats, LLMSW, Clinical Social Work/Therapist
Amanda Yats
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
Starting therapy can feel intimidating, and I’m so glad you’ve decided to consider taking this first step in pursuing support. I want our sessions together to feel comfortable, safe, and meaningful. While I do my best to tailor therapy sessions to each individuals' goals and preferences, I do hope that over time I can help you learn to give yourself the gift of more self-compassion as you continue to navigate the various seasons of life.
Starting therapy can feel intimidating, and I’m so glad you’ve decided to consider taking this first step in pursuing support. I want our sessions together to feel comfortable, safe, and meaningful. While I do my best to tailor therapy sessions to each individuals' goals and preferences, I do hope that over time I can help you learn to give yourself the gift of more self-compassion as you continue to navigate the various seasons of life.
(734) 725-2132 View (734) 725-2132
Photo of Stefanie M. Paquin, LLP, CAADC, Limited Licensed Psychologist
Stefanie M. Paquin
Limited Licensed Psychologist, LLP, CAADC
Verified Verified
Plymouth, MI 48170  (Online Only)
Waitlist for new clients
I currently have a waiting list and am only offering telehealth appointments. "It's all in your head." "Why can't you just stop?" "Just do something different." Sometimes the people in your life just don't know what to say or how to help you. You feel hurt, you struggle, you feel stuck, and you don't know how to feel better or get yourself out of that rut. Don't give up; NOW is the time to reach out. I will help you learn the tools to feel better and empower yourself to make positive changes in your life.
I currently have a waiting list and am only offering telehealth appointments. "It's all in your head." "Why can't you just stop?" "Just do something different." Sometimes the people in your life just don't know what to say or how to help you. You feel hurt, you struggle, you feel stuck, and you don't know how to feel better or get yourself out of that rut. Don't give up; NOW is the time to reach out. I will help you learn the tools to feel better and empower yourself to make positive changes in your life.
(734) 442-2461 View (734) 442-2461
Bear Rowe
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
As a trans masc, queer, and neurodivergent practitioner I understand first hand how difficult it can be to find the right therapist. My goal is always to create a safe and welcoming space for all. I will collaborate with you to navigate any obstacles or barriers you may be facing in life. My goal is to utilize a person-centered, intersectional, affirming, judgement free, and trauma-informed approach, and I hope to create a comfortable and safe environment for you to process, heal, and grow.
As a trans masc, queer, and neurodivergent practitioner I understand first hand how difficult it can be to find the right therapist. My goal is always to create a safe and welcoming space for all. I will collaborate with you to navigate any obstacles or barriers you may be facing in life. My goal is to utilize a person-centered, intersectional, affirming, judgement free, and trauma-informed approach, and I hope to create a comfortable and safe environment for you to process, heal, and grow.
View
Photo of Connie Calderon Kretschmer, LMSW, Clinical Social Work/Therapist
Connie Calderon Kretschmer
Clinical Social Work/Therapist, LMSW
Verified Verified
Plymouth, MI 48170
My goal is to empower you to become your own agent of change and provide a non-judgmental/supportive environment to do so. I have worked with a wide variety of clients ranging from Individuals with chronic mental illness to corporate coaching. They have one thing in common, the courage to begin the therapeutic journey to heal and grow. I view therapy as a collaborative process and we will work together to identify your strengths, uncover patterns and develop tools to overcome obstacles. Some clients dive right in, some clients call me from the parking lot riddled with fear. We will start wherever you need to.
My goal is to empower you to become your own agent of change and provide a non-judgmental/supportive environment to do so. I have worked with a wide variety of clients ranging from Individuals with chronic mental illness to corporate coaching. They have one thing in common, the courage to begin the therapeutic journey to heal and grow. I view therapy as a collaborative process and we will work together to identify your strengths, uncover patterns and develop tools to overcome obstacles. Some clients dive right in, some clients call me from the parking lot riddled with fear. We will start wherever you need to.
(734) 888-9117 View (734) 888-9117
Photo of Allen B Berman, DDS, LPC, Licensed Professional Counselor
Allen B Berman
Licensed Professional Counselor, DDS, LPC
Verified Verified
Plymouth, MI 48170
Allen Berman, LPC: I received my Masters Degree in Counseling and am a fully licensed Professional Counselor. I am also a practicing dentist who maintains a private practice. My therapeutic approach is eclectic and specific to each of my clients. I rely heavily on Cognitive Therapy which consists of helping people reframe counter-productive thoughts that may negatively influence their behavior. I am well versed in couples therapy as well as individuals dealing with anxiety, depression and relationship issues. One of my interests is helping men navigate professional and personal transitions.
Allen Berman, LPC: I received my Masters Degree in Counseling and am a fully licensed Professional Counselor. I am also a practicing dentist who maintains a private practice. My therapeutic approach is eclectic and specific to each of my clients. I rely heavily on Cognitive Therapy which consists of helping people reframe counter-productive thoughts that may negatively influence their behavior. I am well versed in couples therapy as well as individuals dealing with anxiety, depression and relationship issues. One of my interests is helping men navigate professional and personal transitions.
(248) 341-2403 View (248) 341-2403
Photo of Brett Karpack, MS, TLLP, Psychologist
Brett Karpack
Psychologist, MS, TLLP
Verified Verified
1 Endorsed
Plymouth, MI 48170
My goal is to work with you to be the best version of yourself. I treat everyone as an individual, and our plan together will be specific to your needs. I like to stay open-minded and non-judgmental, and I see you as the expert on your own experiences and feelings. I have treated a variety of clients from a diverse range of backgrounds, and I am ready to address any obstacles you might be facing. I am prepared to use a variety of techniques and therapeutic approaches, all of which start with building a relationship based on trust and understanding.
My goal is to work with you to be the best version of yourself. I treat everyone as an individual, and our plan together will be specific to your needs. I like to stay open-minded and non-judgmental, and I see you as the expert on your own experiences and feelings. I have treated a variety of clients from a diverse range of backgrounds, and I am ready to address any obstacles you might be facing. I am prepared to use a variety of techniques and therapeutic approaches, all of which start with building a relationship based on trust and understanding.
(734) 749-9618 View (734) 749-9618
Photo of Hannah Elizabeth Bonenfant, LLPC, Licensed Professional Counselor
Hannah Elizabeth Bonenfant
Licensed Professional Counselor, LLPC
Verified Verified
1 Endorsed
Plymouth, MI 48170
Not accepting new clients
I have worked with clients who have had a myriad of concerns and presenting problems. These most often include anxiety, depression, trauma, ADHD, grief and loss, adjustment, and relationship struggles. Maybe you're struggling with the stress of starting school or a new job, or perhaps you have had a lot of trauma that causes problems in every aspect of your life. Whatever the reason for you seeking therapy, I am here to listen and help, as long as you're willing to work with me and be honest about your progress and goals.
I have worked with clients who have had a myriad of concerns and presenting problems. These most often include anxiety, depression, trauma, ADHD, grief and loss, adjustment, and relationship struggles. Maybe you're struggling with the stress of starting school or a new job, or perhaps you have had a lot of trauma that causes problems in every aspect of your life. Whatever the reason for you seeking therapy, I am here to listen and help, as long as you're willing to work with me and be honest about your progress and goals.
(734) 808-3106 View (734) 808-3106

How does your Therapist compare?

Number of Therapists in 48170

300+

Average cost per session

$150

Therapists in 48170 who prioritize treating:

93% Anxiety
88% Depression
81% Self Esteem
73% Relationship Issues
72% Stress
70% Coping Skills
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
66% Blue Care Network
51% Aetna

How Therapists in 48170 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in 48170?

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.