Photo of Gregory Welcher, LPC, Licensed Professional Counselor
Gregory Welcher
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302  (Online Only)
I am a Licensed Professional Counselor who specializes in Cognitive Behavioral Therapy, Trauma-Informed Care, Substance Abuse Treatment, and Co-Occurring Disorder Treatment. My approach is rooted in the belief that every individual has the capacity for personal growth and healing, and I am committed to providing compassionate, evidence-based care that empowers my clients to overcome challenges and improve their quality of life. Throughout my career, I have worked with a diverse clientele, including veterans, individuals undergoing court-ordered treatment, children, adults, and first responders.
I am a Licensed Professional Counselor who specializes in Cognitive Behavioral Therapy, Trauma-Informed Care, Substance Abuse Treatment, and Co-Occurring Disorder Treatment. My approach is rooted in the belief that every individual has the capacity for personal growth and healing, and I am committed to providing compassionate, evidence-based care that empowers my clients to overcome challenges and improve their quality of life. Throughout my career, I have worked with a diverse clientele, including veterans, individuals undergoing court-ordered treatment, children, adults, and first responders.
(810) 505-5843 View (810) 505-5843
Photo of Ryan Rollins, LMSW, Clinical Social Work/Therapist
Ryan Rollins
Clinical Social Work/Therapist, LMSW
Verified Verified
I am a proponent of reality based therapy and specialize in work with people impacted by narcissistic abuse, childhood trauma and a wide range of symptoms that include anxiety, depression, PTSD, cPTSD, trauma, Interpersonal relationships issues, and self esteem. Clients find my authentic and engaging approaches to therapy an invitation to unpack and explore themselves in a safe place.
I am a proponent of reality based therapy and specialize in work with people impacted by narcissistic abuse, childhood trauma and a wide range of symptoms that include anxiety, depression, PTSD, cPTSD, trauma, Interpersonal relationships issues, and self esteem. Clients find my authentic and engaging approaches to therapy an invitation to unpack and explore themselves in a safe place.
(248) 775-7851 View (248) 775-7851
Photo of Sarah Levi, LMSW, MSW, BSW, Clinical Social Work/Therapist
Sarah Levi
Clinical Social Work/Therapist, LMSW, MSW, BSW
Verified Verified
Do you or your child have trouble concentrating, have feelings of Anxiety or Depression or struggling socially? I work with a wide range of emotional and behavioral issues providing services that are personalized for each person's individual needs. I work with children and adults of all ages, both male and female . I employ strengths-based, cognitive-behavioral and solution-focused therapeutic modalities to work with clients on a variety of areas of concern including anxiety, depression, family issues, attention deficit disorder, parenting, self-injury and other issues that affect children and adults.
Do you or your child have trouble concentrating, have feelings of Anxiety or Depression or struggling socially? I work with a wide range of emotional and behavioral issues providing services that are personalized for each person's individual needs. I work with children and adults of all ages, both male and female . I employ strengths-based, cognitive-behavioral and solution-focused therapeutic modalities to work with clients on a variety of areas of concern including anxiety, depression, family issues, attention deficit disorder, parenting, self-injury and other issues that affect children and adults.
(947) 800-5119 View (947) 800-5119
Photo of Katie Germash-Neubert - Katie Neubert, MSW, LMSW, Clinical Social Work/Therapist
Katie Neubert
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Treating patients (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger, aggression, mood dysregulation, trauma, behavioral difficulties, and other mental health concerns, such as work/life balance. Treatment is provided to patients and their families who seek improvement in their daily functioning, including work, school, relationships, family dynamics, and overall outlook. Patients are the experts on themselves, and should be willing and able to actively participate in the therapeutic process, which may include the exploration and practice of, positive, appropriate, and adaptive coping skills.
Treating patients (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger, aggression, mood dysregulation, trauma, behavioral difficulties, and other mental health concerns, such as work/life balance. Treatment is provided to patients and their families who seek improvement in their daily functioning, including work, school, relationships, family dynamics, and overall outlook. Patients are the experts on themselves, and should be willing and able to actively participate in the therapeutic process, which may include the exploration and practice of, positive, appropriate, and adaptive coping skills.
(313) 329-7125 View (313) 329-7125
Photo of Stephanie Levis, LLMSW , CAADC-D, Clinical Social Work/Therapist
Stephanie Levis
Clinical Social Work/Therapist, LLMSW , CAADC-D
Verified Verified
1 Endorsed
Many individuals turn to therapy when they're ready for significant life changes and are seeking guidance on their journey. My role as a therapist is not just to witness your growth but to actively facilitate it by providing the necessary tools and support. With years of experience assisting clients with various mental illnesses, substance use disorders, and chronic medical conditions, I'll help you discover your inner strength, fight for another day, and become successful in your daily life. This therapeutic journey is a partnership, one where your needs and goals shape our path forward, empowering you to thrive beyond survival.
Many individuals turn to therapy when they're ready for significant life changes and are seeking guidance on their journey. My role as a therapist is not just to witness your growth but to actively facilitate it by providing the necessary tools and support. With years of experience assisting clients with various mental illnesses, substance use disorders, and chronic medical conditions, I'll help you discover your inner strength, fight for another day, and become successful in your daily life. This therapeutic journey is a partnership, one where your needs and goals shape our path forward, empowering you to thrive beyond survival.
(313) 789-2184 View (313) 789-2184
Photo of Mindful Consulting Services With Elizabeth Carr, MA, LPC, ACS, Counselor
Mindful Consulting Services With Elizabeth Carr
Counselor, MA, LPC, ACS
Verified Verified
2 Endorsed
Bloomfield Hills, MI 48302  (Online Only)
My approach to counseling is ideal for those experiencing stress, anxiety, depression, or struggling with daily tasks. I offer non-judgmental support to help you navigate and improve your holistic health journey. Together, we can aim for clarity, improved relationships, and effective coping strategies for life changes, trauma, or stressors. Your goals might include breaking old patterns, enhancing self-awareness, and moving toward personal and professional potential. I provide tailored, evidence-based therapy that respects your unique needs and fosters holistic growth.
My approach to counseling is ideal for those experiencing stress, anxiety, depression, or struggling with daily tasks. I offer non-judgmental support to help you navigate and improve your holistic health journey. Together, we can aim for clarity, improved relationships, and effective coping strategies for life changes, trauma, or stressors. Your goals might include breaking old patterns, enhancing self-awareness, and moving toward personal and professional potential. I provide tailored, evidence-based therapy that respects your unique needs and fosters holistic growth.
(248) 617-8656 View (248) 617-8656
David Hopkins
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Not accepting new clients
Deciding to reach out for help is very daunting so I thank you for taking the leap of faith and coming across my profile. My practice mission, vision and values are predicated upon the individual that walks through our doors so we can craft together a specific plan that works for our therapeutic partnership. Everyone has a different pace, different goals and we are here to help walk that journey with you. I have 13 years of experience working with the government and various non-profits and hospitals. I have created a program in Ontario as well so I am well acclimated to diverse populations and issues.
Deciding to reach out for help is very daunting so I thank you for taking the leap of faith and coming across my profile. My practice mission, vision and values are predicated upon the individual that walks through our doors so we can craft together a specific plan that works for our therapeutic partnership. Everyone has a different pace, different goals and we are here to help walk that journey with you. I have 13 years of experience working with the government and various non-profits and hospitals. I have created a program in Ontario as well so I am well acclimated to diverse populations and issues.
(248) 306-9775 View (248) 306-9775
Photo of Marcy Palmer Broder, LMSW, FIPA, Clinical Social Work/Therapist
Marcy Palmer Broder
Clinical Social Work/Therapist, LMSW, FIPA
Verified Verified
With 43 years of experience as a psychotherapist and 16 years as a psychoanalyst I help people build on their strengths to accomplish the personal growth they are committed to attaining. Individual adults and couples undergoing stress, loss, transitions or anxiety can be helped to get on a healthier path through exploration of what is meaningful and what is missing in their lives. Children and adolescents and their parents can find guidance in restoration of good relationships and reestablishment of a healthy developmental path.
With 43 years of experience as a psychotherapist and 16 years as a psychoanalyst I help people build on their strengths to accomplish the personal growth they are committed to attaining. Individual adults and couples undergoing stress, loss, transitions or anxiety can be helped to get on a healthier path through exploration of what is meaningful and what is missing in their lives. Children and adolescents and their parents can find guidance in restoration of good relationships and reestablishment of a healthy developmental path.
(947) 888-7864 View (947) 888-7864
Photo of Erica L Callander, Psychologist
Erica L Callander
Psychologist
Verified Verified
Bloomfield, MI 48302  (Online Only)
Hello and welcome! I am a doctorate level clinical psychologist specializing in adults experiencing anxiety, depression, and relationship issues. A highly-sensitive person (HSP) and empath myself, I am enthusiastic to work with clients who share these ‘superpowers’ which at times can feel burdensome. Beyond symptom relief, I seek to uncover your “origin story" as this promotes longer-lasting outcomes as well as opportunities for healing and self-discovery. My ongoing commitment to my own personal growth and therapy distinguishes me from other therapists, resulting in an elevated therapy experience and overall quality of care.
Hello and welcome! I am a doctorate level clinical psychologist specializing in adults experiencing anxiety, depression, and relationship issues. A highly-sensitive person (HSP) and empath myself, I am enthusiastic to work with clients who share these ‘superpowers’ which at times can feel burdensome. Beyond symptom relief, I seek to uncover your “origin story" as this promotes longer-lasting outcomes as well as opportunities for healing and self-discovery. My ongoing commitment to my own personal growth and therapy distinguishes me from other therapists, resulting in an elevated therapy experience and overall quality of care.
(269) 291-0091 View (269) 291-0091
Photo of Melinda Nafal, LLMSW, BCN, Clinical Social Work/Therapist
Melinda Nafal
Clinical Social Work/Therapist, LLMSW, BCN
Verified Verified
Hi my name is Melinda Nafal. My passion for helping others began approximately 10 years ago. Starting in a small community and working with various populations, I have gradually built a strong clinical foundation primarily in trauma psychotherapy. With almost a decade of extensive clinical experience, I continue to help individuals who have struggled with life altering events that have left them with emotional pain and suffering. My treatment stems from a holistic approach. Combining methodologies from Cognitive-Behavioral Therapy, Traumatic Incident Reduction (TIR), Dialectical Behavioral Therapy as well as natural health.
Hi my name is Melinda Nafal. My passion for helping others began approximately 10 years ago. Starting in a small community and working with various populations, I have gradually built a strong clinical foundation primarily in trauma psychotherapy. With almost a decade of extensive clinical experience, I continue to help individuals who have struggled with life altering events that have left them with emotional pain and suffering. My treatment stems from a holistic approach. Combining methodologies from Cognitive-Behavioral Therapy, Traumatic Incident Reduction (TIR), Dialectical Behavioral Therapy as well as natural health.
(248) 653-6371 View (248) 653-6371
Photo of Ann Weeks Moye, PhD, Psychologist
Ann Weeks Moye
Psychologist, PhD
Verified Verified
Bloomfield, MI 48302
As the senior member of the staff at DMBA, I have many years of clinical experience which will help us define your issues and agree on a treatment.
As the senior member of the staff at DMBA, I have many years of clinical experience which will help us define your issues and agree on a treatment.
(248) 451-9085 x15 View (248) 451-9085 x15
Photo of Meredith Fenton, MA-CMHC, LLC, NCC, Counselor
Meredith Fenton
Counselor, MA-CMHC, LLC, NCC
Verified Verified
2 Endorsed
Bloomfield Hills, MI 48302  (Online Only)
Compassionate, attentive, and knowledgeable. ​I am a Clinical Mental Health Counselor practicing in Birmingham, Michigan. I also have my Limited Licensed Counselor and National Certified Counselor Credentials. I have a B.A. in Psychology from Michigan State, and my Master’s in Clinical Mental Health Counseling from Northwestern University, where I presented my thesis on decreasing the misdiagnosis of bipolar disorder.
Compassionate, attentive, and knowledgeable. ​I am a Clinical Mental Health Counselor practicing in Birmingham, Michigan. I also have my Limited Licensed Counselor and National Certified Counselor Credentials. I have a B.A. in Psychology from Michigan State, and my Master’s in Clinical Mental Health Counseling from Northwestern University, where I presented my thesis on decreasing the misdiagnosis of bipolar disorder.
(248) 927-1341 View (248) 927-1341
Photo of Dr. Lindsay Ann Najor, PsyD, LLP, Limited Licensed Psychologist
Dr. Lindsay Ann Najor
Limited Licensed Psychologist, PsyD, LLP
Verified Verified
I am a clinical psychologist. I strive to give everyone who enters my office the opportunity to search deep in themselves, and truly find who they are and who they want to be. I listen objectively and without judgment. In order for healing to take place I believe a client needs to be heard but also understood and validated and given the tools that work for them. My goal is to help clients understand, manage, and learn to cope with any trauma, depression, anxiety, and addiction. My hope is to help be a support as the people I work with find healing.
I am a clinical psychologist. I strive to give everyone who enters my office the opportunity to search deep in themselves, and truly find who they are and who they want to be. I listen objectively and without judgment. In order for healing to take place I believe a client needs to be heard but also understood and validated and given the tools that work for them. My goal is to help clients understand, manage, and learn to cope with any trauma, depression, anxiety, and addiction. My hope is to help be a support as the people I work with find healing.
(248) 513-8275 View (248) 513-8275
Photo of Kaela Wright, MS, LLP, Limited Licensed Psychologist
Kaela Wright
Limited Licensed Psychologist, MS, LLP
Verified Verified
1 Endorsed
Clients who have an interest in understanding the underlying dynamics of their feelings and how they translate to behaviors, often find our work together to be a good fit. Gradually, we work together to help you get comfortable as you consider authentic trust and honesty in session, even when topics might be awkward or deeply personal. Therapy feels and works best when a client is open to emotional discomfort, as well as open to the revelation that can come as we work together to explore their inner world with courage and curiosity.
Clients who have an interest in understanding the underlying dynamics of their feelings and how they translate to behaviors, often find our work together to be a good fit. Gradually, we work together to help you get comfortable as you consider authentic trust and honesty in session, even when topics might be awkward or deeply personal. Therapy feels and works best when a client is open to emotional discomfort, as well as open to the revelation that can come as we work together to explore their inner world with courage and curiosity.
(810) 644-8766 View (810) 644-8766
Photo of Mark Deering, LPC, Licensed Professional Counselor
Mark Deering
Licensed Professional Counselor, LPC
Verified Verified
I am a Licensed Professional Counselor with over 5 years of experience specializing in depression, anxiety, ADD/ADHD and mood disorder treating patients 18 and up utilizing Phenomenology, Person Centered, and Cognitive Behavioral Therapy. I have experience counseling a wide range of clients in both clinical and outpatient settings. In my free time, I enjoy spending time with family and friends. I also love traveling, football, collecting autographs and watching cheesy science fiction movies. I have a Master of Arts in Clinical Mental Health Counseling from Oakland University and received Bachelor of Science from Oakland as well.
I am a Licensed Professional Counselor with over 5 years of experience specializing in depression, anxiety, ADD/ADHD and mood disorder treating patients 18 and up utilizing Phenomenology, Person Centered, and Cognitive Behavioral Therapy. I have experience counseling a wide range of clients in both clinical and outpatient settings. In my free time, I enjoy spending time with family and friends. I also love traveling, football, collecting autographs and watching cheesy science fiction movies. I have a Master of Arts in Clinical Mental Health Counseling from Oakland University and received Bachelor of Science from Oakland as well.
(248) 780-7096 View (248) 780-7096
Photo of Liza Raymond, DNP, PMHNP-B
Liza Raymond
DNP, PMHNP-B
Verified Verified
Liza Raymond is a Psychiatric Mental Health Nurse Practitioner in Michigan who has been practicing since 2006. She has a Doctorate of Nursing Practice from Oakland University, a MSN from the University of Detroit Mercy, and a BSN from Madonna University. Liza creates individualized treatment plans based on her clients' goals. In her spare time, Liza enjoys Pet therapy with Blossom, her toy poodle, medical mission trips to remote Guatemalan villages providing care to indigenous peoples, quiet time in the woods and family time on the water swimming or in canoes. She loves celebrating events with family which always include great food.
Liza Raymond is a Psychiatric Mental Health Nurse Practitioner in Michigan who has been practicing since 2006. She has a Doctorate of Nursing Practice from Oakland University, a MSN from the University of Detroit Mercy, and a BSN from Madonna University. Liza creates individualized treatment plans based on her clients' goals. In her spare time, Liza enjoys Pet therapy with Blossom, her toy poodle, medical mission trips to remote Guatemalan villages providing care to indigenous peoples, quiet time in the woods and family time on the water swimming or in canoes. She loves celebrating events with family which always include great food.
(248) 440-7736 View (248) 440-7736
Photo of Kristine Vazzano, PhD, LP, Psychologist
Kristine Vazzano
Psychologist, PhD, LP
Verified Verified
1 Endorsed
It is possible to feel better and make changes in your life. As a clinical psychologist, I can help you explore emotions related to current problems and teach you new ways of communicating and managing your feelings. My role is to help you feel better and increase your awareness both about yourself and the things you do. By increasing your understanding of past and present experiences, you can also improve your mood, your relationships, and overall functioning.
It is possible to feel better and make changes in your life. As a clinical psychologist, I can help you explore emotions related to current problems and teach you new ways of communicating and managing your feelings. My role is to help you feel better and increase your awareness both about yourself and the things you do. By increasing your understanding of past and present experiences, you can also improve your mood, your relationships, and overall functioning.
(248) 728-8811 View (248) 728-8811
Photo of Dakarai Rogers, MS, LLMFT, Marriage & Family Therapist Associate
Dakarai Rogers
Marriage & Family Therapist Associate, MS, LLMFT
Verified Verified
I am a trained marriage and family therapist. I serve a variety of clients. I have been successful with guiding couples through communication, infidelity, intimacy challenges and more. I counsel families towards stabilization and harmony through helping manage parenting, teen and adolescent problems. I provide counsel to individuals with an array of issues such as anxiety, depression, feeling stuck, etc...
I am a trained marriage and family therapist. I serve a variety of clients. I have been successful with guiding couples through communication, infidelity, intimacy challenges and more. I counsel families towards stabilization and harmony through helping manage parenting, teen and adolescent problems. I provide counsel to individuals with an array of issues such as anxiety, depression, feeling stuck, etc...
(248) 923-4660 View (248) 923-4660
Photo of Brianna Marie Scott-Masters, MA, LLPC, Licensed Professional Counselor
Brianna Marie Scott-Masters
Licensed Professional Counselor, MA, LLPC
Verified Verified
Waitlist for new clients
My personality and therapeutic approach allows me to be accessible to all ages. I am experienced in working with young adults and children (7 and up) with a wide variety of challenges. I am most familiar with relationship concerns, trauma, divorce, disordered eating, self-esteem, anxiety, depression, and substance use. When working with children, I take a collaborative approach with the parents on how to best meet the child's needs. I believe enhancing communication within the family system and providing guardians with support and tools is crucial to creating lasting change.
My personality and therapeutic approach allows me to be accessible to all ages. I am experienced in working with young adults and children (7 and up) with a wide variety of challenges. I am most familiar with relationship concerns, trauma, divorce, disordered eating, self-esteem, anxiety, depression, and substance use. When working with children, I take a collaborative approach with the parents on how to best meet the child's needs. I believe enhancing communication within the family system and providing guardians with support and tools is crucial to creating lasting change.
(248) 720-5934 View (248) 720-5934
Photo of Helene Kroll, LMSW, CAADC, Clinical Social Work/Therapist
Helene Kroll
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Living life to its fullest involves developing a healthy daily lifestyle, and a self care plan with ways to nurture your body and mind. Applying a mind and body practice to our daily lives allows us the ability to cope better with stress, anxiety and depression. My goal working with you, is to develop a strong, trusting relationship, while guiding you through your journey. I will help you learn techniques to gain insight and strength for change.
Living life to its fullest involves developing a healthy daily lifestyle, and a self care plan with ways to nurture your body and mind. Applying a mind and body practice to our daily lives allows us the ability to cope better with stress, anxiety and depression. My goal working with you, is to develop a strong, trusting relationship, while guiding you through your journey. I will help you learn techniques to gain insight and strength for change.
(947) 600-4949 View (947) 600-4949

How does your Therapist compare?

Number of Therapists in 48302

100+

Average cost per session

$150

Therapists in 48302 who prioritize treating:

95% Anxiety
90% Depression
79% Relationship Issues
79% Self Esteem
76% Trauma and PTSD
70% Coping Skills
63% Grief

Average years in practice

14 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
46% Blue Cross
45% Aetna

How Therapists in 48302 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48302?

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.